New York Medicaid APG Crosswalk

EAPG Listing (version 3.
11)
Effective April 1, 2016
3M. All rights reserved. As used herein, the term "EAPG Materials" shall mean the 3M EAPG listings, maps and codesets, including their
respective content (the logic, formulas, and algorithms for selecting a particular code for defining or assigning a particular patient classificat
subset of patient classifications or selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to the
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any country in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its suppliers. 3M grants you the l
non-transferable, non-exclusive permission to use the EAPG Materials for your organization's internal purposes. Any other use requires 3M's
written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the E
Materials to any third party, (ii) reverse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in part, in
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MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES NOT WARRANT T
EAPG MATERIALS WILL BE ERROR-FREE.
EAPG
1
EAPG Description
PHOTOCHEMOTHERAPY
EAPG Type
2
SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION
LEVEL I SKIN INCISION AND DRAINAGE
LEVEL II SKIN INCISION AND DRAINAGE
NAIL PROCEDURES
LEVEL I SKIN DEBRIDEMENT AND DESTRUCTION
LEVEL II SKIN DEBRIDEMENT AND DESTRUCTION
LEVEL III SKIN DEBRIDEMENT AND DESTRUCTION
LEVEL I EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE
10
LEVEL II EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE
11
LEVEL III EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE
12
LEVEL I SKIN REPAIR
13
LEVEL II SKIN REPAIR
14
LEVEL III SKIN REPAIR
15
LEVEL IV SKIN REPAIR
20
LEVEL I BREAST PROCEDURES
21
LEVEL II BREAST PROCEDURES
22
LEVEL III BREAST PROCEDURES
30
LEVEL I MUSCULOSKELETAL PROCEDURES EXCLUDING HAND

AND
FOOT
LEVEL
II MUSCULOSKELETAL PROCEDURES EXCLUDING HAND
2
2
33
AND
FOOT
LEVEL
III MUSCULOSKELETAL PROCEDURES EXCLUDING HAND
AND
FOOT
LEVEL
I HAND PROCEDURES
34
LEVEL II HAND PROCEDURES
35
LEVEL I FOOT PROCEDURES
36
LEVEL II FOOT PROCEDURES
37
LEVEL I ARTHROSCOPY
38
LEVEL II ARTHROSCOPY
39
REPLACEMENT OF CAST
31
32
Copyright 3M Health Information Systems, 2016
2
2
Page 1 of 6734
EAPG Listing (version 3.11)

40
SPLINT, STRAPPING AND CAST REMOVAL
41
43
CLOSED TREATMENT FX & DISLOCATION OF FINGER, TOE &

TRUNK
CLOSED TREATMENT FX & DISLOCATION EXC FINGER, TOE &
TRUNK
OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES
44
BONE OR JOINT MANIPULATION UNDER ANESTHESIA
45
BUNION PROCEDURES
46
LEVEL I ARTHROPLASTY
47
LEVEL II ARTHROPLASTY
48
HAND AND FOOT TENOTOMY
49
ARTHROCENTESIS AND LIGAMENT OR TENDON INJECTION
60
PULMONARY TESTS
61
62
NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND

INTUBATION
LEVEL I ENDOSCOPY OF THE UPPER AIRWAY
63
LEVEL II ENDOSCOPY OF THE UPPER AIRWAY
64
ENDOSCOPY OF THE LOWER AIRWAY
65
RESPIRATORY THERAPY
21
66
PULMONARY REHABILITATION
21
67
VENTILATION ASSISTANCE AND MANAGEMENT
80
EXERCISE TOLERANCE TESTS
25
81
ECHOCARDIOGRAPHY
25
82
CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING
25
83
PLACEMENT OF TRANSVENOUS CATHETERS
84
DIAGNOSTIC CARDIAC CATHETERIZATION
85
86
PERIPHERAL TRANSCATHETER AND REVASCULARIZATION

PROCEDURES
PACEMAKER INSERTION AND REPLACEMENT
87
REMOVAL AND REVISION OF PACEMAKER AND VASCULAR DEVICE
88
LEVEL I CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DE
89
90
LEVEL II CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR

DEVICE
SECONDARY VARICOSE VEINS AND VASCULAR INJECTION
91
VASCULAR LIGATION AND RECONSTRUCTION
92
RESUSCITATION
93
CARDIOVERSION
94
CARDIAC REHABILITATION
95
THROMBOLYSIS
96
ATRIAL AND VENTRICULAR RECORDING AND PACING
97
AICD IMPLANT
99
CORONARY ANGIOPLASTY
110
PHARMACOTHERAPY BY EXTENDED INFUSION
111
PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION
42
2
2
25
2
2
25
2
21
Page 2 of 6734

112
PHLEBOTOMY
113
LEVEL I BLOOD AND BLOOD PRODUCT EXCHANGE
114
LEVEL II BLOOD AND BLOOD PRODUCT EXCHANGE
115
DEEP LYMPH STRUCTURE AND THYROID PROCEDURES
116
ALLERGY TESTS
117
HOME INFUSION
118
NUTRITION THERAPY
21
130
ALIMENTARY TESTS AND SIMPLE TUBE PLACEMENT
25
131
ESOPHAGEAL DILATION WITHOUT ENDOSCOPY
132
133
ANOSCOPY WITH BIOPSY AND DIAGNOSTIC

PROCTOSIGMOIDOSCOPY
PROCTOSIGMOIDOSCOPY WITH EXCISION OR BIOPSY
134
DIAGNOSTIC UPPER GI ENDOSCOPY OR INTUBATION
25
135
THERAPEUTIC UPPER GI ENDOSCOPY OR INTUBATION
136
DIAGNOSTIC LOWER GASTROINTESTINAL ENDOSCOPY
25
137
THERAPEUTIC COLONOSCOPY
138
ERCP AND MISCELLANEOUS GI ENDOSCOPY PROCEDURES
139
LEVEL I HERNIA REPAIR
140
LEVEL II HERNIA REPAIR
141
LEVEL I ANAL AND RECTAL PROCEDURES
142
LEVEL II ANAL AND RECTAL PROCEDURES
143
LEVEL I GASTROINTESTINAL PROCEDURES
144
LEVEL II GASTROINTESTINAL PROCEDURES
145
LEVEL I LAPAROSCOPY
146
LEVEL II LAPAROSCOPY
147
LEVEL III LAPAROSCOPY
148
LEVEL IV LAPAROSCOPY
149
SCREENING COLORECTAL SERVICES
160
EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY
161
URINARY STUDIES AND PROCEDURES
162
URINARY DILATATION
163
LEVEL I BLADDER AND KIDNEY PROCEDURES
164
LEVEL II BLADDER AND KIDNEY PROCEDURES
165
LEVEL III BLADDER AND KIDNEY PROCEDURES
166
LEVEL I URETHRA AND PROSTATE PROCEDURES
167
LEVEL II URETHRA AND PROSTATE PROCEDURES
168
HEMODIALYSIS
169
PERITONEAL DIALYSIS
180
TESTICULAR AND EPIDIDYMAL PROCEDURES
181
CIRCUMCISION
25
Page 3 of 6734

182
INSERTION OF PENILE PROSTHESIS
183
OTHER PENILE PROCEDURES
184
DESTRUCTION OR RESECTION OF PROSTATE
185
PROSTATE NEEDLE AND PUNCH BIOPSY
190
ARTIFICIAL FERTILIZATION
191
LEVEL I FETAL PROCEDURES
192
LEVEL II FETAL PROCEDURES
193
TREATMENT OF INCOMPLETE ABORTION
194
THERAPEUTIC ABORTION
195
VAGINAL DELIVERY
196
LEVEL I FEMALE REPRODUCTIVE PROCEDURES
197
LEVEL II FEMALE REPRODUCTIVE PROCEDURES
198
LEVEL III FEMALE REPRODUCTIVE PROCEDURES
199
DILATION AND CURETTAGE
200
HYSTEROSCOPY
201
COLPOSCOPY
210
EXTENDED EEG STUDIES
211
ELECTROENCEPHALOGRAM
212
ELECTROCONVULSIVE THERAPY
213
NERVE AND MUSCLE TESTS
214
215
LEVEL I NERVOUS SYSTEM INJECTIONS, STIMULATIONS OR

CRANIAL
TAP
LEVEL I REVISION
OR REMOVAL OF NEUROLOGICAL DEVICE
216
LEVEL II REVISION OR REMOVAL OF NEUROLOGICAL DEVICE
217
LEVEL I NERVE PROCEDURES
218
LEVEL II NERVE PROCEDURES
219
SPINAL TAP
220
221
LEVEL II NERVOUS SYSTEM INJECTIONS, STIMULATIONS OR

CRANIAL
TAP AND LAMINECTOMY
LAMINOTOMY
222
SLEEP STUDIES
223
LEVEL III NERVE PROCEDURES
224
LEVEL IV NERVE PROCEDURES
230
MINOR OPHTHALMOLOGICAL TESTS AND PROCEDURES
231
FITTING OF CONTACT LENSES
232
LASER EYE PROCEDURES
233
CATARACT PROCEDURES
234
LEVEL I ANTERIOR SEGMENT EYE PROCEDURES
235
LEVEL II ANTERIOR SEGMENT EYE PROCEDURES
236
LEVEL III ANTERIOR SEGMENT EYE PROCEDURES
237
LEVEL I POSTERIOR SEGMENT EYE PROCEDURES
25
2
25
2
2
25
Page 4 of 6734

238
LEVEL II POSTERIOR SEGMENT EYE PROCEDURES
239
STRABISMUS AND MUSCLE EYE PROCEDURES
240
LEVEL I REPAIR AND PLASTIC PROCEDURES OF EYE
241
LEVEL II REPAIR AND PLASTIC PROCEDURES OF EYE
250
COCHLEAR DEVICE IMPLANTATION
251
OTORHINOLARYNGOLOGIC FUNCTION TESTS
252
LEVEL I FACIAL AND ENT PROCEDURES
253
LEVEL II FACIAL AND ENT PROCEDURES
254
LEVEL III FACIAL AND ENT PROCEDURES
255
LEVEL IV FACIAL AND ENT PROCEDURES
256
TONSIL AND ADENOID PROCEDURES
257
AUDIOMETRY
25
270
OCCUPATIONAL THERAPY
21
271
PHYSICAL THERAPY
21
272
SPEECH THERAPY AND EVALUATION
21
273
MANIPULATION THERAPY
21
274
OCCUPATIONAL/PHYSICAL THERAPY, GROUP
21
275
SPEECH THERAPY & EVALUATION, GROUP
21
280
VASCULAR RADIOLOGY EXCEPT VENOGRAPHY OF EXTREMITY
24
281
MAGNETIC RESONANCE ANGIOGRAPHY - HEAD AND/OR NECK
24
282
MAGNETIC RESONANCE ANGIOGRAPHY - CHEST
24
283
MAGNETIC RESONANCE ANGIOGRAPHY - OTHER SITES
24
284
MYELOGRAPHY
24
285
MISCELLANEOUS RADIOLOGICAL PROCEDURES WITH CONTRAST
24
286
MAMMOGRAPHY & OTHER RELATED PROCEDURES
24
287
DIGESTIVE RADIOLOGY
24
288
24
289
DIAGNOSTIC ULTRASOUND EXCEPT OBSTETRICAL AND

VASCULAR
LOWER EXTREMITIES
VASCULAR OF
DIAGNOSTIC
ULTRASOUND OF LOWER EXTREMITIES
290
PET SCANS
24
291
BONE DENSITOMETRY
24
292
MRI- ABDOMEN
24
293
MRI- JOINTS
24
294
MRI- BACK
24
295
MRI- CHEST
24
296
MRI- OTHER
24
297
MRI BRAIN AND MAGNETOENCEPHALOGRAPHY
24
298
CAT SCAN BACK
24
299
CAT SCAN - BRAIN
24
300
CAT SCAN - ABDOMEN
24
25
24
Page 5 of 6734

301
CAT SCAN - OTHER
24
302
ANGIOGRAPHY, OTHER
24
303
ANGIOGRAPHY, CEREBRAL
24
310
DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING
22
311
FULL DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE
312
FULL DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS
313
HALF DAY PARTIAL HOSPITALIZATION FOR SUBSTANCE ABUSE
314
HALF DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS
315
COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY
22
316
INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY
22
317
FAMILY PSYCHOTHERAPY
22
318
GROUP PSYCHOTHERAPY
22
319
ACTIVITY THERAPY
22
320
22
321
CASE MANAGEMENT & TREATMENT PLAN DEVELOPMENT MENTAL

HEALTH OR SUBSTANCE ABUSE
CRISIS INTERVENTION
322
MEDICATION ADMINISTRATION & OBSERVATION
22
323
MENTAL HYGIENE ASSESSMENT
22
324
MENTAL HEALTH SCREENING & BRIEF ASSESSMENT
22
327
INTENSIVE OUTPATIENT PSYCHIATRIC TREATMENT
22
328
DAY REHABILITATION, HALF DAY
22
329
DAY REHABILITATION, FULL DAY
22
330
LEVEL I DIAGNOSTIC NUCLEAR MEDICINE
24
331
LEVEL II DIAGNOSTIC NUCLEAR MEDICINE
24
332
LEVEL III DIAGNOSTIC NUCLEAR MEDICINE
24
340
THERAPEUTIC NUCLEAR MEDICINE
341
RADIATION THERAPY AND HYPERTHERMIA
342
LEVEL I AFTERLOADING BRACHYTHERAPY
343
RADIATION TREATMENT DELIVERY
344
INSTILLATION OF RADIOELEMENT SOLUTIONS
345
HYPERTHERMIC THERAPIES
346
RADIOSURGERY
347
HIGH ENERGY NEUTRON RADIATION TREATMENT DELIVERY
348
PROTON TREATMENT DELIVERY
349
LEVEL II AFTERLOADING BRACHYTHERAPY
350
LEVEL I ADJUNCTIVE GENERAL DENTAL SERVICES
23
351
LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES
23
352
LEVEL I PERIODONTICS
23
353
LEVEL I PROSTHODONTICS, FIXED
23
354
LEVEL II PROSTHODONTICS, FIXED
23
22
Page 6 of 6734

355
LEVEL III PROSTHODONTICS, FIXED
23
356
LEVEL I PROSTHODONTICS, REMOVABLE
23
357
LEVEL II PROSTHODONTICS, REMOVABLE
23
358
LEVEL III PROSTHODONTICS, REMOVABLE
23
359
LEVEL I MAXILLOFACIAL PROSTHETICS
23
360
LEVEL II MAXILLOFACIAL PROSTHETICS
23
361
LEVEL I DENTAL RESTORATIONS
23
362
LEVEL II DENTAL RESTORATIONS
23
363
LEVEL III DENTAL RESTORATION
23
364
LEVEL I ENDODONTICS
23
365
LEVEL II ENDODONTICS
23
366
LEVEL III ENDODONTICS
23
367
LEVEL I ORAL AND MAXILLOFACIAL SURGERY
23
368
LEVEL II ORAL AND MAXILLOFACIAL SURGERY
23
369
LEVEL III ORAL AND MAXILLOFACIAL SURGERY
23
370
LEVEL IV ORAL AND MAXILLOFACIAL SURGERY
23
371
LEVEL I ORTHODONTICS
23
372
SEALANT
23
373
LEVEL I DENTAL FILM
374
LEVEL II DENTAL FILM
375
DENTAL ANESTHESIA
376
DIAGNOSTIC DENTAL PROCEDURES
377
PREVENTIVE DENTAL PROCEDURES
378
LEVEL II PERIODONTICS
23
379
LEVEL II ORTHODONTICS
23
380
ANESTHESIA
381
LEVEL I DENTAL IMPLANTS
23
382
LEVEL II DENTAL IMPLANTS
23
385
LEVEL I MOLECULAR PATHOLOGY AND GENETIC TESTS
386
LEVEL II MOLECULAR PATHOLOGY AND GENETIC TESTS
387
LEVEL III MOLECULAR PATHOLOGY AND GENETIC TESTS
390
LEVEL I PATHOLOGY
391
LEVEL II PATHOLOGY
392
PAP SMEARS
393
BLOOD AND TISSUE TYPING
394
LEVEL I IMMUNOLOGY TESTS
395
LEVEL II IMMUNOLOGY TESTS
396
LEVEL I MICROBIOLOGY TESTS
397
LEVEL II MICROBIOLOGY TESTS
Page 7 of 6734

398
LEVEL I ENDOCRINOLOGY TESTS
399
LEVEL II ENDOCRINOLOGY TESTS
400
LEVEL I CHEMISTRY TESTS
401
LEVEL II CHEMISTRY TESTS
402
BASIC CHEMISTRY TESTS
403
ORGAN OR DISEASE ORIENTED PANELS
404
TOXICOLOGY TESTS
405
THERAPEUTIC DRUG MONITORING
406
LEVEL I CLOTTING TESTS
407
LEVEL II CLOTTING TESTS
408
LEVEL I HEMATOLOGY TESTS
409
LEVEL II HEMATOLOGY TESTS
410
URINALYSIS
411
BLOOD AND URINE DIPSTICK TESTS
412
SIMPLE PULMONARY FUNCTION TESTS
413
CARDIOGRAM
414
LEVEL I IMMUNIZATION
415
LEVEL II IMMUNIZATION
416
LEVEL III IMMUNIZATION
417
MINOR REPRODUCTIVE PROCEDURES
418
MINOR CARDIAC AND VASCULAR TESTS
419
MINOR OPHTHALMOLOGICAL INJECTION, SCRAPING AND TESTS
420
PACEMAKER AND OTHER ELECTRONIC ANALYSIS
421
TUBE CHANGE
422
PROVISION OF VISION AIDS
423
INTRODUCTION OF NEEDLE AND CATHETER
424
DRESSINGS AND OTHER MINOR PROCEDURES
425
LEVEL I OTHER MISCELLANEOUS ANCILLARY PROCEDURES
426
PSYCHOTROPIC MEDICATION MANAGEMENT
427
BIOFEEDBACK AND OTHER TRAINING
428
PATIENT EDUCATION, INDIVIDUAL
429
PATIENT EDUCATION, GROUP
430
CLASS I CHEMOTHERAPY DRUGS
431
CLASS II CHEMOTHERAPY DRUGS
432
CLASS III CHEMOTHERAPY DRUGS
433
CLASS IV CHEMOTHERAPY DRUGS
434
CLASS V CHEMOTHERAPY DRUGS
435
CLASS I PHARMACOTHERAPY
436
CLASS II PHARMACOTHERAPY
22
Page 8 of 6734

437
CLASS III PHARMACOTHERAPY
438
CLASS IV PHARMACOTHERAPY
439
CLASS V PHARMACOTHERAPY
440
CLASS VI PHARMACOTHERAPY
441
CLASS VI CHEMOTHERAPY DRUGS
443
CLASS VII CHEMOTHERAPY DRUGS
444
CLASS VII PHARMACOTHERAPY
448
EXPANDED HOURS ACCESS
449
ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES
450
OBSERVATION
451
SMOKING CESSATION TREATMENT
452
DIABETES SUPPLIES
453
MOTORIZED WHEELCHAIR
454
TPN FORMULAE
455
IMPLANTED TISSUE OF ANY TYPE
456
MOTORIZED WHEELCHAIR ACCESSORIES
457
VENIPUNCTURE
458
ALLERGY THERAPY
459
VACCINE ADMINISTRATION
460
461
CLASS VIII COMBINED CHEMOTHERAPY AND

PHARMACOTHERAPY
CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY
462
CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY
463
CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY
464
CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY
465
470
CLASS XIII COMBINED CHEMOTHERAPY AND

PHARMACOTHERAPY
OBSTETRICAL ULTRASOUND
471
PLAIN FILM
472
ULTRASOUND GUIDANCE
473
CT GUIDANCE
474
475
RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC

PROCEDURES
MRI GUIDANCE
476
LEVEL I THERAPEUTIC RADIATION TREATMENT PREPARATION
477
LEVEL II THERAPEUTIC RADIATION TREATMENT PREPARATION
478
MEDICAL RADIATION PHYSICS
479
TREATMENT DEVICE DESIGN AND CONSTRUCTION
480
TELETHERAPY/BRACHYTHERAPY CALCULATION
481
THERAPEUTIC RADIOLOGY SIMULATION FIELD SETTING
482
RADIOELEMENT APPLICATION
483
RADIATION THERAPY MANAGEMENT
Page 9 of 6734

484
THERAPEUTIC RADIOLOGY TREATMENT PLANNING
485
CORNEAL TISSUE PROCESSING
486
BASIC BLOOD TYPING
487
MINOR CARDIAC MONITORING
488
MINOR DEVICE EVALUATION & ELECTRONIC ANALYSIS
489
LEVEL II OTHER MISCELLANEOUS ANCILLARY PROCEDURES
490
INCIDENTAL TO MEDICAL VISIT OR SIGNIFICANT PROCEDURE
491
MEDICAL VISIT INDICATOR
492
ENCOUNTER/REFERRAL FOR OBSERVATION INDICATOR
495
MINOR CHEMOTHERAPY DRUGS
496
MINOR PHARMACOTHERAPY
497
TELEHEALTH FACILITATION
498
PEN FORMULAE
500
ENCOUNTER/REFERRAL FOR OBSERVATION - OBSTETRICAL
501
ENCOUNTER/REFERRAL FOR OBSERVATION - OTHER DIAGNOSES
502
510
ENCOUNTER/REFERRAL FOR OBSERVATION - BEHAVIORAL

HEALTH
MAJOR SIGNS, SYMPTOMS AND FINDINGS
520
SPINAL DIAGNOSES & INJURIES
521
NERVOUS SYSTEM MALIGNANCY
522
523
DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT

SCLEROSIS
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES
524
LEVEL I CNS DIAGNOSES
525
LEVEL II CNS DIAGNOSES
526
TRANSIENT ISCHEMIA
527
PERIPHERAL NERVE DIAGNOSES
528
NONTRAUMATIC STUPOR & COMA
529
SEIZURE
530
HEADACHES OTHER THAN MIGRAINE
531
MIGRAINE
532
HEAD TRAUMA
533
AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT
534
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARC
535
CVA & PRECEREBRAL OCCLUSION W INFARCT
536
CEREBRAL PALSY
550
ACUTE MAJOR EYE INFECTIONS
551
CATARACTS
552
GLAUCOMA
553
LEVEL I OTHER OPHTHALMIC DIAGNOSES
554
LEVEL II OTHER OPHTHALMIC DIAGNOSES
Page 10 of 6734

555
CONJUNCTIVITIS
560
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES
561
VERTIGINOUS DIAGNOSES EXCEPT FOR BENIGN VERTIGO
562
INFECTIONS OF UPPER RESPIRATORY TRACT & OTITIS MEDIA
563
DENTAL & ORAL DIAGNOSES & INJURIES
564
565
LEVEL I OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL

DIAGNOSES
LEVEL II OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL
570
DIAGNOSES
CYSTIC FIBROSIS - PULMONARY DISEASE
571
RESPIRATORY MALIGNANCY
572
BRONCHIOLITIS & RSV PNEUMONIA
573
COMMUNITY ACQUIRED PNUEMONIA
574
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
575
ASTHMA
576
LEVEL I OTHER RESPIRATORY DIAGNOSES
577
LEVEL II OTHER RESPIRATORY DIAGNOSES
578
PNEUMONIA EXCEPT FOR COMMUNITY ACQUIRED PNEUMONIA
579
STATUS ASTHMATICUS
591
ACUTE MYOCARDIAL INFARCTION
592
LEVEL I CARDIOVASCULAR DIAGNOSES
593
LEVEL II CARDIOVASCULAR DIAGNOSES
594
HEART FAILURE
595
CARDIAC ARREST OR OTHER CAUSES OF MORTALITY
596
PERIPHERAL & OTHER VASCULAR DIAGNOSES
597
PHLEBITIS
598
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS
599
HYPERTENSION
600
CARDIAC STRUCTURAL & VALVULAR DIAGNOSES
601
LEVEL I CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES
602
ATRIAL FIBRILLATION
603
LEVEL II CARDIAC ARRHYTHMIA & CONDUCTION DIAGNOSES
604
CHEST PAIN
605
SYNCOPE & COLLAPSE
620
DIGESTIVE MALIGNANCY
621
PEPTIC ULCER & GASTRITIS
623
ESOPHAGITIS
624
LEVEL I GASTROINTESTINAL DIAGNOSES
625
LEVEL II GASTROINTESTINAL DIAGNOSES
626
INFLAMMATORY BOWEL DISEASE
627
NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING
Page 11 of 6734

628
ABDOMINAL PAIN
629
630
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR

PROCEDURE
CONSTIPATION
631
HERNIA
632
IRRITABLE BOWEL SYNDROME
633
ALCOHOLIC LIVER DISEASE
634
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS
635
PANCREAS DIAGNOSES EXCEPT MALIGNANCY
636
HEPATITIS WITHOUT COMA
637
GALLBLADDER & BILIARY TRACT DIAGNOSES
638
CHOLECYSTITIS
639
LEVEL I HEPATOBILIARY DIAGNOSES
640
LEVEL II HEPATOBILIARY DIAGNOSES
650
FRACTURE OF FEMUR
651
FRACTURE OF PELVIS OR DISLOCATION OF HIP
652
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK
653
MUSCULOSKELETAL MALIGNANCY & PATHOLOGICAL FRACTURES
654
655
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER

MUSCULOSKELETAL
CONNECTIVE TISSUEINFECTIONS
DIAGNOSES
656
BACK & NECK DIAGNOSES EXCEPT LUMBAR DISC DIAGNOSES
657
LUMBAR DISC DIAGNOSES
658
LUMBAR DISC DIAGNOSES WITH SCIATICA
659
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE

OR
PROCEDURE
LEVEL
I OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE
3
3
662
TISSUE
LEVEL IIDIAGNOSES
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE
TISSUE
DIAGNOSES
OSTEOPOROSIS
663
PAIN
670
SKIN ULCERS
671
MAJOR SKIN DIAGNOSES
672
MALIGNANT BREAST DIAGNOSES
673
CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS
674
675
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN &

SUBCUTANEOUS
TISSUE
OTHER SKIN, SUBCUTANEOUS
TISSUE & BREAST DIAGNOSES
676
DECUBITUS ULCER
690
691
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL

DIAGNOSES
INBORN ERRORS OF METABOLISM
692
LEVEL I ENDOCRINE DIAGNOSES
693
LEVEL II ENDOCRINE DIAGNOSES
694
ELECTROLYTE DISORDERS
660
661
3
3
Page 12 of 6734

695
OBESITY
710
DIABETES WITH OPHTHALMIC MANIFESTATIONS
711
DIABETES WITH OTHER MANIFESTATIONS & COMPLICATIONS
712
DIABETES WITH NEUROLOGIC MANIFESTATIONS
713
DIABETES WITHOUT COMPLICATIONS
714
DIABETES WITH RENAL MANIFESTATIONS
720
RENAL FAILURE
721
KIDNEY & URINARY TRACT MALIGNANCY
722
NEPHRITIS & NEPHROSIS
723
KIDNEY AND CHRONIC URINARY TRACT INFECTIONS
724
726
URINARY STONES & ACQUIRED UPPER URINARY TRACT

OBSTRUCTION
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE
OR
PROC
OTHER
KIDNEY & URINARY TRACT DIAGNOSES, SIGNS &
727
SYMPTOMS
ACUTE LOWER URINARY TRACT INFECTIONS
740
MALIGNANCY, MALE REPRODUCTIVE SYSTEM
741
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY
742
NEOPLASMS OF THE MALE REPRODUCTIVE SYSTEM
743
PROSTATITIS
744
MALE REPRODUCTIVE INFECTIONS
750
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY
751
FEMALE REPRODUCTIVE SYSTEM INFECTIONS
752
LEVEL I MENSTRUAL AND OTHER FEMALE DIAGNOSES
753
LEVEL II MENSTRUAL AND OTHER FEMALE DIAGNOSES
760
VAGINAL DELIVERY
761
POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE
762
THREATENED ABORTION
763
764
ABORTION W/O D&C, ASPIRATION CURETTAGE OR

HYSTEROTOMY
FALSE LABOR
765
OTHER ANTEPARTUM DIAGNOSES
766
ROUTINE PRENATAL CARE
770
NORMAL NEONATE
771
LEVEL I NEONATAL DIAGNOSES
772
LEVEL II NEONATAL DIAGNOSES
780
OTHER HEMATOLOGICAL DIAGNOSES
781
COAGULATION & PLATELET DIAGNOSES
782
CONGENITAL FACTOR DEFICIENCIES
783
SICKLE CELL ANEMIA CRISIS
784
SICKLE CELL ANEMIA
785
ANEMIA EXCEPT FOR IRON DEFICIENCY ANEMIA AND SICKLE

CELL ANEMIA
725
3
3
Page 13 of 6734

786
IRON DEFICIENCY ANEMIA
800
ACUTE LEUKEMIA
801
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA
802
RADIOTHERAPY
803
CHEMOTHERAPY
804
805
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF

UNCERTAIN
SEPTICEMIA BEHAVIOR
& DISSEMINATED INFECTIONS
806
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS
807
FEVER
808
VIRAL ILLNESS
809
OTHER INFECTIOUS & PARASITIC DISEASES
810
H. PYLORI INFECTION
820
SCHIZOPHRENIA
821
822
MAJOR DEPRESSIVE DIAGNOSES & OTHER/UNSPECIFIED

PSYCHOSES
PERSONALITY & IMPULSE CONTROL DIAGNOSES
823
BIPOLAR DISORDERS
824
DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES
825
826
ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE

DIAGNOSES
ACUTE ANXIETY & DELIRIUM STATES
827
ORGANIC MENTAL HEALTH DISTURBANCES
828
MENTAL RETARDATION
829
CHILDHOOD BEHAVIORAL DIAGNOSES
830
EATING DISORDERS
831
OTHER MENTAL HEALTH DIAGNOSES
840
OPIOID ABUSE & DEPENDENCE
841
COCAINE ABUSE & DEPENDENCE
842
ALCOHOL ABUSE & DEPENDENCE
843
OTHER DRUG ABUSE & DEPENDENCE
850
ALLERGIC REACTIONS
851
POISONING OF MEDICINAL AGENTS
852
OTHER COMPLICATIONS OF TREATMENT
853
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES
854
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES
860
861
EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN

GRAFT
PARTIAL THICKNESS BURNS W OR W/O SKIN GRAFT
870
REHABILITATION
871
872
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH

STATUS
OTHER AFTERCARE & CONVALESCENCE
873
NEONATAL AFTERCARE
Page 14 of 6734

874
JOINT REPLACEMENT
875
CONTRACEPTIVE MANAGEMENT
876
ADULT PREVENTIVE MEDICINE
877
CHILD PREVENTIVE MEDICINE
878
GYNECOLOGIC PREVENTIVE MEDICINE
879
PREVENTIVE OR SCREENING ENCOUNTER
880
HIV INFECTION
881
AIDS
882
GENETIC COUNSELING
993
INPATIENT ONLY PROCEDURES
994
USER CUSTOMIZABLE INPATIENT PROCEDURES
999
UNASSIGNED
1001
DURABLE MEDICAL EQUIPMENT AND SUPPLIES - LEVEL 1
1002
1003
1004
DURABLE MEDICAL EQUIPMENT - LEVEL 4
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1090
USER DEFINED 340B DRUGS
Page 15 of 6734

nd codesets, including their

a particular patient classification or
EAPG Materials). Title to the EAPG
nd or nature arising under the laws of
uppliers. 3M grants you the limited,
. Any other use requires 3M's prior
e-license or redistribute the EAPG

terials, in whole or in part, in any
AS IS" BASIS. 3M AND ITS SUPPLIERS,
INCLUDING WARRANTIES OF
E. 3M DOES NOT WARRANT THAT THE
EAPG Category
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
2
2
3
3
3
3
3
3
3
3
3
3
Page 16 of 6734

3
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
6
6
Page 17 of 6734

6
6
6
6
23
6
6
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
8
8
9
9
Page 18 of 6734

9
9
9
9
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
Page 19 of 6734

12
12
12
12
13
13
13
13
13
13
13
13
14
14
14
14
14
14
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
Page 20 of 6734

15
15
15
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
16
17
17
17
17
18
18
18
18
18
18
18
18
18
19
19
19
19
19
Page 21 of 6734

19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
19
20
19
19
22
22
22
21
21
21
22
22
22
22
22
Page 22 of 6734

22
22
22
22
22
22
22
22
22
22
22
22
22
22
23
23
23
23
23
23
23
23
23
23
23
23
23
23
16
23
23
23
24
24
24
24
24
24
24
Page 23 of 6734

24
24
24
24
24
24
24
23
23
23
23
23
23
23
23
23
23
23
23
24
24
24
24
24
24
25
25
25
25
25
25
25
25
25
25
25
25
18
25
Page 24 of 6734

25
23
22
23
23
23
30
30
30
24
24
23
23
50
50
50
51
52
52
52
52
52
52
52
52
52
52
52
52
52
52
52
52
52
53
53
53
53
53
Page 25 of 6734

53
54
54
54
54
54
54
55
55
55
55
55
55
55
55
55
55
56
56
56
56
56
56
56
56
56
56
56
56
56
56
56
57
57
57
57
57
57
57
Page 26 of 6734

57
57
57
57
57
58
58
58
58
58
58
58
58
59
59
59
59
59
59
59
59
59
59
59
59
59
59
60
60
60
60
60
60
60
61
61
61
61
61
Page 27 of 6734

61
62
62
62
62
62
63
63
63
63
63
63
63
63
64
64
64
64
64
65
65
65
65
66
66
66
66
66
66
66
67
67
67
68
68
68
68
68
68
Page 28 of 6734

68
69
69
69
69
69
70
70
70
70
70
70
71
71
71
71
71
71
71
71
71
71
71
71
72
72
72
72
73
73
73
73
73
74
74
75
75
75
75
Page 29 of 6734

75
75
77
77
77
77
76
76
77
99
99
99
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
23
24
Page 30 of 6734
EAPG Types (version 3.11)

subset of patient classifications or selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to the
Materials, and the ownership of all copyright, trademark, patent, trade secret, or any other right of a similar kind or nature arising under the
any country in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its suppliers. 3M grants you the l
non-transferable, non-exclusive permission to use the EAPG Materials for your organization's internal purposes. Any other use requires 3M's
written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the E
Materials to any third party, (ii) reverse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in part, in
other work for use or distribution outside of your organization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND ITS SU
TO THE FULLEST EXTENT PERMITTED BY LAW, DISCLAIM ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF
MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES NOT WARRANT T
EAPG MATERIALS WILL BE ERROR-FREE.
EAPG Type
1
2
3
4
5
6
7
8
21
22
23
24
25
Description
Per Diem
Significant Procedure
Medical Visit
Ancillary
Incidental
Drug
DME
Unassigned
Physical Therapy & Rehab
Mental Health & Counseling
Dental Procedure
Radiologic Procedure
Diagnostic Significant Proc
Page 31 of 6734
EAPG Types (version 3.11)

codesets, including their

particular patient classification or
APG Materials). Title to the EAPG
or nature arising under the laws of
pliers. 3M grants you the limited,
Any other use requires 3M's prior
icense or redistribute the EAPG

ials, in whole or in part, in any
IS" BASIS. 3M AND ITS SUPPLIERS,
CLUDING WARRANTIES OF
3M DOES NOT WARRANT THAT THE
Page 32 of 6734
EAPG Categories (version 3.11)

3M. All rights reserved. As used herein, the term "EAPG Materials" shall mean the 3M EAPG listings, maps and codesets, including their resp
logic, formulas, and algorithms for selecting a particular code for defining or assigning a particular patient classification or subset of patient clas
selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to the EAPG Materials, and the ownership of
trademark, patent, trade secret, or any other right of a similar kind or nature arising under the laws of any country in the world (collectively, "In
Rights") thereto, are the property of 3M and/or its suppliers. 3M grants you the limited, non-transferable, non-exclusive permission to use the E
your organization's internal purposes. Any other use requires 3M's prior written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the EAPG
third party, (ii) reverse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in part, in any other work for u
outside of your organization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND ITS SUPPLIERS, TO THE FULLEST EXTENT PE
DISCLAIM ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OF THIRD
AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES NOT WARRANT THAT THE EAPG MATERIALS WILL BE ERROR-FREE.
EAPG Category
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
30
50
51
52
53
54
Page 33 of 6734

55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
99
Page 34 of 6734

reserved. As used herein, the term "EAPG Materials" shall mean the 3M EAPG listings, maps and codesets, including their respective content (the
and algorithms for selecting a particular code for defining or assigning a particular patient classification or subset of patient classifications or
cular code or subset of codes contained or reflected in such EAPG Materials). Title to the EAPG Materials, and the ownership of all copyright,
nt, trade secret, or any other right of a similar kind or nature arising under the laws of any country in the world (collectively, "Intellectual Property
are the property of 3M and/or its suppliers. 3M grants you the limited, non-transferable, non-exclusive permission to use the EAPG Materials for
n's internal purposes. Any other use requires 3M's prior written permission.
APG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the EAPG Materials to any
everse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in part, in any other work for use or distribution
rganization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND ITS SUPPLIERS, TO THE FULLEST EXTENT PERMITTED BY LAW,
ARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS,
R A PARTICULAR PURPOSE. 3M DOES NOT WARRANT THAT THE EAPG MATERIALS WILL BE ERROR-FREE.
Description
Skin and integumentary system procedures
Breast procedures
Musculoskeletal system procedures
Respiratory procedures
Cardiovascular procedures
Hematologic, lymphatic, and endocrine procedures
Gastrointestinal system procedures
Genitourinary system procedures
Male Reproductive system procedures
Female Reproductive system procedures
Neurologic system procedures
Ophthalmologic system procedures
Otolaryngologic system procedures
Rehabilitation
Radiologic procedures
Mental illness and substance abuse therapies
Nuclear Medicine
Radiation Therapy
Dental procedures
Anesthesia
Pathology
Laboratory
Other ancillary tests and procedures
Chemotherapy and other drugs
Radiology
Incidental procedures and services
Observation
Major signs, symptoms and findings
Diseases and disorders of the nervous system
Diseases and disorders of the eye
Ear, nose, mouth, throat and craniofacial diseases and disorders
Page 35 of 6734

Diseases and disorders of the respiratory system
Diseases and disorders of the circulatory system
Diseases and disorders of the digestive system
Diseases and disorders of the hepatobiliary system and pancreas
Diseases and disorders of the musculoskeletal system and connective tissue
Diseases and disorders of the skin, subcutaneous tissue and breast
Endocrine, nutritional and metabolic diseases and disorders
Diabetes Mellitus
Diseases and disorders of the kidney and urinary tract
Diseases and disorders of the male reproductive system
Diseases and disorders of the female reproductive system
Pregnancy, childbirth and the puerperium
Neonates
Diseases and disorders of blood, blood forming organs and immunologic disorders
Lymphatic, hematopoietic, other malignancies, chemotherapy and radiotherapy
Infectious and parasitic diseases, systemic or unspecified sites
Mental diseases and disorders
Alcohol/drug use and alcohol/drug induced organic mental disorders
Poisonings, toxic effects, other injuries and other complications of treatment
Burns
Rehabilitation, aftercare, other factors influencing health status and other health services
Human immunodeficiency virus infections
Preventive Medicine Services
No APG assigned
Page 36 of 6734
EAPG Service Line (version 3.11)

or subset of patient classifications or selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to th
EAPG Materials, and the ownership of all copyright, trademark, patent, trade secret, or any other right of a similar kind or nature arising und
the laws of any country in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its suppliers. 3M gran
you the limited, non-transferable, non-exclusive permission to use the EAPG Materials for your organization's internal purposes. Any other u
requires 3M's prior written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the
EAPG Materials to any third party, (ii) reverse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in pa
in any other work for use or distribution outside of your organization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND
SUPPLIERS, TO THE FULLEST EXTENT PERMITTED BY LAW, DISCLAIM ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING
WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES
NOT WARRANT THAT THE EAPG MATERIALS WILL BE ERROR-FREE.
ServiceLine
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Page 37 of 6734

31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
99
Page 38 of 6734

served. As used herein, the term "EAPG Materials" shall mean the 3M EAPG listings, maps and codesets, including their
(the logic, formulas, and algorithms for selecting a particular code for defining or assigning a particular patient classification
classifications or selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to the
d the ownership of all copyright, trademark, patent, trade secret, or any other right of a similar kind or nature arising under
ntry in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its suppliers. 3M grants
n-transferable, non-exclusive permission to use the EAPG Materials for your organization's internal purposes. Any other use
written permission.
G Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the
ny third party, (ii) reverse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in part,
or use or distribution outside of your organization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND ITS
FULLEST EXTENT PERMITTED BY LAW, DISCLAIM ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING
ERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES
AT THE EAPG MATERIALS WILL BE ERROR-FREE.
Description
Not Assigned
Dermatology
General Surgery
Orthopedic Surgery
Pulmonary
Otolaryngology Surgery
Rehabilitation
Cardiology
Interventional Cardiology
General Medicine
Hematology
Gastroenterology
Preventive Care
Urological Surgery
Urology
Hemodialysis or Peritoneal Dialysis
Obstetrics
Gynecological Surgery
Neurology
Neurological Surgery
Pain Management
Ophthalmology
Ophthalmology Surgery
Otolaryngology
Diagnostic Radiology
Mental Health
Substance Abuse
Diagnostic Nuclear Medicine
Oncology
Dental
Anesthesia
Page 39 of 6734

Laboratory
Pathology
Chemotherapy
Pharmacotherapy
DME and Supplies
Chemotherapy and Pharmacotherapy
Radiology
Orthopedics
Endocrinology
Diabetes
Urology and Nephrology
Gynecology
Neonatology
Infectious Disease
Burns
Unassigned
Page 40 of 6734
ICD-9 C diagnosis codes with EAPG Assignment (version 3.11)

3M. All rights reserved. As used herein, the term "EAPG Materials" shall mean the 3M EAPG listings, maps and codesets, including their respective content (the logic, formulas, and al
selecting a particular code for defining or assigning a particular patient classification or subset of patient classifications or selecting a particular code or subset of codes contained or refl
such EAPG Materials). Title to the EAPG Materials, and the ownership of all copyright, trademark, patent, trade secret, or any other right of a similar kind or nature arising under the laws
country in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its suppliers. 3M grants you the limited, non-transferable, non-exclusive permissio
EAPG Materials for your organization's internal purposes. Any other use requires 3M's prior written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the EAPG Materials to any third party, (ii) reversedisassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or in part, in any other work for use or distribution outside of your organization. YOUR USE OF THE EAPG MATE
AN "AS IS" BASIS. 3M AND ITS SUPPLIERS, TO THE FULLEST EXTENT PERMITTED BY LAW, DISCLAIM ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF
MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES NOT WARRANT THAT THE EAPG MATERIALS WILL BE ERROR-F
DX
0010
0011
0019
0020
0021
0022
0023
0029
0030
0031
00320
00321
00322
00323
00324
00329
0038
0039
0040
DX Description
Cholera d/t vib cholerae
Cholera d/t vib el tor
Cholera NOS
Typhoid fever
Paratyphoid fever a
Paratyphoid fever b
Paratyphoid fever c
Paratyphoid fever NOS
Salmonella enteritis
Salmonella septicemia
Local salmonella inf NOS
Salmonella meningitis
Salmonella pneumonia
Salmonella arthritis
Salmonella osteomyelitis
Local salmonella inf NEC
Salmonella infection NEC
Salmonella infection NOS
Shigella dysenteriae
DX Gender
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
EAPG
625
625
625
809
809
809
809
809
625
805
809
510
577
654
654
809
809
809
625
EAPG Type
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 41 of 6734

0041
0042
0043
0048
0049
0050
0051
0052
0053
0054
00581
00589
0059
0060
0061
0062
0063
0064
0065
0066
0068
0069
0070
0071
0072
0073
0074
0075
0078
0079
00800
00801
00802
Shigella flexneri
Shigella boydii
Shigella sonnei
Shigella infection NEC
Shigellosis NOS
Staph food poisoning
Botulism food poisoning
Food pois d/t c. perfrin
Food pois: clostrid NEC
Food pois: v. parahaem
Food poisn d/t v. vulnif
Bact food poisoning NEC
Food poisoning NOS
Ac amebiasis w/o abscess
Chr amebiasis w/o absces
Amebic nondysent colitis
Amebic liver abscess
Amebic lung abscess
Amebic brain abscess
Amebic skin ulceration
Amebic infection NEC
Amebiasis NOS
Balantidiasis
Giardiasis
Coccidiosis
Intest trichomoniasis
Cryptosporidiosis
Cyclosporiasis
Protozoal intest dis NEC
Protozoal intest dis NOS
Intest infec e coli NOS
Int inf e coli entrpath
Int inf e coli entrtoxgn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
625
625
625
625
625
805
625
625
625
625
625
625
625
625
625
640
577
510
675
809
809
625
625
625
625
625
625
625
625
625
625
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 42 of 6734

00803
00804
00809
0081
0082
0083
00841
00842
00843
00844
00845
00846
00847
00849
0085
00861
00862
00863
00864
00865
00866
00867
00869
0088
0090
0091
0092
0093
01000
01001
01002
01003
01004
Int inf e coli entrnvsv

Int inf e coli entrhmrg
Int inf e coli spcf NEC
Arizona enteritis
Aerobacter enteritis
Proteus enteritis
Staphylococc enteritis
Pseudomonas enteritis
Int infec campylobacter
Int inf yrsnia entrcltca
Int inf clstrdium dfcile
Intes infec oth anerobes
Int inf oth grm neg bctr
Bacterial enteritis NEC
Bacterial enteritis NOS
Intes infec rotavirus
Intes infec adenovirus
Int inf norwalk virus
Int inf oth sml rnd vrus
Enteritis d/t calicivirs
Intes infec astrovirus
Int inf enterovirus NEC
Other viral intes infec
Viral enteritis NOS
Infectious enteritis NOS
Enteritis of infect orig
Infectious diarrhea NOS
Diarrhea of infect orig
Prim TB complex-unspec
Prim TB complex-no exam
Prim TB complex-exm unkn
Prim TB complex-micro dx
Prim TB complex-cult dx
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
625
625
625
625
625
625
625
625
625
625
625
625
625
625
627
627
627
627
627
627
627
627
627
627
627
627
627
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 43 of 6734

01005
01006
01010
01011
01012
01013
01014
01015
01016
01080
01081
01082
01083
01084
01085
01086
01090
01091
01092
01093
01094
01095
01096
01100
01101
01102
01103
01104
01105
01106
01110
01111
01112
Prim TB complex-histo dx
Prim TB complex-oth test
Prim TB pleurisy-unspec
Prim TB pleurisy-no exam
Prim TB pleur-exam unkn
Prim TB pleuris-micro dx
Prim TB pleurisy-cult dx
Prim TB pleuris-histo dx
Prim TB pleuris-oth test
Prim prog TB NEC-unspec
Prim prog TB NEC-no exam
Prim pr TB NEC-exam unkn
Prim prg TB NEC-micro dx
Prim prog TB NEC-cult dx
Prim prg TB NEC-histo dx
Prim prg TB NEC-oth test
Primary TB NOS-unspec
Primary TB NOS-no exam
Primary TB NOS-exam unkn
Primary TB NOS-micro dx
Primary TB NOS-cult dx
Primary TB NOS-histo dx
Primary TB NOS-oth test
TB lung infiltr-unspec
TB lung infiltr-no exam
TB lung infiltr-exm unkn
TB lung infiltr-micro dx
TB lung infiltr-cult dx
TB lung infiltr-histo dx
TB lung infiltr-oth test
TB lung nodular-unspec
TB lung nodular-no exam
TB lung nodul-exam unkn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 44 of 6734

01113
01114
01115
01116
01120
01121
01122
01123
01124
01125
01126
01130
01131
01132
01133
01134
01135
01136
01140
01141
01142
01143
01144
01145
01146
01150
01151
01152
01153
01154
01155
01156
01160
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
lung nodular-micro dx
lung nodular-cult dx
lung nodular-histo dx
lung nodular-oth test
lung w cavity-unspec
lung w cavity-no exam
lung cavity-exam unkn
lung w cavit-micro dx
lung w cavity-cult dx
lung w cavit-histo dx
lung w cavit-oth test
of bronchus-unspec
of bronchus-no exam
of bronchus-exam unkn
of bronchus-micro dx
of bronchus-cult dx
of bronchus-histo dx
of bronchus-oth test
lung fibrosis-unspec
lung fibrosis-no exam
lung fibros-exam unkn
lung fibros-micro dx
lung fibrosis-cult dx
lung fibros-histo dx
lung fibros-oth test
bronchiectasis-unspec
bronchiect-no exam
bronchiect-exam unkn
bronchiect-micro dx
bronchiect-cult dx
bronchiect-histo dx
bronchiect-oth test
pneumonia-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 45 of 6734

01161
01162
01163
01164
01165
01166
01170
01171
01172
01173
01174
01175
01176
01180
01181
01182
01183
01184
01185
01186
01190
01191
01192
01193
01194
01195
01196
01200
01201
01202
01203
01204
01205
TB pneumonia-no exam
TB pneumonia-exam unkn
TB pneumonia-micro dx
TB pneumonia-cult dx
TB pneumonia-histo dx
TB pneumonia-oth test
TB pneumothorax-unspec
TB pneumothorax-no exam
TB pneumothorx-exam unkn
TB pneumothorax-micro dx
TB pneumothorax-cult dx
TB pneumothorax-histo dx
TB pneumothorax-oth test
Pulmonary TB NEC-unspec
Pulmonary TB NEC-no exam
Pulmon TB NEC-exam unkn
Pulmon TB NEC-micro dx
Pulmon TB NEC-cult dx
Pulmon TB NEC-histo dx
Pulmon TB NEC-oth test
Pulmonary TB NOS-unspec
Pulmonary TB NOS-no exam
Pulmon TB NOS-exam unkn
Pulmon TB NOS-micro dx
Pulmon TB NOS-cult dx
Pulmon TB NOS-histo dx
Pulmon TB NOS-oth test
TB pleurisy-unspec
TB pleurisy-no exam
TB pleurisy-exam unkn
TB pleurisy-micro dx
TB pleurisy-cult dx
TB pleurisy-histolog dx
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 46 of 6734

01206
01210
01211
01212
01213
01214
01215
01216
01220
01221
01222
01223
01224
01225
01226
01230
01231
01232
01233
01234
01235
01236
01280
01281
01282
01283
01284
01285
01286
01300
01301
01302
01303
TB pleurisy-oth test
TB thoracic nodes-unspec
TB thorax node-no exam
TB thorax node-exam unkn
TB thorax node-micro dx
TB thorax node-cult dx
TB thorax node-histo dx
TB thorax node-oth test
Isol tracheal tb-unspec
Isol tracheal tb-no exam
Isol trach tb-exam unkn
Isolat trach tb-micro dx
Isol tracheal tb-cult dx
Isolat trach tb-histo dx
Isolat trach tb-oth test
TB laryngitis-unspec
TB laryngitis-no exam
TB laryngitis-exam unkn
TB laryngitis-micro dx
TB laryngitis-cult dx
TB laryngitis-histo dx
TB laryngitis-oth test
Resp TB NEC-unspec
Resp TB NEC-no exam
Resp TB NEC-exam unkn
Resp TB NEC-micro dx
Resp TB NEC-cult dx
Resp TB NEC-histo dx
Resp TB NEC-oth test
TB meningitis-unspec
TB meningitis-no exam
TB meningitis-exam unkn
TB meningitis-micro dx
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
565
565
565
565
565
565
565
577
577
577
577
577
577
577
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 47 of 6734

01304
01305
01306
01310
01311
01312
01313
01314
01315
01316
01320
01321
01322
01323
01324
01325
01326
01330
01331
01332
01333
01334
01335
01336
01340
01341
01342
01343
01344
01345
01346
01350
01351
TB meningitis-cult dx
TB meningitis-histo dx
TB meningitis-oth test
Tubrclma meninges-unspec
Tubrclma mening-no exam
Tubrclma menin-exam unkn
Tubrclma mening-micro dx
Tubrclma mening-cult dx
Tubrclma mening-histo dx
Tubrclma mening-oth test
Tuberculoma brain-unspec
Tubrcloma brain-no exam
Tubrclma brain-exam unkn
Tubrcloma brain-micro dx
Tubrcloma brain-cult dx
Tubrcloma brain-histo dx
Tubrcloma brain-oth test
TB brain abscess-unspec
TB brain abscess-no exam
TB brain absc-exam unkn
TB brain absc-micro dx
TB brain abscess-cult dx
TB brain absc-histo dx
TB brain absc-oth test
Tubrclma sp cord-unspec
Tubrclma sp cord-no exam
Tubrclma sp cd-exam unkn
Tubrclma sp crd-micro dx
Tubrclma sp cord-cult dx
Tubrclma sp crd-histo dx
Tubrclma sp crd-oth test
TB sp crd abscess-unspec
TB sp crd absc-no exam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 48 of 6734

01352
01353
01354
01355
01356
01360
01361
01362
01363
01364
01365
01366
01380
01381
01382
01383
01384
01385
01386
01390
01391
01392
01393
01394
01395
01396
01400
01401
01402
01403
01404
01405
01406
TB sp crd absc-exam unkn

TB sp crd absc-micro dx
TB sp crd absc-cult dx
TB sp crd absc-histo dx
TB sp crd absc-oth test
TB encephalitis-unspec
TB encephalitis-no exam
TB encephalit-exam unkn
TB encephalitis-micro dx
TB encephalitis-cult dx
TB encephalitis-histo dx
TB encephalitis-oth test
Cns TB NEC-unspec
Cns TB NEC-no exam
Cns TB NEC-exam unkn
Cns TB NEC-micro dx
Cns TB NEC-cult dx
Cns TB NEC-histo dx
Cns TB NEC-oth test
Cns TB NOS-unspec
Cns TB NOS-no exam
Cns TB NOS-exam unkn
Cns TB NOS-micro dx
Cns TB NOS-cult dx
Cns TB NOS-histo dx
Cns TB NOS-oth test
TB peritonitis-unspec
TB peritonitis-no exam
TB peritonitis-exam unkn
TB peritonitis-micro dx
TB peritonitis-cult dx
TB peritonitis-histo dx
TB peritonitis-oth test
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
625
625
625
625
625
625
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 49 of 6734

01480
01481
01482
01483
01484
01485
01486
01500
01501
01502
01503
01504
01505
01506
01510
01511
01512
01513
01514
01515
01516
01520
01521
01522
01523
01524
01525
01526
01550
01551
01552
01553
01554
Intestinal TB NEC-unspec
Intestin TB NEC-no exam
Intest TB NEC-exam unkn
Intestin TB NEC-micro dx
Intestin TB NEC-cult dx
Intestin TB NEC-histo dx
Intestin TB NEC-oth test
TB of vertebra-unspec
TB of vertebra-no exam
TB of vertebra-exam unkn
TB of vertebra-micro dx
TB of vertebra-cult dx
TB of vertebra-histo dx
TB of vertebra-oth test
TB of hip-unspec
TB of hip-no exam
TB of hip-exam unkn
TB of hip-micro dx
TB of hip-cult dx
TB of hip-histo dx
TB of hip-oth test
TB of knee-unspec
TB of knee-no exam
TB of knee-exam unkn
TB of knee-micro dx
TB of knee-cult dx
TB of knee-histo dx
TB of knee-oth test
TB of limb bones-unspec
TB limb bones-no exam
TB limb bones-exam unkn
TB limb bones-micro dx
TB limb bones-cult dx
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
625
625
625
625
625
625
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 50 of 6734

01555
01556
01560
01561
01562
01563
01564
01565
01566
01570
01571
01572
01573
01574
01575
01576
01580
01581
01582
01583
01584
01585
01586
01590
01591
01592
01593
01594
01595
01596
01600
01601
01602
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
limb bones-histo dx
limb bones-oth test
of mastoid-unspec
of mastoid-no exam
of mastoid-exam unkn
of mastoid-micro dx
of mastoid-cult dx
of mastoid-histo dx
of mastoid-oth test
of bone NEC-unspec
of bone NEC-no exam
of bone NEC-exam unkn
of bone NEC-micro dx
of bone NEC-cult dx
of bone NEC-histo dx
of bone NEC-oth test
of joint NEC-unspec
of joint NEC-no exam
joint NEC-exam unkn
of joint NEC-micro dx
of joint NEC-cult dx
of joint NEC-histo dx
of joint NEC-oth test
bone/joint NOS-unspec
bone/jt NOS-no exam
bone/jt NOS-exam unkn
bone/jt NOS-micro dx
bone/jt NOS-cult dx
bone/jt NOS-histo dx
bone/jt NOS-oth test
of kidney-unspec
of kidney-no exam
of kidney-exam unkn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
654
654
565
565
565
565
565
565
565
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
723
723
723
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 51 of 6734

01603
01604
01605
01606
01610
01611
01612
01613
01614
01615
01616
01620
01621
01622
01623
01624
01625
01626
01630
01631
01632
01633
01634
01635
01636
01640
01641
01642
01643
01644
01645
01646
01650
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
TB
of kidney-micro dx
of kidney-cult dx
of kidney-histo dx
of kidney-oth test
of bladder-unspec
of bladder-no exam
of bladder-exam unkn
of bladder-micro dx
of bladder-cult dx
of bladder-histo dx
of bladder-oth test
of ureter-unspec
of ureter-no exam
of ureter-exam unkn
of ureter-micro dx
of ureter-cult dx
of ureter-histo dx
of ureter-oth test
urinary NEC-unspec
urinary NEC-no exam
urinary NEC-exam unkn
urinary NEC-micro dx
urinary NEC-cult dx
urinary NEC-histo dx
urinary NEC-oth test
epididymis-unspec
epididymis-no exam
epididymis-exam unkn
epididymis-micro dx
epididymis-cult dx
epididymis-histo dx
epididymis-oth test
male genit NEC-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
723
741
741
741
741
741
741
741
741
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 52 of 6734

01651
01652
01653
01654
01655
01656
01660
01661
01662
01663
01664
01665
01666
01670
01671
01672
01673
01674
01675
01676
01690
01691
01692
01693
01694
01695
01696
01700
01701
01702
01703
01704
01705
TB male gen NEC-no exam

TB male gen NEC-ex unkn
TB male gen NEC-micro dx
TB male gen NEC-cult dx
TB male gen NEC-histo dx
TB male gen NEC-oth test
TB ovary & tube-unspec
TB ovary & tube-no exam
TB ovary/tube-exam unkn
TB ovary & tube-micro dx
TB ovary & tube-cult dx
TB ovary & tube-histo dx
TB ovary & tube-oth test
TB female gen NEC-unspec
TB fem gen NEC-no exam
TB fem gen NEC-exam unkn
TB fem gen NEC-micro dx
TB fem gen NEC-cult dx
TB fem gen NEC-histo dx
TB fem gen NEC-oth test
Gu TB NOS-unspec
Gu TB NOS-no exam
Gu TB NOS-exam unkn
Gu TB NOS-micro dx
Gu TB NOS-cult dx
Gu TB NOS-histo dx
Gu TB NOS-oth test
TB skin/subcutan-unspec
TB skin/subcut-no exam
TB skin/subcut-exam unkn
TB skin/subcut-micro dx
TB skin/subcut-cult dx
TB skin/subcut-histo dx
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
741
741
741
741
741
741
751
751
751
751
751
751
751
751
751
751
751
751
751
751
723
723
723
723
723
723
723
673
673
673
673
673
673
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 53 of 6734

01706
01710
01711
01712
01713
01714
01715
01716
01720
01721
01722
01723
01724
01725
01726
01730
01731
01732
01733
01734
01735
01736
01740
01741
01742
01743
01744
01745
01746
01750
01751
01752
01753
TB skin/subcut-oth test
Erythema nodos tb-unspec
Erythem nodos tb-no exam
Erythem nod tb-exam unkn
Erythem nod tb-micro dx
Erythem nodos tb-cult dx
Erythem nod tb-histo dx
Erythem nod tb-oth test
TB periph lymph-unspec
TB periph lymph-no exam
TB periph lymph-exam unk
TB periph lymph-micro dx
TB periph lymph-cult dx
TB periph lymph-histo dx
TB periph lymph-oth test
TB of eye-unspec
TB of eye-no exam
TB of eye-exam unkn
TB of eye-micro dx
TB of eye-cult dx
TB of eye-histo dx
TB of eye-oth test
TB of ear-unspec
TB of ear-no exam
TB of ear-exam unkn
TB of ear-micro dx
TB of ear-cult dx
TB of ear-histo dx
TB of ear-oth test
TB of thyroid-unspec
TB of thyroid-no exam
TB of thyroid-exam unkn
TB of thyroid-micro dx
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
673
675
675
675
675
675
675
675
809
809
809
809
809
809
809
550
550
550
550
550
550
550
565
565
565
565
565
565
565
693
693
693
693
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 54 of 6734

01754
01755
01756
01760
01761
01762
01763
01764
01765
01766
01770
01771
01772
01773
01774
01775
01776
01780
01781
01782
01783
01784
01785
01786
01790
01791
01792
01793
01794
01795
01796
01800
01801
TB of thyroid-cult dx
TB of thyroid-histo dx
TB of thyroid-oth test
TB of adrenal-unspec
TB of adrenal-no exam
TB of adrenal-exam unkn
TB of adrenal-micro dx
TB of adrenal-cult dx
TB of adrenal-histo dx
TB of adrenal-oth test
TB of spleen-unspec
TB of spleen-no exam
TB of spleen-exam unkn
TB of spleen-micro dx
TB of spleen-cult dx
TB of spleen-histo dx
TB of spleen-oth test
TB esophagus-unspec
TB esophagus-no exam
TB esophagus-exam unkn
TB esophagus-micro dx
TB esophagus-cult dx
TB esophagus-histo dx
TB esophagus-oth test
TB of organ NEC-unspec
TB of organ NEC-no exam
TB organ NEC-exam unkn
TB of organ NEC-micro dx
TB of organ NEC-cult dx
TB of organ NEC-histo dx
TB of organ NEC-oth test
Acute miliary tb-unspec
Acute miliary tb-no exam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
693
693
693
693
693
693
693
693
693
693
809
809
809
809
809
809
809
625
625
625
625
625
625
625
809
809
809
809
809
809
809
805
805
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 55 of 6734

01802
01803
01804
01805
01806
01880
01881
01882
01883
01884
01885
01886
01890
01891
01892
01893
01894
01895
01896
0200
0201
0202
0203
0204
0205
0208
0209
0210
0211
0212
0213
0218
0219
Ac miliary tb-exam unkn

Ac miliary tb-micro dx
Acute miliary tb-cult dx
Ac miliary tb-histo dx
Ac miliary tb-oth test
Miliary TB NEC-unspec
Miliary TB NEC-no exam
Miliary TB NEC-exam unkn
Miliary TB NEC-micro dx
Miliary TB NEC-cult dx
Miliary TB NEC-histo dx
Miliary TB NEC-oth test
Miliary TB NOS-unspec
Miliary TB NOS-no exam
Miliary TB NOS-exam unkn
Miliary TB NOS-micro dx
Miliary TB NOS-cult dx
Miliary TB NOS-histo dx
Miliary TB NOS-oth test
Bubonic plague
Cellulocutaneous plague
Septicemic plague
Primary pneumonic plague
Secondary pneumon plague
Pneumonic plague NOS
Other types of plague
Plague NOS
Ulceroglandul tularemia
Enteric tularemia
Pulmonary tularemia
Oculoglandular tularemia
Tularemia NEC
Tularemia NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
805
577
577
577
809
809
809
625
577
809
805
805
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 56 of 6734

0220
0221
0222
0223
0228
0229
0230
0231
0232
0233
0238
0239
024
025
0260
0261
0269
0270
0271
0272
0278
0279
0300
0301
0302
0303
0308
0309
0310
0311
0312
0318
0319
Cutaneous anthrax
Pulmonary anthrax
Gastrointestinal anthrax
Anthrax septicemia
Other anthrax manifest
Anthrax NOS
Brucella melitensis
Brucella abortus
Brucella suis
Brucella canis
Brucellosis NEC
Brucellosis NOS
Glanders
Melioidosis
Spirillary fever
Streptobacillary fever
Rat-bite fever NOS
Listeriosis
Erysipelothrix infection
Pasteurellosis
Zoonotic bact dis NEC
Zoonotic bact dis NOS
Lepromatous leprosy
Tuberculoid leprosy
Indeterminate leprosy
Borderline leprosy
Leprosy NEC
Leprosy NOS
Pulmonary mycobacteria
Cutaneous mycobacteria
DMAC bacteremia
Mycobacterial dis NEC
Mycobacterial dis NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
673
577
625
805
809
809
809
809
809
809
809
809
809
809
805
805
809
809
809
809
809
809
809
809
809
809
809
809
577
673
805
809
809
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 57 of 6734

0320
0321
0322
0323
03281
03282
03283
03284
03285
03289
0329
0330
0331
0338
0339
0340
0341
035
0360
0361
0362
0363
03640
03641
03642
03643
03681
03682
03689
0369
037
0380
03810
Faucial diphtheria
Nasopharynx diphtheria
Ant nasal diphtheria
Laryngeal diphtheria
Conjunctival diphtheria
Diphtheritic myocarditis
Diphtheritic peritonitis
Diphtheritic cystitis
Cutaneous diphtheria
Diphtheria NEC
Diphtheria NOS
Bordetella pertussis
Bordetella parapertussis
Whooping cough NEC
Whooping cough NOS
Strep sore throat
Scarlet fever
Erysipelas
Meningococcal meningitis
Meningococc encephalitis
Meningococcemia
Meningococc adrenal synd
Meningococc carditis NOS
Meningococc pericarditis
Meningococc endocarditis
Meningococc myocarditis
Meningococc optic neurit
Meningococc arthropathy
Meningococcal infect NEC
Meningococcal infect NOS
Tetanus
Streptococcal septicemia
Staphylcocc septicem NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
565
565
565
565
554
593
625
723
673
805
809
577
577
577
577
562
809
673
510
510
805
805
593
593
593
593
550
654
805
805
805
805
805
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 58 of 6734

03811
03812
03819
0382
0383
03840
03841
03842
03843
03844
03849
0388
0389
0390
0391
0392
0393
0394
0398
0399
0400
0401
0402
0403
04041
04042
04081
04082
04089
04100
04101
04102
04103
Meth susc Staph aur sept

MRSA septicemia
Staphylcocc septicem NEC
Pneumococcal septicemia
Anaerobic septicemia
Gram-neg septicemia NOS
H. influenae septicemia
E coli septicemia
Pseudomonas septicemia
Serratia septicemia
Gram-neg septicemia NEC
Septicemia NEC
Septicemia NOS
Cutaneous actinomycosis
Pulmonary actinomycosis
Abdominal actinomycosis
Cervicofac actinomycosis
Madura foot
Actinomycosis NEC
Actinomycosis NOS
Gas gangrene
Rhinoscleroma
Whipple's disease
Necrobacillosis
Infant botulism
Wound botulism
Tropical pyomyositis
Toxic shock syndrome
Bacterial diseases NEC
Streptococcus unspecf
Streptococcus group a
Streptococcus group b
Streptococcus group c
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
805
805
805
805
805
805
805
805
805
805
805
805
805
673
577
625
673
673
809
809
805
809
625
809
510
510
654
805
809
809
809
809
809
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 59 of 6734

04104
04105
04109
04110
04111
04112
04119
0412
0413
04141
04142
04143
04149
0415
0416
0417
04181
04182
04183
04184
04185
04186
04189
0419
042
04500
04501
04502
04503
04510
04511
04512
04513
Enterococcus group d
Streptococcus group g
Other streptococcus
Staphylococcus unspcfied
Mth sus Stph aur els/NOS
MRSA elsewhere/NOS
Other staphylococcus
Pneumococcus infect NOS
Klebsiella pneumoniae
Shiga txn-produce E.coli
Shga txn prod E.coli NEC
Shga txn prod E.coli NOS
E.coli infection NEC/NOS
H. influenzae infect NOS
Proteus infection NOS
Pseudomonas infect NOS
Mycoplasma
Bacteroides fragilis
Clostridium perfringens
Other anaerobes
Oth gram negatv bacteria
Helicobacter pylori
Oth specf bacteria
Bacterial infection NOS
Human immuno virus dis
Ac bulbar polio-type NOS
Ac bulbar polio-type 1
Paral polio NEC-type NOS
Paral polio NEC-type 1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
810
809
809
881
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 60 of 6734

04520
04521
04522
04523
04590
04591
04592
04593
0460
04611
04619
0462
0463
04671
04672
04679
0468
0469
0470
0471
0478
0479
048
0490
0491
0498
0499
0500
0501
0502
0509
05101
05102
Nonparaly polio-type NOS

Nonparalyt polio-type 1
Ac polio NOS-type NOS
Ac polio NOS-type 1
Ac polio NOS-type 2
Ac polio NOS-type 3
Kuru
Varnt Creutzfeldt-Jakob
Creutzfldt-Jakob NEC/NOS
Subac scleros panenceph
Prog multifoc leukoencep
Gerstmn-Straus-Schnk syn
Fatal familial insomnia
Prion dis of CNS NEC/NOS
Cns slow virus infec NEC
Cns slow virus infec NOS
Coxsackie virus mening
Echo virus meningitis
Viral meningitis NEC
Viral meningitis NOS
Oth enteroviral cns dis
Lymphocytic choriomening
Adenoviral meningitis
Viral encephalitis NEC
Viral encephalitis NOS
Variola major
Alastrim
Modified smallpox
Smallpox NOS
Cowpox
Vaccinia n/f vaccination
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
808
808
808
808
510
510
510
510
522
522
522
522
522
522
522
522
522
522
510
510
510
510
510
510
510
510
510
808
808
808
808
808
808
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 61 of 6734

0511
0512
0519
0520
0521
0522
0527
0528
0529
0530
05310
05311
05312
05313
05314
05319
05320
05321
05322
05329
05371
05379
0538
0539
0540
05410
05410
05411
05412
05413
05419
05419
0542
Pseudocowpox
Contagious pustular derm
Paravaccinia NOS
Postvaricella encephalit
Varicella pneumonitis
Postvaricella myelitis
Varicella complicat NEC
Varicella complicat NOS
Varicella uncomplicated
Herpes zoster meningitis
H zoster nerv syst NOS
Geniculate herpes zoster
Postherpes trigem neural
Postherpes polyneuropath
Herpes zoster myelitis
H zoster nerv syst NEC
Herpes zoster of eyelid
H zoster keratoconjunct
H zoster iridocyclitis
Herpes zoster of eye NEC
H zoster otitis externa
H zoster complicated NEC
H zoster complicated NOS
Herpes zoster NOS
Eczema herpeticum
Genital herpes NOS
Genital herpes NOS
Herpetic vulvovaginitis
Herpetic ulcer of vulva
Herpetic infect of penis
Genital herpes NEC
Genital herpes NEC
Herpetic gingivostomat
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
2
1
0
675
675
808
510
577
510
808
808
808
510
510
510
510
510
510
510
550
550
550
550
564
808
808
671
671
751
744
751
751
741
751
744
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 62 of 6734

0543
05440
05441
05442
05443
05444
05449
0545
0546
05471
05472
05473
05474
05479
0548
0549
0550
0551
0552
05571
05579
0558
0559
05600
05601
05609
05671
05679
0568
0569
0570
0578
0579
Herpetic encephalitis
Herpes simplex eye NOS
Herpes simplex of eyelid
Dendritic keratitis
H simplex keratitis
H simplex iridocyclitis
Herpes simplex eye NEC
Herpetic septicemia
Herpetic whitlow
Visceral herpes simplex
H simplex meningitis
H simplex otitis externa
Herpes simplex myelitis
H simplex complicat NEC
H simplex complicat NOS
Herpes simplex NOS
Postmeasles encephalitis
Postmeasles pneumonia
Postmeasles otitis media
Measles keratitis
Measles complication NEC
Measles complication NOS
Measles uncomplicated
Rubella nerve compl NOS
Rubella encephalitis
Rubella nerve compl NEC
Arthritis due to rubella
Rubella complication NEC
Rubella complication NOS
Rubella uncomplicated
Erythema infectiosum
Viral exanthemata NEC
Viral exanthemata NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
550
550
550
550
550
550
805
675
625
510
564
510
808
808
675
510
577
562
553
808
808
808
510
510
510
661
808
808
808
808
808
808
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 63 of 6734

05810
05811
05812
05821
05829
05881
05882
05889
05900
05901
05909
05910
05911
05912
05919
05920
05921
05922
0598
0599
0600
0601
0609
061
0620
0621
0622
0623
0624
0625
0628
0629
0630
Roseola infantum NOS

Roseola infant d/t HHV-6
Roseola infant d/t HHV-7
Human herpesvir 6 enceph
Human herpesvr encph NEC
Human herpesvirus 6 infc
Human herpesvirus 7 infc
Human herpesvirs inf NEC
Orthopoxvirus infect NOS
Monkeypox
Orthopoxvirus infect NEC
Parapoxvirus infectn NOS
Bovine stomatitis
Sealpox
Parapoxvirus infectn NEC
Yatapoxvirus infectn NOS
Tanapox
Yaba monkey tumor virus
Poxvirus infections NEC
Poxvirus infection NOS
Sylvatic yellow fever
Urban yellow fever
Yellow fever NOS
Dengue
Japanese encephalitis
West equine encephalitis
East equine encephalitis
St Louis encephalitis
Australian encephalitis
California encephalitis
Mosquit-borne enceph NEC
Mosquit-borne enceph NOS
Russia spr-summer enceph
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
808
808
808
525
525
808
808
808
808
808
808
808
808
808
808
808
808
808
808
808
808
808
808
808
510
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 64 of 6734

0631
0632
0638
0639
064
0650
0651
0652
0653
0654
0658
0659
0660
0661
0662
0663
06640
06641
06642
06649
0668
0669
0700
0701
07020
07021
07022
07023
07030
07031
07032
07033
07041
Louping ill
Cent Europe encephalitis
Tick-borne enceph NEC
Tick-borne enceph NOS
Vir enceph arthropod NEC
Crimean hemorrhagic fev
Omsk hemorrhagic fever
Kyasanur forest disease
Tick-borne hem fever NEC
Mosquito-borne hem fever
Arthropod hem fever NEC
Arthropod hem fever NOS
Phlebotomus fever
Tick-borne fever
Venezuelan equine fever
Mosquito-borne fever NEC
West Nile Fever NOS
West Nile Fever w/enceph
West Nile neuro man NEC
West Nile w complic NEC
Arthropod virus NEC
Arthropod virus NOS
Hepatitis A with coma
Hepatitis A w/o coma
Hpt B acte coma wo dlta
Hpt B acte coma w dlta
Hpt B chrn coma wo dlta
Hpt B chrn coma w dlta
Hpt B acte wo cm wo dlta
Hpt B acte wo cm w dlta
Hpt B chrn wo cm wo dlta
Hpt B chrn wo cm w dlta
Hpt C acute w hepat Coma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
808
808
808
808
808
808
808
808
808
510
808
510
510
510
510
808
808
510
636
510
510
510
510
636
636
636
636
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 65 of 6734

07042
07043
07044
07049
07051
07052
07053
07054
07059
0706
07070
07071
0709
071
0720
0721
0722
0723
07271
07272
07279
0728
0729
0730
0737
0738
0739
0740
0741
07420
07421
07422
07423
Hpt dlt wo b w hpt coma

Hpt E w hepat Coma
Chrnc hpt C w hepat Coma
Oth vrl hepat w hpt coma
Hpt C acute wo hpat coma
Hpt dlt wo b wo hpt coma
Hpt E wo hepat Coma
Chrnc hpt C wo hpat coma
Oth vrl hpat wo hpt coma
Viral hepat NOS w coma
Hpt C w/o hepat coma NOS
Hpt C w hepatic coma NOS
Viral hepat NOS w/o coma
Rabies
Mumps orchitis
Mumps meningitis
Mumps encephalitis
Mumps pancreatitis
Mumps hepatitis
Mumps polyneuropathy
Mumps complication NEC
Mumps complication NOS
Mumps uncomplicated
Ornithosis pneumonia
Ornithosis complicat NEC
Ornithosis complicat NOS
Ornithosis NOS
Herpangina
Epidemic pleurodynia
Coxsackie carditis NOS
Coxsackie pericarditis
Coxsackie endocarditis
Coxsackie myocarditis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
636
636
636
636
636
510
636
510
636
510
741
510
510
635
640
510
808
808
808
577
809
809
809
565
577
593
593
600
593
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 66 of 6734

0743
0748
075
0760
0761
0769
0770
0771
0772
0773
0774
0778
07798
07799
0780
07810
07811
07811
07812
07819
0782
0783
0784
0785
0786
0787
07881
07882
07888
07889
0790
0791
0792
Hand, foot & mouth dis

Coxsackie virus NEC
Infectious mononucleosis
Trachoma, initial stage
Trachoma, active stage
Trachoma NOS
Inclusion conjunctivitis
Epidem keratoconjunctiv
Pharyngoconjunct fever
Adenoviral conjunct NEC
Epidem hem conjunctivit
Viral conjunctivitis NEC
Unsp ds conjuc chlamydia
Unsp ds conjuc viruses
Molluscum contagiosum
Viral warts NOS
Condyloma acuminatum
Condyloma acuminatum
Plantar wart
Oth specfd viral warts
Sweating fever
Cat-scratch disease
Foot & mouth disease
Cytomegaloviral disease
Hem nephrosonephritis
Arenaviral hem fever
Epidemic vertigo
Epidemic vomiting synd
Oth spec dis chlamydiae
Oth spec dis viruses
Adenovirus infect NOS
Echo virus infect NOS
Coxsackie virus inf NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
808
808
808
550
550
550
553
554
554
554
554
553
553
553
675
675
744
751
675
675
808
809
808
808
723
808
524
625
809
808
808
808
808
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 67 of 6734

0793
0794
07950
07951
07952
07953
07959
0796
07981
07982
07983
07988
07989
07998
07999
080
0810
0811
0812
0819
0820
0821
0822
0823
08240
08241
08249
0828
0829
0830
0831
0832
0838
Rhinovirus infect NOS

Human papillomavirus
Retrovirus, unspecified
Htlv-1 infection oth dis
Htlv-ii infectn oth dis
Hiv-2 infection oth dis
Oth specfied retrovirus
Resprtry syncytial virus
Hantavirus infection
SARS assoc coronavirus
Parvovirus B19
Oth spcf chlamydial infc
Oth specf viral infectn
Chlamydial infection NOS
Viral infection NOS
Louse-borne typhus
Murine typhus
Brill's disease
Scrub typhus
Typhus NOS
Spotted fevers
Boutonneuse fever
North asian tick fever
Queensland tick typhus
Ehrlichiosis NOS
Ehrlichiosis chafeensis
Ehrlichiosis NEC
Tick-borne ricketts NEC
Tick-borne ricketts NOS
Q fever
Trench fever
Rickettsialpox
Rickettsioses NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
808
808
808
808
808
880
808
572
808
577
808
809
808
809
808
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 68 of 6734

0839
0840
0841
0842
0843
0844
0845
0846
0847
0848
0849
0850
0851
0852
0853
0854
0855
0859
0860
0861
0862
0863
0864
0865
0869
0870
0871
0879
0880
08881
08882
08889
0889
Rickettsiosis NOS
Falciparum malaria
Vivax malaria
Quartan malaria
Ovale malaria
Malaria NEC
Mixed malaria
Malaria NOS
Induced malaria
Blackwater fever
Malaria complicated NEC
Visceral leishmaniasis
Cutan leishmanias urban
Cutan leishmanias asian
Cutan leishmanias ethiop
Cutan leishmanias amer
Mucocutan leishmaniasis
Leishmaniasis NOS
Chagas disease of heart
Chagas dis of oth organ
Chagas disease NOS
Gambian trypanosomiasis
Rhodesian trypanosomias
African trypanosoma NOS
Trypanosomiasis NOS
Louse-borne relaps fever
Tick-borne relaps fever
Relapsing fever NOS
Bartonellosis
Lyme disease
Babesiosis
Oth arthropod-borne dis
Arthropod-borne dis NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
809
809
809
809
809
809
809
809
809
809
809
809
675
675
675
675
675
809
593
809
809
809
809
809
809
809
809
809
809
809
809
809
809
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 69 of 6734

0900
0900
0901
0901
0902
0902
0903
09040
09041
09042
09049
0905
0905
0906
0906
0907
0907
0909
0909
0910
0910
0911
0912
0912
0913
09150
09151
09152
09161
09162
09169
09181
09182
Early cong syph symptom

Early cong syph symptom
Early congen syph latent
Early congen syph latent
Early congen syph NOS
Early congen syph NOS
Syphilitic keratitis
Juvenile neurosyph NOS
Congen syph encephalitis
Congen syph meningitis
Juvenile neurosyph NEC
Late congen syph symptom
Late congen syph symptom
Late congen syph latent
Late congen syph latent
Late congen syph NOS
Late congen syph NOS
Congenital syphilis NOS
Congenital syphilis NOS
Primary genital syphilis
Primary anal syphilis
Primary syphilis NEC
Primary syphilis NEC
Secondary syph skin
Syphilitic uveitis NOS
Syphilit chorioretinitis
Syphilitic iridocyclitis
Syphilitic periostitis
Syphilitic hepatitis
Second syph viscera NEC
Acute syphil meningitis
Syphilitic alopecia
1
2
1
2
1
2
0
0
0
0
0
2
1
1
2
1
2
1
2
2
1
0
1
2
0
0
0
0
0
0
0
0
0
744
751
744
751
744
751
550
510
510
510
510
751
744
744
751
744
751
744
751
751
744
624
744
751
673
550
550
550
654
640
624
510
673
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 70 of 6734

0920
0920
0929
0929
0930
0931
09320
09321
09322
09323
09324
09381
09382
09389
0939
0940
0941
0942
0943
09481
09482
09483
09484
09485
09486
09487
09489
0949
0950
0951
0952
0953
0954
Early syph latent relaps

Early syph latent relaps
Early syphil latent NOS
Early syphil latent NOS
Aortic aneurysm, syphil
Syphilitic aortitis
Syphil endocarditis NOS
Syphilitic mitral valve
Syphilitic aortic valve
Syphil tricuspid valve
Syphil pulmonary valve
Syphilitic pericarditis
Syphilitic myocarditis
Cardiovascular syph NEC
Cardiovascular syph NOS
Tabes dorsalis
General paresis
Syphilitic meningitis
Asymptomat neurosyphilis
Syphilitic encephalitis
Syphilitic parkinsonism
Syph dissem retinitis
Syphilitic optic atrophy
Syph retrobulb neuritis
Syphil acoustic neuritis
Syph rupt cereb aneurysm
Neurosyphilis NEC
Neurosyphilis NOS
Syphilitic episcleritis
Syphilis of lung
Syphilitic peritonitis
Syphilis of liver
Syphilis of kidney
1
2
1
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
744
751
744
751
600
600
593
600
600
600
600
593
593
593
593
522
522
510
510
510
522
550
553
522
565
510
522
522
550
577
625
640
723
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 71 of 6734

0955
0956
0957
0958
0958
0959
0959
096
096
0970
0970
0971
0971
0979
0979
0980
0980
09810
09810
09811
09812
09813
09814
09815
09816
09817
09819
09819
0982
0982
09830
09831
09832
Syphilis of bone
Syphilis of muscle
Syphilis of tendon/bursa
Late sympt syphilis NEC
Late sympt syphilis NEC
Late sympt syphilis NOS
Late sympt syphilis NOS
Late syphilis latent
Late syphilis latent
Late syphilis NOS
Late syphilis NOS
Latent syphilis NOS
Latent syphilis NOS
Syphilis NOS
Syphilis NOS
Acute gc infect lower gu
Acute gc infect lower gu
Gc (acute) upper gu NOS
Gc (acute) upper gu NOS
Gc cystitis (acute)
Gc prostatitis (acute)
Gc orchitis (acute)
Gc sem vesiculit (acute)
Gc cervicitis (acute)
Gc endometritis (acute)
Acute gc salpingitis
Gc (acute) upper gu NEC
Gc (acute) upper gu NEC
Chr gc infect lower gu
Chr gc infect lower gu
Chr gc upper gu NOS
Gc cystitis, chronic
Gc prostatitis, chronic
0
0
0
1
2
2
1
1
2
1
2
1
2
1
2
1
2
1
2
0
0
0
0
0
0
0
2
1
2
1
0
0
0
654
654
654
744
751
751
744
744
751
744
751
744
751
744
751
744
751
744
751
723
743
741
741
751
751
751
751
744
751
744
723
723
743
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 72 of 6734

09833
09834
09835
09836
09837
09839
09839
09840
09841
09842
09843
09849
09850
09851
09852
09853
09859
0986
0987
09881
09882
09883
09884
09885
09886
09889
09889
0990
0990
0991
0991
0992
0992
Gc orchitis, chronic
Gc sem vesiculitis, chr
Gc cervicitis, chronic
Gc endometritis, chronic
Gc salpingitis (chronic)
Chr gc upper gu NEC
Chr gc upper gu NEC
Gonococcal conjunctivit
Gonococcal iridocyclitis
Gonococcal endophthalmia
Gonococcal keratitis
Gonococcal eye NEC
Gonococcal arthritis
Gonococcal synovitis
Gonococcal bursitis
Gonococcal spondylitis
Gc infect joint NEC
Gonococcal infec pharynx
Gc infect anus & rectum
Gonococcal keratosis
Gonococcal meningitis
Gonococcal pericarditis
Gonococcal endocarditis
Gonococcal heart dis NEC
Gonococcal peritonitis
Gonococcal inf site NEC
Gonococcal inf site NEC
Chancroid
Chancroid
Lymphogranuloma venereum
Lymphogranuloma venereum
Granuloma inguinale
Granuloma inguinale
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
1
2
2
1
2
1
741
741
751
751
751
751
744
554
550
550
550
550
654
654
654
654
654
564
624
550
510
593
593
593
625
744
751
744
751
751
744
751
744
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 73 of 6734

0993
09940
09940
09941
09941
09949
09949
09950
09950
09951
09952
09952
09953
09953
09954
09955
09955
09956
09959
09959
0998
0998
0999
0999
1000
10081
10089
1009
101
1020
1021
1022
1023
Reiter's disease
Unspcf nongnccl urethrts
Unspcf nongnccl urethrts
Chlmyd trachomatis ureth
Chlmyd trachomatis ureth
Nongc urth oth spf orgsm
Nongc urth oth spf orgsm
Oth VD chlm trch unsp st
Oth VD chlm trch unsp st
Oth VD chlm trch pharynx
Oth VD chlm trch ans rct
Oth VD chlm trch ans rct
Oth VD chlm trch lowr gu
Oth VD chlm trch lowr gu
Oth VD chlm trch oth gu
Ot VD chlm trch unspf gu
Ot VD chlm trch unspf gu
Ot VD chlm trch prtoneum
Oth VD chlm trch spcf st
Oth VD chlm trch spcf st
Venereal disease NEC
Venereal disease NEC
Venereal disease NOS
Venereal disease NOS
Leptospiros icterohem
Leptospiral meningitis
Leptospiral infect NEC
Leptospirosis NOS
Vincent's angina
Initial lesions yaws
Multiple papillomata
Early skin yaws NEC
Hyperkeratosis of yaws
0
2
1
1
2
1
2
2
1
0
2
1
1
2
0
1
2
0
2
1
2
1
2
1
0
0
0
0
0
0
0
0
0
655
751
744
744
751
744
751
751
744
564
751
744
744
751
723
744
751
624
751
744
751
744
751
744
809
510
510
809
510
673
675
673
673
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 74 of 6734

1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1039
1040
1048
1049
1100
1101
1102
1103
1104
1105
1106
1108
1109
1110
1111
1112
1113
1118
1119
1120
1121
1122
1122
Gummata and ulcers, yaws

Gangosa
Yaws of bone & joint
Yaws manifestations NEC
Latent yaws
Yaws NOS
Pinta primary lesions
Pinta intermed lesions
Pinta late lesions
Pinta mixed lesions
Pinta NOS
Nonvenereal endemic syph
Spirochetal infect NEC
Spirochetal infect NOS
Dermatophyt scalp/beard
Dermatophytosis of nail
Dermatophytosis of hand
Dermatophytosis of groin
Dermatophytosis of foot
Dermatophytosis of body
Deep dermatophytosis
Dermatophytosis site NEC
Dermatophytosis site NOS
Pityriasis versicolor
Tinea nigra
Tinea blanca
Black piedra
Dermatomycoses NEC
Dermatomycosis NOS
Thrush
Candidal vulvovaginitis
Candidias urogenital NEC
Candidias urogenital NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
2
673
564
654
809
809
809
673
673
809
673
809
809
809
809
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
564
751
744
751
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 75 of 6734

1123
1124
1125
11281
11282
11283
11284
11285
11289
1129
1140
1141
1142
1143
1144
1145
1149
11500
11501
11502
11503
11504
11505
11509
11510
11511
11512
11513
11514
11515
11519
11590
11591
Cutaneous candidiasis
Candidiasis of lung
Disseminated candidiasis
Candidal endocarditis
Candidal otitis externa
Candidal meningitis
Candidal esophagitis
Candidal enteritis
Candidiasis site NEC
Candidiasis site NOS
Primary coccidioidomycos
Prim cutan coccidioid
Coccidioidal meningitis
Progress coccidioid NEC
Ch pl coccidioidomycosis
Pl cocidioidomycosis NOS
Coccidioidomycosis NOS
Histoplasma capsulat NOS
Histoplasm capsul mening
Histoplasm capsul retina
Histoplasm caps pericard
Histoplasm caps endocard
Histoplasm caps pneumon
Histoplasma capsulat NEC
Histoplasma duboisii NOS
Histoplasm dubois mening
Histoplasm dubois retina
Histoplasm dub pericard
Histoplasm dub endocard
Histoplasm dub pneumonia
Histoplasma duboisii NEC
Histoplasmosis NOS
Histoplasmosis meningit
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
577
805
593
565
510
625
625
809
809
577
675
510
809
577
577
809
809
510
554
593
593
577
809
809
510
554
593
593
577
809
809
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 76 of 6734

11592
11593
11594
11595
11599
1160
1161
1162
1170
1171
1172
1173
1174
1175
1176
1177
1178
1179
118
1200
1201
1202
1203
1208
1209
1210
1211
1212
1213
1214
1215
1216
1218
Histoplasmosis retinitis
Histoplasmosis pericard
Histoplasmosis endocard
Histoplasmosis pneumonia
Histoplasmosis NEC
Blastomycosis
Paracoccidioidomycosis
Lobomycosis
Rhinosporidiosis
Sporotrichosis
Chromoblastomycosis
Aspergillosis
Mycotic mycetomas
Cryptococcosis
Allescheriosis
Zygomycosis
Dematiacious fungi inf
Mycoses NEC & NOS
Opportunistic mycoses
Schistosoma haematobium
Schistosoma mansoni
Schistosoma japonicum
Cutaneous schistosoma
Schistosomiasis NEC
Schistosomiasis NOS
Opisthorchiasis
Clonorchiasis
Paragonimiasis
Fascioliasis
Fasciolopsiasis
Metagonimiasis
Heterophyiasis
Trematode infection NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
554
593
593
577
809
809
809
809
809
809
809
809
809
809
809
809
809
809
809
723
640
809
675
809
809
640
640
577
640
640
809
809
809
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 77 of 6734

1219
1220
1221
1222
1223
1224
1225
1226
1227
1228
1229
1230
1231
1232
1233
1234
1235
1236
1238
1239
124
1250
1251
1252
1253
1254
1255
1256
1257
1259
1260
1261
1262
Trematode infection NOS

Echinococc granul liver
Echinococc granul lung
Echinococc gran thyroid
Echinococc granul NEC
Echinococc granul NOS
Echinococ multiloc liver
Echinococc multiloc NEC
Echinococc multiloc NOS
Echinococcosis NOS liver
Echinococcosis NEC/NOS
Taenia solium intestine
Cysticercosis
Taenia saginata infect
Taeniasis NOS
Diphyllobothrias intest
Sparganosis
Hymenolepiasis
Cestode infection NEC
Cestode infection NOS
Trichinosis
Bancroftian filariasis
Malayan filariasis
Loiasis
Onchocerciasis
Dipetalonemiasis
Mansonella ozzardi infec
Filariasis NEC
Dracontiasis
Filariasis NOS
Ancylostoma duodenale
Necator Americanus
Ancylostoma braziliense
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
809
640
577
693
809
809
640
809
809
640
809
625
625
625
625
625
625
625
625
625
809
809
809
809
809
809
809
809
809
809
625
625
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 78 of 6734

1263
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1288
1289
129
1300
1301
1302
1303
1304
1305
1307
1308
1309
13100
13100
13101
13102
13102
13103
Ancylostoma ceylanicum
Ancylostoma NEC
Ancylostomiasis NOS
Ascariasis
Anisakiasis
Strongyloidiasis
Trichuriasis
Enterobiasis
Capillariasis
Trichostrongyliasis
Intest helminthiasis NEC
Mixed intestine helminth
Intest helminthiasis NOS
Toxocariasis
Gnathostomiasis
Helminthiasis NEC
Helminthiasis NOS
Intestin parasitism NOS
Toxoplasm meningoenceph
Toxoplasm conjunctivitis
Toxoplasm chorioretinit
Toxoplasma myocarditis
Toxoplasma pneumonitis
Toxoplasma hepatitis
Toxoplasmosis site NEC
Multisystem toxoplasmos
Toxoplasmosis NOS
Urogenital trichomon NOS
Urogenital trichomon NOS
Trichomonal vaginitis
Trichomonal urethritis
Trichomonal urethritis
Trichomonal prostatitis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
2
1
0
625
625
625
625
625
625
625
625
625
625
624
809
624
809
809
809
809
624
510
550
550
593
577
640
809
809
809
751
744
751
751
744
743
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 79 of 6734

13109
13109
1318
1319
1320
1321
1322
1323
1329
1330
1338
1339
1340
1341
1342
1348
1349
135
1360
1361
13621
13629
1363
1364
1365
1368
1369
1370
1371
1372
1373
1374
138
Urogenital trichomon NEC

Urogenital trichomon NEC
Trichomoniasis NEC
Trichomoniasis NOS
Pediculus capitis
Pediculus corporis
Phthirus pubis
Mixed pedicul & phthirus
Pediculosis NOS
Scabies
Acariasis NEC
Acariasis NOS
Myiasis
Arthropod infest NEC
Hirudiniasis
Infestation NEC
Infestation NOS
Sarcoidosis
Ainhum
Behcet's syndrome
Infectn d/t acanthamoeba
Infc free-liv amebae NEC
Pneumocystosis
Psorospermiasis
Sarcosporidiosis
Infect/parasite dis NEC
Infect/parasite dis NOS
Late effect tb, resp/NOS
Late effect cns TB
Late effect gu TB
Late eff bone & joint TB
Late effect TB NEC
Late effect acute polio
2
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
751
744
809
809
675
675
675
675
675
675
675
675
675
675
675
675
675
577
809
655
809
809
577
809
809
809
809
577
525
723
654
809
525
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 80 of 6734

1390
1391
1398
1400
1401
1403
1404
1405
1406
1408
1409
1410
1411
1412
1413
1414
1415
1416
1418
1419
1420
1421
1422
1428
1429
1430
1431
1438
1439
1440
1441
1448
1449
Late eff viral encephal

Late effect of trachoma
Late eff infect dis NEC
Mal neo upper vermilion
Mal neo lower vermilion
Mal neo upper lip, inner
Mal neo lower lip, inner
Mal neo lip, inner NOS
Mal neo lip, commissure
Mal neo lip NEC
Mal neo lip/vermil NOS
Mal neo tongue base
Mal neo dorsal tongue
Mal neo tip/lat tongue
Mal neo ventral tongue
Mal neo ant 2/3 tongue
Mal neo tongue junction
Mal neo lingual tonsil
Malig neo tongue NEC
Malig neo tongue NOS
Malig neo parotid
Malig neo submandibular
Malig neo sublingual
Mal neo maj salivary NEC
Mal neo salivary NOS
Malig neo upper gum
Malig neo lower gum
Malig neo gum NEC
Malig neo gum NOS
Mal neo ant floor mouth
Mal neo lat floor mouth
Mal neo mouth floor NEC
Mal neo mouth floor NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
525
554
809
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 81 of 6734

1450
1451
1452
1453
1454
1455
1456
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1478
1479
1480
1481
1482
1483
1488
1489
1490
1491
Mal neo cheek mucosa

Mal neo mouth vestibule
Malig neo hard palate
Malig neo soft palate
Malignant neoplasm uvula
Malignant neo palate NOS
Malig neo retromolar
Malig neoplasm mouth NEC
Malig neoplasm mouth NOS
Malignant neopl tonsil
Mal neo tonsillar fossa
Mal neo tonsil pillars
Malign neopl vallecula
Mal neo ant epiglottis
Mal neo epiglottis junct
Mal neo lat oropharynx
Mal neo post oropharynx
Mal neo oropharynx NEC
Malig neo oropharynx NOS
Mal neo super nasopharyn
Mal neo post nasopharynx
Mal neo lat nasopharynx
Mal neo ant nasopharynx
Mal neo nasopharynx NEC
Mal neo nasopharynx NOS
Mal neo postcricoid
Mal neo pyriform sinus
Mal neo aryepiglott fold
Mal neo post hypopharynx
Mal neo hypopharynx NEC
Mal neo hypopharynx NOS
Mal neo pharynx NOS
Mal neo waldeyer's ring
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
560
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 82 of 6734

1498
1499
1500
1501
1502
1503
1504
1505
1508
1509
1510
1511
1512
1513
1514
1515
1516
1518
1519
1520
1521
1522
1523
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
Mal neo oral/pharynx NEC

Mal neo orophryn ill-def
Mal neo cervical esophag
Mal neo thoracic esophag
Mal neo abdomin esophag
Mal neo upper 3rd esoph
Mal neo middle 3rd esoph
Mal neo lower 3rd esoph
Mal neo esophagus NEC
Mal neo esophagus NOS
Mal neo stomach cardia
Malignant neo pylorus
Mal neo pyloric antrum
Mal neo stomach fundus
Mal neo stomach body
Mal neo stom lesser curv
Mal neo stom great curv
Malig neopl stomach NEC
Malig neopl stomach NOS
Malignant neopl duodenum
Malignant neopl jejunum
Malignant neoplasm ileum
Mal neo meckel's divert
Mal neo small bowel NEC
Mal neo small bowel NOS
Mal neo hepatic flexure
Mal neo transverse colon
Mal neo descend colon
Mal neo sigmoid colon
Malignant neoplasm cecum
Malignant neo appendix
Malig neo ascend colon
Mal neo splenic flexure
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
560
560
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
620
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 83 of 6734

1538
1539
1540
1541
1542
1543
1548
1550
1551
1552
1560
1561
1562
1568
1569
1570
1571
1572
1573
1574
1578
1579
1580
1588
1589
1590
1591
1598
1599
1600
1601
1602
1603
Malignant neo colon NEC

Malignant neo colon NOS
Mal neo rectosigmoid jct
Malignant neopl rectum
Malig neopl anal canal
Malignant neo anus NOS
Mal neo rectum/anus NEC
Mal neo liver, primary
Mal neo intrahepat ducts
Malignant neo liver NOS
Malig neo gallbladder
Mal neo extrahepat ducts
Mal neo ampulla of vater
Malig neo biliary NEC
Malig neo biliary NOS
Mal neo pancreas head
Mal neo pancreas body
Mal neo pancreas tail
Mal neo pancreatic duct
Mal neo islet langerhans
Malig neo pancreas NEC
Malig neo pancreas NOS
Mal neo retroperitoneum
Mal neo peritoneum NEC
Mal neo peritoneum NOS
Malig neo intestine NOS
Malignant neo spleen NEC
Mal neo gi/intra-abd NEC
Mal neo GI tract ill-def
Mal neo nasal cavities
Malig neo middle ear
Mal neo maxillary sinus
Mal neo ethmoidal sinus
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
620
620
620
620
620
620
620
634
634
634
634
634
634
634
634
634
634
634
634
634
634
634
804
620
620
620
801
620
620
560
560
560
560
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 84 of 6734

1604
1605
1608
1609
1610
1611
1612
1613
1618
1619
1620
1622
1623
1624
1625
1628
1629
1630
1631
1638
1639
1640
1641
1642
1643
1648
1649
1650
1658
1659
1700
1701
1702
Malig neo frontal sinus

Mal neo sphenoid sinus
Mal neo access sinus NEC
Mal neo access sinus NOS
Malignant neo glottis
Malig neo supraglottis
Malig neo subglottis
Mal neo cartilage larynx
Malignant neo larynx NEC
Malignant neo larynx NOS
Malignant neo trachea
Malig neo main bronchus
Mal neo upper lobe lung
Mal neo middle lobe lung
Mal neo lower lobe lung
Mal neo bronch/lung NEC
Mal neo bronch/lung NOS
Mal neo parietal pleura
Mal neo visceral pleura
Malig neopl pleura NEC
Malig neopl pleura NOS
Malignant neopl thymus
Malignant neopl heart
Mal neo ant mediastinum
Mal neo post mediastinum
Mal neo mediastinum NEC
Mal neo mediastinum NOS
Mal neo upper resp NOS
Mal neo thorax/resp NEC
Mal neo resp system NOS
Mal neo skull/face bone
Malignant neo mandible
Malig neo vertebrae
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
560
560
560
560
560
560
560
560
560
560
571
571
571
571
571
571
571
571
571
571
571
804
593
571
571
571
571
560
571
571
560
560
653
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 85 of 6734

1703
1704
1705
1706
1707
1708
1709
1710
1712
1713
1714
1715
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
17300
17301
17302
17309
17310
17311
17312
Mal neo ribs/stern/clav

Mal neo long bones arm
Mal neo bones wrist/hand
Mal neo pelvic girdle
Mal neo long bones leg
Mal neo bones ankle/foot
Malig neopl bone NOS
Mal neo soft tissue head
Mal neo soft tissue arm
Mal neo soft tissue leg
Mal neo soft tis thorax
Mal neo soft tis abdomen
Mal neo soft tis pelvis
Mal neopl trunk NOS
Mal neo soft tissue NEC
Mal neo soft tissue NOS
Malig melanoma lip
Malig melanoma eyelid
Malig melanoma ear
Mal melanom face NEC/NOS
Mal melanoma scalp/neck
Malig melanoma trunk
Malig melanoma arm
Malig melanoma leg
Malig melanoma skin NEC
Malig melanoma skin NOS
Malig neopl skin lip NOS
Basal cell ca skin lip
Squamous cell ca skn lip
Malig neo skin lip NEC
Mal neo eyelid/canth NOS
Basal cell ca lid/canth
Squam cell ca lid/canth
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
653
653
653
653
653
653
653
560
653
653
653
653
653
653
653
653
671
554
671
671
671
671
671
671
671
671
675
675
675
675
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 86 of 6734

17319
17320
17321
17322
17329
17330
17331
17332
17339
17340
17341
17342
17349
17350
17351
17352
17359
17360
17361
17362
17369
17370
17371
17372
17379
17380
17381
17382
17389
17390
17391
17392
17399
Mal neo eyelid/canth NEC

Malig neo skin ear NOS
Basal cell ca skin ear
Squam cell ca skin ear
Neo skin ear/ex canl NEC
Mal neo skn face NEC/NOS
Bsl cel skn face NEC/NOS
Sqm cel skn face NEC/NOS
Mal neo skn face NEC/NOS
Mal neo sclp/skn nck NOS
Bsl cell ca scalp/skn nk
Sqam cell ca sclp/skn nk
Mal neo sclp/skn nck NEC
Malig neo skin trunk NOS
Basal cell ca skin trunk
Squam cell ca skin trunk
Malig neo skin trunk NEC
Mal neo skin up limb NOS
Basal cell ca skn up lmb
Squam cell ca skn up lmb
Malig neo skn up lmb NEC
Mal neo skn low limb NOS
Basl cell ca skn low lmb
Sqam cell ca skn low lmb
Mal neo skin low lmb NEC
Mal neo skn site NEC/NOS
Bsl cell ca skn site NEC
Sqm cell ca skn site NEC
Oth mal neo skn site NEC
Malig neo skin site NOS
Basal cell ca skin NOS
Squam cell ca skin NOS
Oth mal neo skn site NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 87 of 6734

1740
1741
1742
1743
1744
1745
1746
1748
1749
1750
1759
1760
1761
1762
1763
1764
1765
1768
1769
179
1800
1801
1808
1809
181
1820
1821
1828
1830
1832
1833
1834
1835
Malig neo nipple

Mal neo breast-central
Mal neo breast up-inner
Mal neo breast low-inner
Mal neo breast up-outer
Mal neo breast low-outer
Mal neo breast-axillary
Malign neopl breast NEC
Malign neopl breast NOS
Mal neo male nipple
Mal neo male breast NEC
Skin - kaposi's sarcoma
Sft tisue - kpsi's srcma
Palate - kpsi's sarcoma
GI sites - kpsi's srcoma
Lung - kaposi's sarcoma
Lym nds - kpsi's sarcoma
Spf sts - kpsi's sarcoma
Kaposi's sarcoma NOS
Malig neopl uterus NOS
Malig neo endocervix
Malig neo exocervix
Malig neo cervix NEC
Mal neo cervix uteri NOS
Malignant neopl placenta
Malig neo corpus uteri
Mal neo uterine isthmus
Mal neo body uterus NEC
Malign neopl ovary
Mal neo fallopian tube
Mal neo broad ligament
Malig neo parametrium
Mal neo round ligament
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
672
672
672
672
672
672
672
672
672
672
672
671
671
560
620
571
671
671
671
750
750
750
750
750
750
750
750
750
750
750
750
750
750
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 88 of 6734

1838
1839
1840
1841
1842
1843
1844
1848
1849
185
1860
1869
1871
1872
1873
1874
1875
1876
1877
1878
1879
1880
1881
1882
1883
1884
1885
1886
1887
1888
1889
1890
1891
Mal neo adnexa NEC

Mal neo adnexa NOS
Malign neopl vagina
Mal neo labia majora
Mal neo labia minora
Malign neopl clitoris
Malign neopl vulva NOS
Mal neo female genit NEC
Mal neo female genit NOS
Malign neopl prostate
Mal neo undescend testis
Malig neo testis NEC
Malign neopl prepuce
Malig neo glans penis
Malig neo penis body
Malig neo penis NOS
Malig neo epididymis
Mal neo spermatic cord
Malign neopl scrotum
Mal neo male genital NEC
Mal neo male genital NOS
Mal neo bladder-trigone
Mal neo bladder-dome
Mal neo bladder-lateral
Mal neo bladder-anterior
Mal neo bladder-post
Mal neo bladder neck
Mal neo ureteric orifice
Malig neo urachus
Malig neo bladder NEC
Malig neo bladder NOS
Malig neopl kidney
Malig neo renal pelvis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
750
750
750
750
750
750
750
750
750
740
740
740
740
740
740
740
740
740
740
740
740
721
721
721
721
721
721
721
721
721
721
721
721
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 89 of 6734

1892
1893
1894
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1928
1929
193
1940
Malign neopl ureter

Malign neopl urethra
Mal neo paraurethral
Mal neo urinary NEC
Mal neo urinary NOS
Malign neopl eyeball
Malign neopl orbit
Mal neo lacrimal gland
Mal neo conjunctiva
Malign neopl cornea
Malign neopl retina
Malign neopl choroid
Mal neo lacrimal duct
Malign neopl eye NEC
Malign neopl eye NOS
Malign neopl cerebrum
Malig neo frontal lobe
Mal neo temporal lobe
Mal neo parietal lobe
Mal neo occipital lobe
Mal neo cereb ventricle
Mal neo cerebellum NOS
Mal neo brain stem
Malig neo brain NEC
Malig neo brain NOS
Mal neo cranial nerves
Mal neo cerebral mening
Mal neo spinal cord
Mal neo spinal meninges
Mal neo nervous syst NEC
Mal neo nervous syst NOS
Malign neopl thyroid
Malign neopl adrenal
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
721
721
721
721
721
554
554
554
554
554
554
554
554
554
554
521
521
521
521
521
521
521
521
521
521
521
521
521
521
521
521
693
693
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 90 of 6734

1941
1943
1944
1945
1946
1948
1949
1950
1951
1952
1953
1954
1955
1958
1960
1961
1962
1963
1965
1966
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1980
1981
Malig neo parathyroid

Malig neo pituitary
Malign neo pineal gland
Mal neo carotid body
Mal neo paraganglia NEC
Mal neo endocrine NEC
Mal neo endocrine NOS
Mal neo head/face/neck
Malign neopl thorax
Malig neo abdomen
Malign neopl pelvis
Malign neopl arm
Malign neopl leg
Malig neo site NEC
Mal neo lymph-head/neck
Mal neo lymph-intrathor
Mal neo lymph intra-abd
Mal neo lymph-axilla/arm
Mal neo lymph-inguin/leg
Mal neo lymph-intrapelv
Mal neo lymph node-mult
Mal neo lymph node NOS
Secondary malig neo lung
Sec mal neo mediastinum
Second malig neo pleura
Sec malig neo resp NEC
Sec malig neo sm bowel
Sec malig neo lg bowel
Sec mal neo peritoneum
Second malig neo liver
Sec mal neo GI NEC
Second malig neo kidney
Sec malig neo urin NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
693
693
521
521
521
693
693
560
571
620
740
653
653
804
804
804
804
804
804
804
804
804
571
571
571
571
620
620
620
634
620
721
721
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 91 of 6734

1982
1983
1984
1985
1986
1987
19881
19889
1990
1991
1992
20000
20001
20002
20003
20004
20005
20006
20007
20008
20010
20011
20012
20013
20014
20015
20016
20017
20018
20020
20021
20022
20023
Secondary malig neo skin

Sec mal neo brain/spine
Sec malig neo nerve NEC
Secondary malig neo bone
Second malig neo ovary
Second malig neo adrenal
Second malig neo breast
Secondary malig neo NEC
Malig neo disseminated
Malignant neoplasm NOS
Malig neopl-transp organ
Retclsrc unsp xtrndl org
Reticulosarcoma head
Reticulosarcoma thorax
Reticulosarcoma abdom
Reticulosarcoma axilla
Reticulosarcoma inguin
Reticulosarcoma pelvic
Reticulosarcoma spleen
Reticulosarcoma mult
Lymphsrc unsp xtrndl org
Lymphosarcoma head
Lymphosarcoma thorax
Lymphosarcoma abdom
Lymphosarcoma axilla
Lymphosarcoma inguin
Lymphosarcoma pelvic
Lymphosarcoma spleen
Lymphosarcoma mult
Brkt tmr unsp xtrndl org
Burkitt's tumor head
Burkitt's tumor thorax
Burkitt's tumor abdom
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
671
521
521
653
750
693
672
804
804
804
804
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 92 of 6734

20024
20025
20026
20027
20028
20030
20031
20032
20033
20034
20035
20036
20037
20038
20040
20041
20042
20043
20044
20045
20046
20047
20048
20050
20051
20052
20053
20054
20055
20056
20057
20058
20060
Burkitt's tumor axilla

Burkitt's tumor inguin
Burkitt's tumor pelvic
Burkitt's tumor spleen
Burkitt's tumor mult
Margnl zone lym xtrndl
Margin zone lym head
Margin zone lym thorax
Margin zone lym abdom
Margin zone lym axilla
Margin zone lym inguin
Margin zone lym pelvic
Margin zone lymph spleen
Margin zone lymph multip
Mantle cell lym xtrrndl
Mantle cell lymph head
Mantle cell lymph thorax
Mantle cell lymph abdom
Mantle cell lymph axilla
Mantle cell lymph inguin
Mantle cell lymph pelvic
Mantle cell lymph spleen
Mantle cell lymph multip
Primary CNS lymph xtrndl
Primary CNS lymph head
Primary CNS lymph thorax
Primary CNS lymph abdom
Primary CNS lymph axilla
Primary CNS lym inguin
Primary CNS lymph pelvic
Primary CNS lymph spleen
Primary CNS lymph multip
Anaplastic lymph xtrndl
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 93 of 6734

20061
20062
20063
20064
20065
20066
20067
20068
20070
20071
20072
20073
20074
20075
20076
20077
20078
20080
20081
20082
20083
20084
20085
20086
20087
20088
20100
20101
20102
20103
20104
20105
20106
Anaplastic lymph head

Anaplastic lymph thorax
Anaplastic lymph abdom
Anaplastic lymph axilla
Anaplastic lymph inguin
Anaplastic lymph pelvic
Anaplastic lymph spleen
Anaplastic lymph multip
Large cell lymph xtrndl
Large cell lymphoma head
Large cell lymph thorax
Large cell lymph abdom
Large cell lymph axilla
Large cell lymph inguin
Large cell lymph pelvic
Large cell lymph spleen
Large cell lymph multip
Oth varn unsp xtrndl org
Mixed lymphosarc head
Mixed lymphosarc thorax
Mixed lymphosarc abdom
Mixed lymphosarc axilla
Mixed lymphosarc inguin
Mixed lymphosarc pelvic
Mixed lymphosarc spleen
Mixed lymphosarc mult
Hdgk prg unsp xtrndl org
Hodgkins paragran head
Hodgkins paragran thorax
Hodgkins paragran abdom
Hodgkins paragran axilla
Hodgkins paragran inguin
Hodgkins paragran pelvic
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 94 of 6734

20107
20108
20110
20111
20112
20113
20114
20115
20116
20117
20118
20120
20121
20122
20123
20124
20125
20126
20127
20128
20140
20141
20142
20143
20144
20145
20146
20147
20148
20150
20151
20152
20153
Hodgkins paragran spleen

Hodgkins paragran mult
Hdgk grn unsp xtrndl org
Hodgkins granulom head
Hodgkins granulom thorax
Hodgkins granulom abdom
Hodgkins granulom axilla
Hodgkins granulom inguin
Hodgkins granulom pelvic
Hodgkins granulom spleen
Hodgkins granulom mult
Hdgk src unsp xtrndl org
Hodgkins sarcoma head
Hodgkins sarcoma thorax
Hodgkins sarcoma abdom
Hodgkins sarcoma axilla
Hodgkins sarcoma inguin
Hodgkins sarcoma pelvic
Hodgkins sarcoma spleen
Hodgkins sarcoma mult
Lym-hst unsp xtrndl orgn
Hodg lymph-histio head
Hodg lymph-histio thorax
Hodg lymph-histio abdom
Hodg lymph-histio axilla
Hodg lymph-histio inguin
Hodg lymph-histio pelvic
Hodg lymph-histio spleen
Hodg lymph-histio mult
Ndr sclr unsp xtrndl org
Hodg nodul sclero head
Hodg nodul sclero thorax
Hodg nodul sclero abdom
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 95 of 6734

20154
20155
20156
20157
20158
20160
20161
20162
20163
20164
20165
20166
20167
20168
20170
20171
20172
20173
20174
20175
20176
20177
20178
20190
20191
20192
20193
20194
20195
20196
20197
20198
20200
Hodg nodul sclero axilla

Hodg nodul sclero inguin
Hodg nodul sclero pelvic
Hodg nodul sclero spleen
Hodg nodul sclero mult
Mxd celr unsp xtrndl org
Hodgkins mix cell head
Hodgkins mix cell thorax
Hodgkins mix cell abdom
Hodgkins mix cell axilla
Hodgkins mix cell inguin
Hodgkins mix cell pelvic
Hodgkins mix cell spleen
Hodgkins mix cell mult
Lym dplt unsp xtrndl org
Hodg lymph deplet head
Hodg lymph deplet thorax
Hodg lymph deplet abdom
Hodg lymph deplet axilla
Hodg lymph deplet inguin
Hodg lymph deplet pelvic
Hodg lymph deplet spleen
Hodg lymph deplet mult
Hdgk dis unsp xtrndl org
Hodgkins dis NOS head
Hodgkins dis NOS thorax
Hodgkins dis NOS abdom
Hodgkins dis NOS axilla
Hodgkins dis NOS inguin
Hodgkins dis NOS pelvic
Hodgkins dis NOS spleen
Hodgkins dis NOS mult
Ndlr lym unsp xtrndl org
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 96 of 6734

20201
20202
20203
20204
20205
20206
20207
20208
20210
20211
20212
20213
20214
20215
20216
20217
20218
20220
20221
20222
20223
20224
20225
20226
20227
20228
20230
20231
20232
20233
20234
20235
20236
Nodular lymphoma head

Nodular lymphoma thorax
Nodular lymphoma abdom
Nodular lymphoma axilla
Nodular lymphoma inguin
Nodular lymphoma pelvic
Nodular lymphoma spleen
Nodular lymphoma mult
Mycs fng unsp xtrndl org
Mycosis fungoides head
Mycosis fungoides thorax
Mycosis fungoides abdom
Mycosis fungoides axilla
Mycosis fungoides inguin
Mycosis fungoides pelvic
Mycosis fungoides spleen
Mycosis fungoides mult
Szry dis unsp xtrndl org
Sezary's disease head
Sezary's disease thorax
Sezary's disease abdom
Sezary's disease axilla
Sezary's disease inguin
Sezary's disease pelvic
Sezary's disease spleen
Sezary's disease mult
Mlg hist unsp xtrndl org
Mal histiocytosis head
Mal histiocytosis thorax
Mal histiocytosis abdom
Mal histiocytosis axilla
Mal histiocytosis inguin
Mal histiocytosis pelvic
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 97 of 6734

20237
20238
20240
20241
20242
20243
20244
20245
20246
20247
20248
20250
20251
20252
20253
20254
20255
20256
20257
20258
20260
20261
20262
20263
20264
20265
20266
20267
20268
20270
20271
20272
20273
Mal histiocytosis spleen

Mal histiocytosis mult
Lk rtctl unsp xtrndl org
Hairy-cell leukem head
Hairy-cell leukem thorax
Hairy-cell leukem abdom
Hairy-cell leukem axilla
Hairy-cell leukem inguin
Hairy-cell leukem pelvic
Hairy-cell leukem spleen
Hairy-cell leukem mult
Ltr-siwe unsp xtrndl org
Letterer-siwe dis head
Letterer-siwe dis thorax
Letterer-siwe dis abdom
Letterer-siwe dis axilla
Letterer-siwe dis inguin
Letterer-siwe dis pelvic
Letterer-siwe dis spleen
Letterer-siwe dis mult
Mlg mast unsp xtrndl org
Mal mastocytosis head
Mal mastocytosis thorax
Mal mastocytosis abdom
Mal mastocytosis axilla
Mal mastocytosis inguin
Mal mastocytosis pelvic
Mal mastocytosis spleen
Mal mastocytosis mult
Periph T cell lym xtrndl
Periph T cell lymph head
Periph T cell lym thorax
Periph T cell lym abdom
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
804
804
804
804
804
804
804
804
804
801
801
801
801
801
801
801
801
801
801
801
801
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 98 of 6734

20274
20275
20276
20277
20278
20280
20281
20282
20283
20284
20285
20286
20287
20288
20290
20291
20292
20293
20294
20295
20296
20297
20298
20300
20301
20302
20310
20311
20312
20380
20381
20382
20400
Periph T cell lym axilla

Periph T cell lym inguin
Periph T cell lym pelvic
Periph T cell lym spleen
Periph T cell lym multip
Oth lymp unsp xtrndl org
Lymphomas NEC head
Lymphomas NEC thorax
Lymphomas NEC abdom
Lymphomas NEC axilla
Lymphomas NEC inguin
Lymphomas NEC pelvic
Lymphomas NEC spleen
Lymphomas NEC mult
Unsp lym unsp xtrndl org
Lymphoid mal NEC head
Lymphoid mal NEC thorax
Lymphoid mal NEC abdom
Lymphoid mal NEC axilla
Lymphoid mal NEC inguin
Lymphoid mal NEC pelvic
Lymphoid mal NEC spleen
Lymphoid mal NEC mult
Mult mye w/o achv rmson
Mult myelm w remission
Mult myeloma in relapse
Pls cl leu w/o achv rmsn
Plsm cell leuk w rmson
Plsm cel leuk in relapse
Oth imno npl wo ach rmsn
Oth imnprfl npl w rmsn
Oth imnprlf neo-relapse
Ac lym leuk wo achv rmsn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
801
800
801
801
800
801
801
800
800
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 99 of 6734

20401
20402
20410
20411
20412
20420
20421
20422
20480
20481
20482
20490
20491
20492
20500
20501
20502
20510
20511
20512
20520
20521
20522
20530
20531
20532
20580
20581
20582
20590
20591
20592
20600
Act lym leuk w rmsion

Act lymp leuk in relapse
Ch lym leuk wo achv rmsn
Chr lym leuk w rmsion
Chr lymp leuk in relapse
Sbac lym leu wo ach rmsn
Sbac lym leuk w rmsion
Sbac lym leuk in relapse
Oth lym leu wo achv rmsn
Oth lym leuk w rmsion
Oth lym leuk in relapse
Uns lym leu wo ach rmsn
Uns lym leuk w rmsion
Lymp leuk NOS relapse
Ac myl leuk wo achv rmsn
Act myl leuk w rmsion
Act myel leuk in relapse
Ch myl leuk wo achv rmsn
Chr myl leuk w rmsion
Chr myel leuk in relapse
Sbac myl leu wo ach rmsn
Sbac myl leuk w rmsion
Sbac myl leuk in relapse
Myl sarcoma wo achv rmsn
Myl srcoma w rmsion
Myel sarcoma in relapse
Oth my leuk wo achv rmsn
Oth myl leuk w rmsion
Oth myel leuk in relapse
Uns my leu wo ach rmsn
Uns myl leuk w rmsion
Myel leuk NOS in relapse
Ac mono leu wo achv rmsn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
800
800
801
801
801
801
801
800
801
801
800
801
801
800
800
800
800
801
801
801
801
801
800
801
801
800
801
801
800
801
801
800
800
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 100 of 6734

20601
20602
20610
20611
20612
20620
20621
20622
20680
20681
20682
20690
20691
20692
20700
20701
20702
20710
20711
20712
20720
20721
20722
20780
20781
20782
20800
20801
20802
20810
20811
20812
20820
Act mono leuk w rmsion

Act mono leuk in relapse
Ch mono leu wo achv rmsn
Chr mono leuk w rmsion
Chr mono leuk in relapse
Sbac mno leu wo ach rmsn
Sbac mono leuk w rmsion
Sbac mono leu in relapse
Ot mono leu wo achv rmsn
Oth mono leuk w rmsion
Oth mono leuk in relapse
Uns mno leu wo ach rmsn
Uns mono leuk w rmsion
Mono leuk NOS relapse
Ac erth/erlk wo ach rmsn
Act erth/erylk w rmson
Ac erth/erylk in relapse
Chr erythrm w/o ach rmsn
Chr erythrm w remision
Chr erythrmia in relapse
Mgkrcyt leuk wo ach rmsn
Mgkrycyt leuk w rmsion
Mgkrycyt leuk in relapse
Oth leuk w/o achv rmsn
Oth spf leuk w remsion
Oth spf leuk in relapse
Ac leu un cl wo ach rmsn
Act leuk uns cl w rmson
Ac leuk uns cl relapse
Ch leu un cl wo ach rmsn
Chr leuk uns cl w rmson
Ch leu uns cl in relapse
Sbc leu un cl wo ah rmsn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
800
800
801
801
801
801
801
800
801
801
800
801
801
800
800
800
800
801
801
801
801
801
800
801
801
800
800
800
800
801
801
800
801
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 101 of 6734

20821
20822
20880
20881
20882
20890
20891
20892
20900
20901
20902
20903
20910
20911
20912
20913
20914
20915
20916
20917
20920
20921
20922
20923
20924
20925
20926
20927
20929
20930
20931
20932
20933
Sbac leuk uns cl w rmson

Sbac leu uns cl-relapse
Ot leu un cl wo ach rmsn
Oth leuk uns cl w rmson
Oth leuk uns cl-relapse
Leuk NOS w/o achv rmsn
Leukemia NOS w remission
Leukemia NOS in relapse
Mal crcnoid sm intst NOS
Malig carcinoid duodenum
Malig carcinoid jejunum
Malig carcinoid ileum
Mal crcnoid lg intst NOS
Malig carcinoid appendix
Malig carcinoid cecum
Mal crcnoid ascend colon
Mal crcnoid transv colon
Mal carcinoid desc colon
Mal carcinoid sig colon
Malig carcinoid rectum
Mal crcnd prim site unkn
Mal carcinoid bronc/lung
Malig carcinoid thymus
Malig carcinoid stomach
Malig carcinoid kidney
Mal carcnoid foregut NOS
Mal carcinoid midgut NOS
Mal carcnoid hindgut NOS
Malig carcinoid oth site
Malig neuroendo ca NOS
Merkel cell ca-face
Merkel cell ca-sclp/neck
Merkel cell ca-up limb
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
801
800
801
801
800
801
801
800
620
620
620
620
620
620
620
620
620
620
620
620
620
571
804
620
721
620
620
620
620
620
671
671
671
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 102 of 6734

20934
20935
20936
20940
20941
20942
20943
20950
20951
20952
20953
20954
20955
20956
20957
20960
20961
20962
20963
20964
20965
20966
20967
20969
20970
20971
20972
20973
20974
20975
20979
2100
2101
Merkel cell ca-low limb

Merkel cell ca-trunk
Merkel cell ca-oth sites
Ben crcnoid sm intst NOS
Ben carcinoid duodenum
Benign carcinoid jejunum
Benign carcinoid ileum
Ben crcnoid lg intst NOS
Ben carcinoid appendix
Benign carcinoid cecum
Ben carcinoid asc colon
Ben crcinoid trans colon
Ben carcinoid desc colon
Ben carcinoid sig colon
Benign carcinoid rectum
Ben crcnd prim site unkn
Ben carcinoid bronc/lung
Benign carcinoid thymus
Benign carcinoid stomach
Benign carcinoid kidney
Ben crcinoid foregut NOS
Ben crcinoid midgut NOS
Ben crcnoid hindgut NOS
Bengn carcinoid oth site
Sec neuroendo tumor NOS
Sec neuroend tu dist lym
Sec neuroend tumor-liver
Sec neuroendo tumor-bone
Sec neuroendo tu-periton
Secondary Merkel cell ca
Sec neuroend tu oth site
Benign neoplasm lip
Benign neoplasm tongue
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
671
671
671
624
624
624
624
624
624
624
624
624
624
624
624
624
576
785
624
726
624
624
624
624
804
804
634
653
620
671
804
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 103 of 6734

2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
Ben neo major salivary

Benign neo mouth floor
Benign neo mouth NEC/NOS
Benign neoplasm tonsil
Benign neo oropharyn NEC
Benign neo nasopharynx
Benign neo hypopharynx
Benign neo pharynx NOS
Benign neo esophagus
Benign neoplasm stomach
Benign neoplasm sm bowel
Benign neoplasm lg bowel
Benign neopl rectum/anus
Ben neo liver/bile ducts
Benign neoplasm pancreas
Ben neo islets langerhan
Ben neo peritoneum
Ben neo GI tract NEC/NOS
Ben neo nasal cav/sinus
Benign neo larynx
Benign neo trachea
Benign neo bronchus/lung
Benign neoplasm pleura
Benign neo mediastinum
Benign neoplasm thymus
Benign neoplasm heart
Benign neo resp sys NEC
Benign neo resp sys NOS
Ben neo skull/face bone
Ben neo lower jaw bone
Benign neo vertebrae
Ben neo ribs/stern/clav
Ben neo long bones arm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
563
563
564
564
564
564
564
624
624
624
624
624
640
635
692
624
624
564
564
576
576
576
576
785
593
576
576
564
563
661
576
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 104 of 6734

2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
2148
2149
2150
2152
2153
2154
2155
2156
2157
2158
2159
2160
2161
2162
2163
2164
2165
2166
2167
2168
2169
217
2180
Ben neo bones wrist/hand

Benign neo pelvic girdle
Ben neo long bones leg
Ben neo bones ankle/foot
Benign neo bone NOS
Lipoma skin face
Lipoma skin NEC
Lipoma intrathoracic
Lipoma intra-abdominal
Lipoma spermatic cord
Lipoma NEC
Lipoma NOS
Ben neo soft tissue head
Ben neo soft tissue arm
Ben neo soft tissue leg
Ben neo soft tis thorax
Ben neo soft tis abdomen
Ben neo soft tis pelvis
Benign neo trunk NOS
Ben neo soft tissue NEC
Ben neo soft tissue NOS
Benign neo skin lip
Benign neo skin eyelid
Benign neo skin ear
Benign neo skin face NEC
Ben neo scalp/skin neck
Benign neo skin trunk
Benign neo skin arm
Benign neo skin leg
Benign neoplasm skin NEC
Benign neoplasm skin NOS
Benign neoplasm breast
Submucous leiomyoma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
675
675
576
624
741
675
675
564
661
661
661
661
661
661
661
661
675
553
675
675
675
675
675
675
675
675
675
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 105 of 6734

2181
2182
2189
2190
2191
2198
2199
220
2210
2211
2212
2218
2219
2220
2221
2222
2223
2224
2228
2229
2230
2231
2232
2233
22381
22389
2239
2240
2241
2242
2243
2244
2245
Intramural leiomyoma
Subserous leiomyoma
Uterine leiomyoma NOS
Benign neo cervix uteri
Benign neo corpus uteri
Benign neo uterus NEC
Benign neo uterus NOS
Benign neoplasm ovary
Ben neo fallopian tube
Benign neoplasm vagina
Benign neoplasm vulva
Ben neo fem genital NEC
Ben neo fem genital NOS
Benign neoplasm testis
Benign neoplasm penis
Benign neoplasm prostate
Benign neo epididymis
Benign neoplasm scrotum
Ben neo male genital NEC
Ben neo male genital NOS
Benign neoplasm kidney
Benign neo renal pelvis
Benign neoplasm ureter
Benign neoplasm bladder
Benign neoplasm urethra
Benign neo urinary NEC
Benign neo urinary NOS
Benign neoplasm eyeball
Benign neoplasm orbit
Ben neo lacrimal gland
Benign neo conjunctiva
Benign neoplasm cornea
Benign neoplasm retina
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
752
752
752
752
752
752
752
752
752
752
741
741
741
741
741
741
741
726
726
726
726
726
726
726
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 106 of 6734

2246
2247
2248
2249
2250
2251
2252
2253
2254
2258
2259
226
2270
2271
2273
2274
2275
2276
2278
2279
22800
22801
22802
22803
22804
22809
2281
2290
2298
2299
2300
2301
2302
Benign neoplasm choroid

Ben neo lacrimal duct
Benign neoplasm eye NEC
Benign neoplasm eye NOS
Benign neoplasm brain
Benign neo cranial nerve
Ben neo cerebr meninges
Benign neo spinal cord
Ben neo spinal meninges
Benign neo nerv sys NEC
Benign neo nerv sys NOS
Benign neoplasm thyroid
Benign neoplasm adrenal
Benign neo parathyroid
Benign neo pituitary
Ben neopl pineal gland
Benign neo carotid body
Ben neo paraganglia NEC
Benign neo endocrine NEC
Benign neo endocrine NOS
Hemangioma NOS
Hemangioma skin
Hemangioma intracranial
Hemangioma retina
Hemangioma intra-abdom
Hemangioma NEC
Lymphangioma, any site
Benign neo lymph nodes
Benign neoplasm NEC
Benign neoplasm NOS
Ca in situ oral cav/phar
Ca in situ esophagus
Ca in situ stomach
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
525
525
525
525
525
525
525
692
692
692
692
525
525
525
692
692
593
675
525
553
624
593
785
785
804
804
564
624
624
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 107 of 6734

2303
2304
2305
2306
2307
2308
2309
2310
2311
2312
2318
2319
2320
2321
2322
2323
2324
2325
2326
2327
2328
2329
2330
2331
2332
23330
23331
23332
23339
2334
2335
2336
2337
Ca in situ colon
Ca in situ rectum
Ca in situ anal canal
Ca in situ anus NOS
Ca in situ bowel NEC/NOS
Ca in situ liver/biliary
Ca in situ GI NEC/NOS
Ca in situ larynx
Ca in situ trachea
Ca in situ bronchus/lung
Ca in situ resp sys NEC
Ca in situ resp sys NOS
Ca in situ skin lip
Ca in situ eyelid
Ca in situ skin ear
Ca in situ skin face NEC
Ca in situ scalp
Ca in situ skin trunk
Ca in situ skin arm
Ca in situ skin leg
Ca in situ skin NEC
Ca in situ skin NOS
Ca in situ breast
Ca in situ cervix uteri
Ca in situ uterus NEC
Ca in situ fem gen NOS
Carcinoma in situ vagina
Carcinoma in situ vulva
Ca in situ fem gen NEC
Ca in situ prostate
Ca in situ penis
Ca in situ male gen NEC
Ca in situ bladder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
624
624
624
624
624
640
624
564
576
576
576
576
675
553
675
675
675
675
675
675
675
675
675
752
752
804
804
804
804
742
742
742
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 108 of 6734

2339
2340
2348
2349
2350
2351
2352
2353
2354
2355
2356
2357
2358
2359
2360
2361
2362
2363
2364
2365
2366
2367
23690
23691
23699
2370
2371
2372
2373
2374
2375
2376
23770
Ca in situ urinary NEC

Ca in situ eye
Ca in situ NEC
Ca in situ NOS
Unc behav neo salivary
Unc behav neo oral/phar
Unc behav neo intestine
Unc behav neo liver
Unc behav neo peritoneum
Unc behav neo GI NEC
Unc behav neo larynx
Unc behav neo lung
Unc behav neo pleura
Unc behav neo resp NEC
Uncert behav neo uterus
Unc behav neo placenta
Unc behav neo ovary
Unc behav neo female NEC
Unc behav neo testis
Unc behav neo prostate
Unc behav neo male NEC
Unc behav neo bladder
Unc behav neo urinar NOS
Unc behav neo kidney
Unc behav neo urinar NEC
Unc behav neo pituitary
Unc behav neo pineal
Unc behav neo adrenal
Unc behav neo paragang
Uncer neo endocrine NEC
Unc beh neo brain/spinal
Unc behav neo meninges
Neurofibromatosis NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
553
804
804
564
564
624
640
624
624
564
576
576
576
752
752
752
752
742
742
742
726
726
726
726
693
525
693
525
692
525
525
525
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 109 of 6734

23771
23772
23773
23779
2379
2380
2381
2382
2383
2384
2385
2386
23871
23872
23873
23874
23875
23876
23877
23879
2388
2389
2390
2391
2392
2393
2394
2395
2396
2397
23981
23989
2399
Neurofibromatosis type I
Neurofibromatosis typ II
Schwannomatosis
Neurofibromatosis NEC
Unc beh neo nerv sys NEC
Unc behav neo bone
Unc behav neo soft tissu
Unc behav neo skin
Unc behav neo breast
Polycythemia vera
Mastocytoma NOS
Plasmacytoma NOS
Essntial thrombocythemia
Low grde myelody syn les
Hi grde myelodys syn les
Myelodyspls syn w 5q del
Myelodysplastic synd NOS
Myelofi w myelo metaplas
Post tp lymphprolif dis
Lymph/hematpoitc tis NEC
Uncert behavior neo NEC
Uncert behavior neo NOS
Digestive neoplasm NOS
Respiratory neoplasm NOS
Bone/skin neoplasm NOS
Breast neoplasm NOS
Bladder neoplasm NOS
Other gu neoplasm NOS
Brain neoplasm NOS
Endocrine/nerv neo NOS
Neo retina/choroid NOS
Neoplasm other sites NOS
Neoplasm NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
525
525
525
525
525
661
661
675
675
804
804
804
804
804
804
804
804
804
805
804
804
804
624
576
661
675
726
726
525
692
804
804
804
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 110 of 6734

2400
2409
2410
2411
2419
24200
24201
24210
24211
24220
24221
24230
24231
24240
24241
24280
24281
24290
24291
243
2440
2441
2442
2443
2448
2449
2450
2451
2452
2453
2454
2458
2459
Simple goiter
Goiter NOS
Nontox uninodular goiter
Nontox multinodul goiter
Nontox nodul goiter NOS
Tox dif goiter no crisis
Tox dif goiter w crisis
Tox uninod goit no cris
Tox uninod goit w crisis
Tox multnod goit no cris
Tox multnod goit w cris
Tox nod goiter no crisis
Tox nod goiter w crisis
Thyrotox-ect nod no cris
Thyrotox-ect nod w cris
Thyrtox orig NEC no cris
Thyrotox orig NEC w cris
Thyrotox NOS no crisis
Thyrotox NOS w crisis
Congenital hypothyroidsm
Postsurgical hypothyroid
Postablat hypothyr NEC
Iodine hypothyroidism
Iatrogen hypothyroid NEC
Acquired hypothyroid NEC
Hypothyroidism NOS
Acute thyroiditis
Subacute thyroiditis
Chr lymphocyt thyroidit
Chr fibrous thyroiditis
Iatrogenic thyroiditis
Chr thyroiditis NEC/NOS
Thyroiditis NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
692
692
692
692
692
693
693
693
693
693
693
693
693
693
693
693
693
693
693
693
692
692
692
692
692
692
692
692
693
693
692
692
692
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 111 of 6734

2460
2461
2462
2463
2468
2469
24900
24901
24910
24911
24920
24921
24930
24931
24940
24941
24950
24951
24960
24961
24970
24971
24980
24981
24990
24991
25000
25001
25002
25003
25010
25011
25012
Dis thyrocalciton secret

Dyshormonogenic goiter
Cyst of thyroid
Hemorr/infarc thyroid
Disorders of thyroid NEC
Disorder of thyroid NOS
Sec DM wo cmp nt st uncn
Sec DM wo comp uncontrld
Sec DM keto nt st uncntr
Sec DM ketoacd uncntrld
Sec DM hpros nt st uncnr
Sec DM hprosmlr uncntrld
Sec DM ot cma nt st uncn
Sec DM oth coma uncntrld
Sec DM renl nt st uncntr
Sec DM renal uncontrld
Sec DM ophth nt st uncn
Sec DM ophth uncontrld
Sec DM neuro nt st uncn
Sec DM neuro uncontrld
Sec DM circ nt st uncntr
Sec DM circ uncontrld
Sec DM oth nt st uncontr
Sec DM other uncontrld
Sec DM unsp nt st uncon
Sec DM unsp uncontrold
DMII wo cmp nt st uncntr
DMI wo cmp nt st uncntrl
DMII wo cmp uncntrld
DMI wo cmp uncntrld
DMII keto nt st uncntrld
DMI keto nt st uncntrld
DMII ketoacd uncontrold
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
692
693
692
693
692
692
713
713
510
510
510
510
510
510
714
714
710
710
712
712
711
711
711
711
711
711
713
713
713
713
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 112 of 6734

25013
25020
25021
25022
25023
25030
25031
25032
25033
25040
25041
25042
25043
25050
25051
25052
25053
25060
25061
25062
25063
25070
25071
25072
25073
25080
25081
25082
25083
25090
25091
25092
25093
DMI ketoacd uncontrold

DMII hprsm nt st uncntrl
DMI hprsm nt st uncntrld
DMII hprosmlr uncontrold
DMI hprosmlr uncontrold
DMII o cm nt st uncntrld
DMI o cm nt st uncntrld
DMII oth coma uncontrold
DMI oth coma uncontrold
DMII renl nt st uncntrld
DMI renl nt st uncntrld
DMII renal uncntrld
DMI renal uncntrld
DMII ophth nt st uncntrl
DMI ophth nt st uncntrld
DMII ophth uncntrld
DMI ophth uncntrld
DMII neuro nt st uncntrl
DMI neuro nt st uncntrld
DMII neuro uncntrld
DMI neuro uncntrld
DMII circ nt st uncntrld
DMI circ nt st uncntrld
DMII circ uncntrld
DMI circ uncntrld
DMII oth nt st uncntrld
DMI oth nt st uncntrld
DMII oth uncntrld
DMI oth uncntrld
DMII unspf nt st uncntrl
DMI unspf nt st uncntrld
DMII unspf uncntrld
DMI unspf uncntrld
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
510
510
714
714
714
714
710
710
710
710
527
527
527
527
711
711
711
711
711
711
711
711
711
711
711
711
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 113 of 6734

2510
2511
2512
2513
2514
2515
2518
2519
25200
25201
25202
25208
2521
2528
2529
2530
2531
2532
2533
2534
2535
2536
2537
2538
2539
2540
2541
2548
2549
2550
25510
25511
25512
Hypoglycemic coma
Oth spcf hypoglycemia
Hypoglycemia NOS
Postsurg hypoinsulinemia
Abn secretion glucagon
Abnorm secretion gastrin
Pancreatic disorder NEC
Pancreatic disorder NOS
Hyperparathyroidism NOS
Primary hyperparathyroid
Sec hyprprthyrd nonrenal
Hyperparathyroidism NEC
Hypoparathyroidism
Parathyroid disorder NEC
Parathyroid disorder NOS
Acromegaly and gigantism
Ant pituit hyperfunc NEC
Panhypopituitarism
Pituitary dwarfism
Anter pituitary dis NEC
Diabetes insipidus
Neurohypophysis dis NEC
Iatrogenic pituitary dis
Pituitary disorder NEC
Pituitary disorder NOS
Persist hyperplas thymus
Abscess of thymus
Diseases of thymus NEC
Disease of thymus NOS
Cushing's syndrome
Hyperaldosteronism NOS
Glucrtcod-rem aldsternsm
Conn's syndrome
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
692
692
692
692
624
692
692
692
692
693
693
693
693
693
693
693
693
693
693
693
693
692
692
692
785
785
785
785
693
693
693
693
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 114 of 6734

25513
25514
2552
2553
25541
25542
2555
2556
2558
2559
2560
2561
2562
25631
25639
2564
2568
2569
2570
2571
2572
2578
2579
25801
25802
25803
2581
2588
2589
2590
2591
2592
2593
Bartter's syndrome
Secondry aldosternsm NEC
Adrenogenital disorders
Corticoadren overact NEC
Glucocorticoid deficient
Mineralcorticoid defcnt
Adrenal hypofunction NEC
Medulloadrenal hyperfunc
Adrenal disorder NEC
Adrenal disorder NOS
Hyperestrogenism
Ovarian hyperfunc NEC
Postablativ ovarian fail
Premature menopause
Ovarian failure NEC
Polycystic ovaries
Ovarian dysfunction NEC
Ovarian dysfunction NOS
Testicular hyperfunction
Postablat testic hypofun
Testicular hypofunc NEC
Testicular dysfunct NEC
Testicular dysfunct NOS
Mult endo neoplas type I
Mult endo neop type IIA
Mult endo neop type IIB
Comb endocr dysfunct NEC
Polyglandul dysfunc NEC
Polyglandul dysfunc NOS
Delay sexual develop NEC
Sexual precocity NEC
Carcinoid syndrome
Ectopic hormone secr NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
693
693
693
693
693
693
693
693
693
693
752
752
752
752
752
752
752
752
693
693
693
693
693
693
693
693
692
692
692
692
692
693
693
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 115 of 6734

2594
25950
25951
25952
2598
2599
260
261
262
2630
2631
2632
2638
2639
2640
2641
2642
2643
2644
2645
2646
2647
2648
2649
2650
2651
2652
2660
2661
2662
2669
267
2680
Dwarfism NEC
Androgen insensitvty NOS
Androgen insensitvty syn
Part androgen insnsitvty
Endocrine disorders NEC
Endocrine disorder NOS
Kwashiorkor
Nutritional marasmus
Oth severe malnutrition
Malnutrition mod degree
Malnutrition mild degree
Arrest devel d/t malnutr
Protein-cal malnutr NEC
Protein-cal malnutr NOS
Vit A conjunctiv xerosis
Vit A bitot's spot
Vit A corneal xerosis
Vit A cornea ulcer/xeros
Vit A keratomalacia
Vit A night blindness
Vit A def w corneal scar
Vit A ocular defic NEC
Vitamin A deficiency NEC
Vitamin A deficiency NOS
Beriberi
Thiamine defic NEC/NOS
Pellagra
Ariboflavinosis
Vitamin b6 deficiency
B-complex defic NEC
Vitamin b deficiency NOS
Ascorbic acid deficiency
Rickets, active
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
693
693
693
693
692
692
830
690
690
830
830
830
830
830
553
553
553
553
553
553
553
553
690
690
690
690
690
690
690
690
690
690
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 116 of 6734

2681
2682
2689
2690
2691
2692
2693
2698
2699
2700
2701
2702
2703
2704
2705
2706
2707
2708
2709
2710
2711
2712
2713
2714
2718
2719
2720
2721
2722
2723
2724
2725
2726
Rickets, late effect

Osteomalacia NOS
Vitamin D deficiency NOS
Deficiency of vitamin k
Vitamin Deficiency NEC
Vitamin Deficiency NOS
Mineral deficiency NEC
Nutrition deficiency NEC
Nutrition deficiency NOS
Amino-acid transport dis
Phenylketonuria - pku
Arom amin-acid metab NEC
Bran-chain amin-acid dis
Sulph amino-acid met dis
Dis histidine metabolism
Dis urea cycle metabol
Straig amin-acid met NEC
Dis amino-acid metab NEC
Dis amino-acid metab NOS
Glycogenosis
Galactosemia
Hered fructose intoleran
Disaccharidase def/malab
Renal glycosuria
Dis carbohydr metab NEC
Dis carbohydr metab NOS
Pure hypercholesterolem
Pure hyperglyceridemia
Mixed hyperlipidemia
Hyperchylomicronemia
Hyperlipidemia NEC/NOS
Lipoprotein deficiencies
Lipodystrophy
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
690
690
690
690
690
690
690
691
691
691
691
691
691
691
691
691
691
691
691
624
624
691
691
691
691
691
691
691
691
691
691
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 117 of 6734

2727
2728
2729
2730
2731
2732
2733
2734
2738
2739
27400
27401
27402
27403
27410
27411
27419
27481
27482
27489
2749
27501
27502
27503
27509
2751
2752
2753
27540
27541
27542
27549
2755
Lipidoses
Lipoid metabol dis NEC
Lipoid metabol dis NOS
Polyclon hypergammaglobu
Monoclon paraproteinemia
Paraproteinemia NEC
Macroglobulinemia
Alpha-1-antitrypsin def
Dis plas protein met NEC
Dis plas protein met NOS
Gouty arthropathy NOS
Acute gouty arthropathy
Chr gouty atrph wo tophi
Chr gouty atroph w tophi
Gouty nephropathy NOS
Uric acid nephrolithias
Gouty nephropathy NEC
Gouty tophi of ear
Gouty tophi site NEC
Gout w manifestation NEC
Gout NOS
Heredit hemochromatosis
Hemochromatos-rbc trans
Hemochromatosis NEC
Disord iron metablsm NEC
Dis copper metabolism
Dis magnesium metabolism
Dis phosphorus metabol
Dis calcium metablsm NOS
Hypocalcemia
Hypercalcemia
Dis calcium metablsm NEC
Hungry bone syndrome
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
691
691
691
804
804
804
804
691
804
804
661
661
661
661
726
724
726
661
661
661
661
691
691
691
691
691
694
691
694
694
694
694
691
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 118 of 6734

2758
2759
2760
2761
2762
2763
2764
27650
27651
27652
27661
27669
2767
2768
2769
27700
27701
27702
27703
27709
2771
2772
27730
27731
27739
2774
2775
2776
2777
27781
27782
27783
27784
Dis mineral metabol NEC

Dis mineral metabol NOS
Hyperosmolality
Hyposmolality
Acidosis
Alkalosis
Mixed acid-base bal dis
Volume depletion NOS
Dehydration
Hypovolemia
Transfsn w circ overload
Fluid overload NEC
Hyperpotassemia
Hypopotassemia
Electrolyt/fluid dis NEC
Cystic fibros w/o ileus
Cystic fibrosis w ileus
Cystic fibros w pul man
Cystic fibrosis w GI man
Cystic fibrosis NEC
Dis porphyrin metabolism
Purine/pyrimid dis NEC
Amyloidosis NOS
Fam Mediterranean fever
Amyloidosis NEC
Dis bilirubin excretion
Mucopolysaccharidosis
Defic circul enzyme NEC
Dysmetabolic syndrome x
Primary carnitine defncy
Crnitne def d/t nb met
Iatrogenic carnitine def
Sec carnitine defncy NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
691
691
694
694
694
694
694
694
694
694
593
694
694
694
694
570
625
570
625
635
691
691
655
655
655
640
691
691
691
691
691
691
691
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 119 of 6734

27785
27786
27787
27788
27789
2779
27800
27801
27802
27803
2781
2782
2783
2784
2788
27900
27901
27902
27903
27904
27905
27906
27909
27910
27911
27912
27913
27919
2792
2793
27941
27949
27950
Disorders acid oxidation

Peroxisomal disorders
Dis mitochondrial metab
Tumor lysis syndrome
Metabolism disorder NEC
Metabolism disorder NOS
Obesity NOS
Morbid obesity
Overweight
Obesity hypovent synd
Localized adiposity
Hypervitaminosis a
Hypercarotinemia
Hypervitaminosis d
Other hyperalimentation
Hypogammaglobulinem NOS
Selective iga immunodef
Selective IgM immunodef
Selective ig defic NEC
Cong hypogammaglobulinem
Immunodefic w hyper-igm
Common variabl immunodef
Humoral immunity def NEC
Immundef t-cell def NOS
Digeorge's syndrome
Wiskott-aldrich syndrome
Nezelof's syndrome
Defic cell immunity NOS
Combined immunity defic
Immunity deficiency NOS
Autoimmun lymphprof synd
Autoimmune disease NEC
Graft-versus-host NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
691
691
691
720
691
691
690
695
690
577
675
690
690
690
690
785
785
785
785
785
785
785
785
785
780
780
780
780
780
785
780
780
780
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 120 of 6734

27951
27952
27953
2798
2799
2800
2801
2808
2809
2810
2811
2812
2813
2814
2818
2819
2820
2821
2822
2823
28240
28241
28242
28243
28244
28245
28246
28247
28249
2825
28260
28261
28262
Ac graft-versus-host dis
Chronc graft-vs-host dis
Ac on chrn grft-vs-host
Immune mechanism dis NEC
Immune mechanism dis NOS
Chr blood loss anemia
Iron def anemia dietary
Iron defic anemia NEC
Iron defic anemia NOS
Pernicious anemia
B12 defic anemia NEC
Folate-deficiency anemia
Megaloblastic anemia NEC
Protein defic anemia
Nutritional anemia NEC
Deficiency anemia NOS
Hereditary spherocytosis
Heredit elliptocytosis
Glutathione dis anemia
Enzyme defic anemia NEC
Thalassemia, unspecified
Thlasema Hb-S w/o crisis
Thlassemia Hb-S w crisis
Alpha thalassemia
Beta thalassemia
Delta-beta thalassemia
Thalassemia minor
Hgb E-beta thalassemia
Thalassemia NEC
Sickle-cell trait
Sickle cell disease NOS
Hb-SS disease w/o crisis
Hb-SS disease w crisis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
780
510
785
785
785
786
786
786
785
785
785
785
785
785
785
785
785
785
785
785
784
783
785
785
785
785
785
785
784
784
784
783
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 121 of 6734

28263
28264
28268
28269
2827
2828
2829
2830
28310
28311
28319
2832
2839
28401
28409
28411
28412
28419
2842
28481
28489
2849
2850
2851
28521
28522
28529
2853
2858
2859
2860
2861
2862
Hb-SS/hb-C dis w/o crsis

Hb-S/Hb-C dis w crisis
Hb-S dis w/o crisis NEC
Hb-SS dis NEC w crisis
Hemoglobinopathies NEC
Hered hemolytic anem NEC
Hered hemolytic anem NOS
Autoimmun hemolytic anem
Nonauto hem anemia NOS
Hemolytic uremic synd
Oth nonauto hem anemia
Hemolytic hemoglobinuria
Acq hemolytic anemia NOS
Constitution RBC aplasia
Const aplastc anemia NEC
Antin chemo indcd pancyt
Oth drg indcd pancytopna
Other pancytopenia
Myelophthisis
Red cell aplasia
Aplastic anemias NEC
Aplastic anemia NOS
Sideroblastic anemia
Ac posthemorrhag anemia
Anemia in chr kidney dis
Anemia in neoplastic dis
Anemia-other chronic dis
Anemia d/t antineo chemo
Anemia NEC
Anemia NOS
Cong factor viii diord
Cong factor IX disorder
Cong factor xi disorder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
784
783
784
783
785
785
785
780
780
720
780
780
780
780
780
780
780
780
780
785
785
780
785
785
785
785
785
785
785
785
782
782
782
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 122 of 6734

2863
2864
28652
28653
28659
2866
2867
2869
2870
2871
2872
28730
28731
28732
28733
28739
28741
28749
2875
2878
2879
28800
28801
28802
28803
28804
28809
2881
2882
2883
2884
28850
28851
Cong def clot factor NEC

Von willebrand's disease
Acquired hemophilia
Antiphospholipid w hemor
Ot hem d/t circ anticoag
Defibrination syndrome
Acq coagul factor defic
Coagulat defect NEC/NOS
Allergic purpura
Thrombocytopathy
Purpura NOS
Prim thrombocytopen NOS
Immune thrombocyt purpra
Evans' syndrome
Cong/herid thromb purpra
Prim thrombocytopen NEC
Posttransfusion purpura
Sec thrombocytpenia NEC
Thrombocytopenia NOS
Hemorrhagic cond NEC
Hemorrhagic cond NOS
Neutropenia NOS
Congenital neutropenia
Cyclic neutropenia
Drug induced neutropenia
Neutropenia d/t infectn
Neutropenia NEC
Function dis neutrophils
Genetic anomaly leukocyt
Eosinophilia
Hemophagocytic syndromes
Leukocytopenia NOS
Lymphocytopenia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
782
782
781
781
781
781
781
781
655
781
781
781
781
781
781
781
781
781
781
655
781
785
785
785
785
785
785
780
780
785
780
785
785
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 123 of 6734

28859
28860
28861
28862
28863
28864
28865
28866
28869
2888
2889
2890
2891
2892
2893
2894
28950
28951
28952
28953
28959
2896
2897
28981
28982
28983
28984
28989
2899
2900
29010
29011
29012
Decreased WBC count NEC

Leukocytosis NOS
Lymphocytosis-symptomatc
Leukemoid reaction
Monocytosis-symptomatic
Plasmacytosis
Basophilia
Bandemia
Elevated WBC count NEC
Wbc disease NEC
Wbc disease NOS
Secondary polycythemia
Chronic lymphadenitis
Mesenteric lymphadenitis
Lymphadenitis NOS
Hypersplenism
Spleen disease NOS
Chr congest splenomegaly
Splenic sequestration
Neutropenic splenomegaly
Spleen disease NEC
Familial polycythemia
Methemoglobinemia
Prim hypercoagulable st
Sec hypercoagulable st
Myelofibrosis
Heparin-indu thrombocyto
Blood diseases NEC
Blood disease NOS
Senile dementia uncomp
Presenile dementia
Presenile delirium
Presenile delusion
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
785
785
785
785
785
785
785
785
785
785
785
785
785
624
785
785
785
785
783
780
785
785
785
785
785
780
780
785
785
827
827
827
827
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 124 of 6734

29013
29020
29021
2903
29040
29041
29042
29043
2908
2909
2910
2911
2912
2913
2914
2915
29181
29182
29189
2919
2920
29211
29212
2922
29281
29282
29283
29284
29285
29289
2929
2930
2931
Presenile depression
Senile delusion
Senile depressive
Senile delirium
Vascular dementia,uncomp
Vasc dementia w delirium
Vasc dementia w delusion
Vasc dementia w depressn
Senile psychosis NEC
Senile psychot cond NOS
Delirium tremens
Alcohol amnestic disordr
Alcohol persist dementia
Alcoh psy dis w hallucin
Pathologic alcohol intox
Alcoh psych dis w delus
Alcohol withdrawal
Alcoh induce sleep disor
Alcohol mental disor NEC
Alcohol mental disor NOS
Drug withdrawal
Drug psych disor w delus
Drug psy dis w hallucin
Pathologic drug intox
Drug-induced delirium
Drug persisting dementia
Drug persist amnestc dis
Drug-induced mood disord
Drug induced sleep disor
Drug mental disorder NEC
Drug mental disorder NOS
Delirium d/t other cond
Subacute delirium
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
827
827
827
827
827
827
827
827
827
827
842
842
842
842
842
842
842
525
842
842
843
843
843
843
843
843
843
843
525
843
843
826
826
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 125 of 6734

29381
29382
29383
29384
29389
2939
2940
29410
29411
29420
29421
2948
2949
29500
29501
29502
29503
29504
29505
29510
29511
29512
29513
29514
29515
29520
29521
29522
29523
29524
29525
29530
29531
Psy dis w delus oth dis

Psy dis w halluc oth dis
Mood disorder other dis
Anxiety disorder oth dis
Transient mental dis NEC
Transient mental dis NOS
Amnestic disord oth dis
Dementia w/o behav dist
Dementia w behavior dist
Demen NOS w/o behv dstrb
Demen NOS w behav distrb
Mental disor NEC oth dis
Mental disor NOS oth dis
Simpl schizophren-unspec
Simpl schizophren-subchr
Simple schizophren-chr
Simp schiz-subchr/exacer
Simpl schizo-chr/exacerb
Simpl schizophren-remiss
Hebephrenia-unspec
Hebephrenia-subchronic
Hebephrenia-chronic
Hebephren-subchr/exacerb
Hebephrenia-chr/exacerb
Hebephrenia-remission
Catatonia-unspec
Catatonia-subchronic
Catatonia-chronic
Catatonia-subchr/exacerb
Catatonia-chr/exacerb
Catatonia-remission
Paranoid schizo-unspec
Paranoid schizo-subchr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
827
827
827
827
827
826
827
827
827
827
827
827
827
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 126 of 6734

29532
29533
29534
29535
29540
29541
29542
29543
29544
29545
29550
29551
29552
29553
29554
29555
29560
29561
29562
29563
29564
29565
29570
29571
29572
29573
29574
29575
29580
29581
29582
29583
29584
Paranoid schizo-chronic
Paran schizo-subchr/exac
Paran schizo-chr/exacerb
Paranoid schizo-remiss
Schizophreniform dis NOS
Schizophrenic dis-subchr
Schizophren dis-chronic
Schizo dis-subchr/exacer
Schizophr dis-chr/exacer
Schizophrenic dis-remiss
Latent schizophren-unsp
Lat schizophren-subchr
Latent schizophren-chr
Lat schizo-subchr/exacer
Latent schizo-chr/exacer
Lat schizophren-remiss
Schizophr dis resid NOS
Schizoph dis resid-subch
Schizophr dis resid-chr
Schizo resid subchr/exac
Schizoph resid-chro/exac
Schizoph dis resid-remis
Schizoaffective dis NOS
Schizoaffectv dis-subchr
Schizoaffective dis-chr
Schizoaff dis-subch/exac
Schizoafftv dis-chr/exac
Schizoaffectve dis-remis
Schizophrenia NEC-unspec
Schizophrenia NEC-subchr
Schizophrenia NEC-chr
Schizo NEC-subchr/exacer
Schizo NEC-chr/exacerb
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
820
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 127 of 6734

29585
29590
29591
29592
29593
29594
29595
29600
29601
29602
29603
29604
29605
29606
29610
29611
29612
29613
29614
29615
29616
29620
29621
29622
29623
29624
29625
29626
29630
29631
29632
29633
29634
Schizophrenia NEC-remiss
Schizophrenia NOS-unspec
Schizophrenia NOS-subchr
Schizophrenia NOS-chr
Schizo NOS-subchr/exacer
Schizo NOS-chr/exacerb
Schizophrenia NOS-remiss
Bipol I single manic NOS
Bipol I single manc-mild
Bipol I single manic-mod
Bipol I sing-sev w/o psy
Bipo I sin man-sev w psy
Bipol I sing man rem NOS
Bipol I single manic rem
Recur manic dis-unspec
Recur manic dis-mild
Recur manic dis-mod
Recur manic dis-severe
Recur manic-sev w psycho
Recur manic-part remiss
Recur manic-full remiss
Depress psychosis-unspec
Depress psychosis-mild
Depressive psychosis-mod
Depress psychosis-severe
Depr psychos-sev w psych
Depr psychos-part remiss
Depr psychos-full remiss
Recurr depr psychos-unsp
Recurr depr psychos-mild
Recurr depr psychos-mod
Recur depr psych-severe
Rec depr psych-psychotic
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
820
820
820
820
820
820
820
823
823
823
823
823
823
823
823
823
823
823
823
823
823
821
821
821
821
821
821
821
821
821
821
821
821
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 128 of 6734

29635
29636
29640
29641
29642
29643
29644
29645
29646
29650
29651
29652
29653
29654
29655
29656
29660
29661
29662
29663
29664
29665
29666
2967
29680
29681
29682
29689
29690
29699
2970
2971
2972
Recur depr psyc-part rem

Recur depr psyc-full rem
Bipol I currnt manic NOS
Bipol I curnt manic-mild
Bipol I currnt manic-mod
Bipol I manc-sev w/o psy
Bipol I manic-sev w psy
Bipol I cur man part rem
Bipol I cur man full rem
Bipol I cur depres NOS
Bipol I cur depress-mild
Bipol I cur depress-mod
Bipol I curr dep w/o psy
Bipol I currnt dep w psy
Bipol I cur dep rem NOS
Bipol I currnt dep remis
Bipol I currnt mixed NOS
Bipol I currnt mix-mild
Bipol I currnt mixed-mod
Bipol I cur mix w/o psy
Bipol I cur mixed w psy
Bipol I cur mix-part rem
Bipol I cur mixed remiss
Bipolor I current NOS
Bipolar disorder NOS
Atypical manic disorder
Atypical depressive dis
Bipolar disorder NEC
Episodic mood disord NOS
Episodic mood disord NEC
Paranoid state, simple
Delusional disorder
Paraphrenia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
821
821
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
823
831
831
831
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 129 of 6734

2973
2978
2979
2980
2981
2982
2983
2984
2988
2989
29900
29901
29910
29911
29980
29981
29990
29991
30000
30001
30002
30009
30010
30011
30012
30013
30014
30015
30016
30019
30020
30021
30022
Shared psychotic disord

Paranoid states NEC
Paranoid state NOS
React depress psychosis
Excitativ type psychosis
Reactive confusion
Acute paranoid reaction
Psychogen paranoid psych
React psychosis NEC/NOS
Psychosis NOS
Autistic disord-current
Autistic disord-residual
Childhd disintegr-active
Childhd disintegr-resid
Pervasv dev dis-cur NEC
Pervasv dev dis-res NEC
Pervasv dev dis-cur NOS
Pervasv dev dis-res NOS
Anxiety state NOS
Panic dis w/o agorphobia
Generalized anxiety dis
Anxiety state NEC
Hysteria NOS
Conversion disorder
Dissociative amnesia
Dissociative fugue
Dissociatve identity dis
Dissociative react NOS
Factitious dis w symptom
Factitious ill NEC/NOS
Phobia NOS
Agoraphobia w panic dis
Agoraphobia w/o panic
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
831
831
831
821
821
831
831
821
821
821
827
827
827
827
827
827
827
827
826
826
826
826
826
826
826
826
822
826
826
826
825
825
825
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 130 of 6734

30023
30029
3003
3004
3005
3006
3007
30081
30082
30089
3009
3010
30110
30111
30112
30113
30120
30121
30122
3013
3014
30150
30151
30159
3016
3017
30181
30182
30183
30184
30189
3019
3020
Social phobia
Isolated/spec phobia NEC
Obsessive-compulsive dis
Dysthymic disorder
Neurasthenia
Depersonalization disord
Hypochondriasis
Somatization disorder
Undiff somatoform disrdr
Somatoform disorders NEC
Nonpsychotic disord NOS
Paranoid personality
Affectiv personality NOS
Chronic hypomanic person
Chr depressive person
Cyclothymic disorder
Schizoid personality NOS
Introverted personality
Schizotypal person dis
Explosive personality
Obsessive-compulsive dis
Histrionic person NOS
Chr factitious illness
Histrionic person NEC
Dependent personality
Antisocial personality
Narcissistic personality
Avoidant personality dis
Borderline personality
Passive-aggressiv person
Personality disorder NEC
Personality disorder NOS
Ego-dystonic sex orient
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
825
825
825
824
825
825
825
825
825
825
826
822
822
822
824
823
822
822
822
822
822
822
822
822
822
822
822
822
822
822
822
822
831
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 131 of 6734

3021
3022
3023
3024
30250
30251
30252
30253
3026
30270
30271
30272
30273
30274
30275
30276
30279
30281
30282
30283
30284
30285
30289
3029
30300
30301
30302
30303
30390
30391
30392
30393
30400
Zoophilia
Pedophilia
Transvestic fetishism
Exhibitionism
Trans-sexualism NOS
Trans-sexualism, asexual
Trans-sexual, homosexual
Trans-sex, heterosexual
Gendr identity dis-child
Psychosexual dysfunc NOS
Hypoactive sex desire
Inhibited sex excitement
Female orgasmic disorder
Male orgasmic disorder
Premature ejaculation
Dyspareunia,psychogenic
Psychosexual dysfunc NEC
Fetishism
Voyeurism
Sexual masochism
Sexual sadism
Gend iden dis,adol/adult
Psychosexual dis NEC
Psychosexual dis NOS
Ac alcohol intox-unspec
Ac alcohol intox-contin
Ac alcohol intox-episod
Ac alcohol intox-remiss
Alcoh dep NEC/NOS-unspec
Alcoh dep NEC/NOS-contin
Alcoh dep NEC/NOS-episod
Alcoh dep NEC/NOS-remiss
Opioid dependence-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
831
842
842
842
842
842
842
842
842
840
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 132 of 6734

30401
30402
30403
30410
30411
30412
30413
30420
30421
30422
30423
30430
30431
30432
30433
30440
30441
30442
30443
30450
30451
30452
30453
30460
30461
30462
30463
30470
30471
30472
30473
30480
30481
Opioid dependence-contin
Opioid dependence-episod
Opioid dependence-remiss
Sed,hyp,anxiolyt dep-NOS
Sed,hyp,anxiolyt dep-con
Sed,hyp,anxiolyt dep-epi
Sed,hyp,anxiolyt dep-rem
Cocaine depend-unspec
Cocaine depend-contin
Cocaine depend-episodic
Cocaine depend-remiss
Cannabis depend-unspec
Cannabis depend-contin
Cannabis depend-episodic
Cannabis depend-remiss
Amphetamin depend-unspec
Amphetamin depend-contin
Amphetamin depend-episod
Amphetamin depend-remiss
Hallucinogen dep-unspec
Hallucinogen dep-contin
Hallucinogen dep-episod
Hallucinogen dep-remiss
Drug depend NEC-unspec
Drug depend NEC-contin
Drug depend NEC-episodic
Drug depend NEC-in rem
Opioid/other dep-unspec
Opioid/other dep-contin
Opioid/other dep-episod
Opioid/other dep-remiss
Comb drug dep NEC-unspec
Comb drug dep NEC-contin
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
840
840
840
843
843
843
843
841
841
841
841
843
843
843
843
843
843
843
843
843
843
843
843
843
843
843
843
840
840
840
840
843
843
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 133 of 6734

30482
30483
30490
30491
30492
30493
30500
30501
30502
30503
3051
30520
30521
30522
30523
30530
30531
30532
30533
30540
30541
30542
30543
30550
30551
30552
30553
30560
30561
30562
30563
30570
30571
Comb drug dep NEC-episod

Comb drug dep NEC-remiss
Drug depend NOS-unspec
Drug depend NOS-contin
Drug depend NOS-episodic
Drug depend NOS-remiss
Alcohol abuse-unspec
Alcohol abuse-continuous
Alcohol abuse-episodic
Alcohol abuse-in remiss
Tobacco use disorder
Cannabis abuse-unspec
Cannabis abuse-contin
Cannabis abuse-episodic
Cannabis abuse-in remiss
Hallucinog abuse-unspec
Hallucinog abuse-contin
Hallucinog abuse-episod
Hallucinog abuse-remiss
Sed,hyp,anxiolytc ab-NOS
Sed,hyp,anxiolytc ab-con
Sed,hyp,anxiolytc ab-epi
Sed,hyp,anxiolytc ab-rem
Opioid abuse-unspec
Opioid abuse-continuous
Opioid abuse-episodic
Opioid abuse-in remiss
Cocaine abuse-unspec
Cocaine abuse-continuous
Cocaine abuse-episodic
Cocaine abuse-in remiss
Amphetamine abuse-unspec
Amphetamine abuse-contin
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
843
843
843
843
843
843
842
842
842
842
871
843
843
843
843
843
843
843
843
843
843
843
843
840
840
840
840
841
841
841
841
843
843
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 134 of 6734

30572
30573
30580
30581
30582
30583
30590
30591
30592
30593
3060
3061
3062
3063
3064
30650
30651
30652
30653
30659
3066
3067
3068
3069
3070
3071
30720
30721
30722
30723
3073
30740
30741
Amphetamine abuse-episod
Amphetamine abuse-remiss
Antidepress abuse-unspec
Antidepress abuse-contin
Antidepress abuse-episod
Antidepress abuse-remiss
Drug abuse NEC-unspec
Drug abuse NEC-contin
Drug abuse NEC-episodic
Drug abuse NEC-in remiss
Psychogen musculskel dis
Psychogenic respir dis
Psychogen cardiovasc dis
Psychogenic skin disease
Psychogenic GI disease
Psychogenic gu dis NOS
Psychogenic vaginismus
Psychogenic dysmenorrhea
Psychogenic dysuria
Psychogenic gu dis NEC
Psychogen endocrine dis
Psychogenic sensory dis
Psychogenic disorder NEC
Psychogenic disorder NOS
Adult onset flncy disord
Anorexia nervosa
Tic disorder NOS
Transient tic disorder
Chr motor/vocal tic dis
Tourette's disorder
Stereotypic movement dis
Nonorganic sleep dis NOS
Transient insomnia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
843
843
843
843
843
843
843
843
843
843
661
576
592
675
624
726
752
752
726
726
692
825
831
825
831
830
525
525
525
525
831
831
831
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 135 of 6734

30742
30743
30744
30745
30746
30747
30748
30749
30750
30751
30752
30753
30754
30759
3076
3077
30780
30781
30789
3079
3080
3081
3082
3083
3084
3089
3090
3091
30921
30922
30923
30924
30928
Persistent insomnia
Transient hypersomnia
Persistent hypersomnia
Nonorganic circadian rhy
Sleep arousal disorder
Sleep stage dysfunc NEC
Repetit sleep intrusion
Nonorganic sleep dis NEC
Eating disorder NOS
Bulimia nervosa
Pica
Rumination disorder
Psychogenic vomiting
Eating disorder NEC
Enuresis
Encopresis
Psychogenic pain NOS
Tension headache
Psychogenic pain NEC
Special symptom NEC/NOS
Stress react, emotional
Stress reaction, fugue
Stress react, psychomot
Acute stress react NEC
Stress react, mixed dis
Acute stress react NOS
Adjustmnt dis w depressn
Prolong depressive react
Separation anxiety
Emancipation disorder
Academic/work inhibition
Adjustment dis w anxiety
Adjust dis w anxiety/dep
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
831
831
831
831
831
831
831
831
830
830
830
825
825
830
831
831
825
530
825
831
826
826
826
826
826
826
824
824
825
825
825
825
825
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 136 of 6734

30929
3093
3094
30981
30982
30983
30989
3099
3100
3101
3102
31081
31089
3109
311
31200
31201
31202
31203
31210
31211
31212
31213
31220
31221
31222
31223
31230
31231
31232
31233
31234
31235
Adj react-emotion NEC

Adjust disor/dis conduct
Adj dis-emotion/conduct
Posttraumatic stress dis
Adjust react-phys sympt
Adjust react-withdrawal
Adjustment reaction NEC
Adjustment reaction NOS
Frontal lobe syndrome
Personality chg oth dis
Postconcussion syndrome
Pseudobulbar affect
Nonpsych mntl disord NEC
Nonpsychot brain syn NOS
Depressive disorder NEC
Unsocial aggress-unspec
Unsocial aggression-mild
Unsocial aggression-mod
Unsocial aggress-severe
Unsocial unaggress-unsp
Unsocial unaggress-mild
Unsocial unaggress-mod
Unsocial unaggr-severe
Social conduct dis-unsp
Social conduct dis-mild
Social conduct dis-mod
Social conduct dis-sev
Impulse control dis NOS
Pathological gambling
Kleptomania
Pyromania
Intermitt explosive dis
Isolated explosive dis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
825
825
825
825
825
825
825
825
827
827
530
827
827
827
824
829
829
829
829
829
829
829
829
829
829
829
829
829
831
831
829
829
829
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 137 of 6734

31239
3124
31281
31282
31289
3129
3130
3131
31321
31322
31323
3133
31381
31382
31383
31389
3139
31400
31401
3141
3142
3148
3149
31500
31501
31502
31509
3151
3152
31531
31532
31534
31535
Impulse control dis NEC

Mix dis conduct/emotion
Cndct dsrdr chldhd onst
Cndct dsrdr adlscnt onst
Other conduct disorder
Conduct disturbance NOS
Overanxious disorder
Misery & unhappiness dis
Shyness disorder-child
Introverted dis-child
Selective mutism
Relationship problems
Opposition defiant disor
Identity disorder
Academic underachievment
Emotional dis child NEC
Emotional dis child NOS
Attn defic nonhyperact
Attn deficit w hyperact
Hyperkinet w devel delay
Hyperkinetic conduct dis
Other hyperkinetic synd
Hyperkinetic synd NOS
Reading disorder NOS
Alexia
Developmental dyslexia
Reading disorder NEC
Mathematics disorder
Oth learning difficulty
Expressive language dis
Recp-expres language dis
Speech del d/t hear loss
Chldhd onset flncy disor
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
829
829
829
829
829
829
825
825
831
831
831
831
829
831
831
831
829
829
829
829
829
829
829
831
831
831
831
831
831
831
831
871
524
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 138 of 6734

31539
3154
3155
3158
3159
316
317
3180
3181
3182
319
3200
3201
3202
3203
3207
32081
32082
32089
3209
3210
3211
3212
3213
3214
3218
3220
3221
3222
3229
32301
32302
3231
Speech/language dis NEC

Devel coordination dis
Mixed development dis
Development delays NEC
Development delay NOS
Psychic factor w oth dis
Mild intellect disabilty
Mod intellect disability
Sev intellect disability
Profnd intellct disablty
Intellect disability NOS
Hemophilus meningitis
Pneumococcal meningitis
Streptococcal meningitis
Staphylococc meningitis
Mening in oth bact dis
Anaerobic meningitis
Mningts gram-neg bct NEC
Meningitis oth spcf bact
Bacterial meningitis NOS
Cryptococcal meningitis
Mening in oth fungal dis
Mening in oth viral dis
Trypanosomiasis meningit
Meningit d/t sarcoidosis
Mening in oth nonbac dis
Nonpyogenic meningitis
Eosinophilic meningitis
Chronic meningitis
Meningitis NOS
Enceph/encephmye oth dis
Myelitis-oth viral dis
Rickettsial encephalitis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
831
831
831
831
831
831
828
828
828
828
828
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 139 of 6734

3232
32341
32342
32351
32352
32361
32362
32363
32371
32372
32381
32382
3239
3240
3241
3249
325
326
32700
32701
32702
32709
32710
32711
32712
32713
32714
32715
32719
32720
32721
32722
32723
Protozoal encephalitis
Ot encph/mye ot inf else
Oth myelitis ot inf else
Enceph/myel folwg immune
Myelitis follwg immune
Inf ac dis encephalomyel
Postinf encephalitis NEC
Postinfectious myelitis
Toxic encph & encephlomy
Toxic myelitis
Enceph & encephlalo NEC
Myelitis cause NEC
Encephalitis NOS
Intracranial abscess
Intraspinal abscess
Cns abscess NOS
Phlebitis intrcran sinus
Late eff cns abscess
Organic insomnia NOS
Insomnia in other dis
Insomnia dt mental disor
Organic insomnia NEC
Organic hypersomnia NOS
Idio hypersom-long sleep
Idio hypersom-no lng slp
Recurrent hypersomnia
Hypersomnia in other dis
Hypersom dt mental disor
Organic hypersomnia NEC
Organic sleep apnea NOS
Prim central sleep apnea
High altitude breathing
Obstructive sleep apnea
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
525
525
510
510
510
510
510
510
510
510
510
510
510
525
525
525
525
831
525
525
525
525
525
525
831
525
525
525
576
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 140 of 6734

32724
32725
32726
32727
32729
32730
32731
32732
32733
32734
32735
32736
32737
32739
32740
32741
32742
32743
32744
32749
32751
32752
32753
32759
3278
3300
3301
3302
3303
3308
3309
3310
33111
Idiopath sleep hypovent

Cong cntrl hypovent synd
Sleep hypovent oth dis
Cntrl sleep apnea ot dis
Organic sleep apnea NEC
Circadian rhym sleep NOS
Circadian rhy-delay slp
Circadian rhy-advc sleep
Circadian rhym-irreg slp
Circadian rhym-free run
Circadian rhythm-jetlag
Circadian rhy-shift work
Circadian rhym oth dis
Circadian rhym sleep NEC
Organic parasomnia NOS
Confusional arousals
REM sleep behavior dis
Recurrnt sleep paralysis
Parasomnia oth diseases
Organic parasomnia NEC
Periodic limb movement
Sleep related leg cramps
Sleep related bruxism
Organic sleep movemt NEC
Sleep organic disord NEC
Leukodystrophy
Cerebral lipidoses
Cereb degen in lipidosis
Cerb deg chld in oth dis
Cereb degen in child NEC
Cereb degen in child NOS
Alzheimer's disease
Pick's disease
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
576
525
576
525
525
525
525
525
525
525
525
525
525
525
525
525
525
525
525
525
525
661
563
525
525
522
522
522
522
522
522
522
522
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 141 of 6734

33119
3312
3313
3314
3315
3316
3317
33181
33182
33183
33189
3319
3320
3321
3330
3331
3332
3333
3334
3335
3336
33371
33372
33379
33381
33382
33383
33384
33385
33389
33390
33391
33392
Frontotemp dementia NEC

Senile degenerat brain
Communicat hydrocephalus
Obstructiv hydrocephalus
Norml pressure hydroceph
Corticobasal degneration
Cereb degen in oth dis
Reye's syndrome
Dementia w Lewy bodies
Mild cognitive impairemt
Cereb degeneration NEC
Cereb degeneration NOS
Paralysis agitans
Secondary parkinsonism
Degen basal ganglia NEC
Tremor NEC
Myoclonus
Tics of organic origin
Huntington's chorea
Chorea NEC
Genetic torsion dystonia
Athetoid cerebral palsy
Acute dystonia d/t drugs
Acq torsion dystonia NEC
Blepharospasm
Orofacial dyskinesia
Spasmodic torticollis
Organic writers' cramp
Subac dyskinesa d/t drug
Fragm torsion dyston NEC
Extrapyramidal dis NOS
Stiff-man syndrome
Neuroleptic malgnt synd
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
522
522
522
522
525
522
522
524
522
829
522
522
522
522
522
524
524
525
522
522
522
536
525
525
553
525
525
525
525
524
522
525
524
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 142 of 6734

33393
33394
33399
3340
3341
3342
3343
3344
3348
3349
3350
33510
33511
33519
33520
33521
33522
33523
33524
33529
3358
3359
3360
3361
3362
3363
3368
3369
33700
33701
33709
3371
33720
Bnign shuddering attacks

Restless legs syndrome
Extrapyramidal dis NEC
Friedreich's ataxia
Hered spastic paraplegia
Primary cerebellar degen
Cerebellar ataxia NEC
Cerebel atax in oth dis
Spinocerebellar dis NEC
Spinocerebellar dis NOS
Werdnig-hoffmann disease
Spinal muscl atrophy NOS
Kugelberg-welander dis
Spinal muscl atrophy NEC
Amyotrophic sclerosis
Prog muscular atrophy
Progressive bulbar palsy
Pseudobulbar palsy
Prim lateral sclerosis
Motor neuron disease NEC
Ant horn cell dis NEC
Ant horn cell dis NOS
Syringomyelia
Vascular myelopathies
Comb deg cord in oth dis
Myelopathy in oth dis
Myelopathy NEC
Spinal cord disease NOS
Idio perph auto neur NOS
Carotid sinus syndrome
Idio perph auto neur NEC
Aut neuropthy in oth dis
Unsp rflx sympth dystrph
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
525
524
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
522
520
520
520
520
520
527
527
527
527
527
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 143 of 6734

33721
33722
33729
3373
3379
3380
33811
33812
33818
33819
33821
33822
33828
33829
3383
3384
33900
33901
33902
33903
33904
33905
33909
33910
33911
33912
33920
33921
33922
3393
33941
33942
33943
Rflx sym dystrph up limb

Rflx sym dystrph lwr lmb
Rflx sym dystrph oth st
Autonomic dysreflexia
Autonomic nerve dis NEC
Central pain syndrome
Acute pain due to trauma
Acute post-thoracot pain
Acute postop pain NEC
Acute pain NEC
Chronc pain d/t trauma
Chron post-thoracot pain
Chronic postop pain NEC
Chronic pain NEC
Neoplasm related pain
Chronic pain syndrome
Cluster headache syn NOS
Episodc cluster headache
Chronic cluster headache
Episdc paroxyml hemicran
Chr paroxysml hemicrania
Shrt lst uni nral hdache
Trigem autonmc cephl NEC
Tension headache NOS
Episdic tension headache
Chronic tension headache
Post-trauma headache NOS
Ac post-trauma headache
Chr post-trauma headache
Drug induce headache NEC
Hemicrania continua
New daily pers headache
Prim thnderclap headache
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
527
527
527
527
527
663
663
663
663
663
663
663
663
663
663
663
530
530
530
530
530
530
530
530
530
530
530
530
530
530
530
530
530
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 144 of 6734

33944
33981
33982
33983
33984
33985
33989
340
3410
3411
34120
34121
34122
3418
3419
34200
34201
34202
34210
34211
34212
34280
34281
34282
34290
34291
34292
3430
3431
3432
3433
3434
3438
Comp headache synd NEC

Hypnic headache
Headache w sex activity
Primary cough headache
Prim exertion headache
Prim stabbing headache
Headache syndrome NEC
Multiple sclerosis
Neuromyelitis optica
Schilder's disease
Acute myelitis NOS
Acute myelitis oth cond
Idiopathc trans myelitis
Cns demyelination NEC
Cns demyelination NOS
Flccd hmiplga unspf side
Flccd hmiplga domnt side
Flccd hmiplg nondmnt sde
Spstc hmiplga unspf side
Spstc hmiplga domnt side
Spstc hmiplg nondmnt sde
Ot sp hmiplga unspf side
Ot sp hmiplga domnt side
Ot sp hmiplg nondmnt sde
Unsp hemiplga unspf side
Unsp hemiplga domnt side
Unsp hmiplga nondmnt sde
Congenital diplegia
Congenital hemiplegia
Congenital quadriplegia
Congenital monoplegia
Infantile hemiplegia
Cerebral palsy NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
530
530
530
530
530
530
530
523
523
523
525
525
525
523
523
533
533
533
533
533
533
533
533
533
533
533
533
536
536
536
536
536
536
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 145 of 6734

3439
34400
34401
34402
34403
34404
34409
3441
3442
34430
34431
34432
34440
34441
34442
3445
34460
34461
34481
34489
3449
34500
34501
34510
34511
3452
3453
34540
34541
34550
34551
34560
34561
Cerebral palsy NOS

Quadriplegia, unspecifd
Quadrplg c1-c4, complete
Quadrplg c1-c4, incomplt
Quadrplg c5-c7, complete
Quadrplg c5-c7, incomplt
Other quadriplegia
Paraplegia NOS
Diplegia of upper limbs
Monplga lwr lmb unsp sde
Monplga lwr lmb dmnt sde
Mnplg lwr lmb nondmnt sd
Monplga upr lmb unsp sde
Monplga upr lmb dmnt sde
Mnplg upr lmb nondmnt sd
Monoplegia NOS
Cauda equina synd NOS
Neurogenic bladder
Locked-in state
Oth spcf paralytic synd
Paralysis NOS
Gen noncv ep w/o intr ep
Gen nonconv ep w intr ep
Gen cnv epil w/o intr ep
Gen cnv epil w intr epil
Petit mal status
Grand mal status
Psymotr epil w/o int epi
Psymotr epil w intr epil
Part epil w/o intr epil
Part epil w intr epil
Inf spasm w/o intr epil
Inf spasm w intract epil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
536
520
520
520
520
520
520
520
520
525
525
525
525
525
525
525
527
510
524
524
525
529
529
529
529
529
529
529
529
529
529
529
529
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 146 of 6734

34570
34571
34580
34581
34590
34591
34600
34601
34602
34603
34610
34611
34612
34613
34620
34621
34622
34623
34630
34631
34632
34633
34640
34641
34642
34643
34650
34651
34652
34653
34660
34661
34662
Epil par cont w/o int ep

Epil par cont w intr epi
Epilep NEC w/o intr epil
Epilepsy NEC w intr epil
Epilep NOS w/o intr epil
Epilepsy NOS w intr epil
Mgrn w aura wo ntrc mgrn
Mgrn w aura w ntrc mgrn
Mgrn w aur wo ntrc mgrn
Mgrn w aura w ntrc mgrn
Mgrn wo aura wo ntrc mgr
Mgrn wo aura w ntrc mgrn
Mgrn wo aura wo ntrc mgr
Mgrn wo aura w ntrc mgrn
Vrnt mgrn wo ntr mgr NEC
Vrnt mgrn w ntrc mgr NEC
Var mgr NEC wo ntc mgr
Var mgrn NEC w ntrc mgr
Hmplg mgr wo ntrc wo st
Hmplg mgrn w ntrc wo st
Hemplg mgr wo ntrc w st
Hmplg mgrn w ntrc w st
Menst mgr wo ntrc wo st
Menstl mgrn w ntrc wo st
Menstl mgr wo ntrc w st
Menstl mgrn w ntrc w st
Prst aura wo inf/ntr/st
Prs ara w ntr wo inf/st
Prs ara wo inf/ntr w st
Prs ara wo inf w ntr/st
Prs ara w inf wo ntr/st
Prs ara w/inf/ntr wo st
Prs ara wo ntr w inf/st
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
529
529
529
529
529
529
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
531
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 147 of 6734

34663
34670
34671
34672
34673
34680
34681
34682
34683
34690
34691
34692
34693
34700
34701
34710
34711
3480
3481
3482
34830
34831
34839
3484
3485
34881
34882
34889
3489
3490
3491
3492
34931
Prst ara w inf w ntr/st

Ch mgr wo ar wo nt wo st
Ch mgr wo ara w nt wo st
Ch mgr wo ara wo nt w st
Ch mgr wo ara w ntr w st
Othr migrne wo ntrc mgrn
Othr migrne w ntrc mgrne
Oth mgr wo ntrc w st mgr
Oth mgr w ntrc w st mgr
Migrne unsp wo ntrc mgrn
Mgrn unsp w ntrc mgr std
Mgr NOS wo ntrc w st mgr
Mgrn NOS w ntrc w st mgr
Narcolepsy w/o cataplexy
Narcolepsy w cataplexy
Narclpsy w/o cat oth dis
Narcolepsy w cat oth dis
Cerebral cysts
Anoxic brain damage
Pseudotumor cerebri
Encephalopathy NOS
Metabolic encephalopathy
Encephalopathy NEC
Compression of brain
Cerebral edema
Temporal sclerosis
Brain death
Brain conditions NEC
Brain condition NOS
Lumbar puncture reaction
Complication cns device
Disorder of meninges NEC
Accid punc/op lac dura
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
531
531
531
531
531
531
531
531
531
531
531
531
531
525
525
525
525
525
528
525
528
528
528
528
528
525
510
525
525
530
525
520
520
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 148 of 6734

34939
34981
34982
34989
3499
3501
3502
3508
3509
3510
3511
3518
3519
3520
3521
3522
3523
3524
3525
3526
3529
3530
3531
3532
3533
3534
3535
3536
3538
3539
3540
3541
3542
Dural tear NEC

Cerebrospinal rhinorrhea
Toxic encephalopathy
Cns disorder NEC
Cns disorder NOS
Trigeminal neuralgia
Atypical face pain
Trigeminal nerve dis NEC
Trigeminal nerve dis NOS
Bell's palsy
Geniculate ganglionitis
Facial nerve dis NEC
Facial nerve dis NOS
Olfactory nerve disorder
Glossopharyng neuralgia
Glossophar nerve dis NEC
Pneumogastric nerve dis
Accessory nerve disorder
Hypoglossal nerve dis
Mult cranial nerve palsy
Cranial nerve dis NOS
Brachial plexus lesions
Lumbosacral plex lesion
Cervical root lesion NEC
Thoracic root lesion NEC
Lumbsacral root les NEC
Neuralgic amyotrophy
Phantom limb (syndrome)
Nerv root/plexus dis NEC
Nerv root/plexus dis NOS
Carpal tunnel syndrome
Median nerve lesion NEC
Ulnar nerve lesion
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
520
524
528
525
525
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
520
520
520
527
527
527
527
527
527
527
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 149 of 6734

3543
3544
3545
3548
3549
3550
3551
3552
3553
3554
3555
3556
35571
35579
3558
3559
3560
3561
3562
3563
3564
3568
3569
3570
3571
3572
3573
3574
3575
3576
3577
35781
35782
Radial nerve lesion

Causalgia upper limb
Mononeuritis multiplex
Mononeuritis arm NEC
Mononeuritis arm NOS
Sciatic nerve lesion
Meralgia paresthetica
Femoral nerve lesion NEC
Lat popliteal nerve les
Med popliteal nerve les
Tarsal tunnel syndrome
Plantar nerve lesion
Causalgia lower limb
Oth mononeur lower limb
Mononeuritis leg NOS
Mononeuritis NOS
Hered periph neuropathy
Peroneal muscle atrophy
Hered sensory neuropathy
Refsum's disease
Idio prog polyneuropathy
Idio periph neurpthy NEC
Idio periph neurpthy NOS
Ac infect polyneuritis
Neurpthy in col vasc dis
Neuropathy in diabetes
Neuropathy in malig dis
Neuropathy in other dis
Alcoholic polyneuropathy
Neuropathy due to drugs
Neurpthy toxic agent NEC
Chr inflam polyneuritis
Crit illness neuropathy
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
510
527
712
527
527
527
527
527
523
527
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 150 of 6734

35789
3579
35800
35801
3581
3582
35830
35831
35839
3588
3589
3590
3591
35921
35922
35923
35924
35929
3593
3594
3595
3596
35971
35979
35981
35989
3599
36000
36001
36002
36003
36004
36011
Inflam/tox neuropthy NEC

Inflam/tox neuropthy NOS
Mysthna grvs w/o ac exac
Myasthna gravs w ac exac
Myasthenia in oth dis
Toxic myoneural disorder
Lambert-Eaton synd NOS
Lambert-Eaton synd neopl
Lambert-Eaton syn ot dis
Myoneural disorders NEC
Myoneural disorders NOS
Cong hered musc dystrphy
Hered prog musc dystrphy
Myotonic musclr dystrphy
Myotonia congenita
Myotonic chondrodystrphy
Drug induced myotonia
Myotonic disorder NEC
Periodic paralysis
Toxic myopathy
Myopathy in endocrin dis
Infl myopathy in oth dis
Inclusion body myositis
Inflm/immune myopath NEC
Critical illness myopthy
Myopathies NEC
Myopathy NOS
Purulent endophthalm NOS
Acute endophthalmitis
Panophthalmitis
Chronic endophthalmitis
Vitreous abscess
Sympathetic uveitis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
527
527
522
522
522
527
522
522
522
527
527
524
522
525
525
525
525
525
524
524
524
524
661
661
524
525
525
550
550
550
554
550
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 151 of 6734

36012
36013
36014
36019
36020
36021
36023
36024
36029
36030
36031
36032
36033
36034
36040
36041
36042
36043
36044
36050
36051
36052
36053
36054
36055
36059
36060
36061
36062
36063
36064
36065
36069
Panuveitis
Parasitic endophthal NOS
Ophthalmia nodosa
Endophthalmitis NEC
Degenerat globe dis NOS
Progressive high myopia
Siderosis
Other metallosis, eye
Degenerative globe NEC
Hypotony NOS, eye
Primary hypotony
Hypotony due to fistula
Hypotony w eye dis NEC
Flat anterior chamber
Degeneration of eye NOS
Blind hypotensive eye
Blind hypertensive eye
Hemophthalmos
Leucocoria
Old magnet fb, eye NOS
Old magnet fb, ant chamb
Old magnet fb, iris
Old magnet fb, lens
Old magnet fb, vitreous
Old magnet fb, post wall
Old magnet fb, eye NEC
Intraocular FB NOS
FB in anterior chamber
FB in iris or ciliary
Foreign body in lens
Foreign body in vitreous
FB in posterior wall
Intraocular FB NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
550
554
550
553
553
553
553
553
553
553
553
553
553
553
553
553
554
553
554
554
554
554
554
554
554
554
554
554
554
554
554
554
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 152 of 6734

36081
36089
3609
36100
36101
36102
36103
36104
36105
36106
36107
36110
36111
36112
36113
36114
36119
3612
36130
36131
36132
36133
36181
36189
3619
36201
36202
36203
36204
36205
36206
36207
36210
Luxation of globe
Disorder of globe NEC
Disorder of globe NOS
Detachmnt w defect NOS
Part detach-singl defec
Part detach-mult defect
Part detach-giant tear
Part detach-dialysis
Recent detachment, total
Old detachment, partial
Old detachment, total
Retinoschisis NOS
Flat retinoschisis
Bullous retinoschisis
Primary retinal cysts
Secondary retinal cysts
Retinoshisis or cyst NEC
Serous retina detachment
Retinal defect NOS
Round hole of retina
Horseshoe tear of retina
Mult defects of retina
Retinal traction detach
Retinal detachment NEC
Retinal detachment NOS
Diabetic retinopathy NOS
Prolif diab retinopathy
Nonprolf db retnoph NOS
Mild nonprolf db retnoph
Mod nonprolf db retinoph
Sev nonprolf db retinoph
Diabetic macular edema
Backgrnd retinopathy NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
554
553
553
553
554
554
554
554
554
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
710
710
710
710
710
710
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 153 of 6734

36211
36212
36213
36214
36215
36216
36217
36218
36220
36221
36222
36223
36224
36225
36226
36227
36229
36230
36231
36232
36233
36234
36235
36236
36237
36240
36241
36242
36243
36250
36251
36252
36253
Hypertensive retinopathy
Exudative retinopathy
Retinal vascular changes
Retina microaneurysm NOS
Retinal telangiectasia
Retinal neovascular NOS
Retinal varices
Retinal vasculitis
Retinoph prematurity NOS
Retrolental fibroplasia
Retinoph prematr,stage 0
Retinoph prematr.stage 4
Prolif retinopathy NEC
Retinal vasc occlus NOS
Cent retina artery occlu
Arterial branch occlus
Part arterial occlusion
Transient arterial occlu
Cent retinal vein occlus
Venous tributary occlus
Retina venous engorgemnt
Retina layer separat NOS
Cent serous retinopathy
Serous detach pigm epith
Hem detach pigmnt epith
Macular degeneration NOS
Nonexudat macular degen
Exudative macular degen
Cystoid macular degen
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
554
553
553
553
554
554
554
554
554
553
553
554
554
554
554
554
553
553
553
553
553
554
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 154 of 6734

36254
36255
36256
36257
36260
36261
36262
36263
36264
36265
36266
36270
36271
36272
36273
36274
36275
36276
36277
36281
36282
36283
36284
36285
36289
3629
36300
36301
36303
36304
36305
36306
36307
Macular cyst or hole

Toxic maculopathy
Macular puckering
Drusen (degenerative)
Periph retina degen NOS
Paving stone degenerat
Microcystoid degenerat
Lattice degeneration
Senile reticular degen
Secondry pigment degen
Sec vitreoretina degen
Hered retin dystrphy NOS
Ret dystrph in lipidoses
Ret dystrph in syst dis
Vitreoretinal dystrophy
Pigment retina dystrophy
Sensory retina dystrophy
Vitelliform dystrophy
Bruch membrane dystrophy
Retinal hemorrhage
Retina exudates/deposits
Retinal edema
Retinal ischemia
Retinal nerv fiber defec
Retinal disorders NEC
Retinal disorder NOS
Focal chorioretinit NOS
Juxtapap foc choroiditis
Foc choroiditis post NEC
Periph focal choroiditis
Juxtapap focal retinitis
Macular focal retinitis
Foc retinitis post NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
554
554
554
554
554
554
554
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 155 of 6734

36308
36310
36311
36312
36313
36314
36315
36320
36321
36322
36330
36331
36332
36333
36334
36335
36340
36341
36342
36343
36350
36351
36352
36353
36354
36355
36356
36357
36361
36362
36363
36370
36371
Periph focal retinitis

Dissem chorioretinit NOS
Dissem choroiditis, post
Periph disem choroiditis
Gen dissem choroiditis
Metastat dissem retinit
Pigment epitheliopathy
Chorioretinitis NOS
Pars planitis
Harada's disease
Chorioretinal scar NOS
Solar retinopathy
Macular scars NEC
Posterior pole scar NEC
Peripheral retinal scars
Disseminated retina scar
Choroidal degen NOS
Senile atrophy, choroid
Difus sec atroph choroid
Angioid streaks, choroid
Hered choroid atroph NOS
Prt circmpap choroid dys
Tot circmpap choroid dys
Part cent choroid dystr
Tot cent choroid atrophy
Choroideremia
Prt gen choroid dyst NEC
Tot gen choroid dyst NEC
Choroidal hemorrhage NOS
Expulsive choroid hemorr
Choroidal rupture
Choroidal detachment NOS
Serous choroid detachmnt
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
554
550
550
550
550
550
554
554
554
554
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
554
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 156 of 6734

36372
3638
3639
36400
36401
36402
36403
36404
36405
36410
36411
36421
36422
36423
36424
3643
36441
36442
36451
36452
36453
36454
36455
36456
36457
36459
36460
36461
36462
36463
36464
36470
36471
Hemorr choroid detachmnt

Disorders of choroid NEC
Choroidal disorder NOS
Acute iridocyclitis NOS
Primary iridocyclitis
Recurrent iridocyclitis
Secondry iritis, infect
Second iritis, noninfec
Hypopyon
Chr iridocyclitis NOS
Chr iridocyl in oth dis
Fuch hetrochrom cyclitis
Glaucomatocyclit crises
Lens-induced iridocyclit
Vogt-koyanagi syndrome
Iridocyclitis NOS
Hyphema
Rubeosis iridis
Progressive iris atrophy
Iridoschisis
Pigment iris degenerat
Pupillary margin degen
Miotic cyst pupil margin
Degen chamber angle
Degen ciliary body
Iris atrophy NEC
Idiopathic cysts
Implantation cysts
Exud cyst iris/ant chamb
Primary cyst pars plana
Exudat cyst pars plana
Adhesions of iris NOS
Posterior synechiae
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
554
553
553
553
554
554
554
554
554
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 157 of 6734

36472
36473
36474
36475
36476
36477
36481
36482
36489
3649
36500
36501
36502
36503
36504
36505
36506
36510
36511
36512
36513
36514
36515
36520
36521
36522
36523
36524
36531
36532
36541
36542
36543
Anterior synechiae
Goniosynechiae
Pupillary membranes
Pupillary abnormalities
Iridodialysis
Recession, chamber angle
Floppy iris syndrome
Plateau iris syndrome
Iris/ciliary disord NEC
Iris/ciliary dis NOS
Preglaucoma NOS
Opn angl brderln lo risk
Anatomical narrow angle
Steroid responders
Ocular hypertension
Opn ang w brdrlne hi rsk
Prim angle clos w/o dmg
Open-angle glaucoma NOS
Prim open angle glaucoma
Low tension glaucoma
Pigmentary glaucoma
Glaucoma of childhood
Residual opn ang glaucma
Prim angl-clos glauc NOS
Intermit angl-clos glauc
Acute angl-clos glaucoma
Chr angle-clos glaucoma
Residual angl-clos glauc
Glauc stage-ster induced
Glauc resid-ster induced
Glauc w chamb angle anom
Glaucoma w iris anomaly
Glauc w ant seg anom NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 158 of 6734

36544
36551
36552
36559
36560
36561
36562
36563
36564
36565
36570
36571
36572
36573
36574
36581
36582
36583
36589
3659
36600
36601
36602
36603
36604
36609
36610
36611
36612
36613
36614
36615
36616
Glaucoma w systemic synd

Phacolytic glaucoma
Pseudoexfoliat glaucoma
Glaucoma w lens dis NEC
Glauc w ocular dis NOS
Glauc w pupillary block
Glaucoma w ocular inflam
Glaucoma w vascular dis
Glaucoma w tumor or cyst
Glaucoma w ocular trauma
Glaucoma stage NOS
Mild stage glaucoma
Moderate stage glaucoma
Severe stage glaucoma
Indeterm stage glaucoma
Hypersecretion glaucoma
Glauc w inc episcl press
Aqueous misdirection
Glaucoma NEC
Glaucoma NOS
Nonsenile cataract NOS
Ant subcaps pol cataract
Post subcaps pol catarct
Cortical cataract
Nuclear cataract
Nonsenile cataract NEC
Senile cataract NOS
Pseudoexfol lens capsule
Incipient cataract
Ant subcaps senile catar
Post subcap senile catar
Cortical senile cataract
Senile nuclear cataract
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
552
551
551
551
551
551
551
551
551
551
551
551
551
551
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 159 of 6734

36617
36618
36619
36620
36621
36622
36623
36630
36631
36632
36633
36634
36641
36642
36643
36644
36645
36646
36650
36651
36652
36653
3668
3669
3670
3671
36720
36721
36722
36731
36732
3674
36751
Mature cataract
Hypermature cataract
Senile cataract NEC
Traumatic cataract NOS
Local traumatic opacity
Total traumatic cataract
Part resolv traum catar
Cataracta complicata NOS
Glaucomatous flecks
Cataract in inflam dis
Cataract w neovasculizat
Cataract in degen dis
Diabetic cataract
Tetanic cataract
Myotonic cataract
Cataract w syndrome NEC
Toxic cataract
Cataract w radiation
After-cataract NOS
Soemmering's ring
After-cataract NEC
Aftr-catar obscur vision
Cataract NEC
Cataract NOS
Hypermetropia
Myopia
Astigmatism NOS
Regular astigmatism
Irregular astigmatism
Anisometropia
Aniseikonia
Presbyopia
Paresis of accommodation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
551
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 160 of 6734

36752
36753
36781
36789
3679
36800
36801
36802
36803
36810
36811
36812
36813
36814
36815
36816
3682
36830
36831
36832
36833
36834
36840
36841
36842
36843
36844
36845
36846
36847
36851
36852
36853
Tot intern ophthalmopleg

Spasm of accommodation
Transient refract change
Refraction disorder NEC
Refraction disorder NOS
Amblyopia NOS
Strabismic amblyopia
Deprivation amblyopia
Refractive amblyopia
Subj visual disturb NOS
Sudden visual loss
Transient visual loss
Visual discomfort
Distortion of shape/size
Visual distortions NEC
Psychophysic visual dist
Diplopia
Binocular vision dis NOS
Binocular vis suppress
Visual percept w/o fusn
Fusion w def stereopsis
Abn retina correspond
Visual field defect NOS
Central scotoma
Scotoma of blind spot
Sector or arcuate defect
Visual field defect NEC
Gen visual contraction
Homonymous hemianopsia
Heteronymous hemianopsia
Protan defect
Deutan defect
Tritan defect
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
554
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 161 of 6734

36854
36855
36859
36860
36861
36862
36863
36869
3688
3689
36900
36901
36902
36903
36904
36905
36906
36907
36908
36910
36911
36912
36913
36914
36915
36916
36917
36918
36920
36921
36922
36923
36924
Achromatopsia
Acq color deficiency
Color deficiency NEC
Night blindness NOS
Congen night blindness
Acquired night blindness
Abn dark adaptat curve
Night blindness NEC
Visual disturbances NEC
Visual disturbance NOS
Both eyes blind-who def
Tot impairment-both eyes
One eye-near tot/oth-NOS
One eye-near tot/oth-tot
Near-tot impair-both eye
One eye-profound/oth-NOS
One eye-profound/oth-tot
One eye-prfnd/oth-nr tot
Profound impair both eye
Blindness/low vision
1 eye-sev/oth-blind NOS
One eye-severe/oth-total
One eye-sev/oth-near tot
One eye-sev/oth-prfnd
One eye-mod/oth-blind
One eye-moderate/oth-tot
One eye-mod/oth-near tot
One eye-mod/oth-profound
Low vision, 2 eyes NOS
One eye-severe/oth-NOS
Severe impair-both eyes
One eye-moderate/oth-NOS
One eye-moderate/oth-sev
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 162 of 6734

36925
3693
3694
36960
36961
36962
36963
36964
36965
36966
36967
36968
36969
36970
36971
36972
36973
36974
36975
36976
3698
3699
37000
37001
37002
37003
37004
37005
37006
37007
37020
37021
37022
Moderate impair-both eye

Blindness NOS, both eyes
Legal blindness-usa def
Blindness, one eye
One eye-total/oth-unknwn
One eye-tot/oth-near nor
One eye-total/oth-normal
One eye-near tot/oth-NOS
Near-tot imp/near-normal
Near-total impair/normal
One eye-prfound/oth-unkn
Profnd impair/near norm
Profound impair/normal
Low vision, one eye
One eye-severe/oth-unknw
One eye-sev/oth-nr norm
One eye-severe/oth-norm
One eye-mod/other-unknwn
One eye-mod/oth-nr norm
One eye-mod/oth normal
Visual loss, one eye NOS
Visual loss NOS
Corneal ulcer NOS
Marginal corneal ulcer
Ring corneal ulcer
Central corneal ulcer
Hypopyon ulcer
Mycotic corneal ulcer
Perforated corneal ulcer
Mooren's ulcer
Superfic keratitis NOS
Punctate keratitis
Macular keratitis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
550
553
553
550
550
550
550
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 163 of 6734

37023
37024
37031
37032
37033
37034
37035
37040
37044
37049
37050
37052
37054
37055
37059
37060
37061
37062
37063
37064
3708
3709
37100
37101
37102
37103
37104
37105
37110
37111
37112
37113
37114
Filamentary keratitis
Photokeratitis
Phlycten keratoconjunct
Limbar keratoconjunctiv
Keratoconjunctivit sicca
Expsure keratoconjunctiv
Neurotroph keratoconjunc
Keratoconjunctivitis NOS
Keratitis in exanthema
Keratoconjunctivitis NEC
Interstit keratitis NOS
Diffus interstit keratit
Sclerosing keratitis
Corneal abscess
Interstit keratitis NEC
Cornea neovasculariz NOS
Local vasculariza cornea
Corneal pannus
Deep vasculariza cornea
Corneal ghost vessels
Keratitis NEC
Keratitis NOS
Corneal opacity NOS
Minor opacity of cornea
Periph opacity of cornea
Central opacity, cornea
Adherent leucoma
Phthisical cornea
Corneal deposit NOS
Ant cornea pigmentation
Stromal cornea pigment
Post cornea pigmentation
Kayser-fleischer ring
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
550
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
554
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 164 of 6734

37115
37116
37120
37121
37122
37123
37124
37130
37131
37132
37133
37140
37141
37142
37143
37144
37145
37146
37148
37149
37150
37151
37152
37153
37154
37155
37156
37157
37158
37160
37161
37162
37170
Oth deposit w metab dis

Argentous cornea deposit
Corneal edema NOS
Idiopathic corneal edema
Secondary corneal edema
Bullous keratopathy
Edema d/t contact lens
Cornea memb change NOS
Fold of bowman membrane
Fold in descemet membran
Rupture descemet membran
Corneal degeneration NOS
Senile corneal changes
Recurrent cornea erosion
Band-shaped keratopathy
Calcer cornea degen NEC
Keratomalacia NOS
Nodular cornea degen
Peripheral cornea degen
Cornea degeneration NEC
Corneal dystrophy NOS
Juv epith cornea dystrph
Ant cornea dystrophy NEC
Granular cornea dystrphy
Lattice cornea dystrophy
Macular cornea dystrophy
Strom cornea dystrph NEC
Endothel cornea dystrphy
Post cornea dystrphy NEC
Keratoconus NOS
Keratoconus, stable
Keratoconus, ac hydrops
Corneal deformity NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 165 of 6734

37171
37172
37173
37181
37182
37189
3719
37200
37201
37202
37203
37204
37205
37206
37210
37211
37212
37213
37214
37215
37220
37221
37222
37230
37231
37233
37234
37239
37240
37241
37242
37243
37244
Corneal ectasia
Descemetocele
Corneal staphyloma
Corneal anesthesia
Corneal dsdr contct lens
Corneal disorder NEC
Corneal disorder NOS
Acute conjunctivitis NOS
Serous conjunctivitis
Ac follic conjunctivitis
Mucopur conjunctivit NEC
Pseudomemb conjunctivit
Ac atopic conjunctivitis
Ac chem conjunctivitis
Chr conjunctivitis NOS
Simpl chr conjunctivitis
Chr follic conjunctivit
Vernal conjunctivitis
Chr allrg conjunctiv NEC
Parasitic conjunctivitis
Blepharoconjunctivit NOS
Angular blepharoconjunct
Contact blepharoconjunct
Conjunctivitis NOS
Rosacea conjunctivitis
Mucocutan dis conjunctiv
Pingueculitis
Conjunctivitis NEC
Pterygium NOS
Periph station pterygium
Periph progess pterygium
Central pterygium
Double pterygium
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
554
553
553
553
553
553
553
553
553
553
555
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 166 of 6734

37245
37250
37251
37252
37253
37254
37255
37256
37261
37262
37263
37264
37271
37272
37273
37274
37275
37281
37289
3729
37300
37301
37302
37311
37312
37313
3732
37331
37332
37333
37334
3734
3735
Recurrent pterygium
Conjunctival degen NOS
Pinguecula
Pseudopterygium
Conjunctival xerosis
Conjunctival concretions
Conjunctiva pigmentation
Conjunctival deposits
Granuloma of conjunctiva
Local conjunctiva adhes
Symblepharon
Scarring of conjunctiva
Hyperemia of conjunctiva
Conjunctival hemorrhage
Conjunctival edema
Conjunctiva vasc anomaly
Conjunctival cysts
Conjunctivochalasis
Conjunctiva disorder NEC
Conjunctiva disorder NOS
Blepharitis NOS
Ulcerative blepharitis
Squamous blepharitis
Hordeolum externum
Hordeolum internum
Abscess of eyelid
Chalazion
Eczem dermatitis eyelid
Contact dermatit eyelid
Xeroderma of eyelid
Disc lup erythematos lid
Infect derm lid w deform
Infec dermatitis lid NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 167 of 6734

3736
3738
3739
37400
37401
37402
37403
37404
37405
37410
37411
37412
37413
37414
37420
37421
37422
37423
37430
37431
37432
37433
37434
37441
37443
37444
37445
37446
37450
37451
37452
37453
37454
Parasitic infest eyelid

Inflammation eyelid NEC
Inflammation eyelid NOS
Entropion NOS
Senile entropion
Mechanical entropion
Spastic entropion
Cicatricial entropion
Trichiasis w/o entropion
Ectropion NOS
Senile ectropion
Mechanical ectropion
Spastic ectropion
Cicatricial ectropion
Lagophthalmos NOS
Paralytic lagophthalmos
Mechanical lagophthalmos
Cicatricial lagophthalm
Ptosis of eyelid NOS
Paralytic ptosis
Myogenic ptosis
Mechanical ptosis
Blepharochalasis
Lid retraction or lag
Abnorm innervation synd
Sensory disorders, lid
Sensormotr disor lid NEC
Blepharophimosis
Degen disorder NOS, lid
Xanthelasma
Hyperpigmentation lid
Hypopigmentation lid
Hypertrichosis of eyelid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
675
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 168 of 6734

37455
37456
37481
37482
37483
37484
37485
37486
37487
37489
3749
37500
37501
37502
37503
37511
37512
37513
37514
37515
37516
37520
37521
37522
37530
37531
37532
37533
37541
37542
37543
37551
37552
Hypotrichosis of eyelid
Degen dis eyelid NEC
Hemorrhage of eyelid
Edema of eyelid
Elephantiasis of eyelid
Cysts of eyelids
Vascular anomaly, eyelid
Old foreign body, eyelid
Dermatochalasis
Disorders of eyelid NEC
Disorder of eyelid NOS
Dacryoadenitis NOS
Acute dacryoadenitis
Chronic dacryoadenitis
Ch enlargmnt lacrim glnd
Dacryops
Lacrimal gland cyst NEC
Primary lacrimal atrophy
Secondary lacrim atrophy
Tear film insuffic NOS
Lacrimal gland dislocat
Epiphora NOS
Epiphora d/t excess tear
Epiphora d/t insuf drain
Dacryocystitis NOS
Acute canaliculitis
Acute dacryocystitis
Phlegmon dacryocystitis
Chronic canaliculitis
Chronic dacryocystitis
Lacrimal mucocele
Lacriml punctum eversion
Lacriml punctum stenosis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
550
553
553
553
553
553
553
553
553
553
553
553
553
550
550
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 169 of 6734

37553
37554
37555
37556
37557
37561
37569
37581
37589
3759
37600
37601
37602
37603
37604
37610
37611
37612
37613
37621
37622
37630
37631
37632
37633
37634
37635
37636
37640
37641
37642
37643
37644
Lacrim canalic stenosis

Lacrimal sac stenosis
Neonatal nasolacrml obst
Acq nasolacrml stenosis
Dacryolith
Lacrimal fistula
Lacrim passge change NEC
Lacrim passage granuloma
Lacrimal syst dis NEC
Lacrimal syst dis NOS
Acute inflam NOS, orbit
Orbital cellulitis
Orbital periostitis
Orbital osteomyelitis
Orbital tenonitis
Chr inflam NOS, orbit
Orbital granuloma
Orbital myositis
Parasite infest, orbit
Thyrotoxic exophthalmos
Exophthalm ophthalmopleg
Exophthalmos NOS
Constant exophthalmos
Orbital hemorrhage
Orbital edema
Intermittnt exophthalmos
Pulsating exophthalmos
Lateral globe displacmnt
Deformity of orbit NOS
Hypertelorism of orbit
Exostosis of orbit
Orbt deform d/t bone dis
Craniofacial-orbit defor
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
550
550
550
550
553
553
553
553
553
553
553
553
553
554
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 170 of 6734

37645
37646
37647
37650
37651
37652
3766
37681
37682
37689
3769
37700
37701
37702
37703
37704
37710
37711
37712
37713
37714
37715
37716
37721
37722
37723
37724
37730
37731
37732
37733
37734
37739
Atrophy of orbit
Enlargement of orbit
Orbit deform d/t trauma
Enophthalmos NOS
Enophth d/t orbit atrphy
Enophthalmos d/t trauma
Old foreign body, orbit
Orbital cysts
Extraocul muscl myopathy
Orbital disorders NEC
Orbital disorder NOS
Papilledema NOS
Papilledema w incr press
Papilledema w decr press
Papilledema w retina dis
Foster-kennedy syndrome
Optic atrophy NOS
Primary optic atrophy
Postinflam optic atrophy
Optic atrph w retin dyst
Cupping of optic disc
Partial optic atrophy
Hereditary optic atrophy
Drusen of optic disc
Crater-like hole op disc
Coloboma of optic disc
Pseudopapilledema
Optic neuritis NOS
Optic papillitis
Retrobulbar neuritis
Nutrition optc neuropthy
Toxic optic neuropathy
Optic neuritis NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
525
524
554
554
524
554
554
553
553
553
553
553
553
553
553
553
554
553
554
554
554
554
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 171 of 6734

37741
37742
37743
37749
37751
37752
37753
37754
37761
37762
37763
37771
37772
37773
37775
3779
37800
37801
37802
37803
37804
37805
37806
37807
37808
37810
37811
37812
37813
37814
37815
37816
37817
Ischemic optic neuropthy

Optic nerve sheath hemor
Optic nerve hypoplasia
Optic nerve disorder NEC
Opt chiasm w pituit dis
Opt chiasm dis/neopl NEC
Opt chiasm w vascul dis
Op chiasm dis w infl dis
Vis path dis w neoplasms
Vis path dis w vasc dis
Vis path dis w infl dis
Vis cortx dis w neoplasm
Vis cortx dis w vasc dis
Vis cortex dis w inflam
Cortical blindness
Optic nerve disorder NOS
Esotropia NOS
Monocular esotropia
Monoc esotrop w a pattrn
Monoc esotrop w v pattrn
Monoc esotrop w x/y pat
Alternating esotropia
Alt esotropia w a pattrn
Alt esotropia w v pattrn
Alt esotrop w x/y pattrn
Exotropia NOS
Monocular exotropia
Monoc exotrop w a pattrn
Monoc exotrop w v pattrn
Monoc exotrop w x/y pat
Alternating exotropia
Alt exotropia w a pattrn
Alt exotropia w v pattrn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
524
524
524
524
524
524
524
524
524
524
524
524
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 172 of 6734

37818
37820
37821
37822
37823
37824
37830
37831
37832
37833
37834
37835
37840
37841
37842
37843
37844
37845
37850
37851
37852
37853
37854
37855
37856
37860
37861
37862
37863
37871
37872
37873
37881
Alt exotrop w x/y pattrn

Intermit heterotrop NOS
Intermit monoc esotropia
Intermit altrn esotropia
Intermit monoc exotropia
Intermit altrn exotropia
Heterotropia NOS
Hypertropia
Hypotropia
Cyclotropia
Monofixation syndrome
Accommodative esotropia
Heterophoria NOS
Esophoria
Exophoria
Vertical heterophoria
Cyclophoria
Alternating hyperphoria
Paralytic strabismus NOS
Partial third nerv palsy
Total third nerve palsy
Fourth nerve palsy
Sixth nerve palsy
External ophthalmoplegia
Total ophthalmoplegia
Mechanical strabism NOS
Brown's sheath syndrome
Mech strab d/t muscl dis
Mech strab w oth conditn
Duane's syndrome
Prog ext ophthalmoplegia
Neuromuscle dis strabism
Palsy of conjugate gaze
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
527
527
527
527
553
554
553
553
553
553
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 173 of 6734

37882
37883
37884
37885
37886
37887
3789
37900
37901
37902
37903
37904
37905
37906
37907
37909
37911
37912
37913
37914
37915
37916
37919
37921
37922
37923
37924
37925
37926
37927
37929
37931
37932
Spasm of conjugate gaze

Convergenc insufficiency
Convergence excess
Anomalies of divergence
Internucl ophthalmopleg
Skew deviation, eye
Eye movemnt disorder NOS
Scleritis NOS
Episclerit periodic fugx
Nodular episcleritis
Anterior scleritis
Scleromalacia perforans
Scleritis w cornea invol
Brawny scleritis
Posterior scleritis
Scleritis NEC
Scleral ectasia
Staphyloma posticum
Equatorial staphyloma
Local anterior staphylma
Ring staphyloma
Scleral degen dis NEC
Disorder of sclera NEC
Vitreous degeneration
Crystal deposit vitreous
Vitreous hemorrhage
Vitreous opacities NEC
Vitreous membranes
Vitreous prolapse
Vitreomacular adhesion
Vitreous disorders NEC
Aphakia
Subluxation of lens
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
524
553
553
553
553
553
553
553
553
553
553
553
553
554
554
554
554
553
553
553
553
554
553
553
554
554
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 174 of 6734

37933
37934
37939
37940
37941
37942
37943
37945
37946
37949
37950
37951
37952
37953
37954
37955
37956
37957
37958
37959
37960
37961
37962
37963
3798
37990
37991
37992
37993
37999
38000
38001
38002
Ant dislocation of lens

Post dislocation of lens
Disorders of lens NEC
Abn pupil function NOS
Anisocoria
Miosis not d/t miotics
Mydriasis not d/t mydrtc
Argyll robertson pupil
Tonic pupillary reaction
Pupil funct anomaly NEC
Nystagmus NOS
Congenital nystagmus
Latent nystagmus
Visual deprivatn nystagm
Nystagms w vestibulr dis
Dissociated nystagmus
Nystagmus NEC
Saccadic eye movmnt def
Smooth pursuit mvmnt def
Irregular eye mvmnts NEC
Inflam postproc bleb NOS
Inflam postproc bleb, 1
Eye disorders NEC
Eye disorder NOS
Pain in or around eye
Swelling or mass of eye
Redness/discharge of eye
Ill-defined eye dis NEC
Perichondritis pinna NOS
Ac perichondritis pinna
Chr perichondritis pinna
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
522
553
553
525
525
525
553
564
525
525
525
525
525
675
675
675
675
553
553
553
553
553
553
564
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 175 of 6734

38003
38010
38011
38012
38013
38014
38015
38016
38021
38022
38023
38030
38031
38032
38039
3804
38050
38051
38052
38053
38081
38089
3809
38100
38101
38102
38103
38104
38105
38106
38110
38119
38120
Chondritis of pinna
Infec otitis externa NOS
Acute infection of pinna
Acute swimmers' ear
Ac infect extern ear NEC
Malignant otitis externa
Chr mycot otitis externa
Chr inf otit externa NEC
Cholesteatoma extern ear
Acute otitis externa NEC
Chr otitis externa NEC
Disorder of pinna NOS
Hematoma auricle/pinna
Acq deform auricle/pinna
Noninfect dis pinna NEC
Impacted cerumen
Acq stenos ear canal NOS
Stenosis ear d/t trauma
Stenosis ear d/t surgery
Stenosis ear d/t inflam
Exostosis ext ear canal
Dis external ear NEC
Dis external ear NOS
Ac nonsup otitis med NOS
Ac serous otitis media
Ac mucoid otitis media
Ac sanguin otitis media
Ac allergic serous OM
Ac allergic mucoid OM
Ac allerg sanguinous OM
Chr serous OM simp/NOS
Chr serous OM NEC
Chr mucoid OM simp/NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
564
564
564
564
565
565
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
562
562
562
562
562
562
562
562
562
562
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 176 of 6734

38129
3813
3814
38150
38151
38152
38160
38161
38162
38163
3817
38181
38189
3819
38200
38201
38202
3821
3822
3823
3824
3829
38300
38301
38302
3831
38320
38321
38322
38330
38331
38332
38333
Chr mucoid OM NEC

Chr nonsup OM NOS/NEC
Nonsupp otitis media NOS
Eustachian salping NOS
Ac eustachian salping
Chr eustachian salping
Obstr eustach tube NOS
Osseous eustachian obstr
Intrinsic eustach obstr
Extrinsic eustach obstr
Patulous eustachian tube
Dysfunct eustachian tube
Eustachian tube dis NEC
Eustachian tube dis NOS
Ac supp otitis media NOS
Ac supp OM w drum rupt
Ac supp OM in oth dis
Chr tubotympan suppur OM
Chr atticoantral sup OM
Chr sup otitis media NOS
Suppur otitis media NOS
Otitis media NOS
Ac mastoiditis w/o compl
Subperi mastoid abscess
Ac mastoiditis-compl NEC
Chronic mastoiditis
Petrositis NOS
Acute petrositis
Chronic petrositis
Postmastoid compl NOS
Postmastoid mucosal cyst
Postmastoid cholesteatma
Postmastoid granulations
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
562
562
562
565
565
565
564
564
564
564
564
564
564
564
562
562
562
562
562
562
562
562
564
565
565
564
564
565
564
564
564
564
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 177 of 6734

38381
38389
3839
38400
38401
38409
3841
38420
38421
38422
38423
38424
38425
38481
38482
3849
38500
38501
38502
38503
38509
38510
38511
38512
38513
38519
38521
38522
38523
38524
38530
38531
38532
Postauricular fistula
Disorders of mastoid NEC
Mastoiditis NOS
Acute myringitis NOS
Bullous myringitis
Acute myringitis NEC
Chronic myringitis
Perforat tympan memb NOS
Cent perf tympanic memb
Attic perf tympanic memb
Marginal perf tymp NEC
Mult perf tympanic memb
Total perf tympanic memb
Atrophic flaccid tympan
Atrophic nonflaccid tymp
Dis tympanic memb NOS
Tympanosclerosis NOS
Tympanoscl-tympanic memb
Tympnoscler-tymp/ossicle
Tympanoscler-all parts
Tympnsclr-oth site comb
Adhesive mid ear dis NOS
Adhesion tympanum-incus
Adhesion tympanum-stapes
Adhesion tymp-promontor
Adhesive mid ear dis NEC
Ankylosis malleus
Ankylosis ear ossicl NEC
Dislocation ear ossicle
Partial loss ear ossicle
Cholesteatoma NOS
Cholesteatoma of attic
Cholesteatoma middle ear
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 178 of 6734

38533
38535
38582
38583
38589
3859
38600
38601
38602
38603
38604
38610
38611
38612
38619
3862
38630
38631
38632
38633
38634
38635
38640
38641
38642
38643
38648
38650
38651
38652
38653
38654
38655
Cholestma mid ear/mstoid

Diffuse cholesteatosis
Cholesterin granuloma
Foreign body middle ear
Dis mid ear/mastoid NEC
Dis mid ear/mastoid NOS
Meniere's disease NOS
Actv Meniere,cochlvestib
Active Meniere, cochlear
Actv Meniere, vestibular
Inactive Meniere's dis
Peripheral vertigo NOS
Benign parxysmal vertigo
Vestibular neuronitis
Peripheral vertigo NEC
Central origin vertigo
Labyrinthitis NOS
Serous labyrinthitis
Circumscri labyrinthitis
Suppurativ labyrinthitis
Toxic labyrinthitis
Viral labyrinthitis
Labyrinthine fistula NOS
Round window fistula
Oval window fistula
Semicircul canal fistula
Labyrinth fistula comb
Labyrinthine dysfunc NOS
Hypract labyrinth unilat
Hyperact labyrinth bilat
Hypoact labyrinth unilat
Hypoact labyrinth bilat
Loss labyrn react unilat
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
564
564
564
564
564
561
561
561
561
561
561
561
561
561
561
561
561
561
561
561
561
564
564
564
564
564
561
561
561
561
561
561
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 179 of 6734

38656
38658
3868
3869
3870
3871
3872
3878
3879
38800
38801
38802
38810
38811
38812
3882
38830
38831
38832
38840
38841
38842
38843
38844
38845
3885
38860
38861
38869
38870
38871
38872
3888
Loss labyrin react bilat

Labyrinthine dysfunc NEC
Disorders labyrinth NEC
Vertiginous synd NOS
Otoscler-oval wnd nonobl
Otoscler-oval wndw oblit
Cochlear otosclerosis
Otosclerosis NEC
Otosclerosis NOS
Degen/vascul dis ear NOS
Presbyacusis
Trans ischemic deafness
Noise effect-ear/NOS
Acoustic trauma
Hearing loss d/t noise
Sudden hearing loss NOS
Tinnitus NOS
Subjective tinnitus
Objective tinnitus
Abn auditory percept NOS
Diplacusis
Hyperacusis
Impairm auditory discrim
Auditory recruitment
Acq auditory process dis
Acoustic nerve disorders
Otorrhea NOS
Cerebrosp fluid otorrhea
Otorrhea NEC
Otalgia NOS
Otogenic pain
Referred pain of ear
Disorders of ear NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
561
561
561
561
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
524
564
564
564
564
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 180 of 6734

3889
38900
38901
38902
38903
38904
38905
38906
38908
38910
38911
38912
38913
38914
38915
38916
38917
38918
38920
38921
38922
3897
3898
3899
390
3910
3911
3912
3918
3919
3920
3929
393
Disorder of ear NOS

Conduct hearing loss NOS
Conduc hear loss ext ear
Conduct hear loss tympan
Conduc hear loss mid ear
Cond hear loss inner ear
Condctv hear loss,unilat
Condctv hear loss, bilat
Cond hear loss comb type
Sensorneur hear loss NOS
Sensry hearng loss,bilat
Neural hearng loss,bilat
Neural hear loss, unilat
Central hearing loss
Sensorneur hear loss uni
Sensoneur hear loss asym
Sensory hear loss,unilat
Sensonrl hear loss,bilat
Mixed hearing loss NOS
Mixed hearing loss,unilt
Mixed hearing loss,bilat
Deaf, nonspeaking NEC
Hearing loss NEC
Hearing loss NOS
Rheum fev w/o hrt involv
Acute rheumatic pericard
Acute rheumatic endocard
Ac rheumatic myocarditis
Ac rheumat hrt dis NEC
Ac rheumat hrt dis NOS
Rheum chorea w hrt invol
Rheumatic chorea NOS
Chr rheumatic pericard
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
564
655
593
600
593
593
593
593
593
593
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 181 of 6734

3940
3941
3942
3949
3950
3951
3952
3959
3960
3961
3962
3963
3968
3969
3970
3971
3979
3980
39890
39891
39899
4010
4011
4019
40200
40201
40210
40211
40290
40291
40300
40301
40310
Mitral stenosis
Rheumatic mitral insuff
Mitral stenosis w insuff
Mitral valve dis NEC/NOS
Rheumat aortic stenosis
Rheumatic aortic insuff
Rheum aortic sten/insuff
Rheum aortic dis NEC/NOS
Mitral/aortic stenosis
Mitral stenos/aort insuf
Mitral insuf/aort stenos
Mitral/aortic val insuff
Mitr/aortic mult involv
Mitral/aortic v dis NOS
Tricuspid valve disease
Rheum pulmon valve dis
Rheum endocarditis NOS
Rheumatic myocarditis
Rheumatic heart dis NOS
Rheumatic heart failure
Rheumatic heart dis NEC
Malignant hypertension
Benign hypertension
Hypertension NOS
Mal hyp ht dis w/o hf
Mal hypert hrt dis w hf
Benign hyp ht dis w/o hf
Benign hyp ht dis w hf
Hyp hrt dis NOS w/o hf
Hyp ht dis NOS w ht fail
Mal hy kid w cr kid I-IV
Mal hyp kid w cr kid V
Ben hy kid w cr kid I-IV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
593
593
594
593
599
599
599
599
594
599
594
599
594
720
720
720
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 182 of 6734

40311
40390
40391
40400
40401
40402
40403
40410
40411
40412
40413
40490
40491
40492
40493
40501
40509
40511
40519
40591
40599
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
Ben hyp kid w cr kid V

Hy kid NOS w cr kid I-IV
Hyp kid NOS w cr kid V
Mal hy ht/kd I-IV w/o hf
Mal hyp ht/kd I-IV w hf
Mal hy ht/kd st V w/o hf
Mal hyp ht/kd stg V w hf
Ben hy ht/kd I-IV w/o hf
Ben hyp ht/kd I-IV w hf
Ben hy ht/kd st V w/o hf
Ben hyp ht/kd stg V w hf
Hy ht/kd NOS I-IV w/o hf
Hyp ht/kd NOS I-IV w hf
Hy ht/kd NOS st V w/o hf
Hyp ht/kd NOS st V w hf
Mal renovasc hypertens
Mal second hyperten NEC
Benign renovasc hyperten
Benign second hypert NEC
Renovasc hypertension
Second hypertension NEC
AMI anterolateral,unspec
AMI anterolateral, init
AMI anterolateral,subseq
AMI anterior wall,unspec
AMI anterior wall, init
AMI anterior wall,subseq
AMI inferolateral,unspec
AMI inferolateral, init
AMI inferolateral,subseq
AMI inferopost, unspec
AMI inferopost, initial
AMI inferopost, subseq
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
720
720
720
599
594
720
594
599
594
720
594
599
594
720
594
599
599
599
599
599
599
598
591
598
598
591
598
598
591
598
598
591
598
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 183 of 6734

41040
41041
41042
41050
41051
41052
41060
41061
41062
41070
41071
41072
41080
41081
41082
41090
41091
41092
4110
4111
41181
41189
412
4130
4131
4139
41400
41401
41402
41403
41404
41405
41406
AMI inferior wall,unspec

AMI inferior wall, init
AMI inferior wall,subseq
AMI lateral NEC, unspec
AMI lateral NEC, initial
AMI lateral NEC, subseq
True post infarct,unspec
True post infarct, init
True post infarct,subseq
Subendo infarct, unspec
Subendo infarct, initial
Subendo infarct, subseq
AMI NEC, unspecified
AMI NEC, initial
AMI NEC, subsequent
AMI NOS, unspecified
AMI NOS, initial
AMI NOS, subsequent
Post MI syndrome
Intermed coronary synd
Acute cor occlsn w/o MI
Ac ischemic hrt dis NEC
Old myocardial infarct
Angina decubitus
Prinzmetal angina
Angina pectoris NEC/NOS
Cor ath unsp vsl ntv/gft
Crnry athrscl natve vssl
Crn ath atlg vn bps grft
Crn ath nonatlg blg grft
Cor ath artry bypas grft
Cor ath bypass graft NOS
Cor ath natv art tp hrt
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
598
591
598
598
591
598
598
591
598
598
591
598
598
591
598
598
591
598
598
598
598
598
598
598
598
598
598
598
598
598
598
598
598
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 184 of 6734

41407
41410
41411
41412
41419
4142
4143
4144
4148
4149
4150
41511
41512
41513
41519
4160
4161
4162
4168
4169
4170
4171
4178
4179
4200
42090
42091
42099
4210
4211
4219
4220
42290
Cor ath bps graft tp hrt

Aneurysm of heart
Aneurysm coronary vessel
Dissection cor artery
Aneurysm of heart NEC
Chr tot occlus cor artry
Cor ath d/t lpd rch plaq
Cor ath d/t calc cor lsn
Chr ischemic hrt dis NEC
Chr ischemic hrt dis NOS
Acute cor pulmonale
Iatrogen pulm emb/infarc
Septic pulmonary embolsm
Saddle embol pulmon art
Pulm embol/infarct NEC
Prim pulm hypertension
Kyphoscoliotic heart dis
Chr pulmonary embolism
Chr pulmon heart dis NEC
Chr pulmon heart dis NOS
Arterioven fistu pul ves
Pulmon artery aneurysm
Pulmon circulat dis NEC
Pulmon circulat dis NOS
Ac pericardit in oth dis
Acute pericarditis NOS
Ac idiopath pericarditis
Acute pericarditis NEC
Ac/subac bact endocard
Ac endocardit in oth dis
Ac/subac endocardit NOS
Ac myocardit in oth dis
Acute myocarditis NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
598
593
593
593
593
598
598
598
598
598
594
510
510
577
510
593
593
577
593
593
593
593
593
593
593
593
593
593
593
593
593
593
593
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 185 of 6734

42291
42292
42293
42299
4230
4231
4232
4233
4238
4239
4240
4241
4242
4243
42490
42491
42499
4250
42511
42518
4252
4253
4254
4255
4257
4258
4259
4260
42610
42611
42612
42613
4262
Idiopathic myocarditis
Septic myocarditis
Toxic myocarditis
Acute myocarditis NEC
Hemopericardium
Adhesive pericarditis
Constrictiv pericarditis
Cardiac tamponade
Pericardial disease NEC
Pericardial disease NOS
Mitral valve disorder
Aortic valve disorder
Nonrheum tricusp val dis
Pulmonary valve disorder
Endocarditis NOS
Endocarditis in oth dis
Endocarditis NEC
Endomyocardial fibrosis
Hyprtrophc obst cardiomy
Oth hyprtrophic cardiomy
Obsc afric cardiomyopath
Endocard fibroelastosis
Prim cardiomyopathy NEC
Alcoholic cardiomyopathy
Metabolic cardiomyopathy
Cardiomyopath in oth dis
Second cardiomyopath NOS
Atriovent block complete
Atriovent block NOS
Atriovent block-1st degr
Atrioven block-mobitz ii
Av block-2nd degree NEC
Left bb hemiblock
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
593
593
593
593
510
593
593
510
592
592
600
600
600
600
600
600
600
592
593
593
593
593
593
593
593
593
593
603
601
601
603
601
601
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 186 of 6734

4263
4264
42650
42651
42652
42653
42654
4266
4267
42681
42682
42689
4269
4270
4271
4272
42731
42732
42741
42742
4275
42760
42761
42769
42781
42789
4279
4280
4281
42820
42821
42822
42823
Left bb block NEC

Rt bundle branch block
Bundle branch block NOS
Rt bbb/lft post fasc blk
Rt bbb/lft ant fasc blk
Bilat bb block NEC
Trifascicular block
Other heart block
Anomalous av excitation
Lown-ganong-levine synd
Long QT syndrome
Conduction disorder NEC
Conduction disorder NOS
Parox atrial tachycardia
Parox ventric tachycard
Parox tachycardia NOS
Atrial fibrillation
Atrial flutter
Ventricular fibrillation
Ventricular flutter
Cardiac arrest
Premature beats NOS
Atrial premature beats
Premature beats NEC
Sinoatrial node dysfunct
Cardiac dysrhythmias NEC
Cardiac dysrhythmia NOS
CHF NOS
Left heart failure
Systolic hrt failure NOS
Ac systolic hrt failure
Chr systolic hrt failure
Ac on chr syst hrt fail
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
601
601
601
601
601
601
603
601
603
603
603
601
601
601
603
601
602
603
595
595
595
601
601
601
601
601
601
594
594
594
594
594
594
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 187 of 6734

42830
42831
42832
42833
42840
42841
42842
42843
4289
4290
4291
4292
4293
4294
4295
4296
42971
42979
42981
42982
42983
42989
4299
430
431
4320
4321
4329
43300
43301
43310
43311
43320
Diastolc hrt failure NOS

Ac diastolic hrt failure
Chr diastolic hrt fail
Ac on chr diast hrt fail
Syst/diast hrt fail NOS
Ac syst/diastol hrt fail
Chr syst/diastl hrt fail
Ac/chr syst/dia hrt fail
Heart failure NOS
Myocarditis NOS
Myocardial degeneration
Ascvd
Cardiomegaly
Hrt dis postcardiac surg
Chordae tendinae rupture
Papillary muscle rupture
Acq cardiac septl defect
Other sequelae of MI NEC
Papillary muscle dis NEC
Hyperkinetic heart dis
Takotsubo syndrome
Ill-defined hrt dis NEC
Heart disease NOS
Subarachnoid hemorrhage
Intracerebral hemorrhage
Nontraum extradural hem
Subdural hemorrhage
Intracranial hemorr NOS
Ocl bslr art wo infrct
Ocl bslr art w infrct
Ocl crtd art wo infrct
Ocl crtd art w infrct
Ocl vrtb art wo infrct
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
594
594
594
594
594
594
594
594
594
592
592
598
592
592
600
600
592
592
600
592
510
592
592
510
510
510
510
510
534
534
534
534
534
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 188 of 6734

43321
43330
43331
43380
43381
43390
43391
43400
43401
43410
43411
43490
43491
4350
4351
4352
4353
4358
4359
436
4370
4371
4372
4373
4374
4375
4376
4377
4378
4379
4380
43810
43811
Ocl vrtb art w infrct

Ocl mlt bi art wo infrct
Ocl mlt bi art w infrct
Ocl spcf art wo infrct
Ocl spcf art w infrct
Ocl art NOS wo infrct
Ocl art NOS w infrct
Crbl thrmbs wo infrct
Crbl thrmbs w infrct
Crbl emblsm wo infrct
Crbl emblsm w infrct
Crbl art oc NOS wo infrc
Crbl art ocl NOS w infrc
Basilar artery syndrome
Vertebral artery syndrom
Subclavian steal syndrom
Vertbrobaslr artery synd
Trans cereb ischemia NEC
Trans cereb ischemia NOS
Cva
Cerebral atherosclerosis
Ac cerebrovasc insuf NOS
Hypertens encephalopathy
Nonrupt cerebral aneurym
Cerebral arteritis
Moyamoya disease
Nonpyogen thrombos sinus
Transient global amnesia
Cerebrovasc disease NEC
Cerebrovasc disease NOS
Late ef CV dis-cognf def
Late ef-spch/lng def NOS
Late eff CV dis-aphasia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
534
534
535
534
535
534
535
534
535
534
535
534
535
526
526
526
526
526
526
534
524
534
528
524
524
524
524
528
524
524
524
524
524
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 189 of 6734

43812
43813
43814
43819
43820
43821
43822
43830
43831
43832
43840
43841
43842
43850
43851
43852
43853
4386
4387
43881
43882
43883
43884
43885
43889
4389
4400
4401
44020
44021
44022
44023
44024
Late eff CV dis-dysphsia

Late eff CV-dysarthria
Late eff CV-fluency dis
Late ef-spch/lang df NEC
Late ef-hemplga side NOS
Late ef-hemplga dom side
Late ef-hemiplga non-dom
Late ef-mplga up lmb NOS
Late ef-mplga up lmb dom
Lt ef-mplga uplmb nondom
Lte ef-mplga low lmb NOS
Lte ef-mplga low lmb dom
Lt ef-mplga lowlmb nondm
Lt ef oth paral side NOS
Lt ef oth paral dom side
Lt ef oth parals non-dom
Lt ef oth parals-bilat
Alteration of sensations
Disturbances of vision
Late eff CV dis-apraxia
Late ef CV dis dysphagia
Facial weakness
Ataxia
Vertigo
Late effect CV dis NEC
Late effect CV dis NOS
Aortic atherosclerosis
Renal artery atheroscler
Athscl extrm ntv art NOS
Ath ext ntv at w claudct
Ath ext ntv at w rst pn
Ath ext ntv art ulcrtion
Ath ext ntv art gngrene
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
524
533
533
524
533
533
533
533
533
533
533
533
533
533
533
533
533
533
533
533
624
533
533
533
533
524
596
726
596
596
596
596
596
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 190 of 6734

44029
44030
44031
44032
4404
4408
4409
44100
44101
44102
44103
4411
4412
4413
4414
4415
4416
4417
4419
4420
4421
4422
4423
44281
44282
44283
44284
44289
4429
4430
4431
44321
44322
Athrsc extrm ntv art oth

Athscl extrm bps gft NOS
Ath ext autologs bps gft
Ath ext nonautlg bps gft
Chr tot occl art extrem
Atherosclerosis NEC
Atherosclerosis NOS
Dsct of aorta unsp site
Dsct of thoracic aorta
Dsct of abdominal aorta
Dsct of thoracoabd aorta
Ruptur thoracic aneurysm
Thoracic aortic aneurysm
Rupt abd aortic aneurysm
Abdom aortic aneurysm
Rupt aortic aneurysm NOS
Thoracoabd aneurysm rupt
Thracabd anurysm wo rupt
Aortic aneurysm NOS
Upper extremity aneurysm
Renal artery aneurysm
Iliac artery aneurysm
Lower extremity aneurysm
Aneurysm of neck
Subclavian aneurysm
Splenic artery aneurysm
Visceral aneurysm NEC
Aneurysm NEC
Aneurysm NOS
Raynaud's syndrome
Thromboangiit obliterans
Dissect carotid artery
Dissection iliac artery
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
596
596
596
596
592
596
596
510
510
510
510
510
596
510
596
510
510
596
596
596
726
596
596
596
596
596
596
596
596
655
596
534
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 191 of 6734

44323
44324
44329
44381
44382
44389
4439
44401
44409
4441
44421
44422
44481
44489
4449
44501
44502
44581
44589
4460
4461
44620
44621
44629
4463
4464
4465
4466
4467
4470
4471
4472
4473
Dissection renal artery

Dissect vertebral artery
Dissection artery NEC
Angiopathy in other dis
Erythromelalgia
Periph vascular dis NEC
Periph vascular dis NOS
Saddle embolus abd aorta
Ot art emb/thrm abd aort
Thoracic aortic embolism
Upper extremity embolism
Lower extremity embolism
Iliac artery embolism
Arterial embolism NEC
Arterial embolism NOS
Atheroembolism,upper ext
Atheroembolism,lower ext
Atheroembolism, kidney
Atheroembolism, site NEC
Polyarteritis nodosa
Mucocutan lymph node syn
Hypersensit angiitis NOS
Goodpasture's syndrome
Hypersensit angiitis NEC
Lethal midline granuloma
Wegener's granulomatosis
Giant cell arteritis
Thrombot microangiopathy
Takayasu's disease
Acq arterioven fistula
Stricture of artery
Rupture of artery
Renal artery hyperplasia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
534
510
596
596
596
596
510
510
510
510
510
510
510
510
510
510
510
510
655
655
655
655
655
804
655
655
780
655
596
510
510
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 192 of 6734

4474
4475
4476
44770
44771
44772
44773
4478
4479
4480
4481
4489
449
4510
45111
45119
4512
45181
45182
45183
45184
45189
4519
452
4530
4531
4532
4533
45340
45341
45342
45350
45351
Celiac art compress syn

Necrosis of artery
Arteritis NOS
Aortic ectasia, site NOS
Thoracic aortic ectasia
Abdominal aortic ectasia
Thoracoabd aortc ectasia
Arterial disease NEC
Arterial disease NOS
Heredit hemorr telangiec
Nevus, non-neoplastic
Capillary dis NEC/NOS
Septic arterial embolism
Superfic phlebitis-leg
Femoral vein phlebitis
Deep phlebitis-leg NEC
Thrombophlebitis leg NOS
Iliac thrombophlebitis
Phlbts sprfc vn up extrm
Phlbts deep vn up extrm
Phlbts vn NOS up extrm
Thrombophlebitis NEC
Thrombophlebitis NOS
Portal vein thrombosis
Budd-chiari syndrome
Thrombophlebitis migrans
Oth inf vena cava thromb
Renal vein thrombosis
Ac DVT/embl low ext NOS
Ac DVT/emb prox low ext
Ac DVT/emb distl low ext
Ch DVT/embl low ext NOS
Ch DVT/embl prox low ext
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
510
655
596
596
596
596
596
596
596
675
596
510
597
597
597
597
597
597
597
597
597
597
510
510
596
596
726
596
596
596
596
596
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 193 of 6734

45352
4536
45371
45372
45373
45374
45375
45376
45377
45379
45381
45382
45383
45384
45385
45386
45387
45389
4539
4540
4541
4542
4548
4549
4550
4551
4552
4553
4554
4555
4556
4557
4558
Ch DVT/embl dstl low ext

Embl suprfcl ves low ext
Ch emblsm suprfcl up ext
Ch DVT/embl up ext
Ch emblsm up ext NOS
Ch emblsm axillary veins
Ch emblsm subclav veins
Ch embl internl jug vein
Ch embl thorac vein NEC
Ch emblsm veins NEC
Ac embl suprfcl up ext
Ac DVT/embl up ext
Ac emblsm up ext NOS
Ac emblsm axillary veins
Ac embl subclav veins
Ac embl internl jug vein
Ac embl thorac vein NEC
Ac embolism veins NEC
Venous thrombosis NOS
Leg varicosity w ulcer
Leg varicosity w inflam
Varicos leg ulcer/inflam
Varic vein leg,comp NEC
Asympt varicose veins
Int hemorrhoid w/o compl
Int thrombos hemorrhoid
Int hemrrhoid w comp NEC
Ext hemorrhoid w/o compl
Ext thrombos hemorrhoid
Ext hemrrhoid w comp NEC
Hemorrhoids NOS
Thrombos hemorrhoids NOS
Hemrrhoid NOS w comp NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
596
624
624
624
624
624
624
624
624
624
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 194 of 6734

4559
4560
4561
45620
45621
4563
4564
4565
4566
4568
4570
4571
4572
4578
4579
4580
4581
45821
45829
4588
4589
4590
45910
45911
45912
45913
45919
4592
45930
45931
45932
45933
45939
Residual hemorrhoid tags

Esophag varices w bleed
Esoph varices w/o bleed
Bleed esoph var oth dis
Esoph varice oth dis NOS
Sublingual varices
Scrotal varices
Pelvic varices
Vulval varices
Varices of other sites
Postmastect lymphedema
Other lymphedema
Lymphangitis
Noninfect lymph dis NEC
Noninfect lymph dis NOS
Orthostatic hypotension
Chronic hypotension
Hemododialysis hypotensn
Iatrogenc hypotnsion NEC
Hypotension NEC
Hypotension NOS
Hemorrhage NOS
Postphlbtc synd w/o comp
Postphlebtc synd w ulcer
Postphlebtc syn w inflam
Postphl syn w ulc&inflam
Postphleb synd comp NEC
Compression of vein
Chr venous hypr w/o comp
Chr venous hyper w ulcer
Chr venous hypr w inflam
Chr ven hyp w ulc&inflam
Chr venous hyp comp NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
624
510
625
625
624
596
741
752
752
596
675
675
673
785
785
605
592
592
592
592
592
592
596
596
596
596
596
596
596
596
596
596
596
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 195 of 6734

45981
45989
4599
460
4610
4611
4612
4613
4618
4619
462
463
46400
46401
46410
46411
46420
46421
46430
46431
4644
46450
46451
4650
4658
4659
4660
46611
46619
470
4710
4711
4718
Venous insufficiency NOS

Circulatory disease NEC
Circulatory disease NOS
Acute nasopharyngitis
Ac maxillary sinusitis
Ac frontal sinusitis
Ac ethmoidal sinusitis
Ac sphenoidal sinusitis
Other acute sinusitis
Acute sinusitis NOS
Acute pharyngitis
Acute tonsillitis
Ac laryngitis w/o obst
Ac laryngitis w obstruct
Ac tracheitis no obstruc
Ac tracheitis w obstruct
Ac laryngotrach no obstr
Ac laryngotrach w obstr
Ac epiglottitis no obstr
Ac epiglottitis w obstr
Croup
Supraglottis w/o obs NOS
Supraglottis w obstr NOS
Acute laryngopharyngitis
Acute uri mult sites NEC
Acute uri NOS
Acute bronchitis
Acu broncholitis d/t RSV
Acu brnchlts d/t oth org
Deviated nasal septum
Polyp of nasal cavity
Polypoid sinus degen
Nasal sinus polyp NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
596
592
592
562
562
562
562
562
562
562
562
562
562
510
562
577
562
510
565
510
562
562
510
562
562
562
562
572
572
564
564
564
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 196 of 6734

4719
4720
4721
4722
4730
4731
4732
4733
4738
4739
47400
47401
47402
47410
47411
47412
4742
4748
4749
475
4760
4761
4770
4771
4772
4778
4779
4780
47811
47819
47820
47821
47822
Nasal polyp NOS

Chronic rhinitis
Chronic pharyngitis
Chronic nasopharyngitis
Chr maxillary sinusitis
Chr frontal sinusitis
Chr ethmoidal sinusitis
Chr sphenoidal sinusitis
Chronic sinusitis NEC
Chronic sinusitis NOS
Chronic tonsillitis
Chronic adenoiditis
Chronic tonsils&adenoids
Hypertrophy T and A
Hypertrophy tonsils
Hypertrophy adenoids
Adenoid vegetations
Chr T & A dis NEC
Chr T & A dis NOS
Peritonsillar abscess
Chronic laryngitis
Chr laryngotracheitis
Rhinitis due to pollen
Allergic rhinitis-food
Allerg rhinitis-cat/dog
Allergic rhinitis NEC
Allergic rhinitis NOS
Hypertrph nasal turbinat
Nasal mucositis (ulcer)
Nasal & sinus dis NEC
Disease of pharynx NOS
Cellulitis of pharynx
Parapharyngeal abscess
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
562
562
562
562
562
562
562
562
562
562
562
562
564
564
564
564
564
564
510
562
562
562
562
562
562
562
564
562
564
564
562
562
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 197 of 6734

47824
47825
47826
47829
47830
47831
47832
47833
47834
4784
4785
4786
47870
47871
47874
47875
47879
4788
4789
4800
4801
4802
4803
4808
4809
481
4820
4821
4822
48230
48231
48232
48239
Retropharyngeal abscess
Edema pharynx/nasopharyx
Cyst pharynx/nasopharynx
Disease of pharynx NEC
Vocal cord paralysis NOS
Vocal paral unilat part
Vocal paral unilat total
Vocal paral bilat part
Vocal paral bilat total
Vocal cord/larynx polyp
Vocal cord disease NEC
Edema of larynx
Disease of larynx NOS
Laryngeal cellulitis
Stenosis of larynx
Laryngeal spasm
Disease of larynx NEC
Urt hypersens react NOS
Upper resp dis NEC/NOS
Adenoviral pneumonia
Resp syncyt viral pneum
Parinfluenza viral pneum
Pneumonia due to SARS
Viral pneumonia NEC
Viral pneumonia NOS
Pneumococcal pneumonia
K. pneumoniae pneumonia
Pseudomonal pneumonia
H.influenzae pneumonia
Streptococcal pneumn NOS
Pneumonia strptococcus a
Pneumonia strptococcus b
Pneumonia oth strep
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
562
564
564
564
564
564
564
564
564
564
564
564
564
562
564
564
564
562
562
573
572
573
578
573
573
573
578
578
578
573
573
573
573
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 198 of 6734

48240
48241
48242
48249
48281
48282
48283
48284
48289
4829
4830
4831
4838
4841
4843
4845
4846
4847
4848
485
486
4870
4871
4878
48801
48802
48809
48811
48812
48819
48881
48882
48889
Staphylococcal pneu NOS

Meth sus pneum d/t Staph
Meth res pneu d/t Staph
Staph pneumonia NEC
Pneumonia anaerobes
Pneumonia e coli
Pneumo oth grm-neg bact
Legionnaires' disease
Pneumonia oth spcf bact
Bacterial pneumonia NOS
Pneu mycplsm pneumoniae
Pneumonia d/t chlamydia
Pneumon oth spec orgnsm
Pneum w cytomeg incl dis
Pneumonia in whoop cough
Pneumonia in anthrax
Pneum in aspergillosis
Pneum in oth sys mycoses
Pneum in infect dis NEC
Bronchopneumonia org NOS
Pneumonia, organism NOS
Influenza with pneumonia
Flu w resp manifest NEC
Flu w manifestation NEC
Flu dt iden avian w pneu
Flu dt avian w oth resp
Flu dt avian manfest NEC
Flu dt 2009 H1N1 w pneu
Flu-2009 H1N1 w oth resp
Flu-2009 H1N1 w oth man
Flu dt nvl A vrs w pneu
Flu dt nvl A w oth resp
Flu dt novel A w oth man
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
578
578
578
578
578
578
578
578
578
573
573
573
573
578
578
578
578
578
578
573
573
573
564
808
808
808
808
808
808
808
808
808
808
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 199 of 6734

490
4910
4911
49120
49121
49122
4918
4919
4920
4928
49300
49301
49302
49310
49311
49312
49320
49321
49322
49381
49382
49390
49391
49392
4940
4941
4950
4951
4952
4953
4954
4955
4956
Bronchitis NOS
Simple chr bronchitis
Mucopurul chr bronchitis
Obst chr bronc w/o exac
Obs chr bronc w(ac) exac
Obs chr bronc w ac bronc
Chronic bronchitis NEC
Chronic bronchitis NOS
Emphysematous bleb
Emphysema NEC
Extrinsic asthma NOS
Ext asthma w status asth
Ext asthma w(acute) exac
Intrinsic asthma NOS
Int asthma w status asth
Int asthma w (ac) exac
Chronic obst asthma NOS
Ch ob asthma w stat asth
Ch obst asth w (ac) exac
Exercse ind bronchospasm
Cough variant asthma
Asthma NOS
Asthma w status asthmat
Asthma NOS w (ac) exac
Bronchiectas w/o ac exac
Bronchiectasis w ac exac
Farmers' lung
Bagassosis
Bird-fanciers' lung
Suberosis
Malt workers' lung
Mushroom workers' lung
Mapl bark-stripprs' lung
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
562
577
574
574
574
574
574
574
574
574
575
579
575
575
579
575
574
574
574
576
575
575
579
575
574
574
577
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 200 of 6734

4957
4958
4959
496
500
501
502
503
504
505
5060
5061
5062
5063
5064
5069
5070
5071
5078
5080
5081
5082
5088
5089
5100
5109
5110
5111
51181
51189
5119
5120
5121
ventilation pneumonit
Allerg alveol/pneum NEC
Allerg alveol/pneum NOS
Chr airway obstruct NEC
Coal workers' pneumocon
Asbestosis
Silica pneumocon NEC
Inorg dust pneumocon NEC
Dust pneumonopathy NEC
Pneumoconiosis NOS
Fum/vapor bronc/pneumon
Fum/vapor ac pulm edema
Fum/vapor up resp inflam
Fum/vap ac resp cond NEC
Fum/vapor chr resp cond
Fum/vapor resp cond NOS
Food/vomit pneumonitis
Oil/essence pneumonitis
Solid/liq pneumonit NEC
Ac pul manif d/t radiat
Chr pul manif d/t radiat
Resp cond dt smoke inhal
Resp cond: ext agent NEC
Resp cond: ext agent NOS
Empyema with fistula
Empyema w/o fistula
Pleurisy w/o effus or TB
Bact pleur/effus not TB
Malignant pleural effusn
Effusion NEC exc tb
Pleural effusion NOS
Spont tens pneumothorax
Iatrogenic pneumothorax
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
574
577
577
577
577
577
577
577
577
577
576
574
574
577
577
577
577
577
576
576
576
577
577
576
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 201 of 6734

5122
51281
51282
51283
51284
51289
5130
5131
514
515
5160
5161
5162
51630
51631
51632
51633
51634
51635
51636
51637
5164
5165
51661
51662
51663
51664
51669
5168
5169
5171
5172
5173
Postoperative air leak

Prim spont pneumothorax
Sec spont pneumothorax
Chronic pneumothorax
Other air leak
Other pneumothorax
Abscess of lung
Abscess of mediastinum
Pulm congest/hypostasis
Postinflam pulm fibrosis
Pul alveolar proteinosis
Idio pulm hemosiderosis
Pulm alveolar microlith
Idiopath inters pneu NOS
Idiopath pulmon fibrosis
Idio non-spec inter pneu
Acute interstitial pneum
Resp brncio interst lung
Idiopth lym interst pneu
Cryptogenic organiz pneu
Desquamatv interst pneu
Lymphangioleiomyomatosis
Adlt pul Langs cell hist
Neuroend cell hyprpl inf
Pulm interstitl glycogen
Surfactant mutation lung
Alv cap dysp w vn misaln
Oth intrst lung dis chld
Alveol pneumonopathy NEC
Alveol pneumonopathy NOS
Rheumatic pneumonia
Syst sclerosis lung dis
Acute chest syndrome
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
577
578
578
661
577
577
577
577
577
577
577
577
577
577
783
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 202 of 6734

5178
5180
5181
5182
5183
5184
51851
51852
51853
5186
5187
51881
51882
51883
51884
51889
51900
51901
51902
51909
51911
51919
5192
5193
5194
5198
5199
5200
5201
5202
5203
5204
5205
Lung involv in oth dis

Pulmonary collapse
Interstitial emphysema
Compensatory emphysema
Pulmonary eosinophilia
Acute lung edema NOS
Ac resp flr fol trma/srg
Ot pul insuf fol trm/srg
Ac/chr rsp flr fol tr/sg
Alrgc brncpul asprglosis
Transfsn rel ac lung inj
Acute respiratry failure
Other pulmonary insuff
Chronic respiratory fail
Acute & chronc resp fail
Other lung disease NEC
Tracheostomy comp NOS
Tracheostomy infection
Tracheostomy - mech comp
Tracheostomy comp NEC
Acute bronchospasm
Trachea & bronch dis NEC
Mediastinitis
Mediastinum disease NEC
Disorders of diaphragm
Resp system disease NEC
Resp system disease NOS
Anodontia
Supernumerary teeth
Abnormal tooth size/form
Mottled teeth
Tooth formation disturb
Heredit tooth struct NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
510
510
510
577
577
577
577
577
577
576
577
577
577
577
576
576
577
576
576
576
576
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 203 of 6734

5206
5207
5208
5209
52100
52101
52102
52103
52104
52105
52106
52107
52108
52109
52110
52111
52112
52113
52114
52115
52120
52121
52122
52123
52124
52125
52130
52131
52132
52133
52134
52135
52140
Tooth eruption disturb

Teething syndrome
Tooth devel/erup dis NEC
Tooth devel/erup dis NOS
Dental caries NOS
Dental caries - enamel
Dental caries - dentine
Dental caries - pulp
Dental caries - arrested
Odontoclasia
Dentl caries-pit/fissure
Dentl caries-smooth surf
Dental caries-root surf
Dental caries NEC
Excessive attrition NOS
Excess attrition-enamel
Excess attrition-dentine
Excessive attrition-pulp
Excess attrition-local
Excess attrition-general
Abrasion NOS
Abrasion-enamel
Abrasion-dentine
Abrasion-pulp
Abrasion-localized
Abrasion-generalized
Erosion NOS
Erosion-enamel
Erosion-dentine
Erosion-pulp
Erosion-localized
Erosion-generalized
Path resorption NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 204 of 6734

52141
52142
52149
5215
5216
5217
52181
52189
5219
5220
5221
5222
5223
5224
5225
5226
5227
5228
5229
52300
52301
52310
52311
52320
52321
52322
52323
52324
52325
52330
52331
52332
52333
Path resorption-internal
Path resorption-external
Path resorption NEC
Hypercementosis
Ankylosis of teeth
Intrin posteruptv color
Cracked tooth
Dis hard tiss teeth NEC
Hard tiss dis teeth NOS
Pulpitis
Necrosis of tooth pulp
Tooth pulp degeneration
Abn hard tiss-tooth pulp
Ac apical periodontitis
Periapical abscess
Chr apical periodontitis
Periapical absc w sinus
Radicular cyst
Pulp/periapical dis NEC
Acute gingititis, plaque
Ac gingivitis,nonplaque
Chronc gingititis,plaque
Chr gingivitis-nonplaque
Gingival recession NOS
Gingival recess-minimal
Gingival recess-moderate
Gingival recess-severe
Gingival recession-local
Gingival recess-general
Aggres periodontitis NOS
Aggres periodontitis,loc
Aggres periodontitis,gen
Acute periodontitis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 205 of 6734

52340
52341
52342
5235
5236
5238
5239
52400
52401
52402
52403
52404
52405
52406
52407
52409
52410
52411
52412
52419
52420
52421
52422
52423
52424
52425
52426
52427
52428
52429
52430
52431
52432
Chronc periodontitis NOS

Chr periodontitis, local
Chron periodontitis,gen
Periodontosis
Accretions on teeth
Periodontal disease NEC
Gingiv/periodont dis NOS
Unspcf anomaly jaw size
Maxillary hyperplasia
Mandibular hyperplasia
Maxillary hypoplasia
Mandibular hypoplasia
Macrogenia
Microgenia
Excessive tuberosity-jaw
Oth spcf anmly jaw size
Unspcf anm jaw cranl bse
Maxillary asymmetry
Other jaw asymmetry
Spcfd anom jaw cranl bse
Anomaly dental arch NOS
Malocc- Angle's class I
Malocc-Angle's class II
Malocc-Angle's class III
Open anterior occlusion
Open posterior occlusion
Excess horizontl overlap
Reverse articulation
Anom interarch distance
Anomaly dental arch NEC
Tooth position anom NOS
Crowding of teeth
Excessive spacing-teeth
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 206 of 6734

52433
52434
52435
52436
52437
52439
5244
52450
52451
52452
52453
52454
52455
52456
52457
52459
52460
52461
52462
52463
52464
52469
52470
52471
52472
52473
52474
52475
52476
52479
52481
52482
52489
Horizontl displace-teeth
Vertical displace-teeth
Rotation of teeth
Insuf interocclusl-teeth
Exces interocclusl-teeth
Tooth position anom NEC
Malocclusion NOS
Dentofac funct abnor NOS
Abnormal jaw closure
Limited mandibular ROM
Dev open/close mandible
Insuff anterior guidance
Centric occl intrcsp dis
Nonwork side interfrnce
Lack post occlsl support
Dentofac funct abnor NEC
TMJ disorders NOS
Adhesns/ankylosis - TMJ
Arthralgia TMJ
Articular disc disorder
TMJ sounds opn/close jaw
Other specf TMJ disordrs
Unspf dent alvelr anmaly
Alveolar maxil hyprplsia
Alveolar mandib hyprplas
Alveolar maxil hypoplsia
Alveolar mandb hypoplsia
Vertical displace teeth
Occlusal plane deviation
Oth spcf alveolar anmaly
Anterior soft tiss impg
Posterior soft tiss impg
Dentofacial anomaly NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 207 of 6734

5249
5250
52510
52511
52512
52513
52519
52520
52521
52522
52523
52524
52525
52526
5253
52540
52541
52542
52543
52544
52550
52551
52552
52553
52554
52560
52561
52562
52563
52564
52565
52566
52567
Dentofacial anomaly NOS

Exfoliation of teeth
Acq absence of teeth NOS
Loss of teeth d/t trauma
Loss teeth d/t peri dis
Loss of teeth d/t caries
Loss of teeth NEC
Atrophy alvlar ridge NOS
Atrophy mandible-minimal
Atrophy mandible-modrate
Atrophy mandible-severe
Atrophy maxilla-minimal
Atrophy maxilla-moderate
Atrophy maxilla-severe
Retained dental root
Complete edentulism NOS
Comp edentulism,class I
Comp edentulism,class II
Comp edentulsm,class III
Comp edentulism,class IV
Partial edentulism NOS
Part edentulism,class I
Part edentulism,class II
Part edentulsm,class III
Part edentulism,class IV
Unsat restore tooth NOS
Open restoration margins
Overhang dental restore
Fx dental mat w/o loss
Fx dentl material w loss
Contour restore tooth
Allergy dental res mat
Poor aesthetics restore
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 208 of 6734

52569
52571
52572
52573
52579
5258
5259
5260
5261
5262
5263
5264
5265
52661
52662
52663
52669
52681
52689
5269
5270
5271
5272
5273
5274
5275
5276
5277
5278
5279
52800
52801
52802
Unsat restore tooth NEC

Osseo fail dental implnt
Post-osse biol fail impl
Post-osse mech fail impl
Endos dentl imp fail NEC
Dental disorder NEC
Dental disorder NOS
Devel odontogenic cysts
Fissural cysts of jaw
Cysts of jaws NEC
Cent giant cell granulom
Inflammation of jaw
Alveolitis of jaw
Perfor root canal space
Endodontic overfill
Endodontic underfill
Periradicular path NEC
Exostosis of jaw
Jaw disease NEC
Jaw disease NOS
Salivary gland atrophy
Salivary glnd hyprtrophy
Sialoadenitis
Salivary gland abscess
Salivary gland fistula
Sialolithiasis
Salivary gland mucocele
Salivary secretion dis
Salivary gland dis NEC
Salivary gland dis NOS
Stomatitis/mucositis NOS
Mucosits d/t antineo rx
Mucositis d/t drugs NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
564
564
564
577
564
564
564
564
564
564
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 209 of 6734

52809
5281
5282
5283
5284
5285
5286
52871
52872
52879
5288
5289
5290
5291
5292
5293
5294
5295
5296
5298
5299
5300
53010
53011
53012
53013
53019
53020
53021
5303
5304
5305
5306
Stomatits & mucosits NEC

Cancrum oris
Oral aphthae
Cellulitis/abscess mouth
Oral soft tissue cyst
Diseases of lips
Leukoplakia oral mucosa
Keratin ridge mucosa-min
Keratin ridge muc-excess
Dist oral epithelium NEC
Oral submucosal fibrosis
Oral soft tissue dis NEC
Glossitis
Geographic tongue
Med rhomboid glossitis
Hypertroph tongue papill
Atrophy tongue papillae
Plicated tongue
Glossodynia
Tongue disorder NEC
Tongue disorder NOS
Achalasia & cardiospasm
Esophagitis, unspecified
Reflux esophagitis
Acute esophagitis
Eosinophilic esophagitis
Other esophagitis
Ulc esophagus w/o bleed
Ulcer esophagus w bleed
Esophageal stricture
Perforation of esophagus
Dyskinesia of esophagus
Acq esophag diverticulum
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
625
623
623
623
625
623
625
625
625
510
625
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 210 of 6734

5307
53081
53082
53083
53084
53085
53086
53087
53089
5309
53100
53101
53110
53111
53120
53121
53130
53131
53140
53141
53150
53151
53160
53161
53170
53171
53190
53191
53200
53201
53210
53211
53220
Mallory-weiss syndrome
Esophageal reflux
Esophageal hemorrhage
Esophageal leukoplakia
Tracheoesophageal fstula
Barrett's esophagus
Esophagostomy infection
Mech comp esophagostomy
Other dsrders esophagus
Esophageal disorder NOS
Ac stomach ulcer w hem
Ac stomac ulc w hem-obst
Ac stomach ulcer w perf
Ac stom ulc w perf-obst
Ac stomac ulc w hem/perf
Ac stom ulc hem/perf-obs
Acute stomach ulcer NOS
Ac stomach ulc NOS-obstr
Chr stomach ulc w hem
Chr stom ulc w hem-obstr
Chr stomach ulcer w perf
Chr stom ulc w perf-obst
Chr stomach ulc hem/perf
Chr stom ulc hem/perf-ob
Chr stomach ulcer NOS
Chr stomach ulc NOS-obst
Stomach ulcer NOS
Stomach ulcer NOS-obstr
Ac duodenal ulcer w hem
Ac duoden ulc w hem-obst
Ac duodenal ulcer w perf
Ac duoden ulc perf-obstr
Ac duoden ulc w hem/perf
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
625
625
625
625
625
629
629
625
625
621
621
621
621
510
510
621
621
621
621
510
510
621
621
621
621
621
621
621
621
621
621
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 211 of 6734

53221
53230
53231
53240
53241
53250
53251
53260
53261
53270
53271
53290
53291
53300
53301
53310
53311
53320
53321
53330
53331
53340
53341
53350
53351
53360
53361
53370
53371
53390
53391
53400
53401
Ac duod ulc hem/perf-obs

Acute duodenal ulcer NOS
Ac duodenal ulc NOS-obst
Chr duoden ulcer w hem
Chr duoden ulc hem-obstr
Chr duoden ulcer w perf
Chr duoden ulc perf-obst
Chr duoden ulc hem/perf
Chr duod ulc hem/perf-ob
Chr duodenal ulcer NOS
Chr duoden ulc NOS-obstr
Duodenal ulcer NOS
Duodenal ulcer NOS-obstr
Ac peptic ulcer w hemorr
Ac peptic ulc w hem-obst
Ac peptic ulcer w perfor
Ac peptic ulc w perf-obs
Ac peptic ulc w hem/perf
Ac pept ulc hem/perf-obs
Acute peptic ulcer NOS
Ac peptic ulcer NOS-obst
Chr peptic ulcer w hem
Chr peptic ulc w hem-obs
Chr peptic ulcer w perf
Chr peptic ulc perf-obst
Chr pept ulc w hem/perf
Chr pept ulc hem/perf-ob
Chronic peptic ulcer NOS
Chr peptic ulcer NOS-obs
Peptic ulcer NOS
Peptic ulcer NOS-obstruc
Ac marginal ulcer w hem
Ac margin ulc w hem-obst
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
621
621
621
621
621
621
621
621
621
621
621
621
621
621
510
510
510
510
621
621
621
621
621
621
621
621
621
621
621
621
621
621
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 212 of 6734

53410
53411
53420
53421
53430
53431
53440
53441
53450
53451
53460
53461
53470
53471
53490
53491
53500
53501
53510
53511
53520
53521
53530
53531
53540
53541
53550
53551
53560
53561
53570
53571
5360
Ac marginal ulcer w perf

Ac margin ulc w perf-obs
Ac margin ulc w hem/perf
Ac marg ulc hem/perf-obs
Ac marginal ulcer NOS
Ac marginal ulc NOS-obst
Chr marginal ulcer w hem
Chr margin ulc w hem-obs
Chr marginal ulc w perf
Chr margin ulc perf-obst
Chr margin ulc hem/perf
Chr marg ulc hem/perf-ob
Chr marginal ulcer NOS
Chr marginal ulc NOS-obs
Gastrojejunal ulcer NOS
Gastrojejun ulc NOS-obst
Acute gastrtis w/o hmrhg
Acute gastritis w hmrhg
Atrph gastrtis w/o hmrhg
Atrph gastritis w hmrhg
Gstr mcsl hyprt w/o hmrg
Gstr mcsl hyprt w hmrg
Alchl gastrtis w/o hmrhg
Alchl gstritis w hmrhg
Oth spf gstrt w/o hmrhg
Oth spf gastrt w hmrhg
Gstr/ddnts NOS w/o hmrhg
Gstr/ddnts NOS w hmrhg
Duodenitis w/o hmrhg
Duodenitis w hmrhg
Eosinophil gastrt wo hem
Eosinophilc gastrt w hem
Achlorhydria
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
621
510
510
621
621
621
621
510
510
510
510
621
621
621
621
621
621
621
621
621
621
621
621
621
621
621
621
621
621
621
621
624
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 213 of 6734

5361
5362
5363
53640
53641
53642
53649
5368
5369
5370
5371
5372
5373
5374
5375
5376
53781
53782
53783
53784
53789
5379
538
53901
53909
53981
53989
5400
5401
5409
541
542
5430
Ac dilation of stomach
Persistent vomiting
Gastroparesis
Gastrostomy comp NOS
Gastrostomy infection
Gastrostomy comp - mech
Gastrostomy comp NEC
Stomach function dis NEC
Stomach function dis NOS
Acq pyloric stenosis
Gastric diverticulum
Chronic duodenal ileus
Duodenal obstruction NEC
Gastric/duodenal fistula
Gastroptosis
Hourglass stricture stom
Pylorospasm
Angio stm/dudn w/o hmrhg
Angio stm/dudn w hmrhg
Dieulafoy les,stom&duod
Gastroduodenal dis NEC
Gastroduodenal dis NOS
GI mucositis (ulceratve)
Inf d/t gastrc band proc
Oth cmp gastrc band proc
Inf d/t ot bariatrc proc
Ot comp ot bariatrc proc
Ac append w peritonitis
Abscess of appendix
Acute appendicitis NOS
Appendicitis NOS
Other appendicitis
Hyperplasia of appendix
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
624
624
624
629
629
629
629
624
624
625
624
624
625
624
624
625
624
624
625
621
624
624
621
629
629
629
629
510
510
510
510
625
624
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 214 of 6734

5439
55000
55001
55002
55003
55010
55011
55012
55013
55090
55091
55092
55093
55100
55101
55102
55103
5511
55120
55121
55129
5513
5518
5519
55200
55201
55202
55203
5521
55220
55221
55229
5523
Diseases of appendix NEC

Unilat ing hernia w gang
Recur unil ing hern-gang
Bilat ing hernia w gang
Recur bil ing hern-gang
Unilat ing hernia w obst
Recur unil ing hern-obst
Bilat ing hernia w obst
Recur bil ing hern-obstr
Unilat inguinal hernia
Recur unilat inguin hern
Bilat inguinal hernia
Recur bilat inguin hern
Unil femoral hern w gang
Rec unil fem hern w gang
Bilat fem hern w gang
Recur bil fem hern-gang
Umbilical hernia w gangr
Gangr ventral hernia NOS
Gangr incisional hernia
Gang ventral hernia NEC
Diaphragm hernia w gangr
Hernia, site NEC w gangr
Hernia, site NOS w gangr
Unil femoral hern w obst
Rec unil fem hern w obst
Bil femoral hern w obstr
Rec bil fem hern w obstr
Umbilical hernia w obstr
Obstr ventral hernia NOS
Obstr incisional hernia
Obstr ventral hernia NEC
Diaphragm hernia w obstr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
624
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
631
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 215 of 6734

5528
5529
55300
55301
55302
55303
5531
55320
55321
55329
5533
5538
5539
5550
5551
5552
5559
5560
5561
5562
5563
5564
5565
5566
5568
5569
5570
5571
5579
5581
5582
5583
55841
Hernia, site NEC w obstr

Hernia, site NOS w obstr
Unilat femoral hernia
Recur unil femoral hern
Bilateral femoral hernia
Recur bilat femoral hern
Umbilical hernia
Ventral hernia NOS
Incisional hernia
Ventral hernia NEC
Diaphragmatic hernia
Hernia NEC
Hernia NOS
Reg enteritis, sm intest
Reg enteritis, lg intest
Reg enterit sm/lg intest
Regional enteritis NOS
Ulcerative enterocolitis
Ulcerative ileocolitis
Ulcerative proctitis
Ulcertve prctosigmoidtis
Pseudopolyposis colon
Lftsded ulcertve colitis
Univrsl ulcertve colitis
Other ulcerative colitis
Ulceratve colitis unspcf
Ac vasc insuff intestine
Chr vasc insuff intest
Vasc insuff intest NOS
Radiation gastroenterit
Toxic gastroenteritis
Allrgic gastro & colitis
Eosinophilic gastroent
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
631
631
631
631
631
631
631
631
631
631
631
631
631
626
626
626
626
626
626
626
626
626
626
626
626
626
510
625
625
625
625
627
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 216 of 6734

55842
5589
5600
5601
5602
56030
56031
56032
56039
56081
56089
5609
56200
56201
56202
56203
56210
56211
56212
56213
56400
56401
56402
56409
5641
5642
5643
5644
5645
5646
5647
56481
56489
Eosinophilic colitis
Noninf gastroenterit NEC
Intussusception
Paralytic ileus
Volvulus of intestine
Impaction intestine NOS
Gallstone ileus
Fecal impaction
Impaction intestine NEC
Intestinal adhes w obstr
Intestinal obstruct NEC
Intestinal obstruct NOS
Dvrtclo sml int w/o hmrg
Dvrtcli sml int w/o hmrg
Dvrtclo sml int w hmrhg
Dvrtcli sml int w hmrhg
Dvrtclo colon w/o hmrhg
Dvrtcli colon w/o hmrhg
Dvrtclo colon w hmrhg
Dvrtcli colon w hmrhg
Constipation NOS
Slow transt constipation
Outlet dysfnc constption
Constipation NEC
Irritable bowel syndrome
Postgastric surgery synd
Vomiting post-gi surgery
Postop GI funct dis NEC
Functional diarrhea
Anal spasm
Megacolon NEC
Neurogenic bowel
Funct dis intestine NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
627
510
625
625
625
625
625
625
625
625
625
624
624
624
624
624
624
624
624
630
630
630
630
632
624
629
624
624
624
625
624
624
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 217 of 6734

5649
5650
5651
566
5670
5671
56721
56722
56723
56729
56731
56738
56739
56781
56782
56789
5679
5680
56881
56882
56889
5689
5690
5691
5692
5693
56941
56942
56943
56944
56949
5695
56960
Funct dis intestine NOS

Anal fissure
Anal fistula
Anal & rectal abscess
Peritonitis in infec dis
Pneumococcal peritonitis
Peritonitis (acute) gen
Peritoneal abscess
Spontan bact peritonitis
Suppurat peritonitis NEC
Psoas muscle abscess
Retroperiton abscess NEC
Retroperiton infect NEC
Choleperitonitis
Sclerosing mesenteritis
Peritonitis NEC
Peritonitis NOS
Peritoneal adhesions
Hemoperitoneum
Peritoneal effusion
Peritoneal disorder NEC
Peritoneal disorder NOS
Anal & rectal polyp
Rectal prolapse
Rectal & anal stenosis
Rectal & anal hemorrhage
Rectal & anal ulcer
Anal or rectal pain
Anal sphincter tear-old
Dysplasia of anus
Rectal & anal dis NEC
Intestinal abscess
Colstomy/enter comp NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
624
624
624
624
625
625
625
625
625
625
625
625
625
510
625
510
510
629
625
624
624
624
624
624
624
625
624
624
624
624
624
510
629
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 218 of 6734

56961
56962
56969
56971
56979
56981
56982
56983
56984
56985
56986
56987
56989
5699
570
5710
5711
5712
5713
57140
57141
57142
57149
5715
5716
5718
5719
5720
5721
5722
5723
5724
5728
Colosty/enterost infectn
Colosty/enter comp-mech
Colstmy/enteros comp NEC
Pouchitis
Comp intest pouch NEC
Intestinal fistula
Ulceration of intestine
Perforation of intestine
Angio intes w/o hmrhg
Angio intes w hmrhg
Dieulafoy les, intestine
Vomiting of fecal matter
Intestinal disorders NEC
Intestinal disorder NOS
Acute necrosis of liver
Alcoholic fatty liver
Ac alcoholic hepatitis
Alcohol cirrhosis liver
Alcohol liver damage NOS
Chronic hepatitis NOS
Chr persistent hepatitis
Autoimmune hepatitis
Chronic hepatitis NEC
Cirrhosis of liver NOS
Biliary cirrhosis
Chronic liver dis NEC
Chronic liver dis NOS
Abscess of liver
Portal pyemia
Hepatic encephalopathy
Portal hypertension
Hepatorenal syndrome
Oth sequela, chr liv dis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
629
629
629
629
629
625
625
510
624
625
624
625
624
624
510
633
633
633
633
636
636
636
636
640
640
640
640
510
510
510
640
510
640
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 219 of 6734

5730
5731
5732
5733
5734
5735
5738
5739
57400
57401
57410
57411
57420
57421
57430
57431
57440
57441
57450
57451
57460
57461
57470
57471
57480
57481
57490
57491
5750
57510
57511
57512
5752
Chr passiv congest liver

Hepatitis in viral dis
Hepatitis in oth inf dis
Hepatitis NOS
Hepatic infarction
Hepatopulmonary syndrome
Liver disorders NEC
Liver disorder NOS
Cholelith w ac cholecyst
Cholelith/ac gb inf-obst
Cholelith w cholecys NEC
Cholelith/gb inf NEC-obs
Cholelithiasis NOS
Cholelithias NOS w obstr
Choledocholith/ac gb inf
Choledochlith/ac gb-obst
Choledochlith/gb inf NEC
Choledochlith/gb NEC-obs
Choledocholithiasis NOS
Choledochlith NOS w obst
Gall&bil cal w/ac w/o ob
Gall&bil cal w/ac w obs
Gal&bil cal w/oth w/o ob
Gall&bil cal w/oth w obs
Gal&bil cal w/ac&chr w/o
Gal&bil cal w/ac&ch w ob
Gall&bil cal w/o cho w/o
Gall&bil cal w/o ch w ob
Acute cholecystitis
Cholecystitis NOS
Chronic cholecystitis
Acte & chr cholecystitis
Obstruction gallbladder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
640
640
640
636
510
640
639
639
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
638
637
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 220 of 6734

5753
5754
5755
5756
5758
5759
5760
5761
5762
5763
5764
5765
5768
5769
5770
5771
5772
5778
5779
5780
5781
5789
5790
5791
5792
5793
5794
5798
5799
5800
5804
58081
58089
Hydrops of gallbladder
Perforation gallbladder
Fistula of gallbladder
Gb cholesterolosis
Dis of gallbladder NEC
Dis of gallbladder NOS
Postcholecystectomy synd
Cholangitis
Obstruction of bile duct
Perforation of bile duct
Fistula of bile duct
Spasm sphincter of oddi
Dis of biliary tract NEC
Dis of biliary tract NOS
Acute pancreatitis
Chronic pancreatitis
Pancreat cyst/pseudocyst
Pancreatic disease NEC
Pancreatic disease NOS
Hematemesis
Blood in stool
Gastrointest hemorr NOS
Celiac disease
Tropical sprue
Blind loop syndrome
Intest postop nonabsorb
Pancreatic steatorrhea
Intest malabsorption NEC
Intest malabsorption NOS
Ac proliferat nephritis
Ac rapidly progr nephrit
Ac nephritis in oth dis
Acute nephritis NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
637
510
510
637
637
637
637
510
637
510
510
637
637
637
635
635
635
635
635
625
624
625
625
625
625
625
625
625
625
722
722
722
722
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 221 of 6734

5809
5810
5811
5812
5813
58181
58189
5819
5820
5821
5822
5824
58281
58289
5829
5830
5831
5832
5834
5836
5837
58381
58389
5839
5845
5846
5847
5848
5849
5851
5852
5853
5854
Acute nephritis NOS

Nephrotic syn, prolifer
Epimembranous nephritis
Membranoprolif nephrosis
Minimal change nephrosis
Nephrotic syn in oth dis
Nephrotic syndrome NEC
Nephrotic syndrome NOS
Chr proliferat nephritis
Chr membranous nephritis
Chr membranoprolif nephr
Chr rapid progr nephrit
Chr nephritis in oth dis
Chronic nephritis NEC
Chronic nephritis NOS
Proliferat nephritis NOS
Membranous nephritis NOS
Membranoprolif nephr NOS
Rapidly prog nephrit NOS
Renal cort necrosis NOS
Nephr NOS/medull necros
Nephritis NOS in oth dis
Nephritis NEC
Nephritis NOS
Ac kidny fail, tubr necr
Ac kidny fail, cort necr
Ac kidny fail, medu necr
Acute kidney failure NEC
Acute kidney failure NOS
Chro kidney dis stage I
Chro kidney dis stage II
Chr kidney dis stage III
Chr kidney dis stage IV
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
722
720
720
720
720
720
726
726
720
720
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 222 of 6734

5855
5856
5859
586
587
5880
5881
58881
58889
5889
5890
5891
5899
59000
59001
59010
59011
5902
5903
59080
59081
5909
591
5920
5921
5929
5930
5931
5932
5933
5934
5935
5936
Chron kidney dis stage V

End stage renal disease
Chronic kidney dis NOS
Renal failure NOS
Renal sclerosis NOS
Renal osteodystrophy
Nephrogen diabetes insip
Sec hyperparathyrd-renal
Impair ren funct dis NEC
Impaired renal funct NOS
Unilateral small kidney
Bilateral small kidneys
Small kidney NOS
Chr pyelonephritis NOS
Chr pyeloneph w med necr
Ac pyelonephritis NOS
Ac pyelonephr w med necr
Renal/perirenal abscess
Pyeloureteritis cystica
Pyelonephritis NOS
Pyelonephrit in oth dis
Infection of kidney NOS
Hydronephrosis
Calculus of kidney
Calculus of ureter
Urinary calculus NOS
Nephroptosis
Hypertrophy of kidney
Cyst of kidney, acquired
Stricture of ureter
Ureteric obstruction NEC
Hydroureter
Postural proteinuria
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
720
720
726
726
726
726
726
726
726
726
726
726
726
723
723
723
723
723
723
723
723
723
724
724
724
724
726
726
726
726
724
724
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 223 of 6734

59370
59371
59372
59373
59381
59382
59389
5939
5940
5941
5942
5948
5949
5950
5951
5952
5953
5954
59581
59582
59589
5959
5960
5961
5962
5963
5964
59651
59652
59653
59654
59655
59659
Vescouretrl rflux unspcf

Vscurt rflx npht uniltrl
Vscourtl rflx npht bltrl
Vscourtl rflx w npht NOS
Renal vascular disorder
Ureteral fistula
Renal & ureteral dis NEC
Renal & ureteral dis NOS
Blad diverticulum calcul
Bladder calculus NEC
Urethral calculus
Lower urin calcul NEC
Lower urin calcul NOS
Acute cystitis
Chr interstit cystitis
Chronic cystitis NEC
Trigonitis
Cystitis in oth dis
Cystitis cystica
Irradiation cystitis
Cystitis NEC
Cystitis NOS
Bladder neck obstruction
Intestinovesical fistula
Vesical fistula NEC
Diverticulum of bladder
Atony of bladder
Hypertonicity of bladder
Low bladder compliance
Paralysis of bladder
Neurogenic bladder NOS
Detrusr sphinc dyssnrgia
Oth func dsdr bladder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
726
726
726
726
726
726
726
726
724
724
724
724
727
723
723
727
723
726
726
723
727
726
726
726
726
726
726
726
726
726
726
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 224 of 6734

5966
5967
59681
59682
59683
59689
5969
5970
59780
59781
59789
59800
59801
5981
5982
5988
5989
5990
5991
5992
5993
5994
5995
59960
59969
59970
59971
59972
59981
59982
59983
59984
59989
Bladder rupt, nontraum

Bladder wall hemorrhage
Infection of cystostomy
Mech comp of cystostomy
Other comp of cystostomy
Disorders of bladder NEC
Bladder disorder NOS
Urethral abscess
Urethritis NOS
Urethral syndrome NOS
Urethritis NEC
Urethr strict:infect NOS
Ureth strict:oth infect
Traum urethral stricture
Postop urethral strictur
Urethral stricture NEC
Urethral stricture NOS
Urin tract infection NOS
Urethral fistula
Urethral diverticulum
Urethral caruncle
Urethral false passage
Prolapse urethral mucosa
Urinary obstruction NOS
Urinary obstruction NEC
Hematuria NOS
Gross hematuria
Microscopic hematuria
Urethral hypermobility
Intrinsc sphnctr dficncy
Urethral instability
Oth spcf dsdr urethra
Oth spcf dsdr urnry trct
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
726
852
725
726
726
726
727
727
723
727
726
726
726
726
726
726
727
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 225 of 6734

5999
60000
60001
60010
60011
60020
60021
6003
60090
60091
6010
6011
6012
6013
6014
6018
6019
6020
6021
6022
6023
6028
6029
6030
6031
6038
6039
6040
60490
60491
60499
605
6060
Urinary tract dis NOS

BPH w/o urinary obs/LUTS
BPH w urinary obs/LUTS
Nod prostate w/o ur obst
Nod prostate w ur obst
BPH loc w/o ur obs/LUTS
BPH loc w urin obs/LUTS
Cyst of prostate
BPH NOS w/o ur obs/LUTS
BPH NOS w ur obs/LUTS
Acute prostatitis
Chronic prostatitis
Abscess of prostate
Prostatocystitis
Prostatitis in oth dis
Prostatic inflam dis NEC
Prostatitis NOS
Calculus of prostate
Prostatic congest/hemorr
Atrophy of prostate
Dysplasia of prostate
Prostatic disorders NEC
Prostatic disorder NOS
Encysted hydrocele
Infected hydrocele
Hydrocele NEC
Hydrocele NOS
Orchitis with abscess
Orchitis/epididymit NOS
Orchitis in oth disease
Orchitis/epididymit NEC
Redun prepuce & phimosis
Azoospermia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
741
741
741
741
741
741
741
741
741
743
743
741
741
743
741
743
741
741
741
741
741
741
741
741
741
741
741
741
741
741
741
741
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 226 of 6734

6061
6068
6069
6070
6071
6072
6073
60781
60782
60783
60784
60785
60789
6079
6080
6081
60820
60821
60822
60823
60824
6083
6084
60881
60882
60883
60884
60885
60886
60887
60889
6089
6100
Oligospermia
Male infertility NEC
Male infertility NOS
Leukoplakia of penis
Balanoposthitis
Inflam dis, penis NEC
Priapism
Balanitis xerotica oblit
Vascular disorder, penis
Edema of penis
Impotence, organic orign
Peyronie's disease
Disorder of penis NEC
Disorder of penis NOS
Seminal vesiculitis
Spermatocele
Torsion of testis NOS
Extravag tors sperm cord
Intravag tors sperm cord
Torsion appendix testis
Torsion appy epididymis
Atrophy of testis
Male gen inflam dis NEC
Male gen dis in oth dis
Hematospermia
Male gen vascul dis NEC
Chylocele, tunic vaginal
Stricture, male gen orgn
Edema, male genital orgn
Retrograde ejaculation
Male genital dis NEC
Male genital dis NOS
Solitary cyst of breast
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
741
741
741
741
741
741
741
741
741
741
741
741
741
741
741
741
510
510
510
510
510
741
741
741
741
741
741
741
741
741
741
741
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 227 of 6734

6101
6102
6103
6104
6108
6109
6110
6111
6112
6113
6114
6115
6116
61171
61172
61179
61181
61182
61183
61189
6119
6120
6121
6140
6141
6142
6143
6144
6145
6146
6147
6148
6149
Diffus cystic mastopathy

Fibroadenosis of breast
Fibrosclerosis of breast
Mammary duct ectasia
Benign mamm dysplas NEC
Benign mamm dysplas NOS
Inflam disease of breast
Hypertrophy of breast
Fissure of nipple
Fat necrosis of breast
Atrophy of breast
Galactocele
Galactorrhea-nonobstet
Mastodynia
Lump or mass in breast
Symptoms in breast NEC
Ptosis of breast
Hypoplasia of breast
Capslr contrctr brst imp
Disorders breast NEC
Breast disorder NOS
Deformity reconst breast
Disproportn reconst brst
Ac salpingo-oophoritis
Chr salpingo-oophoritis
Salpingo-oophoritis NOS
Acute parametritis
Chronic parametritis
Ac pelv peritonitis-fem
Fem pelvic periton adhes
Chr pelv periton NEC-fem
Fem pelv inflam dis NEC
Fem pelv inflam dis NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
751
751
751
751
751
751
752
751
751
751
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 228 of 6734

6150
6151
6159
6160
61610
61611
6162
6163
6164
61650
61651
61681
61689
6169
6170
6171
6172
6173
6174
6175
6176
6178
6179
61800
61801
61802
61803
61804
61805
61809
6181
6182
6183
Ac uterine inflammation
Chr uterine inflammation
Uterine inflam dis NOS
Cervicitis
Vaginitis NOS
Vaginitis in oth disease
Bartholin's gland cyst
Bartholin's glnd abscess
Abscess of vulva NEC
Ulceration of vulva NOS
Vulvar ulcer in oth dis
Mucositis cerv,vag,vulva
Inflm cerv,vag,vulva NEC
Female gen inflam NOS
Uterine endometriosis
Ovarian endometriosis
Tubal endometriosis
Pelv perit endometriosis
Vaginal endometriosis
Intestinal endometriosis
Endometriosis in scar
Endometriosis NEC
Endometriosis NOS
Vaginal wall prolpse NOS
Cystocele, midline
Cystocele, lateral
Urethrocele
Rectocele
Perineocele
Cystourethrocele
Uterine prolapse
Uterovag prolaps-incompl
Uterovag prolaps-complet
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
751
751
751
751
751
751
752
751
751
752
752
752
752
751
752
752
752
752
752
625
675
752
752
752
752
752
752
752
752
752
752
752
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 229 of 6734

6184
6185
6186
6187
61881
61882
61883
61884
61889
6189
6190
6191
6192
6198
6199
6200
6201
6202
6203
6204
6205
6206
6207
6208
6209
6210
6211
6212
62130
62131
62132
62133
62134
Utervaginal prolapse NOS

Postop vaginal prolapse
Vaginal enterocele
Old lacer pelvic muscle
Incomptnce pubocerv tiss
Incomptnce rectovag tiss
Pelvic muscle wasting
Cervical stump prolapse
Genital prolapse NEC
Genital prolapse NOS
Urin-genital fistul, fem
Digest-genit fistul, fem
Genital-skin fistul, fem
Fem genital fistula NEC
Fem genital fistula NOS
Follicular cyst of ovary
Corpus luteum cyst
Ovarian cyst NEC/NOS
Acq atrophy ovary & tube
Prolapse of ovary & tube
Torsion of ovary or tube
Broad ligament lacer syn
Broad ligament hematoma
Noninfl dis ova/adnx NEC
Noninfl dis ova/adnx NOS
Polyp of corpus uteri
Chr uterine subinvolutn
Hypertrophy of uterus
Endometrial hyperpla NOS
Simp endo hyper w/o atyp
Comp endo hyper w/o atyp
Endomet hyperpla w atyp
Ben endomet hyperplasia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
752
752
752
752
752
752
752
753
625
753
753
753
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 230 of 6734

62135
6214
6215
6216
6217
6218
6219
6220
62210
62211
62212
6222
6223
6224
6225
6226
6227
6228
6229
6230
6231
6232
6233
6234
6235
6236
6237
6238
6239
62401
62402
62409
6241
Endomet intraepithl neop

Hematometra
Intrauterine synechiae
Malposition of uterus
Chr inversion of uterus
Disorders of uterus NEC
Disorder of uterus NOS
Erosion/ectropion cervix
Dysplasia of cervix NOS
Mild dysplasia of cervix
Mod dysplasia of cervix
Leukoplakia of cervix
Old laceration of cervix
Stricture of cervix
Incompetence of cervix
Hypertrophic elong cervx
Mucous polyp of cervix
Noninflam dis cervix NEC
Noninflam dis cervix NOS
Dysplasia of vagina
Leukoplakia of vagina
Stricture of vagina
Tight hymenal ring
Old vaginal laceration
Noninfect vag leukorrhea
Vaginal hematoma
Polyp of vagina
Noninflam dis vagina NEC
Noninflam dis vagina NOS
Vulvar intraeph neopl I
Vulvr intraepth neopl II
Dystrophy of vulva NEC
Atrophy of vulva
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 231 of 6734

6242
6243
6244
6245
6246
6248
6249
6250
6251
6252
6253
6254
6255
6256
62570
62571
62579
6258
6259
6260
6261
6262
6263
6264
6265
6266
6267
6268
6269
6270
6271
6272
6273
Hypertrophy of clitoris
Hypertrophy of labia
Old laceration of vulva
Hematoma of vulva
Polyp of labia and vulva
Noninflam dis vulva NEC
Noninflam dis vulva NOS
Dyspareunia
Vaginismus
Mittelschmerz
Dysmenorrhea
Premenstrual tension
Pelvic congestion synd
Fem stress incontinence
Vulvodynia NOS
Vulvar vestibulitis
Other vulvodynia
Fem genital symptoms NEC
Fem genital symptoms NOS
Absence of menstruation
Scanty menstruation
Excessive menstruation
Pubertal menorrhagia
Irregular menstruation
Ovulation bleeding
Metrorrhagia
Postcoital bleeding
Menstrual disorder NEC
Menstrual disorder NOS
Premenopause menorrhagia
Postmenopausal bleeding
Sympt fem climact state
Atrophic vaginitis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 232 of 6734

6274
6278
6279
6280
6281
6282
6283
6284
6288
6289
6290
6291
62920
62921
62922
62923
62929
62931
62932
62981
62989
6299
630
6310
6318
632
63300
63301
63310
63311
63320
63321
63380
Sympt state w artif meno

Menopausal disorder NEC
Menopausal disorder NOS
Infertility-anovulation
Infertil-pituitary orig
Infertility-tubal origin
Infertility-uterine orig
Infertil-cervical orig
Female infertility NEC
Female infertility NOS
Hematocele, female NEC
Hydrocele canal nuck-fem
Genital mutilation NOS
Genital mutilatn type I
Genital mutilatn type II
Genital muilatn type III
Fem genital mutilate NEC
Eros imp vag mesh in tis
Exp imp vag mesh-vagina
Rec preg loss wo cur prg
Female genital disor NEC
Female genital dis NOS
Hydatidiform mole
Inapp chg hCG early preg
Oth abn prod conception
Missed abortion
Abd preg w/o intrau preg
Abd preg w intraut preg
Tubal preg w/o intra prg
Tubal preg w intra preg
Ovarn preg w/o intra prg
Ovarian preg w intra prg
Ect preg NEC w/o int prg
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
752
752
752
752
752
752
752
752
752
753
753
753
753
752
725
725
752
752
752
765
765
765
763
765
765
765
765
765
765
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 233 of 6734

63381
63390
63391
63400
63401
63402
63410
63411
63412
63420
63421
63422
63430
63431
63432
63440
63441
63442
63450
63451
63452
63460
63461
63462
63470
63471
63472
63480
63481
63482
63490
63491
63492
Ectpc prg NEC w int preg

Ect preg NOS w/o int prg
Ectp preg NOS w int preg
Spon abor w pel inf-unsp
Spon abor w pelv inf-inc
Spon abor w pel inf-comp
Spon abort w hemorr-unsp
Spon abort w hemorr-inc
Spon abort w hemorr-comp
Spon ab w pel damag-unsp
Spon ab w pelv damag-inc
Spon ab w pel damag-comp
Spon ab w ren fail-unsp
Spon ab w ren fail-inc
Spon ab w ren fail-comp
Spon ab w metab dis-unsp
Spon ab w metab dis-inc
Spon ab w metab dis-comp
Spon abort w shock-unsp
Spon abort w shock-inc
Spon abort w shock-comp
Spon abort w embol-unsp
Spon abort w embol-inc
Spon abort w embol-comp
Spon ab w compl NEC-unsp
Spon ab w compl NEC-inc
Spon ab w compl NEC-comp
Spon ab w compl NOS-unsp
Spon ab w compl NOS-inc
Spon ab w compl NOS-comp
Spon abort uncompl-unsp
Spon abort uncompl-inc
Spon abort uncompl-comp
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
765
765
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 234 of 6734

63500
63501
63502
63510
63511
63512
63520
63521
63522
63530
63531
63532
63540
63541
63542
63550
63551
63552
63560
63561
63562
63570
63571
63572
63580
63581
63582
63590
63591
63592
63600
63601
63602
Leg abor w pelv inf-unsp

Leg abor w pelv inf-inc
Leg abor w pelv inf-comp
Legal abor w hemorr-unsp
Legal abort w hemorr-inc
Legal abor w hemorr-comp
Leg ab w pelv damag-unsp
Leg ab w pelv damag-inc
Leg ab w pelv damag-comp
Leg abor w ren fail-unsp
Leg abor w ren fail-inc
Leg abor w ren fail-comp
Leg ab w metab dis-unsp
Leg ab w metab dis-inc
Leg ab w metab dis-comp
Legal abort w shock-unsp
Legal abort w shock-inc
Legal abort w shock-comp
Legal abort w embol-unsp
Legal abort w embol-inc
Legal abort w embol-comp
Leg ab w compl NEC-unsp
Leg ab w compl NEC-inc
Leg ab w compl NEC-comp
Leg ab w compl NOS-unsp
Leg ab w compl NOS-inc
Leg ab w compl NOS-comp
Legal abort uncompl-unsp
Legal abort uncompl-inc
Legal abort uncompl-comp
Illeg ab w pelv inf-unsp
Illeg ab w pelv inf-inc
Illeg ab w pelv inf-comp
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 235 of 6734

63610
63611
63612
63620
63621
63622
63630
63631
63632
63640
63641
63642
63650
63651
63652
63660
63661
63662
63670
63671
63672
63680
63681
63682
63690
63691
63692
63700
63701
63702
63710
63711
63712
Illeg ab w hemorr-unspec
Illeg ab w hemorr-inc
Illeg ab w hemorr-comp
Illeg ab w pel damg-unsp
Illeg ab w pel damag-inc
Illeg ab w pel damg-comp
Illeg ab w ren fail-unsp
Illeg ab w ren fail-inc
Illeg ab w ren fail-comp
Illeg ab w met dis-unsp
Illeg ab w metab dis-inc
Illeg ab w met dis-comp
Illeg abort w shock-unsp
Illeg abort w shock-inc
Illeg abort w shock-comp
Illeg ab w embolism-unsp
Illeg ab w embolism-inc
Illeg ab w embolism-comp
Illg ab w compl NEC-unsp
Illeg ab w compl NEC-inc
Illg ab w compl NEC-comp
Illg ab w compl NOS-unsp
Illeg ab w compl NOS-inc
Illg ab w compl NOS-comp
Illeg abort uncompl-unsp
Illeg abort uncompl-inc
Illeg abort uncompl-comp
Abort NOS w pel inf-unsp
Abort NOS w pel inf-inc
Abort NOS w pel inf-comp
Abort NOS w hemorr-unsp
Abort NOS w hemorr-inc
Abort NOS w hemorr-comp
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 236 of 6734

63720
63721
63722
63730
63731
63732
63740
63741
63742
63750
63751
63752
63760
63761
63762
63770
63771
63772
63780
63781
63782
63790
63791
63792
6380
6381
6382
6383
6384
6385
6386
6387
6388
Ab NOS w pelv damag-unsp

Ab NOS w pelv damag-inc
Ab NOS w pelv damag-comp
Ab NOS w renal fail-unsp
Ab NOS w renal fail-inc
Ab NOS w renal fail-comp
Ab NOS w metab dis-unsp
Ab NOS w metab dis-inc
Ab NOS w metab dis-comp
Abort NOS w shock-unsp
Abort NOS w shock-inc
Abort NOS w shock-comp
Ab NOS w embolism-unsp
Ab NOS w embolism-inc
Ab NOS w embolism-comp
Ab NOS w compl NEC-unsp
Ab NOS w compl NEC-inc
Ab NOS w compl NEC-comp
Ab NOS w compl NOS-unsp
Ab NOS w compl NOS-inc
Ab NOS w compl NOS-comp
Ab NOS uncomplicat-unsp
Ab NOS uncomplicat-inc
Ab NOS uncomplicat-comp
Attem abort w pelvic inf
Attem abort w hemorrhage
Attem abort w pelv damag
Attem abort w renal fail
Attem abor w metabol dis
Attem abortion w shock
Attemp abort w embolism
Attemp abort w compl NEC
Attemp abort w compl NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
763
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 237 of 6734

6389
6390
6391
6392
6393
6394
6395
6396
6398
6399
64000
64001
64003
64080
64081
64083
64090
64091
64093
64100
64101
64103
64110
64111
64113
64120
64121
64123
64130
64131
64133
64180
64181
Attempted abort uncompl

Postabortion gu infect
Postabortion hemorrhage
Postabort pelvic damage
Postabort kidney failure
Postabort metabolic dis
Postabortion shock
Postabortion embolism
Postabortion compl NEC
Postabortion compl NOS
Threatened abort-unspec
Threatened abort-deliver
Threaten abort-antepart
Hem early preg NEC-unsp
Hem early preg NEC-deliv
Hem early pg NEC-antepar
Hemorr early preg-unspec
Hem early preg-delivered
Hem early preg-antepart
Placenta previa-unspec
Placenta previa-deliver
Placenta previa-antepart
Placenta prev hem-unspec
Placenta prev hem-deliv
Placen prev hem-antepart
Prem separ placen-unspec
Prem separ placen-deliv
Prem separ plac-antepart
Coag def hemorr-unspec
Coag def hemorr-deliver
Coag def hemorr-antepart
Antepart hem NEC-unspec
Antepartum hem NEC-deliv
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
763
761
761
761
761
761
761
761
761
761
762
760
762
762
760
762
762
760
762
765
760
765
765
760
765
765
760
765
765
760
765
765
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 238 of 6734

64183
64190
64191
64193
64200
64201
64202
64203
64204
64210
64211
64212
64213
64214
64220
64221
64222
64223
64224
64230
64231
64232
64233
64234
64240
64241
64242
64243
64244
64250
64251
64252
64253
Antepart hem NEC-antepar

Antepart hem NOS-unspec
Antepartum hem NOS-deliv
Antepart hem NOS-antepar
Essen hyperten preg-unsp
Essen hyperten-delivered
Essen hyperten-del w p/p
Essen hyperten-antepart
Essen hyperten-postpart
Renal hyperten preg-unsp
Renal hyperten pg-deliv
Renal hyperten-del p/p
Renal hyperten-antepart
Renal hyperten-postpart
Old hyperten preg-unspec
Old hyperten NEC-deliver
Old hyperten-deliv w p/p
Old hyperten NEC-antepar
Old hyperten NEC-postpar
Trans hyperten preg-unsp
Trans hyperten-delivered
Trans hyperten-del w p/p
Trans hyperten-antepart
Trans hyperten-postpart
Mild/NOS preeclamp-unsp
Mild/NOS preeclamp-deliv
Mild preeclamp-del w p/p
Mild/NOS preeclamp-antep
Mild/NOS preeclamp-p/p
Severe preeclamp-unspec
Severe preeclamp-deliver
Sev preeclamp-del w p/p
Sev preeclamp-antepartum
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
765
760
765
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 239 of 6734

64254
64260
64261
64262
64263
64264
64270
64271
64272
64273
64274
64290
64291
64292
64293
64294
64300
64301
64303
64310
64311
64313
64320
64321
64323
64380
64381
64383
64390
64391
64393
64400
64403
Sev preeclamp-postpartum
Eclampsia-unspecified
Eclampsia-delivered
Eclampsia-deliv w p/p
Eclampsia-antepartum
Eclampsia-postpartum
Tox w old hyperten-unsp
Tox w old hyperten-deliv
Tox w old hyp-del w p/p
Tox w old hyper-antepart
Tox w old hyper-postpart
Hyperten preg NOS-unspec
Hypertens NOS-delivered
Hypertens NOS-del w p/p
Hypertens NOS-antepartum
Hypertens NOS-postpartum
Mild hyperem grav-unspec
Mild hyperem grav-deliv
Mild hyperemesis-antepar
Hyperem w metab dis-unsp
Hyperem w metab dis-del
Hyperem w metab-antepart
Late vomit of preg-unsp
Late vomit of preg-deliv
Late vomit preg-antepart
Vomit compl preg-unspec
Vomit compl preg-deliver
Vomit compl preg-antepar
Vomit of preg NOS-unspec
Vomit of preg NOS-deliv
Vomit of pg NOS-antepart
Threat prem labor-unspec
Thrt prem labor-antepart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
762
762
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 240 of 6734

64410
64413
64420
64421
64510
64511
64513
64520
64521
64523
64600
64601
64603
64610
64611
64612
64613
64614
64620
64621
64622
64623
64624
64630
64631
64633
64640
64641
64642
64643
64644
64650
64651
Threat labor NEC-unspec

Threat labor NEC-antepar
Early onset deliv-unspec
Early onset delivery-del
Post term preg-unsp
Post term preg-del
Post term preg-antepar
Prolonged preg-unsp
Prolonged preg-del
Prolonged preg-antepar
Papyraceous fetus-unspec
Papyraceous fetus-deliv
Papyraceous fet-antepar
Edema in preg-unspec
Edema in preg-delivered
Edema in preg-del w p/p
Edema in preg-antepartum
Edema in preg-postpartum
Renal dis preg NOS-unsp
Renal dis NOS-delivered
Renal dis NOS-del w p/p
Renal dis NOS-antepartum
Renal dis NOS-postpartum
Recur preg loss-unspec
Recurnt preg loss-deliv
Recurnt preg loss-antep
Neuritis of preg-unspec
Neuritis-delivered
Neuritis-delivered w p/p
Neuritis of preg-antepar
Neuritis of preg-postpar
Bacteriuria preg-unspec
Asym bacteriuria-deliver
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
764
764
765
760
765
760
765
765
760
765
765
760
765
765
760
760
765
761
765
760
760
765
761
765
760
765
765
760
760
765
761
765
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 241 of 6734

64652
64653
64654
64660
64661
64662
64663
64664
64670
64671
64673
64680
64681
64682
64683
64684
64690
64691
64693
64700
64701
64702
64703
64704
64710
64711
64712
64713
64714
64720
64721
64722
64723
Asy bacteruria-del w p/p

Asy bacteriuria-antepart
Asy bacteriuria-postpart
Gu infect in preg-unspec
Gu infection-delivered
Gu infection-deliv w p/p
Gu infection-antepartum
Gu infection-postpartum
Liver/bil trct disr-unsp
Liver/bil trct disr-del
Liver/bil trct disr-ante
Preg compl NEC-unspec
Preg compl NEC-delivered
Preg compl NEC-del w p/p
Preg compl NEC-antepart
Preg compl NEC-postpart
Preg compl NOS-unspec
Preg compl NOS-delivered
Preg compl NOS-antepart
Syphilis in preg-unspec
Syphilis-delivered
Syphilis-delivered w p/p
Syphilis-antepartum
Syphilis-postpartum
Gonorrhea in preg-unspec
Gonorrhea-delivered
Gonorrhea-deliver w p/p
Gonorrhea-antepartum
Gonorrhea-postpartum
Other VD in preg-unspec
Other vd-delivered
Other vd-delivered w p/p
Other vd-antepartum
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
765
761
765
760
760
765
761
765
760
765
765
760
760
765
761
765
760
765
765
760
760
765
761
765
760
760
765
761
765
760
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 242 of 6734

64724
64730
64731
64732
64733
64734
64740
64741
64742
64743
64744
64750
64751
64752
64753
64754
64760
64761
64762
64763
64764
64780
64781
64782
64783
64784
64790
64791
64792
64793
64794
64800
64801
Other vd-postpartum
TB in preg-unspecified
Tuberculosis-delivered
Tuberculosis-deliv w p/p
Tuberculosis-antepartum
Tuberculosis-postpartum
Malaria in preg-unspec
Malaria-delivered
Malaria-delivered w p/p
Malaria-antepartum
Malaria-postpartum
Rubella in preg-unspec
Rubella-delivered
Rubella-delivered w p/p
Rubella-antepartum
Rubella-postpartum
Oth virus in preg-unspec
Oth viral dis-delivered
Oth viral dis-del w p/p
Oth viral dis-antepartum
Oth viral dis-postpartum
Inf dis in preg NEC-unsp
Infect dis NEC-delivered
Infect dis NEC-del w p/p
Infect dis NEC-antepart
Infect dis NEC-postpart
Infect in preg NOS-unsp
Infect NOS-delivered
Infect NOS-deliver w p/p
Infect NOS-antepartum
Infect NOS-postpartum
Diabetes in preg-unspec
Diabetes-delivered
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 243 of 6734

64802
64803
64804
64810
64811
64812
64813
64814
64820
64821
64822
64823
64824
64830
64831
64832
64833
64834
64840
64841
64842
64843
64844
64850
64851
64852
64853
64854
64860
64861
64862
64863
64864
Diabetes-delivered w p/p
Diabetes-antepartum
Diabetes-postpartum
Thyroid dysfun preg-unsp
Thyroid dysfunc-deliver
Thyroid dysfun-del w p/p
Thyroid dysfunc-antepart
Thyroid dysfunc-postpart
Anemia in preg-unspec
Anemia-delivered
Anemia-delivered w p/p
Anemia-antepartum
Anemia-postpartum
Drug depend preg-unspec
Drug dependence-deliver
Drug dependen-del w p/p
Drug dependence-antepart
Drug dependence-postpart
Mental dis preg-unspec
Mental disorder-deliver
Mental dis-deliv w p/p
Mental disorder-antepart
Mental disorder-postpart
Congen CV dis preg-unsp
Congen CV dis-delivered
Congen CV dis-del w p/p
Congen CV dis-antepartum
Congen CV dis-postpartum
CV dis NEC preg-unspec
CV dis NEC preg-deliver
CV dis NEC-deliver w p/p
CV dis NEC-antepartum
CV dis NEC-postpartum
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 244 of 6734

64870
64871
64872
64873
64874
64880
64881
64882
64883
64884
64890
64891
64892
64893
64894
64900
64901
64902
64903
64904
64910
64911
64912
64913
64914
64920
64921
64922
64923
64924
64930
64931
64932
Bone disord in preg-unsp

Bone disorder-delivered
Bone disorder-del w p/p
Bone disorder-antepartum
Bone disorder-postpartum
Abn glucose in preg-unsp
Abn glucose toler-deliv
Abn glucose-deliv w p/p
Abn glucose-antepartum
Abn glucose-postpartum
Oth curr cond preg-unsp
Oth curr cond-delivered
Oth curr cond-del w p/p
Oth curr cond-antepartum
Oth curr cond-postpartum
Tobacco use disord-unsp
Tobacco use disor-delliv
Tobacco use dis-del-p/p
Tobacco use dis-antepart
Tobacco use dis-postpart
Obesity-unspecified
Obesity-delivered
Obesity-delivered w p/p
Obesity-antepartum
Obesity-postpartum
Bariatric surg stat-unsp
Bariatric surg stat-del
Bariatric surg-del w p/p
Bariatrc surg stat-antep
Bariatrc surg stat w p/p
Coagulation def-unspec
Coagulation def-deliv
Coagulatn def-del w p/p
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
761
761
765
761
765
761
761
765
761
765
761
761
765
761
765
761
761
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 245 of 6734

64933
64934
64940
64941
64942
64943
64944
64950
64951
64953
64960
64961
64962
64963
64964
64970
64971
64973
64981
64982
650
65100
65101
65103
65110
65111
65113
65120
65121
65123
65130
65131
65133
Coagulation def-antepart
Coagulation def-postpart
Epilepsy-unspecified
Epilepsy-delivered
Epilepsy-delivered w p/p
Epilepsy-antepartum
Epilepsy-postpartum
Spotting-unspecified
Spotting-delivered
Spotting-antepartum
Uterine size descrp-unsp
Uterine size descrep-del
Uterine size-del w p/p
Uterine size des-antepar
Uterine size descrep-p/p
Cervical shortening-unsp
Cervical shortening-del
Cervical shortening-ante
Spon labr w plan C/S-del
Lbr w plan C/S-del w p/p
Normal delivery
Twin pregnancy-unspec
Twin pregnancy-delivered
Twin pregnancy-antepart
Triplet pregnancy-unspec
Triplet pregnancy-deliv
Triplet preg-antepartum
Quadruplet preg-unspec
Quadruplet preg-deliver
Quadruplet preg-antepart
Twins w fetal loss-unsp
Twins w fetal loss-del
Twins w fetal loss-ante
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
761
765
761
761
765
761
765
761
765
765
760
760
765
761
765
765
765
760
760
760
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 246 of 6734

65140
65141
65143
65150
65151
65153
65160
65161
65163
65170
65171
65173
65180
65181
65183
65190
65191
65193
65200
65201
65203
65210
65211
65213
65220
65221
65223
65230
65231
65233
65240
65241
65243
Triplets w fet loss-unsp

Triplets w fet loss-del
Triplets w fet loss-ante
Quads w fetal loss-unsp
Quads w fetal loss-del
Quads w fetal loss-ante
Mult ges w fet loss-unsp
Mult ges w fet loss-del
Mult ges w fet loss-ante
Mul gest-fet reduct unsp
Mult gest-fet reduct del
Mul gest-fet reduct ante
Multi gestat NEC-unspec
Multi gestat NEC-deliver
Multi gest NEC-antepart
Multi gestat NOS-unspec
Mult gestation NOS-deliv
Multi gest NOS-antepart
Unstable lie-unspecified
Unstable lie-delivered
Unstable lie-antepartum
Cephalic vers NOS-unspec
Cephalic vers NOS-deliv
Cephal vers NOS-antepart
Breech presentat-unspec
Breech presentat-deliver
Breech present-antepart
Transv/obliq lie-unspec
Transver/obliq lie-deliv
Transv/obliq lie-antepar
Face/brow present-unspec
Face/brow present-deliv
Face/brow pres-antepart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 247 of 6734

65250
65251
65253
65260
65261
65263
65270
65271
65273
65280
65281
65283
65290
65291
65293
65300
65301
65303
65310
65311
65313
65320
65321
65323
65330
65331
65333
65340
65341
65343
65350
65351
65353
High head at term-unspec

High head at term-deliv
High head term-antepart
Mult gest malpresen-unsp
Mult gest malpres-deliv
Mult ges malpres-antepar
Prolapsed arm-unspec
Prolapsed arm-delivered
Prolapsed arm-antepart
Malposition NEC-unspec
Malposition NEC-deliver
Malposition NEC-antepart
Malposition NOS-unspec
Malposition NOS-deliver
Malposition NOS-antepart
Pelvic deform NOS-unspec
Pelvic deform NOS-deliv
Pelv deform NOS-antepart
Contract pelv NOS-unspec
Contract pelv NOS-deliv
Contrac pelv NOS-antepar
Inlet contraction-unspec
Inlet contraction-deliv
Inlet contract-antepart
Outlet contraction-unsp
Outlet contraction-deliv
Outlet contract-antepart
Fetopelv disprop-unspec
Fetopelv dispropor-deliv
Fetopel disprop-antepart
Fetal disprop NOS-unspec
Fetal disprop NOS-deliv
Fetal dispro NOS-antepar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 248 of 6734

65360
65361
65363
65370
65371
65373
65380
65381
65383
65390
65391
65393
65400
65401
65402
65403
65404
65410
65411
65412
65413
65414
65420
65421
65423
65430
65431
65432
65433
65434
65440
65441
65442
Hydrocephal fetus-unspec
Hydroceph fetus-deliver
Hydroceph fetus-antepart
Oth abn fet disprop-unsp
Oth abn fet dispro-deliv
Oth abn fet dispro-antep
Disproportion NEC-unspec
Disproportion NEC-deliv
Dispropor NEC-antepartum
Disproportion NOS-unspec
Disproportion NOS-deliv
Dispropor NOS-antepartum
Cong abn uter preg-unsp
Congen abn uterus-deliv
Cong abn uter-del w p/p
Congen abn uter-antepart
Congen abn uter-postpart
Uter tumor in preg-unsp
Uterine tumor-delivered
Uterine tumor-del w p/p
Uterine tumor-antepartum
Uterine tumor-postpartum
Prev c-delivery unspec
Prev c-delivery-delivrd
Prev c-delivery-antepart
Retrovert uterus-unspec
Retrovert uterus-deliver
Retrovert uter-del w p/p
Retrovert uter-antepart
Retrovert uter-postpart
Abn grav uterus NEC-unsp
Abn uterus NEC-delivered
Abn uterus NEC-del w p/p
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
760
765
761
765
760
760
765
761
765
760
765
765
760
760
765
761
765
760
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 249 of 6734

65443
65444
65450
65451
65452
65453
65454
65460
65461
65462
65463
65464
65470
65471
65472
65473
65474
65480
65481
65482
65483
65484
65490
65491
65492
65493
65494
65500
65501
65503
65510
65511
65513
Abn uterus NEC-antepart

Abn uterus NEC-postpart
Cerv incompet preg-unsp
Cervical incompet-deliv
Cerv incompet-del w p/p
Cerv incompet-antepartum
Cerv incompet-postpartum
Abn cervix NEC preg-unsp
Abn cervix NEC-delivered
Abn cervix NEC-del w p/p
Abn cervix NEC-antepart
Abn cervix NEC-postpart
Abn vagina in preg-unsp
Abnorm vagina-delivered
Abnorm vagina-del w p/p
Abnorm vagina-antepartum
Abnorm vagina-postpartum
Abn vulva in preg-unspec
Abnormal vulva-delivered
Abnormal vulva-del w p/p
Abnormal vulva-antepart
Abnormal vulva-postpart
Abn pel NEC in preg-unsp
Abn pelv org NEC-deliver
Abn pelv NEC-deliv w p/p
Abn pelv org NEC-antepar
Abn pelv org NEC-postpar
Fetal cns malform-unspec
Fetal cns malform-deliv
Fetal cns malfor-antepar
Fetal chromos abn-unspec
Fetal chromoso abn-deliv
Fet chromo abn-antepart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 250 of 6734

65520
65521
65523
65530
65531
65533
65540
65541
65543
65550
65551
65553
65560
65561
65563
65570
65571
65573
65580
65581
65583
65590
65591
65593
65600
65601
65603
65610
65611
65613
65620
65621
65623
Famil heredit dis-unspec

Famil heredit dis-deliv
Famil hered dis-antepart
Fet damg d/t virus-unsp
Fet damg d/t virus-deliv
Fet damg d/t virus-antep
Fet damg d/t dis-unspec
Fet damg d/t dis-deliver
Fet damg d/t dis-antepar
Fetal damg d/t drug-unsp
Fet damag d/t drug-deliv
Fet damg d/t drug-antepa
Radiat fetal damag-unsp
Radiat fetal damag-deliv
Radiat fet damag-antepar
Decrease fetl movmt unsp
Decrease fetal movmt del
Dec fetal movmt antepart
Fetal abnorm NEC-unspec
Fetal abnorm NEC-deliver
Fetal abnorm NEC-antepar
Fetal abnorm NOS-unspec
Fetal abnorm NOS-deliver
Fetal abnorm NOS-antepar
Fetal-maternal hem-unsp
Fetal-maternal hem-deliv
Fetal-matern hem-antepar
Rh isoimmunization-unsp
Rh isoimmunizat-deliver
Rh isoimmunizat-antepart
Abo isoimmunization-unsp
Abo isoimmunizat-deliver
Abo isoimmunizat-antepar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 251 of 6734

65630
65631
65633
65640
65641
65643
65650
65651
65653
65660
65661
65663
65670
65671
65673
65680
65681
65683
65690
65691
65693
65700
65701
65703
65800
65801
65803
65810
65811
65813
65820
65821
65823
Fetal distress-unspec
Fetal distress-delivered
Fetal distress-antepart
Intrauterine death-unsp
Intrauter death-deliver
Intrauter death-antepart
Poor fetal growth-unspec
Poor fetal growth-deliv
Poor fetal grth-antepart
Excess fetal grth-unspec
Excess fetal grth-deliv
Excess fet grth-antepart
Oth placent cond-unspec
Oth placent cond-deliver
Oth placent cond-antepar
Fet/plac prob NEC-unspec
Fet/plac prob NEC-deliv
Fet/plac prob NEC-antepa
Fet/plac prob NOS-unspec
Fet/plac prob NOS-deliv
Fet/plac prob NOS-antepa
Polyhydramnios-unspec
Polyhydramnios-delivered
Polyhydramnios-antepart
Oligohydramnios-unspec
Oligohydramnios-deliver
Oligohydramnios-antepar
Prem rupt membran-unspec
Prem rupt membran-deliv
Prem rupt memb-antepart
Prolong rupt memb-unspec
Prolong rupt memb-deliv
Prolong rup memb-antepar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 252 of 6734

65830
65831
65833
65840
65841
65843
65880
65881
65883
65890
65891
65893
65900
65901
65903
65910
65911
65913
65920
65921
65923
65930
65931
65933
65940
65941
65943
65950
65951
65953
65960
65961
65963
Artific rupt membr-unsp

Artific rupt membr-deliv
Artif rupt memb-antepart
Amniotic infection-unsp
Amniotic infection-deliv
Amniotic infect-antepart
Amniotic prob NEC-unspec
Amniotic prob NEC-deliv
Amnion prob NEC-antepart
Amniotic prob NOS-unspec
Amniotic prob NOS-deliv
Amnion prob NOS-antepart
Fail mechan induct-unsp
Fail mech induct-deliver
Fail mech induct-antepar
Fail induction NOS-unsp
Fail induction NOS-deliv
Fail induct NOS-antepart
Pyrexia in labor-unspec
Pyrexia in labor-deliver
Pyrexia in labor-antepar
Septicemia in labor-unsp
Septicem in labor-deliv
Septicem in labor-antepa
Grand multiparity-unspec
Grand multiparity-deliv
Grand multiparity-antepa
Elderly primigravid-unsp
Elderly primigravida-del
Elder primigravid-antepa
Elderly multigravida-uns
Elderly multigravida-del
Elderly multigravd-antep
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 253 of 6734

65970
65971
65973
65980
65981
65983
65990
65991
65993
66000
66001
66003
66010
66011
66013
66020
66021
66023
66030
66031
66033
66040
66041
66043
66050
66051
66053
66060
66061
66063
66070
66071
66073
Abn ftl hrt rate/rhy-uns

Abn ftl hrt rate/rhy-del
Abn ftl hrt rate/rhy-ant
Complic labor NEC-unsp
Complic labor NEC-deliv
Compl labor NEC-antepart
Complic labor NOS-unsp
Complic labor NOS-deliv
Compl labor NOS-antepart
Obstruct/fet malpos-unsp
Obstruc/fet malpos-deliv
Obstruc/fet malpos-antep
Bony pelv obstruc-unspec
Bony pelv obstruct-deliv
Bony pelv obstruc-antepa
Abn pelv tiss obstr-unsp
Abn pelv tis obstr-deliv
Abn pelv tis obstr-antep
Persist occipitpost-unsp
Persist occiptpost-deliv
Persist occiptpost-antep
Shoulder dystocia-unspec
Shoulder dystocia-deliv
Shoulder dystocia-antepa
Locked twins-unspecified
Locked twins-delivered
Locked twins-antepartum
Fail trial lab NOS-unsp
Fail trial lab NOS-deliv
Fail trial lab NOS-antep
Failed forcep NOS-unspec
Failed forceps NOS-deliv
Fail forceps NOS-antepar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 254 of 6734

66080
66081
66083
66090
66091
66093
66100
66101
66103
66110
66111
66113
66120
66121
66123
66130
66131
66133
66140
66141
66143
66190
66191
66193
66200
66201
66203
66210
66211
66213
66220
66221
66223
Obstruc labor NEC-unspec

Obstruct labor NEC-deliv
Obstruc labor NEC-antepa
Obstruc labor NOS-unspec
Obstruct labor NOS-deliv
Obstruc labor NOS-antepa
Prim uterine inert-unsp
Prim uterine inert-deliv
Prim uter inert-antepart
Sec uterine inert-unspec
Sec uterine inert-deliv
Sec uterine inert-antepa
Uterine inertia NEC-unsp
Uterine inert NEC-deliv
Uterine inert NEC-antepa
Precipitate labor-unspec
Precipitate labor-deliv
Precipitate labor-antepa
Uter dystocia NOS-unspec
Uter dystocia NOS-deliv
Uter dystocia NOS-antepa
Abnormal labor NOS-unsp
Abnormal labor NOS-deliv
Abnorm labor NOS-antepar
Prolonged 1st stage-unsp
Prolong 1st stage-deliv
Prolong 1st stage-antepa
Prolonged labor NOS-unsp
Prolong labor NOS-deliv
Prolong labor NOS-antepa
Prolonged 2nd stage-unsp
Prolong 2nd stage-deliv
Prolong 2nd stage-antepa
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 255 of 6734

66230
66231
66233
66300
66301
66303
66310
66311
66313
66320
66321
66323
66330
66331
66333
66340
66341
66343
66350
66351
66353
66360
66361
66363
66380
66381
66383
66390
66391
66393
66400
66401
66404
Delay del 2nd twin-unsp

Delay del 2nd twin-deliv
Delay del 2 twin-antepar
Cord prolapse-unspec
Cord prolapse-delivered
Cord prolapse-antepartum
Cord around neck-unspec
Cord around neck-deliver
Cord around neck-antepar
Cord compress NEC-unspec
Cord compress NEC-deliv
Cord compres NEC-antepar
Cord entangle NEC-unspec
Cord entangle NEC-deliv
Cord entangl NEC-antepar
Short cord-unspecified
Short cord-delivered
Short cord-antepartum
Vasa previa-unspecified
Vasa previa-delivered
Vasa previa-antepartum
Vasc lesion cord-unspec
Vasc lesion cord-deliver
Vasc lesion cord-antepar
Cord complicat NEC-unsp
Cord complicat NEC-deliv
Cord compl NEC-antepart
Cord complicat NOS-unsp
Cord complicat NOS-deliv
Cord compl NOS-antepart
Del w 1 deg lacerat-unsp
Del w 1 deg lacerat-del
Del w 1 deg lac-postpart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
765
760
765
760
760
761
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 256 of 6734

66410
66411
66414
66420
66421
66424
66430
66431
66434
66440
66441
66444
66450
66451
66454
66460
66461
66464
66480
66481
66484
66490
66491
66494
66500
66501
66503
66510
66511
66520
66522
66524
66530

Ob perineal lac NOS-unsp
Ob perineal lac NOS-del
Perineal lac NOS-postpar
Ob perineal hematom-unsp
Ob perineal hematoma-del
Perin hematoma-postpart
Anal sphincter tear NOS
Anal sphincter tear-del
Anal sphinctr tear w p/p
Ob perin traum NEC-unsp
Ob perineal trau NEC-del
Perin traum NEC-postpart
Ob perin traum NOS-unsp
Ob perineal trau NOS-del
Perin traum NOS-postpart
Prelabor rupt uter-unsp
Prelabor rupt uterus-del
Prelab rupt uter-antepar
Rupture uterus NOS-unsp
Rupture uterus NOS-deliv
Inversion of uterus-unsp
Invers uterus-del w p/p
Invers uterus-postpart
Lacerat of cervix-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
760
761
760
760
761
760
760
761
765
760
761
765
760
761
765
761
761
765
760
761
765
760
761
765
760
765
765
760
765
760
761
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 257 of 6734

66531
66534
66540
66541
66544
66550
66551
66554
66560
66561
66564
66570
66571
66572
66574
66580
66581
66582
66583
66584
66590
66591
66592
66593
66594
66600
66602
66604
66610
66612
66614
66620
66622
Lacerat of cervix-deliv
Lacer of cervix-postpart
High vaginal lacer-unsp
High vaginal lacer-deliv
High vaginal lac-postpar
Ob inj pelv org NEC-unsp
Ob inj pelv org NEC-del
Inj pelv org NEC-postpar
Damage to pelvic jt-unsp
Damage to pelvic jt-del
Damage pelvic jt-postpar
Ob pelvic hematoma-unsp
Ob pelvic hematoma-deliv
Pelvic hematom-del w pp
Pelvic hematoma-postpart
Ob trauma NEC-unspec
Ob trauma NEC-delivered
Ob trauma NEC-del w p/p
Ob trauma NEC-antepartum
Ob trauma NEC-postpartum
Ob trauma NOS-unspec
Ob trauma NOS-delivered
Ob trauma NOS-del w p/p
Ob trauma NOS-antepartum
Ob trauma NOS-postpartum
Third-stage hem-unspec
Thrd-stage hem-del w p/p
Third-stage hem-postpart
Postpartum hem NEC-unsp
Postpa hem NEC-del w p/p
Postpart hem NEC-postpar
Delay p/part hem-unspec
Delay p/p hem-del w p/p
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
761
765
760
761
765
760
761
765
760
761
765
760
760
761
765
760
760
765
761
765
760
760
765
761
765
760
761
765
760
761
765
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 258 of 6734

66624
66630
66632
66634
66700
66702
66704
66710
66712
66714
66800
66801
66802
66803
66804
66810
66811
66812
66813
66814
66820
66821
66822
66823
66824
66880
66881
66882
66883
66884
66890
66891
66892
Delay p/part hem-postpar

Postpart coagul def-unsp
P/p coag def-del w p/p
Postpart coag def-postpa
Retain placenta NOS-unsp
Retnd plac NOS-del w p/p
Retain plac NOS-postpart
Retain prod concept-unsp
Ret prod conc-del w p/p
Ret prod concept-postpar
Pulm compl in del-unspec
Pulm compl in del-deliv
Pulm complic-del w p/p
Pulm complicat-antepart
Pulm complicat-postpart
Heart compl in del-unsp
Heart compl in del-deliv
Heart compl-del w p/p
Heart complic-antepart
Heart complic-postpart
Cns compl labor/del-unsp
Cns compl lab/del-deliv
Cns complic-del w p/p
Cns compl in del-antepar
Cns compl in del-postpar
Anesth comp del NEC-unsp
Anesth compl NEC-deliver
Anesth compl NEC-del p/p
Anesth compl antepartum
Anesth compl-postpartum
Anesth comp del NOS-unsp
Anesth compl NOS-deliver
Anesth compl NOS-del p/p
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
761
765
760
761
765
760
761
765
760
761
760
760
760
765
761
760
760
760
765
761
760
760
760
765
761
760
760
760
765
761
760
760
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 259 of 6734

66893
66894
66900
66901
66902
66903
66904
66910
66911
66912
66913
66914
66920
66921
66922
66923
66924
66930
66932
66934
66940
66941
66942
66943
66944
66950
66951
66960
66961
66970
66971
66980
66981
Anesth compl-antepartum
Anesth compl-postpartum
Maternal distress-unspec
Maternal distress-deliv
Matern distres-del w p/p
Matern distress-antepar
Matern distress-postpart
Obstetric shock-unspec
Obstetric shock-deliver
Obstet shock-deliv w p/p
Obstetric shock-antepar
Obstetric shock-postpart
Matern hypotens syn-unsp
Matern hypoten syn-deliv
Matern hypoten-del w p/p
Matern hypotens-antepar
Matern hypotens-postpart
Ac kidny fail w del-unsp
Ac kidney fail-del w p/p
Ac kidney fail-postpart
Oth ob surg compl-unspec
Oth ob compl-delivered
Oth ob compl-deliv w p/p
Complc ob surg anteprtm
Oth ob surg compl-postpa
Forcep deliv NOS-unspec
Forcep deliv NOS-deliver
Breech extr NOS-unspec
Breech extr NOS-deliver
Cesarean deliv NOS-unsp
Cesarean delivery NOS
Compl lab/deliv NEC-unsp
Comp lab/deliv NEC-deliv
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
761
765
760
760
765
761
760
760
760
765
761
765
760
760
765
761
765
760
761
765
760
760
765
761
760
760
760
760
760
760
765
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 260 of 6734

66982
66983
66984
66990
66991
66992
66993
66994
67000
67002
67004
67010
67012
67014
67020
67022
67024
67030
67032
67034
67080
67082
67084
67100
67101
67102
67103
67104
67110
67111
67112
67113
67114
Compl del NEC-del w p/p

Compl deliv NEC-antepar
Compl deliv NEC-postpart
Compl lab/deliv NOS-unsp
Comp lab/deliv NOS-deliv
Compl del NOS-del w p/p
Compl deliv NOS-antepar
Compl deliv NOS-postpart
Maj puerp inf NOS-unsp
Maj puer inf NOS-del p/p
Major puerp inf NOS-p/p
Puerp endometritis-unsp
Puerp endomet del w p/p
Puerp endomet-postpart
Puerperal sepsis-unsp
Puerprl sepsis-del w p/p
Puerperl sepsis-postpart
Puerp septc thromb-unsp
Prp sptc thrmb-del w p/p
Prp septc thrmb-postpart
Maj prp infec NEC-unspec
Maj prp inf NEC-dl w p/p
Maj puerp infec NEC-p/p
Varic vein leg preg-unsp
Varicose vein leg-deliv
Varic vein leg-del w p/p
Varic vein leg-antepart
Varic vein leg-postpart
Varic vulva preg-unspec
Varicose vulva-delivered
Varicose vulva-del w p/p
Varicose vulva-antepart
Varicose vulva-postpart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
765
761
765
760
760
765
761
765
760
761
765
761
761
765
761
761
765
761
761
765
761
761
765
760
760
765
761
765
760
760
765
761
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 261 of 6734

67120
67121
67122
67123
67124
67130
67131
67133
67140
67142
67144
67150
67151
67152
67153
67154
67180
67181
67182
67183
67184
67190
67191
67192
67193
67194
67200
67202
67204
67300
67301
67302
67303
Thrombophleb preg-unspec
Thrombophlebitis-deliver
Thrombophleb-deliv w p/p
Thrombophlebit-antepart
Thrombophlebit-postpart
Deep thromb antepar-unsp
Deep throm antepar-deliv
Deep vein thromb-antepar
Deep thromb postpar-unsp
Thromb postpar-del w p/p
Deep vein thromb-postpar
Thrombosis NEC preg-unsp
Thrombosis NEC-delivered
Thromb NEC-deliv w p/p
Thrombosis NEC-antepart
Thrombosis NEC-postpart
Ven compl preg NEC-unsp
Venous compl NEC-deliver
Ven comp NEC-deliv w p/p
Venous compl NEC-antepar
Venous compl NEC-postpar
Ven compl preg NOS-unsp
Venous compl NOS-deliver
Ven comp NOS-deliv w p/p
Venous compl NOS-antepar
Venous compl NOS-postpar
Puerperal pyrexia-unspec
Puerp pyrexia-del w p/p
Puerp pyrexia-postpartum
Ob air embolism-unspec
Ob air embolism-deliver
Ob air embol-deliv w p/p
Ob air embolism-antepart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
760
765
761
765
760
765
765
760
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
761
765
760
760
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 262 of 6734

67304
67310
67311
67312
67313
67314
67320
67321
67322
67323
67324
67330
67331
67332
67333
67334
67380
67381
67382
67383
67384
67400
67401
67402
67403
67404
67410
67412
67414
67420
67422
67424
67430
Ob air embolism-postpart
Amniotic embolism-unspec
Amniotic embolism-deliv
Amniot embol-deliv w p/p
Amniotic embol-antepart
Amniotic embol-postpart
Ob pulm embol NOS-unspec
Pulm embol NOS-delivered
Pulm embol NOS-del w p/p
Pulm embol NOS-antepart
Pulm embol NOS-postpart
Ob pyemic embol-unspec
Ob pyemic embol-deliver
Ob pyem embol-del w p/p
Ob pyemic embol-antepart
Ob pyemic embol-postpart
Ob pulmon embol NEC-unsp
Pulmon embol NEC-deliver
Pulm embol NEC-del w p/p
Pulmon embol NEC-antepar
Pulmon embol NEC-postpar
Puerp cerebvasc dis-unsp
Puerp cerebvas dis-deliv
Cerebvas dis-deliv w p/p
Cerebrovasc dis-antepart
Cerebrovasc dis-postpart
Disrupt c-sect wnd-unsp
Disrupt c-sect-del w p/p
Disrupt c-sect-postpart
Disrupt perineum-unspec
Disrupt perin-del w p/p
Disrupt perineum-postpar
Ob surg compl NEC-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
761
765
760
761
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 263 of 6734

67432
67434
67440
67442
67444
67450
67451
67452
67453
67454
67480
67482
67484
67490
67492
67494
67500
67501
67502
67503
67504
67510
67511
67512
67513
67514
67520
67521
67522
67523
67524
67580
67581
Ob surg compl-del w p/p

Ob surg comp NEC-postpar
Placental polyp-unspec
Placent polyp-del w p/p
Placental polyp-postpart
Peripart cardiomy-unspec
Peripartum cardiomy-del
Peripart card del w p/p
Peripartum card-antepart
Peripartum card-postpart
Puerp compl NEC-unspec
Puerp comp NEC-del w p/p
Puerp compl NEC-postpart
Puerp compl NOS-unspec
Puerp comp NOS-del w p/p
Puerp compl NOS-postpart
Infect nipple preg-unsp
Infect nipple-delivered
Infect nipple-del w p/p
Infect nipple-antepartum
Infect nipple-postpartum
Breast abscess preg-unsp
Breast abscess-delivered
Breast abscess-del w p/p
Breast abscess-antepart
Breast abscess-postpart
Mastitis in preg-unspec
Mastitis-delivered
Mastitis-deliv w p/p
Mastitis-antepartum
Mastitis-postpartum
Breast inf preg NEC-unsp
Breast infect NEC-deliv
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
761
765
760
761
765
760
760
765
761
765
760
761
765
760
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 264 of 6734

67582
67583
67584
67590
67591
67592
67593
67594
67600
67601
67602
67603
67604
67610
67611
67612
67613
67614
67620
67621
67622
67623
67624
67630
67631
67632
67633
67634
67640
67641
67642
67643
67644
Breast inf NEC-del w p/p

Breast inf NEC-antepart
Breast inf NEC-postpart
Breast inf preg NOS-unsp
Breast infect NOS-deliv
Breast inf NOS-del w p/p
Breast inf NOS-antepart
Breast inf NOS-postpart
Retract nipple preg-unsp
Retracted nipple-deliver
Retract nipple-del w p/p
Retract nipple-antepart
Retract nipple-postpart
Cracked nipple preg-unsp
Cracked nipple-delivered
Cracked nipple-del w p/p
Cracked nipple-antepart
Cracked nipple-postpart
Breast engorge-unspec
Breast engorge-delivered
Breast engorge-del w p/p
Breast engorge-antepart
Breast engorge-postpart
Breast dis preg NEC-unsp
Breast dis NEC-delivered
Breast dis NEC-del w p/p
Breast dis NEC-antepart
Breast dis NEC-postpart
Lactation fail-unspec
Lactation fail-delivered
Lactation fail-del w p/p
Lactation fail-antepart
Lactation fail-postpart
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 265 of 6734

67650
67651
67652
67653
67654
67660
67661
67662
67663
67664
67680
67681
67682
67683
67684
67690
67691
67692
67693
67694
677
67800
67801
67803
67810
67811
67813
67900
67901
67902
67903
67904
67910
Suppr lactation-unspec
Suppr lactation-deliver
Suppr lactat-del w p/p
Suppr lactation-antepar
Suppr lactation-postpart
Galactorrhea preg-unspec
Galactorrhea-delivered
Galactorrhea-del w p/p
Galactorrhea-antepartum
Galactorrhea-postpartum
Lactation dis NEC-unspec
Lactation dis NEC-deliv
Lactat dis NEC-del w p/p
Lactat dis NEC-antepart
Lactat dis NEC-postpart
Lactation dis NOS-unspec
Lactation dis NOS-deliv
Lactat dis NOS-del w p/p
Lactat dis NOS-antepart
Lactat dis NOS-postpart
Late effct cmplcatn preg
Fetal hematologic-unspec
Fetal hematologic-deliv
Fetal hematologic-ante
Fetal conjoin twins-unsp
Fetal conjoin twins-del
Fetal conjoin twins-ante
Mat comp in utero-unsp
Mat comp in utero-del
Mat comp in utro-del-p/p
Mat comp in utero-ante
Mat comp in utero-p/p
Fetal comp in utero-unsp
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
765
760
760
765
761
761
765
761
765
765
761
765
765
761
761
765
761
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 266 of 6734

67911
67912
67913
67914
6800
6801
6802
6803
6804
6805
6806
6807
6808
6809
68100
68101
68102
68110
68111
6819
6820
6821
6822
6823
6824
6825
6826
6827
6828
6829
683
684
6850
Fetal comp in utero-del

Ftl cmp in utro-del-p/p
Fetal comp in utero-ante
Fetal comp in utero-p/p
Carbuncle of face
Carbuncle of neck
Carbuncle of trunk
Carbuncle of arm
Carbuncle of hand
Carbuncle of buttock
Carbuncle of leg
Carbuncle of foot
Carbuncle, site NEC
Carbuncle NOS
Cellulitis, finger NOS
Felon
Onychia of finger
Cellulitis, toe NOS
Onychia of toe
Cellulitis of digit NOS
Cellulitis of face
Cellulitis of neck
Cellulitis of trunk
Cellulitis of arm
Cellulitis of hand
Cellulitis of buttock
Cellulitis of leg
Cellulitis of foot
Cellulitis, site NEC
Cellulitis NOS
Acute lymphadenitis
Impetigo
Pilonidal cyst w abscess
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
761
761
765
761
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
673
785
673
673
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 267 of 6734

6851
68600
68601
68609
6861
6868
6869
69010
69011
69012
69018
6908
6910
6918
6920
6921
6922
6923
6924
6925
6926
69270
69271
69272
69273
69274
69275
69276
69277
69279
69281
69282
69283
Pilonidal cyst w/o absc

Pyoderma NOS
Pyoderma gangrenosum
Pyoderma NEC
Pyogenic granuloma
Local skin infection NEC
Local skin infection NOS
Sebrrheic dermatitis NOS
Seborrhea capitis
Sbrheic infantl drmtitis
Sebrrheic dermatitis NEC
Erythmtsquamous derm NEC
Diaper or napkin rash
Other atopic dermatitis
Detergent dermatitis
Oil & grease dermatitis
Solvent dermatitis
Topical med dermatitis
Chemical dermatitis NEC
Topical food dermatitis
Dermatitis due to plant
Solar dermatitis NOS
Sunburn
Act drmtitis solar rdiat
Actnc retic actnc grnlma
Oth chr drmtit solar rad
Dis sup actnc porokrtsis
2nd degree sunburn
3rd degree sunburn
Oth dermatitis solar rad
Cosmetic dermatitis
Dermatitis oth radiation
Dermatitis metals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
673
673
673
673
673
673
673
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 268 of 6734

69284
69289
6929
6930
6931
6938
6939
6940
6941
6942
6943
6944
6945
69460
69461
6948
6949
6950
69510
69511
69512
69513
69514
69515
69519
6952
6953
6954
69550
69551
69552
69553
69554
Contact drmatitis-animal
Dermatitis NEC
Dermatitis NOS
Drug dermatitis NOS
Dermat d/t food ingest
Dermat d/t int agent NEC
Dermat d/t int agent NOS
Dermatitis herpetiformis
Subcorneal pust dermatos
Juven dermat herpetiform
Impetigo herpetiformis
Pemphigus
Pemphigoid
Bn mucous memb pemph NOS
Ocular pemphigus
Bullous dermatoses NEC
Bullous dermatoses NOS
Toxic erythema
Erythema multiforme NOS
Erythma multiforme minor
Erythema multiforme maj
Stevens-Johnson syndrome
Stevens-Johnson-TEN syn
Toxic epidrml necrolysis
Erythema multiforme NEC
Erythema nodosum
Rosacea
Lupus erythematosus
Exfol d/t eryth <10% bdy
Exfl d/t eryth 10-19 bdy
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
675
675
675
675
675
675
675
675
675
675
671
671
671
553
671
671
671
671
671
671
671
671
671
671
675
675
671
675
675
671
671
671
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 269 of 6734

69555
69556
69557
69558
69559
69581
69589
6959
6960
6961
6962
6963
6964
6965
6968
6970
6971
6978
6979
6980
6981
6981
6982
6983
6984
6988
6989
700
7010
7011
7012
7013
7014

Exfl d/t eryth >=90% bdy
Ritter's disease
Erythematous cond NEC
Erythematous cond NOS
Psoriatic arthropathy
Other psoriasis
Parapsoriasis
Pityriasis rosea
Pityriasis rubra pilaris
Pityriasis NEC & NOS
Psorias related dis NEC
Lichen planus
Lichen nitidus
Lichen NEC
Lichen NOS
Pruritus ani
Pruritus of genitalia
Pruritus of genitalia
Prurigo
Lichenification
Dermatitis factitia
Pruritic conditions NEC
Pruritic disorder NOS
Corns and callosities
Circumscribe scleroderma
Keratoderma, acquired
Acq acanthosis nigricans
Striae atrophicae
Keloid scar
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
0
0
0
0
0
671
671
671
671
671
671
675
675
655
671
671
675
675
675
675
675
675
675
675
675
751
744
675
675
675
675
675
675
675
675
675
675
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 270 of 6734

7015
7018
7019
7020
70211
70219
7028
7030
7038
7039
70400
70401
70402
70409
7041
7042
7043
70441
70442
7048
7049
7050
7051
70521
70522
70581
70582
70583
70589
7059
7060
7061
7062
Abnormal granulation NEC

Skin hypertro/atroph NEC
Skin hypertro/atroph NOS
Actinic keratosis
Inflamed sbrheic keratos
Other sborheic keratosis
Other specf dermatoses
Ingrowing nail
Diseases of nail NEC
Disease of nail NOS
Alopecia NOS
Alopecia areata
Telogen effluvium
Alopecia NEC
Hirsutism
Abnormalities of hair
Variations in hair color
Pilar cyst
Trichilemmal cyst
Hair diseases NEC
Hair disease NOS
Anhidrosis
Prickly heat
Primary focal hyprhidros
Sec focal hyperhidrosis
Dyshidrosis
Fox-fordyce disease
Hidradenitis
Sweat gland disorder NEC
Sweat gland disorder NOS
Acne varioliformis
Acne NEC
Sebaceous cyst
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 271 of 6734

7063
7068
7069
70700
70701
70702
70703
70704
70705
70706
70707
70709
70710
70711
70712
70713
70714
70715
70719
70720
70721
70722
70723
70724
70725
7078
7079
7080
7081
7082
7083
7084
7085
Seborrhea
Sebaceous gland dis NEC
Sebaceous gland dis NOS
Pressure ulcer, site NOS
Pressure ulcer, elbow
Pressure ulcer, upr back
Pressure ulcer, low back
Pressure ulcer, hip
Pressure ulcer, buttock
Pressure ulcer, ankle
Pressure ulcer, heel
Pressure ulcer, site NEC
Ulcer of lower limb NOS
Ulcer of thigh
Ulcer of calf
Ulcer of ankle
Ulcer of heel & midfoot
Ulcer other part of foot
Ulcer oth part low limb
Pressure ulcer,stage NOS
Pressure ulcer, stage I
Pressure ulcer, stage II
Pressure ulcer,stage III
Pressure ulcer, stage IV
Pressure ulcer,unstagebl
Chronic skin ulcer NEC
Chronic skin ulcer NOS
Allergic urticaria
Idiopathic urticaria
Urticaria from cold/heat
Dermatographic urticaria
Vibratory urticaria
Cholinergic urticaria
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
675
675
676
676
676
676
676
676
676
676
676
670
670
670
670
670
670
670
670
670
670
676
676
676
670
670
675
675
675
675
675
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 272 of 6734

7088
7089
70900
70901
70909
7091
7092
7093
7094
7098
7099
7100
7101
7102
7103
7104
7105
7108
7109
71100
71101
71102
71103
71104
71105
71106
71107
71108
71109
71110
71111
71112
71113
Urticaria NEC
Urticaria NOS
Dyschromia, unspecified
Vitiligo
Other dyschromia
Vascular disord of skin
Scar & fibrosis of skin
Degenerative skin disord
Foreign body granul-skin
Skin disorders NEC
Skin disorder NOS
Syst lupus erythematosus
Systemic sclerosis
Sicca syndrome
Dermatomyositis
Polymyositis
Eosinophilia myalgia snd
Diff connect tis dis NEC
Diff connect tis dis NOS
Pyogen arthritis-unspec
Pyogen arthritis-shlder
Pyogen arthritis-up/arm
Pyogen arthritis-forearm
Pyogen arthritis-hand
Pyogen arthritis-pelvis
Pyogen arthritis-l/leg
Pyogen arthritis-ankle
Pyogen arthritis NEC
Pyogen arthritis-mult
Reiter arthritis-unspec
Reiter arthritis-shlder
Reiter arthritis-up/arm
Reiter arthritis-forearm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
675
675
675
675
675
675
675
675
675
675
655
655
655
655
655
655
655
655
654
654
654
654
654
654
654
654
654
654
655
655
655
655
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 273 of 6734

71114
71115
71116
71117
71118
71119
71120
71121
71122
71123
71124
71125
71126
71127
71128
71129
71130
71131
71132
71133
71134
71135
71136
71137
71138
71139
71140
71141
71142
71143
71144
71145
71146
Reiter arthritis-hand
Reiter arthritis-pelvis
Reiter arthritis-l/leg
Reiter arthritis-ankle
Reiter arthritis NEC
Reiter arthritis-mult
Behcet arthritis-unspec
Behcet arthritis-shlder
Behcet arthritis-up/arm
Behcet arthritis-forearm
Behcet arthritis-hand
Behcet arthritis-pelvis
Behcet arthritis-l/leg
Behcet arthritis-ankle
Behcet arthritis NEC
Behcet arthritis-mult
Dysenter arthrit-unspec
Dysenter arthrit-shlder
Dysenter arthrit-up/arm
Dysenter arthrit-forearm
Dysenter arthrit-hand
Dysenter arthrit-pelvis
Dysenter arthrit-l/leg
Dysenter arthrit-ankle
Dysenter arthrit NEC
Dysenter arthrit-mult
Bact arthritis-unspec
Bact arthritis-shlder
Bact arthritis-up/arm
Bact arthritis-forearm
Bact arthritis-hand
Bact arthritis-pelvis
Bact arthritis-l/leg
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
655
655
655
655
655
655
655
655
655
655
655
655
655
655
655
655
661
661
661
661
661
661
661
661
661
661
654
654
654
654
654
654
654
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 274 of 6734

71147
71148
71149
71150
71151
71152
71153
71154
71155
71156
71157
71158
71159
71160
71161
71162
71163
71164
71165
71166
71167
71168
71169
71170
71171
71172
71173
71174
71175
71176
71177
71178
71179
Bact arthritis-ankle
Bact arthritis NEC
Bact arthritis-mult
Viral arthritis-unspec
Viral arthritis-shlder
Viral arthritis-up/arm
Viral arthritis-forearm
Viral arthritis-hand
Viral arthritis-pelvis
Viral arthritis-l/leg
Viral arthritis-ankle
Viral arthritis NEC
Viral arthritis-mult
Mycotic arthritis-unspec
Mycotic arthritis-shlder
Mycotic arthritis-up/arm
Mycotic arthrit-forearm
Mycotic arthritis-hand
Mycotic arthritis-pelvis
Mycotic arthritis-l/leg
Mycotic arthritis-ankle
Mycotic arthritis NEC
Mycotic arthritis-mult
Helminth arthrit-unspec
Helminth arthrit-shlder
Helminth arthrit-up/arm
Helminth arthrit-forearm
Helminth arthrit-hand
Helminth arthrit-pelvis
Helminth arthrit-l/leg
Helminth arthrit-ankle
Helminth arthrit NEC
Helminth arthrit-mult
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
654
654
654
661
661
661
661
661
661
661
661
661
661
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 275 of 6734

71180
71181
71182
71183
71184
71185
71186
71187
71188
71189
71190
71191
71192
71193
71194
71195
71196
71197
71198
71199
71210
71211
71212
71213
71214
71215
71216
71217
71218
71219
71220
71221
71222
Inf arthritis NEC-unspec

Inf arthritis NEC-shlder
Inf arthritis NEC-up/arm
Inf arthrit NEC-forearm
Inf arthritis NEC-hand
Inf arthritis NEC-pelvis
Inf arthritis NEC-l/leg
Inf arthritis NEC-ankle
Inf arthrit NEC-oth site
Inf arthritis NEC-mult
Inf arthritis NOS-unspec
Inf arthritis NOS-shlder
Inf arthritis NOS-up/arm
Inf arthrit NOS-forearm
Inf arthrit NOS-hand
Inf arthrit NOS-pelvis
Inf arthrit NOS-l/leg
Inf arthrit NOS-ankle
Inf arthrit NOS-oth site
Inf arthritis NOS-mult
Dicalc phos cryst-unspec
Dicalc phos cryst-shlder
Dicalc phos cryst-up/arm
Dicalc phos crys-forearm
Dicalc phos cryst-hand
Dicalc phos cryst-pelvis
Dicalc phos cryst-l/leg
Dicalc phos cryst-ankle
Dicalc phos cry-site NEC
Dicalc phos cryst-mult
Pyrophosph cryst-unspec
Pyrophosph cryst-shlder
Pyrophosph cryst-up/arm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 276 of 6734

71223
71224
71225
71226
71227
71228
71229
71230
71231
71232
71233
71234
71235
71236
71237
71238
71239
71280
71281
71282
71283
71284
71285
71286
71287
71288
71289
71290
71291
71292
71293
71294
71295
Pyrophosph cryst-forearm
Pyrophosph cryst-hand
Pyrophosph cryst-pelvis
Pyrophosph cryst-l/leg
Pyrophosph cryst-ankle
Pyrophos cryst-site NEC
Pyrophos cryst-mult
Chondrocalcin NOS-unspec
Chondrocalcin NOS-shlder
Chondrocalcin NOS-up/arm
Chondrocalc NOS-forearm
Chondrocalcin NOS-hand
Chondrocalcin NOS-pelvis
Chondrocalcin NOS-l/leg
Chondrocalcin NOS-ankle
Chondrocalc NOS-oth site
Chondrocalcin NOS-mult
Cryst arthrop NEC-unspec
Cryst arthrop NEC-shlder
Cryst arthrop NEC-up/arm
Crys arthrop NEC-forearm
Cryst arthrop NEC-hand
Cryst arthrop NEC-pelvis
Cryst arthrop NEC-l/leg
Cryst arthrop NEC-ankle
Cry arthrop NEC-oth site
Cryst arthrop NEC-mult
Cryst arthrop NOS-unspec
Cryst arthrop NOS-shldr
Cryst arthrop NOS-up/arm
Crys arthrop NOS-forearm
Cryst arthrop NOS-hand
Cryst arthrop NOS-pelvis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 277 of 6734

71296
71297
71298
71299
7130
7131
7132
7133
7134
7135
7136
7137
7138
7140
7141
7142
71430
71431
71432
71433
7144
71481
71489
7149
71500
71504
71509
71510
71511
71512
71513
71514
71515
Cryst arthrop NOS-l/leg

Cryst arthrop NOS-ankle
Cry arthrop NOS-oth site
Cryst arthrop NOS-mult
Arthrop w endocr/met dis
Arthrop w noninf GI dis
Arthropath w hematol dis
Arthropathy w skin dis
Arthropathy w resp dis
Arthropathy w nerve dis
Arthrop w hypersen react
Arthrop w system dis NEC
Arthrop w oth dis NEC
Rheumatoid arthritis
Felty's syndrome
Syst rheum arthritis NEC
Juv rheum arthritis NOS
Polyart juv rheum arthr
Pauciart juv rheum arthr
Monoart juv rheum arthr
Chr postrheum arthritis
Rheumatoid lung
Inflamm polyarthrop NEC
Inflamm polyarthrop NOS
General osteoarthrosis
Gen osteoarthros-hand
General osteoarthrosis
Loc prim osteoart-unspec
Loc prim osteoart-shlder
Loc prim osteoart-up/arm
Loc prim osteoart-forarm
Loc prim osteoarth-hand
Loc prim osteoart-pelvis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
655
655
655
655
655
655
655
661
577
655
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 278 of 6734

71516
71517
71518
71520
71521
71522
71523
71524
71525
71526
71527
71528
71530
71531
71532
71533
71534
71535
71536
71537
71538
71580
71589
71590
71591
71592
71593
71594
71595
71596
71597
71598
71600
Loc prim osteoart-l/leg

Loc prim osteoarth-ankle
Loc prim osteoarthr NEC
Loc 2nd osteoarth-unspec
Loc 2nd osteoarth-shlder
Loc 2nd osteoarth-up/arm
Loc 2nd osteoart-forearm
Loc 2nd osteoarthro-hand
Loc 2nd osteoarth-pelvis
Loc 2nd osteoarthr-l/leg
Loc 2nd osteoarthr-ankle
Loc 2nd osteoarthros NEC
Loc osteoarth NOS-unspec
Loc osteoarth NOS-shlder
Loc osteoarth NOS-up/arm
Loc osteoart NOS-forearm
Loc osteoarth NOS-hand
Loc osteoarth NOS-pelvis
Loc osteoarth NOS-l/leg
Loc osteoarth NOS-ankle
Loc osteoar NOS-site NEC
Osteoarthrosis-mult site
Osteoarthrosis-mult site
Osteoarthros NOS-unspec
Osteoarthros NOS-shlder
Osteoarthros NOS-up/arm
Osteoarthros NOS-forearm
Osteoarthros NOS-hand
Osteoarthros NOS-pelvis
Osteoarthros NOS-l/leg
Osteoarthros NOS-ankle
Osteoarthro NOS-oth site
Kaschin-beck dis-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 279 of 6734

71601
71602
71603
71604
71605
71606
71607
71608
71609
71610
71611
71612
71613
71614
71615
71616
71617
71618
71619
71620
71621
71622
71623
71624
71625
71626
71627
71628
71629
71630
71631
71632
71633
Kaschin-beck dis-shlder
Kaschin-beck dis-up/arm
Kaschin-beck dis-forearm
Kaschin-beck dis-hand
Kaschin-beck dis-pelvis
Kaschin-beck dis-l/leg
Kaschin-beck dis-ankle
Kaschin-beck dis NEC
Kaschin-beck dis-mult
Traum arthropathy-unspec
Traum arthropathy-shlder
Traum arthropathy-up/arm
Traum arthropath-forearm
Traum arthropathy-hand
Traum arthropathy-pelvis
Traum arthropathy-l/leg
Traum arthropathy-ankle
Traum arthropathy NEC
Traum arthropathy-mult
Allerg arthritis-unspec
Allerg arthritis-shlder
Allerg arthritis-up/arm
Allerg arthritis-forearm
Allerg arthritis-hand
Allerg arthritis-pelvis
Allerg arthritis-l/leg
Allerg arthritis-ankle
Allerg arthritis NEC
Allerg arthritis-mult
Climact arthritis-unspec
Climact arthritis-shlder
Climact arthritis-up/arm
Climact arthrit-forearm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 280 of 6734

71634
71635
71636
71637
71638
71639
71640
71641
71642
71643
71644
71645
71646
71647
71648
71649
71650
71651
71652
71653
71654
71655
71656
71657
71658
71659
71660
71661
71662
71663
71664
71665
71666
Climact arthritis-hand
Climact arthritis-pelvis
Climact arthritis-l/leg
Climact arthritis-ankle
Climact arthritis NEC
Climact arthritis-mult
Trans arthropathy-unspec
Trans arthropathy-shlder
Trans arthropathy-up/arm
Trans arthropath-forearm
Trans arthropathy-hand
Trans arthropathy-pelvis
Trans arthropathy-l/leg
Trans arthropathy-ankle
Trans arthropathy NEC
Trans arthropathy-mult
Polyarthritis NOS-unspec
Polyarthritis NOS-shlder
Polyarthritis NOS-up/arm
Polyarthrit NOS-forearm
Polyarthritis NOS-hand
Polyarthritis NOS-pelvis
Polyarthritis NOS-l/leg
Polyarthritis NOS-ankle
Polyarthrit NOS-oth site
Polyarthritis NOS-mult
Monoarthritis NOS-unspec
Monoarthritis NOS-shlder
Monoarthritis NOS-up/arm
Monoarthrit NOS-forearm
Monoarthritis NOS-hand
Monoarthritis NOS-pelvis
Monoarthritis NOS-l/leg
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 281 of 6734

71667
71668
71680
71681
71682
71683
71684
71685
71686
71687
71688
71689
71690
71691
71692
71693
71694
71695
71696
71697
71698
71699
7170
7171
7172
7173
71740
71741
71742
71743
71749
7175
7176
Monoarthritis NOS-ankle
Monoarthrit NOS-oth site
Arthropathy NEC-unspec
Arthropathy NEC-shlder
Arthropathy NEC-up/arm
Arthropathy NEC-forearm
Arthropathy NEC-hand
Arthropathy NEC-pelvis
Arthropathy NEC-l/leg
Arthropathy NEC-ankle
Arthropathy NEC-oth site
Arthropathy NEC-mult
Arthropathy NOS-unspec
Arthropathy NOS-shlder
Arthropathy NOS-up/arm
Arthropathy NOS-forearm
Arthropathy NOS-hand
Arthropathy NOS-pelvis
Arthropathy NOS-l/leg
Arthropathy NOS-ankle
Arthropathy NOS-oth site
Arthropathy NOS-mult
Old bucket tear med men
Derang ant med meniscus
Derang post med meniscus
Derang med meniscus NEC
Derang lat meniscus NOS
Old bucket tear lat men
Derange ant lat meniscus
Derang post lat meniscus
Derang lat meniscus NEC
Derangement meniscus NEC
Loose body in knee
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
652
652
652
652
652
652
652
652
652
652
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 282 of 6734

7177
71781
71782
71783
71784
71785
71789
7179
71800
71801
71802
71803
71804
71805
71807
71808
71809
71810
71811
71812
71813
71814
71815
71817
71818
71819
71820
71821
71822
71823
71824
71825
71826
Chondromalacia patellae
Old disrupt lat collat
Old disrupt med collat
Old disrupt ant cruciate
Old disrupt post cruciat
Old disrupt knee lig NEC
Int derangement knee NEC
Int derangement knee NOS
Artic cartil dis-unspec
Artic cartil dis-shlder
Artic cartil dis-up/arm
Artic cartil dis-forearm
Artic cartil dis-hand
Artic cartil dis-pelvis
Artic cartil dis-ankle
Artic cartil dis-jt NEC
Artic cartil dis-mult jt
Loose body-unspec
Loose body-shlder
Loose body-up/arm
Loose body-forearm
Loose body-hand
Loose body-pelvis
Loose body-ankle
Loose body-joint NEC
Loose body-mult joints
Pathol dislocat-unspec
Pathol dislocat-shlder
Pathol dislocat-up/arm
Pathol dislocat-forearm
Pathol dislocat-hand
Pathol dislocat-pelvis
Pathol dislocat-l/leg
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
661
652
652
652
652
661
652
661
661
661
661
661
661
661
661
661
661
661
652
652
652
652
652
661
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 283 of 6734

71827
71828
71829
71830
71831
71832
71833
71834
71835
71836
71837
71838
71839
71840
71841
71842
71843
71844
71845
71846
71847
71848
71849
71850
71851
71852
71853
71854
71855
71856
71857
71858
71859
Pathol dislocat-ankle
Pathol dislocat-jt NEC
Pathol dislocat-mult jts
Recur dislocat-unspec
Recur dislocat-shlder
Recur dislocat-up/arm
Recur dislocat-forearm
Recur dislocat-hand
Recur dislocat-pelvis
Recur dislocat-l/leg
Recur dislocat-ankle
Recur dislocat-jt NEC
Recur dislocat-mult jts
Jt contracture-unspec
Jt contracture-shlder
Jt contracture-up/arm
Jt contracture-forearm
Jt contracture-hand
Jt contracture-pelvis
Jt contracture-l/leg
Jt contracture-ankle
Jt contracture-jt NEC
Jt contracture-mult jts
Ankylosis-unspec
Ankylosis-shoulder
Ankylosis-upper/arm
Ankylosis-forearm
Ankylosis-hand
Ankylosis-pelvis
Ankylosis-lower/leg
Ankylosis-ankle
Ankylosis-joint NEC
Ankylosis-mult joints
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
661
661
661
652
652
652
652
661
652
652
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 284 of 6734

71865
71870
71871
71872
71873
71874
71875
71876
71877
71878
71879
71880
71881
71882
71883
71884
71885
71886
71887
71888
71889
71890
71891
71892
71893
71894
71895
71897
71898
71899
71900
71901
71902
Protrusio acetabuli NOS

Dev dislocat jt site NOS
Dev dislocat joint-shldr
Dev dislocat jt-up/arm
Dev dislocat jt-forearm
Dev dislocat joint-hand
Dev dis jt-pelvic/thigh
Dev disloc jt-lower leg
Dev disloc jt-ankle/foot
Dev disloc jt-site NEC
Dev disloc jt-mult sites
Jt derangmnt NEC-unsp jt
Jt derangment NEC-shlder
Jt derangment NEC-up/arm
Jt derangmnt NEC-forearm
Jt derangement NEC-hand
Jt derangment NEC-pelvis
Jt derangement NEC-l/leg
Jt derangement NEC-ankle
Jt derangment NEC-oth jt
Jt derangement NEC-mult
Jt derangmnt NOS-unsp jt
Jt derangment NOS-shlder
Jt derangment NOS-up/arm
Jt derangmnt NOS-forearm
Jt derangement NOS-hand
Jt derangment NOS-pelvis
Jt derangement NOS-ankle
Jt derangment NOS-oth jt
Jt derangement NOS-mult
Joint effusion-unspec
Joint effusion-shlder
Joint effusion-up/arm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 285 of 6734

71903
71904
71905
71906
71907
71908
71909
71910
71911
71912
71913
71914
71915
71916
71917
71918
71919
71920
71921
71922
71923
71924
71925
71926
71927
71928
71929
71930
71931
71932
71933
71934
71935
Joint effusion-forearm
Joint effusion-hand
Joint effusion-pelvis
Joint effusion-l/leg
Joint effusion-ankle
Joint effusion-jt NEC
Joint effusion-mult jts
Hemarthrosis-unspec
Hemarthrosis-shlder
Hemarthrosis-up/arm
Hemarthrosis-forearm
Hemarthrosis-hand
Hemarthrosis-pelvis
Hemarthrosis-l/leg
Hemarthrosis-ankle
Hemarthrosis-jt NEC
Hemarthrosis-mult jts
Villonod synovit-unspec
Villonod synovit-shlder
Villonod synovit-up/arm
Villonod synovit-forearm
Villonod synovit-hand
Villonod synovit-pelvis
Villonod synovit-l/leg
Villonod synovit-ankle
Villonod synovit-jt NEC
Villonod synovit-mult jt
Palindrom rheum-unspec
Palindrom rheum-shlder
Palindrom rheum-up/arm
Palindrom rheum-forearm
Palindrom rheum-hand
Palindrom rheum-pelvis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
510
510
510
510
510
510
510
510
510
510
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 286 of 6734

71936
71937
71938
71939
71940
71941
71942
71943
71944
71945
71946
71947
71948
71949
71950
71951
71952
71953
71954
71955
71956
71957
71958
71959
71960
71961
71962
71963
71964
71965
71966
71967
71968
Palindrom rheum-l/leg
Palindrom rheum-ankle
Palindrom rheum-jt NEC
Palindrom rheum-mult jts
Joint pain-unspec
Joint pain-shlder
Joint pain-up/arm
Joint pain-forearm
Joint pain-hand
Joint pain-pelvis
Joint pain-l/leg
Joint pain-ankle
Joint pain-jt NEC
Joint pain-mult jts
Jt stiffness NEC-unspec
Jt stiffness NEC-shlder
Jt stiffness NEC-up/arm
Jt stiffnes NEC-forearm
Jt stiffness NEC-hand
Jt stiffness NEC-pelvis
Jt stiffness NEC-l/leg
Jt stiffness NEC-ankle
Jt stiffness NEC-oth jt
Jt stiffness NEC-mult jt
Joint sympt NEC-unsp jt
Joint symptom NEC-shlder
Joint symptom NEC-up/arm
Joint sympt NEC-forearm
Joint symptom NEC-hand
Joint symptom NEC-pelvis
Joint symptom NEC-l/leg
Joint symptom NEC-ankle
Joint symptom NEC-oth jt
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 287 of 6734

71969
7197
71980
71981
71982
71983
71984
71985
71986
71987
71988
71989
71990
71991
71992
71993
71994
71995
71996
71997
71998
71999
7200
7201
7202
72081
72089
7209
7210
7211
7212
7213
72141
Joint sympt NEC-mult jts

Difficulty in walking
Joint dis NEC-unspec
Joint dis NEC-shlder
Joint dis NEC-up/arm
Joint dis NEC-forearm
Joint dis NEC-hand
Joint dis NEC-pelvis
Joint dis NEC-l/leg
Joint dis NEC-ankle
Joint dis NEC-oth jt
Joint dis NEC-mult jts
Joint dis NOS-unspec jt
Joint dis NOS-shlder
Joint dis NOS-up/arm
Joint dis NOS-forearm
Joint dis NOS-hand
Joint dis NOS-pelvis
Joint dis NOS-l/leg
Joint dis NOS-ankle
Joint dis NOS-oth jt
Joint dis NOS-mult jts
Ankylosing spondylitis
Spinal enthesopathy
Sacroiliitis NEC
Spondylopathy in oth dis
Inflam spondylopathy NEC
Inflam spondylopathy NOS
Cervical spondylosis
Cerv spondyl w myelopath
Thoracic spondylosis
Lumbosacral spondylosis
Spond compr thor sp cord
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
655
656
656
656
656
656
656
656
656
657
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 288 of 6734

72142
7215
7216
7217
7218
72190
72191
7220
72210
72211
7222
72230
72231
72232
72239
7224
72251
72252
7226
72270
72271
72272
72273
72280
72281
72282
72283
72290
72291
72292
72293
7230
7231
Spond compr lumb sp cord

Kissing spine
Ankyl vert hyperostosis
Traumatic spondylopathy
Spinal disorders NEC
Spondylos NOS w/o myelop
Spondylosis NOS w myelop
Cervical disc displacmnt
Lumbar disc displacement
Thoracic disc displacmnt
Disc displacement NOS
Schmorl's nodes NOS
Schmorls node-thoracic
Schmorls node-lumbar
Schmorls node-region NEC
Cervical disc degen
Thoracic disc degen
Lumb/lumbosac disc degen
Disc degeneration NOS
Disc dis w myelopath NOS
Cerv disc dis w myelopat
Thor disc dis w myelopat
Lumb disc dis w myelopat
Postlaminectomy synd NOS
Postlaminect synd-cerv
Postlaminect synd-thorac
Postlaminect synd-lumbar
Disc dis NEC/NOS-unspec
Disc dis NEC/NOS-cerv
Disc dis NEC/NOS-thorac
Disc dis NEC/NOS-lumbar
Cervical spinal stenosis
Cervicalgia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
658
657
656
656
656
656
656
656
657
656
657
656
656
656
656
656
656
657
657
658
656
656
658
657
656
656
658
656
656
656
657
656
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 289 of 6734

7232
7233
7234
7235
7236
7237
7238
7239
72400
72401
72402
72403
72409
7241
7242
7243
7244
7245
7246
72470
72471
72479
7248
7249
725
7260
72610
72611
72612
72613
72619
7262
72630
Cervicocranial syndrome
Cervicobrachial syndrome
Brachial neuritis NOS
Torticollis NOS
Panniculitis of neck
Ossification cerv lig
Cervical syndrome NEC
Neck disorder/sympt NOS
Spinal stenosis NOS
Spinal stenosis-thoracic
Spin sten,lumbr wo claud
Spin sten,lumbr w claud
Spinal stenosis-oth site
Pain in thoracic spine
Lumbago
Sciatica
Lumbosacral neuritis NOS
Backache NOS
Disorders of sacrum
Disorder of coccyx NOS
Hypermobility of coccyx
Disorder of coccyx NEC
Other back symptoms
Back disorder NOS
Polymyalgia rheumatica
Adhesive capsulit shlder
Rotator cuff synd NOS
Calcif tendinitis shlder
Bicipital tenosynovitis
Partial tear rotatr cuff
Rotator cuff dis NEC
Shoulder region dis NEC
Elbow enthesopathy NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
527
527
527
656
675
656
656
656
656
656
657
657
656
656
657
658
656
657
656
656
656
656
657
657
655
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 290 of 6734

72631
72632
72633
72639
7264
7265
72660
72661
72662
72663
72664
72665
72669
72670
72671
72672
72673
72679
7268
72690
72691
72700
72701
72702
72703
72704
72705
72706
72709
7271
7272
7273
72740
Medial epicondylitis
Lateral epicondylitis
Olecranon bursitis
Elbow enthesopathy NEC
Enthesopathy of wrist
Enthesopathy of hip
Enthesopathy of knee NOS
Pes anserinus tendinitis
Tibial coll lig bursitis
Fibula coll lig bursitis
Patellar tendinitis
Prepatellar bursitis
Enthesopathy of knee NEC
Ankle enthesopathy NOS
Achilles tendinitis
Tibialis tendinitis
Calcaneal spur
Ankle enthesopathy NEC
Periph enthesopathy NEC
Enthesopathy, site NOS
Exostosis, site NOS
Synovitis NOS
Synovitis in oth dis
Giant cell tumor tendon
Trigger finger
Radial styloid tenosynov
Tenosynov hand/wrist NEC
Tenosynovitis foot/ankle
Synovitis NEC
Bunion
Occupational bursitis
Bursitis NEC
Synovial cyst NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 291 of 6734

72741
72742
72743
72749
72750
72751
72759
72760
72761
72762
72763
72764
72765
72766
72767
72768
72769
72781
72782
72783
72789
7279
7280
72810
72811
72812
72813
72819
7282
7283
7284
7285
7286
Ganglion of joint
Ganglion of tendon
Ganglion NOS
Bursal cyst NEC
Rupture of synovium NOS
Popliteal synovial cyst
Rupture of synovium NEC
Nontraum tendon rupt NOS
Rotator cuff rupture
Biceps tendon rupture
Rupt exten tendon hand
Rupt flexor tendon hand
Rupture quadricep tendon
Rupture patellar tendon
Rupture achilles tendon
Rupture tendon foot NEC
Nontraum tendon rupt NEC
Contracture of tendon
Calcium deposit tendon
Plica syndrome
Synov/tend/bursa dis NEC
Synov/tend/bursa dis NOS
Infective myositis
Muscular calcificat NOS
Prog myositis ossificans
Traum myositis ossifican
Postop heterotopic calc
Muscular calcificat NEC
Musc disuse atrophy NEC
Muscle disorders NEC
Laxity of ligament
Hypermobility syndrome
Contracted palmar fascia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
654
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 292 of 6734

72871
72879
72881
72882
72883
72884
72885
72886
72887
72888
72889
7289
7290
7291
7292
72930
72931
72939
7294
7295
7296
72971
72972
72973
72979
72981
72982
72989
72990
72991
72992
72999
73000
Plantar fibromatosis
Fibromatoses NEC
Interstitial myositis
FB granuloma of muscle
Nontraum muscle rupture
Diastasis of muscle
Spasm of muscle
Necrotizing fasciitis
Muscle weakness-general
Rhabdomyolysis
Muscle/ligament dis NEC
Muscle/ligament dis NOS
Rheumatism NOS
Myalgia and myositis NOS
Neuralgia/neuritis NOS
Panniculitis, unsp site
Hypertrophy of fat pad
Panniculitis, site NEC
Fasciitis NOS
Pain in limb
Old FB in soft tissue
Nontraum comp syn-up ext
Nontraum comp syn-low ex
Nontrauma comp syn-abd
Nontrauma comp syn NEC
Swelling of limb
Cramp in limb
Muscskel sympt limb NEC
Soft tissue disord NOS
Post-traumatic seroma
Nontrauma hema soft tiss
Soft tissue disorder NEC
Ac osteomyelitis-unspec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
654
661
661
661
661
661
661
527
675
675
675
661
661
661
660
660
660
660
661
661
661
660
660
660
660
654
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 293 of 6734

73001
73002
73003
73004
73005
73006
73007
73008
73009
73010
73011
73012
73013
73014
73015
73016
73017
73018
73019
73020
73021
73022
73023
73024
73025
73026
73027
73028
73029
73030
73031
73032
73033
Ac osteomyelitis-shlder
Ac osteomyelitis-up/arm
Ac osteomyelitis-forearm
Ac osteomyelitis-hand
Ac osteomyelitis-pelvis
Ac osteomyelitis-l/leg
Ac osteomyelitis-ankle
Ac osteomyelitis NEC
Ac osteomyelitis-mult
Chr osteomyelitis-unsp
Chr osteomyelit-shlder
Chr osteomyelit-up/arm
Chr osteomyelit-forearm
Chr osteomyelit-hand
Chr osteomyelit-pelvis
Chr osteomyelit-l/leg
Chr osteomyelit-ankle
Chr osteomyelit NEC
Chr osteomyelit-mult
Osteomyelitis NOS-unspec
Osteomyelitis NOS-shlder
Osteomyelitis NOS-up/arm
Osteomyelit NOS-forearm
Osteomyelitis NOS-hand
Osteomyelitis NOS-pelvis
Osteomyelitis NOS-l/leg
Osteomyelitis NOS-ankle
Osteomyelit NOS-oth site
Osteomyelitis NOS-mult
Periostitis-unspec
Periostitis-shlder
Periostitis-up/arm
Periostitis-forearm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 294 of 6734

73034
73035
73036
73037
73038
73039
73070
73071
73072
73073
73074
73075
73076
73077
73078
73079
73080
73081
73082
73083
73084
73085
73086
73087
73088
73089
73090
73091
73092
73093
73094
73095
73096
Periostitis-hand
Periostitis-pelvis
Periostitis-l/leg
Periostitis-ankle
Periostitis NEC
Periostitis-mult
Polio osteopathy-unspec
Polio osteopathy-shlder
Polio osteopathy-up/arm
Polio osteopathy-forearm
Polio osteopathy-hand
Polio osteopathy-pelvis
Polio osteopathy-l/leg
Polio osteopathy-ankle
Polio osteopathy NEC
Polio osteopathy-mult
Bone infect NEC-unspec
Bone infect NEC-shlder
Bone infect NEC-up/arm
Bone infect NEC-forearm
Bone infect NEC-hand
Bone infect NEC-pelvis
Bone infect NEC-l/leg
Bone infect NEC-ankle
Bone infect NEC-oth site
Bone infect NEC-mult
Bone infec NOS-unsp site
Bone infect NOS-shlder
Bone infect NOS-up/arm
Bone infect NOS-forearm
Bone infect NOS-hand
Bone infect NOS-pelvis
Bone infect NOS-l/leg
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
654
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 295 of 6734

73097
73098
73099
7310
7311
7312
7313
7318
7320
7321
7322
7323
7324
7325
7326
7327
7328
7329
73300
73301
73302
73303
73309
73310
73311
73312
73313
73314
73315
73316
73319
73320
73321
Bone infect NOS-ankle

Bone infect NOS-oth site
Bone infect NOS-mult
Osteitis deformans NOS
Osteitis def in oth dis
Hypertroph osteoarthrop
Major osseous defects
Bone involv in oth dis
Juv osteochondros spine
Juv osteochondros pelvis
Femoral epiphysiolysis
Juv osteochondrosis arm
Juv osteochondrosis leg
Juv osteochondrosis foot
Juv osteochondrosis NEC
Osteochondrit dissecans
Osteochondropathy NEC
Osteochondropathy NOS
Osteoporosis NOS
Senile osteoporosis
Idiopathic osteoporosis
Disuse osteoporosis
Osteoporosis NEC
Path fx unspecified site
Path fx humerus
Path fx dstl radius ulna
Path fx vertebrae
Path fx neck of femur
Path fx oth spcf prt fmr
Path fx tibia fibula
Path fx oth specif site
Cyst of bone NOS
Solitary bone cyst
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
654
654
654
661
661
661
660
661
661
661
661
661
661
661
661
661
661
661
662
662
662
662
662
653
653
653
656
653
653
653
653
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 296 of 6734

73322
73329
7333
73340
73341
73342
73343
73344
73345
73349
7335
7336
7337
73381
73382
73390
73391
73392
73393
73394
73395
73396
73397
73398
73399
734
7350
7351
7352
7353
7354
7355
7358
Aneurysmal bone cyst

Bone cyst NEC
Hyperostosis of skull
Asept necrosis bone NOS
Aseptic necrosis humerus
Aseptic necrosis femur
Asept necro femur condyl
Aseptic necrosis talus
Aseptic necrosis of jaw
Asept necrosis bone NEC
Osteitis condensans
Tietze's disease
Algoneurodystrophy
Malunion of fracture
Nonunion of fracture
Bone & cartilage dis NOS
Arrest of bone growth
Chondromalacia
Stress fx tibia/fibula
Stress fx metatarsals
Stress fracture bone NEC
Stress fx femoral neck
Stress fx shaft femur
Stress fx pelvis
Bone & cartilage dis NEC
Flat foot
Hallux valgus
Hallux varus
Hallux rigidus
Hallux malleus
Other hammer toe
Claw toe
Acq deformity of toe NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
564
661
661
661
661
661
661
661
661
604
661
661
661
661
661
661
652
652
652
652
652
652
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 297 of 6734

7359
73600
73601
73602
73603
73604
73605
73606
73607
73609
7361
73620
73621
73622
73629
73630
73631
73632
73639
73641
73642
7365
7366
73670
73671
73672
73673
73674
73675
73676
73679
73681
73689
Acq deformity of toe NOS

Forearm deformity NOS
Cubitus valgus
Cubitus varus
Valgus deformity wrist
Varus deformity wrist
Wrist drop
Claw hand
Club hand, acquired
Forearm deformity NEC
Mallet finger
Acq finger deformity NOS
Boutonniere deformity
Swan-neck deformity
Acq finger deformity NEC
Acq hip deformity NOS
Coxa valga
Coxa vara
Acq hip deformity NEC
Genu valgum
Genu varum
Genu recurvatum
Acq knee deformity NEC
Acq ankle-foot def NOS
Acq equinovarus
Acq equinus deformity
Cavus deformity of foot
Claw foot, acquired
Acq cavovarus deformity
Calcaneus deformity NEC
Acq ankle-foot def NEC
Unequal leg length
Oth acq limb deformity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
527
527
527
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
527
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 298 of 6734

7369
7370
73710
73711
73712
73719
73720
73721
73722
73729
73730
73731
73732
73733
73734
73739
73740
73741
73742
73743
7378
7379
7380
73810
73811
73812
73819
7382
7383
7384
7385
7386
7387
Acq limb deformity NOS

Adoles postural kyphosis
Kyphosis NOS
Radiation kyphosis
Postlaminectomy kyphosis
Kyphosis NEC
Lordosis NOS
Postlaminectomy lordosis
Oth postsurgery lordosis
Lordosis NEC
Idiopathic scoliosis
Resolv idiopath scolios
Progr idiopath scoliosis
Radiation scoliosis
Thoracogenic scoliosis
Scoliosis NEC
Spin curv NOS in oth dis
Kyphosis in oth dis
Lordosis in oth dis
Scoliosis in oth dis
Curvature of spine NEC
Curvature of spine NOS
Acq nose deformity
Unspf acq deformity head
Zygomatic hyperplasia
Zygomatic hypoplasia
Oth spcf deformity head
Acq neck deformity
Acq chest deformity
Acq spondylolisthesis
Other acq back deformity
Acq pelvic deformity
Cauliflower ear
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
564
564
564
564
564
661
576
656
656
661
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 299 of 6734

7388
7389
7390
7391
7392
7393
7394
7395
7396
7397
7398
7399
7400
7401
7402
74100
74101
74102
74103
74190
74191
74192
74193
7420
7421
7422
7423
7424
74251
74253
74259
7428
7429
Acq deformity NEC

Acq deformity NOS
Somat dys head region
Somat dysfunc cervic reg
Somat dysfunc thorac reg
Somat dysfunc lumbar reg
Somat dysfunc sacral reg
Somat dysfunc pelvic reg
Somat dysfunc lower extr
Somat dysfunc upper extr
Somat dysfunc rib cage
Somatic dysfunction NEC
Anencephalus
Craniorachischisis
Iniencephaly
Spin bif w hydroceph NOS
Spin bif w hydrceph-cerv
Spin bif w hydrceph-dors
Spin bif w hydrceph-lumb
Spina bifida
Spina bifida-cerv
Spina bifida-dorsal
Spina bifida-lumbar
Encephalocele
Microcephalus
Reduction deform, brain
Congenital hydrocephalus
Brain anomaly NEC
Diastematomyelia
Hydromyelia
Spinal cord anomaly NEC
Nervous system anom NEC
Nervous system anom NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
564
656
656
656
656
661
661
661
661
661
524
524
524
524
524
524
524
524
524
524
524
524
524
524
524
524
520
520
520
524
524
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 300 of 6734

74300
74303
74306
74310
74311
74312
74320
74321
74322
74330
74331
74332
74333
74334
74335
74336
74337
74339
74341
74342
74343
74344
74345
74346
74347
74348
74349
74351
74352
74353
74354
74355
74356
Clinic anophthalmos NOS

Congen cystic eyeball
Cryptophthalmos
Microphthalmos NOS
Simple microphthalmos
Microphth w oth eye anom
Buphthalmos NOS
Simple buphthalmos
Buphthal w oth eye anom
Congenital cataract NOS
Capsular cataract
Cortical/zonular catarac
Nuclear cataract
Cong tot/subtot cataract
Congenital aphakia
Anomalies of lens shape
Congenital ectopic lens
Cong catar/lens anom NEC
Anom corneal size/shape
Cong cornea opac aff vis
Cong corneal opacit NEC
Anom anter chamber-eye
Aniridia
Anom iris & cil body NEC
Anomalies of sclera
Mult anom anter seg-eye
Anom anter seg NEC-eye
Vitreous anomalies
Fundus coloboma
Cong chorioretinal degen
Cong fold/cyst post eye
Cong macular change-eye
Cong retinal changes NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
553
554
553
553
553
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 301 of 6734

74357
74358
74359
74361
74362
74363
74364
74365
74366
74369
7438
7439
74400
74401
74402
74403
74404
74405
74409
7441
74421
74422
74423
74424
74429
7443
74441
74442
74443
74446
74447
74449
7445
Optic disc anomalies

Vascular anom post eye
Post segmnt anom NEC-eye
Congenital ptosis
Congenital eyelid deform
Spec anom of eyelid NEC
Spec lacrimal gland anom
Spec lacrimal pass anom
Spec anomaly of orbit
Anom eyelid/lacr/orb NEC
Eye anomalies NEC
Eye anomaly NOS
Ear anom NOS/impair hear
Cong absence ext ear
Ex ear anm NEC-impr hear
Middle ear anomaly NEC
Anomalies ear ossicles
Anomalies of inner ear
Ear anom NEC/impair hear
Accessory auricle
Cong absence of ear lobe
Macrotia
Microtia
Eustachian tube anom NEC
Ear anomalies NEC
Ear anomaly NOS
Branch cleft sinus/fistu
Branchial cleft cyst
Cervical auricle
Preauricular sinus/fistu
Preauricular cyst
Branchial cleft anom NEC
Webbing of neck
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
553
553
553
553
553
553
553
553
553
564
564
564
564
564
564
564
564
564
565
565
564
564
564
565
564
564
564
564
564
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 302 of 6734

74481
74482
74483
74484
74489
7449
7450
74510
74511
74512
74519
7452
7453
7454
7455
74560
74561
74569
7457
7458
7459
74600
74601
74602
74609
7461
7462
7463
7464
7465
7466
7467
74681
Macrocheilia
Microcheilia
Macrostomia
Microstomia
Cong face/neck anom NEC
Cong face/neck anom NOS
Common truncus
Compl transpos great ves
Double outlet rt ventric
Correct transpos grt ves
Transpos great vess NEC
Tetralogy of fallot
Common ventricle
Ventricular sept defect
Secundum atrial sept def
Endocard cushion def NOS
Ostium primum defect
Endocard cushion def NEC
Cor biloculare
Septal closure anom NEC
Septal closure anom NOS
Pulmonary valve anom NOS
Cong pulmon valv atresia
Cong pulmon valve stenos
Pulmonary valve anom NEC
Cong tricusp atres/sten
Ebstein's anomaly
Cong aorta valv stenosis
Cong aorta valv insuffic
Congen mitral stenosis
Cong mitral insufficienc
Hypoplas left heart synd
Cong subaortic stenosis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
564
675
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 303 of 6734

74682
74683
74684
74685
74686
74687
74689
7469
7470
74710
74711
74720
74721
74722
74729
74731
74732
74739
74740
74741
74742
74749
7475
74760
74761
74762
74763
74764
74769
74781
74782
74783
74789
Cor triatriatum
Infundib pulmon stenosis
Obstruct heart anom NEC
Coronary artery anomaly
Congenital heart block
Malposition of heart
Cong heart anomaly NEC
Cong heart anomaly NOS
Patent ductus arteriosus
Coarctation of aorta
Interrupt of aortic arch
Cong anom of aorta NOS
Anomalies of aortic arch
Aortic atresia/stenosis
Cong anom of aorta NEC
Pulmon art coarct/atres
Pulmonary AV malformatn
Oth anom pul artery/circ
Great vein anomaly NOS
Tot anom pulm ven connec
Part anom pulm ven conn
Great vein anomaly NEC
Umbilical artery absence
Unsp prpherl vasc anomal
Gstrontest vesl anomaly
Renal vessel anomaly
Upr limb vessel anomaly
Lwr limb vessel anomaly
Oth spcf prph vscl anoml
Cerebrovascular anomaly
Spinal vessel anomaly
Persistent fetal circ
Circulatory anomaly NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
600
600
600
600
601
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
600
596
596
596
596
596
596
596
524
520
592
596
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 304 of 6734

7479
7480
7481
7482
7483
7484
7485
74860
74861
74869
7488
7489
74900
74901
74902
74903
74904
74910
74911
74912
74913
74914
74920
74921
74922
74923
74924
74925
7500
75010
75011
75012
75013
Circulatory anomaly NOS

Choanal atresia
Nose anomaly NEC
Laryngeal web
Laryngotrach anomaly NEC
Congenital cystic lung
Agenesis of lung
Lung anomaly NOS
Congen bronchiectasis
Lung anomaly NEC
Respiratory anomaly NEC
Respiratory anomaly NOS
Cleft palate NOS
Unilat cleft palate-comp
Unilat cleft palate-inc
Bilat cleft palate-compl
Bilat cleft palate-inc
Cleft lip NOS
Unilat cleft lip-compl
Unilat cleft lip-imcompl
Bilat cleft lip-complete
Bilat cleft lip-incompl
Cleft palate & lip NOS
Unil cleft palat/lip-com
Unil cleft palat/lip-inc
Bilat clft palat/lip-com
Bilat clft palat/lip-inc
Cleft palate & lip NEC
Tongue tie
Tongue anomaly NOS
Aglossia
Cong adhesions of tongue
Cong fissure of tongue
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
596
564
564
564
564
576
577
576
574
576
576
576
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 305 of 6734

75015
75016
75019
75021
75022
75023
75024
75025
75026
75027
75029
7503
7504
7505
7506
7507
7508
7509
7510
7511
7512
7513
7514
7515
75160
75161
75162
75169
7517
7518
7519
7520
75210
Cong macroglossia
Microglossia
Tongue anomaly NEC
Salivary gland absence
Accessory salivary gland
Cong atresia, saliv duct
Cong salivary fistula
Congenital lip fistula
Mouth anomaly NEC
Diverticulum of pharynx
Pharyngeal anomaly NEC
Cong esoph fistula/atres
Esophageal anomaly NEC
Cong pyloric stenosis
Congenital hiatus hernia
Gastric anomaly NEC
Upper GI anomaly NEC
Upper GI anomaly NOS
Meckel's diverticulum
Atresia small intestine
Atresia large intestine
Hirschsprung's disease
Intestinal fixation anom
Intestinal anomaly NEC
Biliary & liver anom NOS
Biliary atresia
Cong cystic liver dis
Biliary & liver anom NEC
Pancreas anomalies
Anom digestive syst NEC
Anom digestive syst NOS
Anomalies of ovaries
Tubal/broad lig anom NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
564
564
564
564
563
563
564
564
625
625
625
624
624
624
624
624
625
625
625
625
624
637
637
640
640
635
624
624
752
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 306 of 6734

75211
75219
7522
75231
75232
75233
75234
75235
75236
75239
75240
75241
75242
75243
75244
75245
75246
75247
75249
75251
75252
75261
75262
75263
75264
75265
75269
7527
75281
75289
7530
75310
75311
Embryonic cyst of adnexa

Tubal/broad lig anom NEC
Doubling of uterus
Agenesis of uterus
Hypoplasia of uterus
Unicornuate uterus
Bicornuate uterus
Septate uterus
Arcuate uterus
Anomalies of uterus NEC
Cervix/fem gen anom NOS
Embryon cyst fem gen NEC
Imperforate hymen
Cervical agenesis
Cervical duplication
Vaginal agenesis
Transv vaginal septum
Longitud vaginal septum
Cervix/fem gen anom NEC
Undescended testis
Retractile testis
Hypospadias
Epispadias
Congenital chordee
Micropenis
Hidden penis
Penile anomalies NEC
Indeterminate sex
Scrotal transposition
Genital organ anom NEC
Renal agenesis
Cystic kidney diseas NOS
Congenital renal cyst
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
752
752
752
752
752
752
752
752
752
752
753
752
753
752
752
752
741
741
741
741
741
741
741
741
752
741
741
726
726
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 307 of 6734

75312
75313
75314
75315
75316
75317
75319
75320
75321
75322
75323
75329
7533
7534
7535
7536
7537
7538
7539
7540
7541
7542
75430
75431
75432
75433
75435
75440
75441
75442
75443
75444
75450
Polycystic kidney NOS

Polycyst kid-autosom dom
Polycyst kid-autosom rec
Renal dysplasia
Medullary cystic kidney
Medullary sponge kidney
Cystic kidney diseas NEC
Obs dfct ren plv&urt NOS
Congen obst urtroplv jnc
Cong obst ureteroves jnc
Congenital ureterocele
Obst def ren plv&urt NEC
Kidney anomaly NEC
Ureteral anomaly NEC
Bladder exstrophy
Congen urethral stenosis
Anomalies of urachus
Cystourethral anom NEC
Urinary anomaly NOS
Cong skull/face/jaw def
Congenital torticollis
Cong postural deformity
Cong hip disloc, unilat
Congen hip disloc, bilat
Cong hip sublux, unilat
Cong hip sublux, bilat
Cong hip disloc w sublux
Cong genu recurvatum
Cong knee dislocation
Congen bowing of femur
Cong bowing tibia/fibula
Cong bowing leg NOS
Talipes varus
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
565
661
661
661
661
661
661
661
661
652
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 308 of 6734

75451
75452
75453
75459
75460
75461
75462
75469
75470
75471
75479
75481
75482
75489
75500
75501
75502
75510
75511
75512
75513
75514
75520
75521
75522
75523
75524
75525
75526
75527
75528
75529
75530
Talipes equinovarus
Metatarsus primus varus
Metatarsus varus
Cong varus foot def NEC
Talipes valgus
Congenital pes planus
Talipes calcaneovalgus
Cong valgus foot def NEC
Talipes NOS
Talipes cavus
Cong foot deform NEC
Pectus excavatum
Pectus carinatum
Nonteratogenic anom NEC
Polydactyly NOS
Polydactyly, fingers
Polydactyly, toes
Syndactyly, multiple/NOS
Syndactyl fing-no fusion
Syndactyl fing w fusion
Syndactyl toe-no fusion
Syndactyl toe w fusion
Reduc deform up limb NOS
Transverse defic arm
Longitud defic arm NEC
Combin longit defic arm
Longitudin defic humerus
Longitud defic radioulna
Longitud defic radius
Longitudinal defic ulna
Longitudinal defic hand
Longitud defic phalanges
Reduction deform leg NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
576
576
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 309 of 6734

75531
75532
75533
75534
75535
75536
75537
75538
75539
7554
75550
75551
75552
75553
75554
75555
75556
75557
75558
75559
75560
75561
75562
75563
75564
75565
75566
75567
75569
7558
7559
7560
75610
Transverse defic leg

Longitudin defic leg NEC
Comb longitudin def leg
Longitudinal defic femur
Tibiofibula longit defic
Longitudinal defic tibia
Longitudin defic fibula
Longitudinal defic foot
Longitud defic phalanges
Reduct deform limb NOS
Upper limb anomaly NOS
Cong deformity-clavicle
Cong elevation-scapula
Radioulnar synostosis
Madelung's deformity
Acrocephalosyndactyly
Accessory carpal bones
Macrodactylia (fingers)
Congenital cleft hand
Upper limb anomaly NEC
Lower limb anomaly NOS
Congenital coxa valga
Congenital coxa vara
Cong hip deformity NEC
Cong knee deformity
Macrodactylia of toes
Anomalies of toes NEC
Anomalies of foot NEC
Lower limb anomaly NEC
Congen limb anomaly NEC
Congen limb anomaly NOS
Anomal skull/face bones
Anomaly of spine NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
565
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
564
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 310 of 6734

75611
75612
75613
75614
75615
75616
75617
75619
7562
7563
7564
75650
75651
75652
75653
75654
75655
75656
75659
7566
75670
75671
75672
75673
75679
75681
75682
75683
75689
7569
7570
7571
7572
Lumbosacr spondylolysis
Spondylolisthesis
Cong absence of vertebra
Hemivertebra
Congen fusion of spine
Klippel-feil syndrome
Spina bifida occulta
Anomaly of spine NEC
Cervical rib
Rib & sternum anomal NEC
Chondrodystrophy
Osteodystrophy NOS
Osteogenesis imperfecta
Osteopetrosis
Osteopoikilosis
Polyostotic fibros dyspl
Chondroectoderm dysplas
Mult epiphyseal dysplas
Osteodystrophy NEC
Anomalies of diaphragm
Congn anoml abd wall NOS
Prune belly syndrome
Omphalocele
Gastroschisis
Congn anoml abd wall NEC
Absence of muscle/tendon
Accessory muscle
Ehlers-danlos syndrome
Soft tissue anomaly NEC
Musculoskel anom NEC/NOS
Hereditary edema of legs
Ichthyosis congenita
Dermatoglyphic anomalies
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
656
656
656
656
656
661
524
656
661
576
661
661
661
661
661
661
661
661
661
577
625
726
625
625
625
661
661
661
661
661
675
671
675
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 311 of 6734

75731
75732
75733
75739
7574
7575
7576
7578
7579
7580
7581
7582
75831
75832
75833
75839
7584
7585
7587
7589
7590
7591
7592
7593
7594
7595
7596
7597
75981
75982
75983
75989
7599
Cong ectodermal dysplas

Vascular hamartomas
Cong skin pigment anomal
Skin anomaly NEC
Hair anomalies NEC
Nail anomalies NEC
Cong breast anomaly NEC
Oth integument anomalies
Integument anomaly NOS
Down's syndrome
Patau's syndrome
Edwards' syndrome
Cri-du-chat syndrome
Velo-cardio-facial synd
Microdeletions NEC
Autosomal deletions NEC
Balance autosom transloc
Autosomal anomalies NEC
Klinefelter's syndrome
Chromosome anomaly NOS
Anomalies of spleen
Adrenal gland anomaly
Endocrine anomaly NEC
Situs inversus
Conjoined twins
Tuberous sclerosis
Hamartoses NEC
Mult congen anomal NEC
Prader-willi syndrome
Marfan syndrome
Fragile x syndrome
Specfied cong anomal NEC
Congenital anomaly NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
671
675
675
675
675
675
675
675
675
827
827
827
827
600
827
827
871
871
741
871
785
693
693
625
625
524
804
661
661
661
827
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 312 of 6734

7600
7601
7602
7603
7604
7605
76061
76062
76063
76064
76070
76071
76072
76073
76074
76075
76076
76077
76078
76079
7608
7609
7610
7611
7612
7613
7614
7615
7616
7617
7618
7619
7620
Matern hyperten aff NB

Matern urine dis aff NB
Maternal infec aff NB
Matern cardioresp aff NB
Matern nutrit dis aff NB
Maternal injury aff NB
Amniocentesis affect NB
In utero proc NEC aff NB
Mat surg dur preg aff NB
Prev matern surg aff NB
Nox sub NOS aff NB/fetus
Maternl alc aff NB/fetus
Matern narc aff NB/fetus
Matern halluc af NB/fet
Mat anti-inf aff NB/fet
Mat cocaine aff NB/fet
Maternal DES af NB/fetus
Mat anticonv aff NB/fet
Mat antimetabol aff NB
Nox sub NEC aff NB/fetus
Maternal cond NEC aff NB
Maternal cond NOS aff NB
Incompetnt cervix aff NB
Premat rupt memb aff NB
Oligohydramnios aff NB
Polyhydramnios aff NB
Ectopic pregnancy aff NB
Mult pregnancy aff NB
Maternal death aff NB
Antepart malpres aff NB
Matern compl NEC aff NB
Matern compl NOS aff NB
Placenta previa aff NB
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
772
772
772
772
771
771
771
771
771
771
772
842
840
843
843
841
843
853
853
851
771
771
771
771
772
772
772
771
772
771
771
771
772
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 313 of 6734

7621
7622
7623
7624
7625
7626
7627
7628
7629
7630
7631
7632
7633
7634
7635
7636
7637
76381
76382
76383
76384
76389
7639
76400
76401
76402
76403
76404
76405
76406
76407
76408
76409
Placenta hem NEC aff NB

Abn plac NEC/NOS aff NB
Placent transfusion syn
Prolapsed cord aff NB
Oth umbil cord compress
Umbil cond NEC aff NB
Chorioamnionitis aff NB
Abn amnion NEC aff NB
Abn amnion NOS aff NB
Breech del/extrac aff NB
Malpos/dispro NEC aff NB
Forceps delivery aff NB
Vacuum extrac del aff NB
Cesarean delivery aff NB
Mat anesth/analg aff NB
Precipitate del aff NB
Abn uterine contr aff NB
Ab ftl hrt rt/rh b/f lab
Ab ftl hrt rt/rh dur lab
Ab ftl hrt rt/rhy NOS
Meconium dur del aff NB
Compl del NEC aff NB
Compl deliv NOS aff NB
Light-for-dates wtNOS
Light-for-dates <500g
Lt-for-dates 500-749g
Lt-for-dates 2500+g
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
772
772
772
772
772
772
772
772
772
772
772
772
772
772
772
772
772
771
771
771
772
771
772
873
873
873
873
873
873
873
873
873
873
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 314 of 6734

76410
76411
76412
76413
76414
76415
76416
76417
76418
76419
76420
76421
76422
76423
76424
76425
76426
76427
76428
76429
76490
76491
76492
76493
76494
76495
76496
76497
76498
76499
76500
76501
76502
Lt-for-date w/mal wtNOS

Lt-for-date w/mal <500g
Lt-date w/mal 500-749g
Lt-for-date w/mal 2500+g
Fetal malnutrition wtNOS
Fetal malnutrition <500g
Fetal malnutr 500-749g
Fetal mal 750-999g
Fetal mal 1000-1249g
Fetal malnutr 2500+g
Fet growth retard wtNOS
Fet growth retard <500g
Fet growth ret 500-749g
Fet growth ret 750-999g
Fet grwth ret 1000-1249g
Fet growth ret 2500+g
Extreme immatur wtNOS
Extreme immatur <500g
Extreme immatur 500-749g
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 315 of 6734

76503
76504
76505
76506
76507
76508
76509
76510
76511
76512
76513
76514
76515
76516
76517
76518
76519
76520
76521
76522
76523
76524
76525
76526
76527
76528
76529
7660
7661
76621
76622
7670
76711
Extreme immatur 750-999g

Extreme immat 1000-1249g
Extreme immat 2500+g
Preterm infant NEC wtNOS
Preterm NEC <500g
Preterm NEC 500-749g
Preterm NEC 2500+g
Weeks of gestation NOS
<24 comp wks gestation
24 comp weeks gestation
25-26 comp wks gestation
37+ comp wks gestation
Exceptionally large baby
Heavy-for-date infan NEC
Post-term infant
Prolong gestation-infant
Cerebral hem at birth
Epicranial subapo hemorr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
873
770
770
770
770
535
564
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 316 of 6734

76719
7672
7673
7674
7675
7676
7677
7678
7679
7680
7681
7682
7683
7684
7685
7686
76870
76871
76872
76873
7689
769
7700
77010
77011
77012
77013
77014
77015
77016
77017
77018
7702
Injuries to scalp NEC

Clavicle fx at birth
Bone injury NEC at birth
Spinal cord inj at birth
Facial nerve inj-birth
Brach plexus inj-birth
Nerve inj NEC at birth
Birth trauma NEC
Birth trauma NOS
Fetal death-anoxia NOS
Fet death-anoxia dur lab
Fet distress befor labor
Fetal distrs dur lab/del
Fetal distress NOS
Severe birth asphyxia
Mild/mod birth asphyxia
Hypoxc-ischem enceph NOS
Mild hypox-ischem enceph
Mod hypox-ischem enceph
Sev hypox-ischem enceph
Birth asphyxia NOS
Respiratory distress syn
Congenital pneumonia
Fetal & newborn asp NOS
Meconium asp wo resp sym
Meconium asp w resp symp
Amniotc asp w/o resp sym
Amniotic asp w resp sym
Blood asp w/o resp sympt
Blood asp w resp sympt
NB asp w/o resp symp NEC
NB asp w resp symp NEC
NB interstit emphysema
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
652
652
520
527
527
527
853
853
772
772
772
772
771
528
772
772
772
772
528
772
577
577
577
577
577
577
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 317 of 6734

7703
7704
7705
7706
7707
77081
77082
77083
77084
77085
77086
77087
77088
77089
7709
7710
7711
7712
7713
7714
7715
7716
7717
77181
77182
77183
77189
7720
77210
77211
77212
77213
77214
NB pulmonary hemorrhage
Primary atelectasis
NB atelectasis NEC/NOS
NB transitory tachypnea
Perinatal chr resp dis
Primary apnea of newborn
Other apnea of newborn
Cyanotic attack, newborn
Resp failure of newborn
Stomch cont asp w/o resp
Stomach cont asp w resp
NB respiratory arrest
NB hypoxia
Resp prob after brth NEC
NB respiratory cond NOS
Congenital rubella
Cong cytomegalovirus inf
Congenital infec NEC
Tetanus neonatorum
Omphalitis of newborn
Neonatal infec mastitis
Neonatal conjunctivitis
Neonatal candida infect
NB septicemia [sepsis]
NB urinary tract infectn
Bacteremia of newborn
Perinatal infection NEC
NB fetal blood loss NEC
NB intraven hem NOS
NB intraven hem,grade i
NB intraven hem,grade ii
NB intravn hem,grade iii
NB intraven hem,grade iv
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
771
577
510
510
576
577
577
577
772
772
576
576
808
808
809
809
673
673
553
809
805
727
809
809
772
535
535
535
535
535
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 318 of 6734

7722
7723
7724
7725
7726
7728
7729
7730
7731
7732
7733
7734
7735
7740
7741
7742
77430
77431
77439
7744
7745
7746
7747
7750
7751
7752
7753
7754
7755
7756
7757
77581
77589
NB subarachnoid hemorr
Post-birth umbil hemorr
NB GI hemorrhage
NB adrenal hemorrhage
NB cutaneous hemorrhage
Neonatal hemorrhage NEC
Neonatal hemorrhage NOS
NB hemolyt dis:rh isoimm
NB hemolyt dis-abo isoim
NB hemolyt dis-isoim NEC
Hydrops fetalis:isoimm
NB kernicterus:isoimmun
NB late anemia:isoimmun
Perinat jaund-hered anem
Perinat jaund:hemolysis
Neonat jaund preterm del
Delay conjugat jaund NOS
Neonat jaund in oth dis
Delay conjugat jaund NEC
Fetal/neonatal hepatitis
Perinatal jaundice NEC
Fetal/neonatal jaund NOS
NB kernicterus
Infant diabet mother syn
Neonat diabetes mellitus
Neonat myasthenia gravis
Neonatal thyrotoxicosis
Hypocalcem/hypomagnes NB
Neonatal dehydration
Neonatal hypoglycemia
Late metab acidosis NB
NB acidosis NEC
Neonat endo/met dis NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
535
785
772
772
675
853
853
772
772
772
780
524
785
785
640
640
640
640
640
640
640
640
524
772
772
522
772
694
772
692
694
772
772
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 319 of 6734

7759
7760
7761
7762
7763
7764
7765
7766
7767
7768
7769
7771
7772
7773
7774
77750
77751
77752
77753
7776
7778
7779
7780
7781
7782
7783
7784
7785
7786
7787
7788
7789
7790
Transient met dis NB NOS

NB hemorrhagic disease
Neonatal thrombocytopen
Dissem intravasc coag NB
Oth neonatal coag dis
Polycythemia neonatorum
Congenital anemia
Anemia of prematurity
Neonatal neutropenia
Transient hemat dis NEC
NB hematological dis NOS
Meconium obstruction
Intest obst-inspiss milk
Swallowed blood syndrome
Transitory ileus of NB
Nec enterocoltis NB NOS
Stg I nec enterocol NB
Stg II nec enterocol NB
Stg III nec enterocol NB
Perinatal intest perfor
Perinat GI sys dis NEC
Perinat GI sys dis NOS
Hydrops fetalis no isoim
Sclerema neonatorum
NB cold injury syndrome
NB hypothermia NEC
NB temp regulat dis NEC
Edema of newborn NEC/NOS
Congenital hydrocele
NB breast engorgement
NB integument cond NEC
NB integument cond NOS
Convulsions in newborn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
690
781
781
781
781
785
785
785
780
785
785
510
625
624
624
625
625
625
625
510
624
624
593
675
853
853
807
592
741
675
675
675
529
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 320 of 6734

7791
7792
77931
77932
77933
77934
7794
7795
7796
7797
77981
77982
77983
77984
77985
77989
7799
78001
78002
78003
78009
7801
7802
78031
78032
78033
78039
7804
78050
78051
78052
78053
78054
NB cereb irrit NEC/NOS

Cns dysfunction syn NB
NB feeding problems
NB bilious vomiting
NB other vomiting
NB failure to thrive
NB drug reaction/intoxic
NB drug withdrawal syndr
Termination of pregnancy
Perivent leukomalacia
Neonatal bradycardia
Neonatal tachycardia
Delay separate umbl cord
Meconium staining
NB cardiac arrest
Perinatal condition NEC
Perinatal condition NOS
Coma
Trans alter awareness
Persistent vegtv state
Other alter consciousnes
Hallucinations
Syncope and collapse
Febrile convulsions NOS
Complx febrile convulsns
Post traumatic seizures
Convulsions NEC
Dizziness and giddiness
Sleep disturbance NOS
Insomn w sleep apnea NOS
Insomnia NOS
Hypersom w slp apnea NOS
Hypersomnia NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
524
528
690
690
690
690
843
843
772
524
601
601
771
772
772
871
871
528
528
528
528
826
605
529
510
529
529
561
831
564
831
564
831
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 321 of 6734

78055
78056
78057
78058
78059
78060
78061
78062
78063
78064
78065
78066
78071
78072
78079
7808
78091
78092
78093
78094
78095
78096
78097
78099
7810
7811
7812
7813
7814
7815
7816
7817
7818
Irreg sleep-wake rhy NOS

Sleep stage dysfunctions
Sleep apnea NOS
Sleep rel move disor NOS
Sleep disturbances NEC
Fever NOS
Fever in other diseases
Postprocedural fever
Postvaccination fever
Chills (without fever)
Hypothrm-wo low env tmp
Feb nonhemo transf react
Chronic fatigue syndrome
Functional quadriplegia
Malaise and fatigue NEC
Generalizd hyperhidrosis
Fussy infant/baby
Excess cry infant/baby
Memory loss
Early satiety
Excs cry chld,adol,adult
Generalized pain
Altered mental status
Other general symptoms
Abn involun movement NEC
Smell & taste disturb
Abnormality of gait
Lack of coordination
Transient limb paralysis
Clubbing of fingers
Meningismus
Tetany
Neurologic neglect syndr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
831
831
564
525
831
871
871
871
871
871
871
780
871
525
871
675
871
871
871
871
871
871
871
871
525
525
525
525
525
576
525
690
525
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 322 of 6734

78191
78192
78193
78194
78199
7820
7821
7822
7823
7824
7825
78261
78262
7827
7828
7829
7830
7831
78321
78322
7833
78340
78341
78342
78343
7835
7836
7837
7839
7840
7841
7842
7843
Loss of height
Abnormal posture
Ocular torticollis
Facial weakness
Nerve/musculskel sym NEC
Skin sensation disturb
Nonspecif skin erupt NEC
Local suprficial swellng
Edema
Jaundice NOS
Cyanosis
Pallor
Flushing
Spontaneous ecchymoses
Changes in skin texture
Integument tiss symp NEC
Anorexia
Abnormal weight gain
Abnormal loss of weight
Underweight
Feeding problem
Lack norm physio dev NOS
Failure to thrive-child
Delayed milestones
Short stature
Polydipsia
Polyphagia
Failure to thrive-adult
Nutr/metab/devel sym NEC
Headache
Throat pain
Swelling in head & neck
Aphasia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
525
525
553
525
525
675
675
675
871
639
592
871
871
781
675
675
690
690
690
690
690
690
690
690
690
690
690
690
690
530
564
675
525
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 323 of 6734

78440
78441
78442
78443
78444
78449
78451
78452
78459
78460
78461
78469
7847
7848
78491
78492
78499
7850
7851
7852
7853
7854
78550
78551
78552
78559
7856
7859
78600
78601
78602
78603
78604
Voice/resonance dis NOS

Aphonia
Dysphonia
Hypernasality
Hyponasality
Voice/resonance dis NEC
Dysarthria
Flncy dsord cond elsewhr
Speech disturbance NEC
Symbolic dysfunction NOS
Alexia and dyslexia
Symbolic dysfunction NEC
Epistaxis
Hemorrhage from throat
Postnasal drip
Jaw pain
Head & neck symptoms NEC
Tachycardia NOS
Palpitations
Cardiac murmurs NEC
Abnorm heart sounds NEC
Gangrene
Shock NOS
Cardiogenic shock
Septic shock
Shock w/o trauma NEC
Enlargement lymph nodes
Cardiovas sys symp NEC
Respiratory abnorm NOS
Hyperventilation
Orthopnea
Apnea
Cheyne-stokes respiratn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
564
564
564
564
564
564
524
524
524
831
831
831
564
564
871
564
871
601
601
600
592
510
595
595
805
805
785
592
576
576
576
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 324 of 6734

78605
78606
78607
78609
7861
7862
78630
78631
78639
7864
78650
78651
78652
78659
7866
7867
7868
7869
78701
78702
78703
78704
7871
78720
78721
78722
78723
78724
78729
7873
7874
7875
78760
Shortness of breath
Tachypnea
Wheezing
Respiratory abnorm NEC
Stridor
Cough
Hemoptysis NOS
Ac idio pul hemrg infant
Hemoptysis NEC
Abnormal sputum
Chest pain NOS
Precordial pain
Painful respiration
Chest pain NEC
Chest swelling/mass/lump
Abnormal chest sounds
Hiccough
Resp sys/chest symp NEC
Nausea with vomiting
Nausea alone
Vomiting alone
Bilious emesis
Heartburn
Dysphagia NOS
Dysphagia, oral phase
Dysphagia, oropharyngeal
Dysphagia, pharyngeal
Dysphagia,pharyngoesoph
Dysphagia NEC
Flatul/eructat/gas pain
Visible peristalsis
Abnormal bowel sounds
Full incontinence-feces
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
576
576
576
576
565
576
576
577
576
576
604
604
604
604
576
576
576
576
627
627
627
640
624
624
624
624
624
624
624
624
624
624
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 325 of 6734

78761
78762
78763
7877
78791
78799
7880
7881
78820
78821
78829
78830
78831
78832
78833
78834
78835
78836
78837
78838
78839
78841
78842
78843
7885
78861
78862
78863
78864
78865
78869
7887
7888
Incomplete defecation
Fecal smearing
Fecal urgency
Abnormal feces
Diarrhea
Digestve syst symptm NEC
Renal colic
Dysuria
Retention urine NOS
Incmplet bldder emptying
Oth spcf retention urine
Urinary incontinence NOS
Urge incontinence
Stress incontinence male
Mixed incontinence
Incontnce wo sensr aware
Post-void dribbling
Nocturnal enuresis
Continuous leakage
Overflow incontinence
Oth urinry incontinence
Urinary frequency
Polyuria
Nocturia
Oliguria & anuria
Splitting urinary stream
Slowing urinary stream
Urgency of urination
Urinary hesitancy
Straining on urination
Oth abnormalt urination
Urethral discharge
Extravasation of urine
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
625
624
624
627
624
724
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
726
720
726
726
726
871
871
726
726
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 326 of 6734

78891
78899
78900
78901
78902
78903
78904
78905
78906
78907
78909
7891
7892
78930
78931
78932
78933
78934
78935
78936
78937
78939
78940
78941
78942
78943
78944
78945
78946
78947
78949
78951
78959
Fnctnl urinary incontnce

Oth symptm urinary systm
Abdmnal pain unspcf site
Abdmnal pain rt upr quad
Abdmnal pain lft up quad
Abdmnal pain rt lwr quad
Abdmnal pain lt lwr quad
Abdmnal pain periumbilic
Abdmnal pain epigastric
Abdmnal pain generalized
Abdmnal pain oth spcf st
Hepatomegaly
Splenomegaly
Abdmnal mass unspcf site
Abdmnal mass rt upr quad
Abdmnal mass lft up quad
Abdmnal mass rt lwr quad
Abdmnal mass lt lwr quad
Abdmnal mass periumbilic
Abdmnal mass epigastric
Abdmnal mass generalized
Abdmnal mass oth spcf st
Abdmnal rgdt unspcf site
Abdmnal rgdt rt upr quad
Abdmnal rgdt lft up quad
Abdmnal rgdt rt lwr quad
Abdmnal rgdt lt lwr quad
Abdmnal rgdt periumbilic
Abdmnal rgdt epigastric
Abdmnal rgdt generalized
Abdmnal rgdt oth spcf st
Malignant ascites
Ascites NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
726
628
628
628
628
628
628
628
628
628
639
785
624
624
624
624
624
624
624
624
624
628
628
628
628
628
628
628
628
628
640
640
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 327 of 6734

78960
78961
78962
78963
78964
78965
78966
78967
78969
7897
7899
79001
79009
7901
79021
79022
79029
7903
7904
7905
7906
7907
7908
79091
79092
79093
79094
79095
79099
7910
7911
7912
7913
Abdmnal tndr unspcf site

Abdmnal tndr rt upr quad
Abdmnal tndr lft up quad
Abdmnal tndr rt lwr quad
Abdmnal tndr lt lwr quad
Abdmnal tndr periumbilic
Abdmnal tndr epigastric
Abdmnal tndr generalized
Abdmnal tndr oth spcf st
Colic
Abdomen/pelvis symp NEC
Drop, hematocrit, precip
Abnormal RBC NEC
Elevated sediment rate
Impaired fasting glucose
Impaired oral glucse tol
Abnormal glucose NEC
Excess blood-alcohol lev
Elev transaminase/ldh
Abn serum enzy level NEC
Abn blood chemistry NEC
Bacteremia
Viremia NOS
Abnrml art blood gases
Abnrml coagultion prfile
Elvtd prstate spcf antgn
Euthyroid sick syndrome
Elev C-reactive protein
Oth nspcf finding blood
Proteinuria
Chyluria
Hemoglobinuria
Myoglobinuria
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
628
628
628
628
628
628
628
628
628
628
624
785
785
871
692
692
692
842
871
871
871
809
808
871
871
871
871
871
871
726
726
726
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 328 of 6734

7914
7915
7916
7917
7919
7920
7921
7922
7923
7924
7925
7929
7930
79311
79319
7932
7933
7934
7935
7936
7937
79380
79381
79382
79389
79391
79399
79400
79401
79402
79409
79410
79411
Biliuria
Glycosuria
Acetonuria
Oth cells/casts in urine
Abn urine findings NEC
Abn fnd-cerebrospinal fl
Abn find-stool contents
Abn findings-semen
Abn find-amniotic fluid
Abn findings-saliva
Cloudy dialysis effluent
Abn find-body subst NEC
Nonsp abn fd-skull/head
Solitary pulmonry nodule
Ot nonsp ab fnd lung fld
Nonsp abn intrathor NEC
Nonsp abn fd-bilry tract
Nonsp abn find-gi tract
Nonsp abn find-gu organs
Nonsp abn fnd-abdom area
Nonsp abn find-ms system
Ab mammogram NOS
Mammographic microcalcif
Inconclusive mammogram
Abn finding-breast NEC
Image test incon d/t fat
Nonsp abn find-body NEC
Abn cns funct study NOS
Abnorm echoencephalogram
Abn electroencephalogram
Abn cns funct study NEC
Abn stimul response NOS
Abn retinal funct study
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
633
692
692
726
726
525
624
741
765
564
726
871
525
576
576
592
637
624
726
624
661
675
675
871
675
871
871
525
525
525
525
525
553
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 329 of 6734

79412
79413
79414
79415
79416
79417
79419
7942
79430
79431
79439
7944
7945
7946
7947
7948
7949
79500
79501
79502
79503
79504
79505
79506
79507
79508
79509
79510
79511
79512
79513
79514
79515
Abnorm electro-oculogram
Abnormal vep
Abn oculomotor studies
Abn auditory funct study
Abn vestibular func stud
Abnorm electromyogram
Abn periph nerv stud NEC
Abn pulmonary func study
Abn cardiovasc study NOS
Abnorm electrocardiogram
Abn cardiovasc study NEC
Abn kidney funct study
Abn thyroid funct study
Abn endocrine study NEC
Abn basal metabol study
Abn liver function study
Abn function study NEC
Abn glandular pap smear
Pap smear (ASC-US)
Pap smear (ASC-H)
Pap smear cervix w LGSIL
Pap smear cervix w HGSIL
Cervical (HPV) DNA pos
Pap smr cytol evid malig
Sat cerv smr-no trnsfrm
Unsat cerv cytlogy smear
Abn pap cervix HPV NEC
Abn gland pap smr vagina
Pap smear vag w ASC-US
Pap smear vagina w ASC-H
Pap smear vagina w LGSIL
Pap smear vagina w HGSIL
Vag hi risk HPV-DNA pos
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
553
553
553
564
564
661
525
576
592
592
592
726
692
692
692
633
726
752
752
752
752
752
752
871
752
752
752
752
752
752
752
752
752
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 330 of 6734

79516
79518
79519
7952
79531
79539
7954
79551
79552
7956
79571
79579
79581
79582
79589
7960
7961
7962
7963
7964
7965
7966
79670
79671
79672
79673
79674
79675
79676
79677
79678
79679
7969
Pap smr vag-cytol malig

Vaginl cytol smr unsatis
Oth abn Pap smr vag/HPV
Abn chromosomal analysis
Nonsp postv find-anthrax
Nonsp positive cult NEC
Abn histologic find NEC
Nonsp rea skn test wo tb
Nonsp rea gma interferon
False pos sero test-syph
Nonspcf serlgc evdnc hiv
Oth unspcf nspf imun fnd
Elev ca-embryoic antigen
Elev ca antigen 125
Abnorml tumor marker NEC
Abn toxicologic finding
Abnormal reflex
Elev bl pres w/o hypertn
Low blood press reading
Abn clinical finding NEC
Abn find antenatl screen
Abnorm neonate screening
Abn gland pap smear anus
Pap smear anus w ASC-US
Pap smear anus w ASC-H
Pap smear anus w LGSIL
Pap smear anus w HGSIL
Anal hi risk HPV-DNA pos
Pap smr anus-cytol malig
Sat anal smr-no trnsfrm
Anal cytolgy smr unsatis
Oth abn Pap smr anus/HPV
Abnormal findings NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
752
752
752
871
809
809
871
576
576
871
808
785
871
871
871
853
525
592
592
871
765
871
624
624
624
624
624
624
624
624
624
624
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 331 of 6734

797
7980
7981
7982
7989
79901
79902
7991
79921
79922
79923
79924
79925
79929
7993
7994
79951
79952
79953
79954
79955
79959
79981
79982
79989
7999
80000
80001
80002
80003
80004
80005
80006
Senility w/o psychosis

Sudden infant death synd
Instantaneous death
Death within 24 hr sympt
Unattended death
Asphyxia
Hypoxemia
Respiratory arrest
Nervousness
Irritability
Impulsiveness
Emotional lability
Demoralization & apathy
Emotional state sym NEC
Debility NOS
Cachexia
Attn/concentrate deficit
Cog communicate deficit
Visuospatial deficit
Psychomotor deficit
Frontal lobe deficit
Cognition sign/sympt NEC
Decreased libido
Appar life threat-infant
Ill-define condition NEC
Unkn cause morb/mort NEC
Closed skull vault fx
Cl skull vlt fx w/o coma
Cl skull vlt fx-brf coma
Cl skull vlt fx-mod coma
Cl skl vlt fx-proln coma
Cl skul vlt fx-deep coma
Cl skull vlt fx-coma NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
827
510
595
595
871
510
576
577
871
871
871
871
871
871
871
871
524
524
524
524
524
524
871
871
871
871
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 332 of 6734

80009
80010
80011
80012
80013
80014
80015
80016
80019
80020
80021
80022
80023
80024
80025
80026
80029
80030
80031
80032
80033
80034
80035
80036
80039
80040
80041
80042
80043
80044
80045
80046
80049
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
skl vlt fx-concus NOS

skl vlt fx/cerebr lac
skull vlt fx w/o coma
skull vlt fx-brf coma
skull vlt fx-mod coma
skl vlt fx-proln coma
skul vlt fx-deep coma
skull vlt fx-coma NOS
skl vlt fx/mening hem
skull vlt fx/hem NEC
skl vlt fx/br inj NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 333 of 6734

80050
80051
80052
80053
80054
80055
80056
80059
80060
80061
80062
80063
80064
80065
80066
80069
80070
80071
80072
80073
80074
80075
80076
80079
80080
80081
80082
80083
80084
80085
80086
80089
80090
Opn skull vault fracture

Opn skul vlt fx w/o coma
Opn skul vlt fx-brf coma
Opn skul vlt fx-mod coma
Opn skl vlt fx-proln com
Opn skl vlt fx-deep coma
Opn skul vlt fx-coma NOS
Op skl vlt fx-concus NOS
Opn skl vlt fx/cereb lac
Opn skl vlt fx/menin hem
Opn skull vlt fx/hem NEC
Op skl vlt fx/br inj NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 334 of 6734

80091
80092
80093
80094
80095
80096
80099
80100
80101
80102
80103
80104
80105
80106
80109
80110
80111
80112
80113
80114
80115
80116
80119
80120
80121
80122
80123
80124
80125
80126
80129
80130
80131

Op skul vlt fx-deep coma
Clos skull base fracture
Cl skul base fx w/o coma
Cl skul base fx-brf coma
Cl skul base fx-mod coma
Cl skl base fx-prol coma
Cl skl base fx-deep coma
Cl skul base fx-coma NOS
Cl skull base fx-concuss
Cl skl base fx/cereb lac
Cl skl base fx/menin hem
Cl skul base fx/brf coma
Cl skull base fx/hem NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 335 of 6734

80132
80133
80134
80135
80136
80139
80140
80141
80142
80143
80144
80145
80146
80149
80150
80151
80152
80153
80154
80155
80156
80159
80160
80161
80162
80163
80164
80165
80166
80169
80170
80171
80172

Cl sk base fx/br inj NEC
Open skull base fracture
Opn skl base fx w/o coma
Opn skl base fx-brf coma
Opn skl base fx-mod coma
Op skl base fx-prol coma
Op skl base fx-deep coma
Opn skl base fx-coma NOS
Opn skul base fx-concuss
Op skl base fx/cereb lac
Op skl base fx/menin hem
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 336 of 6734

80173
80174
80175
80176
80179
80180
80181
80182
80183
80184
80185
80186
80189
80190
80191
80192
80193
80194
80195
80196
80199
8020
8021
80220
80221
80222
80223
80224
80225
80226
80227
80228
80229

Opn skul base fx/hem NEC
Op sk base fx/br inj NEC
Op skul base fx w/o coma
Nasal bone fx-closed
Nasal bone fx-open
Mandible fx NOS-closed
Fx condyl proc mandib-cl
Subcondylar fx mandib-cl
Fx coron proc mandib-cl
Fx ramus NOS-closed
Fx angle of jaw-closed
Fx symphy mandib body-cl
Fx alveolar bord mand-cl
Fx mandible body NEC-cl
Mult fx mandible-closed
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
565
565
563
563
563
563
563
563
563
563
563
563
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 337 of 6734

80230
80231
80232
80233
80234
80235
80236
80237
80238
80239
8024
8025
8026
8027
8028
8029
80300
80301
80302
80303
80304
80305
80306
80309
80310
80311
80312
80313
80314
80315
80316
80319
80320
Mandible fx NOS-open
Fx condyl proc mand-open
Subcondyl fx mandib-open
Fx coron proc mandib-opn
Fx ramus NOS-open
Fx angle of jaw-open
Fx symphy mandib bdy-opn
Fx alv bord mand bdy-opn
Fx mandible body NEC-opn
Mult fx mandible-open
Fx malar/maxillary-close
Fx malar/maxillary-open
Fx orbital floor-closed
Fx orbital floor-open
Fx facial bone NEC-close
Fx facial bone NEC-open
Close skull fracture NEC
Cl skull fx NEC w/o coma
Cl skull fx NEC-brf coma
Cl skull fx NEC-mod coma
Cl skl fx NEC-proln coma
Cl skul fx NEC-deep coma
Cl skull fx NEC-coma NOS
Cl skull fx NEC-concuss
Cl skl fx NEC/cerebr lac
Cl skl fx NEC/mening hem
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
563
563
563
563
563
563
563
563
563
563
554
554
565
565
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 338 of 6734

80321
80322
80323
80324
80325
80326
80329
80330
80331
80332
80333
80334
80335
80336
80339
80340
80341
80342
80343
80344
80345
80346
80349
80350
80351
80352
80353
80354
80355
80356
80359
80360
80361

Cl skull fx NEC/hem NEC
Cl skl fx NEC/br inj NEC
Open skull fracture NEC
Opn skul fx NEC w/o coma
Opn skul fx NEC-brf coma
Opn skul fx NEC-mod coma
Opn skl fx NEC-prol coma
Opn skl fx NEC-deep coma
Opn skul fx NEC-coma NOS
Opn skull fx NEC-concuss
Opn skl fx NEC/cereb lac
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 339 of 6734

80362
80363
80364
80365
80366
80369
80370
80371
80372
80373
80374
80375
80376
80379
80380
80381
80382
80383
80384
80385
80386
80389
80390
80391
80392
80393
80394
80395
80396
80399
80400
80401
80402

Opn skl fx NEC-proln com
Opn skl fx NEC/menin hem
Opn skull fx NEC/hem NEC
Op skl fx NEC/br inj NEC
Cl skul fx w oth bone fx
Cl skl w oth fx w/o coma
Cl skl w oth fx-brf coma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 340 of 6734

80403
80404
80405
80406
80409
80410
80411
80412
80413
80414
80415
80416
80419
80420
80421
80422
80423
80424
80425
80426
80429
80430
80431
80432
80433
80434
80435
80436
80439
80440
80441
80442
80443
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
Cl
skl w oth fx-mod coma

skl/oth fx-proln coma
skul/oth fx-deep coma
skl w oth fx-coma NOS
skul w oth fx-concuss
sk w oth fx/cereb lac
skl w oth fx w/o coma
skl w oth fx-brf coma
skl/oth fx/mening hem
skul w oth fx/hem NEC
skl/oth fx/br inj NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 341 of 6734

80444
80445
80446
80449
80450
80451
80452
80453
80454
80455
80456
80459
80460
80461
80462
80463
80464
80465
80466
80469
80470
80471
80472
80473
80474
80475
80476
80479
80480
80481
80482
80483
80484
Cl skl/oth fx-proln coma

Cl skul/oth fx-deep coma
Cl skl w oth fx-coma NOS
Cl skul w oth fx-concuss
Opn skull fx/oth bone fx
Opn skul/oth fx w/o coma
Opn skul/oth fx-brf coma
Opn skul/oth fx-mod coma
Opn skl/oth fx-prol coma
Opn skl/oth fx-deep coma
Opn skul/oth fx-coma NOS
Opn skull/oth fx-concuss
Opn skl/oth fx/cereb lac
Opn skl/oth fx/menin hem
Opn skl w oth fx/hem NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 342 of 6734

80485
80486
80489
80490
80491
80492
80493
80494
80495
80496
80499
80500
80501
80502
80503
80504
80505
80506
80507
80508
80510
80511
80512
80513
80514
80515
80516
80517
80518
8052
8053
8054
8055

Op skl/oth fx/br inj NEC
Fx cervical vert NOS-cl
Fx c1 vertebra-closed
Fx mult cervical vert-cl
Fx cervical vert NOS-opn
Fx c1 vertebra-open
Fx c2 vertebra-open
Fx c3 vertebra-open
Fx c4 vertebra-open
Fx c5 vertebra-open
Fx c6 vertebra-open
Fx c7 vertebra-open
Fx mlt cervical vert-opn
Fx dorsal vertebra-close
Fx dorsal vertebra-open
Fx lumbar vertebra-close
Fx lumbar vertebra-open
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 343 of 6734

8056
8057
8058
8059
80600
80601
80602
80603
80604
80605
80606
80607
80608
80609
80610
80611
80612
80613
80614
80615
80616
80617
80618
80619
80620
80621
80622
80623
80624
80625
80626
80627
80628
Fx sacrum/coccyx-closed
Fx sacrum/coccyx-open
Vertebral fx NOS-closed
Vertebral fx NOS-open
C1-c4 fx-cl/cord inj NOS
C1-c4 fx-cl/com cord les
C1-c4 fx-cl/ant cord syn
C1-c4 fx-cl/cen cord syn
C1-c4 fx-cl/cord inj NEC
C5-c7 fx-cl/cord inj NOS
C5-c7 fx-cl/com cord les
C5-c7 fx-cl/ant cord syn
C5-c7 fx-cl/cen cord syn
C5-c7 fx-cl/cord inj NEC
C1-c4 fx-op/cord inj NOS
C1-c4 fx-op/com cord les
C1-c4 fx-op/ant cord syn
C1-c4 fx-op/cen cord syn
C1-c4 fx-op/cord inj NEC
C5-c7 fx-op/cord inj NOS
C5-c7 fx-op/com cord les
C5-c7 fx-op/ant cord syn
C5-c7 fx-op/cen cord syn
C5-c7 fx-op/cord inj NEC
T1-t6 fx-cl/cord inj NOS
T1-t6 fx-cl/com cord les
T1-t6 fx-cl/ant cord syn
T1-t6 fx-cl/cen cord syn
T1-t6 fx-cl/cord inj NEC
T7-t12 fx-cl/crd inj NOS
T7-t12 fx-cl/com crd les
T7-t12 fx-cl/ant crd syn
T7-t12 fx-cl/cen crd syn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
656
656
656
656
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 344 of 6734

80629
80630
80631
80632
80633
80634
80635
80636
80637
80638
80639
8064
8065
80660
80661
80662
80669
80670
80671
80672
80679
8068
8069
80700
80701
80702
80703
80704
80705
80706
80707
80708
80709
T7-t12 fx-cl/crd inj NEC

T1-t6 fx-op/cord inj NOS
T1-t6 fx-op/com cord les
T1-t6 fx-op/ant cord syn
T1-t6 fx-op/cen cord syn
T1-t6 fx-op/cord inj NEC
T7-t12 fx-op/crd inj NOS
T7-t12 fx-op/com crd les
T7-t12 fx-op/ant crd syn
T7-t12 fx-op/cen crd syn
T7-t12 fx-op/crd inj NEC
Cl lumbar fx w cord inj
Opn lumbar fx w cord inj
Fx sacrum-cl/crd inj NOS
Fx sacr-cl/cauda equ les
Fx sacr-cl/cauda inj NEC
Fx sacrum-cl/crd inj NEC
Fx sacrum-op/crd inj NOS
Fx sacr-op/cauda equ les
Fx sacr-op/cauda inj NEC
Fx sacrum-op/crd inj NEC
Vert fx NOS-cl w crd inj
Vert fx NOS-op w crd inj
Fracture rib NOS-closed
Fracture one rib-closed
Fracture two ribs-closed
Fracture three ribs-clos
Fracture four ribs-close
Fracture five ribs-close
Fracture six ribs-closed
Fracture seven ribs-clos
Fx eight/more rib-closed
Fx mult ribs NOS-closed
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
576
576
576
577
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 345 of 6734

80710
80711
80712
80713
80714
80715
80716
80717
80718
80719
8072
8073
8074
8075
8076
8080
8081
8082
8083
80841
80842
80843
80844
80849
80851
80852
80853
80854
80859
8088
8089
8090
8091
Fracture rib NOS-open

Fracture one rib-open
Fracture two ribs-open
Fracture three ribs-open
Fracture four ribs-open
Fracture five ribs-open
Fracture six ribs-open
Fracture seven ribs-open
Fx eight/more ribs-open
Fx mult ribs NOS-open
Fracture of sternum-clos
Fracture of sternum-open
Flail chest
Fx larynx/trachea-closed
Fx larynx/trachea-open
Fracture acetabulum-clos
Fracture acetabulum-open
Fracture of pubis-closed
Fracture of pubis-open
Fracture of ilium-closed
Fracture ischium-closed
Pelv fx-clos/pelv disrup
Pelv fx-cl w/o plv disrp
Pelvic fracture NEC-clos
Fracture of ilium-open
Fracture of ischium-open
Pelv fx-open/pelv disrup
Pelv fx-opn w/o pelv dis
Pelvic fracture NEC-open
Pelvic fracture NOS-clos
Pelvic fracture NOS-open
Fracture trunk bone-clos
Fracture trunk bone-open
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
577
577
577
577
577
577
577
577
577
577
577
577
577
565
565
651
651
651
651
651
651
651
651
651
651
651
651
651
651
651
651
656
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 346 of 6734

81000
81001
81002
81003
81010
81011
81012
81013
81100
81101
81102
81103
81109
81110
81111
81112
81113
81119
81200
81201
81202
81203
81209
81210
81211
81212
81213
81219
81220
81221
81230
81231
81240
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
Fx
clavicle NOS-closed
clavicl, stern end-cl
clavicle shaft-closed
clavicl, acrom end-cl
clavicle NOS-open
clavic, stern end-opn
clavicle shaft-open
clavic, acrom end-opn
scapula NOS-closed
scapul, acrom proc-cl
scapul, corac proc-cl
scap, glen cav/nck-cl
scapula NEC-closed
scapula NOS-open
scapul, acrom proc-op
scapul, corac proc-op
scap, glen cav/nck-op
scapula NEC-open
up end humerus NOS-cl
surg nck humerus-clos
anatom nck humerus-cl
gr tuberos humerus-cl
upper humerus NEC-cl
upper humerus NOS-opn
surg neck humerus-opn
anat neck humerus-opn
gr tuberos humer-open
upper humerus NEC-opn
humerus NOS-closed
humerus shaft-closed
humerus NOS-open
humerus shaft-open
lower humerus NOS-cl
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 347 of 6734

81241
81242
81243
81244
81249
81250
81251
81252
81253
81254
81259
81300
81301
81302
81303
81304
81305
81306
81307
81308
81310
81311
81312
81313
81314
81315
81316
81317
81318
81320
81321
81322
81323
Suprcondyl fx humerus-cl
Fx humer, lat condyl-cl
Fx humer, med condyl-cl
Fx humer, condyl NOS-cl
Fx lower humerus NEC-cl
Fx lower humer NOS-open
Supracondyl fx humer-opn
Fx humer, lat condyl-opn
Fx humer, med condyl-opn
Fx humer, condyl NOS-opn
Fx lower humer NEC-open
Fx upper forearm NOS-cl
Fx olecran proc ulna-cl
Fx coronoid proc ulna-cl
Monteggia's fx-closed
Fx upper ulna NEC/NOS-cl
Fx radius head-closed
Fx radius neck-closed
Fx up radius NEC/NOS-cl
Fx up radius w ulna-clos
Fx upper forearm NOS-opn
Fx olecran proc ulna-opn
Fx coronoid pro ulna-opn
Monteggia's fx-open
Fx up ulna NEC/NOS-open
Fx radius head-open
Fx radius neck-open
Fx up radius NEC/NOS-opn
Fx up radius w ulna-open
Fx shaft forearm NOS-cl
Fx radius shaft-closed
Fx ulna shaft-closed
Fx shaft rad w ulna-clos
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 348 of 6734

81330
81331
81332
81333
81340
81341
81342
81343
81344
81345
81346
81347
81350
81351
81352
81353
81354
81380
81381
81382
81383
81390
81391
81392
81393
81400
81401
81402
81403
81404
81405
81406
81407
Fx shaft forearm NOS-opn

Fx radius shaft-open
Fx ulna shaft-open
Fx shaft rad w ulna-open
Fx lower forearm NOS-cl
Colles' fracture-closed
Fx distal radius NEC-cl
Fx distal ulna-closed
Fx low radius w ulna-cl
Torus fx radius-cl/alone
Torus fx ulna-closed
Torus fx radius/ulna-clo
Fx lower forearm NOS-opn
Colles' fracture-open
Fx distal radius NEC-opn
Fx distal ulna-open
Fx low radius w ulna-opn
Fx forearm NOS-closed
Fx radius NOS-closed
Fracture ulna NOS-closed
Fx radius w ulna NOS-cl
Fx forearm NOS-open
Fracture radius NOS-open
Fracture ulna NOS-open
Fx radius w ulna NOS-opn
Fx carpal bone NOS-close
Fx navicular, wrist-clos
Fx lunate, wrist-closed
Fx triquetral, wrist-cl
Fx pisiform-closed
Fx trapezium bone-closed
Fx trapezoid bone-closed
Fx capitate bone-closed
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 349 of 6734

81408
81409
81410
81411
81412
81413
81414
81415
81416
81417
81418
81419
81500
81501
81502
81503
81504
81509
81510
81511
81512
81513
81514
81519
81600
81601
81602
81603
81610
81611
81612
81613
8170
Fx hamate bone-closed
Fx carpal bone NEC-close
Fx carpal bone NOS-open
Fx navicular, wrist-open
Fx lunate, wrist-open
Fx triquetral, wrist-opn
Fx pisiform-open
Fx trapezium bone-open
Fx trapezoid bone-open
Fx capitate bone-open
Fx hamate bone-open
Fx carpal bone NEC-open
Fx metacarpal NOS-closed
Fx 1st metacarp base-cl
Fx metacarp base NEC-cl
Fx metacarpal shaft-clos
Fx metacarpal neck-close
Mult fx metacarpus-close
Fx metacarpal NOS-open
Fx 1st metacarp base-opn
Fx metacarp base NEC-opn
Fx metacarpal shaft-open
Fx metacarpal neck-open
Mult fx metacarpus-open
Fx phalanx, hand NOS-cl
Fx mid/prx phal, hand-cl
Fx dist phalanx, hand-cl
Fx mult phalan, hand-cl
Fx phalanx, hand NOS-opn
Fx mid/prx phal, hand-op
Fx distal phal, hand-opn
Fx mult phalan, hand-opn
Multiple fx hand-closed
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 350 of 6734

8171
8180
8181
8190
8191
82000
82001
82002
82003
82009
82010
82011
82012
82013
82019
82020
82021
82022
82030
82031
82032
8208
8209
82100
82101
82110
82111
82120
82121
82122
82123
82129
82130
Multiple fx hand-open
Fx arm mult/NOS-closed
Fx arm mult/NOS-open
Fx arms w rib/sternum-cl
Fx arms w rib/stern-open
Fx femur intrcaps NOS-cl
Fx up femur epiphy-clos
Fx femur, midcervic-clos
Fx base femoral nck-clos
Fx femur intrcaps NEC-cl
Fx femur intrcap NOS-opn
Fx up femur epiphy-open
Fx femur, midcervic-open
Fx base femoral nck-open
Fx femur intrcap NEC-opn
Trochanteric fx NOS-clos
Intertrochanteric fx-cl
Subtrochanteric fx-close
Trochanteric fx NOS-open
Intertrochanteric fx-opn
Subtrochanteric fx-open
Fx neck of femur NOS-cl
Fx neck of femur NOS-opn
Fx femur NOS-closed
Fx femur shaft-closed
Fx femur NOS-open
Fx femur shaft-open
Fx low end femur NOS-cl
Fx femoral condyle-close
Fx low femur epiphy-clos
Supracondyl fx femur-cl
Fx low end femur NEC-cl
Fx low end femur NOS-opn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
650
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 351 of 6734

82131
82132
82133
82139
8220
8221
82300
82301
82302
82310
82311
82312
82320
82321
82322
82330
82331
82332
82340
82341
82342
82380
82381
82382
82390
82391
82392
8240
8241
8242
8243
8244
8245
Fx femoral condyle-open
Fx low femur epiphy-open
Supracondyl fx femur-opn
Fx low end femur NEC-opn
Fracture patella-closed
Fracture patella-open
Fx upper end tibia-close
Fx upper end fibula-clos
Fx up tibia w fibula-cl
Fx upper end tibia-open
Fx upper end fibula-open
Fx up tibia w fibula-opn
Fx shaft tibia-closed
Fx shaft fibula-closed
Fx shaft fib w tib-clos
Fx tibia shaft-open
Fx fibula shaft-open
Fx shaft tibia w fib-opn
Torus fracture of tibia
Torus fracture of fibula
Torus fx tibia/fibula
Fx tibia NOS-closed
Fx fibula NOS-closed
Fx tibia w fibula NOS-cl
Fx tibia NOS-open
Fx fibula NOS-open
Fx tibia w fib NOS-open
Fx medial malleolus-clos
Fx medial malleolus-open
Fx lateral malleolus-cl
Fx lateral malleolus-opn
Fx bimalleolar-closed
Fx bimalleolar-open
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
650
650
650
650
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 352 of 6734

8246
8247
8248
8249
8250
8251
82520
82521
82522
82523
82524
82525
82529
82530
82531
82532
82533
82534
82535
82539
8260
8261
8270
8271
8280
8281
8290
8291
8300
8301
83100
83101
83102
Fx trimalleolar-closed
Fx trimalleolar-open
Fx ankle NOS-closed
Fx ankle NOS-open
Fracture calcaneus-close
Fracture calcaneus-open
Fx foot bone NOS-closed
Fx astragalus-closed
Fx navicular, foot-clos
Fx cuboid-closed
Fx cuneiform, foot-clos
Fx metatarsal-closed
Fx foot bone NEC-closed
Fx foot bone NOS-open
Fx astragalus-open
Fx navicular, foot-open
Fx cuboid-open
Fx cuneiform, foot-open
Fx metatarsal-open
Fx foot bone NEC-open
Fx phalanx, foot-closed
Fx phalanx, foot-open
Fx lower limb NEC-closed
Fx lower limb NEC-open
Fx legs w arm/rib-closed
Fx legs w arm/rib-open
Fracture NOS-closed
Fracture NOS-open
Dislocation jaw-closed
Dislocation jaw-open
Disloc shoulder NOS-clos
Ant disloc humerus-close
Post disloc humerus-clos
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
563
563
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 353 of 6734

83103
83104
83109
83110
83111
83112
83113
83114
83119
83200
83201
83202
83203
83204
83209
83210
83211
83212
83213
83214
83219
8322
83300
83301
83302
83303
83304
83305
83309
83310
83311
83312
83313
Infer disloc humerus-cl

Disloc acromioclavic-cl
Disloc shoulder NEC-clos
Disloc shoulder NOS-open
Ant disloc humerus-open
Post disloc humerus-open
Infer disloc humerus-opn
Disloc acromioclavic-opn
Disloc shoulder NEC-open
Dislocat elbow NOS-close
Ant disloc elbow-closed
Post disloc elbow-closed
Med disloc elbow-closed
Lat disloc elbow-closed
Dislocat elbow NEC-close
Dislocat elbow NOS-open
Ant disloc elbow-open
Post disloc elbow-open
Med disloc elbow-open
Lat dislocat elbow-open
Dislocat elbow NEC-open
Nursemaid's elbow
Disloc wrist NOS-closed
Disloc dist radiouln-cl
Disloc radiocarpal-clos
Disloca midcarpal-closed
Disloc carpometacarp-cl
Disloc metacarpal-closed
Disloc wrist NEC-closed
Dislocat wrist NOS-open
Disloc dist radiouln-opn
Disloc radiocarpal-open
Dislocat midcarpal-open
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 354 of 6734

83314
83315
83319
83400
83401
83402
83410
83411
83412
83500
83501
83502
83503
83510
83511
83512
83513
8360
8361
8362
8363
8364
83650
83651
83652
83653
83654
83659
83660
83661
83662
83663
83664
Disloc carpometacarp-opn
Dislocat metacarpal-open
Dislocat wrist NEC-open
Disl finger NOS-closed
Disloc metacarpophaln-cl
Disl interphaln hand-cl
Disloc finger NOS-open
Disl metacarpophalan-opn
Disl interphaln hand-opn
Dislocat hip NOS-closed
Posterior disloc hip-cl
Obturator disloc hip-cl
Ant disloc hip NEC-clos
Dislocation hip NOS-open
Posterior disloc hip-opn
Obturator disloc hip-opn
Ant disloc hip NEC-open
Tear med menisc knee-cur
Tear lat menisc knee-cur
Tear meniscus NEC-curren
Dislocat patella-closed
Dislocation patella-open
Dislocat knee NOS-closed
Ant disloc prox tibia-cl
Post disl prox tibia-cl
Med disloc prox tibia-cl
Lat disloc prox tibia-cl
Dislocat knee NEC-closed
Dislocat knee NOS-open
Ant disl prox tibia-open
Post disl prox tibia-opn
Med disl prox tibia-open
Lat disl prox tibia-open
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
651
651
651
651
651
651
651
651
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 355 of 6734

83669
8370
8371
83800
83801
83802
83803
83804
83805
83806
83809
83810
83811
83812
83813
83814
83815
83816
83819
83900
83901
83902
83903
83904
83905
83906
83907
83908
83910
83911
83912
83913
83914
Dislocat knee NEC-open

Dislocation ankle-closed
Dislocation ankle-open
Dislocat foot NOS-closed
Disloc tarsal NOS-closed
Disloc midtarsal-closed
Disloc tarsometatars-cl
Disloc metatarsal NOS-cl
Disl metatarsophalang-cl
Disl interphalan foot-cl
Dislocat foot NEC-closed
Dislocat foot NOS-open
Disloc tarsal NOS-open
Disloc midtarsal-open
Disl tarsometatarsal-opn
Disl metatarsal NOS-open
Disloc metatarsophal-opn
Dis interphalan foot-opn
Dislocat foot NEC-open
Disloc cerv vert NOS-cl
Disloc 1st cerv vert-cl
Disloc 2nd cerv vert-cl
Disloc 3rd cerv vert-cl
Disloc 4th cerv vert-cl
Disloc mult cerv vert-cl
Disloc cerv vert NOS-opn
Disloc lst cerv vert-opn
Disloc 2nd cerv vert-opn
Disloc 3rd cerv vert-opn
Disloc 4th cerv vert-opn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
652
656
656
656
656
656
656
656
656
656
656
656
656
656
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 356 of 6734

83915
83916
83917
83918
83920
83921
83930
83931
83940
83941
83942
83949
83950
83951
83952
83959
83961
83969
83971
83979
8398
8399
8400
8401
8402
8403
8404
8405
8406
8407
8408
8409
8410

Disloc mlt cerv vert-opn
Dislocat lumbar vert-cl
Disloc thoracic vert-cl
Dislocat lumbar vert-opn
Disloc thoracic vert-opn
Dislocat vertebra NOS-cl
Dislocat coccyx-closed
Dislocat sacrum-closed
Dislocat vertebra NEC-cl
Disloc vertebra NOS-open
Dislocat coccyx-open
Dislocat sacrum-open
Disloc vertebra NEC-open
Dislocat sternum-closed
Dislocat site NEC-closed
Dislocation sternum-open
Dislocat site NEC-open
Dislocation NEC-closed
Dislocation NEC-open
Sprain acromioclavicular
Sprain coracoclavicular
Sprain coracohumeral
Sprain infraspinatus
Sprain rotator cuff
Sprain subscapularis
Sprain supraspinatus
Sup glenoid labrm lesion
Sprain shoulder/arm NEC
Sprain shoulder/arm NOS
Sprain radial collat lig
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
656
577
652
577
652
652
652
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 357 of 6734

8411
8412
8413
8418
8419
84200
84201
84202
84209
84210
84211
84212
84213
84219
8430
8431
8438
8439
8440
8441
8442
8443
8448
8449
84500
84501
84502
84503
84509
84510
84511
84512
84513
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
Sprain
ulnar collat lig

radiohumeral
ulnohumeral
elbow/forearm NEC
elbow/forearm NOS
of wrist NOS
carpal
radiocarpal
of wrist NEC
of hand NOS
carpometacarpal
metacarpophalang
interphalangeal
of hand NEC
iliofemoral
ischiocapsular
hip & thigh NEC
hip & thigh NOS
lateral coll lig
medial collat lig
cruciate lig knee
super tibiofibula
of knee & leg NEC
of knee & leg NOS
of ankle NOS
of ankle deltoid
calcaneofibular
distal tibiofibul
of ankle NEC
of foot NOS
tarsometatarsal
metatarsophalang
interphalang toe
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
661
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 358 of 6734

84519
8460
8461
8462
8463
8468
8469
8470
8471
8472
8473
8474
8479
8480
8481
8482
8483
84840
84841
84842
84849
8485
8488
8489
8500
85011
85012
8502
8503
8504
8505
8509
85100
Sprain of foot NEC

Sprain lumbosacral
Sprain sacroiliac
Sprain sacrospinatus
Sprain sacrotuberous
Sprain sacroiliac NEC
Sprain sacroiliac NOS
Sprain of neck
Sprain thoracic region
Sprain lumbar region
Sprain of sacrum
Sprain of coccyx
Sprain of back NOS
Sprain of nasal septum
Sprain of jaw
Sprain of thyroid region
Sprain of ribs
Sprain of sternum NOS
Sprain sternoclavicular
Sprain chondrosternal
Sprain of sternum NEC
Sprain of pelvis
Sprain NEC
Sprain NOS
Concussion w/o coma
Concus-brief coma <31 mn
Concus-brf coma 31-59 mn
Concussion-moderate coma
Concussion-prolong coma
Concussion-deep coma
Concussion w coma NOS
Concussion NOS
Cerebral cortx contusion
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
661
656
656
656
656
656
656
656
656
657
657
656
656
564
563
661
576
576
576
576
576
661
661
661
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 359 of 6734

85101
85102
85103
85104
85105
85106
85109
85110
85111
85112
85113
85114
85115
85116
85119
85120
85121
85122
85123
85124
85125
85126
85129
85130
85131
85132
85133
85134
85135
85136
85139
85140
85141
Cortex contusion-no coma

Cortex contus-brief coma
Cortex contus-mod coma
Cortx contus-prolng coma
Cortex contus-deep coma
Cortex contus-coma NOS
Cortex contus-concus NOS
Cortex contusion/opn wnd
Opn cortx contus-no coma
Opn cort contus-brf coma
Opn cort contus-mod coma
Opn cort contu-prol coma
Opn cort contu-deep coma
Opn cort contus-coma NOS
Opn cortx contus-concuss
Cerebral cortex lacerat
Cortex lacerat w/o coma
Cortex lacera-brief coma
Cortex lacerat-mod coma
Cortex lacerat-prol coma
Cortex lacerat-deep coma
Cortex lacerat-coma NOS
Cortex lacerat-concuss
Cortex lacer w opn wound
Opn cortex lacer-no coma
Opn cortx lac-brief coma
Opn cortx lacer-mod coma
Opn cortx lac-proln coma
Opn cortex lac-deep coma
Opn cortx lacer-coma NOS
Opn cortx lacer-concuss
Cerebel/brain stm contus
Cerebell contus w/o coma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 360 of 6734

85142
85143
85144
85145
85146
85149
85150
85151
85152
85153
85154
85155
85156
85159
85160
85161
85162
85163
85164
85165
85166
85169
85170
85171
85172
85173
85174
85175
85176
85179
85180
85181
85182
Cerebell contus-brf coma

Cerebell contus-mod coma
Cerebel contus-prol coma
Cerebel contus-deep coma
Cerebell contus-coma NOS
Cerebell contus-concuss
Cerebel contus w opn wnd
Opn cerebe cont w/o coma
Opn cerebe cont-brf coma
Opn cerebe cont-mod coma
Opn cerebe cont-prol com
Opn cerebe cont-deep com
Opn cerebe cont-coma NOS
Opn cerebel cont-concuss
Cerebel/brain stem lacer
Cerebel lacerat w/o coma
Cerebel lacer-brief coma
Cerebel lacerat-mod coma
Cerebel lacer-proln coma
Cerebell lacer-deep coma
Cerebel lacerat-coma NOS
Cerebel lacer-concussion
Cerebel lacer w open wnd
Opn cerebel lac w/o coma
Opn cerebel lac-brf coma
Opn cerebel lac-mod coma
Opn cerebe lac-prol coma
Opn cerebe lac-deep coma
Opn cerebel lac-coma NOS
Opn cerebell lac-concuss
Brain laceration NEC
Brain lacer NEC w/o coma
Brain lac NEC-brief coma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 361 of 6734

85183
85184
85185
85186
85189
85190
85191
85192
85193
85194
85195
85196
85199
85200
85201
85202
85203
85204
85205
85206
85209
85210
85211
85212
85213
85214
85215
85216
85219
85220
85221
85222
85223
Brain lacer NEC-mod coma

Brain lac NEC-proln coma
Brain lac NEC-deep coma
Brain lacer NEC-coma NOS
Brain lacer NEC-concuss
Brain lac NEC w open wnd
Opn brain lacer w/o coma
Opn brain lac-brief coma
Opn brain lacer-mod coma
Opn brain lac-proln coma
Open brain lac-deep coma
Opn brain lacer-coma NOS
Open brain lacer-concuss
Traum subarachnoid hem
Subarachnoid hem-no coma
Subarach hem-brief coma
Subarach hem-mod coma
Subarach hem-prolng coma
Subarach hem-deep coma
Subarach hem-coma NOS
Subarach hem-concussion
Subarach hem w opn wound
Opn subarach hem-no coma
Op subarach hem-brf coma
Op subarach hem-mod coma
Op subarach hem-prol com
Op subarach hem-deep com
Op subarach hem-coma NOS
Opn subarach hem-concuss
Traumatic subdural hem
Subdural hem w/o coma
Subdural hem-brief coma
Subdural hemorr-mod coma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 362 of 6734

85224
85225
85226
85229
85230
85231
85232
85233
85234
85235
85236
85239
85240
85241
85242
85243
85244
85245
85246
85249
85250
85251
85252
85253
85254
85255
85256
85259
85300
85301
85302
85303
85304
Subdural hem-prolng coma

Subdural hem-deep coma
Subdural hemorr-coma NOS
Subdural hem-concussion
Subdural hem w opn wound
Open subdur hem w/o coma
Opn subdur hem-brf coma
Opn subdur hem-mod coma
Opn subdur hem-prol coma
Opn subdur hem-deep coma
Opn subdur hem-coma NOS
Opn subdur hem-concuss
Traumatic extradural hem
Extradural hem w/o coma
Extradur hem-brief coma
Extradural hem-mod coma
Extradur hem-proln coma
Extradural hem-deep coma
Extradural hem-coma NOS
Extadural hem-concuss
Extradural hem w opn wnd
Extradural hemor-no coma
Extradur hem-brief coma
Extradural hem-mod coma
Extradur hem-proln coma
Extradur hem-deep coma
Extradural hem-coma NOS
Extradural hem-concuss
Traumatic brain hem NEC
Brain hem NEC w/o coma
Brain hem NEC-brief coma
Brain hem NEC-mod coma
Brain hem NEC-proln coma
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 363 of 6734

85305
85306
85309
85310
85311
85312
85313
85314
85315
85316
85319
85400
85401
85402
85403
85404
85405
85406
85409
85410
85411
85412
85413
85414
85415
85416
85419
8600
8601
8602
8603
8604
8605
Brain hem NEC-deep coma

Brain hem NEC-coma NOS
Brain hem NEC-concussion
Brain hem NEC w opn wnd
Brain hem opn w/o coma
Brain hem opn-brf coma
Brain hem open-mod coma
Brain hem opn-proln coma
Brain hem open-deep coma
Brain hem open-coma NOS
Brain hem opn-concussion
Brain injury NEC
Brain injury NEC-no coma
Brain inj NEC-brief coma
Brain inj NEC-mod coma
Brain inj NEC-proln coma
Brain inj NEC-deep coma
Brain inj NEC-coma NOS
Brain inj NEC-concussion
Brain injury w opn wnd
Opn brain inj w/o coma
Opn brain inj-brief coma
Opn brain inj-mod coma
Opn brain inj-proln coma
Opn brain inj-deep coma
Open brain inj-coma NOS
Opn brain inj-concussion
Traum pneumothorax-close
Traum pneumothorax-open
Traum hemothorax-closed
Traum hemothorax-open
Traum pneumohemothor-cl
Traum pneumohemothor-opn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
532
577
577
577
577
577
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 364 of 6734

86100
86101
86102
86103
86110
86111
86112
86113
86120
86121
86122
86130
86131
86132
8620
8621
86221
86222
86229
86231
86232
86239
8628
8629
8630
8631
86320
86321
86329
86330
86331
86339
86340
Heart injury NOS-closed

Heart contusion-closed
Heart laceration-closed
Heart chamber lacerat-cl
Heart injury NOS-open
Heart contusion-open
Heart laceration-open
Heart chamber lacer-opn
Lung injury NOS-closed
Lung contusion-closed
Lung laceration-closed
Lung injury NOS-open
Lung contusion-open
Lung laceration-open
Diaphragm injury-closed
Diaphragm injury-open
Bronchus injury-closed
Esophagus injury-closed
Intrathoracic inj NEC-cl
Bronchus injury-open
Esophagus injury-open
Intrathorac inj NEC-open
Intrathoracic inj NOS-cl
Intrathorac inj NOS-open
Stomach injury-closed
Stomach injury-open
Small intest inj NOS-cl
Duodenum injury-closed
Small intest inj NEC-cl
Small intest inj NOS-opn
Duodenum injury-open
Small intest inj NEC-opn
Colon injury NOS-closed
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
593
593
593
593
593
593
593
593
577
577
577
577
577
577
577
577
577
625
577
577
625
577
593
593
625
625
625
625
625
625
625
625
625
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 365 of 6734

86341
86342
86343
86344
86345
86346
86349
86350
86351
86352
86353
86354
86355
86356
86359
86380
86381
86382
86383
86384
86385
86389
86390
86391
86392
86393
86394
86395
86399
86400
86401
86402
86403
Ascending colon inj-clos

Transverse colon inj-cl
Descending colon inj-cl
Sigmoid colon inj-closed
Rectum injury-closed
Colon inj mult site-clos
Colon injury NEC-closed
Colon injury NOS-open
Ascending colon inj-open
Transverse colon inj-opn
Descending colon inj-opn
Sigmoid colon inj-open
Rectum injury-open
Colon inj mult site-open
Colon injury NEC-open
GI injury NOS-closed
Pancreas, head inj-close
Pancreas, body inj-close
Pancreas, tail inj-close
Pancreas injury NOS-clos
Appendix injury-closed
GI injury NEC-closed
GI injury NOS-open
Pancreas, head inj-open
Pancreas, body inj-open
Pancreas, tail inj-open
Pancreas injury NOS-open
Appendix injury-open
GI injury NEC-open
Liver injury NOS-closed
Liver hematoma/contusion
Liver laceration, minor
Liver laceration, mod
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
625
625
625
625
625
625
625
625
625
625
625
625
625
625
625
625
635
635
635
635
625
625
625
635
635
635
635
625
625
640
640
640
640
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 366 of 6734

86404
86405
86409
86410
86411
86412
86413
86414
86415
86419
86500
86501
86502
86503
86504
86509
86510
86511
86512
86513
86514
86519
86600
86601
86602
86603
86610
86611
86612
86613
8670
8671
8672
Liver laceration, major

Liver lacerat unspcf cls
Liver injury NEC-closed
Liver injury NOS-open
Liver hematom/contus-opn
Liver lacerat, minor-opn
Liver lacerat, mod-open
Liver lacerat, major-opn
Liver lacerat unspcf opn
Liver injury NEC-open
Spleen injury NOS-closed
Spleen hematoma-closed
Spleen capsular tear
Spleen parenchyma lacer
Spleen disruption-clos
Spleen injury NEC-closed
Spleen injury NOS-open
Spleen hematoma-open
Spleen capsular tear-opn
Spleen parnchym lac-opn
Spleen disruption-open
Spleen injury NEC-open
Kidney injury NOS-closed
Kidney hematoma-closed
Kidney laceration-closed
Kidney disruption-closed
Kidney injury NOS-open
Kidney hematoma-open
Kidney laceration-open
Kidney disruption-open
Bladder/urethra inj-clos
Bladder/urethra inj-open
Ureter injury-closed
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
639
640
640
640
640
640
640
639
640
640
785
785
785
785
785
785
785
785
785
785
785
785
726
726
726
726
726
726
726
726
726
726
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 367 of 6734

8673
8674
8675
86800
86801
86802
86803
86804
86809
86810
86811
86812
86813
86814
86819
8690
8691
8700
8701
8702
8703
8704
8708
8709
8710
8711
8712
8713
8714
8715
8716
8717
8719
Ureter injury-open
Uterus injury-closed
Uterus injury-open
Intra-abdom inj NOS-clos
Adrenal gland injury-cl
Biliary tract injury-cl
Peritoneum injury-closed
Retroperitoneum inj-cl
Intra-abdom inj NEC-clos
Intra-abdom inj NOS-open
Adrenal gland injury-opn
Biliary tract injury-opn
Peritoneum injury-open
Retroperitoneum inj-open
Intra-abdom inj NEC-open
Internal inj NOS-closed
Internal injury NOS-open
Lac eyelid skn/perioculr
Full-thicknes lac eyelid
Lac eyelid inv lacrm pas
Penetr wnd orbit w/o FB
Penetrat wnd orbit w FB
Opn wnd ocular adnex NEC
Opn wnd ocular adnex NOS
Ocular lac w/o prolapse
Ocular lacera w prolapse
Rupture eye w tissu loss
Avulsion of eye
Laceration of eye NOS
Penetrat magnet FB eye
Penetrat FB NEC eye
Ocular penetration NOS
Opn wound of eyeball NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
726
752
752
625
692
637
625
726
625
625
692
637
625
726
625
853
853
554
554
554
554
554
554
554
554
554
554
554
554
554
554
554
554
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 368 of 6734

87200
87201
87202
87210
87211
87212
87261
87262
87263
87264
87269
87271
87272
87273
87274
87279
8728
8729
8730
8731
87320
87321
87322
87323
87329
87330
87331
87332
87333
87339
87340
87341
87342
Opn wound extern ear NOS

Open wound of auricle
Opn wound auditory canal
Opn wnd ex ear NOS-compl
Open wound auricle-compl
Open wnd aud canal-compl
Open wound of ear drum
Open wound of ossicles
Open wnd eustachian tube
Open wound of cochlea
Open wound of ear NEC
Open wnd ear drum-compl
Open wnd ossicles-compl
Opn wnd eustach tb-compl
Open wound cochlea-compl
Open wound ear NEC-compl
Open wound of ear NOS
Open wound ear NOS-compl
Open wound of scalp
Open wound scalp-compl
Open wound of nose NOS
Open wound nasal septum
Open wound nasal cavity
Open wound nasal sinus
Mult open wound nose
Open wnd nose NOS-compl
Opn wnd nas septum-compl
Open wnd nasal cav-compl
Open wnd nas sinus-compl
Mult open wnd nose-compl
Open wound of face NOS
Open wound of cheek
Open wound of forehead
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
565
565
565
565
565
565
565
565
565
565
565
565
565
565
565
565
565
565
674
674
565
565
565
565
565
565
565
565
565
565
674
674
674
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 369 of 6734

87343
87344
87349
87350
87351
87352
87353
87354
87359
87360
87361
87362
87363
87364
87365
87369
87370
87371
87372
87373
87374
87375
87379
8738
8739
87400
87401
87402
87410
87411
87412
8742
8743
Open wound of lip

Open wound of jaw
Open wound of face NEC
Open wnd face NOS-compl
Open wound cheek-compl
Open wnd forehead-compl
Open wound lip-complicat
Open wound jaw-complicat
Open wnd face NEC-compl
Open wound of mouth NOS
Open wound buccal mucosa
Open wound of gum
Broken tooth-uncomplic
Opn wnd tongue/mouth flr
Open wound of palate
Open wound mouth NEC
Open wnd mouth NOS-compl
Opn wnd buc mucosa-compl
Open wound gum-compl
Broken tooth-complicated
Open wound tongue-compl
Open wound palate-compl
Open wnd mouth NOS-compl
Open wound of head NEC
Open wnd head NEC-compl
Opn wnd larynx w trachea
Open wound of larynx
Open wound of trachea
Opn wnd lary w trac-comp
Open wound larynx-compl
Open wound trachea-compl
Open wound thyroid gland
Open wound thyroid-compl
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
563
563
674
674
674
674
563
563
674
563
563
563
563
563
563
563
563
563
563
563
563
563
563
674
674
565
565
577
565
565
577
692
692
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 370 of 6734

8744
8745
8748
8749
8750
8751
8760
8761
8770
8771
8780
8781
8782
8783
8784
8785
8786
8787
8790
8791
8792
8793
8794
8795
8796
8797
8798
8799
88000
88001
88002
88003
88009
Open wound of pharynx

Open wound pharynx-compl
Open wound of neck NEC
Opn wound neck NEC-compl
Open wound of chest
Open wound chest-compl
Open wound of back
Open wound back-compl
Open wound of buttock
Open wound buttock-compl
Open wound of penis
Open wound penis-compl
Opn wound scrotum/testes
Opn wnd scrot/test-compl
Open wound of vulva
Open wound vulva-compl
Open wound of vagina
Open wound vagina-compl
Open wound of breast
Open wound breast-compl
Opn wnd anterior abdomen
Opn wnd ant abdomen-comp
Opn wnd lateral abdomen
Opn wnd lat abdomen-comp
Open wound of trunk NEC
Open wnd trunk NEC-compl
Open wound site NOS
Opn wound site NOS-compl
Open wound of shoulder
Open wound of scapula
Open wound of axilla
Open wound of upper arm
Mult open wound shoulder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
565
565
674
674
674
674
674
674
674
674
741
741
741
741
753
753
753
753
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 371 of 6734

88010
88011
88012
88013
88019
88020
88021
88022
88023
88029
88100
88101
88102
88110
88111
88112
88120
88121
88122
8820
8821
8822
8830
8831
8832
8840
8841
8842
8850
8851
8860
8861
8870
Open wnd shoulder-compl

Open wound scapula-compl
Open wound axilla-compl
Open wnd upper arm-compl
Mult opn wnd should-comp
Opn wnd shouldr w tendon
Opn wnd scapula w tendon
Open wnd axilla w tendon
Open wnd up arm w tendon
Mlt opn wnd shldr w tend
Open wound of forearm
Open wound of elbow
Open wound of wrist
Open wound forearm-compl
Open wound elbow-complic
Open wound wrist-complic
Open wnd forearm w tendn
Opn wound elbow w tendon
Opn wound wrist w tendon
Open wound of hand
Opn wound hand-complicat
Open wound hand w tendon
Open wound of finger
Open wound finger-compl
Open wnd finger w tendon
Open wound arm mult/NOS
Open wound arm NOS-compl
Opn wnd arm NOS w tendon
Amputation thumb
Amputation thumb-compl
Amputation finger
Amputation finger-compl
Amput below elb, unilat
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
510
510
510
674
674
510
674
674
510
674
674
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 372 of 6734

8871
8872
8873
8874
8875
8876
8877
8900
8901
8902
8910
8911
8912
8920
8921
8922
8930
8931
8932
8940
8941
8942
8950
8951
8960
8961
8962
8963
8970
8971
8972
8973
8974
Amp below elb, unil-comp

Amput abv elbow, unilat
Amput abv elb, unil-comp
Amputat arm, unilat NOS
Amput arm, unil NOS-comp
Amputation arm, bilat
Amputat arm, bilat-compl
Open wound of hip/thigh
Open wnd hip/thigh-compl
Opn wnd hip/thigh w tend
Open wnd knee/leg/ankle
Open wnd knee/leg-compl
Opn wnd knee/leg w tendn
Open wound of foot
Open wound foot-compl
Open wound foot w tendon
Open wound of toe
Open wound toe-compl
Open wound toe w tendon
Open wound of leg NEC
Open wound leg NEC-compl
Opn wnd leg NEC w tendon
Amputation toe
Amputation toe-complicat
Amputation foot, unilat
Amput foot, unilat-compl
Amputation foot, bilat
Amputat foot, bilat-comp
Amput below knee, unilat
Amputat bk, unilat-compl
Amput above knee, unilat
Amput abv kn, unil-compl
Amputat leg, unilat NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
674
674
510
674
674
510
674
674
510
674
674
510
674
674
510
510
510
510
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 373 of 6734

8975
8976
8977
90000
90001
90002
90003
9001
90081
90082
90089
9009
9010
9011
9012
9013
90140
90141
90142
90181
90182
90183
90189
9019
9020
90210
90211
90219
90220
90221
90222
90223
90224
Amput leg, unil NOS-comp

Amputation leg, bilat
Amputat leg, bilat-compl
Injur carotid artery NOS
Inj common carotid arter
Inj external carotid art
Inj internal carotid art
Inj internl jugular vein
Inj extern jugular vein
Inj mlt head/neck vessel
Inj head/neck vessel NEC
Inj head/neck vessel NOS
Injury thoracic aorta
Inj innomin/subclav art
Inj superior vena cava
Inj innomin/subclav vein
Inj pulmonary vessel NOS
Injury pulmonary artery
Injury pulmonary vein
Inj intercostal art/vein
Inj int mammary art/vein
Inj mult thoracic vessel
Inj thoracic vessel NEC
Inj thoracic vessel NOS
Injury abdominal aorta
Inj infer vena cava NOS
Injury hepatic veins
Inj infer vena cava NEC
Inj celiac/mesen art NOS
Injury gastric artery
Injury hepatic artery
Injury splenic artery
Injury celiac axis NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
593
593
593
593
593
593
593
593
593
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 374 of 6734

90225
90226
90227
90229
90231
90232
90233
90234
90239
90240
90241
90242
90249
90250
90251
90252
90253
90254
90255
90256
90259
90281
90282
90287
90289
9029
90300
90301
90302
9031
9032
9033
9034
Inj super mesenteric art

Inj brnch sup mesent art
Inj infer mesenteric art
Inj mesenteric vess NEC
Inj superior mesent vein
Inj inferior mesent vein
Injury portal vein
Injury splenic vein
Inj port/splen vess NEC
Injury renal vessel NOS
Injury renal artery
Injury renal vein
Injury renal vessel NEC
Injury iliac vessel NOS
Inj hypogastric artery
Injury hypogastric vein
Injury iliac artery
Injury iliac vein
Injury uterine artery
Injury uterine vein
Injury iliac vessel NEC
Injury ovarian artery
Injury ovarian vein
Inj mult abd/pelv vessel
Inj abdominal vessel NEC
Inj abdominal vessel NOS
Inj axillary vessel NOS
Injury axillary artery
Injury axillary vein
Injury brachial vessels
Injury radial vessels
Injury ulnar vessels
Injury palmar artery
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 375 of 6734

9035
9038
9039
9040
9041
9042
9043
90440
90441
90442
90450
90451
90452
90453
90454
9046
9047
9048
9049
9050
9051
9052
9053
9054
9055
9056
9057
9058
9059
9060
9061
9062
9063
Injury finger vessels

Injury arm vessels NEC
Injury arm vessel NOS
Inj common femoral arter
Inj superfic femoral art
Injury femoral vein
Injury saphenous vein
Inj popliteal vessel NOS
Injury popliteal artery
Injury popliteal vein
Injury tibial vessel NOS
Inj anter tibial artery
Inj anterior tibial vein
Inj post tibial artery
Inj post tibial vein
Inj deep plantar vessel
Injury leg vessels NEC
Injury leg vessel NOS
Blood vessel injury NOS
Late effec skull/face fx
Late eff spine/trunk fx
Late effect arm fx
Late eff femoral neck fx
Late effect leg fx
Late effect fracture NEC
Late effect dislocation
Late effec sprain/strain
Late effec tendon injury
Late eff traumat amputat
Lt eff opn wnd head/trnk
Late eff open wnd extrem
Late eff superficial inj
Late effect of contusion
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
510
525
656
661
661
661
661
652
661
661
661
674
674
674
674
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 376 of 6734

9064
9065
9066
9067
9068
9069
9070
9071
9072
9073
9074
9075
9079
9080
9081
9083
9084
9085
9086
9089
9090
9091
9092
9093
9094
9095
9099
9100
9101
9102
9103
9104
9105
Late effect of crushing

Late eff head/neck burn
Late eff wrist/hand burn
Late eff burn extrem NEC
Late effect of burns NEC
Late effect of burn NOS
Lt eff intracranial inj
Late eff cran nerve inj
Late eff spinal cord inj
Lt eff nerv inj trnk NEC
Lt eff nerv inj shld/arm
Lt eff nerv inj pelv/leg
Late eff nerve inj NEC
Late eff int injur chest
Late eff int inj abdomen
Late eff inj periph vess
Lt eff inj thor/abd vess
Late eff FB in orifice
Late eff complic trauma
Late effect injury NOS
Late eff drug poisoning
Late eff nonmed substanc
Late effect of radiation
Late eff surg/med compl
Late eff cert ext cause
Lte efct advrs efct drug
Late eff exter cause NEC
Abrasion head
Abrasion head-infected
Blister head
Blister head-infected
Insect bite head
Insect bite head-infect
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
674
674
674
674
674
674
525
525
520
525
525
525
525
576
625
596
596
853
853
853
853
853
853
853
853
853
853
674
673
675
673
675
673
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 377 of 6734

9106
9107
9108
9109
9110
9111
9112
9113
9114
9115
9116
9117
9118
9119
9120
9121
9122
9123
9124
9125
9126
9127
9128
9129
9130
9131
9132
9133
9134
9135
9136
9137
9138
Foreign body head

Foreign body head-infect
Superfic inj head NEC
Superf inj head NEC-inf
Abrasion trunk
Abrasion trunk-infected
Blister trunk
Blister trunk-infected
Insect bite trunk
Insect bite trunk-infec
Foreign body trunk
Foreign body trunk-infec
Superfic inj trunk NEC
Superf inj trnk NEC-inf
Abrasion shoulder/arm
Abrasion shldr/arm-infec
Blister shoulder & arm
Blister shoulder/arm-inf
Insect bite shoulder/arm
Insect bite shld/arm-inf
Foreign body shouldr/arm
FB shoulder/arm-infect
Superf inj shldr/arm NEC
Superf inj shldr NEC-inf
Abrasion forearm
Abrasion forearm-infect
Blister forearm
Blister forearm-infected
Insect bite forearm
Insect bite forearm-inf
Foreign body forearm
Foreign body forearm-inf
Superf inj forearm NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
674
673
674
673
674
673
675
673
675
673
674
673
674
673
674
673
674
673
675
673
674
673
674
673
674
673
675
673
675
673
674
673
674
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 378 of 6734

9139
9140
9141
9142
9143
9144
9145
9146
9147
9148
9149
9150
9151
9152
9153
9154
9155
9156
9157
9158
9159
9160
9161
9162
9163
9164
9165
9166
9167
9168
9169
9170
9171
Suprf inj forarm NEC-inf

Abrasion hand
Abrasion hand-infected
Blister hand
Blister hand-infected
Insect bite hand
Insect bite hand-infect
Foreign body hand
Foreign body hand-infect
Superficial inj hand NEC
Superf inj hand NEC-inf
Abrasion finger
Abrasion finger-infected
Blister finger
Blister finger-infected
Insect bite finger
Insect bite finger-infec
Foreign body finger
Foreign body finger-inf
Superfic inj finger-NEC
Suprf inj finger NEC-inf
Abrasion hip & leg
Abrasion hip/leg-infect
Blister hip & leg
Blister hip & leg-infect
Insect bite hip & leg
Insect bite hip/leg-inf
Foreign body hip/leg
Foreign bdy hip/leg-inf
Superfic inj hip/leg NEC
Superf inj leg NEC-infec
Abrasion foot & toe
Abrasion foot/toe-infec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
673
674
673
675
673
675
673
674
673
674
673
674
673
675
673
675
673
674
673
674
673
674
673
675
673
675
673
674
673
674
673
674
673
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 379 of 6734

9172
9173
9174
9175
9176
9177
9178
9179
9180
9181
9182
9189
9190
9191
9192
9193
9194
9195
9196
9197
9198
9199
920
9210
9211
9212
9213
9219
9220
9221
9222
92231
92232
Blister foot & toe

Blister foot & toe-infec
Insect bite foot/toe
Insect bite foot/toe-inf
Foreign body foot & toe
Foreign bdy foot/toe-inf
Superf inj foot/toe NEC
Superf inj foot NEC-inf
Superfic inj periocular
Superficial inj cornea
Superfic inj conjunctiva
Superficial inj eye NEC
Abrasion NEC
Abrasion NEC-infected
Blister NEC
Blister NEC-infected
Insect bite NEC
Insect bite NEC-infected
Superfic foreign bdy NEC
Superficial FB NEC-infec
Superficial injury NEC
Superfic inj NEC-infect
Contusion face/scalp/nck
Black eye NOS
Contusion periocular
Contusion orbital tissue
Contusion of eyeball
Contusion of eye NOS
Contusion of breast
Contusion of chest wall
Contusion abdominal wall
Back contusion
Buttock contusion
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
675
673
675
673
674
673
674
673
553
553
553
553
674
673
675
673
675
673
674
673
674
673
674
553
554
554
554
554
674
674
674
674
674
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 380 of 6734

92233
9228
9229
92300
92301
92302
92303
92309
92310
92311
92320
92321
9233
9238
9239
92400
92401
92410
92411
92420
92421
9243
9244
9245
9248
9249
9251
9252
92611
92612
92619
9268
9269
Interscplr reg contusion

Multiple contusion trunk
Contusion trunk NOS
Contusion shoulder reg
Contusion scapul region
Contusion axillary reg
Contusion of upper arm
Contusion shoulder & arm
Contusion of forearm
Contusion of elbow
Contusion of hand(s)
Contusion of wrist
Contusion of finger
Multiple contusion arm
Contusion upper limb NOS
Contusion of thigh
Contusion of hip
Contusion of lower leg
Contusion of knee
Contusion of foot
Contusion of ankle
Contusion of toe
Multiple contusion leg
Contusion leg NOS
Multiple contusions NEC
Contusion NOS
Crush inj face scalp
Crush inj neck
Crushing injury back
Crushing injury buttock
Crushing inj trunk NEC
Mult crushing inj trunk
Crushing inj trunk NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
674
565
565
656
656
656
656
656
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 381 of 6734

92700
92701
92702
92703
92709
92710
92711
92720
92721
9273
9278
9279
92800
92801
92810
92811
92820
92821
9283
9288
9289
9290
9299
9300
9301
9302
9308
9309
931
932
9330
9331
9340
Crush inj shoulder reg

Crush inj scapul region
Crush inj axillary reg
Crushing inj upper arm
Crush inj shoulder & arm
Crushing injury forearm
Crushing injury elbow
Crushing injury of hand
Crushing injury of wrist
Crushing injury finger
Mult crushing injury arm
Crushing injury arm NOS
Crushing injury thigh
Crushing injury hip
Crushing inj lower leg
Crushing injury knee
Crushing injury foot
Crushing injury ankle
Crushing injury toe
Mult crushing injury leg
Crushing injury leg NOS
Crush inj mult site NEC
Crushing injury NOS
Corneal foreign body
FB in conjunctival sac
FB in lacrimal punctum
Foreign bdy ext eye NEC
Foreign bdy ext eye NOS
Foreign body in ear
Foreign body in nose
Foreign body in pharynx
Foreign body in larynx
Foreign body in trachea
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
510
510
510
510
510
510
510
510
510
510
651
510
510
510
510
510
510
510
510
510
554
554
554
554
554
564
564
565
565
510
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 382 of 6734

9341
9348
9349
9350
9351
9352
936
937
938
9390
9391
9392
9393
9399
9400
9401
9402
9403
9404
9405
9409
94100
94101
94102
94103
94104
94105
94106
94107
94108
94109
94110
94111
Foreign body bronchus

FB trach/bronch/lung NEC
FB respiratory tree NOS
Foreign body in mouth
Foreign body esophagus
Foreign body in stomach
FB in intestine & colon
Foreign body anus/rectum
Foreign body GI NOS
FB bladder & urethra
Foreign body uterus
Foreign bdy vulva/vagina
Foreign body penis
Foreign bdy gu tract NOS
Chemical burn periocular
Burn periocular area NEC
Alkal burn cornea/conjun
Acid burn cornea/conjunc
Burn cornea/conjunct NEC
Burn w eyeball destruct
Burn eye & adnexa NOS
Burn NOS head-unspec
Burn NOS ear
Burn NOS eye
Burn NOS lip
Burn NOS chin
Burn NOS nose
Burn NOS scalp
Burn NOS face NEC
Burn NOS neck
Burn NOS head-mult
1st deg burn head NOS
1st deg burn ear
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
510
510
563
625
625
625
625
625
726
753
753
741
726
554
554
554
554
554
554
554
861
861
554
861
861
861
861
861
861
861
861
861
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 383 of 6734

94112
94113
94114
94115
94116
94117
94118
94119
94120
94121
94122
94123
94124
94125
94126
94127
94128
94129
94130
94131
94132
94133
94134
94135
94136
94137
94138
94139
94140
94141
94142
94143
94144
1st deg burn eye

1st deg burn lip
1st deg burn chin
1st deg burn nose
1st deg burn scalp
1st deg burn face NEC
1st deg burn neck
1st deg burn head-mult
2nd deg burn head NOS
2nd deg burn ear
2nd deg burn eye
2nd deg burn lip
2nd deg burn chin
2nd deg burn nose
2nd deg burn scalp
2nd deg burn face NEC
2nd deg burn neck
2nd deg burn head-mult
3rd deg burn head NOS
3rd deg burn ear
3rd deg burn eye
3rd deg burn lip
3rd deg burn chin
3rd deg burn nose
3rd deg burn scalp
3rd deg burn face NEC
3rd deg burn neck
3rd deg burn head-mult
Deep 3 deg burn head NOS
Deep 3rd deg burn ear
Deep 3rd deg burn eye
Deep 3rd deg burn lip
Deep 3rd deg burn chin
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
554
861
861
861
861
861
861
861
861
861
554
861
861
861
861
861
861
861
860
860
554
860
860
860
860
860
860
860
860
860
554
860
860
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 384 of 6734

94145
94146
94147
94148
94149
94150
94151
94152
94153
94154
94155
94156
94157
94158
94159
94200
94201
94202
94203
94204
94205
94209
94210
94211
94212
94213
94214
94215
94219
94220
94221
94222
94223
Deep 3rd deg burn nose

Deep 3rd deg burn scalp
Deep 3rd burn face NEC
Deep 3rd deg burn neck
Deep 3 deg brn head-mult
3rd burn w loss-head NOS
3rd deg burn w loss-ear
3rd deg burn w loss-eye
3rd deg burn w loss-lip
3rd deg burn w loss-chin
3rd deg burn w loss-nose
3rd deg brn w loss-scalp
3rd burn w loss-face NEC
3rd deg burn w loss-neck
3rd brn w loss-head mult
Burn NOS trunk-unspec
Burn NOS breast
Burn NOS chest wall
Burn NOS abdominal wall
Burn NOS back
Burn NOS genitalia
Burn NOS trunk NEC
1st deg burn trunk NOS
1st deg burn breast
1st deg burn chest wall
1st deg burn abdomn wall
1st deg burn back
1st deg burn genitalia
1st deg burn trunk NEC
2nd deg burn trunk NOS
2nd deg burn breast
2nd deg burn chest wall
2nd deg burn abdomn wall
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
860
860
860
860
860
860
860
554
860
860
860
860
860
860
860
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 385 of 6734

94224
94225
94229
94230
94231
94232
94233
94234
94235
94239
94240
94241
94242
94243
94244
94245
94249
94250
94251
94252
94253
94254
94255
94259
94300
94301
94302
94303
94304
94305
94306
94309
94310
2nd deg burn back

2nd deg burn genitalia
2nd deg burn trunk NEC
3rd deg burn trunk NOS
3rd deg burn breast
3rd deg burn chest wall
3rd deg burn abdomn wall
3rd deg burn back
3rd deg burn genitalia
3rd deg burn trunk NEC
Deep 3rd burn trunk NOS
Deep 3rd deg burn breast
Deep 3rd burn chest wall
Deep 3rd burn abdom wall
Deep 3rd deg burn back
Deep 3rd burn genitalia
Deep 3rd burn trunk NEC
3rd brn w loss-trunk NOS
3rd burn w loss-breast
3rd brn w loss-chest wll
3rd brn w loss-abdom wll
3rd deg burn w loss-back
3rd brn w loss-genitalia
3rd brn w loss-trunk NEC
Burn NOS arm-unspec
Burn NOS forearm
Burn NOS elbow
Burn NOS upper arm
Burn NOS axilla
Burn NOS shoulder
Burn NOS scapula
Burn NOS arm-multiple
1st deg burn arm NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
861
861
861
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
861
861
861
861
861
861
861
861
861
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 386 of 6734

94311
94312
94313
94314
94315
94316
94319
94320
94321
94322
94323
94324
94325
94326
94329
94330
94331
94332
94333
94334
94335
94336
94339
94340
94341
94342
94343
94344
94345
94346
94349
94350
94351
1st deg burn forearm

1st deg burn elbow
1st deg burn upper arm
1st deg burn axilla
1st deg burn shoulder
1st deg burn scapula
1st deg burn arm-mult
2nd deg burn arm NOS
2nd deg burn forearm
2nd deg burn elbow
2nd deg burn upper arm
2nd deg burn axilla
2nd deg burn shoulder
2nd deg burn scapula
2nd deg burn arm-mult
3rd deg burn arm NOS
3rd deg burn forearm
3rd deg burn elbow
3rd deg burn upper arm
3rd deg burn axilla
3rd deg burn shoulder
3rd deg burn scapula
3rd deg burn arm-mult
Deep 3 deg burn arm NOS
Deep 3 deg burn forearm
Deep 3 deg burn elbow
Deep 3 deg brn upper arm
Deep 3 deg burn axilla
Deep 3 deg burn shoulder
Deep 3 deg burn scapula
Deep 3 deg burn arm-mult
3rd burn w loss-arm NOS
3rd burn w loss-forearm
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 387 of 6734

94352
94353
94354
94355
94356
94359
94400
94401
94402
94403
94404
94405
94406
94407
94408
94410
94411
94412
94413
94414
94415
94416
94417
94418
94420
94421
94422
94423
94424
94425
94426
94427
94428
3rd burn w loss-elbow

3rd brn w loss-upper arm
3rd burn w loss-axilla
3rd burn w loss-shoulder
3rd burn w loss-scapula
3rd burn w loss arm-mult
Burn NOS hand-unspec
Burn NOS finger
Burn NOS thumb
Burn NOS mult fingers
Burn NOS finger w thumb
Burn NOS palm
Burn NOS back of hand
Burn NOS wrist
Burn NOS hand-multiple
1st deg burn hand NOS
1st deg burn finger
1st deg burn thumb
1st deg burn mult finger
1 deg burn fingr w thumb
1st deg burn palm
1 deg burn back of hand
1st deg burn wrist
1st deg burn hand-mult
2nd deg burn hand NOS
2nd deg burn finger
2nd deg burn thumb
2nd deg burn mult finger
2nd deg burn palm
2nd deg burn wrist
2nd deg burn hand-mult
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
860
860
860
860
860
860
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 388 of 6734

94430
94431
94432
94433
94434
94435
94436
94437
94438
94440
94441
94442
94443
94444
94445
94446
94447
94448
94450
94451
94452
94453
94454
94455
94456
94457
94458
94500
94501
94502
94503
94504
94505
3rd deg burn hand NOS

3rd deg burn finger
3rd deg burn thumb
3rd deg burn mult finger
3rd deg burn palm
3rd deg burn wrist
3rd deg burn hand-mult
Deep 3 deg brn hand NOS
Deep 3 deg burn finger
Deep 3 deg burn thumb
Deep 3rd brn mult finger
Deep 3rd brn fngr w thmb
Deep 3 deg burn palm
Deep 3rd brn back of hnd
Deep 3 deg burn wrist
Deep 3 deg brn hand-mult
3rd brn w loss-hand NOS
3rd burn w loss-finger
3rd burn w loss-thumb
3rd brn w loss-mult fngr
3rd brn w loss-fngr/thmb
3rd burn w loss-palm
3rd brn w loss-bk of hnd
3rd burn w loss-wrist
3rd brn w loss hand-mult
Burn NOS leg-unspec
Burn NOS toe
Burn NOS foot
Burn NOS ankle
Burn NOS lower leg
Burn NOS knee
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
861
861
861
861
861
861
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 389 of 6734

94506
94509
94510
94511
94512
94513
94514
94515
94516
94519
94520
94521
94522
94523
94524
94525
94526
94529
94530
94531
94532
94533
94534
94535
94536
94539
94540
94541
94542
94543
94544
94545
94546
Burn NOS thigh

Burn NOS leg-multiple
1st deg burn leg NOS
1st deg burn toe
1st deg burn foot
1st deg burn ankle
1st deg burn lower leg
1st deg burn knee
1st deg burn thigh
1st deg burn leg-mult
2nd deg burn leg NOS
2nd deg burn toe
2nd deg burn foot
2nd deg burn ankle
2nd deg burn lower leg
2nd deg burn knee
2nd deg burn thigh
2nd deg burn leg-mult
3rd deg burn leg NOS
3rd deg burn toe
3rd deg burn foot
3rd deg burn ankle
3rd deg burn low leg
3rd deg burn knee
3rd deg burn thigh
3rd deg burn leg-mult
Deep 3rd deg brn leg NOS
Deep 3rd deg burn toe
Deep 3rd deg burn foot
Deep 3rd deg burn ankle
Deep 3rd deg brn low leg
Deep 3rd deg burn knee
Deep 3rd deg burn thigh
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
861
860
860
860
860
860
860
860
860
860
860
860
860
860
860
860
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 390 of 6734

94549
94550
94551
94552
94553
94554
94555
94556
94559
9460
9461
9462
9463
9464
9465
9470
9471
9472
9473
9474
9478
9479
94800
94810
94811
94820
94821
94822
94830
94831
94832
94833
94840
Deep 3 deg burn leg-mult

3 deg brn w loss-leg NOS
3 deg burn w loss-toe
3 deg burn w loss-foot
3 deg burn w loss-ankle
3 deg brn w loss-low leg
3 deg burn w loss-knee
3 deg burn w loss-thigh
3 deg brn w loss leg-mlt
Burn NOS multiple site
1st deg burn mult site
2nd deg burn mult site
3rd deg burn mult site
Deep 3 deg brn mult site
3rd brn w loss-mult site
Burn of mouth & pharynx
Burn larynx/trachea/lung
Burn of esophagus
Burn of GI tract
Burn of vagina & uterus
Burn internal organ NEC
Burn internal organ NOS
Bdy brn < 10%/3d deg NOS
10-19% bdy brn/3 deg NOS
10-19% bdy brn/10-19% 3d
20-29% bdy brn/10-19% 3d
20-29% bdy brn/20-29% 3d
30-39% bdy brn/10-19% 3d
30-39% bdy brn/20-29% 3d
30-39% bdy brn/30-39% 3d
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
860
860
860
860
860
860
860
860
860
861
861
861
860
860
860
565
577
625
625
753
861
861
861
861
860
861
860
860
861
860
860
860
861
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 391 of 6734

94841
94842
94843
94844
94850
94851
94852
94853
94854
94855
94860
94861
94862
94863
94864
94865
94866
94870
94871
94872
94873
94874
94875
94876
94877
94880
94881
94882
94883
94884
94885
94886
94887
40-49%
40-49%
40-49%
40-49%
50-59%
50-59%
50-59%
50-59%
50-59%
50-59%
60-69%
60-69%
60-69%
60-69%
60-69%
60-69%
60-69%
70-79%
70-79%
70-79%
70-79%
70-79%
70-79%
70-79%
70-79%
80-89%
80-89%
80-89%
80-89%
80-89%
80-89%
80-89%
80-89%
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
bdy
brn/10-19% 3d
brn/20-29% 3d
brn/30-39% 3d
brn/40-49% 3d
brn/3 deg NOS
brn/10-19% 3d
brn/20-29% 3d
brn/30-39% 3d
brn/40-49% 3d
brn/50-59% 3d
brn/3 deg NOS
brn/10-19% 3d
brn/20-29% 3d
brn/30-39% 3d
brn/40-49% 3d
brn/50-59% 3d
brn/60-69% 3d
brn/3 deg NOS
brn/10-19% 3d
brn/20-29% 3d
brn/30-39% 3d
brn/40-49% 3d
brn/50-59% 3d
brn/60-69% 3d
brn/70-79% 3d
brn/3 deg NOS
brn/10-19% 3d
brn/20-29% 3d
brn/30-39% 3d
brn/40-49% 3d
brn/50-59% 3d
brn/60-69% 3d
brn/70-79% 3d
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
860
860
860
860
861
860
860
860
860
860
861
860
860
860
860
860
860
861
860
860
860
860
860
860
860
861
860
860
860
860
860
860
860
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 392 of 6734

94888
94890
94891
94892
94893
94894
94895
94896
94897
94898
94899
9490
9491
9492
9493
9494
9495
9500
9501
9502
9503
9509
9510
9511
9512
9513
9514
9515
9516
9517
9518
9519
95200
80-89% bdy brn/80-89% 3d

90% + bdy brn/3d deg NOS
90% + bdy brn/10-19% 3rd
90% + bdy brn/20-29% 3rd
90% + bdy brn/30-39% 3rd
90% + bdy brn/40-49% 3rd
90% + bdy brn/50-59% 3rd
90% + bdy brn/60-69% 3rd
90% + bdy brn/70-79% 3rd
90% + bdy brn/80-89% 3rd
90% + bdy brn/90% + 3rd
Burn NOS
1st degree burn NOS
2nd degree burn NOS
3rd degree burn NOS
Deep 3rd deg burn NOS
3rd burn w loss-site NOS
Optic nerve injury
Injury to optic chiasm
Injury to optic pathways
Injury to visual cortex
Inj optic nerv/path NOS
Injury oculomotor nerve
Injury trochlear nerve
Injury trigeminal nerve
Injury abducens nerve
Injury to facial nerve
Injury to acoustic nerve
Injury accessory nerve
Injury hypoglossal nerve
Injury cranial nerve NEC
Injury cranial nerve NOS
C1-c4 spin cord inj NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
860
861
860
860
860
860
860
860
860
860
860
861
861
861
860
860
860
554
524
524
524
524
527
527
527
527
527
565
527
527
527
527
520
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 393 of 6734

95201
95202
95203
95204
95205
95206
95207
95208
95209
95210
95211
95212
95213
95214
95215
95216
95217
95218
95219
9522
9523
9524
9528
9529
9530
9531
9532
9533
9534
9535
9538
9539
9540
Complete les cord/c1-c4

Anterior cord synd/c1-c4
Central cord synd/c1-c4
C1-c4 spin cord inj NEC
C5-c7 spin cord inj NOS
Complete les cord/c5-c7
Anterior cord synd/c5-c7
Central cord synd/c5-c7
C5-c7 spin cord inj NEC
T1-t6 spin cord inj NOS
Complete les cord/t1-t6
Anterior cord synd/t1-t6
Central cord synd/t1-t6
T1-t6 spin cord inj NEC
T7-t12 spin cord inj NOS
Complete les cord/t7-t12
Anterior cord syn/t7-t12
Central cord syn/t7-t12
T7-t12 spin cord inj NEC
Lumbar spinal cord injur
Sacral spinal cord injur
Cauda equina injury
Spin cord inj-mult site
Spinal cord injury NOS
Cervical root injury
Dorsal root injury
Lumbar root injury
Sacral root injury
Brachial plexus injury
Lumbosacral plex injury
Mult nerve root/plex inj
Inj nerve root/plex NOS
Inj cerv sympath nerve
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
527
527
527
527
527
527
527
527
527
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 394 of 6734

9541
9548
9549
9550
9551
9552
9553
9554
9555
9556
9557
9558
9559
9560
9561
9562
9563
9564
9565
9568
9569
9570
9571
9578
9579
9580
9581
9582
9583
9584
9585
9586
9587
Inj sympath nerve NEC

Injury trunk nerve NEC
Injury trunk nerve NOS
Injury axillary nerve
Injury median nerve
Injury ulnar nerve
Injury radial nerve
Inj musculocutan nerve
Inj cutan senso nerv/arm
Injury digital nerve
Inj nerve shldr/arm NEC
Inj mult nerve shldr/arm
Inj nerve shldr/arm NOS
Injury sciatic nerve
Injury femoral nerve
Inj posterior tib nerve
Injury peroneal nerve
Inj cutan senso nerv/leg
Inj nerve pelv/leg NEC
Inj mult nerve pelv/leg
Inj nerve pelv/leg NOS
Inj superf nerv head/nck
Injury to nerve NEC
Injury to mult nerves
Injury to nerve NOS
Air embolism
Fat embolism
Secondary/recur hemorr
Posttraum wnd infec NEC
Traumatic shock
Traumatic anuria
Volkmann's isch contract
Traum subcutan emphysema
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
527
577
577
853
806
853
720
661
577
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 395 of 6734

9588
95890
95891
95892
95893
95899
95901
95909
95911
95912
95913
95914
95919
9592
9593
9594
9595
9596
9597
9598
9599
9600
9601
9602
9603
9604
9605
9606
9607
9608
9609
9610
9611
Early complic trauma NEC

Compartment syndrome NOS
Trauma comp synd up ext
Trauma comp synd low ext
Trauma compart synd abd
Trauma compart synd NEC
Head injury NOS
Face & neck injury
Injury of chest wall NEC
Injury of abdomen NEC
Fx corpus cavrnosm penis
Inj external genital NEC
Trunk injury-sites NEC
Shldr/upper arm inj NOS
Elb/forearm/wrst inj NOS
Hand injury NOS
Finger injury NOS
Hip & thigh injury NOS
Lower leg injury NOS
Injury mlt site/site NEC
Injury-site NOS
Poisoning-penicillins
Pois-antifungal antibiot
Poison-chloramphenicol
Pois-erythromyc/macrolid
Poisoning-tetracycline
Pois-cephalosporin group
Pois-antimycobac antibio
Pois-antineop antibiotic
Poisoning-antibiotic NEC
Poisoning-antibiotic NOS
Poisoning-sulfonamides
Pois-arsenic anti-infec
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
853
661
661
661
661
661
565
565
576
625
741
753
656
661
661
661
661
661
661
661
661
851
851
851
851
851
851
851
851
851
851
851
851
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 396 of 6734

9612
9613
9614
9615
9616
9617
9618
9619
9620
9621
9622
9623
9624
9625
9626
9627
9628
9629
9630
9631
9632
9633
9634
9635
9638
9639
9640
9641
9642
9643
9644
9645
9646
Pois-heav met anti-infec

Pois-quinoline/hydroxyqu
Poisoning-antimalarials
Pois-antiprotoz drug NEC
Poisoning-anthelmintics
Poisoning-antiviral drug
Pois-antimycobac drg NEC
Pois-anti-infect NEC/NOS
Pois-corticosteroids
Poisoning-androgens
Poisoning-ovarian hormon
Poison-insulin/antidiab
Pois-ant pituitary horm
Pois-post pituitary horm
Poisoning-parathyroids
Poisoning-thyroid/deriv
Poison-antithyroid agent
Poisoning hormon NEC/NOS
Pois-antiallrg/antiemet
Pois-antineopl/immunosup
Poisoning-acidifying agt
Poisoning-alkalizing agt
Poisoning-enzymes NEC
Poisoning-vitamins NEC
Poisoning-system agt NEC
Poisoning-system agt NOS
Poisoning-iron/compounds
Poison-liver/antianemics
Poisoning-anticoagulants
Poisoning-vitamin k
Poison-fibrinolysis agnt
Poisoning-coagulants
Poisoning-gamma globulin
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 397 of 6734

9647
9648
9649
96500
96501
96502
96509
9651
9654
9655
96561
96569
9657
9658
9659
9660
9661
9662
9663
9664
9670
9671
9672
9673
9674
9675
9676
9678
9679
9680
9681
9682
9683
Poisoning-blood product
Poisoning-blood agt NEC
Poisoning-blood agt NOS
Poisoning-opium NOS
Poisoning-heroin
Poisoning-methadone
Poisoning-opiates NEC
Poisoning-salicylates
Pois-arom analgesics NEC
Poisoning-pyrazole deriv
Pois-propionic acid derv
Poison-antirheumatic NEC
Pois-no-narc analges NEC
Pois-analges/antipyr NEC
Pois-analges/antipyr NOS
Poison-oxazolidine deriv
Poison-hydantoin derivat
Poisoning-succinimides
Pois-anticonvul NEC/NOS
Pois-anti-parkinson drug
Poisoning-barbiturates
Poisoning-chloral hydrat
Poisoning-paraldehyde
Poisoning-bromine compnd
Poisoning-methaqualone
Poisoning-glutethimide
Poison-mix sedative NEC
Pois-sedative/hypnot NEC
Pois-sedative/hypnot NOS
Pois-cns muscle depress
Poisoning-halothane
Poison-gas anesthet NEC
Poison-intraven anesthet
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
851
851
851
854
854
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 398 of 6734

9684
9685
9686
9687
9689
96900
96901
96902
96903
96904
96905
96909
9691
9692
9693
9694
9695
9696
96970
96971
96972
96973
96979
9698
9699
9700
9701
97081
97089
9709
9710
9711
9712
Pois-gen anesth NEC/NOS

Surfce-topic/infilt anes
Pois-nerve/plex-blk anes
Poison-spinal anesthetic
Pois-local anest NEC/NOS
Poison-antidepresnt NOS
Pois monoamine oxidase
Pois serotn/norepinephrn
Pois serotinin reuptake
Pois tetracyclc andepres
Pois tricyclc antidepres
Pois antidepressants NEC
Pois-phenothiazine tranq
Pois-butyrophenone tranq
Poison-antipsychotic NEC
Pois-benzodiazepine tran
Poison-tranquilizer NEC
Poisoning-hallucinogens
Pois psychostimulant NOS
Poisoning by caffeine
Poisoning by amphetamine
Poison by methylphendate
Poison by psychostim NEC
Poison-psychotropic NEC
Poison-psychotropic NOS
Poisoning-analeptics
Poison-opiate antagonist
Poisoning by cocaine
Poison-CNS stimulant NEC
Pois-cns stimulant NOS
Pois-parasympathomimetic
Pois-parasympatholytics
Poison-sympathomimetics
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
854
854
854
851
851
851
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 399 of 6734

9713
9719
9720
9721
9722
9723
9724
9725
9726
9727
9728
9729
9730
9731
9732
9733
9734
9735
9736
9738
9739
9740
9741
9742
9743
9744
9745
9746
9747
9750
9751
9752
9753
Poisoning-sympatholytics
Pois-autonomic agent NOS
Pois-card rhythm regulat
Poisoning-cardiotonics
Poisoning-antilipemics
Pois-ganglion block agt
Pois-coronary vasodilat
Poison-vasodilator NEC
Pois-antihyperten agent
Poison-antivaricose drug
Poison-capillary act agt
Pois-cardiovasc agt NEC
Pois-antacid/antigastric
Pois-irritant cathartics
Pois-emollient cathartic
Poisoning-cathartic NEC
Poisoning-digestants
Poisoning-antidiarrh agt
Poisoning-emetics
Poisoning-gi agents NEC
Poisoning-gi agent NOS
Pois-mercurial diuretics
Pois-purine diuretics
Pois-h2co3 anhydra inhib
Poisoning-saluretics
Poisoning-diuretics NEC
Pois-electro/cal/wat agt
Poison-mineral salts NEC
Pois-uric acid metabol
Poisoning-oxytocic agent
Pois-smooth muscle relax
Pois-skelet muscle relax
Poison-muscle agent NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
851
851
851
851
851
851
851
851
851
851
851
854
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 400 of 6734

9754
9755
9756
9757
9758
9760
9761
9762
9763
9764
9765
9766
9767
9768
9769
9770
9771
9772
9773
9774
9778
9779
9780
9781
9782
9783
9784
9785
9786
9788
9789
9790
9791
Poisoning-antitussives
Poisoning-expectorants
Pois-anti-cold drugs
Poisoning-antiasthmatics
Pois-respir drug NEC/NOS
Pois-local anti-infect
Poisoning-antipruritics
Pois-loc astring/deterg
Pois-emol/demul/protect
Poison-hair/scalp prep
Pois-eye anti-infec/drug
Poison-ent preparation
Pois-topical dental drug
Pois-skin/membr agnt NEC
Pois-skin/membr agnt NOS
Poisoning-dietetics
Poison-lipotropic drugs
Poisoning-antidotes NEC
Poison-alcohol deterrent
Pois-pharmaceut excipien
Poison-medicinal agt NEC
Poison-medicinal agt NOS
Poisoning-bcg vaccine
Pois-typh/paratyph vacc
Poisoning-cholera vaccin
Poisoning-plague vaccine
Poisoning-tetanus vaccin
Pois-diphtheria vaccine
Pois-pertussis vaccine
Pois-bact vaccin NEC/NOS
Pois-mix bacter vaccines
Poison-smallpox vaccine
Poison-rabies vaccine
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
851
851
851
851
851
851
851
851
851
851
554
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
851
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 401 of 6734

9792
9793
9794
9795
9796
9797
9799
9800
9801
9802
9803
9808
9809
981
9820
9821
9822
9823
9824
9828
9830
9831
9832
9839
9840
9841
9848
9849
9850
9851
9852
9853
9854
Poison-typhus vaccine
Pois-yellow fever vaccin
Poisoning-measles vaccin
Pois-poliomyelit vaccine
Pois-viral/rick vacc NEC
Poisoning-mixed vaccine
Pois-vaccine/biolog NEC
Toxic eff ethyl alcohol
Toxic eff methyl alcohol
Toxic eff isopropyl alc
Toxic effect fusel oil
Toxic effect alcohol NEC
Toxic effect alcohol NOS
Toxic eff petroleum prod
Toxic effect benzene
Toxic eff carbon tetrach
Toxic eff carbon disulfi
Tx ef cl-hydcarb slv NEC
Toxic effect nitroglycol
Toxic eff nonpetrol solv
Tox eff corrosive aromat
Toxic effect acids
Toxic eff caustic alkali
Toxic effect caustic NOS
Tx eff inorg lead compnd
Tox eff org lead compnd
Tox eff lead compnd NEC
Tox eff lead compnd NOS
Toxic effect mercury
Toxic effect arsenic
Toxic effect manganese
Toxic effect beryllium
Toxic effect antimony
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
851
851
851
851
851
851
851
854
854
854
854
851
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 402 of 6734

9855
9856
9858
9859
986
9870
9871
9872
9873
9874
9875
9876
9877
9878
9879
9880
9881
9882
9888
9889
9890
9891
9892
9893
9894
9895
9896
9897
98981
98982
98983
98984
98989
Toxic effect cadmium

Toxic effect chromium
Toxic effect metals NEC
Toxic effect metal NOS
Tox eff carbon monoxide
Toxic eff liq petrol gas
Tox ef hydrocarb gas NEC
Toxic eff nitrogen oxide
Toxic eff sulfur dioxide
Toxic effect freon
Tox eff lacrimogenic gas
Toxic eff chlorine gas
Tox eff hydrocyan acd gs
Toxic eff gas/vapor NEC
Toxic eff gas/vapor NOS
Toxic eff fish/shellfish
Toxic effect mushrooms
Tox eff berry/plant NEC
Tox eff noxious food NEC
Tox eff noxious food NOS
Toxic effect cyanides
Toxic effect strychnine
Tox eff chlor hydrocarb
Tox eff organphos/carbam
Toxic eff pesticides NEC
Toxic effect venom
Toxic eff soap/detergent
Tox eff aflatox/mycotox
Toxic effect of asbestos
Toxic effect of latex
Toxic effect of silicone
Toxic effect of tobacco
Tox eff nonmed subst NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
854
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 403 of 6734

9899
990
9910
9911
9912
9913
9914
9915
9916
9918
9919
9920
9921
9922
9923
9924
9925
9926
9927
9928
9929
9930
9931
9932
9933
9934
9938
9939
9940
9941
9942
9943
9944
Tox eff nonmed subst NOS

Effects radiation NOS
Frostbite of face
Frostbite of hand
Frostbite of foot
Frostbite NEC/NOS
Immersion foot
Chilblains
Hypothermia
Effect reduced temp NEC
Effect reduced temp NOS
Heat stroke & sunstroke
Heat syncope
Heat cramps
Heat exhaust-anhydrotic
Heat exhaust-salt deple
Heat exhaustion NOS
Heat fatigue, transient
Heat edema
Heat effect NEC
Heat effect NOS
Barotrauma, otitic
Barotrauma, sinus
Eff high altitud NEC/NOS
Caisson disease
Eff air press by explos
Effect air pressure NEC
Effect air pressure NOS
Effects of lightning
Drowning/nonfatal submer
Effects of hunger
Effects of thirst
Exhaustion-exposure
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
854
853
853
853
853
853
853
853
853
853
853
853
853
853
853
853
853
853
853
853
853
562
562
853
853
853
853
853
853
853
853
853
853
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 404 of 6734

9945
9946
9947
9948
9949
9950
9951
99520
99521
99522
99523
99524
99527
99529
9953
9954
99550
99551
99552
99553
99554
99555
99559
99560
99561
99562
99563
99564
99565
99566
99567
99568
99569
Exhaustion-excess exert
Motion sickness
Asphyxiation/strangulat
Effects electric current
Effect external caus NEC
Other anaphylactic react
Angioneurotic edema
Adv eff med/biol sub NOS
Arthus phenomenon
Adv eff anesthesia NOS
Adverse eff insulin NOS
Fail mod sedate dur proc
Drug allergy NEC
Adv eff med/biol NEC/NOS
Allergy, unspecified
Shock due to anesthesia
Child abuse NOS
Child emotnl/psych abuse
Child neglect-nutrition
Child sexual abuse
Child physical abuse
Shaken infant syndrome
Child abuse/neglect NEC
Anphylct react food NOS
Anphylct react peanuts
Anphylct react crstacns
Anphylct react frts veg
Anphyl react tr nts seed
Anphylct reaction fish
Anphylct react food addv
Anphylct react milk prod
Anphylct reaction eggs
Anphyl react oth sp food
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
853
561
853
853
853
850
850
871
871
871
871
852
871
871
850
852
853
853
853
853
853
853
853
850
850
850
850
850
850
850
850
850
850
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 405 of 6734

9957
99580
99581
99582
99583
99584
99585
99586
99589
99590
99591
99592
99593
99594
99600
99601
99602
99603
99604
99609
9961
9962
99630
99631
99632
99639
99640
99641
99642
99643
99644
99645
99646
Adverse food react NEC

Adult maltreatment NOS
Adult physical abuse
Adult emotnl/psych abuse
Adult sexual abuse
Adult neglect-nutrition
Oth adult abuse/neglect
Malignant hyperthermia
Adverse effect NEC
SIRS, NOS
Sepsis
Severe sepsis
SIRS-noninf w/o ac or ds
SIRS-noninf w ac org dys
Malfunc card dev/grf NOS
Malfunc cardiac pacemake
Malfunc prosth hrt valve
Malfunc coron bypass grf
Mch cmp autm mplnt dfbrl
Malfunc card dev/grf NEC
Malfunc vasc device/graf
Malfun neuro device/graf
Malfunc gu dev/graft NOS
Malfunc urethral cath
Malfunction iud
Malfunc gu dev/graft NEC
Cmp int orth dev/gft NOS
Mech loosening pros jt
Dislocate prosthetic jt
Broke prosthtc jt implnt
Periprosthetc fx-pros jt
Periprosthetc osteolysis
Articular wear prosth jt
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
850
853
853
853
853
853
853
853
853
805
805
805
805
805
593
593
593
593
593
593
725
524
725
725
753
725
659
659
659
659
659
659
659
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 406 of 6734

99647
99649
99651
99652
99653
99654
99655
99656
99657
99659
99660
99661
99662
99663
99664
99665
99666
99667
99668
99669
99670
99671
99672
99673
99674
99675
99676
99677
99678
99679
99680
99681
99682
Mech com pros jt implant

Mech com orth dev NEC
Corneal grft malfunction
Oth tissue graft malfunc
Lens prosthesis malfunc
Breast prosth malfunc
Comp-artificial skin grf
Comp-periton dialys cath
Complcation-insulin pump
Malfunc oth device/graft
Reaction-unsp devic/grft
React-cardiac dev/graft
React-oth vasc dev/graft
React-nerv sys dev/graft
React-indwell urin cath
React-oth genitourin dev
React-inter joint prost
React-oth int ortho dev
React-periton dialy cath
React-int pros devic NEC
Comp-unsp device/graft
Comp-heart valve prosth
Comp-oth cardiac device
Comp-ren dialys dev/grft
Comp-oth vasc dev/graft
Comp-nerv sys dev/graft
Comp-genitourin dev/grft
Comp-internal joint pros
Comp-oth int ortho devic
Comp-int prost devic NEC
Comp organ transplnt NOS
Compl kidney transplant
Compl liver transplant
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
659
659
554
852
554
675
674
725
852
852
806
593
725
524
725
725
659
659
725
806
852
593
593
725
593
524
725
659
659
852
852
725
639
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 407 of 6734

99683
99684
99685
99686
99687
99688
99689
99690
99691
99692
99693
99694
99695
99696
99699
99700
99701
99702
99709
9971
9972
99731
99732
99739
99741
99749
9975
99760
99761
99762
99769
99771
99772
Compl heart transplant

Compl lung transplant
Compl marrow transplant
Compl pancreas transplnt
Comp intestine transplnt
Comp tp organ-stem cell
Comp oth organ transplnt
Comp reattach extrem NOS
Compl reattached forearm
Compl reattached hand
Compl reattached finger
Compl reattached arm NEC
Compl reattached foot
Compl reattached leg NEC
Compl reattach part NEC
Nervous syst complc NOS
Surg complication - cns
Iatrogen CV infarc/hmrhg
Surg comp nerv systm NEC
Surg compl-heart
Surg comp-peri vasc syst
Ventltr assoc pneumonia
Postproc aspiration pneu
Respiratory comp NEC
Ret cholelh fol cholecys
Oth digestv system comp
Surg compl-urinary tract
Amputat stump compl NOS
Neuroma amputation stump
Infection amputat stump
Amputat stump compl NEC
Vasc comp mesenteric art
Vasc comp renal artery
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
593
577
780
635
629
780
852
659
659
659
659
659
659
659
659
524
524
535
524
593
596
578
578
576
629
629
726
659
659
659
659
629
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 408 of 6734

99779
99791
99799
99800
99801
99802
99809
99811
99812
99813
9982
99830
99831
99832
99833
9984
99851
99859
9986
9987
99881
99882
99883
99889
9989
9990
9991
9992
99931
99932
99933
99934
99939
Vascular comp vessel NEC

Surg comp - hypertension
Surg compl-body syst NEC
Postoperative shock, NOS
Postop shock,cardiogenic
Postop shock, septic
Postop shock, other
Hemorrhage complic proc
Hematoma complic proc
Seroma complicting proc
Accidental op laceration
Wound disruption NOS
Disrup internal op wound
Disrup-external op wound
Disrpt trauma wound repr
FB left during procedure
Infected postop seroma
Other postop infection
Persist postop fistula
Postop forgn subst react
Emphysema rsult frm proc
Ctrct frgmt frm ctr surg
Non-healing surgcl wound
Oth spcf cmplc procd NEC
Surgical complicat NOS
Generalized vaccinia
Air embol comp med care
Vasc comp med care NEC
Oth/uns inf-cen ven cath
Blood inf dt cen ven cth
Lcl inf dt cen ven cth
Ac inf fol trans,inf bld
Infect fol infus/inj/vac
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
593
852
852
510
510
510
510
852
852
852
852
852
852
852
852
852
806
806
852
852
852
553
852
852
852
808
577
593
806
510
510
510
806
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 409 of 6734

99941
99942
99949
99951
99952
99959
99960
99961
99962
99963
99969
99970
99971
99972
99973
99974
99975
99976
99977
99978
99979
99980
99981
99982
99983
99984
99985
99988
99989
9999
E0000
E0001
E0002
Anaphyl d/t adm bld/prod

Anaphyl react d/t vaccin
Anaph react d/t ot serum
Ot serum react d/t blood
Ot serum react d/t vacc
Other serum reaction
Abo incompat react NOS
Abo incomp/HTR NEC
Abo incompat/acute HTR
Abo incompat/delay HTR
Abo incompat reactn NEC
Rh incompat reaction NOS
Rh incomp/HTR NEC
Rh incompat/acute HTR
Rh incompat/delay HTR
Rh incompat reaction NEC
Non-abo incomp react NOS
Non-abo incomp/HTR NEC
Non-abo incomp/acute HTR
Non-abo incomp/delay HTR
Non-abo incomp react NEC
Transfusion reaction NOS
Extravstn vesicant chemo
Extravasn vesicant NEC
Hemolytc trans react NOS
Acute HTR NOS
Delayed HTR NOS
Infusion reaction NEC
Transfusion reaction NEC
Complic med care NEC/NOS
Civilian activity-income
Military activity
Volunteer activity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
510
850
850
852
850
850
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
852
999
999
999
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
8
8
8
Page 410 of 6734

E0008
E0009
E0010
E0011
E0020
E0021
E0022
E0023
E0024
E0025
E0026
E0027
E0028
E0029
E0030
E0031
E0032
E0033
E0039
E0040
E0041
E0042
E0043
E0044
E0049
E0050
E0051
E0052
E0053
E0054
E0059
E0060
E0061
Externl cause status NEC

Externl cause status NOS
Walking,marching,hiking
Running
Swimming
Springboard/platfrm dive
Water polo
Water aerobics/exercise
Underwater dive/snorkel
Row,canoe,kayk,raft,tube
Water ski/wake boarding
Surf,windsrf,boogie brd
Water sliding
Water/watercraft
Ice Skating
Ice hockey
Ski,snow brd,sled,tobagn
Cross country skiing
Ice and snow
Mountain,rock/wall climb
Rappelling
BASE jumping
Bungee jumping
Hang gliding
Climb,rappell,jump off
Dancing
Yoga
Gymnastics
Trampoline
Cheerleading
Dancing,rhythm movements
Roller skate,skateboard
Horseback riding
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 411 of 6734

E0062
E0063
E0064
E0065
E0066
E0069
E0070
E0071
E0072
E0073
E0074
E0075
E0076
E0077
E0078
E0079
E0080
E0081
E0082
E0083
E0084
E0089
E0090
E0091
E0092
E0093
E0094
E0095
E0099
E0100
E0101
E0102
E0103
Golf
Bowling
Bike riding
Jumping rope
Non-running track/field
Individ sports,athletics
Tackle football
Amer flag/touch football
Rugby
Baseball
Lacrosse,field hockey
Soccer
Basketball
Volleyball (beach,court)
School recess,camp
Team sports,athletes
Boxing
Wrestling
Racquet/hand sports
Frisbee
Martial arts
Sports,athletics NEC
Exercise mach(cardiorsp)
Calisthenics
Aerobic,step exercise
Circuit training
Obstacle course
Grass drills
Cardioresp exercise NEC
Muscle strength mach
Push-ups,pull-ups,sit-up
Free weights
Pilates
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 412 of 6734

E0109
E0110
E0111
E0119
E0120
E0121
E0122
E0129
E0130
E0131
E0132
E0133
E0134
E0135
E0138
E0139
E0140
E0141
E0149
E0150
E0151
E0152
E0159
E0160
E0161
E0162
E0169
E0170
E0179
E0180
E0181
E0182
E0183
Muscle strength exer NEC

Computer keyboarding
Handheld interac elec dv
Computer tech NEC
Knitting & crocheting
Sewing
Furniture build/finish
Arts & handcrafts NEC
Personal bathing/shower
Laundry
Vacuuming
Ironing
Floor mopping/cleaning
Residential relocation
Personal hygiene NEC
Househld maintenance NEC
Caregiving-bathing
Caregiving-lifting
Caregiving NEC
Food prep & cleanup
Grilling & smoking food
Cooking & baking
Cooking & grilling NEC
Digging,shovel,rake
Gardening/landscaping
Building & construction
Land maintain/cnstrt NEC
Roller coaster riding
External motion NEC
Piano playing
Drum/percussion playing
String instrument play
Winds/brass instru play
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 413 of 6734

E0190
E0191
E0192
E0199
E0290
E0291
E0292
E0299
E030
E8000
E8001
E8002
E8003
E8008
E8009
E8010
E8011
E8012
E8013
E8018
E8019
E8020
E8021
E8022
E8023
E8028
E8029
E8030
E8031
E8032
E8033
E8038
E8039
Walking an animal
Milking an animal
Groom/shearing animal
Animal care NEC
Refereeing sports
Spectator at event
Rough housing/horseplay
Activity NEC
Activity NOS
RR collision NOS-employ
RR coll NOS-passenger
RR coll NOS-pedestrian
RR coll NOS-ped cyclist
RR coll NOS-person NEC
RR coll NOS-person NOS
RR coll w oth obj-employ
RR coll w oth obj-pasngr
RR coll w oth obj-pedest
RR coll w oth obj-cycl
RR col w oth obj-per NEC
RR col w oth obj-per NOS
RR acc w derail-employee
RR acc w derail-passeng
RR acc w derail-pedest
RR acc w derail-ped cycl
RR acc w derail-pers NEC
RR acc w derail-pers NOS
RR acc w explosion-empl
RR acc w explos-pasngr
RR acc w explos-pedest
RR acc w explos-ped cycl
RR acc w explos-pers NEC
RR acc w explos-pers NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 414 of 6734

E8040
E8041
E8042
E8043
E8048
E8049
E8050
E8051
E8052
E8053
E8058
E8059
E8060
E8061
E8062
E8063
E8068
E8069
E8070
E8071
E8072
E8073
E8078
E8079
E8100
E8101
E8102
E8103
E8104
E8105
E8106
E8107
E8108
Fall on/from train-empl

Fall from train-passengr
Fall from train-pedest
Fall from train-ped cycl
Fall from train-pers NEC
Fall from train-pers NOS
Hit by train-employee
Hit by train-passenger
Hit by train-pedestrian
Hit by train-ped cyclist
Hit by train-person NEC
Hit by train-person NOS
RR acc NEC-employee
RR acc NEC-passenger
RR acc NEC-pedestrian
RR acc NEC-ped cyclist
RR acc NEC-person NEC
RR acc NEC-person NOS
RR accident NOS-employee
RR acc NOS-passenger
RR acc NOS-pedestrian
RR acc NOS-ped cyclist
RR acc NOS-person NEC
RR acc NOS-person NOS
Mv-train coll-driver
Mv-train coll-pasngr
Mv-train coll-motorcycl
Mv-train coll-mcycl psgr
Mv-train coll-st car
Mv-train coll-anim rid
Mv-train coll-ped cycl
Mv-train coll-pedest
Mv-train coll-pers NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 415 of 6734

E8109
E8110
E8111
E8112
E8113
E8114
E8115
E8116
E8117
E8118
E8119
E8120
E8121
E8122
E8123
E8124
E8125
E8126
E8127
E8128
E8129
E8130
E8131
E8132
E8133
E8134
E8135
E8136
E8137
E8138
E8139
E8140
E8141
Mv-train coll-pers NOS

Reentrant mv coll-driver
Reentrant mv coll-pasngr
Reentrant coll-motcycl
Reentrant coll-mcyc psgr
Reentrant coll-st car
Reentrant coll-anim rid
Reentrant coll-ped cycl
Reentrant coll-pedest
Reentrant coll-pers NEC
Reentrant coll-pers NOS
Mv collision NOS-driver
Mv collision NOS-pasngr
Mv collis NOS-motorcycl
Mv coll NOS-mcycl psngr
Mv collision NOS-st car
Mv coll NOS-anim rid
Mv coll NOS-ped cycl
Mv collision NOS-pedest
Mv collis NOS-pers NEC
Mv collis NOS-pers NOS
Mv-oth veh coll-driver
Mv-oth veh coll-pasngr
Mv-oth veh coll-motcycl
Mv-oth veh coll-mcyc psg
Mv-oth veh coll-st car
Mv-oth veh coll-anim rid
Mv-oth veh coll-ped cycl
Mv-oth veh coll-pedest
Mv-oth veh coll-pers NEC
Mv-oth veh coll-pers NOS
Mv coll w pedest-driver
Mv coll w pedest-pasngr
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 416 of 6734

E8142
E8143
E8144
E8145
E8146
E8147
E8148
E8149
E8150
E8151
E8152
E8153
E8154
E8155
E8156
E8157
E8158
E8159
E8160
E8161
E8162
E8163
E8164
E8165
E8166
E8167
E8168
E8169
E8170
E8171
E8172
E8173
E8174
Mv coll w pedest-motcycl
Mv coll w ped-mcycl psgr
Mv coll w pedest-st car
Mv coll w ped-anim rid
Mv coll w ped-ped cycl
Mv coll w pedest-pedest
Mv coll w pedes-pers NEC
Mv coll w pedes-pers NOS
Mv coll w oth obj-driver
Mv coll w oth obj-pasngr
Mv coll w oth obj-mocycl
Mv coll w obj-mcycl psgr
Mv coll w obj-st car
Mv coll w obj-anim rider
Mv coll w obj-ped cycl
Mv coll w obj-pedest
Mv coll w obj-pers NEC
Mv coll w obj-pers NOS
Loss control mv acc-driv
Loss control mv acc-psgr
Loss control mv-mocycl
Loss control mv-mcyc psg
Loss cont mv acc-st car
Loss cont mv-anim rider
Loss control mv-ped cycl
Loss control mv-pedest
Loss control mv-pers NEC
Loss control mv-pers NOS
Mv acc board/alight-driv
Mv acc board/alight-psgr
Mv board/alight-motcycl
Mv brd/alight-mcycl psgr
Mv acc brd/alight-st car
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 417 of 6734

E8175
E8176
E8177
E8178
E8179
E8180
E8181
E8182
E8183
E8184
E8185
E8186
E8187
E8188
E8189
E8190
E8191
E8192
E8193
E8194
E8195
E8196
E8197
E8198
E8199
E8200
E8201
E8202
E8203
E8204
E8205
E8206
E8207
Mv brd/alight-anim rider
Mv brd/alight-ped cycl
Mv brd/alight-pedestrian
Mv board/alight-pers NEC
Mv board/alight-pers NOS
Mv traff acc NEC-driver
Mv traff acc NEC-pasngr
Mv traff acc NEC-mocycl
Mv traff acc-mcycl psgr
Mv traff acc NEC-st car
Mv traff acc-anim rider
Mv traff acc-ped cyc
Mv traff acc NEC-pedest
Mv traff acc-pers NEC
Mv traff acc-pers NOS
Traffic acc NOS-driver
Traffic acc NOS-pasngr
Traffic acc NOS-motcycl
Traff acc NOS-mcycl psgr
Traffic acc NOS-st car
Traff acc NOS-anim rider
Traffic acc NOS-ped cycl
Traffic acc NOS-pedest
Traffic acc NOS-pers NEC
Traffic acc NOS-pers NOS
Snow veh acc-driver
Snow veh acc-pasngr
Snow veh acc-motorcycl
Snow veh acc-mcycl psgr
Snow veh acc-st car
Snow veh acc-anim rider
Snow veh acc-ped cycl
Snow veh acc-pedest
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 418 of 6734

E8208
E8209
E8210
E8211
E8212
E8213
E8214
E8215
E8216
E8217
E8218
E8219
E8220
E8221
E8222
E8223
E8224
E8225
E8226
E8227
E8228
E8229
E8230
E8231
E8232
E8233
E8234
E8235
E8236
E8237
E8238
E8239
E8240
Snow veh acc-pers NEC

Snow veh acc-pers NOS
Oth off-road mv acc-driv
Oth off-road mv acc-psgr
Oth off-road mv-mocycl
Oth off-road mv-mcyc psg
Oth off-road mv-st car
Oth off-road mv-anim rid
Oth off-road mv-ped cycl
Oth off-road mv-pedest
Oth off-road mv-pers NEC
Oth off-road mv-pers NOS
Oth coll w mov obj-driv
Oth coll w mov obj-psgr
Oth coll mov obj-mocycl
Oth coll mov obj-cyc psg
Oth coll mov obj-st car
Oth coll mov obj-rider
Oth coll mov obj-ped cyc
Oth coll mov obj-pedest
Oth coll mov obj-per NEC
Oth coll mov obj-per NOS
Oth coll stndng obj-driv
Oth coll stndng obj-psgr
Oth coll stnd obj-mocycl
Oth coll stn obj-cyc psg
Oth coll stnd obj-st car
Oth coll stnd obj-rider
Oth coll stn obj-ped cyc
Oth coll stnd obj-pedest
Oth coll stn obj-per NEC
Oth col-stnd-obj-per NOS
N-traf board/alight-driv
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 419 of 6734

E8241
E8242
E8243
E8244
E8245
E8246
E8247
E8248
E8249
E8250
E8251
E8252
E8253
E8254
E8255
E8256
E8257
E8258
E8259
E8260
E8261
E8262
E8263
E8264
E8268
E8269
E8270
E8272
E8273
E8274
E8278
E8279
E8280
N-traf board/alight-psgr
N-traf brd/alight-mocycl
N-traf brd/alit-mcyc psg
N-traf brd/alit-st car
N-traf brd/alit-anim rid
N-traf brd/alit-ped cycl
N-traf brd/alit-pedest
N-traf brd/alit-pers NEC
N-traf brd/alit-pers NOS
Mv n-traff acc NEC-driv
Mv n-traff NEC/NOS-psgr
Mv n-traf acc NEC-mocycl
Mv n-traff NEC-mcyc psgr
Mv n-traff NEC-st car
Mv n-traf NEC-anim rider
Mv n-traff NEC-ped cycl
Mv n-traff NEC-pedest
Mv n-traff NEC-pers NEC
Mv n-traff NEC-pers NOS
Pedal cycle acc-pedest
Ped cycl acc-ped cyclist
Ped cycle acc-anim rider
Ped cyc acc-occ anim veh
Ped cycle acc-occ st car
Ped cycle acc-pers NEC
Ped cycle acc-pers NOS
Animal drawn veh-pedest
Anim drawn veh-anim rid
Animal drawn veh-occupan
Anim drawn-occ st car
Anim drawn veh-pers NEC
Anim drawn veh-pers NOS
Ridden animal acc-pedest
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 420 of 6734

E8282
E8284
E8288
E8289
E8290
E8294
E8298
E8299
E8300
E8301
E8302
E8303
E8304
E8305
E8306
E8307
E8308
E8309
E8310
E8311
E8312
E8313
E8314
E8315
E8316
E8317
E8318
E8319
E8320
E8321
E8322
E8323
E8324
Ridden animal acc-rider

Ridden animal acc-st car
Ridden anim acc-pers NEC
Ridden anim acc-pers NOS
Oth road veh acc-pedest
Oth rd veh acc-st car
Oth rd veh acc-pers NEC
Oth rd veh acc-pers NOS
Boat acc w submers-unpow
Boat acc w submers-power
Boat acc w submers-crew
Boat acc w submers-psgr
Boat submers-water skier
Boat submers-swimmer
Boat submers-dockers
Boat submers-military
Boat submers-pers NEC
Boat submers-pers NOS
Boat acc inj NEC-unpower
Boat acc inj NEC-power
Boat acc inj NEC-crew
Boat acc inj NEC-passeng
Boat acc inj NEC-skier
Boat acc inj NEC-swim
Boat acc inj NEC-docker
Boat acc inj NEC-militry
Boat inj NEC-person NEC
Boat inj NEC-person NOS
Submers NEC-unpow boat
Submers NEC-power boat
Submers NEC-crew
Submers NEC-passenger
Submers NEC-water skier
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 421 of 6734

E8325
E8326
E8327
E8328
E8329
E8330
E8331
E8332
E8333
E8334
E8335
E8336
E8337
E8338
E8339
E8340
E8341
E8342
E8343
E8344
E8345
E8346
E8347
E8348
E8349
E8350
E8351
E8352
E8353
E8354
E8355
E8356
E8357
Submers NEC-swimmer
Submers NEC-docker
Submersion NEC-military
Submers NEC-person NEC
Submers NEC-person NOS
W/craft stair fall-unpow
W/craft stair fall-power
Wtrcraft stair fall-crew
Wtrcraft stair fall-psgr
W/craft stair fall-skier
W/craft stair fall-swim
W/crf stair fall-docker
W/crf stair fall-militry
W/crf stair fall-per NEC
W/crf stair fall-per NOS
W/craft fall NEC-unpow
W/craft fall NEC-power
Watercraft fall NEC-crew
Wtrcraft fall NEC-pasngr
W/craft fall NEC-skier
W/craft fall NEC-swim
Wtrcraft fall NEC-docker
W/crft fall NEC-military
W/crft fall NEC-pers NEC
W/crft fall NEC-pers NOS
W/craft fall NOS-unpow
W/craft fall NOS-power
Wtrcraft fall NOS-crew
Wtrcraft fall NOS-pasngr
W/craft fall NOS-skier
W/craft fall NOS-swim
Wtrcraft fall NOS-docker
W/crft fall NEC/NOS-mil
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 422 of 6734

E8358
E8359
E8360
E8361
E8362
E8363
E8364
E8365
E8366
E8367
E8368
E8369
E8370
E8371
E8372
E8373
E8374
E8375
E8376
E8377
E8378
E8379
E8380
E8381
E8382
E8383
E8384
E8385
E8386
E8387
E8388
E8389
E8400
W/crft fall NOS-pers NEC

W/crft fall NOS-pers NOS
Machine acc-unpow boat
Mach acc-occ power boat
Machinery accident-crew
Machinery acc-pasngr
Machine accident-skier
Machine accident-swim
Machinery acc-docker
W/crft machine-military
Machinery acc-pers NEC
Machinery acc-pers NOS
Explosion-occ unpow boat
Explosion-occ power boat
Watercraft explos-crew
Watercraft explos-pasngr
Watercraft explos-skier
Watercraft explos-swim
Watercraft explos-docker
W/crft explosn-military
Watercraft expl-pers NEC
Watercraft expl-pers NOS
Watercraft acc NEC-unpow
Watercraft acc NEC-power
Watercraft acc NEC-crew
Watercrft acc NEC-pasngr
Watercraft acc NEC-skier
Watrcrft acc NEC-swimmer
Watercrft acc NEC-docker
W/crft-military NEC/NOS
Wtrcrft acc NEC-pers NEC
Wtrcrft acc NEC-pers NOS
Tk off/land-spcrft
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 423 of 6734

E8401
E8402
E8403
E8404
E8405
E8406
E8407
E8408
E8409
E8410
E8411
E8412
E8413
E8414
E8415
E8416
E8417
E8418
E8419
E8426
E8427
E8428
E8429
E8430
E8431
E8432
E8433
E8434
E8435
E8436
E8437
E8438
E8439
Tk off/land-milit craft
Tk off/land-crew aircrft
Tk off/land-psng aircrft
Tk off/land-comm crf NEC
Tk off/land-aircraft NEC
Tk off/land-unp aircrft
Tk off/land-parachutist
Tk off/land-ground crew
Tk off/land-pers NEC
Pow aircraft acc-spcrft
Power aircraft acc-milit
Power aircraft acc-crew
Power aircraft acc-psngr
Aircraf acc-occ comm NEC
Oth powered aircraft acc
Pow airc acc-unp aircr
Aircraft acc-parachutist
Aircraft acc-ground crew
Aircrft acc NOS-pers NEC
Unpower aircraft acc-occ
Unpow aircrf acc-chutist
Unpow aircrf acc-gr crew
Unpow aircrf acc-per NEC
Fall-occ spacecraft
Fall-milit aircraft occp
Fall-crew comm aircraft
Fall-psng comm aircraft
Fall-occ comm aircrf NEC
Fall-occup oth aircraft
Fall-occ unpower aircraf
Fall-parachutist
Aircrft fall-ground crew
Aircraft fall-person NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 424 of 6734

E8440
E8441
E8442
E8443
E8444
E8445
E8446
E8447
E8448
E8449
E8450
E8458
E8459
E846
E847
E848
E8490
E8491
E8492
E8493
E8494
E8495
E8496
E8497
E8498
E8499
E8500
E8501
E8502
E8503
E8504
E8505
E8506
Aircrft acc NEC-spcrft

Aircrft acc NEC-military
Aircrft acc NEC-crew
Aircrft acc NEC-pasngr
Aircrft acc NEC-comm NEC
Aircrft acc NEC-occp NEC
Aircr acc NEC-unp aircr
Aircrft acc-parachutist
Aircrft acc NEC-grd crew
Aircrft acc NEC-pers NEC
Spacecraft acc-occupant
Spacecraft acc-grnd crew
Spacecraft acc-pers NEC
Indus veh acc on premise
Cabl car acc not on rail
Oth vehicle acc NEC
Accident in home
Accident on farm
Accident in mine/quarry
Acc on industr premises
Accid in recreation area
Accid on street/highway
Accident in public bldg
Accid in resident instit
Accident in place NEC
Accident in place NOS
Acc poison-heroin
Acc poison-methadone
Acc poison-opiates NEC
Acc poison-salicylates
Acc poison-arom analgesc
Acc poison-pyrazole derv
Acc poison-antirheumatic
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 425 of 6734

E8507
E8508
E8509
E851
E8520
E8521
E8522
E8523
E8524
E8525
E8528
E8529
E8530
E8531
E8532
E8538
E8539
E8540
E8541
E8542
E8543
E8548
E8550
E8551
E8552
E8553
E8554
E8555
E8556
E8558
E8559
E856
E857
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
poison-nonnarc analg
poison-analgesic NEC
poison-analgesic NOS
poison-barbiturates
poisn-chlorl hydrate
poison-paraldehyde
poison-bromine cmpnd
poison-methaqualone
poison-glutethimide
poison-mix sedtv NEC
poison-sedatives NEC
poison-sedatives NOS
pois-phenthiaz tranq
pois-butyrphen tranq
poisn-benzdiaz tranq
poisn-tranquilzr NEC
poisn-tranquilzr NOS
poison-antidepressnt
poison-hallucinogens
poisn-psychstimulant
poison-cns stimulant
poisn psychotrop NEC
poisn-anticonvulsant
poisn-cns depres NEC
poisn-local anesthet
poison-cholinergics
poisn-anticholinerg
poison-adrenergics
poisn-sympatholytics
poison-cns drug NEC
poison-cns drug NOS
poison-antibiotics
pois-oth anti-infect
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 426 of 6734

E8580
E8581
E8582
E8583
E8584
E8585
E8586
E8587
E8588
E8589
E8600
E8601
E8602
E8603
E8604
E8608
E8609
E8610
E8611
E8612
E8613
E8614
E8615
E8616
E8619
E8620
E8621
E8622
E8623
E8624
E8629
E8630
E8631
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
poison-hormones
poisn-systemic agent
poison-blood agent
poisn-cardiovasc agt
poison-gi agent
poisn-metabol agnt
poisn-muscl/resp agt
poisn-skin/eent agnt
poisoning-drug NEC
poisoning-drug NOS
poisn-alcohol bevrag
poison-ethyl alcohol
poisn-methyl alcohol
poisn-isopropyl alc
poison-fusel oil
poison-alcohol NEC
poison-alcohol NOS
pois-synth detergent
poison-soap products
poison-polishes
poison-cleanser NEC
poison-disinfectants
poison-lead paints
poison-paints NEC
poison-cleanser NOS
poisn-petrol solvent
poisn-petroleum fuel
pois-lubricating oil
pois-petroleum solid
poisn-solvents NEC
poisn-solvent NOS
pois-chlorine pestic
pois-phosph pesticid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 427 of 6734

E8632
E8633
E8634
E8635
E8636
E8637
E8638
E8639
E8640
E8641
E8642
E8643
E8644
E8650
E8651
E8652
E8653
E8654
E8655
E8658
E8659
E8660
E8661
E8662
E8663
E8664
E8665
E8666
E8667
E8668
E8669
E867
E8680
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
Acc
poison-carbamates
poisn-mixed pesticid
poison-pesticide NEC
poison-herbicides
poison-fungicides
poison-rodenticides
poison-fumigants
pois-agrcult NEC/NOS
pois-corrosiv aromat
poison-acids
poisn-caustic alkali
poison-caustic NEC
poison-caustic NOS
poison-meat
poison-shellfish
poison-fish NEC
poison-berries/seeds
poison-plants NEC
poison-mushrooms
poison-food NEC
poisn-food/plant NOS
poisoning-lead
poisoning-mercury
poisoning-antimony
poisoning-arsenic
poison-metals NEC
poison-plant food
poison-glues
poison-cosmetics
pois-solid/liq NEC
pois-solid/liq NOS
poison-piped gas
pois-liq petrol gas
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 428 of 6734

E8681
E8682
E8683
E8688
E8689
E8690
E8691
E8692
E8693
E8694
E8698
E8699
E8700
E8701
E8702
E8703
E8704
E8705
E8706
E8707
E8708
E8709
E8710
E8711
E8712
E8713
E8714
E8715
E8716
E8717
E8718
E8719
E8720
Acc pois-utl gas NEC/NOS

Acc poison-exhaust gas
Acc pois-co/domestc fuel
Acc pois-carbn monox NEC
Acc pois-carbn monox NOS
Acc poisn-nitrogen oxide
Acc poisn-sulfur dioxide
Acc poison-freon
Acc poison-tear gas
Scndhnd tbcco smoke
Acc poison-gas/vapor NEC
Acc poison-gas/vapor NOS
Acc cut/hem in surgery
Acc cut/hem in infusion
Acc cut/hem-perfusn NEC
Acc cut/hem in injection
Acc cut/hem w scope exam
Acc cut/hem w catheteriz
Acc cut/hem w heart cath
Acc cut/hem w enema
Acc cut in med care NEC
Acc cut in med care NOS
Post-surgical forgn body
Postinfusion foreign bdy
Postperfusion forgn body
Postinjection forgn body
Postendoscopy forgn body
Postcatheter forgn body
FB post heart catheter
FB post-catheter removal
Post-op foreign body NEC
Post-op foreign body NOS
Failure sterile surgery
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 429 of 6734

E8721
E8722
E8723
E8724
E8725
E8726
E8728
E8729
E8730
E8731
E8732
E8733
E8734
E8735
E8736
E8738
E8739
E8740
E8741
E8742
E8743
E8744
E8745
E8748
E8749
E8750
E8751
E8752
E8758
E8759
E8760
E8761
E8762
Failure sterile infusion

Fail sterile perfusn NEC
Fail sterile injection
Fail sterile endoscopy
Fail sterile catheter
Fail sterile heart cath
Fail sterile proced NEC
Fail sterile proced NOS
Excess fluid in infusion
Incor dilut infusn fluid
Therap radiation overdos
Inadv radiat exp-medical
Dosag fail-shock therapy
Wrng temp in applic/pack
Nonadmin necess medicine
Failure in dosage NEC
Failure in dosage NOS
Instrmnt fail in surgery
Instrumnt fail-infusion
Instrmnt fail-perfus NEC
Instrumnt fail-endoscopy
Instrmnt fail-catheteriz
Instrmnt fail-heart cath
Instrmnt fail-proced NEC
Instrmnt fail-proced NOS
Contaminated transfusion
Contaminated injection
Contaminated drug NEC
Contamination NEC
Contamination NOS
Mismatch blood-transfusn
Wrong fluid in infusion
Failure in suture
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 430 of 6734

E8763
E8764
E8765
E8766
E8767
E8768
E8769
E8780
E8781
E8782
E8783
E8784
E8785
E8786
E8788
E8789
E8790
E8791
E8792
E8793
E8794
E8795
E8796
E8797
E8798
E8799
E8800
E8801
E8809
E8810
E8811
E882
E8830
Misplaced endotrach tube

Fail introd/remove tube
Perfrm wrong op/right pt
Proc-pt not sched surg
Rt proc-wrong side/part
Medical misadventure NEC
Medical misadventure NOS
Abn react-org transplant
Abn react-artif implant
Abn react-anastom/graft
Abn react-external stoma
Abn react-plast surg NEC
Abn react-limb amputat
Abn reac-organ rem NEC
Abn react-surg proc NEC
Abn react-surg proc NOS
Abn react-cardiac cath
Abn react-renal dialysis
Abn react-radiotherapy
Abn react-shock therapy
Abn react-fluid aspirat
Abn react-gastric sound
Abn react-urinary cath
Abn react-blood sampling
Abn react-procedure NEC
Abn react-procedure NOS
Fall on escalator
Fall on sidewalk curb
Fall on stair/step NEC
Fall from ladder
Fall from scaffolding
Fall from building
Diving accident
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 431 of 6734

E8831
E8832
E8839
E8840
E8841
E8842
E8843
E8844
E8845
E8846
E8849
E8850
E8851
E8852
E8853
E8854
E8859
E8860
E8869
E887
E8880
E8881
E8888
E8889
E8900
E8901
E8902
E8903
E8908
E8909
E8910
E8911
E8912
Fall into well

Fall into storm drain
Fall into other hole
Fall from playgrnd equip
Fall from cliff
Fall from chair
Fall from wheelchair
Fall from bed
Fall from furniture NEC
Fall from commode
Fall-1 level to oth NEC
Fall-nonmotor scooter
Fall from roller skates
Fall from skateboard
Fall from skis
Fall from snowboard
Fall from slipping NEC
Fall in sports
Fall on level NEC/NOS
Fracture, cause NOS
Fall striking sharp obj
Fall striking object NEC
Fall NEC
Fall NOS
Privat dwell fire-explos
Priv dwel fire-pvc fumes
Priv dwel fire-fumes NOS
Priv dwel fire-burning
Priv dwel fire-accid NEC
Priv dwel fire-accid NOS
Fire in bldg-explosion
Fire in bldg-pvc fumes
Fire in bldg-fumes NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 432 of 6734

E8913
E8918
E8919
E892
E8930
E8931
E8932
E8938
E8939
E894
E895
E896
E897
E8980
E8981
E899
E9000
E9001
E9009
E9010
E9011
E9018
E9019
E9020
E9021
E9022
E9028
E9029
E903
E9040
E9041
E9042
E9043
Fire in bldg-burning
Fire in bldg-accid NEC
Fire in bldg-accid NOS
Fire not in building
Clothing fire-priv dwell
Clothing fire-bldg NEC
Clothing fire not in bld
Clothing fire NEC
Clothing fire NOS
Fire-highly inflam mater
Burn acc in privat dwell
Burn acc in bldg NEC
Burn acc not in bldg
Burning bedclothes
Fire accident NEC
Fire accident NOS
Excessive heat: weather
Excessive heat, man-made
Excessive heat NOS
Excessive cold: weather
Excessive cold, man-made
Excessive cold NEC
Excessive cold NOS
High altitude residence
Air press chnge: aircrft
Air press change: diving
Air pressure change NEC
Air pressure change NOS
Travel and motion
Abandonment/lack of care
Lack of food
Lack of water
Exposure NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 433 of 6734

E9049
E9050
E9051
E9052
E9053
E9054
E9055
E9056
E9057
E9058
E9059
E9060
E9061
E9062
E9063
E9064
E9065
E9068
E9069
E907
E9080
E9081
E9082
E9083
E9084
E9088
E9089
E9090
E9091
E9092
E9093
E9094
E9098
Privation NOS
Venomous snake bite
Venomous spider bite
Scorpion sting
Hornet/wasp/bee sting
Centipede bite
Venomous arthropods NEC
Venom sea animals/plants
Poisoning by other plant
Venomous bite/sting NEC
Venomous bite/sting NOS
Dog bite
Rat bite
Nonvenomous snake bite
Animal bite NEC
Nonvenom arthropod bite
Animal bite NOS
Inj NEC caused by animal
Inj NOS caused by animal
Acc due to lightning
Accident d/t hurricane
Accident d/t tornado
Accident d/t floods
Acc d/t snow blizzard
Accident d/t dust storm
Accident d/t storm NEC
Acc d/t storm/flood NOS
Acc d/t earthquakes
Acc d/t volcanic erupt
Acc d/t avalanche
Acc d/t dam collapse
Acc d/t tidalwave NOS
Acc d/t eruptions NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 434 of 6734

E9099
E9100
E9101
E9102
E9103
E9104
E9108
E9109
E911
E912
E9130
E9131
E9132
E9133
E9138
E9139
E914
E915
E916
E9170
E9171
E9172
E9173
E9174
E9175
E9176
E9177
E9178
E9179
E918
E9190
E9191
E9192
Acc d/t eruptions NOS

Water-skiing accident
Skin/scuba diving acc
Swimming accident NOS
Swimming/diving acc NEC
Drowning in bathtub
Accidental drowning NEC
Accidental drowning NOS
Resp obstr-food inhal
Resp obstr-inhal obj NEC
Suffocat in bed/cradle
Suffocation-plastic bag
Suffocation-lack of air
Cave-in NOS
Suffocation NEC
Suffocation NOS
FB entering eye
FB entering oth orifice
Struck by falling object
Sports acc w/o sub fall
Crowd w/o sub fall
Run water w/o sub fall
Furnit w/o sub fall
Stat ob w/o sub fall NEC
Sports acc w sub fall
Crowd accidnt w sub fall
Furniture acc w sub fall
Stat obj w sub fall NEC
Obj w-w/o sub fall NEC
Caught between objects
Machine accid-agricult
Machine accid-mining
Lifting machine accident
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 435 of 6734

E9193
E9194
E9195
E9196
E9197
E9198
E9199
E9200
E9201
E9202
E9203
E9204
E9205
E9208
E9209
E9210
E9211
E9218
E9219
E9220
E9221
E9222
E9223
E9224
E9225
E9228
E9229
E9230
E9231
E9232
E9238
E9239
E9240
Metalworking machine acc

Woodworking machine acc
Prime mover machine acc
Transmission machine acc
Earth moving machine acc
Machinery accident NEC
Machinery accident NOS
Acc-powered lawn mower
Acc-power hand tool NEC
Acc-power house applianc
Knife/sword/dagger acc
Accid-other hand tools
Acc-hypodermic needle
Acc-cutting instrum NEC
Acc-cutting instrum NOS
Boiler explosion
Gas cylinder explosion
Press vessel explos NEC
Press vessel explos NOS
Handgun accident
Shotgun accident
Hunting rifle accident
Military firearm accid
Accident - air gun
Accident-paintball gun
Firearm accident NEC
Firearm accident NOS
Fireworks accident
Blasting materials accid
Explosive gases accident
Explosives accident NEC
Explosives accident NOS
Acc-hot liquid & steam
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 436 of 6734

E9241
E9242
E9248
E9249
E9250
E9251
E9252
E9258
E9259
E9260
E9261
E9262
E9263
E9264
E9265
E9268
E9269
E9270
E9271
E9272
E9273
E9274
E9278
E9279
E9280
E9281
E9282
E9283
E9284
E9285
E9286
E9287
E9288
Accid-caustic substance
Acc-hot tap water
Hot substance accid NEC
Hot substance accid NOS
Domestic wiring accident
Electr power generat acc
Indust wiring/machin acc
Electric current acc NEC
Electric current acc NOS
Radiofreq radiat exposur
Infra-red appl rad exos
Vis/ultraviol lght expos
X-ray/gamma ray exposure
Laser exposure
Radioact isotope exposur
Radiation exposure NEC
Radiation exposure NOS
Overxrt-sudn stren mvmt
Overxrt-prolng stc postn
Excess physical exert
Cumltv trma-repetv motn
Cumltv trma-repetv impct
Overexert reptv mvmt NEC
Overexert reptv mvmt NOS
Acc d/t weightless envir
Exposure to noise
Exposure to vibration
Human bite - accidental
Ext constriction-hair
Ext constriction-obj NEC
Envir expose algae/toxin
Accidnt-mech firearm/gun
Accident NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 437 of 6734

E9289
E9290
E9291
E9292
E9293
E9294
E9295
E9298
E9299
E9300
E9301
E9302
E9303
E9304
E9305
E9306
E9307
E9308
E9309
E9310
E9311
E9312
E9313
E9314
E9315
E9316
E9317
E9318
E9319
E9320
E9321
E9322
E9323
Accident NOS
Late eff motor vehic acc
Late eff transport acc
Late eff acc poisoning
Late eff accidental fall
Late eff fire acc
Late eff environment acc
Late eff accident NEC
Late eff accident NOS
Adv eff penicillins
Adv eff antifung antbiot
Adv eff chloramphenicol
Adv eff erythromycin
Adv eff tetracycline
Adv eff cephalosporin
Adv eff antmycob antbiot
Adv eff antineop antbiot
Adv eff antibiotics NEC
Adv eff antibiotic NOS
Adv eff sulfonamides
Adv eff arsenic anti-inf
Adv eff metal anti-inf
Adv eff quinoline
Adv eff antimalarials
Adv eff antprotazoal NEC
Adv eff anthelmintics
Adv eff antiviral drugs
Adv eff antimycobac NEC
Adv eff antinfct NEC/NOS
Adv eff corticosteroids
Adv eff androgens
Adv eff ovarian hormones
Adv eff insulin/antidiab
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 438 of 6734

E9324
E9325
E9326
E9327
E9328
E9329
E9330
E9331
E9332
E9333
E9334
E9335
E9336
E9337
E9338
E9339
E9340
E9341
E9342
E9343
E9344
E9345
E9346
E9347
E9348
E9349
E9350
E9351
E9352
E9353
E9354
E9355
E9356
Adv eff ant pituitary

Adv eff post pituitary
Adv eff parathyroid
Adv eff thyroid & deriv
Adv eff antithyroid agnt
Adv eff hormones NEC/NOS
Adv eff anallrg/antemet
Adv eff antineoplastic
Adv eff acidifying agent
Adv eff alkalizing agent
Adv eff enzymes NEC
Adv eff vitamins NEC
Oral bisphosphonates
IV bisphosphonates
Adv eff systemic agt NEC
Adv eff systemic agt NOS
Adv eff iron & compounds
Adv eff liver/antianemic
Adv eff anticoagulants
Adv eff vitamin k
Adv eff fibrinolysis agt
Adv eff coagulants
Adv eff gamma globulin
Adv eff blood products
Adv eff blood agent NEC
Adv eff blood agent NOS
Adv eff heroin
Adv eff methadone
Adv eff opiates
Adv eff salicylates
Adv eff arom analgsc NEC
Adv eff pyrazole deriv
Adv eff antirheumatics
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 439 of 6734

E9357
E9358
E9359
E9360
E9361
E9362
E9363
E9364
E9370
E9371
E9372
E9373
E9374
E9375
E9376
E9378
E9379
E9380
E9381
E9382
E9383
E9384
E9385
E9386
E9387
E9389
E9390
E9391
E9392
E9393
E9394
E9395
E9396
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
non-narc analgsc
analgesics NEC
analgesic NOS
oxazolidin deriv
hydantoin deriv
succinimides
antconvl NEC/NOS
anti-parkinson
barbiturates
chloral hydrate
paraldehyde
bromine compnds
methaqualone
glutethimide
mix sedative
sedat/hypnot NEC
sedat/hypnot NOS
cns muscl depres
halothane
gas anesthet NEC
intraven anesth
gen anes NEC/NOS
topic/infil anes
nerve-block anes
spinal anesthet
loc anes NEC/NOS
antidepressants
phenothiaz tranq
butyrophen tranq
antipsychotc NEC
benzodiaz tranq
tranquilizer NEC
hallucinogens
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 440 of 6734

E9397
E9398
E9399
E9400
E9401
E9408
E9409
E9410
E9411
E9412
E9413
E9419
E9420
E9421
E9422
E9423
E9424
E9425
E9426
E9427
E9428
E9429
E9430
E9431
E9432
E9433
E9434
E9435
E9436
E9438
E9439
E9440
E9441
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
psychostimulants
psychotropic NEC
psychotropic NOS
analeptics
opiat antagonist
cns stimulnt NEC
cns stimulnt NOS
cholinergics
parasympatholytc
sympathomimetics
sympatholytics
autonom agnt NOS
card rhyth regul
cardiotonics
antilipemics
ganglion-block
coronary vasodil
vasodilators NEC
antihyperten agt
antivaricose
capillary-act
cardiovasc NEC
antacids
irrit cathartic
emoll cathartics
cathartics NEC
digestants
antidiarrhea agt
emetics
GI agent NEC
GI agent NOS
mercury diuretic
purine diuretics
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 441 of 6734

E9442
E9443
E9444
E9445
E9446
E9447
E9450
E9451
E9452
E9453
E9454
E9455
E9456
E9457
E9458
E9460
E9461
E9462
E9463
E9464
E9465
E9466
E9467
E9468
E9469
E9470
E9471
E9472
E9473
E9474
E9478
E9479
E9480
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
Adv
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
eff
acetazolamide
saluretics
diuretics NEC
electrolyte agnt
mineral salt NEC
uric acid metab
oxytocic agents
smooth musc relx
skelet musc relx
musc agt NEC/NOS
antitussives
expectorants
anti-common cold
antiasthmatics
resp drg NEC/NOS
loc anti-infectv
antipruritics
local astringent
emollient/demulc
hair/scalp prep
eye anti-inf/drg
ent anti-inf/drg
topic dental drg
skin agent NEC
skin agent NOS
dietetics
lipotropic drugs
antidotes NEC
alcohol deter
pharmaceut excip
medicinal NEC
medicinal NOS
bcg vaccine
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 442 of 6734

E9481
E9482
E9483
E9484
E9485
E9486
E9488
E9489
E9490
E9491
E9492
E9493
E9494
E9495
E9496
E9497
E9499
E9500
E9501
E9502
E9503
E9504
E9505
E9506
E9507
E9508
E9509
E9510
E9511
E9518
E9520
E9521
E9528
Adv eff typhoid vaccine

Adv eff cholera vaccine
Adv eff plague vaccine
Adv eff tetanus vaccine
Adv eff diphther vaccine
Adv eff pertussis vaccin
Adv eff bact vac NEC/NOS
Adv eff mix bact vaccine
Adv eff smallpox vaccine
Adv eff rabies vaccine
Adv eff typhus vaccine
Adv eff yellow fever vac
Adv eff measles vaccine
Adv eff polio vaccine
Adv eff viral vacc NEC
Adv eff mixed viral-bact
Adv eff biologic NEC/NOS
Poison-analgesics
Poison-barbiturates
Poison-sedat/hypnotic
Poison-psychotropic agt
Poison-drug/medicin NEC
Poison-drug/medicin NOS
Poison-agricult agent
Poison-corrosiv/caustic
Poison-arsenic
Poison-solid/liquid NEC
Poison-piped gas
Poison-gas in container
Poison-utility gas NEC
Poison-exhaust gas
Poison-co NEC
Poison-gas/vapor NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 443 of 6734

E9529
E9530
E9531
E9538
E9539
E954
E9550
E9551
E9552
E9553
E9554
E9555
E9556
E9557
E9559
E956
E9570
E9571
E9572
E9579
E9580
E9581
E9582
E9583
E9584
E9585
E9586
E9587
E9588
E9589
E959
E9600
E9601
Poison-gas/vapor NOS
Injury-hanging
Injury-suff w plas bag
Injury-strang/suff NEC
Injury-strang/suff NOS
Injury-submersion
Injury-handgun
Injury-shotgun
Injury-hunting rifle
Injury-military firearm
Injury-firearm NEC
Injury-explosives
Self inflict acc-air gun
Self inj-paintball gun
Injury-firearm/expl NOS
Injury-cut instrument
Injury-jump fm residence
Injury-jump fm struc NEC
Injury-jump fm natur sit
Injury-jump NEC
Injury-moving object
Injury-burn, fire
Injury-scald
Injury-extreme cold
Injury-electrocution
Injury-motor veh crash
Injury-aircraft crash
Injury-caustic substance
Injury-NEC
Injury-NOS
Late eff of self-injury
Unarmed fight or brawl
Rape
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 444 of 6734

E961
E9620
E9621
E9622
E9629
E963
E964
E9650
E9651
E9652
E9653
E9654
E9655
E9656
E9657
E9658
E9659
E966
E9670
E9671
E9672
E9673
E9674
E9675
E9676
E9677
E9678
E9679
E9680
E9681
E9682
E9683
E9684
Assault-corrosiv/caust
Assault-pois w medic agt
Assault-pois w solid/liq
Assault-pois w gas/vapor
Assault-poisoning NOS
Assault-hanging/strangul
Assault-submersion
Assault-handgun
Assault-shotgun
Assault-hunting rifle
Assault-military weapon
Assault-firearm NEC
Assault-antiperson bomb
Assault-gasoline bomb
Assault-letter bomb
Assault-explosive NEC
Assault-explosive NOS
Assault-cutting instr
Abuse by fther/stpfth/bf
Child abuse by pers NEC
Abuse by mther/stpmth/gf
Batter by spouse/partner
Battering by child
Battering by sibling
Battering by grandparent
Batter by other relative
Batter by non-relative
Child abuse NOS
Assault-fire
Asslt-push from hi place
Assault-striking w obj
Assault-hot liquid
Assault-criminal neglect
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 445 of 6734

E9685
E9686
E9687
E9688
E9689
E969
E970
E971
E972
E973
E974
E975
E976
E977
E978
E9790
E9791
E9792
E9793
E9794
E9795
E9796
E9797
E9798
E9799
E9800
E9801
E9802
E9803
E9804
E9805
E9806
E9807
Asslt-transport vehicle
Assault - air gun
Human bite - assault
Assault NEC
Assault NOS
Late effect assault
Legal intervent-firearm
Legal intervent-explosiv
Legal intervent-gas
Legal interven-blunt obj
Legal interven-cut instr
Legal intervention NEC
Legal intervention NOS
Late eff-legal intervent
Legal execution
Terrorism,marine weapons
Terrorism,dest aircraft
Terrorism,explosions
Terrorism, fires
Terrorism, firearms
Terrorism, nuc weapons
Terrorism, biologicals
Terrorism, chemicals
Terrorism, NEC/NOS
Terrorism, secondary
Undeterm pois-analgesics
Undeterm pois-barbiturat
Undet pois-sed/hypn NEC
Undeterm pois-psychotrop
Undet pois-med agnt NEC
Undet pois-med agnt NOS
Undet pois-corros/caust
Undet pois-agricult agnt
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 446 of 6734

E9808
E9809
E9810
E9811
E9818
E9820
E9821
E9828
E9829
E9830
E9831
E9838
E9839
E984
E9850
E9851
E9852
E9853
E9854
E9855
E9856
E9857
E986
E9870
E9871
E9872
E9879
E9880
E9881
E9882
E9883
E9884
E9885
Undeter pois-arsenic
Undeter pois-sol/liq NEC
Undeter pois-piped gas
Undet pois-container gas
Undet pois-util gas NEC
Undeter pois-exhaust gas
Undetermin poison-co NEC
Undet pois-gas/vapor NEC
Undet pois-gas/vapor NOS
Undetermin circ-hanging
Undet circ-suf plast bag
Undet circ-suffocate NEC
Undet circ-suffocate NOS
Undeterm circ-submersion
Undetermin circ-handgun
Undetermin circ-shotgun
Undet circ-hunting rifle
Undet circ-military arms
Undeter circ-firearm NEC
Undeterm circ-explosive
Undetrmine accid-air gun
Injury paintball gun NOS
Undet circ-cut instrumnt
Undet circ-fall residenc
Undet fall structure NEC
Undet fall natural site
Undet circ-fall site NOS
Undeterm circ-moving obj
Undeterm circ-burn, fire
Undeterm circ-scald
Undeterm circ-extrm cold
Undeterm circ-electrocut
Undet circ-mot veh crash
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 447 of 6734

E9886
E9887
E9888
E9889
E989
E9900
E9901
E9902
E9903
E9909
E9910
E9911
E9912
E9913
E9914
E9915
E9916
E9917
E9918
E9919
E9920
E9921
E9922
E9923
E9928
E9929
E9930
E9931
E9932
E9933
E9934
E9935
E9936
Undet circ-aircrft crash

Undet circ-caustic subst
Undetermin circumst NEC
Undetermin circumst NOS
Late eff inj-undet circ
War inj:gasoline bomb
War inj:flamethrower
War inj:incndiary bullet
War inj:ind convn weapn
War injury:fire NEC
War inj:rubber bullet
War injury:pellets
War injury:bullet NEC
War inj:antiperson bomb
War inj:munition fragmnt
War inj:prsn-brn fragmnt
War inj:vehic-borne IED
War inj:fragment IED NEC
War inj:weapon fragments
War inj:fragments NEC
War inj:torpedo
War inj:depth charge
War inj:marine mines
War inj:seabase art shel
War inj:marine weapn NEC
War inj:marine weapn NOS
War inj:aerial bomb
War inj:guided missile
War inj:mortar
War inj:person IED
War inj:vehicle IED
War inj:IED NEC
War inj:acc own munition
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 448 of 6734

E9937
E9938
E9939
E9940
E9941
E9942
E9943
E9948
E9949
E9950
E9951
E9952
E9953
E9954
E9958
E9959
E9960
E9961
E9962
E9963
E9968
E9969
E9970
E9971
E9972
E9973
E9978
E9979
E9980
E9981
E9988
E9989
E9990
War inj:acc disch launch

War inj:explosion NEC
War inj:explosion NOS
War inj:aircrft des-enmy
War inj:aircrft-own expl
War inj:aircrft collisn
War inj:aircraft fire
War inj:aircrft dest NEC
War inj:aircrft dest NOS
War inj:hnd-hnd combat
War inj:blunt object
War inj:piercing object
War inj:intn restrct air
War inj:unintentl drown
War inj:con warfare NEC
War inj:con warfare NOS
War inj:dir nucl weapon
War inj:indir nucl weapn
War inj:therml radiation
War inj:nuclear rad eff
War inj:nucl weapon NEC
War inj:nucl weapon NOS
War injury:lasers
War injury:biol warfare
War injury:gas/fum/chem
War inj:WMD NOS
War inj-unconven war NEC
War inj-unconven war NOS
War inj:expl mine-cease
War inj:expl bomb-cease
War inj:after cease NEC
War inj:after cease NOS
Late effect, war injury
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Page 449 of 6734

E9991
V010
V011
V012
V013
V014
V015
V016
V0171
V0179
V0181
V0182
V0183
V0184
V0189
V019
V020
V021
V022
V023
V024
V0251
V0252
V0253
V0254
V0259
V0260
V0261
V0262
V0269
V027
V028
V029
Late effect, terrorism

Cholera contact
Tuberculosis contact
Poliomyelitis contact
Smallpox contact
Rubella contact
Rabies contact
Venereal dis contact
Varicella contact/exp
Viral dis contact NEC
Contact/exposure-anthrax
Exposure to SARS
E. coli contact/exp
Meningococcus contact
Communic dis contact NEC
Communic dis contact NOS
Cholera carrier
Typhoid carrier
Amebiasis carrier
GI pathogen carrier NEC
Diphtheria carrier
Group b streptoc carrier
Streptococus carrier NEC
Meth susc Staph carrier
Meth resis Staph carrier
Bacteria dis carrier NEC
Viral hep carrier NOS
Hepatitis B carrier
Hepatitis C carrier
Viral hep carrier NEC
Gonorrhea carrier
Venereal dis carrier NEC
Carrier NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
999
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
640
640
640
640
871
871
871
8
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 450 of 6734

V030
V031
V032
V033
V034
V035
V036
V037
V0381
V0382
V0389
V039
V040
V041
V042
V043
V044
V045
V046
V047
V0481
V0482
V0489
V050
V051
V052
V053
V054
V058
V059
V060
V061
V062
Vaccin for cholera

Vacc-typhoid-paratyphoid
Vaccin for tuberculosis
Vaccin for plague
Vaccin for tularemia
Vaccin for diphtheria
Vaccin for pertussis
Tetanus toxoid inoculat
Nd vac hmophlus inflnz b
Nd vac strptcs pneumni b
Nd other specf vacnation
Vaccin for bact dis NOS
Vaccin for poliomyelitis
Vaccin for smallpox
Vaccin for measles
Vaccin for rubella
Vaccin for yellow fever
Vaccin for rabies
Vaccin for mumps
Vaccin for common cold
Vaccin for influenza
Vaccination for RSV
Vaccn/inoc viral dis NEC
Arbovirus enceph vaccin
Vacc arboviral dis NEC
Vaccin for leishmaniasis
Need prphyl vc vrl hepat
Need prphyl vc varicella
Vaccin for disease NEC
Vaccin for singl dis NOS
Vaccin for cholera + tab
Vaccination for DTP-DTaP
Vaccin for dtp + tab
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
879
871
871
871
871
871
871
871
871
871
871
879
871
879
871
871
871
879
879
879
879
871
879
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 451 of 6734

V063
V064
V065
V066
V068
V069
V070
V071
V072
V0731
V0739
V074
V0751
V0752
V0759
V078
V079
V08
V090
V091
V092
V093
V094
V0950
V0951
V096
V0970
V0971
V0980
V0981
V0990
V0991
V1000
Vaccin for dtp + polio

Vac-measle-mumps-rubella
Vaccination for Td-DT
Nd vac strp pnumn/inflnz
Vac-dis combinations NEC
Vac-dis combinations NOS
Prophylactic isolation
Desensitiza to allergens
Prophylact immunotherapy
Prophylac fluoride admin
Other prophylac chemothr
Hormone replace postmeno
Use of SERMs
Use aromatase inhibitors
Use oth agnt af estrogen
Prophyl or tx meas NEC
Prophyl or tx meas NOS
Asymp hiv infectn status
Inf mcrg rstn pncllins
Inf mcrg rstn b-lactam
Inf mcrg rstn macrolides
Inf mcrg rstn ttrcycln
Inf mcrg rstn amnglcsds
Inf mcr rst qn flr nt ml
Inf mcrg rstn qn flrq ml
Inf mcrg rstn sulfnmides
Inf mcr rst oth ag nt ml
Inf mcrg rstn oth ag mlt
Inf mcr rst ot drg nt ml
Inf mcrg rstn oth drg ml
Infc mcrg drgrst nt mult
Infc mcrg drgrst mult
Hx of GI malignancy NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
879
871
871
879
871
871
871
872
871
871
871
871
871
871
871
871
880
809
809
809
809
809
809
809
809
809
809
809
809
809
809
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 452 of 6734

V1001
V1002
V1003
V1004
V1005
V1006
V1007
V1009
V1011
V1012
V1020
V1021
V1022
V1029
V103
V1040
V1041
V1042
V1043
V1044
V1045
V1046
V1047
V1048
V1049
V1050
V1051
V1052
V1053
V1059
V1060
V1061
V1062
Hx of tongue malignancy
Hx-oral/pharynx malg NEC
Hx-esophageal malignancy
Hx of gastric malignancy
Hx of colonic malignancy
Hx-rectal & anal malign
Hx of liver malignancy
Hx of GI malignancy NEC
Hx-bronchogenic malignan
Hx-tracheal malignancy
Hx-resp org malignan NOS
Hx-laryngeal malignancy
Hx-nose/ear/sinus malig
Hx-intrathoracic mal NEC
Hx of breast malignancy
Hx-female genit malg NOS
Hx-cervical malignancy
Hx-uterus malignancy NEC
Hx of ovarian malignancy
Hx-female genit malg NEC
Hx-male genit malig NOS
Hx-prostatic malignancy
Hx-testicular malignancy
Hx-epididymis malignancy
Hx-male genit malig NEC
Hx-urinary malignan NOS
Hx of bladder malignancy
Hx of kidney malignancy
Hx malig renal pelvis
Hx-urinary malignan NEC
Hx of leukemia NOS
Hx of lymphoid leukemia
Hx of myeloid leukemia
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 453 of 6734

V1063
V1069
V1071
V1072
V1079
V1081
V1082
V1083
V1084
V1085
V1086
V1087
V1088
V1089
V1090
V1091
V110
V111
V112
V113
V114
V118
V119
V1200
V1201
V1202
V1203
V1204
V1209
V121
V1221
V1229
V123
Hx of monocytic leukemia
Hx of leukemia NEC
Hx-lymphosarcoma
Hx-hodgkin's disease
Hx-lymphatic malign NEC
Hx of bone malignancy
Hx-malig skin melanoma
Hx-skin malignancy NEC
Hx of eye malignancy
Hx of brain malignancy
Hx-malign nerve syst NEC
Hx of thyroid malignancy
Hx-endocrine malign NEC
Hx of malignancy NEC
Hx malig neoplasm NOS
Hx malig neuroendo tumor
Hx of schizophrenia
Hx of affective disorder
Hx of neurosis
Hx of alcoholism
Hx combat/stress reactn
Hx-mental disorder NEC
Hx-mental disorder NOS
Prsnl hst unsp nfct prst
Prsnl hst tuberculosis
Prsnl hst poliomyelitis
Personal histry malaria
Hx Methicln resist Staph
Prsnl hst oth nfct parst
Hx-nutrition deficiency
Hx gestational diabetes
Hx-endocr/meta/immun dis
Hx-blood diseases
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 454 of 6734

V1240
V1241
V1242
V1249
V1250
V1251
V1252
V1253
V1254
V1255
V1259
V1260
V1261
V1269
V1270
V1271
V1272
V1279
V1300
V1301
V1302
V1303
V1309
V131
V1321
V1322
V1323
V1324
V1329
V133
V134
V1351
V1352
Hx nerv sys/snse org NOS

Hx benign neoplasm brain
Personl hx infection CNS
Hx nerv sys/snse org NEC
Hx-circulatory dis NOS
Hx-ven thrombosis/embols
Hx-thrombophlebitis
Hx sudden cardiac arrest
Hx TIA/stroke w/o resid
Hx pulmonary embolism
Hx-circulatory dis NEC
Hx resp system dis NOS
Prsnl hx recur pneumonia
Hx resp system dis NEC
Prsnl hst unspc dgstv ds
Prsnl hst peptic ulcr ds
Prsnl hst colonic polyps
Prsnl hst ot spf dgst ds
Prsnl hst urnr dsrd unsp
Prsnl hst urnr dsrd calc
Personal history UTI
Personl hx nephrotic syn
Prsn hst ot spf urn dsrd
Hx-trophoblastic disease
History-pre-term labor
Hx of cervical dysplasia
Hx vaginal dysplasia
Hx vulvar dysplasia
Hx-genital/obs dis NEC
Hx-skin/subcutan tis dis
Hx of arthritis
Hx pathological fracture
Hx stress fracture
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 455 of 6734

V1359
V1361
V1362
V1363
V1364
V1365
V1366
V1367
V1368
V1369
V137
V1381
V1389
V139
V140
V141
V142
V143
V144
V145
V146
V147
V148
V149
V1501
V1502
V1503
V1504
V1505
V1506
V1507
V1508
V1509
Hx musculoskletl dis NEC

Hx-hypospadias
Hx-cong malform-gu
Hx-cong malform-nervous
Hx-cong malform-eye,face
Hx-cong malform-heart
Hx-cong malform-resp sys
Hx-cong malform-digest
Hx-cong malform-skin,ms
Hx-congenital malfor NEC
Hx-perinatal problems
Hx of anaphylaxis
Hx diseases NEC
Hx of disease NOS
Hx-penicillin allergy
Hx-antibiot allergy NEC
Hx-sulfonamides allergy
Hx-anti-infect allergy
Hx-anesthetic allergy
Hx-narcotic allergy
Hx-analgesic allergy
Hx-vaccine allergy
Hx-drug allergy NEC
Hx-drug allergy NOS
Hx-peanut allergy
Hx-milk prod allergy
Hx-eggs allergy
Hx-seafood allergy
Hx-other food allergy
Hx-allergy insct/arachnd
Hx-latex allergy
Hx-radiogrphc dye allrgy
Hx-allergy NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 456 of 6734

V151
V1521
V1522
V1529
V153
V1541
V1542
V1549
V1551
V1552
V1553
V1559
V156
V157
V1580
V1581
V1582
V1583
V1584
V1585
V1586
V1587
V1588
V1589
V159
V160
V161
V162
V163
V1640
V1641
V1642
V1643
Hx-major cardiovasc surg

Hx in utero proc in preg
Hx in utero proc fetus
Hx surgery to organs NEC
Hx of irradiation
Hx of physical abuse
Hx of emotional abuse
Psychological trauma NEC
Hx traumatic fracture
Hx traumatc brain injury
Hx retained FB, rem
Hx injury NEC
Hx of poisoning
Hx of contraception
Hx failed mod sedation
Hx of past noncompliance
History of tobacco use
Hx underimmunizn status
Hx-contct/expos asbestos
Hx-cont/exps haz bdy fld
Hx-contact/exposure lead
Hx of ECMO
Personal history of fall
Hx-health hazards NEC
Hx-health hazard NOS
Family hx-gi malignancy
Fm hx-trach/bronchog mal
Fam hx-intrathoracic mal
Family hx-breast malig
Fm hx genital malig NOS
Fm hx ovary malignancy
Fm hx prostate malig
Fm hx testis malig
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 457 of 6734

V1649
V1651
V1652
V1659
V166
V167
V168
V169
V170
V171
V172
V173
V1741
V1749
V175
V176
V177
V1781
V1789
V180
V1811
V1819
V182
V183
V184
V1851
V1859
V1861
V1869
V187
V188
V189
V190
Fm hx genital malig NEC

Family hx-kidney malig
Fam hx-bladder malig
Fam hx-urinry malig NEC
Family hx-leukemia
Fam hx-lymph neoplas NEC
Family hx-malignancy NEC
Family hx-malignancy NOS
Fam hx-psychiatric cond
Family hx-stroke
Fam hx-neurolog dis NEC
Fam hx-ischem heart dis
Fam hx sudden card death
Fam hx-cardiovas dis NEC
Family hx-asthma
Fam hx-chr resp cond NEC
Family hx-arthritis
Family hx osteoporosis
Fam hx musculosk dis NEC
Fam hx-diabetes mellitus
Fam hx MEN syndrome
Fm hx endo/metab dis NEC
Family hx-anemia
Fam hx-blood disord NEC
Fm hx-intellect disablty
Family hx colonic polyps
Fam hx digest disord NEC
Fam hx-polycystic kidney
Fam hx-kidney dis NEC
Family hx-gu disease NEC
Fm hx-infect/parasit dis
Fam hx genet dis carrier
Family hx-blindness
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 458 of 6734

V1911
V1919
V192
V193
V194
V195
V196
V197
V198
V200
V201
V202
V2031
V2032
V210
V211
V212
V2130
V2131
V2132
V2133
V2134
V2135
V218
V219
V220
V221
V222
V230
V231
V232
V233
V2341
Family history glaucoma

Family hx-eye disord NEC
Family hx-deafness
Family hx-ear disord NEC
Family hx-skin condition
Fam hx-congen anomalies
Family hx-allergic dis
Consanguinity
Family hx-condition NEC
Foundling health care
Care of healthy chld NEC
Routin child health exam
Health supvsn nb <8 days
Health supv nb 8-28 days
Rapid childhood growth
Puberty
Adolescence growth NEC
Low birthwt status NOS
Low birthwt status <500g
Low birthwt 500-999g
Constit state in dev NEC
Constit state in dev NOS
Supervis normal 1st preg
Supervis oth normal preg
Preg state, incidental
Preg w hx of infertility
Preg w hx-trophoblas dis
Preg w hx of abortion
Grand multiparity
Preg w hx pre-term labor
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
877
877
877
871
871
871
873
873
873
873
873
873
871
871
766
766
766
765
765
765
765
765
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 459 of 6734

V2342
V2349
V235
V237
V2381
V2382
V2383
V2384
V2385
V2386
V2387
V2389
V239
V240
V241
V242
V2501
V2502
V2503
V2504
V2509
V2511
V2512
V2513
V253
V2540
V2541
V2542
V2543
V2549
V255
V258
V259
Preg w hx ectopic preg

Preg w poor obs hx NEC
Preg w poor reproduct hx
Insufficnt prenatal care
Suprv elderly primigrav
Suprv elderly multigrav
Suprv young primigravida
Suprv young multigravida
Pregnt-assist repro tech
Preg-hx in utro prev prg
Preg w incon fetl viabil
Suprv high-risk preg NEC
Suprv high-risk preg NOS
Postpart care after del
Postpart care-lactation
Rout postpart follow-up
Prescrip-oral contracept
Initiate contracept NEC
Contracept mgmt-emergncy
Natrl fam pln-avoid preg
Contraceptive mangmt NEC
Insertion of iud
Removal of iud
Remove/insert iud
Menstrual extraction
Contracept surveill NOS
Contracept pill surveill
Iud surveillance
Srvl mplnt sbdrm cntrcep
Contracept surveill NEC
Nsrt mplnt sbdrm cntrcep
Contraceptive mangmt NEC
Contraceptive mangmt NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
765
765
765
765
765
765
765
765
765
765
765
765
765
761
871
871
875
875
875
875
875
875
875
875
875
875
875
875
875
875
875
875
875
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 460 of 6734

V261
V2621
V2622
V2629
V2631
V2632
V2633
V2634
V2635
V2639
V2641
V2642
V2649
V2651
V2652
V2681
V2682
V2689
V269
V270
V271
V272
V273
V274
V275
V276
V277
V279
V280
V281
V282
V283
V284
Artificial insemination
Fertility testing
Sterilzation rev aftcare
Investigate & test NEC
Fem genetic test dis car
Female genetic test NEC
Genetic counseling
Male genetc test dis car
Test male/fem preg loss
Male genetic test NEC
Natrl family plan counsl
Fertlity preserv counsel
Procr mgmt cnsl/adv NEC
Tubal ligation status
Vasectomy status
Assist repro fertility
Fertility preserv proc
Procreative managemt NEC
Procreative mangmt NOS
Deliver-single liveborn
Deliver-single stillborn
Deliver-twins, both live
Del-twins, 1 nb, 1 sb
Deliver-twins, both sb
Del-mult birth, all live
Del-mult brth, some live
Del-mult birth, all sb
Outcome of delivery NOS
Screening-chromosom anom
Screen-alphafetoprotein
Screen by amniocent NEC
Scr fetl malfrm-ultrasnd
Screen-fetal retardation
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
872
871
871
871
882
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
765
765
765
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 461 of 6734

V285
V286
V2881
V2882
V2889
V289
V290
V291
V292
V293
V298
V299
V3000
V3001
V301
V302
V3100
V3101
V311
V312
V3200
V3201
V321
V322
V3300
V3301
V331
V332
V3400
V3401
V341
V342
V3500
Screen-isoimmunization
Antenatal screen strep b
Scrn fetal anatmc survey
Scrn risk preterm labor
Antenatal screening NEC
Antenatal screening NOS
NB obsrv suspct infect
NB obsrv suspct neurlgcl
Obsrv NB suspc resp cond
NB obs genetc/metabl cnd
NB obsrv oth suspct cond
NB obsrv unsp suspct cnd
Single lb in-hosp w/o cs
Single lb in-hosp w cs
Singl livebrn-before adm
Single liveborn-nonhosp
Twin-mate lb-hosp w/o cs
Twin-mate lb-in hos w cs
Twin, mate lb-before adm
Twin, mate lb-nonhosp
Twin-mate sb-hosp w/o cs
Twin-mate sb-hosp w cs
Twin, mate sb-before adm
Twin, mate sb-nonhosp
Twin-NOS-in hosp w/o cs
Twin-NOS-in hosp w cs
Twin NOS-before admissn
Twin NOS-nonhosp
Oth mult lb-hosp w/o cs
Oth mult lb-in hosp w cs
Oth mult nb-before adm
Oth multiple nb-nonhosp
Oth mult sb-hosp w/o cs
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
807
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 462 of 6734

V3501
V351
V352
V3600
V3601
V361
V362
V3700
V3701
V371
V372
V3900
V3901
V391
V392
V400
V401
V402
V4031
V4039
V409
V410
V411
V412
V413
V414
V415
V416
V417
V418
V419
V420
V421
Oth mult sb-in hosp w cs

Oth mult sb-before adm
Oth multiple sb-nonhosp
Mult lb/sb-in hos w/o cs
Mult lb/sb-in hosp w cs
Mult nb/sb-before adm
Multiple nb/sb-nonhosp
Mult brth NOS-hos w/o cs
Mult birth NOS-hosp w cs
Mult brth NOS-before adm
Mult birth NOS-nonhosp
Liveborn NOS-hosp w/o cs
Liveborn NOS-hosp w cs
Liveborn NOS-before adm
Liveborn NOS-nonhosp
Problems with learning
Prob with communication
Mental problems NEC
Wandering-dis elsewhere
Oth spc behavior problem
Mental/behavior prob NOS
Problems with sight
Eye problems NEC
Problems with hearing
Ear problems NEC
Voice production problem
Smell and taste problem
Problem w swallowing
Sexual function problem
Probl w special func NEC
Probl w special func NOS
Kidney transplant status
Heart transplant status
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
827
871
871
871
871
871
871
871
871
871
871
871
871
726
593
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 463 of 6734

V422
V423
V424
V425
V426
V427
V4281
V4282
V4283
V4284
V4289
V429
V430
V431
V4321
V4322
V433
V434
V435
V4360
V4361
V4362
V4363
V4364
V4365
V4366
V4369
V437
V4381
V4382
V4383
V4389
V440
Heart valve transplant

Skin transplant status
Bone transplant status
Cornea transplant status
Lung transplant status
Liver transplant status
Trnspl status-bne marrow
Trspl sts-perip stm cell
Trnspl status-pancreas
Trnspl status-intestines
Trnspl status organ NEC
Transplant status NOS
Eye replacement NEC
Lens replacement NEC
Heart assist dev replace
Artficial heart replace
Heart valve replac NEC
Blood vessel replac NEC
Bladder replacement NEC
Joint replaced unspcf
Joint replaced shoulder
Joint replaced elbow
Joint replaced wrist
Joint replaced hip
Joint replaced knee
Joint replaced ankle
Oth spcf joint replaced
Limb replacement NEC
Larynx replacement
Breast replacement
Artific skin repl status
Organ/tiss replacmnt NEC
Tracheostomy status
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
593
675
872
553
577
640
785
785
635
872
872
872
554
553
593
593
592
592
726
874
874
874
874
874
874
874
874
872
872
872
872
872
872
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 464 of 6734

V441
V442
V443
V444
V4450
V4451
V4452
V4459
V446
V447
V448
V449
V4500
V4501
V4502
V4509
V4511
V4512
V452
V453
V454
V4551
V4552
V4559
V4561
V4569
V4571
V4572
V4573
V4574
V4575
V4576
V4577
Gastrostomy status
Ileostomy status
Colostomy status
Enterostomy status NEC
Cystostomy status NOS
Cutaneous-vesicos status
Appendico-vesicos status
Cystostomy status NEC
Urinostomy status NEC
Artificial vagina status
Artif open status NEC
Artif open status NOS
Status cardc dvce unspcf
Status cardiac pacemaker
Status autm crd dfbrltr
Status oth spcf crdc dvc
Renal dialysis status
Noncmplnt w renal dialys
Ventricular shunt status
Intestinal bypass status
Arthrodesis status
Prsc ntrutr cntrcptv dvc
Prsc sbdrml cntrcp mplnt
Prsc other cntrcptv dvc
Cataract extract status
Post-proc st eye/adn NEC
Acq absnce breast/nipple
Acquire absnce intestine
Acquired absence kidney
Acq absence urinary trct
Acq absence of stomach
Acq absence of lung
Acq absnce genital organ
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 465 of 6734

V4578
V4579
V4581
V4582
V4583
V4584
V4585
V4586
V4587
V4588
V4589
V460
V4611
V4612
V4613
V4614
V462
V463
V468
V469
V470
V471
V472
V473
V474
V475
V479
V480
V481
V482
V483
V484
V485
Acquired absence of eye

Acq absence of organ NEC
Aortocoronary bypass
Status-post ptca
Breast impl remov status
Dental restoratn status
Insulin pump status
Bariatric surgery status
Trnsplnt orgn rem status
TPA adm status 24 hr pta
Post-proc states NEC
Dependence on aspirator
Respirator depend status
Resp depend-powr failure
Weaning from respirator
Mech comp respirator
Depend-supplement oxygen
Wheelchair dependence
Machine dependence NEC
Machine dependence NOS
Intern organ deficiency
Mech prob w internal org
Cardiorespirat probl NEC
Digestive problems NEC
Urinary problems NEC
Genital problems NEC
Probl w internal org NOS
Deficiencies of head
Deficiencies neck/trunk
Mechanical prob w head
Mech prob w neck & trunk
Sensory problem w head
Sensor prob w neck/trunk
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
872
872
872
872
872
871
872
871
871
871
872
872
872
872
577
872
872
872
872
872
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 466 of 6734

V486
V487
V488
V489
V490
V491
V492
V493
V494
V495
V4960
V4961
V4962
V4963
V4964
V4965
V4966
V4967
V4970
V4971
V4972
V4973
V4974
V4975
V4976
V4977
V4981
V4982
V4983
V4984
V4985
V4986
V4987
Disfigurements of head
Disfigurement neck/trunk
Prob-head/neck/trunk NEC
Prob-head/neck/trunk NOS
Deficiencies of limbs
Mechanical prob w limbs
Motor problems w limbs
Sensory problems w limbs
Disfigurements of limbs
Limb problems NEC
Status amput up lmb NOS
Status amput thumb
Status amput oth fingers
Status amput hand
Status amput wrist
Status amput below elbow
Status amput above elbow
Status amput shoulder
Status amput lwr lmb NOS
Status amput great toe
Status amput othr toe(s)
Status amput foot
Status amput ankle
Status amput below knee
Status amput above knee
Status amput hip
Asympt postmeno status
Dental sealant status
Await organ transplnt st
Bed confinement status
Dual sensory impairment
Do not resusctate status
Physical restrain status
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
871
872
872
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 467 of 6734

V4989
V499
V500
V501
V502
V503
V5041
V5042
V5049
V508
V509
V510
V518
V520
V521
V522
V523
V524
V528
V529
V5301
V5302
V5309
V531
V532
V5331
V5332
V5339
V534
V5350
V5351
V5359
V536
Conditn influ health NEC

Probl influ health NOS
Hair transplant
Plastic surgery NEC
Routine circumcision
Ear piercing
Prphylct orgn rmvl brst
Prphylct orgn rmvl ovary
Prphylct orgn rmvl other
Elective surgery NEC
Elective surgery NOS
Brst reconst fol mastect
Aftercre plastc surg NEC
Fitting artificial arm
Fitting artificial leg
Fitting artificial eye
Fitting dental prosthes
Fit/adj breast pros/impl
Fitting prosthesis NEC
Fitting prosthesis NOS
Adj cerebral vent shunt
Adjust neuropacemaker
Adj nerv syst device NEC
Fit contact lens/glasses
Adjustment hearing aid
Ftng cardiac pacemaker
Ftng autmtc dfibrillator
Ftng oth cardiac device
Fit orthodontic device
Fit/adjust intestinl dev
Fit/adj gastric lap band
Fit/adjust gi app-device
Fitting urinary devices
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
675
675
741
871
675
752
871
871
871
871
872
872
872
872
872
872
872
872
525
525
525
872
872
592
592
592
872
624
624
624
726
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 468 of 6734

V537
V538
V5390
V5391
V5399
V5401
V5402
V5409
V5410
V5411
V5412
V5413
V5414
V5415
V5416
V5417
V5419
V5420
V5421
V5422
V5423
V5424
V5425
V5426
V5427
V5429
V5481
V5482
V5489
V549
V550
V551
V552
Fit orthopedic devices

Adjustment of wheelchair
Fit/adjust device NOS
Fit/adjust insulin pump
Fit/adjust device NEC
Removal int fixation dev
Length/adjust growth rod
Aftrcre int fixation dev
Aftrcre traum fx arm NOS
Aftrcare traum fx up arm
Aftrcre traum fx low arm
Aftrcre traumatic fx hip
Aftrcre traum fx leg NOS
Aftrcare traum fx up leg
Aftrcre traum fx low leg
Aftrcre traum fx vertebr
Aftrce traum fx bone NEC
Aftrcare path fx arm NOS
Aftercare path fx up arm
Aftrcare path fx low arm
Aftercare path fx hip
Aftrcare path fx leg NOS
Aftrcare path fx up leg
Aftrcare path fx low leg
Aftrcare path fx vertebr
Aftrcre path fx bone NEC
Aftercare joint replace
Aftcr explantatn jt pros
Orthopedic aftercare NEC
Orthopedic aftercare NOS
Atten to tracheostomy
Atten to gastrostomy
Atten to ileostomy
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
872
872
872
872
872
661
661
661
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
577
624
624
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 469 of 6734

V553
V554
V555
V556
V557
V558
V559
V560
V561
V562
V5631
V5632
V568
V570
V571
V5721
V5722
V573
V574
V5781
V5789
V579
V580
V5811
V5812
V582
V5830
V5831
V5832
V5841
V5842
V5843
V5844
Atten to colostomy
Atten to enterostomy NEC
Atten to cystostomy
Atten to urinostomy NEC
Atten artificial vagina
Attn to artif open NEC
Attn to artif open NOS
Renal dialysis encounter
Ft/adj xtrcorp dial cath
Fit/adj perit dial cath
Hemodialysis testing
Peritoneal dialysis test
Dialysis encounter, NEC
Breathing exercises
Physical therapy NEC
Encntr occupatnal thrpy
Encntr vocational thrpy
Speech-language therapy
Orthoptic training
Orthotic training
Rehabilitation proc NEC
Rehabilitation proc NOS
Radiotherapy encounter
Antineoplastic chemo enc
Immunotherapy encounter
Blood transfusion, no dx
Attn rem nonsurg dressng
Attn rem surg dressing
Attn removal of sutures
Encntr plnd po wnd clsr
Aftercare neoplasm surg
Aftrcare inj/trauma surg
Aftercare organ transplt
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
624
624
726
726
752
872
872
726
726
726
726
726
726
872
870
870
870
870
872
872
870
870
802
803
803
871
871
871
871
872
872
872
872
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 470 of 6734

V5849
V585
V5861
V5862
V5863
V5864
V5865
V5866
V5867
V5868
V5869
V5871
V5872
V5873
V5874
V5875
V5876
V5877
V5878
V5881
V5882
V5883
V5889
V589
V5901
V5902
V5909
V591
V592
V593
V594
V595
V596
Postop oth specfd aftrcr

Orthodontics aftercare
Long-term use anticoagul
Long-term use antibiotic
Lng use antiplte/thrmbtc
Long-term anti-inflamtry
Long-term use steroids
Long-term use of aspirin
Long-term use of insulin
Lng term bisphosphonates
Long-term use meds NEC
Aft surg sense org NEC
Aftcre surg nerv sys NEC
Aft surg circ syst NEC
Aftrcre surg respsys NEC
Aft oral cav/dig sys NEC
Aftrcre surg GU syst NEC
Aft surg skin/subcu NEC
Aftrcre surg MS syst NEC
Fit/adj vascular cathetr
Fit/adj non-vsc cath NEC
Therapeutic drug monitor
Other specfied aftercare
Aftercare NOS
Blood donor-whole blood
Blood donor-stem cells
Blood donor NEC
Skin donor
Bone donor
Bone marrow donor
Kidney donor
Cornea donor
Liver donor
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
872
872
871
871
871
871
871
871
871
871
871
872
872
872
872
872
872
872
872
872
872
872
873
872
871
871
871
675
872
871
726
871
640
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 471 of 6734

V5970
V5971
V5972
V5973
V5974
V598
V599
V600
V601
V602
V603
V604
V605
V606
V6081
V6089
V609
V6101
V6102
V6103
V6104
V6105
V6106
V6107
V6108
V6109
V6110
V6111
V6112
V6120
V6121
V6122
V6123
Egg donor NEC

Egg donor age <35 anon
Egg donor age <35 desig
Egg donor age 35+ anon
Egg donor age 35+ desig
Org or tissue donor NEC
Org or tissue donor NOS
Lack of housing
Inadequate housing
Economic problem
Person living alone
No family able to care
Holiday relief care
Person in resident inst
Foster care (status)
Housing/econo circum NEC
Housing/econo circum NOS
Fmily dsrpt-fam military
Fmily dsrpt-ret military
Fmily dsrpt- divorce/sep
Family dsrpt-estrangmemt
Famly dsrpt-chld custody
Family dsrpt-foster care
Family dsrpt-death membr
Fmly dsrp-fam absnce NEC
Family disruption NEC
Consl partner prob
Cnsl victm partner abuse
Cnsl perp partner abuse
Cnsl prnt-chld prob NOS
Cnsl victim child abuse
Cnsl perp parent chld ab
Cnsl prnt-biol chld prob
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
853
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 472 of 6734

V6124
V6125
V6129
V613
V6141
V6142
V6149
V615
V616
V617
V618
V619
V620
V621
V6221
V6222
V6229
V623
V624
V625
V626
V6281
V6282
V6283
V6284
V6285
V6289
V629
V630
V631
V632
V638
V639
Cnsl prnt-adpt chld prob

Cnsl prnt-fstr chld prob
Oth parent-child problem
Problem w aged parent
Alcoholism in family
Substance abuse-family
Family health probl NEC
Multiparity
Illegitimate pregnancy
Unwanted pregnancy NEC
Family circumstances NEC
Family circumstance NOS
Unemployment
Adverse eff-work environ
Hx military deployment
Hx retrn military deploy
Occupationl circumst NEC
Educational circumstance
Social maladjustment
Legal circumstances
Refusal of treatment
Interpersonal probl NEC
Bereavement, uncomplicat
Cnsl perp phys/sex abuse
Suicidal ideation
Homicidal ideation
Psychological stress NEC
Psychosocial circum NOS
Home remote from hospitl
No medical serv in home
Wait adm to oth facility
No med facilities NEC
No med facilities NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
752
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
826
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 473 of 6734

V6400
V6401
V6402
V6403
V6404
V6405
V6406
V6407
V6408
V6409
V641
V642
V643
V6441
V6442
V6443
V650
V6511
V6519
V652
V653
V6540
V6541
V6542
V6543
V6544
V6545
V6546
V6549
V655
V658
V659
V660
No vaccination NOS
No vaccin-acute illness
No vaccin-chronc illness
No vaccin-immune comp
No vaccin-allergy to vac
No vaccin-caregiv refuse
No vaccination-pt refuse
No vaccination-religion
No vaccin-prev disease
No vaccination NEC
No proc/contraindication
No proc/patient decision
No proc for reasons NEC
Lap surg convert to open
Thoracoscop conv to open
Arthroscopc conv to open
Healthy person w sick
Ped pre-brth vst-parent
Person consult for anoth
Person feigning illness
Dietary surveil/counsel
Counseling NOS
Exercise counseling
Counslng sbstn use abuse
Counseling injry prevent
Hiv counseling
Consln ot sex trnsmt dis
Insulin pump training
Other specfd counseling
Persn w feared complaint
Reason for consult NEC
Reason for consult NOS
Surgical convalescence
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
872
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 474 of 6734

V661
V662
V663
V664
V665
V666
V667
V669
V6700
V6701
V6709
V671
V672
V673
V674
V6751
V6759
V676
V679
V6801
V6809
V681
V682
V6881
V6889
V689
V690
V691
V692
V693
V694
V695
V698
Radiotherapy convalescen
Chemotherapy convalescen
Mental dis convalescence
Fracture treatmnt conval
Convalescence NEC
Comb treatment convales
Encountr palliative care
Convalescence NOS
Follow-up surgery NOS
Follow-up vag pap smear
Follow-up surgery NEC
Radiotherapy follow-up
Chemotherapy follow-up
Psychiatric follow-up
FU exam treatd healed fx
High-risk rx NEC exam
Follow-up exam NEC
Comb treatment follow-up
Follow-up exam NOS
Disability examination
Issue of med certif NEC
Issue repeat prescript
Request expert evidence
Referral-no exam/treat
Administrtve encount NEC
Administrtve encount NOS
Lack of physical exercse
Inapprt diet eat habits
High-risk sexual behavr
Gambling and betting
Lack of adequate sleep
Behav insomnia-childhood
Oth prblms rltd lfstyle
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
872
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 475 of 6734

V699
V700
V700
V701
V702
V703
V704
V705
V705
V706
V707
V708
V709
V7101
V7102
V7109
V711
V712
V713
V714
V715
V716
V717
V7181
V7182
V7183
V7189
V719
V720
V7211
V7212
V7219
V722
Prblm rltd lfstyle NOS

Routine medical exam
Routine medical exam
Psych exam-authority req
Gen psychiatric exam NEC
Med exam NEC-admin purp
Exam-medicolegal reasons
Health exam-group survey
Health exam-group survey
Health exam-pop survey
Exam-clincal trial
General medical exam NEC
General medical exam NOS
Obsv-adult antisoc behav
Obsv-adolesc antisoc beh
Observ-mental cond NEC
Obsv-suspct mal neoplasm
Observ-suspect TB
Observ-work accident
Observ-accident NEC
Observ following rape
Observ-inflicted inj NEC
Obs-susp cardiovasc dis
Observe-abuse & neglect
Obs/eval sus exp anthrax
Obs/eval exp biol NEC
Observ-suspect cond NEC
Observ-suspect cond NOS
Eye & vision examination
Hearing exam-fail screen
Hearing conservatn/trtmt
Exam ears & hearing NEC
Dental examination
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
876
877
871
871
871
871
876
877
871
871
871
871
831
831
831
871
576
853
853
871
853
592
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 476 of 6734

V7231
V7232
V7240
V7241
V7242
V725
V7260
V7261
V7262
V7263
V7269
V727
V7281
V7282
V7283
V7284
V7285
V7286
V729
V730
V731
V732
V733
V734
V735
V736
V7381
V7388
V7389
V7398
V7399
V740
V741
Routine gyn examination

Pap smear confirmation
Pregnancy test unconfirm
Pregnancy test negative
Pregnancy test-positive
Radiological exam NEC
Laboratory exam NOS
Antibody response exam
Routine physicl lab exam
Pre-procedure lab exam
Laboratory exam NEC
Skin/sensitization tests
Preop cardiovsclr exam
Preop respiratory exam
Oth spcf preop exam
Preop exam unspcf
Oth specified exam
Blood typing encounter
Examination NOS
Screening-poliomyelitis
Screening for smallpox
Screening for measles
Screening for rubella
Screening-yellow fever
Screening-arbovirus dis
Screening for trachoma
Special screen exam HPV
Scrn oth spcf chlmyd dis
Scrn oth spcf viral dis
Scrn unspcf chlmyd dis
Scrn unspcf viral dis
Screening for cholera
Screening-pulmonary TB
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
878
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 477 of 6734

V742
V743
V744
V745
V746
V748
V749
V750
V751
V752
V753
V754
V755
V756
V757
V758
V759
V760
V7610
V7611
V7612
V7619
V762
V763
V7641
V7642
V7643
V7644
V7645
V7646
V7647
V7649
V7650
Screening for leprosy

Screening for diphtheria
Screen-bact conjunctivit
Screen for veneral dis
Screening for yaws
Screen-bacterial dis NEC
Screen-bacterial dis NOS
Screen-rickettsial dis
Screening for malaria
Screen for leishmaniasis
Screen-trypanosomiasis
Screen-mycotic infect
Screen-schistosomiasis
Screen for filariasis
Screen for helminthiasis
Screen-parasitic dis NEC
Screen for infec dis NOS
Screen mal neop-resp org
Scrn mal neo breast NOS
Screen mammogram hi risk
Screen mammogram NEC
Scrn mal neo breast NEC
Screen mal neop-cervix
Screen mal neop-bladder
Screen mal neop-rectum
Screen mal neop-oral cav
Screen mal neop-skin
Scrn malig neop-prostate
Screen malig neop-testis
Screen malig neop-ovary
Screen malig neop-vagina
Screen mal neop oth site
Scrn malig neo-intes NOS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
879
871
871
871
871
871
871
871
871
871
871
871
871
871
871
879
871
871
871
879
871
871
871
871
879
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
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V7651
V7652
V7681
V7689
V769
V770
V771
V772
V773
V774
V775
V776
V777
V778
V7791
V7799
V780
V781
V782
V783
V788
V789
V790
V791
V792
V793
V798
V799
V8001
V8009
V801
V802
V803
Screen malig neop-colon

Scrn mal neo-small intes
Screen neop-nervous syst
Screen neoplasm NEC
Screen-neoplasm NOS
Screen-thyroid disorder
Screen-diabetes mellitus
Screen for malnutrition
Screen-phenylketonuria
Screen for galactosemia
Screening for gout
Screen-cystic fibrosis
Screen-inborn err metab
Screening for obesity
Screen lipoid disorders
Screen-endoc/nut/met NEC
Screen-iron defic anemia
Screen-defic anemia NEC
Screen-sickle cell dis
Scrn-hemoglobinopath NEC
Screen-blood dis NEC
Screen-blood dis NOS
Screening for depression
Screening for alcoholism
Scrn intellect disabilty
Screen-development prob
Screen-mental dis NEC
Screen-mental dis NOS
Screen-traumtc brain inj
Screen-neuro condition
Screening for glaucoma
Screening-eye cond NEC
Screening for ear dis
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
879
871
871
871
871
871
871
871
871
871
871
871
871
871
879
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
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V810
V811
V812
V813
V814
V815
V816
V820
V821
V822
V823
V824
V825
V826
V8271
V8279
V8281
V8289
V829
V8301
V8302
V8381
V8389
V8401
V8402
V8403
V8404
V8409
V8481
V8489
V850
V851
V8521
Scrn-ischemic heart dis

Screen for hypertension
Screen-cardiovasc NEC
Screen-bronch/emphysema
Screen-respir cond NEC
Screen for nephropathy
Screen for gu cond NEC
Screen for skin cond
Screen-rheumatoid arthr
Screen-rheumat dis NEC
Screen-cong hip dislocat
Mat pstntl scr-chrm anom
Screen-contamination NEC
Multiphasic screening
Screen-gentc dis carrier
Genetic screening NEC
Screen - osteoporosis
Screen for condition NEC
Screen for condition NOS
Asympt hemoph a carrier
Sympt hemophil a carrier
Cystic fibrosis gene car
Genetic carrier stat NEC
Genetc sus mal neo brest
Genetc sus mal neo ovary
Genetc sus mal neo prost
Genetc susc mal neo endo
Genetic susc mal neo NEC
Genetc sus mult endo neo
Genetic suscept dis NEC
BMI less than 19,adult
BMI between 19-24,adult
BMI 25.0-25.9,adult
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
879
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 480 of 6734

V8522
V8523
V8524
V8525
V8530
V8531
V8532
V8533
V8534
V8535
V8536
V8537
V8538
V8539
V8541
V8542
V8543
V8544
V8545
V8551
V8552
V8553
V8554
V860
V861
V8701
V8702
V8709
V8711
V8712
V8719
V872
V8731
BMI 26.0-26.9,adult
BMI 27.0-27.9,adult
BMI 28.0-28.9,adult
BMI 29.0-29.9,adult
BMI 30.0-30.9,adult
BMI 31.0-31.9,adult
BMI 32.0-32.9,adult
BMI 33.0-33.9,adult
BMI 34.0-34.9,adult
BMI 35.0-35.9,adult
BMI 36.0-36.9,adult
BMI 37.0-37.9,adult
BMI 38.0-38.9,adult
BMI 39.0-39.9,adult
BMI 40.0-44.9, adult
BMI 70 and over, adult
BMI,pediatric <5%
BMI,pediatric 5% - <85%
BMI,pediatric 85% - <95%
BMI,pediatric >= 95%
Estrogen recep pstv stat
Estrogen recep neg stat
Contact/exposure arsenic
Cont/susp expose uranium
Cntct/exp hazrd metl NEC
Cntct/exp aromatc amines
Contact/exposure benzene
Cont/exp haz aromat NEC
Cont/exp hazard chem NEC
Contact/exposure mold
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
690
690
690
690
690
695
695
695
695
695
695
695
695
695
695
871
871
871
695
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 481 of 6734

V8732
V8739
V8741
V8742
V8743
V8744
V8745
V8746
V8749
V8801
V8802
V8803
V8811
V8812
V8821
V8822
V8829
V8901
V8902
V8903
V8904
V8905
V8909
V9001
V9009
V9010
V9011
V9012
V902
V9031
V9032
V9033
V9039
Contact/exp algae bloom

Cont/exp hazard sub NEC
Hx antineoplastic chemo
Hx monoclonal drug thrpy
Hx estrogen therapy
Hx inhaled steroid thrpy
Hx systemc steroid thrpy
Hx immunosuppres thrpy
Hx drug therapy NEC
Acq absnce cervix/uterus
Acq ab ut remn cerv stmp
Acq absnc cerv/remain ut
Acq total absnc pancreas
Acq part absnce pancreas
Acq absence of hip joint
Acq absence knee joint
Acq absence of oth joint
Sus amntc cav/mem nt fnd
Sus placentl prob nt fnd
Sus fetal anomaly nt fnd
Sus fetal growth not fnd
Sus cervcl shortn nt fnd
Oth sus mat/ftl nt fnd
Retain deplete uran frag
Retain radioac frag NEC
Retained metal frag NOS
Retain magnet metal frag
Retain nonmag meta frag
Retain plastic fragments
Retained quills/spines
Retained tooth
Retained wood fragments
Retain organic frag NEC
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
871
871
871
871
871
871
871
871
872
872
660
660
660
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
871
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 482 of 6734

V9081
V9083
V9089
V909
V9100
V9101
V9102
V9103
V9109
V9110
V9111
V9112
V9119
V9120
V9121
V9122
V9129
V9190
V9191
V9192
V9199
Retained glass fragments

Retain stone/crystl frag
Retain FB NEC
Retain FB, mat NOS
Twin gest-plac/sac NOS
Twin gest-monochr/monoam
Twin gest-monochr/diamni
Twin gest-dich/diamniotc
Twin gest-plac/sac undet
Tripl gest-plac/sac NOS
Triplet gest 2+ monochor
Triplet gest 2+ monoamn
Tripl gest-plac/sac und
Quad gest-plac/sac NOS
Quad gest 2+ monochorion
Quad gest 2+ monoamniotc
Quad gest-plac/sac undet
Mult gest-plac/sac NOS
Mult gest 2+ monochr NEC
Mult gest 2+ monoamn NEC
Mult gest-plac/sac undet
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
871
871
871
871
766
766
766
766
766
766
766
766
766
766
766
766
766
766
766
766
766
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Page 483 of 6734

t (the logic, formulas, and algorithms for

et of codes contained or reflected in
ature arising under the laws of any
ble, non-exclusive permission to use the
any third party, (ii) reverse-engineer or

OUR USE OF THE EAPG MATERIALS IS ON
CLUDING WARRANTIES OF
ATERIALS WILL BE ERROR-FREE.
EAPG Category
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77
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75
75
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75
75
75
76
70
70
70
70
70
70
70
70
70
70
70
70
70
70
75
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75
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75
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75
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75
75
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75
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66
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71
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75
63
56
Page 906 of 6734

56
60
75
53
55
58
68
68
58
75
75
75
53
53
56
56
56
56
63
75
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75
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52
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52
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56
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57
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57
63
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63
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75
69
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Page 926 of 6734
HCPCS codes with EAPG Assignment (version 3.11)


CPT codes, descriptions, and materials only 2015 American Medical Association. All
classification or subset of patient classifications or selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to the EAPG Materials, and the own
or nature arising under the laws of any country in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its suppliers. 3M grants you the limited, no
internal purposes. Any other use requires 3M's prior written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the EAPG Materials to any third party, (ii) reversein part, in any other work for use or distribution outside of your organization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND ITS SUPPLIERS, TO THE FULLEST EXT
INCLUDING WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PURPOSE. 3M DOES NOT WARRANT THAT THE EAPG M
HCPCS
0001F
0001M
0002M
0003M
0004M
0005F
0006M
0007M
0008M
0009M
00100
00102
00103
00104
0010M
00120
00124
00126
Description
Heart failure composite
Infectious dis hcv 6 assays
Liver dis 10 assays w/ash
Liver dis 10 assays w/nash
Scoliosis dna alys
Osteoarthritis composite
Onc hep gene risk classifier
Onc gastro 51 gene nomogram
Onc breast risk score
Fetal aneuploidy trisom risk
Anesth salivary gland
Anesth repair of cleft lip
Anesth blepharoplasty
Anesth electroshock
Onc prostate prob score
Anesth ear surgery
Anesth ear exam
Anesth tympanotomy
EAPG
490
403
403
403
385
490
385
385
385
385
380
380
380
380
385
380
380
380
EAPG Description
INCIDENTAL TO MEDICAL VISIT OR SIGNIFICA
LEVEL I MOLECULAR PATHOLOGY AND GENETIC
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
CPT codes, descriptions, and materials only 2015 American Medical Association. All Rights Reserved.
Page 927 of 6734

0012F
00140
00142
00144
00145
00147
00148
0014F
0015F
00160
00162
00164
00170
00172
00174
00176
00190
00192
0019T
00210
00211
00212
00214
00215
00216
00218
00220
00222
00300
00320
00322
00326
00350
Cap bacterial assess

Anesth procedures on eye
Anesth lens surgery
Anesth corneal transplant
Anesth vitreoretinal surg
Anesth iridectomy
Anesth eye exam
Comp preop assess cat surg
Melan follow-up complete
Anesth nose/sinus surgery
Anesth nose/sinus surgery
Anesth biopsy of nose
Anesth procedure on mouth
Anesth cleft palate repair
Anesth pharyngeal surgery
Anesth pharyngeal surgery
Anesth face/skull bone surg
Anesth facial bone surgery
Extracorp shock wv tx ms nos
Anesth cranial surg nos
Anesth cran surg hemotoma
Anesth skull drainage
Anesth skull drainage
Anesth skull repair/fract
Anesth head vessel surgery
Anesth special head surgery
Anesth intrcrn nerve
Anesth head nerve surgery
Anesth head/neck/ptrunk
Anesth neck organ 1yr/>
Anesth biopsy of thyroid
Anesth larynx/trach < 1 yr
Anesth neck vessel surgery
490
380
380
380
380
380
380
490
490
380
380
380
380
380
380
380
380
380
30
380
380
380
380
380
380
380
380
380
380
380
380
380
380

ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LEVEL I MUSCULOSKELETAL PROCEDURES EX
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 928 of 6734

00352
00400
00402
00404
00406
00410
0042T
00450
00454
00470
00472
00474
00500
0051T
00520
00522
00524
00528
00529
0052T
00530
00532
00534
00537
00539
0053T
00540
00541
00542
00546
00548
0054T
00550
Anesth neck vessel surgery

Anesth skin ext/per/atrunk
Anesth surgery of breast
Anesth correct heart rhythm
Ct perfusion w/contrast cbf
Anesth surgery of shoulder
Anesth collar bone biopsy
Anesth removal of rib
Anesth chest wall repair
Anesth surgery of rib
Anesth esophageal surgery
Implant total heart system
Anesth chest procedure
Anesth chest lining biopsy
Anesth chest drainage
Anes mediascpy & dx thorscpy
Anes medscpy&thorscpy 1 lung
Replace thrc unit hrt syst
Anesth pacemaker insertion
Anesth vascular access
Anesth cardioverter/defib
Anesth cardiac electrophys
Anesth trach-bronch reconst
Replace implantable hrt syst
Anesth chest surgery
Anesth one lung ventilation
Anesthesia removal pleura
Anesth lung chest wall surg
Anesth trachea bronchi surg
Bone srgry cmptr fluor image
Anesth sternal debridement
380
380
380
380
380
380
299
380
380
380
380
380
380
993
380
380
380
380
380
993
380
380
380
380
380
993
380
380
380
380
380
490
380
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
CAT SCAN - BRAIN
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 929 of 6734

0055T
00560
00561
00562
00563
00566
00567
00580
0058T
00600
00604
00620
00625
00626
00630
00632
00635
00640
00670
00700
00702
0071T
0072T
00730
00740
00750
00752
00754
00756
0075T
0076T
00770
00790
Bone srgry cmptr ct/mri imag

Anesth heart surg w/o pump
Anesth heart surg <1 yr
Anesth hrt surg w/pmp age 1+
Anesth heart surg w/arrest
Anesth cabg w/o pump
Anesth cabg w/pump
Anesth heart/lung transplnt
Cryopreservation ovary tiss
Anesth spine cord surgery
Anesth sitting procedure
Anes spine tranthor w/o vent
Anes spine transthor w/vent
Anesth removal of nerves
Anesth lumbar puncture
Anesth spine manipulation
Anesth abdominal wall surg
Anesth for liver biopsy
Us leiomyomata ablate <200
Us leiomyomata ablate >200
Anesth upper gi visualize
Anesth repair of hernia
Perq stent/chest vert art
S&i stent/chest vert art
Anesth blood vessel repair
Anesth surg upper abdomen
490
380
380
380
380
380
380
380
390
380
380
380
380
380
380
380
380
380
380
380
380
197
197
380
380
380
380
380
380
993
993
380
380

ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LEVEL I PATHOLOGY
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LEVEL II FEMALE REPRODUCTIVE PROCEDURE
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 930 of 6734

00792
00794
00796
00797
00800
00802
00810
00820
00830
00832
00834
00836
00840
00842
00844
00846
00848
00851
0085T
00860
00862
00864
00865
00866
00868
00870
00872
00873
00880
00882
00902
00904
00906
Anesth hemorr/excise liver

Anesth pancreas removal
Anesth for liver transplant
Anesth surgery for obesity
Anesth fat layer removal
Anesth low intestine scope
Anesth hernia repair < 1 yr
Anesth hernia repair preemie
Anesth surg lower abdomen
Anesth amniocentesis
Anesth pelvis surgery
Anesth hysterectomy
Anesth pelvic organ surg
Anesth tubal ligation
Breath test heart reject
Anesth surgery of abdomen
Anesth kidney/ureter surg
Anesth removal of bladder
Anesth removal of prostate
Anesth removal of adrenal
Anesth kidney transplant
Anesth bladder stone surg
Anesth kidney stone destruct
Anesth kidney stone destruct
Anesth abdomen vessel surg
Anesth major vein ligation
Anesth anorectal surgery
Anesth perineal surgery
Anesth removal of vulva
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
425
380
380
380
380
380
380
380
380
380
380
380
380
380
380
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LEVEL I OTHER MISCELLANEOUS ANCILLARY
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 931 of 6734

00908
00910
00912
00914
00916
00918
00920
00921
00922
00924
00926
00928
00930
00932
00934
00936
00938
00940
00942
00944
00948
00950
00952
0095T
0098T
0100T
0101T
0102T
0106T
0107T
0108T
0109T
0110T

Anesth bladder surgery
Anesth bladder tumor surg
Anesth bleeding control
Anesth stone removal
Anesth genitalia surgery
Anesth vasectomy
Anesth sperm duct surgery
Anesth testis exploration
Anesth removal of testis
Anesth removal of testis
Anesth testis suspension
Anesth amputation of penis
Anesth penis nodes removal
Anesth penis nodes removal
Anesth insert penis device
Anesth vaginal procedures
Anesth surg on vag/urethral
Anesth vaginal hysterectomy
Anesth repair of cervix
Anesth vaginal endoscopy
Anesth hysteroscope/graph
Rmvl artific disc addl crvcl
Rev artific disc addl
Prosth retina receive&gen
Extracorp shockwv tx hi enrg
Extracorp shockwv tx anesth
Touch quant sensory test
Vibrate quant sensory test
Cool quant sensory test
Heat quant sensory test
Nos quant sensory test
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
993
993
238
31
31
425
425
489
425
425
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LEVEL II POSTERIOR SEGMENT EYE PROCEDUR
LEVEL II MUSCULOSKELETAL PROCEDURES EX
LEVEL II OTHER MISCELLANEOUS ANCILLARY
Page 932 of 6734

01112
0111T
01120
01130
01140
01150
01160
01170
01173
01180
01190
01200
01202
01210
01212
01214
01215
01220
01230
01232
01234
01250
01260
0126T
01270
01272
01274
01320
01340
01360
01380
01382
01390
Anesth bone aspirate/bx

Rbc membranes fatty acids
Anesth body cast procedure
Anesth amputation at pelvis
Anesth pelvic tumor surgery
Anesth pelvis procedure
Anesth fx repair pelvis
Anesth pelvis nerve removal
Anesth pelvis nerve removal
Anesth hip joint procedure
Anesth arthroscopy of hip
Anesth hip joint surgery
Anesth hip disarticulation
Anesth hip arthroplasty
Anesth revise hip repair
Anesth procedure on femur
Anesth surgery of femur
Anesth amputation of femur
Anesth radical femur surg
Anesth upper leg surgery
Anesth upper leg veins surg
Chd risk imt study
Anesth thigh arteries surg
Anesth femoral artery surg
Anesth femoral embolectomy
Anesth knee area surgery
Anesth knee area procedure
Anesth knee joint procedure
Anesth dx knee arthroscopy
Anesth knee area procedure
380
399
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
425
380
380
380
380
380
380
380
380
380
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 933 of 6734

01392
01400
01402
01404
01420
01430
01432
01440
01442
01444
01462
01464
01470
01472
01474
01480
01482
01484
01486
01490
01500
01502
01520
01522
0159T
01610
01620
01622
01630
01634
01636
01638
0163T

Anesth knee joint surgery
Anesth knee arthroplasty
Anesth amputation at knee
Anesth knee joint casting
Anesth knee veins surgery
Anesth knee vessel surg
Anesth knee arteries surg
Anesth knee artery surg
Anesth knee artery repair
Anesth lower leg procedure
Anesth ankle/ft arthroscopy
Anesth lower leg surgery
Anesth achilles tendon surg
Anesth lower leg surgery
Anesth lower leg bone surg
Anesth radical leg surgery
Anesth lower leg revision
Anesth ankle replacement
Anesth lower leg casting
Anesth leg arteries surg
Anesth lwr leg embolectomy
Anesth lower leg vein surg
Anesth lower leg vein surg
Cad breast mri
Anesth shoulder procedure
Anes dx shoulder arthroscopy
Anesth shoulder joint amput
Anesth forequarter amput
Anesth shoulder replacement
Lumb artif diskectomy addl
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
490
380
380
380
380
380
380
380
993
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 934 of 6734

0164T
01650
01652
01654
01656
0165T
01670
01680
01682
0169T
01710
01712
01714
01716
0171T
0172T
01730
01732
01740
01742
01744
0174T
01756
01758
0175T
01760
01770
01772
01780
01782
0178T
0179T
0180T
Remove lumb artif disc addl

Anesth shoulder artery surg
Anesth shoulder vessel surg
Anesth shoulder vessel surg
Anesth arm-leg vessel surg
Revise lumb artif disc addl
Anesth shoulder vein surg
Anesth shoulder casting
Anesth airplane cast
Place stereo cath brain
Anesth elbow area surgery
Anesth uppr arm tendon surg
Anesth uppr arm tendon surg
Anesth biceps tendon repair
Lumbar spine proces distract
Lumbar spine process addl
Anesth uppr arm procedure
Anesth dx elbow arthroscopy
Anesth upper arm surgery
Anesth humerus surgery
Anesth humerus repair
Cad cxr with interp
Anesth radical humerus surg
Anesth humeral lesion surg
Cad cxr remote
Anesth elbow replacement
Anesth uppr arm artery surg
Anesth uppr arm embolectomy
Anesth upper arm vein surg
Anesth uppr arm vein repair
64 lead ecg w/i&r
64 lead ecg w/tracing
64 lead ecg w/i&r only
993
380
380
380
380
993
380
380
380
993
380
380
380
380
223
223
380
380
380
380
380
490
380
380
490
380
380
380
380
380
490
413
490

ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
INCIDENTAL TO MEDICAL VISIT
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
CARDIOGRAM
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
Page 935 of 6734

01810
01820
01829
01830
01832
01840
01842
01844
0184T
01850
01852
01860
0188T
0189T
0190T
01916
0191T
01920
01922
01924
01925
01926
01930
01931
01932
01933
01935
01936
01951
01952
01953
01958
0195T
Anesth lower arm surgery

Anesth lower arm procedure
Anesth dx wrist arthroscopy
Anesth lower arm surgery
Anesth wrist replacement
Anesth lwr arm artery surg
Anesth lwr arm embolectomy
Anesth vascular shunt surg
Exc rectal tumor endoscopic
Anesth lower arm vein surg
Anesth lwr arm vein repair
Anesth lower arm casting
Videoconf crit care 74 min
Videoconf crit care addl 30
Place intraoc radiation src
Anesth dx arteriography
Insert ant segment drain int
Anesth catheterize heart
Anesth cat or mri scan
Anes ther interven rad artrl
Anes ther interven rad card
Anes tx interv rad hrt/cran
Anes ther interven rad vein
Anes ther interven rad tips
Anes tx interv rad th vein
Anes tx interv rad cran vein
Anesth perc img dx sp proc
Anesth perc img tx sp proc
Anesth burn less 4 percent
Anesth burn 4-9 percent
Anesth burn each 9 percent
Anesth antepartum manipul
Prescrl fuse w/o instr l5/s1
380
380
380
380
380
380
380
380
142
380
380
380
491
491
482
380
234
380
380
380
380
380
380
380
380
380
380
380
380
380
380
380
221
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LEVEL I ANTERIOR SEGMENT EYE PROCEDURE
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
LAMINOTOMY AND LAMINECTOMY
Page 936 of 6734

01960
01961
01962
01963
01965
01966
01967
01968
01969
0196T
0198T
01990
01991
01992
01996
01999
0200T
0201T
0202T
0205T
0206T
0207T
0208T
0209T
0210T
0211T
0212T
0213T
0214T
0215T
0216T
0217T
0218T
Anesth vaginal delivery

Anesth cs delivery
Anesth emer hysterectomy
Anesth cs hysterectomy
Anesth inc/missed ab proc
Anesth induced ab procedure
Anesth/analg vag delivery
Anes/analg cs deliver add-on
Anesth/analg cs hyst add-on
Prescrl fuse w/o instr l4/l5
Ocular blood flow measure
Support for organ donor
Anesth nerve block/inj
Anesth n block/inj prone
Hosp manage cont drug admin
Unlisted anesth procedure
Perq sacral augmt unilat inj
Perq sacral augmt bilat inj
Post vert arthrplst 1 lumbar
Inirs each vessel add-on
Cptr dbs alys car elec dta
Clear eyelid gland w/heat
Audiometry air only
Audiometry air & bone
Speech audiometry threshold
Speech audiom thresh & recog
Compre audiometry evaluation
Njx paravert w/us cer/thor
Njx paravert w/us lumb/sac
380
380
380
380
380
380
380
380
380
221
230
993
380
380
999
380
220
220
221
490
490
490
257
257
257
257
425
220
220
220
220
220
220
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
MINOR OPHTHALMOLOGICAL TESTS AND PRO
ANESTHESIA
ANESTHESIA
UNASSIGNED
ANESTHESIA
LEVEL II NERVOUS SYSTEM INJECTIONS, STIMU
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
Page 937 of 6734

0219T
0220T
0221T
0222T
0228T
0229T
0230T
0231T
0232T
0234T
0235T
0236T
0237T
0238T
0249T
0253T
0254T
0255T
0263T
0264T
0265T
0266T
0267T
0268T
0269T
0270T
0271T
0272T
0273T
0274T
0275T
0278T
0281T
Plmt post facet implt cerv

Plmt post facet implt thor
Plmt post facet implt lumb
Plmt post facet implt addl
Njx tfrml eprl w/us cer/thor
Njx tfrml eprl w/us cer/thor
Njx tfrml eprl w/us lumb/sac
Njx tfrml eprl w/us lumb/sac
Njx platelet plasma
Trluml perip athrc renal art
Trluml perip athrc visceral
Trluml perip athrc abd aorta
Trluml perip athrc brchiocph
Trluml perip athrc iliac art
Ligation hemorrhoid w/us
Insert aqueous drain device
Evasc rpr iliac art bifur
Evasc rpr iliac art bifr s&i
Im b1 mrw cel ther cmpl
Im b1 mrw cel ther xcl hrvst
Im b1 mrw cel ther hrvst onl
Implt/rpl crtd sns dev total
Implt/rpl crtd sns dev lead
Implt/rpl crtd sns dev gen
Rev/remvl crtd sns dev total
Rev/remvl crtd sns dev lead
Rev/remvl crtd sns dev gen
Interrogate crtd sns dev
Interrogate crtd sns w/pgrmg
Perq lamot/lam crv/thrc
Perq lamot/lam lumbar
Tempr
Laa closure w/implant
993
993
218
218
220
220
220
220
113
85
85
85
85
85
141
234
91
91
114
114
114
223
217
223
223
217
218
420
420
221
221
425
993

LEVEL I BLOOD AND BLOOD PRODUCT EXCHA
PERIPHERAL TRANSCATHETER AND REVASCUL
LEVEL II BLOOD AND BLOOD PRODUCT EXCHA
PACEMAKER AND OTHER ELECTRONIC ANALYSI
Page 938 of 6734

0282T
0283T
0284T
0285T
0286T
0287T
0288T
0289T
0290T
0291T
0292T
0293T
0294T
0295T
0296T
0297T
0298T
0299T
0300T
0301T
0302T
0303T
0304T
0305T
0306T
0307T
0308T
0309T
0310T
0312T
0313T
0314T
0315T
Periph field stimul trial

Periph field stimul perm
Periph field stimul revise
Periph field stimul analys
Near ifr spectrsc of wounds
Near ifr guide of vasc site
Anoscopy w/rf delivery
Laser inc for pkp/lkp donor
Laser inc for pkp/lkp recip
Iv oct for proc init vessel
Iv oct for proc addl vessel
Ins lt atrl press monitor
Ins lt atrl mont pres lead
Ext ecg complete
Ext ecg recording
Ext ecg scan w/report
Ext ecg review and interp
Esw wound healing init wound
Esw wound healing addl wound
Mw therapy for breast tumor
Icar ischm mntrng sys compl
Icar ischm mntrng sys eltrd
Icar ischm mntrng sys device
Icar ischm mntrng prgrm eval
Icar ischm mntr interr eval
Rmvl icar ischm mntrng dvce
Insj ocular telescope prosth
Prescrl fuse w/ instr l4/l5
Motor function mapping ntms
Laps impltj nstim vagus
Laps rmvl nstim array vagus
Laps rmvl vgl arry&pls gen
Rmvl vagus nerve pls gen
218
224
215
213
490
490
141
490
490
490
490
993
97
420
488
488
420
12
12
20
86
87
86
488
488
87
234
221
213
223
223
221
215

LEVEL I REVISION OR REMOVAL OF NEUROLOG
AICD IMPLANT
MINOR DEVICE EVALUATION & ELECTRONIC AN
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
REMOVAL AND REVISION OF PACEMAKER AND
Page 939 of 6734

0316T
0317T
0329T
0330T
0331T
0332T
0333T
0335T
0336T
0337T
0338T
0339T
0340T
0341T
0342T
0345T
0346T
0347T
0348T
0349T
0350T
0351T
0352T
0353T
0354T
0355T
0356T
0357T
0358T
0359T
0360T
0361T
0362T
Replc vagus nerve pls gen

Elec alys vagus nrv pls gen
Mntr io press 24hrs/> uni/bi
Tear film img uni/bi w/i&r
Heart symp image plnr
Heart symp image plnr spect
Visual ep acuity screen auto
Extraosseous joint stblztion
Lap ablat uterine fibroids
Endothel fxnassmnt non-invas
Trnscth renal symp denrv unl
Trnscth renal symp denrv bil
Ablate pulm tumors + extnsn
Quant pupillometry w/ rprt
Thxp apheresis w/hdl delip
Transcath mtral vlve repair
Ultrasound elastography
Ins bone device for rsa
Rsa spine exam
Rsa upper extr exam
Rsa lower extr exam
Intraop oct brst/node spec
Oct brst/node i&r per spec
Intraop oct breast cavity
Oct breast surg cavity i&r
Gi tract capsule endoscopy
Insrt drug device for iop
Cryopreservation oocyte(s)
Bia whole body
Behavioral id assessment
Observ behav assessment
Observ behav assess addl
Expose behav assessment
216
488
230
230
330
330
490
425
147
288
85
85
88
425
113
993
288
425
471
471
471
490
490
490
490
136
230
390
425
490
490
490
490
LEVEL II REVISION OR REMOVAL OF NEUROLOG

DIAGNOSTIC ULTRASOUND EXCEPT OBSTETRIC
LEVEL I CARDIOTHORACIC PROCEDURES W OR
PLAIN FILM
PLAIN FILM
PLAIN FILM
DIAGNOSTIC LOWER GASTROINTESTINAL END
LEVEL I PATHOLOGY
Page 940 of 6734

0363T
0364T
0365T
0366T
0367T
0368T
0369T
0370T
0371T
0372T
0373T
0374T
0375T
0376T
0377T
0378T
0379T
0380T
0381T
0382T
0383T
0384T
0385T
0386T
0387T
0388T
0389T
0390T
0391T
0392T
0393T
0394T
0395T
Expose behav assess addl

Adaptive behavior treatment
Adaptive behavior tx addl
Group behavior treatment
Group behav treatment addl
Behavior treatment modified
Behav treatment modify addl
Fam behav treatment guidance
Mult fam behav treat guide
Social skills training group
Exposure behavior treatment
Expose behav treatment addl
Total disc arthrp ant appr
Insert ant segment drain int
Anoscpy inj agent for incont
Visual field assmnt rev/rprt
Vis field assmnt tech suppt
Comp animat ret imag series
Ext h rate epi sz 14 days
Ext h rate sz 14 day ri only
Ext h rate sz up to 30 days
Ex h rate sz 30 day ri only
Ex h rate for sz ovr 30 day
Ex h rate sz 30+ day ri only
Leadless c pm ins/rpl ventr
Leadless c pm remove ventr
Prog eval inper leadls pm
Periproc eval inper ledls pm
Intergt eval inper leadls pm
Lap es sph augment dev place
Es sph augmnt device removal
Hdr elctrnc skn surf brchytx
Hdr elctr ntrst/ntrcv brchtx
490
490
490
490
490
490
490
490
490
490
490
490
993
234
141
419
419
419
420
420
420
420
420
420
86
87
487
490
487
147
146
342
342

MINOR OPHTHALMOLOGICAL INJECTION, SCRA
Page 941 of 6734

0396T
0397T
0398T
0399T
0400T
0401T
0402T
0403T
0404T
0405T
0406T
0407T
0408T
0409T
0410T
0411T
0412T
0413T
0414T
0415T
0416T
0417T
0418T
0419T
0420T
0421T
0422T
0423T
0424T
0425T
0426T
0427T
0428T
Intraop kinetic balnce sensr

Ercp w/optical endomicroscpy
Mrgfus strtctc les abltj
Myocardial strain imaging
Mltispectrl digital les alys
Mltispectrl digital les alys
Collagen crosslinking cornea
Diabetes prev standard curr
Trnscrv uterin fibroid abltj
Ovrsght xtrcorp liv asst pat
Sin ndsc plmt drg elut mplnt
Sin ndsc plmt drg elut mplnt
Insj/rplc cardiac modulj sys
Insj/rplc cardiac modulj pls gn
Insj/rplc car modulj atr elt
Insj/rplc car modulj vnt elt
Rmvl cardiac modulj pls gen
Rmvl car modulj tranvns elt
Rmvl & rpl car modulj pls gn
Repos car modulj tranvns elt
Reloc skin pocket pls gen
Prgrmg eval cardiac modulj
Interro eval cardiac modulj
Dstrj neurofibromata xtnsv
Dstrj neurofibromata xtnsv
Waterjet prostate abltj cmpl
Tactile breast img uni/bi
Assay secretory type ii pla2`
Insj/rplc nstim apnea compl
Insj/rplc nstim apnea sen ld
Insj/rplc nstim apnea stm ld
Insj/rplc nstim apnea pls gn
Rmvl nstim apnea pls gen
490
138
217
81
391
391
240
429
197
490
62
62
86
86
87
87
87
88
87
88
14
488
488
6
6
184
286
401
218
217
217
218
215

ERCP AND MISCELLANEOUS GI ENDOSCOPY P
ECHOCARDIOGRAPHY
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
LEVEL I REPAIR AND PLASTIC PROCEDURES OF
LEVEL I SKIN DEBRIDEMENT AND DESTRUCTIO
MAMMOGRAPHY & OTHER RELATED PROCEDU
Page 942 of 6734

0429T
0430T
0431T
0432T
0433T
0434T
0435T
0436T
0500F
0501F
0502F
0503F
0505F
0507F
0509F
0513F
0514F
0516F
0517F
0518F
0519F
0520F
0521F
0525F
0526F
0528F
0529F
0535F
0540F
0545F
0550F
0551F
0555F
Rmvl nstim apnea sen ld

Rmvl nstim apnea stimj ld
Rmvl/rplc nstim apnea pls gn
Repos nstim apnea stimj ld
Repos nstim apnea sensing ld
Interro eval npgs sleep apnea
Prgrmg eval npgs apnea 1 ses
Prgrmg eval npgs apnea study
Initial prenatal care visit
Prenatal flow sheet
Subsequent prenatal care
Postpartum care visit
Hemodialysis plan docd
Periton dialysis plan docd
Urine incon plan docd
Elev bp plan of care docd
Care plan hgb docd esa pt
Anemia plan of care docd
Glaucoma plan of care docd
Fall plan of care docd
Pland chemo docd b/4 txmnt
Rad dos limts b/4 3d rad
Plan of care 4 pain docd
Initial visit for episode
Subs visit for episode
Rcmnd flw-up 10 yrs docd
Intrvl 3/>yr pts clnscp docd
Dyspnea mngmnt plan docd
Gluco mngmnt plan docd
Follow up care plan mdd docd
Cytopath report nongyn spcmn
Cytopath report non routine
Symptom mgmnt plan care docd
215
215
216
216
216
488
488
488
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490

Page 943 of 6734

0556F
0557F
0575F
0580F
0581F
0582F
0583F
0584F
1000F
10021
10022
1002F
10030
10035
10036
1003F
10040
1004F
1005F
10060
10061
1006F
1007F
10080
10081
1008F
1010F
1011F
10120
10121
1012F
10140
1015F
Plan care lipid control docd

Plan caremng angnl symptdocd
Hiv rna plan care docd
Multidisciplinary care plan
Pt trnsfrd from anesth to cc
No trnsfr from anesth to cc
Transfer care checklist used
No transfercare chklist used
Tobacco use assessed
Fna w/o image
Fna w/image
Assess anginal symptom/level
Guide cathet fluid drainage
Perq dev soft tiss 1st imag
Perq dev soft tiss add imag
Level of activity assess
Acne surgery
Clin symp vol ovrld assess
Asthma symptoms evaluate
Drainage of skin abscess
Drainage of skin abscess
Osteoarthritis assess
Anti-inflm/anlgsc otc assess
Drainage of pilonidal cyst
Drainage of pilonidal cyst
Gi/renal risk assess
Severity angina by actvty
Angina present
Remove foreign body
Remove foreign body
Angina absent
Drainage of hematoma/fluid
Copd symptoms assess
490
490
490
490
490
490
490
490
490
2
2
490
3
3
3
490
3
490
490
3
3
490
490
3
4
490
490
490
3
9
490
3
490

LEVEL I EXCISION AND BIOPSY OF SKIN AND S
Page 944 of 6734

10160
10180
1018F
1019F
1022F
1026F
1030F
1031F
1032F
1033F
1034F
1035F
1036F
1038F
1039F
1040F
1050F
1052F
1055F
1060F
1061F
1065F
1066F
1070F
1071F
1090F
1091F
11000
11001
11004
11005
11006
11008
Puncture drainage of lesion

Complex drainage wound
Assess dyspnea not present
Assess dyspnea present
Pneumo imm status assess
Co-morbid condition assess
Influenza imm status assess
Smoking & 2nd hand assessed
Smoker/exposed 2nd hnd smoke
Tobacco nonsmoker nor 2ndhnd
Current tobacco smoker
Smokeless tobacco user
Tobacco non-user
Persistent asthma
Intermittent asthma
Dsm-5 info mdd docd
History of mole changes
Type location activityassess
Visual funct status assess
Doc perm/cont/parox atr fib
Doc lack perm+cont+parox fib
Ischm stroke symp lt3 hrsb/4
Ischm stroke symp ge3 hrsb/4
Alarm symp assessed-absent
Alarm symp assessed-1+ prsnt
Pres/absn urine incon assess
Urine incon characterized
Debride infected skin
Debride infected skin add-on
Debride genitalia & perineum
Debride abdom wall
Debride genit/per/abdom wall
Remove mesh from abd wall
3
4
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
6
6
8
8
8
9

LEVEL III SKIN DEBRIDEMENT AND DESTRUCTI
Page 945 of 6734

1100F
11010
11011
11012
1101F
11042
11043
11044
11045
11046
11047
11055
11056
11057
11100
11101
1110F
1111F
1116F
1118F
1119F
11200
11201
1121F
1123F
1124F
1125F
1126F
1127F
1128F
11300
11301
11302
Ptfalls assess-docd ge2>/yr

Debride skin at fx site
Debride skin musc at fx site
Deb skin bone at fx site
Pt falls assess-docd le1/yr
Deb subq tissue 20 sq cm/<
Deb musc/fascia 20 sq cm/<
Deb bone 20 sq cm/<
Deb subq tissue add-on
Deb musc/fascia add-on
Deb bone add-on
Trim skin lesion
Trim skin lesions 2 to 4
Trim skin lesions over 4
Biopsy skin lesion
Biopsy skin add-on
Pt lft inpt fac w/in 60 days
Dschrg med/current med merge
Auric/peri pain assessed
Gerd symps assessed 12 month
Init eval for condition
Removal of skin tags <w/15
Remove skin tags add-on
Subs eval for condition
Acp discuss/dscn mkr docd
Acp discuss-no dscnmkr docd
Amnt pain noted pain prsnt
Amnt pain noted none prsnt
New episode for condition
Subs episode for condition
Shave skin lesion 0.5 cm/<
Shave skin lesion 0.6-1.0 cm
490
10
11
10
490
6
7
8
6
7
30
6
6
6
9
9
490
490
490
490
490
6
6
490
490
490
490
490
490
490
6
6
6

LEVEL II EXCISION AND BIOPSY OF SKIN AND S
LEVEL III EXCISION AND BIOPSY OF SKIN AND
LEVEL II SKIN DEBRIDEMENT AND DESTRUCTI
Page 946 of 6734

11303
11305
11306
11307
11308
1130F
11310
11311
11312
11313
1134F
1135F
1136F
1137F
11400
11401
11402
11403
11404
11406
11420
11421
11422
11423
11424
11426
11440
11441
11442
11443
11444
11446
11450
Shave skin lesion >2.0 cm

Bk pain & fxn assessed
Epsd bk pain for 6 wks/<
Epsd bk pain for >6 wks
Epsd bk pain for 12 wks/<
Epsd bk pain for >12 wks
Exc tr-ext b9+marg 0.5 cm<
Exc tr-ext b9+marg 0.6-1 cm
Exc tr-ext b9+marg 2.1-3cm/<
Exc tr-ext b9+marg >4.0 cm
Exc h-f-nk-sp b9+marg 0.5/<
Exc h-f-nk-sp b9+marg 0.6-1
Exc h-f-nk-sp b9+marg >4 cm
Exc face-mm b9+marg 0.5 cm/<
Exc face-mm b9+marg 0.6-1 cm
Exc face-mm b9+marg >4 cm
Removal sweat gland lesion
6
6
6
6
6
490
6
6
6
6
490
490
490
490
9
9
9
9
9
10
9
9
9
9
10
10
9
9
9
10
10
10
10

Page 947 of 6734

11451
11462
11463
11470
11471
1150F
1151F
1152F
1153F
1157F
1158F
1159F
11600
11601
11602
11603
11604
11606
1160F
11620
11621
11622
11623
11624
11626
11640
11641
11642
11643
11644
11646
1170F
11719

Doc pt rsk death w/in 1yr
Doc no pt rsk death w/in 1yr
Doc advncd dis comfort 1st
Doc advncd dis cmfrt not 1st
Advnc care plan in rcrd
Advnc care plan tlk docd
Med list docd in rcrd
Exc tr-ext mal+marg 0.5 cm/<
Exc tr-ext mal+marg 0.6-1 cm
Exc tr-ext mal+marg >4 cm
Rvw meds by rx/dr in rcrd
Exc h-f-nk-sp mal+marg 0.5/<
Exc s/n/h/f/g mal+mrg 0.6-1
Exc s/n/h/f/g mal+mrg >4 cm
Exc f/e/e/n/l mal+mrg 0.5cm<
Exc f/e/e/n/l mal+mrg 0.6-1
Exc f/e/e/n/l mal+mrg >4 cm
Fxnl status assessed
Trim nail(s) any number
10
10
10
10
10
490
490
490
490
490
490
490
9
9
9
9
9
10
490
9
9
9
9
9
10
9
9
9
10
10
10
490
5

NAIL PROCEDURES
Page 948 of 6734

11720
11721
11730
11732
11740
11750
11752
11755
1175F
11760
11762
11765
11770
11771
11772
1180F
1181F
1182F
1183F
11900
11901
11920
11921
11922
11950
11951
11952
11954
11960
11970
11971
11976
11980
Debride nail 1-5

Debride nail 6 or more
Removal of nail plate
Remove nail plate add-on
Drain blood from under nail
Removal of nail bed
Remove nail bed/tip
Biopsy nail unit
Function stat assessed rvwd
Repair of nail bed
Reconstruction of nail bed
Excision of nail fold toe
Remove pilonidal cyst simple
Remove pilonidal cyst exten
Remove pilonidal cyst compl
Thromboemb risk assessed
Neuropsychia sympts assessed
Neuropsychi sympt 1+present
Neuropsychiatric symp absent
Inject skin lesions </w 7
Inject skin lesions >7
Correct skin color 6.0 cm/<
Correct skn color 6.1-20.0cm
Correct skin color ea 20.0cm
Tx contour defects 1 cc/<
Tx contour defects 1.1-5.0cc
Tx contour defects 5.1-10cc
Tx contour defects >10.0 cc
Insert tissue expander(s)
Replace tissue expander
Remove tissue expander(s)
Remove contraceptive capsule
Implant hormone pellet(s)
5
5
12
12
5
9
10
9
490
12
14
6
10
10
10
490
490
490
490
6
6
13
13
13
12
12
12
12
15
15
10
9
12
NAIL PROCEDURES
NAIL PROCEDURES
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
NAIL PROCEDURES
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
Page 949 of 6734

11981
11982
11983
12001
12002
12004
12005
12006
12007
1200F
12011
12013
12014
12015
12016
12017
12018
12020
12021
12031
12032
12034
12035
12036
12037
12041
12042
12044
12045
12046
12047
12051
12052
Insert drug implant device

Remove drug implant device
Remove/insert drug implant
Rpr s/n/ax/gen/trnk 2.5cm/<
Rpr s/n/ax/gen/trnk2.6-7.5cm
Rpr s/n/ax/gen/trk7.6-12.5cm
Rpr s/n/a/gen/trk12.6-20.0cm
Rpr s/n/a/gen/trk20.1-30.0cm
Rpr s/n/ax/gen/trnk >30.0 cm
Seizure type& frequ docd
Rpr f/e/e/n/l/m 2.5 cm/<
Rpr f/e/e/n/l/m 2.6-5.0 cm
Rpr fe/e/en/l/m 12.6-20.0 cm
Rpr fe/e/en/l/m 20.1-30.0 cm
Rpr f/e/e/n/l/m >30.0 cm
Closure of split wound
Closure of split wound
Intmd rpr s/a/t/ext 2.5 cm/<
Intmd rpr s/a/t/ext 2.6-7.5
Intmd rpr s/tr/ext 7.6-12.5
Intmd rpr s/a/t/ext 12.6-20
Intmd rpr s/a/t/ext 20.1-30
Intmd rpr s/tr/ext >30.0 cm
Intmd rpr n-hf/genit 2.5cm/<
Intmd rpr n-hf/genit2.6-7.5
Intmd rpr n-hf/genit7.6-12.5
Intmd rpr n-hf/genit12.6-20
Intmd rpr n-hf/genit20.1-30
Intmd rpr n-hf/genit >30.0cm
Intmd rpr face/mm 2.5 cm/<
Intmd rpr face/mm 2.6-5.0 cm
4
3
14
12
12
12
12
13
14
490
12
12
12
12
12
13
14
13
12
12
12
13
13
13
14
12
12
12
13
13
14
12
12

LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
Page 950 of 6734

12053
12054
12055
12056
12057
1205F
1220F
13100
13101
13102
13120
13121
13122
13131
13132
13133
13151
13152
13153
13160
14000
14001
1400F
14020
14021
14040
14041
14060
14061
14301
14302
14350
1450F
Intmd rpr face/mm 5.1-7.5 cm

Intmd rpr face/mm 7.6-12.5cm
Intmd rpr face/mm 12.6-20 cm
Intmd rpr face/mm 20.1-30.0
Intmd rpr face/mm >30.0 cm
Epi etiol synd rvwd and docd
Pt screened for depression
Cmplx rpr trunk 1.1-2.5 cm
Cmplx rpr trunk 2.6-7.5 cm
Cmplx rpr trunk addl 5cm/<
Cmplx rpr s/a/l 1.1-2.5 cm
Cmplx rpr s/a/l 2.6-7.5 cm
Cmplx rpr s/a/l addl 5 cm/>
Cmplx rpr f/c/c/m/n/ax/g/h/f
Cmplx rpr e/n/e/l 1.1-2.5 cm
Cmplx rpr e/n/e/l 2.6-7.5 cm
Cmplx rpr e/n/e/l addl 5cm/<
Late closure of wound
Tis trnfr trunk 10 sq cm/<
Tis trnfr trunk 10.1-30sqcm
Prkns diag rviewed
Tis trnfr s/a/l 10 sq cm/<
Tis trnfr s/a/l 10.1-30 sqcm
Tis trnfr f/c/c/m/n/a/g/h/f
Tis trnfr f/c/c/m/n/a/g/h/f
Tis trnfr e/n/e/l 10 sq cm/<
Tis trnfr e/n/e/l10.1-30sqcm
Tis trnfr any 30.1-60 sq cm
Tis trnfr addl 30 sq cm/<
Filleted finger/toe flap
Symptoms improved/consist
12
12
13
13
14
490
490
13
13
13
12
12
12
12
12
13
13
14
14
14
14
15
490
14
15
15
15
15
15
15
15
15
490
LEVEL I SKIN REPAIR

LEVEL I SKIN REPAIR
INCIDENTAL TO MEDICAL
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
VISIT OR SIGNIFICA
VISIT OR SIGNIFICA
VISIT OR SIGNIFICA
VISIT OR SIGNIFICA
Page 951 of 6734

1451F
1460F
1461F
1490F
1491F
1493F
1494F
15002
15003
15004
15005
1500F
1501F
1502F
1503F
15040
1504F
15050
1505F
15100
15101
15110
15111
15115
15116
15120
15121
15130
15131
15135
15136
15150
15151
Sympt show clin import drop

Qual card diag prior 12 mons
No qual card diag prior12mon
Dem severity classified mild
Dem severity classified mod
Dem severity class severe
Cognit assessed and reviewed
Wound prep trk/arm/leg
Wound prep addl 100 cm
Wound prep f/n/hf/g
Wnd prep f/n/hf/g addl cm
Symptom+sign symm polyneuro
Not initial eval for cond
Pt queried pain fxn w/ instr
Pt queried symp resp insuff
Harvest cultured skin graft
Pt has resp insufficiency
Skin pinch graft
Pt has no resp insufficiency
Skin splt grft trnk/arm/leg
Skin splt grft t/a/l add-on
Epidrm autogrft trnk/arm/leg
Epidrm autogrft t/a/l add-on
Epidrm a-grft face/nck/hf/g
Epidrm a-grft f/n/hf/g addl
Skn splt a-grft fac/nck/hf/g
Skn splt a-grft f/n/hf/g add
Derm autograft trnk/arm/leg
Derm autograft t/a/l add-on
Derm autograft face/nck/hf/g
Derm autograft f/n/hf/g add
Cult skin grft t/arm/leg
Cult skin grft t/a/l addl
490
490
490
490
490
490
490
10
10
10
10
490
490
490
490
14
490
12
490
15
15
15
15
14
14
15
15
14
14
15
15
15
15
INCIDENTAL TO MEDICAL VISIT OR

LEVEL II EXCISION AND BIOPSY OF
LEVEL I SKIN REPAIR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SKIN AND S
SKIN AND S
SKIN AND S
SKIN AND S
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 952 of 6734

15152
15155
15156
15157
15200
15201
15220
15221
15240
15241
15260
15261
15271
15272
15273
15274
15275
15276
15277
15278
15570
15572
15574
15576
15600
15610
15620
15630
15650
15731
15732
15734
15736
Cult skin graft t/a/l +%

Cult skin graft f/n/hf/g
Cult skin grft f/n/hfg add
Cult epiderm grft f/n/hfg +%
Skin full graft trunk
Skin full graft trunk add-on
Skin full graft sclp/arm/leg
Skin full graft add-on
Skin full grft face/genit/hf
Skin full graft een & lips
Skin sub graft trnk/arm/leg
Skin sub graft t/a/l add-on
Skin sub grft t/arm/lg child
Skn sub grft t/a/l child add
Skin sub graft face/nk/hf/g
Skin sub graft f/n/hf/g addl
Skn sub grft f/n/hf/g child
Skn sub grft f/n/hf/g ch add
Skin pedicle flap trunk
Skin pedicle flap arms/legs
Pedcle fh/ch/ch/m/n/ax/g/h/f
Pedicle e/n/e/l/ntroral
Delay flap trunk
Delay flap arms/legs
Delay flap f/c/c/n/ax/g/h/f
Delay flap eye/nos/ear/lip
Transfer skin pedicle flap
Forehead flap w/vasc pedicle
Muscle-skin graft head/neck
Muscle-skin graft trunk
Muscle-skin graft arm
15
15
15
15
14
14
14
14
14
14
15
15
14
14
14
14
14
14
14
14
14
15
15
15
15
14
14
14
14
15
15
15
15
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
Page 953 of 6734

15738
15740
15750
15756
15757
15758
15760
15770
15775
15776
15777
15780
15781
15782
15783
15786
15787
15788
15789
15792
15793
15819
15820
15821
15822
15823
15824
15825
15826
15828
15829
15830
15832
Muscle-skin graft leg

Island pedicle flap graft
Neurovascular pedicle flap
Free myo/skin flap microvasc
Free skin flap microvasc
Free fascial flap microvasc
Composite skin graft
Derma-fat-fascia graft
Hair trnspl 1-15 punch grfts
Hair trnspl >15 punch grafts
Acellular derm matrix implt
Dermabrasion total face
Dermabrasion segmental face
Dermabrasion other than face
Dermabrasion suprfl any site
Abrasion lesion single
Abrasion lesions add-on
Chemical peel face epiderm
Chemical peel face dermal
Chemical peel nonfacial
Chemical peel nonfacial
Plastic surgery neck
Revision of lower eyelid
Revision of lower eyelid
Revision of upper eyelid
Revision of upper eyelid
Removal of forehead wrinkles
Removal of neck wrinkles
Removal of brow wrinkles
Removal of face wrinkles
Removal of skin wrinkles
Exc skin abd
Excise excessive skin thigh
15
15
15
15
15
15
15
15
12
12
490
8
7
7
6
6
6
6
6
6
6
14
14
14
14
14
14
14
14
14
14
11
11

LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
Page 954 of 6734

15833
15834
15835
15836
15837
15838
15839
15840
15841
15842
15845
15847
15850
15851
15852
15860
15876
15877
15878
15879
15920
15922
15931
15933
15934
15935
15936
15937
15940
15941
15944
15945
15946
Excise excessive skin leg

Excise excessive skin hip
Excise excessive skin buttck
Excise excessive skin arm
Excise excess skin arm/hand
Excise excess skin fat pad
Excise excess skin & tissue
Nerve palsy fascial graft
Nerve palsy muscle graft
Nerve palsy microsurg graft
Skin and muscle repair face
Exc skin abd add-on
Remove sutures same surgeon
Remove sutures diff surgeon
Dressing change not for burn
Test for blood flow in graft
Suction lipectomy head&neck
Suction lipectomy trunk
Suction lipectomy upr extrem
Suction lipectomy lwr extrem
Removal of tail bone ulcer
Removal of tail bone ulcer
Remove sacrum pressure sore
Remove hip pressure sore
11
11
11
11
11
10
11
15
15
15
15
11
10
10
10
489
15
15
14
14
11
15
11
11
15
15
15
15
11
11
15
15
15
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
III EXCISION AND BIOPSY OF SKIN AND

II EXCISION AND BIOPSY OF SKIN AND S
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
II OTHER MISCELLANEOUS ANCILLARY
IV SKIN REPAIR
IV SKIN REPAIR
III SKIN REPAIR
III SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
IV SKIN REPAIR
Page 955 of 6734

15950
15951
15952
15953
15956
15958
15999
16000
16020
16025
16030
16035
16036
17000
17003
17004
17106
17107
17108
17110
17111
17250
17260
17261
17262
17263
17264
17266
17270
17271
17272
17273
17274
Remove thigh pressure sore

Removal of pressure sore
Initial treatment of burn(s)
Dress/debrid p-thick burn s
Dress/debrid p-thick burn m
Dress/debrid p-thick burn l
Incision of burn scab initi
Escharotomy addl incision
Destruct premalg lesion
Destruct premalg les 2-14
Destroy premal lesions 15/>
Destruction of skin lesions
Destruct b9 lesion 1-14
Destruct lesion 15 or more
Chemical cautery tissue
11
11
15
15
15
15
10
491
424
424
424
11
11
6
6
6
8
7
7
6
6
6
6
6
6
6
6
6
6
6
6
6
6

Page 956 of 6734

17276
17280
17281
17282
17283
17284
17286
17311
17312
17313
17314
17315
17340
17360
17380
17999
19000
19001
19020
19030
19081
19082
19083
19084
19085
19086
19100
19101
19105
19110
19112
19120
19125

Mohs 1 stage h/n/hf/g
Mohs addl stage
Mohs 1 stage t/a/l
Mohs addl stage t/a/l
Mohs surg addl block
Cryotherapy of skin
Skin peel therapy
Hair removal by electrolysis
Skin tissue procedure
Drainage of breast lesion
Drain breast lesion add-on
Incision of breast lesion
Injection for breast x-ray
Bx breast 1st lesion strtctc
Bx breast add lesion strtctc
Bx breast 1st lesion us imag
Bx breast add lesion us imag
Bx breast 1st lesion mr imag
Bx breast add lesion mr imag
Bx breast percut w/o image
Biopsy of breast open
Cryosurg ablate fa each
Nipple exploration
Excise breast duct fistula
Removal of breast lesion
Excision breast lesion
6
6
6
6
6
6
6
10
10
10
10
10
6
6
6
6
2
2
4
490
20
20
20
20
20
20
61
20
20
20
20
20
20

NEEDLE AND CATHETER BIOPSY, ASPIRATION,
Page 957 of 6734

19126
19260
19271
19272
19281
19282
19283
19284
19285
19286
19287
19288
19296
19297
19298
19300
19301
19302
19303
19304
19305
19306
19307
19316
19318
19324
19325
19328
19330
19340
19342
19350
19355
Excision addl breast lesion

Removal of chest wall lesion
Revision of chest wall
Extensive chest wall surgery
Perq device breast 1st imag
Perq device breast ea imag
Perq dev breast 1st strtctc
Perq dev breast add strtctc
Perq dev breast 1st us imag
Perq dev breast add us imag
Perq dev breast 1st mr guide
Perq dev breast add mr guide
Place po breast cath for rad
Place breast cath for rad
Place breast rad tube/caths
Removal of breast tissue
Partial mastectomy
P-mastectomy w/ln removal
Mast simple complete
Mast subq
Mast radical
Mast rad urban type
Mast mod rad
Suspension of breast
Reduction of large breast
Enlarge breast
Enlarge breast with implant
Removal of breast implant
Removal of implant material
Immediate breast prosthesis
Delayed breast prosthesis
Breast reconstruction
Correct inverted nipple(s)
20
88
89
89
489
489
489
489
489
489
489
489
21
21
21
21
21
21
21
21
993
993
22
21
22
20
21
21
21
21
21
21
21

LEVEL II CARDIOTHORACIC PROCEDURES W O
Page 958 of 6734

19357
19361
19364
19366
19367
19368
19369
19370
19371
19380
19396
19499
20005
2000F
2001F
2002F
2004F
20100
20101
20102
20103
2010F
2014F
20150
2015F
2016F
2018F
2019F
20200
20205
20206
2020F
2021F
Breast reconstr w/lat flap
Surgery of breast capsule
Removal of breast capsule
Revise breast reconstruction
Design custom breast implant
Breast surgery procedure
I&d abscess subfascial
Blood pressure measure
Weight record
Clin sign vol ovrld assess
Initial exam involved joints
Explore wound neck
Explore wound chest
Explore wound abdomen
Explore wound extremity
Vital signs recorded
Mental status assess
Excise epiphyseal bar
Asthma impairment assessed
Asthma risk assessed
Hydration status assess
Dilated macul exam done
Muscle biopsy
Deep muscle biopsy
Needle biopsy muscle
Dilated fundus eval done
Dilat macular exam done
22
993
22
22
21
993
21
21
21
21
20
20
4
490
490
490
490
14
14
14
13
490
490
15
490
490
490
490
2
2
2
490
490

Page 959 of 6734

20220
20225
2022F
20240
20245
2024F
20250
20251
2026F
2027F
2028F
2029F
2030F
2031F
2035F
2040F
2044F
20500
20501
2050F
20520
20525
20526
20527
20550
20551
20552
20553
20555
20600
20604
20605
20606
Bone biopsy trocar/needle

Bone biopsy trocar/needle
Dil retina exam interp rev
Bone biopsy excisional
Bone biopsy excisional
7 field photo interp doc rev
Open bone biopsy
Open bone biopsy
Eye image valid to dx rev
Optic nerve head eval done
Foot exam performed
Complete phys skin exam done
H2o stat docd normal
H2o stat docd dehydrated
Tymp memb motion examd
Bk pn xm on init visit date
Doc mntl tst b/4 bk trxmnt
Injection of sinus tract
Inject sinus tract for x-ray
Wound char size etc docd
Removal of foreign body
Ther injection carp tunnel
Inj dupuytren cord w/enzyme
Inj tendon sheath/ligament
Inj tendon origin/insertion
Inj trigger point 1/2 muscl
Inject trigger points 3/>
Place ndl musc/tis for rt
Drain/inj joint/bursa w/o us
Drain/inj joint/bursa w/us
9
9
490
10
11
490
30
30
490
490
490
490
490
490
490
490
490
252
285
490
9
9
49
33
49
49
49
49
31
49
49
49
49

MISCELLANEOUS RADIOLOGICAL PROCEDURES
ARTHROCENTESIS AND LIGAMENT OR TENDON
LEVEL I HAND PROCEDURES
Page 960 of 6734

2060F
20610
20611
20612
20615
20650
20660
20661
20662
20663
20664
20665
20670
20680
20690
20692
20693
20694
20696
20697
20802
20805
20808
20816
20822
20824
20827
20838
20900
20902
20910
20912
20920
Pt talk eval hlthwkr re mdd

Aspirate/inj ganglion cyst
Treatment of bone cyst
Insert and remove bone pin
Apply rem fixation device
Application of head brace
Application of pelvis brace
Application of thigh brace
Application of halo
Removal of fixation device
Removal of support implant
Removal of support implant
Apply bone fixation device
Apply bone fixation device
Adjust bone fixation device
Remove bone fixation device
Comp multiplane ext fixation
Comp ext fixate strut change
Replantation arm complete
Replant forearm complete
Replantation hand complete
Replantation digit complete
Replantation digit complete
Replantation thumb complete
Replantation thumb complete
Replantation foot complete
Removal of bone for graft
Removal of bone for graft
Remove cartilage for graft
Remove cartilage for graft
Removal of fascia for graft
490
49
49
30
30
30
30
993
30
30
31
489
10
10
31
31
30
30
31
31
993
993
993
993
34
993
34
993
31
32
13
13
14

LEVEL III MUSCULOSKELETAL PROCEDURES E
Page 961 of 6734

20922
20924
20926
20930
20931
20936
20937
20938
20950
20955
20956
20957
20962
20969
20970
20972
20973
20974
20975
20979
20982
20983
20985
20999
21010
21011
21012
21013
21014
21015
21016
21025
21026
Removal of fascia for graft

Removal of tendon for graft
Removal of tissue for graft
Sp bone algrft morsel add-on
Sp bone algrft struct add-on
Sp bone agrft local add-on
Sp bone agrft morsel add-on
Sp bone agrft struct add-on
Fluid pressure muscle
Fibula bone graft microvasc
Iliac bone graft microvasc
Mt bone graft microvasc
Other bone graft microvasc
Bone/skin graft microvasc
Bone/skin graft iliac crest
Bone/skin graft metatarsal
Bone/skin graft great toe
Electrical bone stimulation
Electrical bone stimulation
Us bone stimulation
Ablate bone tumor(s) perq
Ablate bone tumor(s) perq
Cptr-asst dir ms px
Musculoskeletal surgery
Incision of jaw joint
Exc face les sc <2 cm
Exc face les sbq 2 cm/>
Exc face tum deep < 2 cm
Exc face tum deep 2 cm/>
Resect face/scalp tum < 2 cm
Resect face/scalp tum 2 cm/>
Excision of bone lower jaw
Excision of facial bone(s)
14
31
14
490
221
490
490
490
3
993
993
36
993
993
993
36
36
271
490
271
31
31
490
30
255
252
252
252
252
254
253
255
254

PHYSICAL THERAPY
PHYSICAL THERAPY
Page 962 of 6734

21029
21030
21031
21032
21034
21040
21044
21045
21046
21047
21048
21049
21050
21060
21070
21073
21076
21077
21079
21080
21081
21082
21083
21084
21085
21086
21087
21088
21089
21100
21110
21116
21120
Contour of face bone lesion

Excise max/zygoma b9 tumor
Remove exostosis mandible
Remove exostosis maxilla
Excise max/zygoma mal tumor
Excise mandible lesion
Removal of jaw bone lesion
Extensive jaw surgery
Remove mandible cyst complex
Excise lwr jaw cyst w/repair
Remove maxilla cyst complex
Excis uppr jaw cyst w/repair
Removal of jaw joint
Remove jaw joint cartilage
Remove coronoid process
Mnpj of tmj w/anesth
Prepare face/oral prosthesis
Maxillofacial fixation
Interdental fixation
Injection jaw joint x-ray
Reconstruction of chin
255
252
253
254
255
253
253
255
255
255
255
255
255
255
254
253
255
255
255
255
255
255
255
255
254
254
254
254
252
254
255
490
254

Page 963 of 6734

21121
21122
21123
21125
21127
21137
21138
21139
21141
21142
21143
21145
21146
21147
21150
21151
21154
21155
21159
21160
21172
21175
21179
21180
21181
21182
21183
21184
21188
21193
21194
21195
21196
Augmentation lower jaw bone
Augmentation lower jaw bone
Reduction of forehead
Lefort i-1 piece w/o graft
Lefort i-2 piece w/o graft
Lefort i-3/> piece w/o graft
Lefort i-1 piece w/ graft
Lefort i-2 piece w/ graft
Lefort i-3/> piece w/ graft
Lefort ii anterior intrusion
Lefort ii w/bone grafts
Lefort iii w/o lefort i
Lefort iii w/ lefort i
Lefort iii w/fhdw/o lefort i
Lefort iii w/fhd w/ lefort i
Reconstruct orbit/forehead
Reconstruct orbit/forehead
Reconstruct entire forehead
Reconstruct entire forehead
Contour cranial bone lesion
Reconstruct cranial bone
Reconstruction of midface
Reconst lwr jaw w/o graft
Reconst lwr jaw w/graft
Reconst lwr jaw w/o fixation
Reconst lwr jaw w/fixation
253
254
255
254
255
253
255
255
255
255
254
254
254
255
255
993
993
993
993
993
255
255
993
993
255
993
993
993
993
255
993
255
218

Page 964 of 6734

21198
21199
21206
21208
21209
21210
21215
21230
21235
21240
21242
21243
21244
21245
21246
21247
21248
21249
21255
21256
21260
21261
21263
21267
21268
21270
21275
21280
21282
21295
21296
21299
21310
Reconstr lwr jaw segment

Reconstr lwr jaw w/advance
Reconstruct upper jaw bone
Augmentation of facial bones
Reduction of facial bones
Face bone graft
Lower jaw bone graft
Rib cartilage graft
Ear cartilage graft
Reconstruction of jaw joint
Reconstruction of lower jaw
Reconstruction of jaw
Reconstruct lower jaw bone
Reconstruct lower jaw bone
Reconstruction of orbit
Revise eye sockets
Revise eye sockets
Revise eye sockets
Revise eye sockets
Revise eye sockets
Augmentation cheek bone
Revision orbitofacial bones
Revision of eyelid
Revision of eyelid
Revision of jaw muscle/bone
Revision of jaw muscle/bone
Cranio/maxillofacial surgery
Closed tx nose fx w/o manj
255
255
255
255
255
255
255
255
254
255
255
255
255
255
255
993
255
255
255
255
255
255
255
255
993
255
255
253
253
253
253
252
252

Page 965 of 6734

21315
21320
21325
21330
21335
21336
21337
21338
21339
21340
21343
21344
21345
21346
21347
21348
21355
21356
21360
21365
21366
21385
21386
21387
21390
21395
21400
21401
21406
21407
21408
21421
21422
Closed tx nose fx w/o stablj

Closed tx nose fx w/ stablj
Open tx nose fx uncomplicatd
Open tx nose fx w/skele fixj
Open tx nose & septal fx
Open tx septal fx w/wo stabj
Closed tx septal&nose fx
Open nasoethmoid fx w/o fixj
Open nasoethmoid fx w/ fixj
Perq tx nasoethmoid fx
Open tx dprsd front sinus fx
Open tx compl front sinus fx
Closed tx nose/jaw fx
Opn tx nasomax fx w/fixj
Opn tx nasomax fx multple
Opn tx nasomax fx w/graft
Perq tx malar fracture
Opn tx dprsd zygomatic arch
Opn tx dprsd malar fracture
Opn tx complx malar fx
Opn tx complx malar w/grft
Opn tx orbit fx transantral
Opn tx orbit fx periorbital
Opn tx orbit fx combined
Opn tx orbit periorbtl implt
Opn tx orbit periorbt w/grft
Closed tx orbit w/o manipulj
Closed tx orbit w/manipulj
Opn tx orbit fx w/o implant
Opn tx orbit fx w/implant
Opn tx orbit fx w/bone grft
Treat mouth roof fracture
252
252
253
254
254
43
253
255
255
255
255
993
255
255
993
993
253
254
253
254
993
255
255
255
255
255
253
253
255
255
255
255
254

OPEN OR PERCUTANEOUS TREATMENT OF FRA
Page 966 of 6734

21423
21431
21432
21433
21435
21436
21440
21445
21450
21451
21452
21453
21454
21461
21462
21465
21470
21480
21485
21490
21495
21497
21499
21501
21502
21510
21550
21552
21554
21555
21556
21557
21558

Treat craniofacial fracture
Treat dental ridge fracture
Treat dental ridge fracture
Treat lower jaw fracture
Reset dislocated jaw
Reset dislocated jaw
Repair dislocated jaw
Treat hyoid bone fracture
Interdental wiring
Head surgery procedure
Drain neck/chest lesion
Drain chest lesion
Drainage of bone lesion
Biopsy of neck/chest
Exc neck les sc 3 cm/>
Exc neck tum deep 5 cm/>
Exc neck les sc < 3 cm
Exc neck tum deep < 5 cm
Resect neck thorax tumor<5cm
Resect neck tumor 5 cm/>
993
993
993
993
993
993
252
253
252
252
254
254
254
255
255
255
255
252
252
255
254
254
252
4
31
993
9
9
9
10
10
11
10

Page 967 of 6734

21600
21610
21615
21616
21620
21627
21630
21632
21685
21700
21705
21720
21725
21740
21742
21743
21750
21811
21812
21813
21820
21825
21899
21920
21925
21930
21931
21932
21933
21935
21936
22010
22015
Partial removal of rib

Partial removal of rib
Removal of rib
Removal of rib and nerves
Partial removal of sternum
Sternal debridement
Extensive sternum surgery
Extensive sternum surgery
Hyoid myotomy & suspension
Revision of neck muscle
Revision of neck muscle/rib
Reconstruction of sternum
Repair stern/nuss w/o scope
Repair sternum/nuss w/scope
Repair of sternum separation
Optx of rib fx w/fixj scope
Treatment of rib fracture
Treatment of rib fracture
Treat sternum fracture
Treat sternum fracture
Neck/chest surgery procedure
Biopsy soft tissue of back
Biopsy soft tissue of back
Exc back les sc < 3 cm
Exc back les sc 3 cm/>
Exc back tum deep < 5 cm
Exc back tum deep 5 cm/>
Resect back tum < 5 cm
Resect back tum 5 cm/>
I&d p-spine c/t/cerv-thor
I&d abscess p-spine l/s/ls
31
32
993
993
993
88
993
993
254
30
993
31
30
993
32
32
993
43
43
43
41
43
252
9
9
10
10
10
10
11
11
993
993

CLOSED TREATMENT FX & DISLOCATION OF FI
Page 968 of 6734

22100
22101
22102
22103
22110
22112
22114
22116
22206
22207
22208
22210
22212
22214
22216
22220
22222
22224
22226
22305
22310
22315
22318
22319
22325
22326
22327
22328
22505
22510
22511
22512
22513
Remove part of neck vertebra

Remove part thorax vertebra
Remove part lumbar vertebra
Remove extra spine segment
Remove part of neck vertebra
Remove part thorax vertebra
Remove part lumbar vertebra
Remove extra spine segment
Incis spine 3 column thorac
Incis spine 3 column lumbar
Incis spine 3 column adl seg
Incis 1 vertebral seg cerv
Incis 1 vertebral seg thorac
Incis 1 vertebral seg lumbar
Incis addl spine segment
Incis w/discectomy cervical
Incis w/discectomy thoracic
Incis w/discectomy lumbar
Revise extra spine segment
Closed tx spine process fx
Closed tx vert fx w/o manj
Closed tx vert fx w/manj
Treat odontoid fx w/o graft
Treat odontoid fx w/graft
Treat spine fracture
Treat neck spine fracture
Treat thorax spine fracture
Treat each add spine fx
Manipulation of spine
Perq cervicothoracic inject
Perq lumbosacral injection
Vertebroplasty addl inject
Perq vertebral augmentation
221
221
221
221
993
993
993
993
221
221
221
993
993
993
993
993
221
993
221
41
41
42
993
993
993
993
993
993
44
218
218
218
223

CLOSED TREATMENT FX & DISLOCATION EXC F
BONE OR JOINT MANIPULATION UNDER ANEST
Page 969 of 6734

22514
22515
22526
22527
22532
22533
22534
22548
22551
22552
22554
22556
22558
22585
22586
22590
22595
22600
22610
22612
22614
22630
22632
22633
22634
22800
22802
22804
22808
22810
22812
22818
22819

Idet single level
Idet 1 or more levels
Lat thorax spine fusion
Lat lumbar spine fusion
Lat thor/lumb addl seg
Neck spine fusion
Neck spine fuse&remov bel c2
Addl neck spine fusion
Neck spine fusion
Thorax spine fusion
Lumbar spine fusion
Additional spinal fusion
Prescrl fuse w/ instr l5-s1
Spine & skull spinal fusion
Neck spinal fusion
Neck spine fusion
Thorax spine fusion
Lumbar spine fusion
Spine fusion extra segment
Lumbar spine fusion
Lumbar spine fusion combined
Post fusion </6 vert seg
Post fusion 7-12 vert seg
Post fusion 13/> vert seg
Ant fusion 2-3 vert seg
Ant fusion 4-7 vert seg
Ant fusion 8/> vert seg
Kyphectomy 1-2 segments
Kyphectomy 3 or more
223
223
218
218
993
993
993
993
221
221
221
993
221
221
221
993
993
221
993
221
221
221
221
993
993
993
993
993
993
993
993
993
993

Page 970 of 6734

22830
22840
22841
22842
22843
22844
22845
22846
22847
22848
22849
22850
22851
22852
22855
22856
22857
22858
22861
22862
22864
22865
22899
22900
22901
22902
22903
22904
22905
22999
23000
23020
23030
Exploration of spinal fusion

Insert spine fixation device
Insert pelv fixation device
Reinsert spinal fixation
Remove spine fixation device
Apply spine prosth device
Cerv artific diskectomy
Lumbar artif diskectomy
Second level cer diskectomy
Revise cerv artific disc
Revise lumbar artif disc
Remove cerv artif disc
Remove lumb artif disc
Spine surgery procedure
Exc abdl tum deep < 5 cm
Exc abdl tum deep 5 cm/>
Exc abd les sc < 3 cm
Exc abd les sc 3 cm/>
Radical resect abd tumor<5cm
Rad resect abd tumor 5 cm/>
Abdomen surgery procedure
Removal of calcium deposits
Release shoulder joint
Drain shoulder lesion
218
221
221
221
221
221
221
221
221
221
993
31
218
993
31
221
993
218
993
993
993
993
30
10
10
10
10
10
10
30
10
32
4

Page 971 of 6734

23031
23035
23040
23044
23065
23066
23071
23073
23075
23076
23077
23078
23100
23101
23105
23106
23107
23120
23125
23130
23140
23145
23146
23150
23155
23156
23170
23172
23174
23180
23182
23184
23190
Drain shoulder bursa

Drain shoulder bone lesion
Exploratory shoulder surgery
Exploratory shoulder surgery
Biopsy shoulder tissues
Biopsy shoulder tissues
Exc shoulder les sc 3 cm/>
Exc shoulder tum deep 5 cm/>
Exc shoulder les sc < 3 cm
Exc shoulder tum deep < 5 cm
Resect shoulder tumor < 5 cm
Resect shoulder tumor 5 cm/>
Biopsy of shoulder joint
Shoulder joint surgery
Remove shoulder joint lining
Incision of collarbone joint
Explore treat shoulder joint
Partial removal collar bone
Removal of collar bone
Remove shoulder bone part
Removal of bone lesion
Removal of humerus lesion
Remove collar bone lesion
Remove shoulder blade lesion
Remove humerus lesion
Remove collar bone lesion
Remove shoulder blade lesion
Partial removal of scapula
4
31
31
31
9
9
9
9
9
10
11
11
31
31
31
31
31
31
32
31
30
32
32
31
31
31
31
30
32
31
32
31
31
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II SKIN INCISION AND DRAINAGE

II MUSCULOSKELETAL PROCEDURES EX
I EXCISION AND BIOPSY OF SKIN AND S
III MUSCULOSKELETAL PROCEDURES E
I MUSCULOSKELETAL PROCEDURES EX
I MUSCULOSKELETAL PROCEDURES EX
Page 972 of 6734

23195
23200
23210
23220
23330
23333
23334
23335
23350
23395
23397
23400
23405
23406
23410
23412
23415
23420
23430
23440
23450
23455
23460
23462
23465
23466
23470
23472
23473
23474
23480
23485
23490
Removal of head of humerus

Resect clavicle tumor
Resect scapula tumor
Resect prox humerus tumor
Remove shoulder foreign body
Remove shoulder fb deep
Shoulder prosthesis removal
Shoulder prosthesis removal
Injection for shoulder x-ray
Muscle transfer shoulder/arm
Muscle transfers
Fixation of shoulder blade
Incision of tendon & muscle
Incise tendon(s) & muscle(s)
Repair rotator cuff acute
Repair rotator cuff chronic
Release of shoulder ligament
Repair of shoulder
Repair biceps tendon
Remove/transplant tendon
Repair shoulder capsule
Reconstruct shoulder joint
Reconstruct shoulder joint
Revis reconst shoulder joint
Revis reconst shoulder joint
Revision of collar bone
Revision of collar bone
Reinforce clavicle
32
993
993
993
9
10
11
11
490
32
32
32
30
31
32
32
30
32
31
32
32
32
32
32
32
32
47
47
47
47
32
32
31

Page 973 of 6734

23491
23500
23505
23515
23520
23525
23530
23532
23540
23545
23550
23552
23570
23575
23585
23600
23605
23615
23616
23620
23625
23630
23650
23655
23660
23665
23670
23675
23680
23700
23800
23802
23900
Reinforce shoulder bones

Treat clavicle fracture
Treat clavicle dislocation
Treat shoulder blade fx
Treat shoulder blade fx
Treat scapula fracture
Treat humerus fracture
Treat shoulder dislocation
Treat dislocation/fracture
Fixation of shoulder
Fusion of shoulder joint
Fusion of shoulder joint
Amputation of arm & girdle
32
41
41
43
41
41
43
43
41
41
43
43
41
41
43
42
42
43
43
42
42
43
41
44
43
42
43
42
43
44
32
32
993

Page 974 of 6734

23920
23921
23929
23930
23931
23935
24000
24006
24065
24066
24071
24073
24075
24076
24077
24079
24100
24101
24102
24105
24110
24115
24116
24120
24125
24126
24130
24134
24136
24138
24140
24145
24147
Amputation at shoulder joint

Amputation follow-up surgery
Shoulder surgery procedure
Drainage of arm lesion
Drainage of arm bursa
Drain arm/elbow bone lesion
Exploratory elbow surgery
Release elbow joint
Biopsy arm/elbow soft tissue
Biopsy arm/elbow soft tissue
Exc arm/elbow les sc 3 cm/>
Ex arm/elbow tum deep 5 cm/>
Exc arm/elbow les sc < 3 cm
Ex arm/elbow tum deep < 5 cm
Resect arm/elbow tum < 5 cm
Resect arm/elbow tum 5 cm/>
Biopsy elbow joint lining
Explore/treat elbow joint
Remove elbow joint lining
Removal of elbow bursa
Remove/graft bone lesion
Remove elbow lesion
Removal of head of radius
Removal of arm bone lesion
Remove radius bone lesion
Remove elbow bone lesion
Partial removal of arm bone
Partial removal of radius
Partial removal of elbow
993
14
30
4
4
30
31
31
9
10
9
9
10
10
11
11
31
31
31
30
30
31
32
30
31
31
31
31
31
31
31
31
31

Page 975 of 6734

24149
24150
24152
24155
24160
24164
24200
24201
24220
24300
24301
24305
24310
24320
24330
24331
24332
24340
24341
24342
24343
24344
24345
24346
24357
24358
24359
24360
24361
24362
24363
24365
24366
Radical resection of elbow

Resect distal humerus tumor
Resect radius tumor
Removal of elbow joint
Remove elbow joint implant
Remove radius head implant
Removal of arm foreign body
Removal of arm foreign body
Injection for elbow x-ray
Manipulate elbow w/anesth
Muscle/tendon transfer
Arm tendon lengthening
Revision of arm tendon
Repair of arm tendon
Revision of arm muscles
Revision of arm muscles
Tenolysis triceps
Repair of biceps tendon
Repair arm tendon/muscle
Repair of ruptured tendon
Repr elbow lat ligmnt w/tiss
Reconstruct elbow lat ligmnt
Repr elbw med ligmnt w/tissu
Reconstruct elbow med ligmnt
Repair elbow perc
Repair elbow w/deb open
Repair elbow deb/attch open
Reconstruct elbow joint
Replace elbow joint
Reconstruct head of radius
Reconstruct head of radius
31
32
32
32
31
31
9
10
490
44
31
31
30
31
31
31
30
31
31
31
30
32
31
32
31
31
31
47
47
47
47
46
47

Page 976 of 6734

24370
24371
24400
24410
24420
24430
24435
24470
24495
24498
24500
24505
24515
24516
24530
24535
24538
24545
24546
24560
24565
24566
24575
24576
24577
24579
24582
24586
24587
24600
24605
24615
24620
Revise reconst elbow joint

Revise reconst elbow joint
Revision of humerus
Revision of humerus
Revision of humerus
Repair of humerus
Repair humerus with graft
Revision of elbow joint
Decompression of forearm
Reinforce humerus
Treat elbow fracture
Treat elbow dislocation
31
31
31
32
32
32
32
31
31
32
42
42
43
43
42
42
43
43
43
42
42
43
43
42
42
43
43
43
43
42
44
43
42

Page 977 of 6734

24635
24640
24650
24655
24665
24666
24670
24675
24685
24800
24802
24900
24920
24925
24930
24931
24935
24940
24999
25000
25001
25020
25023
25024
25025
25028
25031
25035
25040
25065
25066
25071
25073

Treat radius fracture
Treat ulnar fracture
Fusion of elbow joint
Fusion/graft of elbow joint
Amputation of upper arm
Amputation of upper arm
Amputate upper arm & implant
Revision of amputation
Revision of upper arm
Upper arm/elbow surgery
Incision of tendon sheath
Incise flexor carpi radialis
Decompress forearm 1 space
Decompress forearm 1 space
Decompress forearm 2 spaces
Decompress forearm 2 spaces
Drainage of forearm lesion
Drainage of forearm bursa
Treat forearm bone lesion
Explore/treat wrist joint
Biopsy forearm soft tissues
Biopsy forearm soft tissues
Exc forearm les sc 3 cm/>
Exc forearm tum deep 3 cm/>
43
42
42
42
43
43
42
42
43
31
32
993
993
31
993
993
32
993
42
30
33
30
32
31
32
31
30
30
31
9
9
9
9

Page 978 of 6734

25075
25076
25077
25078
25085
25100
25101
25105
25107
25109
25110
25111
25112
25115
25116
25118
25119
25120
25125
25126
25130
25135
25136
25145
25150
25151
25170
25210
25215
25230
25240
25246
25248
Exc forearm les sc < 3 cm

Exc forearm tum deep < 3 cm
Resect forearm/wrist tum<3cm
Resect forarm/wrist tum 3cm>
Incision of wrist capsule
Biopsy of wrist joint
Explore/treat wrist joint
Remove wrist joint lining
Remove wrist joint cartilage
Excise tendon forearm/wrist
Remove wrist tendon lesion
Remove wrist tendon lesion
Reremove wrist tendon lesion
Remove wrist/forearm lesion
Remove wrist/forearm lesion
Excise wrist tendon sheath
Partial removal of ulna
Removal of forearm lesion
Remove/graft forearm lesion
Remove/graft forearm lesion
Removal of wrist lesion
Remove & graft wrist lesion
Remove & graft wrist lesion
Remove forearm bone lesion
Resect radius/ulnar tumor
Removal of wrist bone
Removal of wrist bones
Injection for wrist x-ray
Remove forearm foreign body
10
10
10
10
30
30
30
30
31
30
30
33
33
30
31
30
31
31
31
31
31
31
34
31
31
31
31
33
34
31
31
285
30

Page 979 of 6734

25250
25251
25259
25260
25263
25265
25270
25272
25274
25275
25280
25290
25295
25300
25301
25310
25312
25315
25316
25320
25332
25335
25337
25350
25355
25360
25365
25370
25375
25390
25391
25392
25393
Removal of wrist prosthesis

Removal of wrist prosthesis
Manipulate wrist w/anesthes
Repair forearm tendon/muscle
Repair forearm tendon sheath
Revise wrist/forearm tendon
Incise wrist/forearm tendon
Release wrist/forearm tendon
Fusion of tendons at wrist
Fusion of tendons at wrist
Transplant forearm tendon
Transplant forearm tendon
Revise palsy hand tendon(s)
Revise palsy hand tendon(s)
Repair/revise wrist joint
Revise wrist joint
Realignment of hand
Reconstruct ulna/radioulnar
Revision of radius
Revision of radius
Revision of ulna
Revise radius & ulna
Revise radius or ulna
Revise radius & ulna
Shorten radius or ulna
Lengthen radius or ulna
Shorten radius & ulna
Lengthen radius & ulna
31
31
44
31
31
31
31
31
32
31
31
30
30
31
31
32
32
34
34
32
46
32
31
31
31
31
32
32
32
31
32
31
32

Page 980 of 6734

25394
25400
25405
25415
25420
25425
25426
25430
25431
25440
25441
25442
25443
25444
25445
25446
25447
25449
25450
25455
25490
25491
25492
25500
25505
25515
25520
25525
25526
25530
25535
25545
25560
Repair carpal bone shorten

Repair radius or ulna
Repair/graft radius or ulna
Repair radius & ulna
Repair/graft radius & ulna
Repair/graft radius or ulna
Repair/graft radius & ulna
Vasc graft into carpal bone
Repair nonunion carpal bone
Repair/graft wrist bone
Reconstruct wrist joint
Wrist replacement
Repair wrist joints
Remove wrist joint implant
Revision of wrist joint
Revision of wrist joint
Reinforce radius
Reinforce ulna
Reinforce radius and ulna
Treat fracture of radius
Treat fracture of ulna
Treat fracture radius & ulna
34
31
32
32
32
32
32
34
43
32
47
47
47
47
47
47
46
47
31
32
32
32
32
42
42
43
42
43
43
42
42
43
42

Page 981 of 6734

25565
25574
25575
25600
25605
25606
25607
25608
25609
25622
25624
25628
25630
25635
25645
25650
25651
25652
25660
25670
25671
25675
25676
25680
25685
25690
25695
25800
25805
25810
25820
25825
25830

Treat fracture radius/ulna
Treat fx distal radial
Treat fx rad extra-articul
Treat fx rad intra-articul
Treat fx radial 3+ frag
Treat wrist bone fracture
Pin ulnar styloid fracture
Treat fracture ulnar styloid
Treat wrist dislocation
Pin radioulnar dislocation
Treat wrist fracture
Treat wrist fracture
Fusion of wrist joint
Fusion/graft of wrist joint
Fusion/graft of wrist joint
Fusion of hand bones
Fuse hand bones with graft
Fusion radioulnar jnt/ulna
42
43
43
42
42
31
43
43
43
42
42
43
42
42
43
42
43
43
42
43
43
42
43
42
43
42
43
31
32
32
34
34
32

Page 982 of 6734

25900
25905
25907
25909
25915
25920
25922
25924
25927
25929
25931
25999
26010
26011
26020
26025
26030
26034
26035
26037
26040
26045
26055
26060
26070
26075
26080
26100
26105
26110
26111
26113
26115
Amputation of forearm
Amputate hand at wrist
Amputate hand at wrist
Amputation of hand
Forearm or wrist surgery
Drainage of finger abscess
Drainage of finger abscess
Drain hand tendon sheath
Drainage of palm bursa
Drainage of palm bursas
Treat hand bone lesion
Decompress fingers/hand
Decompress fingers/hand
Release palm contracture
Incise finger tendon sheath
Incision of finger tendon
Explore/treat hand joint
Explore/treat finger joint
Explore/treat finger joint
Biopsy hand joint lining
Biopsy finger joint lining
Biopsy finger joint lining
Exc hand les sc 1.5 cm/>
Exc hand tum deep 1.5 cm/>
Exc hand les sc < 1.5 cm
993
993
31
31
993
993
31
993
993
14
31
42
3
3
33
33
33
33
34
34
33
33
33
48
33
33
33
33
33
33
33
33
10

Page 983 of 6734

26116
26117
26118
26121
26123
26125
26130
26135
26140
26145
26160
26170
26180
26185
26200
26205
26210
26215
26230
26235
26236
26250
26260
26262
26320
26340
26341
26350
26352
26356
26357
26358
26370
Exc hand tum deep < 1.5 cm

Rad resect hand tumor < 3 cm
Rad resect hand tumor 3 cm/>
Remove wrist joint lining
Revise finger joint each
Revise finger joint each
Tendon excision palm/finger
Remove tendon sheath lesion
Removal of palm tendon each
Removal of finger tendon
Remove finger bone
Remove hand bone lesion
Removal of finger lesion
Remove/graft finger lesion
Partial removal of hand bone
Partial removal finger bone
Partial removal finger bone
Extensive hand surgery
Resect prox finger tumor
Resect distal finger tumor
Removal of implant from hand
Manipulate finger w/anesth
Manipulat palm cord post inj
Repair finger/hand tendon
Repair/graft hand tendon
10
11
11
34
34
34
33
34
33
34
33
33
33
33
33
34
33
34
34
34
33
33
34
33
10
44
12
33
34
34
34
34
34

LEVEL I SKIN REPAIR
Page 984 of 6734

26372
26373
26390
26392
26410
26412
26415
26416
26418
26420
26426
26428
26432
26433
26434
26437
26440
26442
26445
26449
26450
26455
26460
26471
26474
26476
26477
26478
26479
26480
26483
26485
26489

Revise hand/finger tendon
Repair hand tendon
Excision hand/finger tendon
Graft hand or finger tendon
Repair finger tendon
Repair/graft finger tendon
Realignment of tendons
Release palm/finger tendon
Release palm & finger tendon
Release hand/finger tendon
Release forearm/hand tendon
Incision of palm tendon
Incision of finger tendon
Incise hand/finger tendon
Fusion of finger tendons
Fusion of finger tendons
Tendon lengthening
Tendon shortening
Lengthening of hand tendon
Shortening of hand tendon
Transplant hand tendon
Transplant/graft hand tendon
Transplant palm tendon
Transplant/graft palm tendon
34
34
34
34
33
34
34
34
33
34
34
34
33
33
34
33
33
34
33
33
48
48
48
33
33
33
33
33
33
34
34
34
34

Page 985 of 6734

26490
26492
26494
26496
26497
26498
26499
26500
26502
26508
26510
26516
26517
26518
26520
26525
26530
26531
26535
26536
26540
26541
26542
26545
26546
26548
26550
26551
26553
26554
26555
26556
26560
Revise thumb tendon

Tendon transfer with graft
Hand tendon/muscle transfer
Revise thumb tendon
Finger tendon transfer
Finger tendon transfer
Revision of finger
Hand tendon reconstruction
Hand tendon reconstruction
Release thumb contracture
Thumb tendon transfer
Fusion of knuckle joint
Fusion of knuckle joints
Fusion of knuckle joints
Release knuckle contracture
Release finger contracture
Revise knuckle joint
Revise knuckle with implant
Revise finger joint
Revise/implant finger joint
Repair hand joint
Repair hand joint with graft
Repair hand joint with graft
Reconstruct finger joint
Repair nonunion hand
Reconstruct finger joint
Construct thumb replacement
Great toe-hand transfer
Single transfer toe-hand
Double transfer toe-hand
Positional change of finger
Toe joint transfer
Repair of web finger
34
34
34
34
34
34
34
34
34
33
34
33
33
34
33
33
46
46
46
46
33
34
34
34
34
34
34
993
993
993
34
993
34

Page 986 of 6734

26561
26562
26565
26567
26568
26580
26587
26590
26591
26593
26596
26600
26605
26607
26608
26615
26641
26645
26650
26665
26670
26675
26676
26685
26686
26700
26705
26706
26715
26720
26725
26727
26735

Correct metacarpal flaw
Correct finger deformity
Lengthen metacarpal/finger
Repair hand deformity
Reconstruct extra finger
Repair finger deformity
Repair muscles of hand
Release muscles of hand
Excision constricting tissue
Treat metacarpal fracture
Treat thumb dislocation
Treat thumb fracture
Treat hand dislocation
Pin hand dislocation
Treat knuckle dislocation
Pin knuckle dislocation
Treat finger fracture each
34
34
34
34
34
34
34
34
34
33
34
42
42
42
43
43
42
42
43
43
42
44
43
43
43
41
44
44
43
41
41
43
43

Page 987 of 6734

26740
26742
26746
26750
26755
26756
26765
26770
26775
26776
26785
26820
26841
26842
26843
26844
26850
26852
26860
26861
26862
26863
26910
26951
26952
26989
26990
26991
26992
27000
27001
27003
27005

Pin finger fracture each
Treat finger dislocation
Pin finger dislocation
Thumb fusion with graft
Fusion of thumb
Thumb fusion with graft
Fusion of hand joint
Fusion/graft of hand joint
Fusion of knuckle
Fusion of knuckle with graft
Fusion of finger joint
Fusion of finger jnt add-on
Fusion/graft of finger joint
Fuse/graft added joint
Amputate metacarpal bone
Amputation of finger/thumb
Amputation of finger/thumb
Hand/finger surgery
Drainage of pelvis lesion
Drainage of pelvis bursa
Incision of hip tendon
41
42
43
41
41
43
43
41
44
43
43
34
34
34
33
34
34
34
33
33
33
33
34
33
34
41
30
30
31
30
30
30
31

Page 988 of 6734

27006
27025
27027
27030
27033
27035
27036
27040
27041
27043
27045
27047
27048
27049
27050
27052
27054
27057
27059
27060
27062
27065
27066
27067
27070
27071
27075
27076
27077
27078
27080
27086
27087
Incision of hip tendons

Incision of hip/thigh fascia
Buttock fasciotomy
Drainage of hip joint
Exploration of hip joint
Denervation of hip joint
Excision of hip joint/muscle
Biopsy of soft tissues
Biopsy of soft tissues
Exc hip pelvis les sc 3 cm/>
Exc hip/pelv tum deep 5 cm/>
Exc hip/pelvis les sc < 3 cm
Exc hip/pelv tum deep < 5 cm
Resect hip/pelv tum < 5 cm
Biopsy of sacroiliac joint
Biopsy of hip joint
Removal of hip joint lining
Buttock fasciotomy w/dbrdmt
Resect hip/pelv tum 5 cm/>
Removal of ischial bursa
Remove femur lesion/bursa
Remove hip bone les super
Remove hip bone les deep
Remove/graft hip bone lesion
Part remove hip bone super
Part removal hip bone deep
Resect hip tumor
Resect hip tum incl acetabul
Resect hip tum w/innom bone
Rsect hip tum incl femur
Removal of tail bone
Remove hip foreign body
Remove hip foreign body
31
32
30
993
32
32
993
9
10
9
9
10
10
11
32
31
993
31
31
30
30
31
32
32
993
993
993
993
993
993
31
10
30

Page 989 of 6734

27090
27091
27093
27095
27096
27097
27098
27100
27105
27110
27111
27120
27122
27125
27130
27132
27134
27137
27138
27140
27146
27147
27151
27156
27158
27161
27165
27170
27175
27176
27177
27178
27179
Removal of hip prosthesis

Removal of hip prosthesis
Injection for hip x-ray
Injection for hip x-ray
Inject sacroiliac joint
Revision of hip tendon
Transfer tendon to pelvis
Transfer of abdominal muscle
Transfer of spinal muscle
Transfer of iliopsoas muscle
Transfer of iliopsoas muscle
Reconstruction of hip socket
Reconstruction of hip socket
Partial hip replacement
Total hip arthroplasty
Total hip arthroplasty
Revise hip joint replacement
Transplant femur ridge
Incision of hip bone
Revision of hip bone
Incision of hip bones
Revision of hip bones
Revision of pelvis
Incision of neck of femur
Incision/fixation of femur
Repair/graft femur head/neck
Treat slipped epiphysis
Revise head/neck of femur
993
993
285
285
49
31
31
32
32
32
32
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
32
993
993
32

Page 990 of 6734

27181
27185
27187
27193
27194
27200
27202
27215
27216
27217
27218
27220
27222
27226
27227
27228
27230
27232
27235
27236
27238
27240
27244
27245
27246
27248
27250
27252
27253
27254
27256
27257
27258

Revision of femur epiphysis
Reinforce hip bones
Treat pelvic ring fracture
Treat tail bone fracture
Treat tail bone fracture
Treat pelvic fracture(s)
Treat hip socket fracture
Treat hip socket fracture
Treat hip wall fracture
Treat hip fracture(s)
Treat hip fracture(s)
Treat thigh fracture
Treat hip dislocation
993
993
993
42
42
41
43
993
32
993
993
42
993
993
993
993
42
993
32
993
42
993
993
993
42
993
42
44
993
993
42
44
993

Page 991 of 6734

27259
27265
27266
27267
27268
27269
27275
27279
27280
27282
27284
27286
27290
27295
27299
27301
27303
27305
27306
27307
27310
27323
27324
27325
27326
27327
27328
27329
27330
27331
27332
27333
27334

Cltx thigh fx
Cltx thigh fx w/mnpj
Optx thigh fx
Manipulation of hip joint
Arthrodesis sacroiliac joint
Fusion of sacroiliac joint
Fusion of pubic bones
Fusion of hip joint
Fusion of hip joint
Amputation of leg at hip
Amputation of leg at hip
Pelvis/hip joint surgery
Drain thigh/knee lesion
Incise thigh tendon & fascia
Incision of thigh tendon
Incision of thigh tendons
Exploration of knee joint
Biopsy thigh soft tissues
Biopsy thigh soft tissues
Neurectomy hamstring
Neurectomy popliteal
Exc thigh/knee les sc < 3 cm
Exc thigh/knee tum deep <5cm
Resect thigh/knee tum < 5 cm
Biopsy knee joint lining
Explore/treat knee joint
Removal of knee cartilage
Removal of knee cartilage
Remove knee joint lining
993
42
44
41
41
43
44
218
993
993
993
993
993
993
30
4
31
30
30
30
31
9
10
31
31
10
10
11
31
31
31
31
31

Page 992 of 6734

27335
27337
27339
27340
27345
27347
27350
27355
27356
27357
27358
27360
27364
27365
27370
27372
27380
27381
27385
27386
27390
27391
27392
27393
27394
27395
27396
27397
27400
27403
27405
27407
27409
Remove knee joint lining

Exc thigh/knee les sc 3 cm/>
Exc thigh/knee tum dep 5cm/>
Removal of kneecap bursa
Removal of knee cyst
Remove knee cyst
Removal of kneecap
Remove femur lesion
Remove femur lesion/graft
Remove femur lesion/graft
Remove femur lesion/fixation
Partial removal leg bone(s)
Resect thigh/knee tum 5 cm/>
Resect femur/knee tumor
Injection for knee x-ray
Repair of kneecap tendon
Repair/graft kneecap tendon
Repair of thigh muscle
Repair/graft of thigh muscle
Incision of thigh tendon
Lengthening of thigh tendon
Lengthening of thigh tendons
Lengthening of thigh tendons
Transplant of thigh tendon
Transplants of thigh tendons
Revise thigh muscles/tendons
Repair of knee cartilage
Repair of knee ligament
Repair of knee ligament
Repair of knee ligaments
31
31
31
30
30
30
31
31
32
32
32
32
32
993
285
10
31
32
31
32
30
30
31
31
31
32
31
32
31
31
32
32
32

Page 993 of 6734

27412
27415
27416
27418
27420
27422
27424
27425
27427
27428
27429
27430
27435
27437
27438
27440
27441
27442
27443
27445
27446
27447
27448
27450
27454
27455
27457
27465
27466
27468
27470
27472
27475
Autochondrocyte implant knee

Osteochondral knee allograft
Osteochondral knee autograft
Repair degenerated kneecap
Revision of unstable kneecap
Revision of unstable kneecap
Revision/removal of kneecap
Lat retinacular release open
Reconstruction knee
Reconstruction knee
Reconstruction knee
Revision of thigh muscles
Incision of knee joint
Revise kneecap
Revise kneecap with implant
Revision of knee joint
Total knee arthroplasty
Incision of thigh
Incision of thigh
Realignment of thigh bone
Realignment of knee
Realignment of knee
Shortening of thigh bone
Lengthening of thigh bone
Shorten/lengthen thighs
Repair of thigh
Repair/graft of thigh
Surgery to stop leg growth
38
38
32
32
31
31
32
31
31
32
32
31
31
46
47
47
47
46
46
993
47
47
993
993
993
32
32
993
993
993
993
993
32
Page 994 of 6734

27477
27479
27485
27486
27487
27488
27495
27496
27497
27498
27499
27500
27501
27502
27503
27506
27507
27508
27509
27510
27511
27513
27514
27516
27517
27519
27520
27524
27530
27532
27535
27536
27538

Revise/replace knee joint
Revise/replace knee joint
Removal of knee prosthesis
Reinforce thigh
Decompression of thigh/knee
Treatment of thigh fracture
Treat thigh fx growth plate
Treat kneecap fracture
Treat kneecap fracture
Treat knee fracture
Treat knee fracture
Treat knee fracture
Treat knee fracture
Treat knee fracture(s)
32
32
993
993
993
993
993
30
31
31
31
42
42
42
42
993
993
42
43
42
993
993
993
42
42
993
42
43
42
42
43
43
42

Page 995 of 6734

27540
27550
27552
27556
27557
27558
27560
27562
27566
27570
27580
27590
27591
27592
27594
27596
27598
27599
27600
27601
27602
27603
27604
27605
27606
27607
27610
27612
27613
27614
27615
27616
27618
Treat knee fracture

Treat knee dislocation
Treat kneecap dislocation
Fixation of knee joint
Fusion of knee
Amputate leg at thigh
Amputate lower leg at knee
Leg surgery procedure
Decompression of lower leg
Drain lower leg lesion
Drain lower leg bursa
Incision of achilles tendon
Incision of achilles tendon
Treat lower leg bone lesion
Explore/treat ankle joint
Exploration of ankle joint
Biopsy lower leg soft tissue
Biopsy lower leg soft tissue
Resect leg/ankle tum < 5 cm
Resect leg/ankle tum 5 cm/>
Exc leg/ankle tum < 3 cm
43
42
44
993
993
993
42
44
43
44
993
993
993
993
31
993
993
30
30
30
31
4
30
35
30
31
31
31
9
10
32
32
10

Page 996 of 6734

27619
27620
27625
27626
27630
27632
27634
27635
27637
27638
27640
27641
27645
27646
27647
27648
27650
27652
27654
27656
27658
27659
27664
27665
27675
27676
27680
27681
27685
27686
27687
27690
27691
Exc leg/ankle tum deep <5 cm

Explore/treat ankle joint
Remove ankle joint lining
Remove ankle joint lining
Removal of tendon lesion
Exc leg/ankle les sc 3 cm/>
Exc leg/ankle tum dep 5 cm/>
Remove lower leg bone lesion
Remove/graft leg bone lesion
Remove/graft leg bone lesion
Partial removal of tibia
Partial removal of fibula
Resect tibia tumor
Resect fibula tumor
Resect talus/calcaneus tum
Injection for ankle x-ray
Repair achilles tendon
Repair/graft achilles tendon
Repair of achilles tendon
Repair leg fascia defect
Repair of leg tendon each
Repair lower leg tendons
Repair lower leg tendons
Release of lower leg tendon
Release of lower leg tendons
Revision of lower leg tendon
Revise lower leg tendons
Revision of calf tendon
Revise lower leg tendon
Revise lower leg tendon
10
31
31
31
30
30
30
31
32
32
32
31
993
993
31
285
31
32
32
30
30
31
30
31
30
31
30
30
30
31
31
31
32

Page 997 of 6734

27692
27695
27696
27698
27700
27702
27703
27704
27705
27707
27709
27712
27715
27720
27722
27724
27725
27726
27727
27730
27732
27734
27740
27742
27745
27750
27752
27756
27758
27759
27760
27762
27766
Revise additional leg tendon

Repair of ankle ligament
Repair of ankle ligaments
Repair of ankle ligament
Revision of ankle joint
Reconstruct ankle joint
Reconstruction ankle joint
Removal of ankle implant
Incision of tibia
Incision of fibula
Incision of tibia & fibula
Realignment of lower leg
Revision of lower leg
Repair of tibia
Repair/graft of tibia
Repair/graft of tibia
Repair of lower leg
Repair fibula nonunion
Repair of lower leg
Repair of tibia epiphysis
Repair of fibula epiphysis
Repair lower leg epiphyses
Repair of leg epiphyses
Repair of leg epiphyses
Reinforce tibia
Treatment of tibia fracture
Cltx medial ankle fx
Cltx med ankle fx w/mnpj
Optx medial ankle fx
31
31
31
31
46
993
993
31
31
31
32
993
32
43
43
43
993
43
993
31
31
31
32
32
32
42
42
43
43
43
42
42
43

Page 998 of 6734

27767
27768
27769
27780
27781
27784
27786
27788
27792
27808
27810
27814
27816
27818
27822
27823
27824
27825
27826
27827
27828
27829
27830
27831
27832
27840
27842
27846
27848
27860
27870
27871
27880
Cltx post ankle fx

Cltx post ankle fx w/mnpj
Optx post ankle fx
Treatment of fibula fracture
Treatment of ankle fracture
Treat lower leg fracture
Treat lower leg joint
Treat lower leg dislocation
Treat ankle dislocation
Fixation of ankle joint
Fusion of ankle joint open
Fusion of tibiofibular joint
Amputation of lower leg
42
42
43
42
42
43
42
42
43
42
42
43
42
42
43
43
42
42
43
43
43
43
42
42
43
42
44
43
43
44
32
32
993

Page 999 of 6734

27881
27882
27884
27886
27888
27889
27892
27893
27894
27899
28001
28002
28003
28005
28008
28010
28011
28020
28022
28024
28035
28039
28041
28043
28045
28046
28047
28050
28052
28054
28055
28060
28062

Amputation of foot at ankle
Amputation of foot at ankle
Decompression of leg
Leg/ankle surgery procedure
Drainage of bursa of foot
Treatment of foot infection
Treatment of foot infection
Treat foot bone lesion
Incision of foot fascia
Incision of toe tendon
Incision of toe tendons
Exploration of foot joint
Exploration of foot joint
Exploration of toe joint
Decompression of tibia nerve
Exc foot/toe tum sc 1.5 cm/>
Exc foot/toe tum dep 1.5cm/>
Exc foot/toe tum sc < 1.5 cm
Exc foot/toe tum deep <1.5cm
Resect foot/toe tumor < 3 cm
Resect foot/toe tumor 3 cm/>
Biopsy of foot joint lining
Biopsy of foot joint lining
Biopsy of toe joint lining
Neurectomy foot
Partial removal foot fascia
Removal of foot fascia
993
993
31
32
993
32
32
32
32
30
3
4
4
36
35
48
48
35
35
35
217
35
35
10
35
36
36
35
35
35
36
35
35

Page 1000 of 6734

28070
28072
28080
28086
28088
28090
28092
28100
28102
28103
28104
28106
28107
28108
28110
28111
28112
28113
28114
28116
28118
28119
28120
28122
28124
28126
28130
28140
28150
28153
28160
28171
28173
Removal of foot joint lining

Removal of foot joint lining
Removal of foot lesion
Excise foot tendon sheath
Excise foot tendon sheath
Removal of toe lesions
Removal of ankle/heel lesion
Remove/graft foot lesion
Removal of toe lesions
Part removal of metatarsal
Removal of metatarsal heads
Revision of foot
Removal of heel bone
Removal of heel spur
Part removal of ankle/heel
Partial removal of foot bone
Partial removal of toe
Removal of ankle bone
Removal of metatarsal
Removal of toe
Resect tarsal tumor
Resect metatarsal tumor
35
35
35
35
35
35
35
36
36
36
35
36
36
35
45
35
35
35
36
35
35
35
35
36
35
35
36
35
35
35
35
36
36

BUNION PROCEDURES
Page 1001 of 6734

28175
28190
28192
28193
28200
28202
28208
28210
28220
28222
28225
28226
28230
28232
28234
28238
28240
28250
28260
28261
28262
28264
28270
28272
28280
28285
28286
28288
28289
28290
28292
28293
28294
Resect phalanx of toe tumor

Removal of foot foreign body
Repair of foot tendon
Repair/graft of foot tendon
Repair of foot tendon
Repair/graft of foot tendon
Release of foot tendon
Release of foot tendons
Release of foot tendon
Release of foot tendons
Incision of foot tendon(s)
Incision of toe tendon
Incision of foot tendon
Revision of foot tendon
Release of big toe
Revision of foot fascia
Release of midfoot joint
Revision of foot tendon
Revision of foot and ankle
Release of midfoot joint
Release of foot contracture
Release of toe joint each
Fusion of toes
Repair of hammertoe
Repair of hammertoe
Partial removal of foot bone
Repair hallux rigidus
Correction of bunion
35
9
10
10
35
36
35
36
35
35
35
35
48
48
48
36
35
35
36
36
36
36
35
35
35
35
35
35
36
45
45
45
45

BUNION PROCEDURES
BUNION PROCEDURES
BUNION PROCEDURES
BUNION PROCEDURES
Page 1002 of 6734

28296
28297
28298
28299
28300
28302
28304
28305
28306
28307
28308
28309
28310
28312
28313
28315
28320
28322
28340
28341
28344
28345
28360
28400
28405
28406
28415
28420
28430
28435
28436
28445
28446
Incision of heel bone
Incision of ankle bone
Incision of midfoot bones
Incise/graft midfoot bones
Incision of metatarsal
Incision of metatarsals
Revision of big toe
Revision of toe
Repair deformity of toe
Removal of sesamoid bone
Repair of foot bones
Repair of metatarsals
Resect enlarged toe tissue
Resect enlarged toe
Repair extra toe(s)
Repair webbed toe(s)
Reconstruct cleft foot
Treatment of heel fracture
Treat heel fracture
Treat/graft heel fracture
Treat ankle fracture
Osteochondral talus autogrft
45
45
45
45
36
36
36
36
35
36
35
36
35
35
35
35
36
36
35
36
35
35
36
42
42
43
43
43
42
42
43
43
36
BUNION PROCEDURES
BUNION PROCEDURES
BUNION PROCEDURES
BUNION PROCEDURES
Page 1003 of 6734

28450
28455
28456
28465
28470
28475
28476
28485
28490
28495
28496
28505
28510
28515
28525
28530
28531
28540
28545
28546
28555
28570
28575
28576
28585
28600
28605
28606
28615
28630
28635
28636
28645
Treat midfoot fracture each

Treat midfoot fracture
Treat metatarsal fracture
Treat big toe fracture
Treatment of toe fracture
Treatment of toe fracture
Treat toe fracture
Treat sesamoid bone fracture
Treat sesamoid bone fracture
Treat foot dislocation
Repair foot dislocation
Treat toe dislocation
Repair toe dislocation
42
42
43
43
42
42
43
43
41
41
43
43
41
41
43
42
43
42
44
43
43
42
44
43
43
42
44
43
43
41
44
43
43

Page 1004 of 6734

28660
28665
28666
28675
28705
28715
28725
28730
28735
28737
28740
28750
28755
28760
28800
28805
28810
28820
28825
28890
28899
29000
29010
29015
29035
29040
29044
29046
29049
29055
29058
29065
29075

Repair of toe dislocation
Fusion of foot bones
Revision of foot bones
Fusion of big toe joint
Amputation of midfoot
Amputation thru metatarsal
Amputation toe & metatarsal
Amputation of toe
Partial amputation of toe
Hi enrgy eswt plantar fascia
Foot/toes surgery procedure
Application of body cast
Application of figure eight
Application of shoulder cast
Application of shoulder cast
Application of long arm cast
Application of forearm cast
41
44
43
43
36
36
36
36
36
36
36
36
35
36
993
36
36
35
35
35
41
39
39
39
39
39
39
39
39
39
39
39
39

REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
Page 1005 of 6734

29085
29086
29105
29125
29126
29130
29131
29200
29240
29260
29280
29305
29325
29345
29355
29358
29365
29405
29425
29435
29440
29445
29450
29505
29515
29520
29530
29540
29550
29580
29581
29582
29583
Apply hand/wrist cast

Apply finger cast
Apply long arm splint
Apply forearm splint
Apply forearm splint
Application of finger splint
Application of finger splint
Strapping of chest
Strapping of shoulder
Strapping of elbow or wrist
Strapping of hand or finger
Application of hip cast
Application of hip casts
Application of long leg cast
Apply long leg cast brace
Apply short leg cast
Addition of walker to cast
Apply rigid leg cast
Application of leg cast
Application long leg splint
Application lower leg splint
Strapping of hip
Strapping of knee
Strapping of ankle and/or ft
Strapping of toes
Application of paste boot
Apply multlay comprs lwr leg
Apply multlay comprs upr leg
Apply multlay comprs upr arm
39
41
40
40
40
40
40
40
40
40
40
39
39
39
39
39
39
39
39
39
40
39
39
40
40
40
40
40
40
40
40
40
40
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
REPLACEMENT OF CAST
Page 1006 of 6734

29584
29700
29705
29710
29720
29730
29740
29750
29799
29800
29804
29805
29806
29807
29819
29820
29821
29822
29823
29824
29825
29826
29827
29828
29830
29834
29835
29836
29837
29838
29840
29843
29844
Appl multlay comprs arm/hand

Removal/revision of cast
Repair of body cast
Windowing of cast
Wedging of cast
Wedging of clubfoot cast
Casting/strapping procedure
Jaw arthroscopy/surgery
Jaw arthroscopy/surgery
Shoulder arthroscopy dx
Shoulder arthroscopy/surgery
Arthroscop rotator cuff repr
Arthroscopy biceps tenodesis
Elbow arthroscopy
Elbow arthroscopy/surgery
Wrist arthroscopy
Wrist arthroscopy/surgery
40
40
40
40
40
40
39
39
40
37
37
37
38
38
37
37
37
37
37
37
37
37
38
37
37
37
37
37
37
37
37
37
37
SPLINT, STRAPPING AND

REPLACEMENT OF CAST
REPLACEMENT OF CAST
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
CAST
CAST
CAST
CAST
CAST
CAST
REMOVAL
REMOVAL
REMOVAL
REMOVAL
REMOVAL
REMOVAL
CAST REMOVAL
Page 1007 of 6734

29845
29846
29847
29848
29850
29851
29855
29856
29860
29861
29862
29863
29866
29867
29868
29870
29871
29873
29874
29875
29876
29877
29879
29880
29881
29882
29883
29884
29885
29886
29887
29888
29889
Wrist endoscopy/surgery
Knee arthroscopy/surgery
Tibial arthroscopy/surgery
Tibial arthroscopy/surgery
Hip arthroscopy dx
Hip arthro w/fb removal
Hip arthr0 w/debridement
Hip arthr0 w/synovectomy
Autgrft implnt knee w/scope
Allgrft implnt knee w/scope
Meniscal trnspl knee w/scpe
Knee arthroscopy dx
Knee arthroscopy/drainage
37
37
37
37
37
38
38
38
37
37
37
37
38
38
38
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
37
38
38
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
II ARTHROSCOPY
II ARTHROSCOPY
II ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
II ARTHROSCOPY
II ARTHROSCOPY
II ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
I ARTHROSCOPY
II ARTHROSCOPY
II ARTHROSCOPY
Page 1008 of 6734

29891
29892
29893
29894
29895
29897
29898
29899
29900
29901
29902
29904
29905
29906
29907
29914
29915
29916
29999
30000
30020
3006F
3008F
30100
30110
30115
30117
30118
3011F
30120
30124
30125
30130
Ankle arthroscopy/surgery
Scope plantar fasciotomy
Mcp joint arthroscopy dx
Mcp joint arthroscopy surg
Mcp joint arthroscopy surg
Subtalar arthro w/fb rmvl
Subtalar arthro w/exc
Subtalar arthro w/deb
Subtalar arthro w/fusion
Hip arthro w/femoroplasty
Hip arthro acetabuloplasty
Hip arthro w/labral repair
Arthroscopy of joint
Drainage of nose lesion
Drainage of nose lesion
Cxr doc rev
Body mass index docd
Intranasal biopsy
Removal of nose polyp(s)
Removal of nose polyp(s)
Removal of intranasal lesion
Removal of intranasal lesion
Lipid panel doc rev
Revision of nose
Removal of nose lesion
Removal of nose lesion
Excise inferior turbinate
37
37
35
37
37
37
37
38
37
37
37
37
37
37
38
38
38
38
37
3
3
490
490
252
252
252
252
254
490
254
252
253
252
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
LEVEL I ARTHROSCOPY
Page 1009 of 6734

30140
3014F
30150
3015F
30160
3016F
3017F
3018F
3019F
30200
3020F
30210
3021F
30220
3022F
3023F
3025F
3027F
3028F
30300
30310
30320
3035F
3037F
3038F
30400
3040F
30410
30420
3042F
30430
30435
3044F
Resect inferior turbinate

Screen mammo doc rev
Partial removal of nose
Cerv cancer screen docd
Removal of nose
Pt scrnd unhlthy oh use
Colorectal ca screen doc rev
Pre-prxd rsk et al docd
Lvef assess planpost dschrge
Injection treatment of nose
Lvf assess
Nasal sinus therapy
Lvef mod/sever deprs syst
Insert nasal septal button
Lvef >/=40% systolic
Spirom doc rev
Spirom fev/fvc <70% w/copd
Spirom fev/fvc>/=70%/w/ocopd
O2 saturation doc rev
Remove nasal foreign body
O2 saturation</=88%/pao</=55
O2 saturation >88%/pao>55 hg
Pulm fx w/in 12 mon b/4 surg
Reconstruction of nose
Fev <40% predicted value
Fev >/=40% predicted value
Revision of nose
Revision of nose
Hg a1c level lt 7.0%
252
490
255
490
255
490
490
490
490
489
490
489
490
252
490
490
490
490
490
489
253
254
490
490
490
255
490
255
255
490
253
255
490

Page 1010 of 6734

30450
3045F
30460
30462
30465
3046F
3048F
3049F
3050F
30520
30540
30545
3055F
30560
3056F
30580
30600
3060F
3061F
30620
3062F
30630
3066F
3072F
3073F
3074F
3075F
3077F
3078F
3079F
30801
30802
3080F
Revision of nose
Hg a1c level 7.0-9.0%
Revision of nose
Revision of nose
Repair nasal stenosis
Hemoglobin a1c level >9.0%
Ldl-c <100 mg/dl
Ldl-c 100-129 mg/dl
Ldl-c >/= 130 mg/dl
Repair of nasal septum
Repair nasal defect
Repair nasal defect
Lvef less than/equal to 35%
Release of nasal adhesions
Lvef greater than 35%
Repair upper jaw fistula
Repair mouth/nose fistula
Pos microalbuminuria rev
Neg microalbuminuria rev
Intranasal reconstruction
Pos macroalbuminuria rev
Repair nasal septum defect
Nephropathy doc tx
Low risk for retinopathy
Pre-surg eye measures docd
Syst bp lt 130 mm hg
Syst bp ge 130 - 139mm hg
Syst bp >/= 140 mm hg
Diast bp <80 mm hg
Diast bp 80-89 mm hg
Ablate inf turbinate superf
Ablate inf turbinate submuc
Diast bp >/= 90 mm hg
255
490
255
255
255
490
490
490
490
254
255
255
490
13
490
254
254
490
490
255
490
254
490
490
490
490
490
490
490
490
489
252
490

Page 1011 of 6734

3082F
3083F
3084F
3085F
3088F
3089F
30901
30903
30905
30906
3090F
30915
3091F
30920
3092F
30930
3093F
3095F
3096F
30999
31000
31002
3100F
31020
31030
31032
31040
31050
31051
31070
31075
31080
31081
Kt/v <1.2
Kt/v =/> 1.2 & <1.7
Kt/v >/= 1.7
Suicide risk assessed
Mdd mild
Mdd moderate
Control of nosebleed
Repeat control of nosebleed
Mdd severe w/o psych
Ligation nasal sinus artery
Mdd severe w/psych
Ligation upper jaw artery
Mdd in remission
Ther fx nasal inf turbinate
Doc new diag 1st/addl mdd
Central dexa results docd
Central dexa ordered
Nasal surgery procedure
Irrigation maxillary sinus
Irrigation sphenoid sinus
Image test ref carot diam
Exploration maxillary sinus
Explore sinus remove polyps
Exploration behind upper jaw
Exploration sphenoid sinus
Sphenoid sinus surgery
Exploration of frontal sinus
Exploration of frontal sinus
Removal of frontal sinus
490
490
490
490
490
490
489
489
12
12
490
91
490
91
490
252
490
490
490
252
252
252
490
252
253
253
253
253
253
253
253
255
255

LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
Page 1012 of 6734

31084
31085
31086
31087
31090
3110F
3111F
3112F
3115F
3117F
3118F
3119F
31200
31201
31205
3120F
31225
31230
31231
31233
31235
31237
31238
31239
31240
31254
31255
31256
31267
3126F
31276
31287
31288

Exploration of sinuses
Pres/absn hmrhg/lesion docd
Ct/mri brain done w/in 24hrs
Ct/mri brain done 24 hrs
Quant results activity &symp
Hf assessment tool completed
Ny heart assoc class docd
No eval activity clin symp
Removal of ethmoid sinus
12-lead ecg performed
Removal of upper jaw
Removal of upper jaw
Nasal endoscopy dx
Nasal/sinus endoscopy dx
Nasal/sinus endoscopy dx
Nasal/sinus endoscopy surg
Revision of ethmoid sinus
Endoscopy maxillary sinus
Esoph bx rprt w/dyspl info
Sinus endoscopy surgical
255
255
255
255
255
490
490
490
490
490
490
490
253
254
255
490
255
993
62
62
62
62
62
63
62
63
63
63
63
490
63
62
63

Page 1013 of 6734

31290
31291
31292
31293
31294
31295
31296
31297
31299
31300
3130F
31320
3132F
31360
31365
31367
31368
31370
31375
31380
31382
31390
31395
31400
3140F
3141F
31420
3142F
31500
31502
31505
3150F
31510

Sinus endo w/balloon dil
Sinus surgery procedure
Removal of larynx lesion
Upper gi endoscopy performed
Diagnostic incision larynx
Doc ref upper gi endoscopy
Removal of larynx
Removal of larynx
Partial removal of larynx
Removal of larynx & pharynx
Reconstruct larynx & pharynx
Revision of larynx
Upper gi endo shows barrtts
Upper gi endo not barrtts
Removal of epiglottis
Barium swallow test ordered
Insert emergency airway
Change of windpipe airway
Diagnostic laryngoscopy
Forceps esoph biopsy done
Laryngoscopy with biopsy
63
63
63
63
63
62
62
62
252
255
490
253
490
993
993
993
993
993
255
993
993
993
993
255
490
490
255
490
92
421
489
490
62

RESUSCITATION
TUBE CHANGE
Page 1014 of 6734

31511
31512
31513
31515
31520
31525
31526
31527
31528
31529
31530
31531
31535
31536
31540
31541
31545
31546
3155F
31560
31561
31570
31571
31575
31576
31577
31578
31579
31580
31582
31584
31587
31588
Remove foreign body larynx

Injection into vocal cord
Laryngoscopy for aspiration
Dx laryngoscopy newborn
Dx laryngoscopy excl nb
Dx laryngoscopy w/oper scope
Laryngoscopy for treatment
Laryngoscopy and dilation
Laryngoscopy and dilation
Laryngoscopy w/fb removal
Laryngoscopy w/fb & op scope
Laryngoscopy w/biopsy
Laryngoscopy w/bx & op scope
Laryngoscopy w/exc of tumor
Larynscop w/tumr exc + scope
Remove vc lesion w/scope
Remove vc lesion scope/graft
Cytogen test marrow b/4 tx
Laryngoscop w/arytenoidectom
Larynscop remve cart + scop
Laryngoscope w/vc inj
Laryngoscop w/vc inj + scope
Laryngoscopy with biopsy
Remove foreign body larynx
Revision of larynx
Revision of larynx
Treat larynx fracture
Revision of larynx
Revision of larynx
62
62
62
62
62
62
62
62
62
62
62
62
62
62
63
63
63
63
490
63
63
63
63
62
62
62
63
62
255
255
993
993
255

Page 1015 of 6734

31590
31595
31599
31600
31601
31603
31605
3160F
31610
31611
31612
31613
31614
31615
31622
31623
31624
31625
31626
31627
31628
31629
31630
31631
31632
31633
31634
31635
31636
31637
31638
31640
31641
Reinnervate larynx
Larynx nerve surgery
Larynx surgery procedure
Incision of windpipe
Doc fe+ stores b/4 epo thx
Surgery/speech prosthesis
Puncture/clear windpipe
Repair windpipe opening
Repair windpipe opening
Visualization of windpipe
Dx bronchoscope/wash
Dx bronchoscope/brush
Dx bronchoscope/lavage
Bronchoscopy w/biopsy(s)
Bronchoscopy w/markers
Navigational bronchoscopy
Bronchoscopy/lung bx each
Bronchoscopy/needle bx each
Bronchoscopy dilate/fx repr
Bronchoscopy dilate w/stent
Bronchoscopy/lung bx addl
Bronchoscopy/needle bx addl
Bronch w/balloon occlusion
Bronchoscopy w/fb removal
Bronchoscopy bronch stents
Bronchoscopy stent add-on
Bronchoscopy revise stent
Bronchoscopy w/tumor excise
Bronchoscopy treat blockage
255
254
252
253
253
253
253
490
253
253
61
253
253
64
64
64
64
64
64
490
64
64
64
64
64
64
64
64
64
64
64
64
64

Page 1016 of 6734

31643
31645
31646
31647
31648
31649
31651
31652
31653
31654
31660
31661
3170F
31717
31720
31725
31730
31750
31755
31760
31766
31770
31775
31780
31781
31785
31786
31800
31805
31820
31825
31830
31899
Diag bronchoscope/catheter
Bronchoscopy clear airways
Bronchoscopy reclear airway
Bronchial valve init insert
Bronchial valve remov init
Bronchial valve remov addl
Bronchial valve addl insert
Bronch ebus samplng 1/2 node
Bronch ebus samplng 3/> node
Bronch ebus ivntj perph les
Bronch thermoplsty 1 lobe
Bronch thermoplsty 2/> lobes
Flow cyto done b/4 tx
Bronchial brush biopsy
Clearance of airways
Clearance of airways
Intro windpipe wire/tube
Repair of windpipe
Repair of windpipe
Repair of windpipe
Reconstruction of windpipe
Repair/graft of bronchus
Reconstruct bronchus
Reconstruct windpipe
Reconstruct windpipe
Remove windpipe lesion
Remove windpipe lesion
Repair of windpipe injury
Repair of windpipe injury
Closure of windpipe lesion
Repair of windpipe defect
Revise windpipe scar
Airways surgical procedure
64
64
64
64
64
64
64
64
64
64
64
64
490
64
425
993
61
255
255
993
993
993
993
993
993
255
993
993
993
253
253
253
252

Page 1017 of 6734

3200F
32035
32036
32096
32097
32098
32100
3210F
32110
32120
32124
32140
32141
32150
32151
3215F
32160
3216F
3218F
32200
3220F
32215
32220
32225
3230F
32310
32320
32400
32405
32440
32442
32445
32480
Barium swallow test not req

Thoracostomy w/rib resection
Thoracostomy w/flap drainage
Open wedge/bx lung infiltr
Open wedge/bx lung nodule
Open biopsy of lung pleura
Exploration of chest
Grp a strep test performed
Explore/repair chest
Re-exploration of chest
Explore chest free adhesions
Removal of lung lesion(s)
Remove/treat lung lesions
Removal of lung lesion(s)
Remove lung foreign body
Pt immunity to hep a docd
Open chest heart massage
Pt immunity to hep b docd
Rna tstng hep c docd done
Drain open lung lesion
Hep c quant rna tstng docd
Treat chest lining
Release of lung
Partial release of lung
Note hring tst w/in 6 mon
Removal of chest lining
Free/remove chest lining
Needle biopsy chest lining
Percut bx lung/mediastinum
Remove lung pneumonectomy
Sleeve pneumonectomy
Removal of lung extrapleural
Partial removal of lung
490
993
993
993
993
993
993
490
993
993
993
993
993
993
993
490
993
490
490
993
490
993
993
993
490
993
993
61
61
993
993
993
993

Page 1018 of 6734

32482
32484
32486
32488
32491
32501
32503
32504
32505
32506
32507
3250F
32540
32550
32551
32552
32553
32554
32555
32556
32557
32560
32561
32562
32601
32604
32606
32607
32608
32609
3260F
32650
32651
Bilobectomy
Segmentectomy
Sleeve lobectomy
Completion pneumonectomy
Lung volume reduction
Repair bronchus add-on
Resect apical lung tumor
Resect apical lung tum/chest
Wedge resect of lung initial
Wedge resect of lung add-on
Wedge resect of lung diag
Nonprim loc anat bx site tum
Removal of lung lesion
Insert pleural cath
Insertion of chest tube
Remove lung catheter
Ins mark thor for rt perq
Aspirate pleura w/o imaging
Aspirate pleura w/ imaging
Insert cath pleura w/o image
Insert cath pleura w/ image
Treat pleurodesis w/agent
Lyse chest fibrin init day
Lyse chest fibrin subq day
Thoracoscopy diagnostic
Thoracoscopy wbx sac
Thoracoscopy w/bx med space
Thoracoscopy w/bx infiltrate
Thoracoscopy w/bx nodule
Thoracoscopy w/bx pleura
Pt cat/pn cat/hist grd docd
Thoracoscopy w/pleurodesis
Thoracoscopy remove cortex
993
993
993
993
993
993
993
993
993
993
993
490
993
61
61
489
477
61
61
61
61
61
95
95
88
88
88
88
88
88
490
89
89

LEVEL II THERAPEUTIC RADIATION TREATMENT
THROMBOLYSIS
THROMBOLYSIS
Page 1019 of 6734

32652
32653
32654
32655
32656
32658
32659
3265F
32661
32662
32663
32664
32665
32666
32667
32668
32669
3266F
32670
32671
32672
32673
32674
3267F
3268F
3269F
32701
3270F
3271F
3272F
3273F
3274F
3278F
Thoracoscopy rem totl cortex

Thoracoscopy remov fb/fibrin
Thoracoscopy contrl bleeding
Thoracoscopy resect bullae
Thoracoscopy w/pleurectomy
Thoracoscopy w/sac fb remove
Thoracoscopy w/sac drainage
Rna tstng hepc vir ord/docd
Thoracoscopy w/pericard exc
Thoracoscopy w/mediast exc
Thoracoscopy w/lobectomy
Thoracoscopy w/ th nrv exc
Thoracoscop w/esoph musc exc
Thoracoscopy w/wedge resect
Thoracoscopy w/w resect addl
Thoracoscopy w/w resect diag
Thoracoscopy remove segment
Hepc gn tstng docd b/4txmnt
Thoracoscopy bilobectomy
Thoracoscopy pneumonectomy
Thoracoscopy for lvrs
Thoracoscopy w/thymus resect
Thoracoscopy lymph node exc
Path rprt w/ pt pn cat et al
Psa/t/glsc docd b/4 txmnt
Bone scn b/4 txmnt/aftr dx
Thorax stereo rad targetw/tx
No bone scn b/4 txmnt/aftrdx
Low risk prostate cancer
Med risk prostate cancer
High risk prostate cancer
Prost cncr rsk not lw/md/hgh
Serum lvls ca/ipth/lpd ord
993
89
89
89
89
89
89
490
89
89
993
89
993
993
993
993
993
490
993
993
993
993
993
490
490
490
999
490
490
490
490
490
490

UNASSIGNED
Page 1020 of 6734

3279F
32800
3280F
32810
32815
3281F
32820
3284F
32850
32851
32852
32853
32854
32855
32856
3285F
3288F
32900
32905
32906
3290F
3291F
3292F
3293F
32940
3294F
32960
32997
32998
32999
3300F
33010
33011
Hgb lvl >/= 13 g/dl

Repair lung hernia
Hgb lvl 11-12.9 g/dl
Close chest after drainage
Close bronchial fistula
Hgb lvl <11 g/dl
Reconstruct injured chest
Iop down >15% of pre-svc lvl
Donor pneumonectomy
Lung transplant single
Lung transplant with bypass
Lung transplant double
Lung transplant with bypass
Prepare donor lung single
Prepare donor lung double
Iop down <15% of pre-svc lvl
Fall risk assessment docd
Removal of rib(s)
Revise & repair chest wall
Revise & repair chest wall
Pt=d(rh)- and unsensitized
Pt=d(rh)+ or sensitized
Hiv tstng asked/docd/revwd
Abo rh blood typing docd
Revision of lung
Grp b strep screening docd
Therapeutic pneumothorax
Total lung lavage
Perq rf ablate tx pul tumor
Chest surgery procedure
Ajcc stage docd b/4 thxpy
Drainage of heart sac
Repeat drainage of heart sac
490
993
490
993
993
490
993
490
993
993
993
993
993
993
993
490
490
993
993
993
490
490
490
490
993
490
61
993
89
61
490
61
61

Page 1021 of 6734

33015
3301F
33020
33025
33030
33031
33050
33120
33130
33140
33141
3315F
3316F
3317F
3318F
3319F
33202
33203
33206
33207
33208
3320F
33210
33211
33212
33213
33214
33215
33216
33217
33218
3321F
33220
Incision of heart sac

Cancer stage docd metast
Partial removal of heart sac
Partial removal of heart sac
Resect heart sac lesion
Removal of heart lesion
Heart revascularize (tmr)
Heart tmr w/other procedure
Er+ or pr+ breast cancer
Er- or pr- breast cancer
Path rpt malig cancer docd
Path rpt malig cancer docd
X-ray/ct/ultrsnd et al ord
Insert epicard eltrd open
Insert epicard eltrd endo
Insert heart pm atrial
Insert heart pm ventricular
Insrt heart pm atrial & vent
No xray/ct/ et al ordd
Insert electrd/pm cath sngl
Insert card electrodes dual
Insert pulse gen sngl lead
Insert pulse gen dual leads
Upgrade of pacemaker system
Reposition pacing-defib lead
Insert 1 electrode pm-defib
Insert 2 electrode pm-defib
Repair lead pace-defib one
Ajcc cncr 0/ia melan docd
Repair lead pace-defib dual
993
490
993
993
993
993
993
993
993
993
993
490
490
490
490
490
993
993
86
86
86
490
86
88
87
87
86
87
88
88
87
490
87

Page 1022 of 6734

33221
33222
33223
33224
33225
33226
33227
33228
33229
3322F
33230
33231
33233
33234
33235
33236
33237
33238
3323F
33240
33241
33243
33244
33249
3324F
33250
33251
33254
33255
33256
33257
33258
33259
Insert pulse gen mult leads

Relocation pocket pacemaker
Relocate pocket for defib
Insert pacing lead & connect
L ventric pacing lead add-on
Reposition l ventric lead
Remove&replace pm gen singl
Remv&replc pm gen dual lead
Remv&replc pm gen mult leads
Melanomaajcc stage 0 or ia
Insrt pulse gen w/dual leads
Insrt pulse gen w/mult leads
Removal of pm generator
Removal of pacemaker system
Removal pacemaker electrode
Remove electrode/thoracotomy
Clin node stgng docdb/4 surg
Insrt pulse gen w/singl lead
Remove pulse generator
Remove eltrd/thoracotomy
Remove elctrd transvenously
Insj/rplcmt defib w/lead(s)
Mri ct scan ord rvwd rqstd
Ablate heart dysrhythm focus
Ablate atria lmtd
Ablate atria w/o bypass ext
Ablate atria w/bypass exten
Ablate atria lmtd add-on
Ablate atria x10sv add-on
Ablate atria w/bypass add-on
87
14
14
86
86
87
87
87
87
490
97
97
87
87
87
993
993
993
490
97
97
993
97
97
490
993
993
993
993
993
993
993
993

AICD IMPLANT
AICD IMPLANT
AICD IMPLANT
AICD IMPLANT
AICD IMPLANT
AICD IMPLANT
Page 1023 of 6734

3325F
33261
33262
33263
33264
33265
33266
33270
33271
33272
33273
33282
33284
3328F
33300
33305
3330F
33310
33315
3331F
33320
33321
33322
33330
33335
33361
33362
33363
33364
33365
33366
33367
33368
Preop asses 4 cataract surg

Rmvl& replc pulse gen 1 lead
Rmvl & rplcmt dfb gen 2 lead
Rmvl & rplcmt dfb gen mlt ld
Ablate atria lmtd endo
Ablate atria x10sv endo
Ins/rep subq defibrillator
Insj subq impltbl dfb elctrd
Rmvl of subq defibrillator
Repos prev impltbl subq dfb
Implant pat-active ht record
Remove pat-active ht record
Prfrmnc docd 2 wks b/4 surg
Repair of heart wound
Repair of heart wound
Imaging study ordered (bkp)
Exploratory heart surgery
Exploratory heart surgery
Bk imaging tst not ordered
Repair major blood vessel(s)
Repair major vessel
Repair major blood vessel(s)
Insert major vessel graft
Insert major vessel graft
Replace aortic valve perq
Replace aortic valve open
Trcath replace aortic valve
Replace aortic valve w/byp
490
993
97
97
97
993
993
97
88
87
87
88
87
490
993
993
490
993
993
490
993
993
993
993
993
993
993
993
993
993
993
993
993

AICD IMPLANT
AICD IMPLANT
AICD IMPLANT
AICD IMPLANT
Page 1024 of 6734

33369
33400
33401
33403
33404
33405
33406
3340F
33410
33411
33412
33413
33414
33415
33416
33417
33418
33419
3341F
33420
33422
33425
33426
33427
3342F
33430
3343F
3344F
3345F
33460
33463
33464
33465

Repair of aortic valve
Valvuloplasty open
Valvuloplasty w/cp bypass
Prepare heart-aorta conduit
Replacement of aortic valve
Mammo assess inc xray docd
Revision subvalvular tissue
Revise ventricle muscle
Repair tcat mitral valve
Repair tcat mitral valve
Mammo assess negative docd
Revision of mitral valve
Repair of mitral valve
Mammo assess bengn docd
Replacement of mitral valve
Mammo probably bengn docd
Mammo assess susp docd
Mammo assess hghlymalig doc
Revision of tricuspid valve
Valvuloplasty tricuspid
Valvuloplasty tricuspid
Replace tricuspid valve
993
993
993
993
993
993
993
490
993
993
993
993
993
993
993
993
993
993
490
993
993
993
993
993
490
993
490
490
490
993
993
993
993

OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
Page 1025 of 6734

33468
33470
33471
33474
33475
33476
33477
33478
33496
33500
33501
33502
33503
33504
33505
33506
33507
33508
3350F
33510
33511
33512
33513
33514
33516
33517
33518
33519
3351F
33521
33522
33523
3352F
Revision of tricuspid valve

Revision of pulmonary valve
Valvotomy pulmonary valve
Replacement pulmonary valve
Revision of heart chamber
Implant tcat pulm vlv perq
Repair prosth valve clot
Repair heart vessel fistula
Repair heart vessel fistula
Coronary artery correction
Coronary artery graft
Coronary artery graft
Repair artery w/tunnel
Repair artery translocation
Repair art intramural
Endoscopic vein harvest
Mammo bx proven malig docd
Cabg vein single
Cabg vein two
Cabg vein three
Cabg vein four
Cabg vein five
Cabg vein six or more
Cabg artery-vein single
Cabg artery-vein two
Cabg artery-vein three
Neg scrn dep symp by deptool
Cabg artery-vein four
Cabg artery-vein five
Cabg art-vein six or more
No sig dep symp by dep tool
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
490
490
993
993
993
993
993
993
993
993
993
490
993
993
993
490

OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
Page 1026 of 6734

33530
33533
33534
33535
33536
3353F
33542
33545
33548
3354F
33572
33600
33602
33606
33608
33610
33611
33612
33615
33617
33619
33620
33621
33622
33641
33645
33647
33660
33665
33670
33675
33676
33677
Coronary artery bypass/reop

Cabg arterial single
Cabg arterial two
Cabg arterial three
Cabg arterial four or more
Mild-mod dep symp by deptool
Repair of heart damage
Restore/remodel ventricle
Clin sig dep sym by dep tool
Open coronary endarterectomy
Closure of valve
Closure of valve
Anastomosis/artery-aorta
Repair anomaly w/conduit
Repair by enlargement
Repair double ventricle
Repair double ventricle
Repair modified fontan
Repair single ventricle
Repair single ventricle
Apply r&l pulm art bands
Transthor cath for stent
Redo compl cardiac anomaly
Repair heart septum defect
Revision of heart veins
Repair heart septum defects
Repair of heart defects
Repair of heart chambers
Close mult vsd
Close mult vsd w/resection
Cl mult vsd w/rem pul band
993
993
993
993
993
490
993
993
993
490
993
993
993
993
993
993
993
993
993
993
993
993
490
993
993
993
993
993
993
993
993
993
993

Page 1027 of 6734

33681
33684
33688
33690
33692
33694
33697
33702
3370F
33710
33720
33722
33724
33726
3372F
33730
33732
33735
33736
33737
3374F
33750
33755
33762
33764
33766
33767
33768
3376F
33770
33771
33774
33775

Reinforce pulmonary artery
Ajcc brst cncr stage 0 docd
Repair of heart defect
Repair of heart defect
Repair venous anomaly
Repair pul venous stenosis
Repair heart-vein defect(s)
Repair heart-vein defect
Major vessel shunt
Major vessel shunt
Major vessel shunt
Major vessel shunt & graft
Major vessel shunt
Major vessel shunt
Cavopulmonary shunting
Ajcc brstcncr stage 2 docd
Repair great vessels defect
993
993
993
993
993
993
993
993
490
993
993
993
993
993
490
993
993
993
993
993
490
993
993
993
993
993
993
993
490
993
993
993
993

OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
Page 1028 of 6734

33776
33777
33778
33779
33780
33781
33782
33783
33786
33788
3378F
33800
33802
33803
3380F
33813
33814
33820
33822
33824
3382F
33840
33845
3384F
33851
33852
33853
33860
33863
33864
3386F
33870
33875

Nikaidoh proc
Nikaidoh proc w/ostia implt
Repair arterial trunk
Revision of pulmonary artery
Aortic suspension
Repair vessel defect
Repair vessel defect
Repair septal defect
Revise major vessel
Revise major vessel
Revise major vessel
Ajcc cln cncr stage 0 docd
Remove aorta constriction
Ascending aortic graft
Transverse aortic arch graft
Thoracic aortic graft
993
993
993
993
993
993
993
993
993
993
490
993
993
993
490
993
993
993
993
993
490
993
993
490
993
993
993
993
993
993
490
993
993

OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
Page 1029 of 6734

33877
33880
33881
33883
33884
33886
33889
3388F
33891
3390F
33910
33915
33916
33917
33920
33922
33924
33925
33926
33930
33933
33935
33940
33944
33945
33946
33947
33948
33949
3394F
33951
33952
33953
Thoracoabdominal graft
Endovasc taa repr incl subcl
Endovasc taa repr w/o subcl
Insert endovasc prosth taa
Endovasc prosth taa add-on
Endovasc prosth delayed
Artery transpose/endovas taa
Car-car bp grft/endovas taa
Remove lung artery emboli
Remove lung artery emboli
Surgery of great vessel
Repair pulmonary artery
Repair pulmonary atresia
Transect pulmonary artery
Remove pulmonary shunt
Rpr pul art unifocal w/o cpb
Repr pul art unifocal w/cpb
Removal of donor heart/lung
Prepare donor heart/lung
Transplantation heart/lung
Removal of donor heart
Prepare donor heart
Transplantation of heart
Ecmo/ecls initiation venous
Ecmo/ecls initiation artery
Ecmo/ecls daily mgmt-venous
Ecmo/ecls daily mgmt artery
Quant her2 ihc eval brst cx
Ecmo/ecls insj prph cannula
993
993
993
993
993
993
993
490
993
490
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
490
993
993
993

Page 1030 of 6734

33954
33955
33956
33957
33958
33959
3395F
33962
33963
33964
33965
33966
33967
33968
33969
33970
33971
33973
33974
33975
33976
33977
33978
33979
33980
33981
33982
33983
33984
33985
33986
33987
33988

Ecmo/ecls insj ctr cannula
Ecmo/ecls insj ctr cannula
Ecmo/ecls repos perph cnula
Quant nonher2 ihc brst cx
Ecmo/ecls rmvl perph cannula
Ecmo/ecls rmvl prph cannula
Insert i-aort percut device
Remove aortic assist device
Ecmo/ecls rmvl perph cannula
Aortic circulation assist
Aortic circulation assist
Insert balloon device
Remove intra-aortic balloon
Implant ventricular device
Implant ventricular device
Remove ventricular device
Remove ventricular device
Insert intracorporeal device
Remove intracorporeal device
Replace vad pump ext
Replace vad intra w/o bp
Replace vad intra w/bp
Ecmo/ecls rmvl prph cannula
Ecmo/ecls rmvl ctr cannula
Ecmo/ecls rmvl ctr cannula
Artery expos/graft artery
Insertion of left heart vent
993
993
993
993
993
993
490
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993

Page 1031 of 6734

33989
33990
33991
33992
33993
33999
34001
34051
34101
34111
34151
34201
34203
34401
34421
34451
34471
34490
34501
34502
3450F
34510
3451F
34520
3452F
34530
3455F
3470F
3471F
3472F
3475F
3476F
34800
Removal of left heart vent

Insert vad artery access
Insert vad art&vein access
Remove vad different session
Reposition vad diff session
Cardiac surgery procedure
Removal of artery clot
Removal of arm artery clot
Removal of leg artery clot
Removal of vein clot
Repair valve femoral vein
Reconstruct vena cava
Dyspnea scrnd no-mild dysp
Transposition of vein valve
Dyspnea scrnd mod-high dysp
Cross-over vein graft
Dyspnea not screened
Leg vein fusion
Tb scrng done-interpd 6mon
Ra disease activity low
Ra disease activity mod
Ra disease activity high
Disease progn ra poor docd
Disease progn ra good docd
Endovas aaa repr w/sm tube
993
993
993
993
993
90
993
993
88
88
993
88
88
993
88
993
88
88
89
993
490
89
490
89
490
89
490
490
490
490
490
490
993

SECONDARY VARICOSE VEINS AND VASCULAR
Page 1032 of 6734

34802
34803
34804
34805
34806
34808
34812
34813
34820
34825
34826
34830
34831
34832
34833
34834
34839
34841
34842
34843
34844
34845
34846
34847
34848
34900
3490F
3491F
3492F
3493F
3494F
3495F
3496F
Endovas aaa repr w/2-p part

Endovas aaa repr w/long tube
Aneurysm press sensor add-on
Endovas iliac a device addon
Xpose for endoprosth femorl
Femoral endovas graft add-on
Xpose for endoprosth iliac
Endovasc extend prosth init
Endovasc exten prosth addl
Open aortic tube prosth repr
Open aortoiliac prosth repr
Open aortofemor prosth repr
Xpose for endoprosth iliac
Xpose endoprosth brachial
Plnning pt spec fenest graft
Endovasc visc aorta 1 graft
Visc & infraren abd 1 prosth
Visc & infraren abd 4+ prost
Endovasc iliac repr w/graft
History aids-defining cond
Hiv unsure baby of hiv+moms
History cd4+ cell count <350
No hist cd4+ cell count <350
Cd4+cell count <200cells/mm3
Cd4+cell cnt 200-499 cells
Cd4+ cell count + 500 cells
993
993
993
993
993
88
993
993
993
993
993
993
993
993
993
993
490
993
993
993
993
993
993
993
993
993
490
490
490
490
490
490
490

Page 1033 of 6734

3497F
3498F
35001
35002
35005
3500F
35011
35013
35021
35022
3502F
3503F
35045
35081
35082
35091
35092
35102
35103
3510F
35111
35112
3511F
35121
35122
3512F
35131
35132
3513F
35141
35142
3514F
35151
Cd4+ cell percentage <15%

Cd4+ cell =15% (hiv)
Repair defect of artery
Repair artery rupture neck
Cd4+cell cnt/% docd as done
Repair artery rupture arm
Repair artery rupture chest
Hiv rna vrl ld <lmts quantif
Hiv rna vrl ldnot<lmts quntf
Repair defect of arm artery
Repair artery rupture aorta
Doc tb scrng-rslts interpd
Repair artery rupture spleen
Chlmyd/gonrh tsts docd done
Repair artery rupture belly
Syph scrng docd as done
Repair artery rupture groin
Hep b scrng docd as done
Repair artery rupture thigh
Hep c scrng docd as done
490
490
993
993
993
490
91
993
993
993
490
490
89
993
993
993
993
993
993
490
993
993
490
993
993
490
993
993
490
993
993
490
993

Page 1034 of 6734

35152
3515F
3517F
35180
35182
35184
35188
35189
35190
35201
35206
35207
3520F
35211
35216
35221
35226
35231
35236
35241
35246
35251
35256
35261
35266
35271
35276
35281
35286
35301
35302
35303
35304
Repair ruptd popliteal art

Pt has docd immun to hep c
Hbv assess&results intrp 1yr
Repair blood vessel lesion
Cdifficile testing performed
Rechanneling of artery
993
490
490
88
993
88
89
993
89
88
88
13
490
993
993
993
88
89
89
993
993
993
89
91
89
993
993
993
89
993
993
89
89

Page 1035 of 6734

35305
35306
35311
35321
35331
35341
35351
35355
35361
35363
35371
35372
35390
35400
35450
35452
35458
35460
35471
35472
35475
35476
35500
35501
35506
35508
35509
3550F
35510
35511
35512
35515
35516
Reoperation carotid add-on
Angioscopy
Repair arterial blockage
Repair venous blockage
Harvest vein for bypass
Art byp grft ipsilat carotid
Art byp grft subclav-carotid
Art byp grft carotid-vertbrl
Art byp grft contral carotid
Low rsk thromboembolism
Art byp grft carotid-brchial
Art byp grft subclav-subclav
Art byp grft subclav-brchial
Art byp grft subclav-vertbrl
Art byp grft subclav-axilary
89
89
993
89
993
993
993
993
993
993
993
993
993
85
85
99
85
85
85
99
85
85
490
993
993
993
993
490
993
993
89
993
993

Page 1036 of 6734

35518
3551F
35521
35522
35523
35525
35526
3552F
35531
35533
35535
35536
35537
35538
35539
35540
35556
35558
3555F
35560
35563
35565
35566
35570
35571
35572
35583
35585
35587
35600
35601
35606
35612
Art byp grft axillary-axilry

Intrmed rsk thromboembolism
Art byp grft axill-femoral
Art byp grft axill-brachial
Art byp grft brchl-ulnr-rdl
Art byp grft brachial-brchl
Art byp grft aor/carot/innom
Hgh risk for thromboembolism
Art byp grft aorcel/aormesen
Art byp grft axill/fem/fem
Art byp grft hepatorenal
Art byp grft splenorenal
Art byp grft aortoiliac
Art byp grft aortobi-iliac
Art byp grft aortofemoral
Art byp grft aortbifemoral
Art byp grft fem-popliteal
Art byp grft fem-femoral
Pt inr measurement performed
Art byp grft aortorenal
Art byp grft ilioiliac
Art byp grft iliofemoral
Art byp fem-ant-post tib/prl
Art byp tibial-tib/peroneal
Art byp pop-tibl-prl-other
Harvest femoropopliteal vein
Vein byp grft fem-popliteal
Vein byp fem-tibial peroneal
Vein byp pop-tibl peroneal
Harvest art for cabg add-on
Art byp common ipsi carotid
Art byp carotid-subclavian
Art byp subclav-subclavian
993
490
993
89
85
89
993
490
993
993
993
993
993
993
993
993
993
993
490
993
993
993
993
89
993
490
993
993
993
993
993
993
993

Page 1037 of 6734

35616
35621
35623
35626
35631
35632
35633
35634
35636
35637
35638
35642
35645
35646
35647
35650
35654
35656
35661
35663
35665
35666
35671
35681
35682
35683
35685
35686
35691
35693
35694
35695
35697
Art byp subclav-axillary

Art byp axillary-femoral
Art byp axillary-pop-tibial
Art byp aorsubcl/carot/innom
Art byp aor-celiac-msn-renal
Art byp ilio-celiac
Art byp ilio-mesenteric
Art byp iliorenal
Art byp spenorenal
Art byp aortoiliac
Art byp aortobi-iliac
Art byp carotid-vertebral
Art byp subclav-vertebrl
Art byp aortobifemoral
Art byp aortofemoral
Art byp axillary-axillary
Art byp axill-fem-femoral
Art byp femoral-popliteal
Art byp femoral-femoral
Art byp ilioiliac
Art byp iliofemoral
Art byp fem-ant-post tib/prl
Art byp pop-tibl-prl-other
Composite byp grft pros&vein
Composite byp grft 2 veins
Composite byp grft 3/> segmt
Bypass graft patency/patch
Bypass graft/av fist patency
Art trnsposj vertbrl carotid
Art trnsposj subclavian
Art trnsposj subclav carotid
Art trnsposj carotid subclav
Reimplant artery each
89
993
993
993
993
993
993
993
993
993
993
993
993
993
89
993
993
993
993
993
993
993
993
993
993
993
88
88
993
993
993
993
89

Page 1038 of 6734

35700
35701
3570F
35721
3572F
3573F
35741
35761
35800
35820
35840
35860
35870
35875
35876
35879
35881
35883
35884
35901
35903
35905
35907
36000
36002
36005
36010
36011
36012
36013
36014
36015
36100
Reoperation bypass graft

Exploration carotid artery
Rprt bone scint xref w xray
Exploration femoral artery
Pt consid poss risk fx
Pt not consid poss risk fx
Exploration popliteal artery
Exploration of artery/vein
Explore neck vessels
Explore chest vessels
Explore abdominal vessels
Explore limb vessels
Repair vessel graft defect
Removal of clot in graft
Removal of clot in graft
Revise graft w/vein
Revise graft w/vein
Revise graft w/nonauto graft
Revise graft w/vein
Excision graft neck
Excision graft extremity
Excision graft thorax
Excision graft abdomen
Place needle in vein
Pseudoaneurysm injection trt
Injection ext venography
Place catheter in vein
Place catheter in artery
Establish access to artery
89
88
490
88
490
490
88
88
993
89
993
88
993
89
89
89
89
88
88
89
89
993
993
423
490
285
280
280
280
280
280
280
280

VASCULAR RADIOLOGY EXCEPT VENOGRAPHY
Page 1039 of 6734

36120
36140
36147
36148
36160
36200
36215
36216
36217
36218
36221
36222
36223
36224
36225
36226
36227
36228
36245
36246
36247
36248
36251
36252
36253
36254
36260
36261
36262
36299
36400
36405
36406

Access av dial grft for eval
Access av dial grft for proc
Establish access to aorta
Place catheter in aorta
Place cath thoracic aorta
Place cath carotid/inom art
Place cath carotid/inom art
Place cath carotd art
Place cath subclavian art
Place cath vertebral art
Place cath xtrnl carotid
Place cath intracranial art
Ins cath abd/l-ext art 1st
Ins cath abd/l-ext art 2nd
Ins cath abd/l-ext art 3rd
Ins cath abd/l-ext art addl
Ins cath ren art 1st unilat
Ins cath ren art 1st bilat
Ins cath ren art 2nd+ unilat
Ins cath ren art 2nd+ bilat
Insertion of infusion pump
Revision of infusion pump
Removal of infusion pump
Vessel injection procedure
Bl draw < 3 yrs fem/jugular
Bl draw <3 yrs scalp vein
Bl draw <3 yrs other vein
280
280
423
490
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
280
89
87
87
90
457
457
457

VENIPUNCTURE
VENIPUNCTURE
VENIPUNCTURE
Page 1040 of 6734

36410
36415
36416
36420
36425
36430
36440
36450
36455
36460
36468
36470
36471
36475
36476
36478
36479
36481
36500
3650F
36510
36511
36512
36513
36514
36515
36516
36522
36555
36556
36557
36558
36560
Non-routine bl draw 3/> yrs

Routine venipuncture
Capillary blood draw
Vein access cutdown < 1 yr
Vein access cutdown > 1 yr
Blood transfusion service
Bl push transfuse 2 yr/<
Bl exchange/transfuse nb
Bl exchange/transfuse non-nb
Transfusion service fetal
Injection(s) spider veins
Injection therapy of vein
Injection therapy of veins
Endovenous rf 1st vein
Endovenous rf vein add-on
Endovenous laser 1st vein
Endovenous laser vein addon
Insertion of catheter vein
Eeg ordered rvwd reqstd
Apheresis wbc
Apheresis rbc
Apheresis platelets
Apheresis plasma
Apheresis adsorp/reinfuse
Apheresis selective
Photopheresis
Insert non-tunnel cv cath
Insert non-tunnel cv cath
Insert tunneled cv cath
457
457
490
3
3
113
113
113
113
113
90
418
90
85
91
91
91
280
490
490
490
114
113
113
114
114
114
114
83
83
83
83
83
VENIPUNCTURE
VENIPUNCTURE
Page 1041 of 6734

36561
36563
36565
36566
36568
36569
36570
36571
36575
36576
36578
36580
36581
36582
36583
36584
36585
36589
36590
36591
36592
36593
36595
36596
36597
36598
36600
36620
36625
36640
36660
36680
36800

Insert picc cath
Insert picc cath
Insert picvad cath
Insert picvad cath
Repair tunneled cv cath
Repair tunneled cv cath
Replace tunneled cv cath
Replace cvad cath
Replace picc cath
Replace picvad cath
Removal tunneled cv cath
Removal tunneled cv cath
Draw blood off venous device
Collect blood from picc
Declot vascular device
Mech remov tunneled cv cath
Mech remov tunneled cv cath
Reposition venous catheter
Inj w/fluor eval cv device
Withdrawal of arterial blood
Insertion catheter artery
Insert needle bone cavity
Insertion of cannula
83
83
83
83
13
13
83
83
12
13
13
13
83
83
61
418
83
418
10
457
457
489
10
418
489
489
457
280
280
280
993
423
83

LEVEL I SKIN REPAIR
VENIPUNCTURE
VENIPUNCTURE
VENIPUNCTURE
Page 1042 of 6734

36810
36815
36818
36819
36820
36821
36823
36825
36830
36831
36832
36833
36835
36838
36860
36861
36870
3700F
37140
37145
37160
37180
37181
37182
37183
37184
37185
37186
37187
37188
37191
37192
37193
Av fuse uppr arm cephalic
Av fuse uppr arm basilic
Av fusion/forearm vein
Av fusion direct any site
Insertion of cannula(s)
Artery-vein autograft
Artery-vein nonautograft
Open thrombect av fistula
Av fistula revision open
Av fistula revision
Artery to vein shunt
Dist revas ligation hemo
External cannula declotting
Cannula declotting
Percut thrombect av fistula
Psych disorders assessed
Revision of circulation
Splice spleen/kidney veins
Insert hepatic shunt (tips)
Remove hepatic shunt (tips)
Prim art m-thrmbc 1st vsl
Prim art m-thrmbc sbsq vsl
Sec art thrombectomy add-on
Venous mech thrombectomy
Venous m-thrombectomy add-on
Ins endovas vena cava filtr
Redo endovas vena cava filtr
Rem endovas vena cava filter
83
83
89
89
88
89
89
89
89
89
89
89
89
91
418
83
88
490
993
89
993
993
993
993
216
88
88
88
88
88
88
88
88

Page 1043 of 6734

37195
37197
37200
3720F
37211
37212
37213
37214
37215
37216
37217
37218
37220
37221
37222
37223
37224
37225
37226
37227
37228
37229
37230
37231
37232
37233
37234
37235
37236
37237
37238
37239
37241
Thrombolytic therapy stroke

Remove intrvas foreign body
Transcatheter biopsy
Cognit impairment assessed
Thrombolytic art therapy
Thrombolytic venous therapy
Thromblytic art/ven therapy
Cessj therapy cath removal
Transcath stent cca w/eps
Transcath stent cca w/o eps
Stent placemt retro carotid
Stent placemt ante carotid
Iliac revasc
Iliac revasc w/stent
Iliac revasc add-on
Iliac revasc w/stent add-on
Fem/popl revas w/tla
Fem/popl revas w/ather
Fem/popl revasc w/stent
Fem/popl revasc stnt & ather
Tib/per revasc w/tla
Tib/per revasc w/ather
Tib/per revasc w/stent
Tib/per revasc stent & ather
Tib/per revasc add-on
Tibper revasc w/ather add-on
Revsc opn/prq tib/pero stent
Tib/per revasc stnt & ather
Open/perq place stent 1st
Open/perq place stent ea add
Open/perq place stent same
Open/perq place stent ea add
Vasc embolize/occlude venous
111
85
2
490
85
85
85
85
85
85
993
993
85
85
85
85
85
85
85
85
85
85
85
85
85
85
85
85
85
85
83
83
85
PHARMACOTHERAPY EXCEPT BY EXTENDED IN

Page 1044 of 6734

37242
37243
37244
37252
37253
3725F
37500
37501
3750F
3751F
3752F
3753F
3754F
3755F
37565
3756F
3757F
3758F
3759F
37600
37605
37606
37607
37609
3760F
37615
37616
37617
37618
37619
3761F
3762F
3763F
Vasc embolize/occlude artery

Vasc embolize/occlude organ
Vasc embolize/occlude bleed
Intrvasc us noncoronary 1st
Intrvasc us noncoronary addl
Screen depression performed
Endoscopy ligate perf veins
Vascular endoscopy procedure
Ptnotrcvngsteroid>/=10mg/day
Electrodiag polyneuro 6 mn
No electrodiag polyneuro 6mn
Pt has symp&signs neuropathy
Screening tests dm done
Cog&behav imprmnt scrng done
Ligation of neck vein
Pt w/pseudobulb affect/als
Pt w/o pseudobulbaffect/als
Pt ref pulm fx test/peakflow
Pt scrn dysphag/wt loss/nutr
Ligation of neck artery
Ligation of a-v fistula
Temporal artery procedure
Pt w/ dysphag/wt loss/nutr
Ligation of chest artery
Ligation of abdomen artery
Ligation of extremity artery
Ligation of inf vena cava
Pt w/o dysphag/wt loss/nutr
Patient is dysarthric
Patient is not dysarthric
85
85
85
288
288
490
91
88
490
490
490
490
490
490
91
490
490
490
490
91
88
88
88
9
490
88
993
993
91
91
490
490
490

Page 1045 of 6734

37650
37660
37700
37718
37722
37735
3775F
37760
37761
37765
37766
3776F
37780
37785
37788
37790
37799
38100
38101
38102
38115
38120
38129
38200
38204
38205
38206
38207
38208
38209
38210
38211
38212
Revision of major vein

Revision of major vein
Revise leg vein
Ligate/strip short leg vein
Ligate/strip long leg vein
Removal of leg veins/lesion
Adenoma detected screening
Ligate leg veins radical
Ligate leg veins open
Stab phleb veins xtr 10-20
Phleb veins - extrem 20+
Adenoma not detect screening
Revision of leg vein
Ligate/divide/excise vein
Revascularization penis
Penile venous occlusion
Vascular surgery procedure
Removal of spleen total
Removal of spleen partial
Removal of spleen total
Repair of ruptured spleen
Laparoscopy splenectomy
Laparoscope proc spleen
Injection for spleen x-ray
Bl donor search management
Harvest allogeneic stem cell
Harvest auto stem cells
Cryopreserve stem cells
Thaw preserved stem cells
Wash harvest stem cells
T-cell depletion of harvest
Tumor cell deplete of harvst
Rbc depletion of harvest
91
993
91
91
91
89
490
91
91
90
90
490
91
91
993
183
418
993
993
144
993
147
146
280
999
113
113
113
113
113
113
113
113

UNASSIGNED
Page 1046 of 6734

38213
38214
38215
38220
38221
38230
38232
38240
38241
38242
38243
38300
38305
38308
38380
38381
38382
38500
38505
38510
38520
38525
38530
38542
38550
38555
38562
38564
38570
38571
38572
38589
38700
Platelet deplete of harvest

Volume deplete of harvest
Harvest stem cell concentrte
Bone marrow aspiration
Bone marrow biopsy
Bone marrow harvest allogen
Bone marrow harvest autolog
Transplt allo hct/donor
Transplt autol hct/donor
Transplt allo lymphocytes
Transplj hematopoietic boost
Drainage lymph node lesion
Drainage lymph node lesion
Incision of lymph channels
Thoracic duct procedure
Biopsy/removal lymph nodes
Needle biopsy lymph nodes
Explore deep node(s) neck
Removal neck/armpit lesion
Removal neck/armpit lesion
Removal pelvic lymph nodes
Removal abdomen lymph nodes
Laparoscopy lymph node biop
Laparoscopy lymphadenectomy
Laparoscopy lymphadenectomy
Laparoscope proc lymphatic
Removal of lymph nodes neck
113
113
113
2
2
113
113
114
114
113
114
115
115
115
254
993
993
115
9
115
115
115
115
254
254
255
993
993
145
147
147
145
254

DEEP LYMPH STRUCTURE AND THYROID PROC
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
Page 1047 of 6734

38720
38724
38740
38745
38746
38747
38760
38765
38770
38780
38790
38792
38794
38900
38999
39000
39010
39200
39220
39401
39402
39499
39501
39503
39540
39541
39545
39560
39561
39599
4000F
4001F
4003F

Remove armpit lymph nodes
Remove armpit lymph nodes
Remove thoracic lymph nodes
Remove abdominal lymph nodes
Remove groin lymph nodes
Remove groin lymph nodes
Remove pelvis lymph nodes
Remove abdomen lymph nodes
Inject for lymphatic x-ray
Ra tracer id of sentinl node
Access thoracic lymph duct
Io map of sent lymph node
Blood/lymph system procedure
Resect mediastinal cyst
Resect mediastinal tumor
Mediastinoscpy w/medstnl bx
Mediastinoscpy w/lmph nod bx
Chest procedure
Repair diaphragm laceration
Repair of diaphragm hernia
Revision of diaphragm
Resect diaphragm simple
Resect diaphragm complex
Diaphragm surgery procedure
Tobacco use txmnt counseling
Tobacco use txmnt pharmacol
Pt ed write/oral pts w/ hf
255
993
21
21
993
144
115
993
993
993
330
490
280
490
115
88
89
993
993
88
88
61
993
993
993
993
144
993
993
143
490
490
490

Page 1048 of 6734

4004F
4005F
4008F
4010F
4011F
4012F
4013F
4014F
4015F
4016F
4017F
4018F
4019F
4025F
4030F
4033F
4035F
4037F
4040F
4041F
4042F
4043F
4044F
4045F
4046F
4047F
4048F
40490
4049F
40500
4050F
40510
4051F
Pt tobacco screen rcvd tlk

Pharm thx for op rxd
Beta-blocker therapy rxd/tkn
Ace/arb therapy rxd/taken
Oral antiplatelet therapy rx
Warfarin therapy rx
Statin therapy/currently tkn
Written discharge instr prvd
Persist asthma medicine ctrl
Anti-inflm/anlgsc agent rx
Gi prophylaxis for nsaid rx
Therapy exercise joint rx
Doc recpt counsl vit d/calc+
Inhaled bronchodilator rx
Oxygen therapy rx
Pulmonary rehab rec
Influenza imm rec
Influenza imm order/admin
Pneumoc vac/admin/rcvd
Doc order cefazolin/cefurox
Doc antibio not given
Doc order given stop antibio
Doc order given vte prophylx
Empiric antibiotic rx
Doc antibio given b/4 surg
Biopsy of lip
Doc order given stop antibio
Partial excision of lip
Ht care plan doc
Referred for an av fistula
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
9
490
252
490
252
490

Page 1049 of 6734

40520
40525
40527
4052F
40530
4053F
4054F
4055F
4056F
4058F
4060F
4062F
4063F
4064F
40650
40652
40654
4065F
4066F
4067F
4069F
40700
40701
40702
4070F
40720
4073F
4075F
40761
4077F
40799
4079F
40800

Reconstruct lip with flap
Reconstruct lip with flap
Hemodialysis via av fistula
Partial removal of lip
Hemodialysis via av graft
Hemodialysis via catheter
Pt rcvng periton dialysis
Approp oral rehyd recommd
Ped gastro ed given caregvr
Psych svcs provided
Pt referral psych docd
Antidepres rxthxpy not rxd
Antidepressant rx
Repair lip
Repair lip
Repair lip
Antipsychotic rx
Ect provided
Pt referral for ect docd
Vte prophylaxis rcvd
Repair cleft lip/nasal
Dvt prophylx recvd day 2
Oral antiplat thx rx dischrg
Anticoag thx rx at dischrg
Doc t-pa admin considered
Lip surgery procedure
Doc rehab svcs considered
Drainage of mouth lesion
252
255
255
490
255
490
490
490
490
490
490
490
490
490
252
252
252
490
490
490
490
255
255
255
490
255
490
490
255
490
252
490
9

Page 1050 of 6734

40801
40804
40805
40806
40808
40810
40812
40814
40816
40818
40819
40820
40830
40831
40840
40842
40843
40844
40845
4084F
4086F
40899
4090F
4095F
41000
41005
41006
41007
41008
41009
4100F
41010
41015

Removal foreign body mouth
Removal foreign body mouth
Incision of lip fold
Biopsy of mouth lesion
Excision of mouth lesion
Excise/repair mouth lesion
Excise/repair mouth lesion
Excise oral mucosa for graft
Excise lip or cheek fold
Treatment of mouth lesion
Repair mouth laceration
Repair mouth laceration
Reconstruction of mouth
Aspirin recvd w/in 24 hrs
Aspirin/clopidogrel rxd
Mouth surgery procedure
Pt rcvng epo thxpy
Pt not rcvng epo thxpy
Biphos thxpy vein ord/recvd
Incision of tongue fold
3
489
12
3
9
252
252
253
253
252
253
252
12
252
254
254
255
255
255
490
490
252
490
490
252
3
252
252
252
252
490
252
3

LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
Page 1051 of 6734

41016
41017
41018
41019
41100
41105
41108
4110F
41110
41112
41113
41114
41115
41116
41120
41130
41135
41140
41145
41150
41153
41155
4115F
4120F
4124F
41250
41251
41252
4130F
4131F
4132F
4133F
4134F

Place needles h&n for rt
Biopsy of tongue
Biopsy of tongue
Biopsy of floor of mouth
Int mam art used for cabg
Excision of tongue lesion
Excision of tongue fold
Partial removal of tongue
Partial removal of tongue
Tongue and neck surgery
Removal of tongue
Tongue removal neck surgery
Tongue mouth jaw surgery
Tongue mouth neck surgery
Tongue jaw & neck surgery
Beta blckr admin w/in 24 hrs
Antibiot rxd/given
Antibiot not rxd/given
Repair tongue laceration
Topical prep rx aoe
Syst antimicrobial thx rx
No syst antimicrobial thx rx
Antihist/decong rx/recom
No antihist/decong rx/recom
252
252
252
254
9
9
9
490
252
252
252
253
252
252
253
255
993
993
993
993
993
993
490
490
490
252
252
252
490
490
490
490
490

Page 1052 of 6734

4135F
4136F
4140F
4142F
4144F
4145F
4148F
4149F
41500
4150F
41510
41512
4151F
41520
41530
4153F
4155F
4157F
4158F
41599
4159F
4163F
4164F
4165F
4167F
4168F
4169F
4171F
4172F
4174F
4175F
4176F
4177F
Systemic corticosteroids rx
Syst corticosteroids not rx
Inhaled corticosteroids rxd
Corticoster sparng thrpy rxd
Alt long-term cntrl med rxd
2+ anti-hyprtnsv agents tkn
Hep a vac injxn admin/recvd
Hep b vac injxn admin/recvd
Fixation of tongue
Pt recvng antivir txmnt hepc
Tongue to lip surgery
Tongue suspension
Pt not recvng antiv hep c
Reconstruction tongue fold
Tongue base vol reduction
Combo pegintf/rib rx
Hep a vac series prev recvd
Hep b vac series prev recvd
Pt edu re alcoh drnkng done
Tongue and mouth surgery
Contrcp talk b/4 antiv txmnt
Pt couns 4 txmnt opt prost
Adjv hrmnl thxpy rxd
3d-crt/imrt received
Hd bed tilted 1st day vent
Pt care icu&vent w/in 24hrs
No pt care icu/vent in 24hrs
Pt rcvng esa thxpy
Pt not rcvng esa thxpy
Couns potent glauc impct
Vis 20/40/> w/in 90 days
Talk re uv light pt/crgvr
Talk pt/crgvr re areds prev
490
490
490
490
490
490
490
490
253
490
253
253
490
252
253
490
490
490
490
252
490
490
490
490
490
490
490
490
490
490
490
490
490

Page 1053 of 6734

4178F
4179F
41800
41805
41806
4180F
4181F
41820
41821
41822
41823
41825
41826
41827
41828
4182F
41830
41850
4185F
4186F
41870
41872
41874
4187F
4188F
41899
4189F
4190F
4191F
4192F
4193F
4194F
4195F
Antid glbln rcvd w/in 26wks

Tamoxifen/ai prescribed
Drainage of gum lesion
Removal foreign body gum
Removal foreign body jawbone
Adjv thxpyrxd/rcvd colon ca
Conformal radn thxpy rcvd
Excision gum each quadrant
Excision of gum flap
Excision of gum lesion
No conformal radn thxpy
Removal of gum tissue
Treatment of gum lesion
Continuous ppi or h2ra rcvd
No cont ppi or h2ra rcvd
Gum graft
Repair gum
Repair tooth socket
Anti rheum drugthxpyrxd/gvn
Approp ace/arb tstng done
Dental surgery procedure
Approp digoxin tstng done
Approp diuretic tstng done
Approp anticonvuls tstng
Pt not rcvng glucoco thxpy
Pt rcvng<10mg daily predniso
Pt rcvng10mg daily predniso
Pt rcvng anti-rheum thxpy ra
490
490
3
252
252
490
490
252
252
252
253
252
252
252
252
490
252
252
490
490
253
253
252
490
490
252
490
490
490
490
490
490
490

Page 1054 of 6734

4196F
42000
4200F
4201F
42100
42104
42106
42107
4210F
42120
42140
42145
42160
42180
42182
42200
42205
4220F
42210
42215
4221F
42220
42225
42226
42227
42235
42260
42280
42281
42299
42300
42305
4230F
Ptnot rcvng anti-rhm thxpyra

Drainage mouth roof lesion
External beam to prost only
Extrnl beam other than prost
Biopsy roof of mouth
Excision lesion mouth roof
Ace/arb thxpy for mos/>
Remove palate/lesion
Excision of uvula
Repair palate pharynx/uvula
Treatment mouth roof lesion
Repair palate
Repair palate
Reconstruct cleft palate
Digoxin thxpy for 6 mos/>
Diuretic thxpy for 6 mos/>
Lengthening of palate
Lengthening of palate
Repair palate
Repair nose to lip fistula
Preparation palate mold
Insertion palate prosthesis
Palate/uvula surgery
Drainage of salivary gland
Anticonv thxpy for 6 mos/>
490
3
490
490
9
252
252
253
490
253
252
253
252
252
252
255
255
490
255
254
490
254
255
255
255
253
253
252
252
252
252
252
490

Page 1055 of 6734

42310
42320
42330
42335
42340
42400
42405
42408
42409
4240F
42410
42415
42420
42425
42426
4242F
42440
42450
4245F
4248F
42500
42505
42507
42509
4250F
42510
42550
4255F
4256F
42600
4260F
4261F
42650

Removal of salivary stone
Biopsy of salivary gland
Biopsy of salivary gland
Excision of salivary cyst
Drainage of salivary cyst
Instr xrcz back pain 12 wks
Excise parotid gland/lesion
Sprvsd xrcz back pn >12 wks
Excise submaxillary gland
Excise sublingual gland
Pt instr nrml lifest
Pt instr no bd rest 4 days/>
Repair salivary duct
Repair salivary duct
Parotid duct diversion
Wrmng 4 surg normothermia
Injection for salivary x-ray
Anesth 60 min/> as docd
Anesthe <60 min as docd
Closure of salivary fistula
Wound srfc culturetech used
Tech other than surfc cultr
Dilation of salivary duct
3
3
252
252
252
2
252
253
252
490
254
255
255
255
993
490
253
253
490
490
253
253
253
255
490
254
285
490
490
253
490
490
252

Page 1056 of 6734

4265F
42660
42665
4266F
4267F
4268F
42699
4269F
42700
4270F
4271F
42720
42725
4274F
4276F
4279F
42800
42804
42806
42808
42809
4280F
42810
42815
42820
42821
42825
42826
42830
42831
42835
42836
42842
Wet-dry dressings rx recmd

Dilation of salivary duct
Ligation of salivary duct
No wet-dry drssings rx recmd
Comprssion thxpy prescribed
Pt ed re comp thxpy rcvd
Salivary surgery procedure
Appropos mthd offloading rxd
Drainage of tonsil abscess
Pt rcvng anti r-viral thxpy
Pt rcvng anti r-viral thxpy
Drainage of throat abscess
Drainage of throat abscess
Flu immuno admind rcvd
Potent antivir thxpy rxd
Pcp prophylaxis rxd
Biopsy of throat
Biopsy of upper nose/throat
Biopsy of upper nose/throat
Excise pharynx lesion
Remove pharynx foreign body
Pcp prophylax rxd 3mon low %
Excision of neck cyst
Excision of neck cyst
Remove tonsils and adenoids
Remove tonsils and adenoids
Removal of tonsils
Removal of tonsils
Removal of adenoids
Removal of adenoids
Removal of adenoids
Removal of adenoids
Extensive surgery of throat
490
252
252
490
490
490
252
490
3
490
490
253
253
490
490
490
252
252
252
252
489
490
253
253
256
256
256
256
256
256
256
256
256

Page 1057 of 6734

42844
42845
42860
42870
42890
42892
42894
42900
4290F
4293F
42950
42953
42955
42960
42961
42962
42970
42971
42972
42999
4300F
4301F
43020
43030
43045
4305F
4306F
43100
43101
43107
43108
43112
43113

Excision of tonsil tags
Excision of lingual tonsil
Partial removal of pharynx
Revision of pharyngeal walls
Revision of pharyngeal walls
Repair throat wound
Pt scrned for inj drug use
Pt scrnd hgh-risk sex behav
Reconstruction of throat
Repair throat esophagus
Surgical opening of throat
Control throat bleeding
Control nose/throat bleeding
Throat surgery procedure
Pt rcvng warf thxpy
Pt not rcvng warf thxpy
Incision of esophagus
Throat muscle surgery
Incision of esophagus
Pt ed re ft care inspct rcvd
Pt tlk psych & rx opd addic
Excision of esophagus lesion
Excision of esophagus lesion
Removal of esophagus
255
993
256
256
255
255
993
253
490
490
254
255
254
9
993
253
252
993
253
252
490
490
143
143
993
490
490
144
993
993
993
993
993

Page 1058 of 6734

43116
43117
43118
43121
43122
43123
43124
43130
43135
43180
43191
43192
43193
43194
43195
43196
43197
43198
43200
43201
43202
43204
43205
43206
4320F
43210
43211
43212
43213
43214
43215
43216
43217
Partial removal of esophagus

Removal of esophagus pouch
Removal of esophagus pouch
Esophagoscopy rigid trnso
Esophagoscopy rigid trnso dx
Esophagoscp rig trnso inject
Esophagoscp rig trnso biopsy
Esophagoscp rig trnso rem fb
Esophagoscopy rigid balloon
Esophagoscp guide wire dilat
Esophagoscopy flex dx brush
Esophagosc flex trnsn biopsy
Esophagoscopy flexible brush
Esoph scope w/submucous inj
Esophagoscopy flex biopsy
Esoph scope w/sclerosis inj
Esophagus endoscopy/ligation
Esoph optical endomicroscopy
Pt talk psychsoc&rx oh dpnd
Egd esophagogastrc fndoplsty
Esophagoscop mucosal resect
Esophagoscop stent placement
Esophagoscopy retro balloon
Esophagosc dilate balloon 30
Esophagoscopy flex remove fb
Esophagoscopy lesion removal
Esophagoscopy snare les remv
993
993
993
993
993
993
993
144
144
134
134
135
134
135
135
135
134
134
134
135
134
135
135
134
490
135
135
135
135
135
135
135
135

DIAGNOSTIC UPPER GI ENDOSCOPY OR INTUB
THERAPEUTIC UPPER GI ENDOSCOPY OR INTU
Page 1059 of 6734

43220
43226
43227
43229
4322F
43231
43232
43233
43235
43236
43237
43238
43239
43240
43241
43242
43243
43244
43245
43246
43247
43248
43249
4324F
43250
43251
43252
43253
43254
43255
43257
43259
4325F
Esophagoscopy balloon <30mm

Esoph endoscopy dilation
Esophagoscopy control bleed
Esophagoscopy lesion ablate
Crgvr prov w/ ed addl rsrcs
Esophagoscop ultrasound exam
Esophagoscopy w/us needle bx
Egd balloon dil esoph30 mm/>
Egd diagnostic brush wash
Uppr gi scope w/submuc inj
Endoscopic us exam esoph
Egd us fine needle bx/aspir
Egd biopsy single/multiple
Egd w/transmural drain cyst
Egd tube/cath insertion
Egd us fine needle bx/aspir
Egd injection varices
Egd varices ligation
Egd dilate stricture
Egd place gastrostomy tube
Egd remove foreign body
Egd guide wire insertion
Esoph egd dilation <30 mm
Pt queried prkns complic
Egd cautery tumor polyp
Egd remove lesion snare
Egd optical endomicroscopy
Egd us transmural injxn/mark
Egd endo mucosal resection
Egd control bleeding any
Egd w/thrml txmnt gerd
Egd us exam duodenum/jejunum
Med txmnt options rvwd w/pt
135
135
135
135
490
134
134
135
134
135
134
134
134
135
135
134
135
135
135
135
135
135
135
490
135
135
134
135
134
135
135
134
490

Page 1060 of 6734

43260
43261
43262
43263
43264
43265
43266
4326F
43270
43273
43274
43275
43276
43277
43278
43279
43280
43281
43282
43283
43289
4328F
43300
43305
4330F
43310
43312
43313
43314
43320
43325
43327
43328
Ercp w/specimen collection

Endo cholangiopancreatograph
Endo cholangiopancreatograph
Ercp sphincter pressure meas
Ercp remove duct calculi
Ercp lithotripsy calculi
Egd endoscopic stent place
Pt asked re symp auto dysfxn
Egd lesion ablation
Endoscopic pancreatoscopy
Ercp duct stent placement
Ercp remove forgn body duct
Ercp stent exchange w/dilate
Ercp ea duct/ampulla dilate
Ercp lesion ablate w/dilate
Lap myotomy heller
Laparoscopy fundoplasty
Lap paraesophag hern repair
Lap paraesoph her rpr w/mesh
Lap esoph lengthening
Laparoscope proc esoph
Pt asked re sleep disturb
Repair of esophagus
Repair esophagus and fistula
Cnslng epi spec sfty issues
Repair of esophagus
Repair esophagus and fistula
Esophagoplasty congenital
Tracheo-esophagoplasty cong
Fuse esophagus & stomach
Revise esophagus & stomach
Esoph fundoplasty lap
Esoph fundoplasty thor
138
138
138
138
138
138
135
490
135
138
138
138
138
138
138
147
147
147
147
490
145
490
144
144
490
993
993
993
993
144
993
993
993

LEVEL I LAPAROSCOPY
Page 1061 of 6734

43330
43331
43332
43333
43334
43335
43336
43337
43338
43340
43341
43351
43352
43360
43361
43400
43401
43405
4340F
43410
43415
43420
43425
43450
43453
43460
43496
43499
43500
43501
43502
4350F
43510
Esophagomyotomy abdominal
Esophagomyotomy thoracic
Transab esoph hiat hern rpr
Transab esoph hiat hern rpr
Transthor diaphrag hern rpr
Transthor diaphrag hern rpr
Thorabd diaphr hern repair
Thorabd diaphr hern repair
Esoph lengthening
Fuse esophagus & intestine
Fuse esophagus & intestine
Surgical opening esophagus
Surgical opening esophagus
Gastrointestinal repair
Gastrointestinal repair
Ligate esophagus veins
Esophagus surgery for veins
Ligate/staple esophagus
Cnslng chldbrng women epi
Repair esophagus wound
Repair esophagus wound
Repair esophagus opening
Repair esophagus opening
Dilate esophagus 1/mult pass
Dilate esophagus
Pressure treatment esophagus
Free jejunum flap microvasc
Esophagus surgery procedure
Surgical opening of stomach
Surgical repair of stomach
Surgical repair of stomach
Cnslng provided symp mngmnt
Surgical opening of stomach
993
993
139
139
139
140
140
140
490
993
993
993
993
993
993
993
144
993
490
144
993
144
993
131
131
993
993
143
144
993
993
490
135

Page 1062 of 6734

43520
43605
43610
43611
43620
43621
43622
43631
43632
43633
43634
43635
43640
43641
43644
43645
43647
43648
43651
43652
43653
43659
43752
43753
43754
43755
43756
43757
43760
43761
43770
43771
43772
Incision of pyloric muscle

Biopsy of stomach
Excision of stomach lesion
Excision of stomach lesion
Removal of stomach
Removal of stomach
Removal of stomach
Removal of stomach partial
Vagotomy & pylorus repair
Vagotomy & pylorus repair
Lap gastric bypass/roux-en-y
Lap gastr bypass incl smll i
Lap impl electrode antrum
Lap revise/remv eltrd antrum
Laparoscopy vagus nerve
Laparoscopy vagus nerve
Laparoscopy gastrostomy
Laparoscope proc stom
Nasal/orogastric w/tube plmt
Tx gastro intub w/asp
Dx gastr intub w/asp spec
Dx gastr intub w/asp specs
Dx duod intub w/asp spec
Dx duod intub w/asp specs
Change gastrostomy tube
Reposition gastrostomy tube
Lap place gastr adj device
Lap revise gastr adj device
Lap rmvl gastr adj device
143
993
993
993
993
993
993
993
993
993
993
993
993
993
148
148
148
145
146
147
146
145
130
130
130
130
130
130
421
489
147
146
146

LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
ALIMENTARY TESTS AND SIMPLE TUBE PLACE
TUBE CHANGE
Page 1063 of 6734

43773
43774
43775
43800
43810
43820
43825
43830
43831
43832
43840
43842
43843
43845
43846
43847
43848
43850
43855
43860
43865
43870
43880
43881
43882
43886
43887
43888
43999
44005
4400F
44010
44015
Lap replace gastr adj device

Lap rmvl gastr adj all parts
Lap sleeve gastrectomy
Reconstruction of pylorus
Fusion of stomach and bowel
Place gastrostomy tube
Repair of stomach lesion
V-band gastroplasty
Gastroplasty w/o v-band
Gastroplasty duodenal switch
Gastric bypass for obesity
Gastric bypass incl small i
Revision gastroplasty
Revise stomach-bowel fusion
Repair stomach opening
Repair stomach-bowel fistula
Impl/redo electrd antrum
Revise/remove electrd antrum
Revise gastric port open
Remove gastric port open
Change gastric port open
Stomach surgery procedure
Freeing of bowel adhesion
Rehab thxpy options w/pt
Incision of small bowel
Insert needle cath bowel
147
146
147
993
993
993
993
143
143
993
993
143
144
993
993
993
144
993
993
993
993
143
144
993
993
143
143
143
143
144
490
993
138

Page 1064 of 6734

44020
44021
44025
44050
44055
44100
44110
44111
44120
44121
44125
44126
44127
44128
44130
44132
44133
44135
44136
44137
44139
44140
44141
44143
44144
44145
44146
44147
44150
44151
44155
44156
44157
Explore small intestine

Decompress small bowel
Incision of large bowel
Reduce bowel obstruction
Correct malrotation of bowel
Biopsy of bowel
Excise intestine lesion(s)
Excision of bowel lesion(s)
Removal of small intestine
Enterectomy w/o taper cong
Enterectomy w/taper cong
Enterectomy cong add-on
Bowel to bowel fusion
Enterectomy cadaver donor
Enterectomy live donor
Intestine transplnt cadaver
Intestine transplant live
Remove intestinal allograft
Mobilization of colon
Partial removal of colon
Removal of colon
Removal of colon/ileostomy
Colectomy w/ileoanal anast
144
993
993
144
144
136
144
993
993
993
144
993
993
993
144
993
993
993
993
993
144
993
144
144
993
993
993
993
993
993
993
993
993

Page 1065 of 6734

44158
44160
44180
44186
44187
44188
44202
44203
44204
44205
44206
44207
44208
44210
44211
44212
44213
44227
44238
44300
44310
44312
44314
44316
44320
44322
44340
44345
44346
44360
44361
44363
44364
Colectomy w/neo-rectum pouch

Removal of colon
Lap enterolysis
Lap jejunostomy
Lap ileo/jejuno-stomy
Lap colostomy
Lap enterectomy
Lap resect s/intestine addl
Laparo partial colectomy
Lap colectomy part w/ileum
Lap part colectomy w/stoma
L colectomy/coloproctostomy
L colectomy/coloproctostomy
Laparo total proctocolectomy
Lap colectomy w/proctectomy
Laparo total proctocolectomy
Lap mobil splenic fl add-on
Lap close enterostomy
Laparoscope proc intestine
Open bowel to skin
Ileostomy/jejunostomy
Revision of ileostomy
Revision of ileostomy
Devise bowel pouch
Colostomy
Colostomy with biopsies
Revision of colostomy
Small bowel endoscopy
Small bowel endoscopy/biopsy
993
993
146
146
146
146
993
993
993
993
147
148
148
993
993
993
147
993
147
993
993
13
993
993
993
993
13
993
144
134
134
135
135

Page 1066 of 6734

44365
44366
44369
44370
44372
44373
44376
44377
44378
44379
44380
44381
44382
44384
44385
44386
44388
44389
44390
44391
44392
44394
44401
44402
44403
44404
44405
44406
44407
44408
44500
4450F
44602

Small bowel endoscopy/stent
Small bowel endoscopy/biopsy
S bowel endoscope w/stent
Small bowel endoscopy br/wa
Small bowel endoscopy br/wa
Endoscopy of bowel pouch
Endoscopy bowel pouch/biop
Colonoscopy thru stoma spx
Colonoscopy with biopsy
Colonoscopy for foreign body
Colonoscopy for bleeding
Colonoscopy & polypectomy
Colonoscopy w/snare
Colonoscopy with ablation
Colonoscopy w/stent plcmt
Colonoscopy w/resection
Colonoscopy w/injection
Colonoscopy w/dilation
Colonoscopy w/ultrasound
Colonoscopy w/ndl aspir/bx
Colonoscopy w/decompression
Intro gastrointestinal tube
Self-care ed provided to pt
Suture small intestine
138
135
135
138
135
135
138
138
138
138
136
136
136
136
136
136
136
136
137
137
137
137
137
137
137
137
137
137
137
137
130
490
144

Page 1067 of 6734

44603
44604
44605
44615
44620
44625
44626
44640
44650
44660
44661
44680
44700
44701
44705
4470F
44715
44720
44721
44799
44800
4480F
4481F
44820
44850
44899
44900
44950
44955
44960
44970
44979
45000
Suture small intestine

Suture large intestine
Repair of bowel lesion
Intestinal stricturoplasty
Repair bowel opening
Repair bowel-skin fistula
Repair bowel fistula
Repair bowel-bladder fistula
Repair bowel-bladder fistula
Surgical revision intestine
Suspend bowel w/prosthesis
Intraop colon lavage add-on
Prepare fecal microbiota
Icd counseling provided
Prepare donor intestine
Prep donor intestine/venous
Prep donor intestine/artery
Unlisted px small intestine
Excision of bowel pouch
Pt rcvng ace/arb b-blockertx
Pt rcvng ace/arb blker >3mos
Excision of mesentery lesion
Repair of mesentery
Bowel surgery procedure
Drain appendix abscess open
Appendectomy
Appendectomy add-on
Appendectomy
Laparoscopy appendectomy
Laparoscope proc app
Drainage of pelvic abscess
144
993
993
144
144
993
993
144
144
993
993
993
993
490
490
490
993
993
993
143
993
490
490
144
144
143
144
144
144
993
146
146
142

Page 1068 of 6734

45005
4500F
45020
45100
45108
4510F
45110
45111
45112
45113
45114
45116
45119
45120
45121
45123
45126
45130
45135
45136
45150
45160
45171
45172
45190
4525F
4526F
45300
45303
45305
45307
45308
45309
Drainage of rectal abscess

Ref to outpt card rehab prog
Drainage of rectal abscess
Biopsy of rectum
Removal of anorectal lesion
Prev cardrehab qualcardevent
Removal of rectum
Partial removal of rectum
Removal of rectum
Partial proctectomy
Remove rectum w/reservoir
Removal of rectum
Removal of rectum and colon
Partial proctectomy
Pelvic exenteration
Excision of rectal prolapse
Excision of rectal prolapse
Excise ileoanal reservior
Excision of rectal stricture
Excision of rectal lesion
Exc rect tum transanal part
Exc rect tum transanal full
Destruction rectal tumor
Neuropsychia interven order
Neuropsychia interven rcvd
Proctosigmoidoscopy dx
Proctosigmoidoscopy dilate
Proctosigmoidoscopy w/bx
Proctosigmoidoscopy fb
Proctosigmoidoscopy removal
141
490
142
141
142
490
993
993
993
142
993
993
993
993
993
142
993
993
993
144
142
142
142
142
142
490
490
132
132
133
133
133
133

ANOSCOPY WITH BIOPSY AND DIAGNOSTIC P
PROCTOSIGMOIDOSCOPY WITH EXCISION OR
B
B
B
B
Page 1069 of 6734

45315
45317
45320
45321
45327
45330
45331
45332
45333
45334
45335
45337
45338
45340
45341
45342
45346
45347
45349
45350
45378
45379
45380
45381
45382
45384
45385
45386
45388
45389
45390
45391
45392
Proctosigmoidoscopy bleed
Proctosigmoidoscopy ablate
Proctosigmoidoscopy volvul
Proctosigmoidoscopy w/stent
Diagnostic sigmoidoscopy
Sigmoidoscopy and biopsy
Sigmoidoscopy w/fb removal
Sigmoidoscopy & polypectomy
Sigmoidoscopy for bleeding
Sigmoidoscopy w/submuc inj
Sigmoidoscopy & decompress
Sigmoidoscopy w/tumr remove
Sig w/tndsc balloon dilation
Sigmoidoscopy w/ultrasound
Sigmoidoscopy w/us guide bx
Sigmoidoscopy w/ablation
Sigmoidoscopy w/plcmt stent
Sigmoidoscopy w/resection
Sgmdsc w/band ligation
Diagnostic colonoscopy
Colonoscopy w/fb removal
Colonoscopy and biopsy
Colonoscopy submucous njx
Colonoscopy w/control bleed
Colonoscopy w/lesion removal
Colonoscopy w/lesion removal
Colonoscopy w/balloon dilat
Colonoscopy w/ablation
Colonoscopy w/stent plcmt
Colonoscopy w/resection
Colonoscopy w/endoscope us
Colonoscopy w/endoscopic fnb
133
133
133
133
133
132
133
133
133
133
133
133
133
133
132
132
133
133
133
133
149
137
149
137
137
137
137
137
137
137
137
136
149
PROCTOSIGMOIDOSCOPY WITH EXCISION OR B

Page 1070 of 6734

45393
45395
45397
45398
45399
45400
45402
4540F
4541F
45499
45500
45505
4550F
4551F
45520
4552F
4553F
45540
45541
4554F
45550
4555F
45560
45562
45563
4556F
4557F
4558F
4559F
4560F
4561F
4562F
4563F
Colonoscopy w/decompression
Lap removal of rectum
Lap remove rectum w/pouch
Colonoscopy w/band ligation
Unlisted procedure colon
Laparoscopic proc
Lap proctopexy w/sig resect
Disease modif pharmacothxpy
Pt offered tx for pseudobulb
Laparoscope proc rectum
Repair of rectum
Repair of rectum
Noninvas resp support talk
Nutritional support offered
Treatment of rectal prolapse
Pt ref for speech lang path
Pt asst re end life issues
Correct rectal prolapse
Correct rectal prolapse
Pt recvd inhal anesthetic
Repair rectum/remove sigmoid
Pt recvd no inhal anesthic
Repair of rectocele
Exploration/repair of rectum
Exploration/repair of rectum
Pt w/ 3+ post-op nausea&vom
Pt w/o 3+ post-opnausea&vom
Pt recvd 2 rx anti-emet agt
1 bodytemp >=35.5cw/in 30min
Anesth w/o gen/neurax anesth
Pt w/ coronary artery stent
Pt w/o coronary artery stent
Pt recvd aspirin w/in 24 hrs
137
993
993
137
136
147
148
490
490
145
142
142
490
490
6
490
490
993
142
490
993
490
142
142
993
490
490
490
490
490
490
490
490
LEVEL I LAPAROSCOPY
Page 1071 of 6734

45800
45805
45820
45825
45900
45905
45910
45915
45990
45999
46020
46030
46040
46045
46050
46060
46070
46080
46083
46200
46220
46221
46230
46250
46255
46257
46258
46260
46261
46262
46270
46275
46280
Repair rect/bladder fistula

Repair fistula w/colostomy
Repair rectourethral fistula
Repair fistula w/colostomy
Reduction of rectal prolapse
Dilation of anal sphincter
Dilation of rectal narrowing
Remove rectal obstruction
Surg dx exam anorectal
Rectum surgery procedure
Placement of seton
Removal of rectal marker
Incision of rectal abscess
Incision of anal abscess
Incision of anal septum
Incision of anal sphincter
Incise external hemorrhoid
Removal of anal fissure
Excise anal ext tag/papilla
Ligation of hemorrhoid(s)
Removal of anal tags
Remove ext hem groups 2+
Remove int/ext hem 1 group
Remove in/ex hem grp & fiss
Remove in/ex hem grp w/fistu
Remove in/ex hem groups 2+
Remove in/ex hem grps & fiss
Remove in/ex hem grps w/fist
Remove anal fist subq
Remove anal fist inter
Remove anal fist complex
142
993
142
993
141
141
141
141
141
141
141
141
142
142
141
142
3
141
3
141
132
9
141
142
142
142
142
142
142
142
142
142
142

Page 1072 of 6734

46285
46288
46320
46500
46505
46600
46601
46604
46606
46607
46608
46610
46611
46612
46614
46615
46700
46705
46706
46707
46710
46712
46715
46716
46730
46735
46740
46742
46744
46746
46748
46750
46751
Remove anal fist 2 stage

Repair anal fistula
Removal of hemorrhoid clot
Injection into hemorrhoid(s)
Chemodenervation anal musc
Diagnostic anoscopy spx
Diagnostic anoscopy
Anoscopy and dilation
Anoscopy and biopsy
Diagnostic anoscopy & biopsy
Anoscopy remove for body
Anoscopy remove lesion
Anoscopy
Anoscopy remove lesions
Anoscopy control bleeding
Anoscopy
Repair of anal stricture
Repair of anal stricture
Repr of anal fistula w/glue
Repair anorectal fist w/plug
Repr per/vag pouch sngl proc
Repr per/vag pouch dbl proc
Rep perf anoper fistu
Rep perf anoper/vestib fistu
Construction of absent anus
Repair of imperforated anus
Repair of cloacal anomaly
Repair of anal sphincter
141
142
141
6
141
490
132
489
132
132
132
132
132
132
132
132
142
142
141
141
142
142
142
142
993
993
142
993
993
993
993
142
142

Page 1073 of 6734

46753
46754
46760
46761
46762
46900
46910
46916
46917
46922
46924
46930
46940
46942
46945
46946
46947
46999
47000
47001
47010
47015
47100
47120
47122
47125
47130
47133
47135
47140
47141
47142
47143
Reconstruction of anus
Removal of suture from anus
Implant artificial sphincter
Destruction anal lesion(s)
Cryosurgery anal lesion(s)
Laser surgery anal lesions
Excision of anal lesion(s)
Destroy internal hemorrhoids
Treatment of anal fissure
Treatment of anal fissure
Remove by ligat int hem grp
Remove by ligat int hem grps
Hemorrhoidopexy by stapling
Anus surgery procedure
Needle biopsy of liver
Needle biopsy liver add-on
Open drainage liver lesion
Inject/aspirate liver cyst
Wedge biopsy of liver
Partial removal of liver
Extensive removal of liver
Removal of donor liver
Transplantation of liver
Partial removal donor liver
Prep donor liver whole
142
489
142
142
142
6
7
6
7
7
7
141
141
141
141
141
142
141
61
61
993
144
993
993
993
993
993
993
993
993
993
993
993

Page 1074 of 6734

47144
47145
47146
47147
47300
47350
47360
47361
47362
47370
47371
47379
47380
47381
47382
47383
47399
47400
47420
47425
47460
47480
47490
47531
47532
47533
47534
47535
47536
47537
47538
47539
47540
Prep donor liver 3-segment

Prep donor liver lobe split
Prep donor liver/venous
Prep donor liver/arterial
Surgery for liver lesion
Repair liver wound
Repair liver wound
Repair liver wound
Repair liver wound
Laparo ablate liver tumor rf
Laparo ablate liver cryosurg
Laparoscope procedure liver
Open ablate liver tumor rf
Open ablate liver tumor cryo
Percut ablate liver rf
Perq abltj lvr cryoablation
Liver surgery procedure
Incision of liver duct
Incision of bile duct
Incision of bile duct
Incise bile duct sphincter
Incision of gallbladder
Incision of gallbladder
Injection for cholangiogram
Injection for cholangiogram
Plmt biliary drainage cath
Plmt biliary drainage cath
Conversion ext bil drg cath
Exchange biliary drg cath
Removal biliary drg cath
Perq plmt bile duct stent
993
993
993
993
993
993
993
993
993
148
148
145
993
993
144
144
143
993
993
993
993
993
143
287
285
143
143
143
143
421
144
144
144

LEVEL I LAPAROSCOPY
DIGESTIVE RADIOLOGY
TUBE CHANGE
Page 1075 of 6734

47541
47542
47543
47544
47550
47552
47553
47554
47555
47556
47562
47563
47564
47570
47579
47600
47605
47610
47612
47620
47700
47701
47711
47712
47715
47720
47721
47740
47741
47760
47765
47780
47785
Plmt access bil tree sm bwl

Dilate biliary duct/ampulla
Endoluminal bx biliary tree
Removal duct glbldr calculi
Bile duct endoscopy add-on
Biliary endo perq dx w/speci
Biliary endoscopy thru skin
Laparoscopic cholecystectomy
Laparo cholecystectomy/graph
Laparo cholecystectomy/explr
Laparo cholecystoenterostomy
Laparoscope proc biliary
Removal of gallbladder
Exploration of bile ducts
Bile duct revision
Excision of bile duct tumor
Excision of bile duct tumor
Excision of bile duct cyst
Fuse gallbladder & bowel
Fuse upper gi structures
Fuse bile ducts and bowel
Fuse liver ducts & bowel
143
143
143
143
138
138
138
138
138
138
146
147
147
148
145
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993

ERCP AND MISCELLANEOUS GI ENDOSCOPY
LEVEL I LAPAROSCOPY
P
P
P
P
P
P
Page 1076 of 6734

47800
47801
47802
47900
47999
48000
48001
48020
48100
48102
48105
48120
48140
48145
48146
48148
48150
48152
48153
48154
48155
48160
48400
48500
48510
48520
48540
48545
48547
48548
48550
48551
48552
Reconstruction of bile ducts

Placement bile duct support
Fuse liver duct & intestine
Suture bile duct injury
Bile tract surgery procedure
Drainage of abdomen
Placement of drain pancreas
Removal of pancreatic stone
Biopsy of pancreas open
Needle biopsy pancreas
Resect/debride pancreas
Removal of pancreas lesion
Partial removal of pancreas
Pancreatectomy
Removal of pancreatic duct
Pancreatectomy
Pancreatectomy
Pancreatectomy
Removal of pancreas
Pancreas removal/transplant
Injection intraop add-on
Surgery of pancreatic cyst
Drain pancreatic pseudocyst
Fuse pancreas cyst and bowel
Fuse pancreas cyst and bowel
Pancreatorrhaphy
Duodenal exclusion
Fuse pancreas and bowel
Donor pancreatectomy
Prep donor pancreas
Prep donor pancreas/venous
993
144
993
993
143
144
144
993
993
61
993
993
144
993
993
993
993
993
993
993
993
144
474
993
144
993
993
993
993
993
144
993
993

RADIOLOGICAL GUIDANCE FOR THERAPEUTIC
Page 1077 of 6734

48554
48556
48999
49000
49002
49010
49020
49040
49060
49062
49082
49083
49084
49180
49185
49203
49204
49205
49215
49220
49250
49255
49320
49321
49322
49323
49324
49325
49326
49327
49329
49400
49402
Transpl allograft pancreas

Removal allograft pancreas
Pancreas surgery procedure
Exploration of abdomen
Reopening of abdomen
Exploration behind abdomen
Drainage abdom abscess open
Drain open abdom abscess
Drain open retroperi abscess
Drain to peritoneal cavity
Abd paracentesis
Abd paracentesis w/imaging
Peritoneal lavage
Biopsy abdominal mass
Sclerotx fluid collection
Exc abd tum 5 cm or less
Exc abd tum over 5 cm
Exc abd tum over 10 cm
Excise sacral spine tumor
Multiple surgery abdomen
Excision of umbilicus
Removal of omentum
Diag laparo separate proc
Laparoscopy biopsy
Laparoscopy aspiration
Laparo drain lymphocele
Lap insert tunnel ip cath
Lap revision perm ip cath
Lap w/omentopexy add-on
Lap ins device for rt
Laparo proc abdm/per/oment
Air injection into abdomen
Remove foreign body adbomen
993
993
143
144
144
144
993
993
993
993
61
61
61
2
61
993
993
993
144
144
140
144
145
145
145
146
145
145
146
146
145
490
143

LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
Page 1078 of 6734

49405
49406
49407
49411
49412
49418
49419
49421
49422
49423
49424
49425
49426
49427
49428
49429
49435
49436
49440
49441
49442
49446
49450
49451
49452
49460
49465
49491
49492
49495
49496
49500
49501
Image cath fluid colxn visc

Image cath fluid peri/retro
Image cath fluid trns/vgnl
Ins mark abd/pel for rt perq
Ins device for rt guide open
Insert tun ip cath perc
Insert tun ip cath w/port
Ins tun ip cath for dial opn
Remove tunneled ip cath
Exchange drainage catheter
Assess cyst contrast inject
Insert abdomen-venous drain
Revise abdomen-venous shunt
Injection abdominal shunt
Ligation of shunt
Removal of shunt
Insert subq exten to ip cath
Embedded ip cath exit-site
Place gastrostomy tube perc
Place duod/jej tube perc
Place cecostomy tube perc
Change g-tube to g-j perc
Replace g/c tube perc
Replace duod/jej tube perc
Replace g-j tube perc
Fix g/colon tube w/device
Fluoro exam of g/colon tube
Rpr hern preemie reduc
Rpr ing hern premie blocked
Rpr ing hernia baby reduc
Rpr ing hernia baby blocked
Rpr ing hernia init reduce
Rpr ing hernia init blocked
61
61
61
477
130
130
61
61
61
61
285
144
143
490
993
489
490
421
134
134
142
135
130
130
130
130
285
139
140
139
139
139
139

TUBE CHANGE
Page 1079 of 6734

49505
49507
49520
49521
49525
49540
49550
49553
49555
49557
49560
49561
49565
49566
49568
49570
49572
49580
49582
49585
49587
49590
49600
49605
49606
49610
49611
49650
49651
49652
49653
49654
49655
Prp i/hern init reduc >5 yr

Prp i/hern init block >5 yr
Rerepair ing hernia reduce
Rerepair ing hernia blocked
Repair ing hernia sliding
Repair lumbar hernia
Rpr rem hernia init reduce
Rpr fem hernia init blocked
Rerepair fem hernia reduce
Rerepair fem hernia blocked
Rpr ventral hern init reduc
Rpr ventral hern init block
Rerepair ventrl hern reduce
Rerepair ventrl hern block
Hernia repair w/mesh
Rpr epigastric hern reduce
Rpr epigastric hern blocked
Rpr umbil hern reduc < 5 yr
Rpr umbil hern block < 5 yr
Rpr umbil hern reduc > 5 yr
Rpr umbil hern block > 5 yr
Repair spigelian hernia
Repair umbilical lesion
Lap ing hernia repair init
Lap ing hernia repair recur
Lap vent/abd hernia repair
Lap vent/abd hern proc comp
Lap inc hernia repair
Lap inc hern repair comp
139
140
140
140
139
140
139
140
140
140
140
140
140
140
139
139
139
139
139
139
139
139
140
993
140
140
993
146
146
146
146
146
146

Page 1080 of 6734

49656
49657
49659
49900
49904
49905
49906
49999
50010
50020
50040
50045
5005F
50060
50065
50070
50075
50080
50081
50100
5010F
50120
50125
50130
50135
5015F
50200
50205
5020F
50220
50225
50230
50234
Lap inc hernia repair recur

Lap inc hern recur comp
Laparo proc hernia repair
Repair of abdominal wall
Omental flap extra-abdom
Omental flap intra-abdom
Free omental flap microvasc
Abdomen surgery procedure
Exploration of kidney
Renal abscess open drain
Drainage of kidney
Pt counsld on exam for moles
Removal of kidney stone
Incision of kidney
Incision of kidney
Revise kidney blood vessels
Macul result phy/qhp mng dm
Explore and drain kidney
Doc fx & test/txmnt for op
Renal biopsy perq
Renal biopsy open
Txmnts 2 phys/qhp by 1 mon
Remove kidney open
Removal kidney open complex
Removal kidney open radical
Removal of kidney & ureter
146
146
145
144
144
143
143
143
993
165
993
993
490
993
993
993
993
165
165
993
490
993
993
993
993
490
2
993
490
993
993
165
993
LEVEL I LAPAROSCOPY
Page 1081 of 6734

50236
50240
50250
50280
50290
50300
50320
50323
50325
50327
50328
50329
50340
50360
50365
50370
50380
50382
50384
50385
50386
50387
50389
50390
50391
50395
50396
50400
50405
50430
50431
50432
50433
Removal of kidney & ureter

Partial removal of kidney
Cryoablate renal mass open
Removal of kidney lesion
Removal of kidney lesion
Remove cadaver donor kidney
Remove kidney living donor
Prep cadaver renal allograft
Prep donor renal graft
Prep renal graft/venous
Prep renal graft/arterial
Prep renal graft/ureteral
Removal of kidney
Transplantation of kidney
Transplantation of kidney
Remove transplanted kidney
Reimplantation of kidney
Change ureter stent percut
Remove ureter stent percut
Change stent via transureth
Remove stent via transureth
Change nephroureteral cath
Remove renal tube w/fluoro
Drainage of kidney lesion
Instll rx agnt into rnal tub
Create passage to kidney
Measure kidney pressure
Revision of kidney/ureter
Revision of kidney/ureter
Njx px nfrosgrm &/urtrgrm
Njx px nfrosgrm &/urtrgrm
Plmt nephrostomy catheter
Plmt nephroureteral catheter
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
164
163
164
163
163
489
2
163
163
161
993
993
285
285
163
163

Page 1082 of 6734

50434
50435
50500
5050F
50520
50525
50526
50540
50541
50542
50543
50544
50545
50546
50547
50548
50549
50551
50553
50555
50557
50561
50562
50570
50572
50574
50575
50576
50580
50590
50592
50593
50600
Convert nephrostomy catheter

Exchange nephrostomy cath
Repair of kidney wound
Plan 2 main dr by 1 month
Close kidney-skin fistula
Close nephrovisceral fistula
Close nephrovisceral fistula
Revision of horseshoe kidney
Laparo ablate renal cyst
Laparo ablate renal mass
Laparo partial nephrectomy
Laparoscopy pyeloplasty
Laparo radical nephrectomy
Laparoscopic nephrectomy
Laparo removal donor kidney
Laparo remove w/ureter
Laparoscope proc renal
Kidney endoscopy
Kidney endoscopy
Kidney endoscopy & biopsy
Kidney endoscopy & treatment
Renal scope w/tumor resect
Kidney endoscopy
Kidney endoscopy
Kidney endoscopy & biopsy
Kidney endoscopy
Fragmenting of kidney stone
Perc rf ablate renal tumor
Perc cryo ablate renal tum
Exploration of ureter
163
163
993
490
993
993
993
993
146
147
147
147
993
993
993
993
145
163
164
164
164
164
165
164
164
164
165
165
165
160
164
164
993

LEVEL I LAPAROSCOPY
Page 1083 of 6734

50605
50606
5060F
50610
50620
5062F
50630
50650
50660
50684
50686
50688
50690
50693
50694
50695
50700
50705
50706
50715
50722
50725
50727
50728
50740
50750
50760
50770
50780
50782
50783
50785
50800
Insert ureteral support

Endoluminal bx urtr rnl plvs
Fndngs mammo 2pt w/in 3 days
Removal of ureter stone
Mammo result com to pt 5 day
Removal of ureter
Removal of ureter
Injection for ureter x-ray
Measure ureter pressure
Change of ureter tube/stent
Injection for ureter x-ray
Plmt ureteral stent prq
Revision of ureter
Ureteral embolization/occl
Balloon dilate urtrl strix
Release of ureter
Release of ureter
Release/revise ureter
Revise ureter
Revise ureter
Fusion of ureter & kidney
Fusion of ureter & kidney
Fusion of ureters
Splicing of ureters
Reimplant ureter in bladder
Implant ureter in bowel
993
163
490
993
993
490
993
993
993
285
161
421
285
164
164
164
993
163
163
993
993
993
164
165
993
993
993
993
993
993
993
993
993

TUBE CHANGE
Page 1084 of 6734

50810
50815
50820
50825
50830
50840
50845
50860
50900
50920
50930
50940
50945
50947
50948
50949
50951
50953
50955
50957
50961
50970
50972
50974
50976
50980
5100F
51020
51030
51040
51045
51050
51060
Fusion of ureter & bowel

Urine shunt to intestine
Construct bowel bladder
Construct bowel bladder
Revise urine flow
Replace ureter by bowel
Appendico-vesicostomy
Transplant ureter to skin
Repair of ureter
Closure ureter/skin fistula
Closure ureter/bowel fistula
Release of ureter
Laparoscopy ureterolithotomy
Laparo new ureter/bladder
Laparo new ureter/bladder
Laparoscope proc ureter
Endoscopy of ureter
Endoscopy of ureter
Ureter endoscopy & biopsy
Ureter endoscopy & treatment
Ureter endoscopy
Ureter endoscopy & catheter
Ureter endoscopy & biopsy
Rsk fx ref w/n 24 hrs xray
Incise & treat bladder
Incise & treat bladder
Incise & drain bladder
Incise bladder/drain ureter
Removal of bladder stone
993
993
993
993
993
993
165
993
993
993
993
993
148
148
148
145
164
164
164
164
164
164
163
164
164
164
490
164
164
164
164
164
164

LEVEL I LAPAROSCOPY
Page 1085 of 6734

51065
51080
51100
51101
51102
51500
51520
51525
51530
51535
51550
51555
51565
51570
51575
51580
51585
51590
51595
51596
51597
51600
51605
51610
51700
51701
51702
51703
51705
51710
51715
51720
51725
Remove ureter calculus

Drainage of bladder abscess
Drain bladder by needle
Drain bladder by trocar/cath
Drain bl w/cath insertion
Removal of bladder cyst
Removal of bladder lesion
Repair of ureter lesion
Partial removal of bladder
Partial removal of bladder
Revise bladder & ureter(s)
Removal of bladder
Removal of bladder & nodes
Remove bladder/revise tract
Removal of bladder & nodes
Remove bladder/create pouch
Removal of pelvic structures
Injection for bladder x-ray
Preparation for bladder xray
Injection for bladder x-ray
Irrigation of bladder
Insert bladder catheter
Insert temp bladder cath
Insert bladder cath complex
Change of bladder tube
Change of bladder tube
Endoscopic injection/implant
Treatment of bladder lesion
Simple cystometrogram
164
164
489
489
164
140
165
993
993
165
993
993
993
993
993
993
993
993
993
993
993
285
285
285
161
489
489
489
421
421
167
163
161

TUBE CHANGE
TUBE CHANGE
LEVEL II URETHRA AND PROSTATE PROCEDUR
Page 1086 of 6734

51726
51727
51728
51729
51736
51741
51784
51785
51792
51797
51798
51800
51820
51840
51841
51845
51860
51865
51880
51900
51920
51925
51940
51960
51980
51990
51992
51999
52000
52001
52005
52007
5200F
Complex cystometrogram
Cystometrogram w/up
Cystometrogram w/vp
Cystometrogram w/vp&up
Urine flow measurement
Electro-uroflowmetry first
Anal/urinary muscle study
Anal/urinary muscle study
Urinary reflex study
Intraabdominal pressure test
Us urine capacity measure
Revision of bladder/urethra
Revision of urinary tract
Attach bladder/urethra
Attach bladder/urethra
Repair bladder neck
Repair of bladder wound
Repair of bladder wound
Repair of bladder opening
Repair bladder/vagina lesion
Close bladder-uterus fistula
Hysterectomy/bladder repair
Correction of bladder defect
Revision of bladder & bowel
Construct bladder opening
Laparo urethral suspension
Laparo sling operation
Laparoscope proc bla
Cystoscopy
Cystoscopy removal of clots
Cystoscopy & ureter catheter
Cystoscopy and biopsy
Eval appros surg thxpy epi
161
161
161
161
489
489
213
161
489
161
489
993
993
197
993
198
164
993
164
993
993
993
993
993
993
146
146
145
163
164
163
164
490

LEVEL III FEMALE REPRODUCTIVE PROCEDURE
LEVEL I LAPAROSCOPY
Page 1087 of 6734

52010
52204
52214
52224
52234
52235
52240
52250
52260
52265
52270
52275
52276
52277
52281
52282
52283
52285
52287
52290
52300
52301
52305
52310
52315
52317
52318
52320
52325
52327
52330
52332
52334
Cystoscopy & duct catheter

Cystoscopy w/biopsy(s)
Cystoscopy and treatment
Cystoscopy and radiotracer
Cystoscopy & revise urethra
Cystoscopy & revise urethra
Cystoscopy implant stent
Cystoscopy chemodenervation
Remove bladder stone
Remove bladder stone
Cystoscopy stone removal
Cystoscopy inject material
Create passage to kidney
163
163
163
163
163
163
164
164
164
163
163
164
164
164
163
164
164
163
163
164
164
164
164
163
164
164
164
164
164
164
164
163
164
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I BLADDER AND KIDNEY PROCEDURES

II BLADDER AND KIDNEY PROCEDURES
Page 1088 of 6734

52341
52342
52343
52344
52345
52346
52351
52352
52353
52354
52355
52356
52400
52402
52441
52442
52450
52500
5250F
52601
52630
52640
52647
52648
52649
52700
53000
53010
53020
53025
53040
53060
53080
Cysto w/ureter stricture tx

Cysto w/up stricture tx
Cysto w/renal stricture tx
Cysto/uretero stricture tx
Cysto/uretero w/up stricture
Cystouretero w/renal strict
Cystouretero & or pyeloscope
Cystouretero w/stone remove
Cystouretero w/lithotripsy
Cystouretero w/biopsy
Cystouretero w/excise tumor
Cysto/uretero w/lithotripsy
Cystouretero w/congen repr
Cystourethro cut ejacul duct
Cystourethro w/implant
Cystourethro w/addl implant
Incision of prostate
Revision of bladder neck
Asthma discharge plan presnt
Prostatectomy (turp)
Remove prostate regrowth
Relieve bladder contracture
Laser surgery of prostate
Laser surgery of prostate
Prostate laser enucleation
Drainage of prostate abscess
Incision of urethra
Incision of urethra
Incision of urethra
Incision of urethra
Drainage of urethra abscess
Drainage of urethra abscess
Drainage of urinary leakage
164
164
164
164
164
164
164
164
164
164
164
165
164
164
164
164
164
184
490
184
164
164
184
184
184
164
166
166
166
166
166
166
166

LEVEL I URETHRA AND PROSTATE PROCEDURE
Page 1089 of 6734

53085
53200
53210
53215
53220
53230
53235
53240
53250
53260
53265
53270
53275
53400
53405
53410
53415
53420
53425
53430
53431
53440
53442
53444
53445
53446
53447
53448
53449
53450
53460
53500
53502
Drainage of urinary leakage

Biopsy of urethra
Removal of urethra
Removal of urethra
Treatment of urethra lesion
Removal of urethra lesion
Removal of urethra lesion
Surgery for urethra pouch
Removal of urethra gland
Removal of urethra gland
Repair of urethra defect
Revise urethra stage 1
Revise urethra stage 2
Reconstruction of urethra
Reconstruct urethra stage 1
Reconstruct urethra stage 2
Reconstruct urethra/bladder
Male sling procedure
Remove/revise male sling
Insert tandem cuff
Insert uro/ves nck sphincter
Remove uro sphincter
Remove/replace ur sphincter
Remov/replc ur sphinctr comp
Repair uro sphincter
Revision of urethra
Revision of urethra
Urethrlys transvag w/ scope
Repair of urethra injury
166
166
167
164
167
167
167
167
166
166
166
166
166
167
167
167
167
167
167
167
167
167
167
166
167
166
165
166
167
167
167
165
167
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I URETHRA AND PROSTATE PROCEDURE

II URETHRA AND PROSTATE PROCEDUR
III BLADDER AND KIDNEY PROCEDURES
III BLADDER AND KIDNEY PROCEDURES
Page 1090 of 6734

53505
53510
53515
53520
53600
53601
53605
53620
53621
53660
53661
53665
53850
53852
53855
53860
53899
54000
54001
54015
54050
54055
54056
54057
54060
54065
54100
54105
54110
54111
54112
54115
54120

Repair of urethra defect
Dilate urethra stricture
Dilation of urethra
Dilation of urethra
Dilation of urethra
Prostatic microwave thermotx
Prostatic rf thermotx
Insert prost urethral stent
Transurethral rf treatment
Urology surgery procedure
Slitting of prepuce
Slitting of prepuce
Drain penis lesion
Destruction penis lesion(s)
Cryosurgery penis lesion(s)
Laser surg penis lesion(s)
Excision of penis lesion(s)
Biopsy of penis
Biopsy of penis
Treatment of penis lesion
Treat penis lesion graft
Treat penis lesion graft
Partial removal of penis
167
165
165
167
162
162
162
162
162
162
162
162
184
184
166
490
163
181
181
4
6
6
6
6
6
6
10
10
183
183
183
183
183

URINARY DILATATION
URINARY DILATATION
URINARY DILATATION
URINARY DILATATION
URINARY DILATATION
URINARY DILATATION
URINARY DILATATION
URINARY DILATATION
CIRCUMCISION
CIRCUMCISION
Page 1091 of 6734

54125
54130
54135
54150
54160
54161
54162
54163
54164
54200
54205
54220
54230
54231
54235
54240
54250
54300
54304
54308
54312
54316
54318
54322
54324
54326
54328
54332
54336
54340
54344
54348
54352
Removal of penis
Remove penis & nodes
Remove penis & nodes
Circumcision w/regionl block
Circumcision neonate
Circum 28 days or older
Lysis penil circumic lesion
Repair of circumcision
Frenulotomy of penis
Prepare penis study
Dynamic cavernosometry
Penile injection
Penis study
Penis study
Revision of penis
Revision of penis
Revise penis/urethra
Secondary urethral surgery
Reconstruct urethra/penis
993
993
993
181
181
181
181
181
181
417
183
12
285
183
489
489
489
183
183
183
183
183
183
183
183
183
183
183
183
183
183
183
183

CIRCUMCISION
CIRCUMCISION
CIRCUMCISION
CIRCUMCISION
CIRCUMCISION
CIRCUMCISION
LEVEL I SKIN REPAIR
Page 1092 of 6734

54360
54380
54385
54390
54400
54401
54405
54406
54408
54410
54411
54415
54416
54417
54420
54430
54435
54437
54438
54440
54450
54500
54505
54512
54520
54522
54530
54535
54550
54560
54600
54620
54640
Penis plastic surgery

Repair penis
Repair penis
Repair penis and bladder
Insert semi-rigid prosthesis
Insert self-contd prosthesis
Insert multi-comp penis pros
Remove muti-comp penis pros
Repair multi-comp penis pros
Remove/replace penis prosth
Remov/replc penis pros comp
Remove self-contd penis pros
Remv/repl penis contain pros
Remv/replc penis pros compl
Revision of penis
Revision of penis
Revision of penis
Repair corporeal tear
Replantation of penis
Repair of penis
Preputial stretching
Biopsy of testis
Biopsy of testis
Excise lesion testis
Removal of testis
Orchiectomy partial
Removal of testis
Extensive testis surgery
Exploration for testis
Exploration for testis
Reduce testis torsion
Suspension of testis
Suspension of testis
183
183
183
183
182
182
182
183
183
182
182
183
182
183
183
183
183
183
993
183
183
2
180
180
180
180
183
180
180
180
180
180
180

Page 1093 of 6734

54650
54660
54670
54680
54690
54692
54699
54700
54800
54830
54840
54860
54861
54865
54900
54901
55000
55040
55041
55060
55100
55110
55120
55150
55175
55180
55200
55250
55300
55400
55450
55500
55520
Orchiopexy (fowler-stephens)
Revision of testis
Repair testis injury
Relocation of testis(es)
Laparoscopy orchiectomy
Laparoscopy orchiopexy
Laparoscope proc testis
Drainage of scrotum
Biopsy of epididymis
Remove epididymis lesion
Remove epididymis lesion
Removal of epididymis
Removal of epididymis
Explore epididymis
Fusion of spermatic ducts
Fusion of spermatic ducts
Drainage of hydrocele
Removal of hydrocele
Removal of hydroceles
Repair of hydrocele
Drainage of scrotum abscess
Explore scrotum
Removal of scrotum lesion
Removal of scrotum
Revision of scrotum
Revision of scrotum
Incision of sperm duct
Removal of sperm duct(s)
Prepare sperm duct x-ray
Repair of sperm duct
Ligation of sperm duct
Removal of hydrocele
Removal of sperm cord lesion
180
180
180
180
146
146
145
180
2
180
180
180
180
180
180
180
2
139
139
180
3
180
180
180
180
180
180
180
180
180
180
180
180

LEVEL I LAPAROSCOPY
Page 1094 of 6734

55530
55535
55540
55550
55559
55600
55605
55650
55680
55700
55705
55706
55720
55725
55801
55810
55812
55815
55821
55831
55840
55842
55845
55860
55862
55865
55866
55870
55873
55875
55876
55899
55920
Revise spermatic cord veins

Revise spermatic cord veins
Revise hernia & sperm veins
Laparo ligate spermatic vein
Laparo proc spermatic cord
Incise sperm duct pouch
Incise sperm duct pouch
Remove sperm duct pouch
Remove sperm pouch lesion
Biopsy of prostate
Biopsy of prostate
Prostate saturation sampling
Removal of prostate
Extensive prostate surgery
Removal of prostate
Removal of prostate
Surgical exposure prostate
Laparo radical prostatectomy
Electroejaculation
Cryoablate prostate
Transperi needle place pros
Place rt device/marker pros
Genital surgery procedure
Place needles pelvic for rt
180
180
180
146
145
163
163
163
180
185
185
185
164
164
993
993
993
993
993
993
993
164
993
164
993
993
148
190
184
167
166
180
164

LEVEL I LAPAROSCOPY
Page 1095 of 6734

55970
55980
56405
56420
56440
56441
56442
56501
56515
56605
56606
56620
56625
56630
56631
56632
56633
56634
56637
56640
56700
56740
56800
56805
56810
56820
56821
57000
57010
57020
57022
57023
57061
Sex transformation m to f
Sex transformation f to m
I & d of vulva/perineum
Drainage of gland abscess
Surgery for vulva lesion
Lysis of labial lesion(s)
Hymenotomy
Destroy vulva lesions sim
Destroy vulva lesion/s compl
Biopsy of vulva/perineum
Biopsy of vulva/perineum
Partial removal of vulva
Complete removal of vulva
Extensive vulva surgery
Partial removal of hymen
Remove vagina gland lesion
Repair of vagina
Repair clitoris
Repair of perineum
Exam of vulva w/scope
Exam/biopsy of vulva w/scope
Exploration of vagina
Drainage of pelvic abscess
Drainage of pelvic fluid
I & d vaginal hematoma pp
I & d vag hematoma non-ob
Destroy vag lesions simple
183
197
3
3
196
196
196
196
196
9
9
197
197
993
993
993
993
993
993
993
196
196
196
198
196
201
201
196
197
196
196
197
196

COLPOSCOPY
COLPOSCOPY
Page 1096 of 6734

57065
57100
57105
57106
57107
57109
57110
57111
57112
57120
57130
57135
57150
57155
57156
57160
57170
57180
57200
57210
57220
57230
57240
57250
57260
57265
57267
57268
57270
57280
57282
57283
57284
Destroy vag lesions complex

Biopsy of vagina
Biopsy of vagina
Remove vagina wall partial
Remove vagina tissue part
Vaginectomy partial w/nodes
Remove vagina wall complete
Remove vagina tissue compl
Vaginectomy w/nodes compl
Closure of vagina
Remove vagina lesion
Remove vagina lesion
Treat vagina infection
Insert uteri tandem/ovoids
Ins vag brachytx device
Insert pessary/other device
Fitting of diaphragm/cap
Treat vaginal bleeding
Repair of vagina
Repair vagina/perineum
Revision of urethra
Repair of urethral lesion
Repair bladder & vagina
Repair rectum & vagina
Repair of vagina
Extensive repair of vagina
Insert mesh/pelvic flr addon
Repair of bowel bulge
Repair of bowel pouch
Suspension of vagina
Colpopexy extraperitoneal
Colpopexy intraperitoneal
Repair paravag defect open
196
196
196
197
198
198
993
993
993
196
196
196
417
196
196
417
417
417
196
196
197
197
197
197
197
198
196
197
993
993
197
197
198

Page 1097 of 6734

57285
57287
57288
57289
57291
57292
57295
57296
57300
57305
57307
57308
57310
57311
57320
57330
57335
57400
57410
57415
57420
57421
57423
57425
57426
57452
57454
57455
57456
57460
57461
57500
57505
Repair paravag defect vag

Revise/remove sling repair
Repair bladder defect
Repair bladder & vagina
Construction of vagina
Construct vagina with graft
Revise vag graft via vagina
Revise vag graft open abd
Repair rectum-vagina fistula
Repair rectum-vagina fistula
Fistula repair & colostomy
Fistula repair transperine
Repair urethrovaginal lesion
Repair urethrovaginal lesion
Repair bladder-vagina lesion
Repair bladder-vagina lesion
Repair vagina
Dilation of vagina
Pelvic examination
Remove vaginal foreign body
Exam of vagina w/scope
Exam/biopsy of vag w/scope
Repair paravag defect lap
Laparoscopy surg colpopexy
Revise prosth vag graft lap
Exam of cervix w/scope
Bx/curett of cervix w/scope
Biopsy of cervix w/scope
Endocerv curettage w/scope
Bx of cervix w/scope leep
Conz of cervix w/scope leep
Biopsy of cervix
Endocervical curettage
198
198
198
198
197
198
197
198
197
993
993
993
197
993
197
198
198
196
196
196
201
201
147
146
146
201
201
201
201
201
201
2
196

COLPOSCOPY
COLPOSCOPY
COLPOSCOPY
COLPOSCOPY
COLPOSCOPY
COLPOSCOPY
COLPOSCOPY
COLPOSCOPY
Page 1098 of 6734

57510
57511
57513
57520
57522
57530
57531
57540
57545
57550
57555
57556
57558
57700
57720
57800
58100
58110
58120
58140
58145
58146
58150
58152
58180
58200
58210
58240
58260
58262
58263
58267
58270
Cauterization of cervix
Cryocautery of cervix
Laser surgery of cervix
Conization of cervix
Conization of cervix
Removal of cervix
Removal of cervix radical
Removal of residual cervix
Remove cervix/repair pelvis
Removal of residual cervix
Remove cervix/repair vagina
Remove cervix repair bowel
D&c of cervical stump
Revision of cervix
Revision of cervix
Dilation of cervical canal
Biopsy of uterus lining
Bx done w/colposcopy add-on
Dilation and curettage
Myomectomy abdom method
Myomectomy vag method
Myomectomy abdom complex
Total hysterectomy
Total hysterectomy
Partial hysterectomy
Extensive hysterectomy
Removal of pelvis contents
Vaginal hysterectomy
Vag hyst including t/o
Vag hyst w/t/o & vag repair
Vag hyst w/urinary repair
Vag hyst w/enterocele repair
196
417
196
196
196
197
993
993
993
197
196
197
199
196
196
196
417
201
199
993
197
993
993
993
993
993
993
993
198
198
198
193
198

COLPOSCOPY
Page 1099 of 6734

58275
58280
58285
58290
58291
58292
58293
58294
58300
58301
58321
58322
58323
58340
58345
58346
58350
58353
58356
58400
58410
58520
58540
58541
58542
58543
58544
58545
58546
58548
58550
58552
58553
Hysterectomy/revise vagina
Hysterectomy/revise vagina
Vag hyst complex
Vag hyst incl t/o complex
Vag hyst t/o & repair compl
Vag hyst w/uro repair compl
Vag hyst w/enterocele compl
Insert intrauterine device
Remove intrauterine device
Sperm washing
Catheter for hysterography
Reopen fallopian tube
Insert heyman uteri capsule
Reopen fallopian tube
Endometr ablate thermal
Endometrial cryoablation
Suspension of uterus
Suspension of uterus
Repair of ruptured uterus
Revision of uterus
Lsh uterus 250 g or less
Lsh w/t/o ut 250 g or less
Lsh uterus above 250 g
Lsh w/t/o uterus above 250 g
Laparoscopic myomectomy
Laparo-myomectomy complex
Lap radical hyst
Laparo-asst vag hysterectomy
Laparo-vag hyst incl t/o
Laparo-vag hyst complex
993
993
993
198
198
198
993
198
417
417
190
190
190
285
196
197
196
197
197
196
197
198
198
147
147
147
147
147
147
993
147
147
148

Page 1100 of 6734

58554
58555
58558
58559
58560
58561
58562
58563
58565
58570
58571
58572
58573
58578
58579
58600
58605
58611
58615
58660
58661
58662
58670
58671
58672
58673
58679
58700
58720
58740
58750
58752
58760
Laparo-vag hyst w/t/o compl

Hysteroscopy dx sep proc
Hysteroscopy biopsy
Hysteroscopy lysis
Hysteroscopy resect septum
Hysteroscopy remove myoma
Hysteroscopy remove fb
Hysteroscopy ablation
Hysteroscopy sterilization
Tlh uterus 250 g or less
Tlh w/t/o 250 g or less
Tlh uterus over 250 g
Tlh w/t/o uterus over 250 g
Laparo proc uterus
Hysteroscope procedure
Division of fallopian tube
Division of fallopian tube
Ligate oviduct(s) add-on
Occlude fallopian tube(s)
Laparoscopy lysis
Laparoscopy remove adnexa
Laparoscopy excise lesions
Laparoscopy tubal cautery
Laparoscopy tubal block
Laparoscopy fimbrioplasty
Laparoscopy salpingostomy
Laparo proc oviduct-ovary
Removal of fallopian tube
Removal of ovary/tube(s)
Adhesiolysis tube ovary
Repair oviduct
Revise ovarian tube(s)
Fimbrioplasty
148
200
200
200
200
200
200
200
200
147
147
148
148
145
145
197
993
993
197
146
146
147
146
145
147
147
146
198
198
197
198
993
993
HYSTEROSCOPY
HYSTEROSCOPY
HYSTEROSCOPY
HYSTEROSCOPY
HYSTEROSCOPY
HYSTEROSCOPY
HYSTEROSCOPY
HYSTEROSCOPY
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
LEVEL I LAPAROSCOPY
Page 1101 of 6734

58770
58800
58805
58820
58822
58825
58900
58920
58925
58940
58943
58950
58951
58952
58953
58954
58956
58957
58958
58960
58970
58974
58976
58999
59000
59001
59012
59015
59020
59025
59030
59050
59051
Create new tubal opening

Drainage of ovarian cyst(s)
Drainage of ovarian cyst(s)
Drain ovary abscess open
Drain ovary abscess percut
Transposition ovary(s)
Biopsy of ovary(s)
Partial removal of ovary(s)
Removal of ovarian cyst(s)
Removal of ovary(s)
Removal of ovary(s)
Resect ovarian malignancy
Tah rad dissect for debulk
Tah rad debulk/lymph remove
Bso omentectomy w/tah
Resect recurrent gyn mal
Resect recur gyn mal w/lym
Exploration of abdomen
Retrieval of oocyte
Transfer of embryo
Transfer of embryo
Genital surgery procedure
Amniocentesis diagnostic
Amniocentesis therapeutic
Fetal cord puncture prenatal
Chorion biopsy
Fetal contract stress test
Fetal non-stress test
Fetal scalp blood sample
Fetal monitor w/report
Fetal monitor/interpret only
197
197
197
197
993
993
197
197
198
993
993
993
993
993
993
993
993
993
993
198
190
190
190
201
191
192
196
191
191
191
191
191
490

COLPOSCOPY
Page 1102 of 6734

59070
59072
59074
59076
59100
59120
59121
59130
59135
59136
59140
59150
59151
59160
59200
59300
59320
59325
59350
59400
59409
59410
59412
59414
59425
59426
59430
59510
59514
59515
59525
59610
59612
Transabdom amnioinfus w/us

Umbilical cord occlud w/us
Fetal fluid drainage w/us
Fetal shunt placement w/us
Remove uterus lesion
Treat ectopic pregnancy
D & c after delivery
Insert cervical dilator
Episiotomy or vaginal repair
Revision of cervix
Revision of cervix
Repair of uterus
Obstetrical care
Obstetrical care
Obstetrical care
Antepartum manipulation
Deliver placenta
Antepartum care only
Antepartum care only
Care after delivery
Cesarean delivery
Cesarean delivery only
Cesarean delivery
Remove uterus after cesarean
Vbac delivery
Vbac delivery only
192
192
192
192
197
198
198
993
993
993
993
147
147
199
191
196
196
196
993
999
195
195
425
196
491
491
491
999
993
999
993
999
195

UNASSIGNED
VAGINAL DELIVERY
VAGINAL DELIVERY
UNASSIGNED
UNASSIGNED
UNASSIGNED
VAGINAL DELIVERY
Page 1103 of 6734

59614
59618
59620
59622
59812
59820
59821
59830
59840
59841
59850
59851
59852
59855
59856
59857
59866
59870
59871
59897
59898
59899
60000
6005F
60100
6010F
6015F
60200
6020F
60210
60212
60220
60225
Vbac care after delivery

Attempted vbac delivery
Attempted vbac delivery only
Attempted vbac after care
Treatment of miscarriage
Care of miscarriage
Treatment of miscarriage
Treat uterus infection
Abortion
Abortion
Abortion
Abortion
Abortion
Abortion
Abortion
Abortion
Abortion (mpr)
Evacuate mole of uterus
Remove cerclage suture
Fetal invas px w/us
Laparo proc ob care/deliver
Maternity care procedure
Drain thyroid/tongue cyst
Care level rationale doc
Biopsy of thyroid
Dysphag test done b/4 eating
Dysphag test done b/4 eating
Remove thyroid lesion
Npo (nothing-mouth) ordered
Partial thyroid excision
Partial thyroid excision
Partial removal of thyroid
Partial removal of thyroid
195
999
993
999
193
193
193
193
194
194
194
194
993
993
993
993
192
197
196
191
145
196
253
490
2
490
490
255
490
255
255
255
254
VAGINAL DELIVERY
UNASSIGNED
UNASSIGNED
LEVEL I LAPAROSCOPY
Page 1104 of 6734

60240
60252
60254
60260
60270
60271
60280
60281
60300
6030F
6040F
6045F
60500
60502
60505
60512
60520
60521
60522
60540
60545
60600
60605
60650
60659
60699
6070F
6080F
6090F
61000
61001
6100F
6101F
Removal of thyroid
Removal of thyroid
Extensive thyroid surgery
Repeat thyroid surgery
Removal of thyroid
Removal of thyroid
Remove thyroid duct lesion
Remove thyroid duct lesion
Aspir/inj thyroid cyst
Max sterile barriers follwd
Appro rad ds dvcs techs docd
Radxps in end rprt4fluro pxd
Explore parathyroid glands
Re-explore parathyroids
Explore parathyroid glands
Autotransplant parathyroid
Removal of thymus gland
Explore adrenal gland
Explore adrenal gland
Remove carotid body lesion
Remove carotid body lesion
Laparoscopy adrenalectomy
Laparo proc endocrine
Endocrine surgery procedure
Pt asked/cnsld aed effects
Pt/caregiver queried falls
Pt/caregiver counsel safety
Remove cranial cavity fluid
Remove cranial cavity fluid
Verify pt site pxd docd
Safety counseling dementia
255
254
993
254
993
255
254
254
2
490
490
490
255
255
993
253
255
993
993
993
993
993
993
993
145
115
490
490
490
220
220
490
490

LEVEL I LAPAROSCOPY
Page 1105 of 6734

61020
61026
6102F
61050
61055
61070
61105
61107
61108
6110F
61120
61140
61150
61151
61154
61156
61210
61215
61250
61253
61304
61305
61312
61313
61314
61315
61316
61320
61321
61322
61323
61330
61332
Remove brain cavity fluid

Injection into brain canal
Safety counseling dem order
Remove brain canal fluid
Injection into brain canal
Brain canal shunt procedure
Twist drill hole
Drill skull for implantation
Drill skull for drainage
Counsel prov driving risks
Burr hole for puncture
Pierce skull for biopsy
Pierce skull for drainage
Pierce skull & remove clot
Pierce skull implant device
Insert brain-fluid device
Pierce skull & explore
Pierce skull & explore
Open skull for exploration
Open skull for exploration
Open skull for drainage
Implt cran bone flap to abdo
Decompressive craniotomy
Decompressive lobectomy
Decompress eye socket
Explore/biopsy eye socket
214
214
490
220
214
285
993
993
993
490
993
993
993
993
993
993
993
218
993
993
993
993
993
993
993
993
993
993
993
993
993
255
255
LEVEL I NERVOUS SYSTEM INJECTIONS, STIMU

Page 1106 of 6734

61333
61340
61343
61345
61450
61458
61460
61480
61500
61501
6150F
61510
61512
61514
61516
61517
61518
61519
61520
61521
61522
61524
61526
61530
61531
61533
61534
61535
61536
61537
61538
61539
61540
Explore orbit/remove lesion

Subtemporal decompression
Incise skull (press relief)
Relieve cranial pressure
Incise skull for surgery
Incise skull for brain wound
Removal of skull lesion
Remove infected skull bone
Pt notrcvng1st antitnf txmnt
Removal of brain lesion
Remove brain lining lesion
Removal of brain abscess
Implt brain chemotx add-on
Remove brain lining lesion
Removal of brain abscess
Implant brain electrodes
Remove brain electrodes
Removal of brain tissue
993
993
993
993
993
993
993
993
993
993
490
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993

Page 1107 of 6734

61541
61543
61544
61545
61546
61548
61550
61552
61556
61557
61558
61559
61563
61564
61566
61567
61570
61571
61575
61576
61580
61581
61582
61583
61584
61585
61586
61590
61591
61592
61595
61596
61597
Incision of brain tissue

Remove & treat brain lesion
Excision of brain tumor
Removal of pituitary gland
Removal of pituitary gland
Release of skull seams
Release of skull seams
Incise skull/sutures
Incise skull/sutures
Excision of skull/sutures
Excision of skull/sutures
Excision of skull tumor
Excision of skull tumor
Incision of brain tissue
Remove foreign body brain
Incise skull for brain wound
Skull base/brainstem surgery
Skull base/brainstem surgery
Craniofacial approach skull
Orbitocranial approach/skull
Resect nasopharynx skull
Infratemporal approach/skull
Infratemporal approach/skull
Transtemporal approach/skull
Transcochlear approach/skull
Transcondylar approach/skull
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
255
993
993
993
993
993
993
993
993
993
993
993
993
993

Page 1108 of 6734

61598
61600
61601
61605
61606
61607
61608
61610
61611
61612
61613
61615
61616
61618
61619
61623
61624
61626
61630
61635
61640
61641
61642
61645
61650
61651
61680
61682
61684
61686
61690
61692
61697
Transpetrosal approach/skull
Resect/excise cranial lesion
Transect artery sinus
Remove aneurysm sinus
Resect/excise lesion skull
Resect/excise lesion skull
Repair dura
Repair dura
Endovasc tempory vessel occl
Transcath occlusion cns
Transcath occlusion non-cns
Intracranial angioplasty
Intracran angioplsty w/stent
Dilate ic vasospasm init
Dilate ic vasospasm add-on
Dilate ic vasospasm add-on
Perq art m-thrombect &/nfs
Evasc prlng admn rx agnt 1st
Evasc prlng admn rx agnt add
Intracranial vessel surgery
Brain aneurysm repr complx
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
85
85
85
85
85
85
85
85
85
993
993
993
993
993
993
993
993
993

PERIPHERAL TRANSCATHETER AND
REVASCUL
REVASCUL
REVASCUL
REVASCUL
REVASCUL
REVASCUL
REVASCUL
REVASCUL
REVASCUL
Page 1109 of 6734

61698
61700
61702
61703
61705
61708
61710
61711
61720
61735
61750
61751
61760
61770
61781
61782
61783
61790
61791
61796
61797
61798
61799
61800
61850
61860
61863
61864
61867
61868
61870
61880
61885
Brain aneurysm repr complx

Brain aneurysm repr simple
Inner skull vessel surgery
Clamp neck artery
Revise circulation to head
Fusion of skull arteries
Incise skull/brain surgery
Incise skull/brain surgery
Incise skull/brain biopsy
Brain biopsy w/ct/mr guide
Incise skull for treatment
Scan proc cranial intra
Scan proc cranial extra
Scan proc spinal
Treat trigeminal nerve
Treat trigeminal tract
Srs cranial lesion simple
Srs cran les simple addl
Srs cranial lesion complex
Srs cran les complex addl
Apply srs headframe add-on
Implant neuroelectrodes
Implant neuroelectrode
Implant neuroelectrde addl
Implant neuroelectrode
Implant neuroelectrde addl
Revise/remove neuroelectrode
Insrt/redo neurostim 1 array
993
993
993
993
993
993
993
993
218
993
993
993
993
223
490
490
490
220
220
346
346
346
346
346
218
993
993
993
993
993
993
216
223

RADIOSURGERY
RADIOSURGERY
RADIOSURGERY
RADIOSURGERY
RADIOSURGERY
Page 1110 of 6734

61886
61888
62000
62005
62010
62100
62115
62117
62120
62121
62140
62141
62142
62143
62145
62146
62147
62148
62160
62161
62162
62163
62164
62165
62180
62190
62192
62194
62200
62201
62220
62223
62225
Implant neurostim arrays

Revise/remove neuroreceiver
Treat skull fracture
Treat skull fracture
Treatment of head injury
Repair brain fluid leakage
Reduction of skull defect
Reduction of skull defect
Repair skull cavity lesion
Incise skull repair
Repair of skull defect
Repair of skull defect
Remove skull plate/flap
Replace skull plate/flap
Repair of skull & brain
Repair of skull with graft
Repair of skull with graft
Retr bone flap to fix skull
Neuroendoscopy add-on
Dissect brain w/scope
Remove colloid cyst w/scope
Zneuroendoscopy w/fb removal
Remove brain tumor w/scope
Remove pituit tumor w/scope
Establish brain cavity shunt
Replace/irrigate catheter
Brain cavity shunt w/scope
Replace/irrigate catheter
224
216
217
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
217
993
993
993
993
993
993
993
993
214
993
993
993
993
220

Page 1111 of 6734

62230
62252
62256
62258
62263
62264
62267
62268
62269
62270
62272
62273
62280
62281
62282
62284
62287
62290
62291
62292
62294
62302
62303
62304
62305
62310
62311
62318
62319
62350
62351
62355
62360
Replace/revise brain shunt

Csf shunt reprogram
Remove brain cavity shunt
Replace brain cavity shunt
Epidural lysis mult sessions
Epidural lysis on single day
Interdiscal perq aspir dx
Drain spinal cord cyst
Needle biopsy spinal cord
Spinal fluid tap diagnostic
Drain cerebro spinal fluid
Inject epidural patch
Treat spinal cord lesion
Treat spinal cord lesion
Treat spinal canal lesion
Injection for myelogram
Percutaneous diskectomy
Inject for spine disk x-ray
Inject for spine disk x-ray
Injection into disk lesion
Injection into spinal artery
Myelography lumbar injection
Inject spine cerv/thoracic
Inject spine lumbar/sacral
Inject spine w/cath crv/thrc
Inject spine w/cath lmb/scrl
Implant spinal canal cath
Implant spinal canal cath
Remove spinal canal catheter
Insert spine infusion device
216
420
993
993
217
220
220
220
61
219
219
220
220
220
220
284
221
284
284
220
220
284
284
284
284
220
220
220
220
216
221
215
218

SPINAL TAP
SPINAL TAP
MYELOGRAPHY
MYELOGRAPHY
MYELOGRAPHY
MYELOGRAPHY
MYELOGRAPHY
MYELOGRAPHY
MYELOGRAPHY
Page 1112 of 6734

62361
62362
62365
62367
62368
62369
62370
63001
63003
63005
63011
63012
63015
63016
63017
63020
63030
63035
63040
63042
63043
63044
63045
63046
63047
63048
63050
63051
63055
63056
63057
63064
63066
Implant spine infusion pump

Implant spine infusion pump
Remove spine infusion device
Analyze spine infus pump
Analyze sp inf pump w/reprog
Anal sp inf pmp w/reprg&fill
Anl sp inf pmp w/mdreprg&fil
Remove spine lamina 1/2 crvl
Remove spine lamina 1/2 thrc
Remove spine lamina 1/2 lmbr
Remove spine lamina 1/2 scrl
Remove lamina/facets lumbar
Remove spine lamina >2 crvcl
Remove spine lamina >2 thrc
Remove spine lamina >2 lmbr
Neck spine disk surgery
Low back disk surgery
Spinal disk surgery add-on
Laminotomy single cervical
Laminotomy single lumbar
Laminotomy addl cervical
Laminotomy addl lumbar
Remove spine lamina 1 crvl
Remove spine lamina 1 thrc
Remove spine lamina 1 lmbr
Remove spinal lamina add-on
Cervical laminoplsty 2/> seg
C-laminoplasty w/graft/plate
Decompress spinal cord thrc
Decompress spinal cord lmbr
Decompress spine cord add-on
Decompress spinal cord thrc
Decompress spine cord add-on
223
223
215
420
420
420
420
221
221
221
221
221
221
221
221
221
221
221
221
221
221
221
221
221
221
221
993
993
221
221
221
221
221

Page 1113 of 6734

63075
63076
63077
63078
63081
63082
63085
63086
63087
63088
63090
63091
63101
63102
63103
63170
63172
63173
63180
63182
63185
63190
63191
63194
63195
63196
63197
63198
63199
63200
63250
63251
63252

Spine disk surgery thorax
Spine disk surgery thorax
Remove vert body dcmprn crvl
Remove vertebral body add-on
Remove vert body dcmprn thrc
Remov vertbr dcmprn thrclmbr
Remove vert body dcmprn lmbr
Remove vert body dcmprn thrc
Remove vert body dcmprn lmbr
Incise spinal cord tract(s)
Drainage of spinal cyst
Drainage of spinal cyst
Revise spinal cord ligaments
Revise spinal cord ligaments
Incise spine nrv half segmnt
Incise spine nrv >2 segmnts
Incise spine accessory nerve
Incise spine & cord cervical
Incise spine & cord thoracic
Incise spine&cord 2 trx crvl
Incise spine&cord 2 trx thrc
Incise spin&cord 2 stgs crvl
Incise spin&cord 2 stgs thrc
Release spinal cord lumbar
Revise spinal cord vsls crvl
Revise spinal cord vsls thrc
Revise spine cord vsl thrlmb
221
221
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
221
993
993
993
993
993
993
993
993
993
993

Page 1114 of 6734

63265
63266
63267
63268
63270
63271
63272
63273
63275
63276
63277
63278
63280
63281
63282
63283
63285
63286
63287
63290
63295
63300
63301
63302
63303
63304
63305
63306
63307
63308
63600
63610
63615
Excise intraspinl lesion crv

Excise intrspinl lesion thrc
Excise intrspinl lesion lmbr
Excise intrspinl lesion scrl
Excise intrspinl lesion crvl
Excise intrspinl lesion thrc
Excise intrspinl lesion lmbr
Excise intrspinl lesion scrl
Bx/exc xdrl spine lesn crvl
Bx/exc xdrl spine lesn thrc
Bx/exc xdrl spine lesn lmbr
Bx/exc xdrl spine lesn scrl
Bx/exc idrl spine lesn crvl
Bx/exc idrl spine lesn thrc
Bx/exc idrl spine lesn lmbr
Bx/exc idrl spine lesn scrl
Bx/exc idrl imed lesn cervl
Bx/exc idrl imed lesn thrc
Bx/exc idrl imed lesn thrlmb
Bx/exc xdrl/idrl lsn any lvl
Repair laminectomy defect
Remove vert xdrl body crvcl
Remove vert xdrl body thrc
Remove vert xdrl body thrlmb
Remov vert xdrl bdy lmbr/sac
Remove vert idrl body crvcl
Remove vert idrl body thrc
Remov vert idrl bdy thrclmbr
Remov vert idrl bdy lmbr/sac
Remove spinal cord lesion
Stimulation of spinal cord
Remove lesion of spinal cord
993
993
221
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
993
221
993
993
993
993
993
993
993
993
993
217
218
217

Page 1115 of 6734

63620
63621
63650
63655
63661
63662
63663
63664
63685
63688
63700
63702
63704
63706
63707
63709
63710
63740
63741
63744
63746
64400
64402
64405
64408
64410
64413
64415
64416
64417
64418
64420
64421
Srs spinal lesion

Srs spinal lesion addl
Remove spine eltrd perq aray
Remove spine eltrd plate
Revise spine eltrd perq aray
Revise spine eltrd plate
Insrt/redo spine n generator
Revise/remove neuroreceiver
Repair of spinal herniation
Repair spinal fluid leakage
Repair spinal fluid leakage
Graft repair of spine defect
Install spinal shunt
Install spinal shunt
Revision of spinal shunt
Removal of spinal shunt
N block inj trigeminal
N block inj facial
N block inj occipital
N block inj vagus
N block inj phrenic
N block inj cervical plexus
N block inj brachial plexus
N block cont infuse b plex
N block inj axillary
N block inj suprascapular
N block inj intercost sng
N block inj intercost mlt
346
346
218
221
215
215
215
215
223
215
993
993
993
993
218
993
993
993
218
216
216
214
214
214
214
220
214
214
214
214
214
214
214
RADIOSURGERY
RADIOSURGERY
Page 1116 of 6734

64425
64430
64435
64445
64446
64447
64448
64449
64450
64455
64461
64462
64463
64479
64480
64483
64484
64486
64487
64488
64489
64490
64491
64492
64493
64494
64495
64505
64508
64510
64517
64520
64530
N block inj ilio-ing/hypogi

N block inj pudendal
N block inj paracervical
N block inj sciatic sng
N blk inj sciatic cont inf
N block inj fem single
N block inj fem cont inf
N block inj lumbar plexus
N block other peripheral
N block inj plantar digit
Pvb thoracic single inj site
Pvb thoracic 2nd+ inj site
Pvb thoracic cont infusion
Inj foramen epidural c/t
Inj foramen epidural add-on
Inj foramen epidural l/s
Inj foramen epidural add-on
Tap block unil by injection
Tap block uni by infusion
Tap block bi injection
Tap block bi by infusion
Inj paravert f jnt c/t 1 lev
Inj paravert f jnt l/s 1 lev
N block spenopalatine gangl
N block carotid sinus s/p
N block stellate ganglion
N block inj hypogas plxs
N block lumbar/thoracic
N block inj celiac pelus
214
214
214
214
110
214
214
220
214
214
214
214
214
220
220
220
220
214
214
214
214
220
220
220
220
220
220
214
214
220
214
220
214

Page 1117 of 6734

64550
64553
64555
64561
64565
64566
64568
64569
64570
64575
64580
64581
64585
64590
64595
64600
64605
64610
64611
64612
64615
64616
64617
64620
64630
64632
64633
64634
64635
64636
64640
64642
64643
Apply neurostimulator
Neuroeltrd stim post tibial
Inc for vagus n elect impl
Revise/repl vagus n eltrd
Remove vagus n eltrd
Revise/remove neuroelectrode
Insrt/redo pn/gastr stimul
Revise/rmv pn/gastr stimul
Injection treatment of nerve
Chemodenerv saliv glands
Destroy nerve face muscle
Chemodenerv musc migraine
Chemodenerv musc neck dyston
Chemodener muscle larynx emg
N block inj common digit
Destroy cerv/thor facet jnt
Destroy c/th facet jnt addl
Destroy lumb/sac facet jnt
Destroy l/s facet jnt addl
Chemodenerv 1 extremity 1-4
Chemodenerv 1 extrem 1-4 ea
489
218
218
218
218
217
224
217
215
218
218
218
215
223
215
217
217
217
214
214
214
214
214
220
214
214
220
220
220
220
220
214
214
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II OTHER MISCELLANEOUS ANCILLARY

II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
I NERVE PROCEDURES
IV NERVE PROCEDURES
I NERVE PROCEDURES
I REVISION OR REMOVAL OF NEUROLOG
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
III NERVE PROCEDURES
I NERVE PROCEDURES
I NERVE PROCEDURES
I NERVE PROCEDURES
I NERVOUS SYSTEM INJECTIONS, STIMU
II NERVOUS SYSTEM INJECTIONS, STIMU
Page 1118 of 6734

64644
64645
64646
64647
64650
64653
64680
64681
64702
64704
64708
64712
64713
64714
64716
64718
64719
64721
64722
64726
64727
64732
64734
64736
64738
64740
64742
64744
64746
64755
64760
64763
64766
Chemodenerv 1 extrem 5/> mus

Chemodenerv 1 extrem 5/> ea
Chemodenerv trunk musc 1-5
Chemodenerv trunk musc 6/>
Chemodenerv eccrine glands
Chemodenerv eccrine glands
Revise finger/toe nerve
Revise hand/foot nerve
Revise arm/leg nerve
Revision of sciatic nerve
Revision of arm nerve(s)
Revise low back nerve(s)
Revision of cranial nerve
Revise ulnar nerve at elbow
Revise ulnar nerve at wrist
Carpal tunnel surgery
Relieve pressure on nerve(s)
Release foot/toe nerve
Internal nerve revision
Incision of brow nerve
Incision of cheek nerve
Incision of chin nerve
Incision of jaw nerve
Incision of tongue nerve
Incision of facial nerve
Incise nerve back of head
Incise diaphragm nerve
Incision of stomach nerves
Incision of vagus nerve
Incise hip/thigh nerve
Incise hip/thigh nerve
214
214
214
214
214
214
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
217
993
993
217
217
LEVEL I NERVOUS SYSTEM INJECTIONS,

STIMU
STIMU
STIMU
STIMU
STIMU
STIMU
Page 1119 of 6734

64771
64772
64774
64776
64778
64782
64783
64784
64786
64787
64788
64790
64792
64795
64802
64804
64809
64818
64820
64821
64822
64823
64831
64832
64834
64835
64836
64837
64840
64856
64857
64858
64859
Sever cranial nerve

Incision of spinal nerve
Remove skin nerve lesion
Remove digit nerve lesion
Digit nerve surgery add-on
Remove limb nerve lesion
Limb nerve surgery add-on
Remove nerve lesion
Remove sciatic nerve lesion
Implant nerve end
Remove skin nerve lesion
Removal of nerve lesion
Removal of nerve lesion
Biopsy of nerve
Sympathectomy cervical
Remove sympathetic nerves
Sympathectomy digital artery
Sympathectomy supfc palmar
Repair of digit nerve
Repair nerve add-on
Repair of hand or foot nerve
Repair nerve add-on
Repair of leg nerve
Repair/transpose nerve
Repair arm/leg nerve
Repair sciatic nerve
Nerve surgery
217
217
217
217
217
217
217
217
217
217
217
217
217
61
217
217
993
217
217
217
217
217
217
217
217
217
217
217
217
217
218
218
217

Page 1120 of 6734

64861
64862
64864
64865
64866
64868
64872
64874
64876
64885
64886
64890
64891
64892
64893
64895
64896
64897
64898
64901
64902
64905
64907
64910
64911
64999
65091
65093
65101
65103
65105
65110
65112
Repair of arm nerves

Repair of low back nerves
Repair of facial nerve
Repair of facial nerve
Fusion of facial/other nerve
Fusion of facial/other nerve
Subsequent repair of nerve
Repair & revise nerve add-on
Repair nerve/shorten bone
Nerve graft head/neck </4 cm
Nerve graft head/neck >4 cm
Nerve graft hand/foot </4 cm
Nerve graft hand/foot >4 cm
Nerve graft arm/leg <4 cm
Nerve graft arm/leg >4 cm
Nerve graft hand/foot </4 cm
Nerve graft hand/foot >4 cm
Nerve graft arm/leg </4 cm
Nerve graft arm/leg >4 cm
Nerve graft add-on
Nerve graft add-on
Nerve pedicle transfer
Nerve pedicle transfer
Nerve repair w/allograft
Neurorraphy w/vein autograft
Nervous system surgery
Revise eye
Revise eye with implant
Removal of eye
Remove eye/insert implant
Remove eye/attach implant
Removal of eye
Remove eye/revise socket
218
218
218
218
218
218
217
217
217
218
218
218
218
218
218
218
218
218
218
218
218
218
218
217
218
214
241
241
241
241
241
241
241
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
I NERVE PROCEDURES
I NERVE PROCEDURES
I NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
II NERVE PROCEDURES
I NERVE PROCEDURES
II NERVE PROCEDURES
II REPAIR AND PLASTIC PROCEDURES O
Page 1121 of 6734

65114
65125
65130
65135
65140
65150
65155
65175
65205
65210
65220
65222
65235
65260
65265
65270
65272
65273
65275
65280
65285
65286
65290
65400
65410
65420
65426
65430
65435
65436
65450
65600
65710
Remove eye/revise socket

Revise ocular implant
Insert ocular implant
Insert ocular implant
Attach ocular implant
Revise ocular implant
Reinsert ocular implant
Removal of ocular implant
Remove foreign body from eye
Repair of eye wound
Repair of eye wound
Repair of eye wound
Repair of eye wound
Repair of eye wound
Repair of eye wound
Repair of eye wound
Repair of eye socket wound
Removal of eye lesion
Biopsy of cornea
Corneal smear
Curette/treat cornea
Curette/treat cornea
Treatment of corneal lesion
Revision of cornea
Corneal transplant
241
241
241
241
241
241
241
241
489
419
489
419
235
238
238
234
234
993
234
236
236
234
239
235
234
234
235
419
234
234
232
234
236
LEVEL II REPAIR AND PLASTIC PROCEDURES O

LEVEL II ANTERIOR SEGMENT EYE PROCEDURE
LEVEL III ANTERIOR SEGMENT EYE PROCEDUR
Page 1122 of 6734

65730
65750
65755
65756
65757
65760
65765
65767
65770
65771
65772
65775
65778
65779
65780
65781
65782
65785
65800
65810
65815
65820
65850
65855
65860
65865
65870
65875
65880
65900
65920
65930
66020
Corneal transplant
Corneal transplant
Corneal transplant
Corneal trnspl endothelial
Prep corneal endo allograft
Revision of cornea
Revision of cornea
Corneal tissue transplant
Revise cornea with implant
Radial keratotomy
Correction of astigmatism
Correction of astigmatism
Cover eye w/membrane
Cover eye w/membrane suture
Ocular reconst transplant
Impltj ntrstrml crnl rng seg
Drainage of eye
Drainage of eye
Drainage of eye
Relieve inner eye pressure
Incision of eye
Trabeculoplasty laser surg
Incise inner eye adhesions
Remove eye lesion
Remove implant of eye
Remove blood clot from eye
Injection treatment of eye
236
236
236
236
490
234
234
234
236
234
234
236
234
234
236
236
236
236
234
234
234
234
236
232
232
235
235
235
235
236
235
235
234

Page 1123 of 6734

66030
66130
66150
66155
66160
66170
66172
66174
66175
66179
66180
66183
66184
66185
66220
66225
66250
66500
66505
66600
66605
66625
66630
66635
66680
66682
66700
66710
66711
66720
66740
66761
66762
Injection treatment of eye

Remove eye lesion
Glaucoma surgery
Glaucoma surgery
Glaucoma surgery
Glaucoma surgery
Incision of eye
Translum dil eye canal
Trnslum dil eye canal w/stnt
Aqueous shunt eye w/o graft
Aqueous shunt eye w/graft
Insert ant drainage device
Revision of aqueous shunt
Revise aqueous shunt eye
Repair eye lesion
Repair/graft eye lesion
Follow-up surgery of eye
Incision of iris
Incision of iris
Remove iris and lesion
Removal of iris
Removal of iris
Removal of iris
Removal of iris
Repair iris & ciliary body
Repair iris & ciliary body
Destruction ciliary body
Ciliary transsleral therapy
Ciliary endoscopic ablation
Revision of iris
Revision of iris
234
234
235
236
236
236
234
234
235
236
236
236
236
236
237
238
236
234
234
234
236
235
235
235
236
235
235
234
235
234
235
232
232

LEVEL I POSTERIOR SEGMENT EYE PROCEDUR
Page 1124 of 6734

66770
66820
66821
66825
66830
66840
66850
66852
66920
66930
66940
66982
66983
66984
66985
66986
66990
66999
67005
67010
67015
67025
67027
67028
67030
67031
67036
67039
67040
67041
67042
67043
67101
Removal of inner eye lesion

Incision secondary cataract
After cataract laser surgery
Reposition intraocular lens
Removal of lens lesion
Removal of lens material
Extraction of lens
Extraction of lens
Extraction of lens
Cataract surgery complex
Cataract surg w/iol 1 stage
Cataract surg w/iol 1 stage
Insert lens prosthesis
Exchange lens prosthesis
Ophthalmic endoscope add-on
Eye surgery procedure
Partial removal of eye fluid
Partial removal of eye fluid
Release of eye fluid
Replace eye fluid
Implant eye drug system
Injection eye drug
Incise inner eye strands
Laser surgery eye strands
Removal of inner eye fluid
Laser treatment of retina
Laser treatment of retina
Vit for macular pucker
Vit for macular hole
Vit for membrane dissect
Repair detached retina
232
233
232
233
233
233
233
237
233
233
233
233
233
233
233
233
419
234
235
235
237
237
238
230
237
232
238
238
238
238
238
238
238

CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
CATARACT PROCEDURES
Page 1125 of 6734

67105
67107
67108
67110
67113
67115
67120
67121
67141
67145
67208
67210
67218
67220
67221
67225
67227
67228
67229
67250
67255
67299
67311
67312
67314
67316
67318
67320
67331
67332
67334
67335
67340

Repair retinal detach cplx
Release encircling material
Remove eye implant material
Remove eye implant material
Treatment of retina
Treatment of retina
Treatment of retinal lesion
Treatment of choroid lesion
Ocular photodynamic ther
Eye photodynamic ther add-on
Dstrj extensive retinopathy
Treatment x10sv retinopathy
Tr retinal les preterm inf
Reinforce eye wall
Reinforce/graft eye wall
Eye surgery procedure
Revise eye muscle
Revise two eye muscles
Revise eye muscle
Revise two eye muscles
Revise eye muscle(s)
Revise eye muscle(s) add-on
Eye surgery follow-up add-on
Rerevise eye muscles add-on
Revise eye muscle w/suture
Eye suture during surgery
Revise eye muscle add-on
232
238
238
237
238
237
237
238
230
232
237
232
238
232
232
232
237
232
232
237
238
237
239
239
239
239
239
239
239
239
239
239
239

Page 1126 of 6734

67343
67345
67346
67399
67400
67405
67412
67413
67414
67415
67420
67430
67440
67445
67450
67500
67505
67515
67550
67560
67570
67599
67700
67710
67715
67800
67801
67805
67808
67810
67820
67825
67830
Release eye tissue

Destroy nerve of eye muscle
Biopsy eye muscle
Unlisted px extraocular musc
Explore/drain eye socket
Explore/treat eye socket
Explr/decompress eye socket
Aspiration orbital contents
Explore/drain eye socket
Explr/decompress eye socket
Inject/treat eye socket
Insert eye socket implant
Revise eye socket implant
Decompress optic nerve
Orbit surgery procedure
Drainage of eyelid abscess
Incision of eyelid
Incision of eyelid fold
Remove eyelid lesion
Remove eyelid lesions
Remove eyelid lesions
Remove eyelid lesion(s)
Biopsy eyelid & lid margin
Revise eyelashes
Revise eyelashes
Revise eyelashes
239
239
240
239
241
241
241
241
241
240
255
255
255
241
255
419
419
230
241
241
241
240
240
240
240
240
240
240
240
240
240
240
240

Page 1127 of 6734

67835
67840
67850
67875
67880
67882
67900
67901
67902
67903
67904
67906
67908
67909
67911
67912
67914
67915
67916
67917
67921
67922
67923
67924
67930
67935
67938
67950
67961
67966
67971
67973
67974
Revise eyelashes
Remove eyelid lesion
Treat eyelid lesion
Closure of eyelid by suture
Revision of eyelid
Revision of eyelid
Repair brow defect
Repair eyelid defect
Revise eyelid defect
Revise eyelid defect
Correction eyelid w/implant
Repair eyelid wound
Repair eyelid wound
Remove eyelid foreign body
Revision of eyelid
Revision of eyelid
Revision of eyelid
Reconstruction of eyelid
241
240
240
240
240
240
241
241
241
241
241
241
241
241
241
240
240
240
240
241
240
240
240
241
240
240
240
241
241
241
241
241
241
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

I REPAIR AND PLASTIC PROCEDURES OF
Page 1128 of 6734

67975
67999
68020
68040
68100
68110
68115
68130
68135
68200
68320
68325
68326
68328
68330
68335
68340
68360
68362
68371
68399
68400
68420
68440
68500
68505
68510
68520
68525
68530
68540
68550
68700
Revision of eyelid
Incise/drain eyelid lining
Treatment of eyelid lesions
Biopsy of eyelid lining
Remove eyelid lining lesion
Treat eyelid by injection
Revise/graft eyelid lining
Revise eyelid lining
Separate eyelid adhesions
Harvest eye tissue alograft
Eyelid lining surgery
Incise/drain tear gland
Incise/drain tear sac
Incise tear duct opening
Removal of tear gland
Partial removal tear gland
Biopsy of tear gland
Removal of tear sac
Biopsy of tear sac
Clearance of tear duct
Remove tear gland lesion
Remove tear gland lesion
Repair tear ducts
241
240
234
234
234
9
234
235
234
419
235
235
235
235
235
235
235
235
235
234
234
240
240
240
241
241
240
241
240
240
241
241
241

Page 1129 of 6734

68705
68720
68745
68750
68760
68761
68770
68801
68810
68811
68815
68816
68840
68850
68899
69000
69005
69020
69090
69100
69105
69110
69120
69140
69145
69150
69155
69200
69205
69209
69210
69220
69222
Revise tear duct opening

Create tear sac drain
Create tear duct drain
Create tear duct drain
Close tear duct opening
Close tear duct opening
Close tear system fistula
Dilate tear duct opening
Probe nasolacrimal duct
Probe nl duct w/balloon
Explore/irrigate tear ducts
Injection for tear sac x-ray
Tear duct system surgery
Drain external ear lesion
Drain external ear lesion
Drain outer ear canal lesion
Pierce earlobes
Biopsy of external ear
Biopsy of external ear canal
Remove external ear partial
Removal of external ear
Remove ear canal lesion(s)
Remove ear canal lesion(s)
Extensive ear canal surgery
Extensive ear/neck surgery
Clear outer ear canal
Clear outer ear canal
Remove impacted ear wax uni
Remove impacted ear wax uni
Clean out mastoid cavity
Clean out mastoid cavity
240
241
241
241
240
230
240
230
230
240
241
240
240
285
240
3
3
3
423
9
9
9
254
255
9
253
993
489
10
489
489
6
252

Page 1130 of 6734

69300
69310
69320
69399
69420
69421
69424
69433
69436
69440
69450
69501
69502
69505
69511
69530
69535
69540
69550
69552
69554
69601
69602
69603
69604
69605
69610
69620
69631
69632
69633
69635
69636
Revise external ear

Rebuild outer ear canal
Rebuild outer ear canal
Outer ear surgery procedure
Incision of eardrum
Incision of eardrum
Remove ventilating tube
Create eardrum opening
Create eardrum opening
Exploration of middle ear
Eardrum revision
Mastoidectomy
Mastoidectomy
Remove mastoid structures
Extensive mastoid surgery
Extensive mastoid surgery
Remove part of temporal bone
Remove ear lesion
Remove ear lesion
Remove ear lesion
Remove ear lesion
Mastoid surgery revision
Repair of eardrum
Repair of eardrum
Repair eardrum structures
Rebuild eardrum structures
Repair eardrum structures
253
255
255
251
252
252
253
252
252
254
254
255
255
255
255
255
993
252
255
255
993
255
255
255
255
255
253
253
254
255
255
255
255

Page 1131 of 6734

69637
69641
69642
69643
69644
69645
69646
69650
69660
69661
69662
69666
69667
69670
69676
69700
69710
69711
69714
69715
69717
69718
69720
69725
69740
69745
69799
69801
69805
69806
69820
69840
69905

Revise middle ear & mastoid
Release middle ear bone
Revise middle ear bone
Repair middle ear structures
Repair middle ear structures
Remove mastoid air cells
Remove middle ear nerve
Close mastoid fistula
Implant/replace hearing aid
Remove/repair hearing aid
Implant temple bone w/stimul
Temple bne implnt w/stimulat
Temple bone implant revision
Revise temple bone implant
Release facial nerve
Repair facial nerve
Repair facial nerve
Middle ear surgery procedure
Incise inner ear
Explore inner ear
Explore inner ear
Establish inner ear window
Revise inner ear window
Remove inner ear
255
255
255
255
255
255
255
254
255
255
255
254
254
255
254
254
255
255
224
224
224
224
255
255
255
255
252
254
255
255
255
255
255
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
IV FACIAL AND ENT PROCEDURES

III FACIAL AND ENT PROCEDURES
IV NERVE PROCEDURES
IV NERVE PROCEDURES
IV NERVE PROCEDURES
IV NERVE PROCEDURES
I FACIAL AND ENT PROCEDURES
Page 1132 of 6734

69910
69915
69930
69949
69950
69955
69960
69970
69979
69990
70010
70015
70030
70100
7010F
70110
70120
70130
70134
70140
70150
70160
70170
70190
70200
7020F
70210
70220
70240
70250
7025F
70260
70300
Remove inner ear & mastoid

Incise inner ear nerve
Implant cochlear device
Inner ear surgery procedure
Incise inner ear nerve
Release inner ear canal
Remove inner ear lesion
Temporal bone surgery
Microsurgery add-on
Contrast x-ray of brain
Contrast x-ray of brain
X-ray eye for foreign body
X-ray exam of jaw <4views
Pt info into recall system
X-ray exam of jaw 4/> views
X-ray exam of mastoids
X-ray exam of mastoids
X-ray exam of middle ear
X-ray exam of facial bones
X-ray exam of facial bones
X-ray exam of nasal bones
X-ray exam of tear duct
X-ray exam of eye sockets
X-ray exam of eye sockets
Mammo assess cat in dbase
X-ray exam of sinuses
X-ray exam of sinuses
X-ray exam pituitary saddle
X-ray exam of skull
Pt infosys alarm 4 nxt mammo
X-ray exam of skull
X-ray exam of teeth
255
255
250
252
993
255
255
255
252
490
474
474
471
471
490
471
471
471
471
471
471
471
474
471
471
490
471
471
471
471
490
471
471

COCHLEAR DEVICE IMPLANTATION
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
Page 1133 of 6734

70310
70320
70328
70330
70332
70336
70350
70355
70360
70370
70371
70380
70390
70450
70460
70470
70480
70481
70482
70486
70487
70488
70490
70491
70492
70496
70498
70540
70542
70543
70544
70545
70546
X-ray exam of teeth

Full mouth x-ray of teeth
X-ray exam of jaw joint
X-ray exam of jaw joints
X-ray exam of jaw joint
Magnetic image jaw joint
X-ray head for orthodontia
Panoramic x-ray of jaws
X-ray exam of neck
Throat x-ray & fluoroscopy
Speech evaluation complex
X-ray exam of salivary gland
X-ray exam of salivary duct
Ct head/brain w/o dye
Ct head/brain w/dye
Ct head/brain w/o & w/dye
Ct orbit/ear/fossa w/o dye
Ct orbit/ear/fossa w/dye
Ct orbit/ear/fossa w/o&w/dye
Ct maxillofacial w/o dye
Ct maxillofacial w/dye
Ct maxillofacial w/o & w/dye
Ct soft tissue neck w/o dye
Ct soft tissue neck w/dye
Ct sft tsue nck w/o & w/dye
Ct angiography head
Ct angiography neck
Mri orbit/face/neck w/o dye
Mri orbit/face/neck w/dye
Mri orbt/fac/nck w/o &w/dye
Mr angiography head w/o dye
Mr angiography head w/dye
Mr angiograph head w/o&w/dye
471
471
471
471
474
293
471
471
471
471
251
471
474
299
299
299
301
301
301
301
301
301
301
301
301
303
301
296
296
296
281
281
281
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
MRI- JOINTS
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
CAT SCAN - BRAIN
CAT SCAN - BRAIN
CAT SCAN - BRAIN
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
ANGIOGRAPHY, CEREBRAL
CAT SCAN - OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MAGNETIC RESONANCE ANGIOGRAPHY - HEAD
Page 1134 of 6734

70547
70548
70549
70551
70552
70553
70554
70555
70557
70558
70559
71010
71015
71020
71021
71022
71023
71030
71034
71035
71100
71101
71110
71111
71120
71130
71250
71260
71270
71275
71550
71551
71552
Mr angiography neck w/o dye

Mr angiography neck w/dye
Mr angiograph neck w/o&w/dye
Mri brain stem w/o dye
Mri brain stem w/dye
Mri brain stem w/o & w/dye
Fmri brain by tech
Fmri brain by phys/psych
Mri brain w/o dye
Mri brain w/dye
Mri brain w/o & w/dye
Chest x-ray 1 view frontal
Chest x-ray stereo frontal
Chest x-ray 2vw frontal&latl
Chest x-ray frnt lat lordotc
Chest x-ray frnt lat oblique
Chest x-ray and fluoroscopy
Chest x-ray 4/> views
Chest x-ray&fluoro 4/> views
Chest x-ray special views
X-ray exam ribs uni 2 views
X-ray exam unilat ribs/chest
X-ray exam ribs bil 3 views
X-ray exam ribs/chest4/> vws
X-ray exam breastbone 2/>vws
X-ray strenoclavic jt 3/>vws
Ct thorax w/o dye
Ct thorax w/dye
Ct thorax w/o & w/dye
Ct angiography chest
Mri chest w/o dye
Mri chest w/dye
Mri chest w/o & w/dye
281
281
281
297
297
297
281
281
297
297
297
471
471
471
471
471
471
471
471
471
471
471
471
471
471
471
301
301
301
302
295
295
295

PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
ANGIOGRAPHY, OTHER
MRI- CHEST
MRI- CHEST
MRI- CHEST
Page 1135 of 6734

71555
72020
72040
72050
72052
72070
72072
72074
72080
72081
72082
72083
72084
72100
72110
72114
72120
72125
72126
72127
72128
72129
72130
72131
72132
72133
72141
72142
72146
72147
72148
72149
72156
Mri angio chest w or w/o dye

X-ray exam of spine 1 view
X-ray exam neck spine 2-3 vw
X-ray exam neck spine 4/5vws
X-ray exam neck spine 6/>vws
X-ray exam thorac spine 2vws
X-ray exam thorac spine 3vws
X-ray exam thorac spine4/>vw
X-ray exam thoracolmb 2/> vw
X-ray exam entire spi 1 vw
X-ray exam entire spi 2/3 vw
X-ray exam entire spi 4/5 vw
X-ray exam entire spi 6/> vw
X-ray exam l-s spine 2/3 vws
X-ray exam l-2 spine 4/>vws
X-ray exam l-s spine bending
X-ray bend only l-s spine
Ct neck spine w/o dye
Ct neck spine w/dye
Ct neck spine w/o & w/dye
Ct chest spine w/o dye
Ct chest spine w/dye
Ct chest spine w/o & w/dye
Ct lumbar spine w/o dye
Ct lumbar spine w/dye
Ct lumbar spine w/o & w/dye
Mri neck spine w/o dye
Mri neck spine w/dye
Mri chest spine w/o dye
Mri chest spine w/dye
Mri lumbar spine w/o dye
Mri lumbar spine w/dye
Mri neck spine w/o & w/dye
282
471
471
471
471
471
471
471
471
471
471
471
471
471
471
471
471
298
298
298
298
298
298
298
298
298
294
294
294
294
294
294
294
MAGNETIC RESONANCE ANGIOGRAPHY - CHES

PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
CAT SCAN BACK
MRI- BACK
MRI- BACK
MRI- BACK
MRI- BACK
MRI- BACK
MRI- BACK
MRI- BACK
Page 1136 of 6734

72157
72158
72159
72170
72190
72191
72192
72193
72194
72195
72196
72197
72198
72200
72202
72220
72240
72255
72265
72270
72275
72285
72295
73000
73010
73020
73030
73040
73050
73060
73070
73080
73085
Mri chest spine w/o & w/dye

Mri lumbar spine w/o & w/dye
Mr angio spine w/o&w/dye
X-ray exam of pelvis
X-ray exam of pelvis
Ct angiograph pelv w/o&w/dye
Ct pelvis w/o dye
Ct pelvis w/dye
Ct pelvis w/o & w/dye
Mri pelvis w/o dye
Mri pelvis w/dye
Mri pelvis w/o & w/dye
Mr angio pelvis w/o & w/dye
X-ray exam si joints
X-ray exam si joints 3/> vws
X-ray exam sacrum tailbone
Myelography neck spine
Myelography thoracic spine
Myelography l-s spine
Myelogphy 2/> spine regions
Epidurography
Discography cerv/thor spine
X-ray of lower spine disk
X-ray exam of collar bone
X-ray exam of shoulder blade
X-ray exam of shoulder
X-ray exam of shoulder
Contrast x-ray of shoulder
X-ray exam of shoulders
X-ray exam of humerus
X-ray exam of elbow
X-ray exam of elbow
Contrast x-ray of elbow
294
294
294
471
471
302
300
300
300
296
296
296
283
471
471
471
474
474
474
474
474
474
474
471
471
471
471
474
471
471
471
471
474
MRI- BACK
MRI- BACK
MRI- BACK
PLAIN FILM
PLAIN FILM
ANGIOGRAPHY, OTHER
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
MRI- OTHER
MRI- OTHER
MRI- OTHER
MAGNETIC RESONANCE ANGIOGRAPHY - OTHER
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
Page 1137 of 6734

73090
73092
73100
73110
73115
73120
73130
73140
73200
73201
73202
73206
73218
73219
73220
73221
73222
73223
73225
73501
73502
73503
73521
73522
73523
73525
73551
73552
73560
73562
73564
73565
73580
X-ray exam of forearm

X-ray exam of arm infant
X-ray exam of wrist
X-ray exam of wrist
Contrast x-ray of wrist
X-ray exam of hand
X-ray exam of hand
X-ray exam of finger(s)
Ct upper extremity w/o dye
Ct upper extremity w/dye
Ct uppr extremity w/o&w/dye
Ct angio upr extrm w/o&w/dye
Mri upper extremity w/o dye
Mri upper extremity w/dye
Mri uppr extremity w/o&w/dye
Mri joint upr extrem w/o dye
Mri joint upr extrem w/dye
Mri joint upr extr w/o&w/dye
Mr angio upr extr w/o&w/dye
X-ray exam hip uni 1 view
X-ray exam hip uni 2-3 views
X-ray exam hip uni 4/> views
X-ray exam hips bi 2 views
X-ray exam hips bi 3-4 views
X-ray exam hips bi 5/> views
Contrast x-ray of hip
X-ray exam of femur 1
X-ray exam of femur 2/>
X-ray exam of knee 1 or 2
X-ray exam of knee 3
X-ray exam knee 4 or more
X-ray exam of knees
Contrast x-ray of knee joint
471
471
471
471
474
471
471
471
301
301
301
302
296
296
296
293
293
293
283
471
471
471
471
471
471
474
471
471
471
471
471
471
474
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
ANGIOGRAPHY, OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- JOINTS
MRI- JOINTS
MRI- JOINTS
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
Page 1138 of 6734

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73701
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73718
73719
73720
73721
73722
73723
73725
74000
74010
74020
74022
74150
74160
74170
74174
74175
74176
74177
74178
74181
X-ray exam of lower leg

X-ray exam of leg infant
X-ray exam of ankle
X-ray exam of ankle
Contrast x-ray of ankle
X-ray exam of foot
X-ray exam of foot
X-ray exam of heel
X-ray exam of toe(s)
Ct lower extremity w/o dye
Ct lower extremity w/dye
Ct lwr extremity w/o&w/dye
Ct angio lwr extr w/o&w/dye
Mri lower extremity w/o dye
Mri lower extremity w/dye
Mri lwr extremity w/o&w/dye
Mri jnt of lwr extre w/o dye
Mri joint of lwr extr w/dye
Mri joint lwr extr w/o&w/dye
Mr ang lwr ext w or w/o dye
X-ray exam of abdomen
X-ray exam series abdomen
Ct abdomen w/o dye
Ct abdomen w/dye
Ct abdomen w/o & w/dye
Ct angio abd&pelv w/o&w/dye
Ct angio abdom w/o & w/dye
Ct abd & pelvis w/o contrast
Ct abd & pelv w/contrast
Ct abd & pelv 1/> regns
Mri abdomen w/o dye
471
471
471
471
474
471
471
471
471
301
301
301
302
296
296
296
293
293
293
283
471
471
471
471
300
300
300
300
302
300
300
300
292
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
ANGIOGRAPHY, OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- JOINTS
MRI- JOINTS
MRI- JOINTS
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
ANGIOGRAPHY, OTHER
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
CAT SCAN - ABDOMEN
MRI- ABDOMEN
Page 1139 of 6734

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74241
74245
74246
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74249
74250
74251
74260
74261
74262
74263
74270
74280
74283
74290
74300
74301
74328
74329
74330
74340
74355
74360
74363
Mri abdomen w/dye

Mri abdomen w/o & w/dye
Mri angio abdom w orw/o dye
X-ray exam of peritoneum
Contrst x-ray exam of throat
Contrast x-ray esophagus
Cine/vid x-ray throat/esoph
Remove esophagus obstruction
X-ray upper gi delay w/o kub
X-ray upper gi delay w/kub
X-ray upper gi&small intest
Contrst x-ray uppr gi tract
X-ray exam of small bowel
Ct colonography dx
Ct colonography dx w/dye
Ct colonography screening
Contrast x-ray exam of colon
Contrast x-ray gallbladder
X-ray bile ducts/pancreas
X-rays at surgery add-on
X-ray bile duct endoscopy
X-ray for pancreas endoscopy
X-ray bile/panc endoscopy
X-ray guide for gi tube
X-ray guide intestinal tube
X-ray guide gi dilation
X-ray bile duct dilation
292
292
292
474
471
471
287
474
287
287
287
287
287
287
287
287
287
287
287
287
287
287
287
287
474
474
474
474
474
474
474
474
474
MRI- ABDOMEN
MRI- ABDOMEN
MRI- ABDOMEN
RADIOLOGICAL GUIDANCE
PLAIN FILM
PLAIN FILM
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
DIGESTIVE RADIOLOGY
FOR THERAPEUTIC
FOR THERAPEUTIC
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
Page 1140 of 6734

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74485
74710
74712
74713
74740
74742
74775
75557
75559
75561
75563
75565
75571
75572
75573
75574
75600
75605
75625
75630
75635
75658
Contrst x-ray urinary tract

Contrast x-ray bladder
X-ray male genital tract
X-ray exam of penis
X-ray urethra/bladder
X-ray urethra/bladder
X-ray exam of kidney lesion
X-ray guide gu dilation
X-ray measurement of pelvis
Mri fetal sngl/1st gestation
Mri fetal ea addl gestation
X-ray female genital tract
X-ray fallopian tube
X-ray exam of perineum
Cardiac mri for morph
Cardiac mri w/stress img
Cardiac mri for morph w/dye
Card mri w/stress img & dye
Card mri veloc flow mapping
Ct hrt w/o dye w/ca test
Ct hrt w/3d image
Ct hrt w/3d image congen
Ct angio hrt w/3d image
Contrast exam thoracic aorta
Contrast exam thoracic aorta
Contrast exam abdominl aorta
X-ray aorta leg arteries
Ct angio abdominal arteries
Artery x-rays arm
285
285
285
285
474
474
474
474
474
474
474
474
471
296
296
474
474
285
296
296
296
296
296
285
285
285
285
474
474
474
474
302
474

PLAIN FILM
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
ANGIOGRAPHY, OTHER
Page 1141 of 6734

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75726
75731
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75736
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75743
75746
75756
75774
75791
75801
75803
75805
75807
75809
75810
75820
75822
75825
75827
75831
75833
75840
75842
75860
75870
75872
75880
75885
75887
Artery x-rays spine

Artery x-rays arm/leg
Artery x-rays arms/legs
Artery x-rays abdomen
Artery x-rays adrenal gland
Artery x-rays adrenals
Artery x-rays pelvis
Artery x-rays lung
Artery x-rays lungs
Artery x-rays lung
Artery x-rays chest
Artery x-ray each vessel
Av dialysis shunt imaging
Lymph vessel x-ray arm/leg
Lymph vessel x-ray arms/legs
Lymph vessel x-ray trunk
Lymph vessel x-ray trunk
Nonvascular shunt x-ray
Vein x-ray spleen/liver
Vein x-ray arm/leg
Vein x-ray arms/legs
Vein x-ray trunk
Vein x-ray chest
Vein x-ray kidney
Vein x-ray kidneys
Vein x-ray adrenal gland
Vein x-ray adrenal glands
Vein x-ray neck
Vein x-ray skull
Vein x-ray skull epidural
Vein x-ray eye socket
Vein x-ray liver w/hemodynam
Vein x-ray liver w/o hemodyn
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
RADIOLOGICAL
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
GUIDANCE
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
FOR
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
Page 1142 of 6734

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75891
75893
75894
75898
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75902
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75953
75954
75956
75957
75958
75959
75962
75964
75966
75968
75970
75978
75984
75989
76000
76001
76010
76080
76098
76100
76101
76102
76120
76125
76140
Vein x-ray liver w/hemodynam

Vein x-ray liver
Venous sampling by catheter
X-rays transcath therapy
Follow-up angiography
Remove cva device obstruct
Remove cva lumen obstruct
Endovasc repair abdom aorta
Abdom aneurysm endovas rpr
Iliac aneurysm endovas rpr
Xray endovasc thor ao repr
Xray endovasc thor ao repr
Xray place prox ext thor ao
Xray place dist ext thor ao
Repair artery blockage each
Repair artery blockage each
Vascular biopsy
Xray control catheter change
Abscess drainage under x-ray
Fluoroscope examination
Fluoroscope exam extensive
X-ray nose to rectum
X-ray exam of fistula
X-ray exam breast specimen
X-ray exam of body section
Complex body section x-ray
Complex body section x-rays
Cine/video x-rays
Cine/video x-rays add-on
X-ray consultation
474
474
474
474
285
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
474
471
471
471
474
471
471
471
471
471
471
490

PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
Page 1143 of 6734

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76499
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76510
76511
76512
76513
76514
76516
76519
76529
76536
76604
76641
76642
76700
76705
76770
76775
76776
76800
76801
76802
76805
76810
76811
76812
3d render w/intrp postproces

3d render w/intrp postproces
Cat scan follow-up study
Mr spectroscopy
Fluoroscopic procedure
Ct procedure
Mri procedure
Radiographic procedure
Echo exam of head
Ophth us b & quant a
Ophth us quant a only
Ophth us b w/non-quant a
Echo exam of eye water bath
Echo exam of eye thickness
Echo exam of eye
Echo exam of eye
Echo exam of eye
Us exam of head and neck
Us exam chest
Ultrasound breast complete
Ultrasound breast limited
Us exam abdom complete
Echo exam of abdomen
Us exam abdo back wall comp
Us exam abdo back wall lim
Us exam k transpl w/doppler
Us exam spinal canal
Ob us < 14 wks single fetus
Ob us < 14 wks addl fetus
Ob us >/= 14 wks sngl fetus
Ob us >/= 14 wks addl fetus
Ob us detailed sngl fetus
Ob us detailed addl fetus
490
490
301
296
471
301
296
471
288
288
288
288
230
419
288
288
288
288
288
288
288
288
288
288
288
288
288
470
470
470
470
470
470

CAT SCAN - OTHER
MRI- OTHER
PLAIN FILM
CAT SCAN - OTHER
MRI- OTHER
PLAIN FILM
Page 1144 of 6734

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76827
76828
76830
76831
76856
76857
76870
76872
76873
76881
76882
76885
76886
76930
76932
76936
76937
76940
76941
76942
76945
76946
Ob us nuchal meas 1 gest

Ob us nuchal meas add-on
Ob us limited fetus(s)
Ob us follow-up per fetus
Transvaginal us obstetric
Fetal biophys profile w/nst
Fetal biophys profil w/o nst
Umbilical artery echo
Middle cerebral artery echo
Echo exam of fetal heart
Transvaginal us non-ob
Echo exam uterus
Us exam pelvic complete
Us exam pelvic limited
Us exam scrotum
Us transrectal
Echograp trans r pros study
Us xtr non-vasc complete
Us xtr non-vasc lmtd
Us exam infant hips dynamic
Us exam infant hips static
Echo guide cardiocentesis
Echo guide for heart biopsy
Echo guide for artery repair
Us guide vascular access
Us guide tissue ablation
Echo guide for transfusion
Echo guide for biopsy
Echo guide villus sampling
Echo guide for amniocentesis
470
470
470
470
470
470
470
470
470
470
470
470
470
288
285
288
288
288
288
288
288
288
288
288
472
472
472
472
472
472
472
472
472
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
Page 1145 of 6734

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76975
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77001
77002
77003
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77012
77013
77014
77021
77022
77051
77052
77053
77054
77055
77056
77057
77058
77059
77061
77062
77063
77071
77072
77073
77074
77075
Echo guide ova aspiration

Echo guidance radiotherapy
Ultrasound exam follow-up
Gi endoscopic ultrasound
Us bone density measure
Us guide intraop
Echo examination procedure
Fluoroguide for vein device
Needle localization by xray
Fluoroguide for spine inject
Ct scan for localization
Ct scan for needle biopsy
Ct guide for tissue ablation
Ct scan for therapy guide
Mr guidance for needle place
Mri for tissue ablation
Computer dx mammogram add-on
Comp screen mammogram add-on
X-ray of mammary duct
X-ray of mammary ducts
Mammogram one breast
Mammogram both breasts
Mammogram screening
Mri one breast
Mri both breasts
Breast tomosynthesis uni
Breast tomosynthesis bi
Breast tomosynthesis bi
X-ray stress view
X-rays for bone age
X-rays bone length studies
X-rays bone survey limited
X-rays bone survey complete
472
472
490
134
490
472
288
474
474
474
473
473
473
473
475
475
490
490
474
474
286
286
286
296
296
286
286
286
490
471
471
471
471
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
CT GUIDANCE
CT GUIDANCE
CT GUIDANCE
CT GUIDANCE
MRI GUIDANCE
MRI GUIDANCE
MRI- OTHER
MRI- OTHER
PLAIN FILM
PLAIN FILM
PLAIN FILM
PLAIN FILM
Page 1146 of 6734

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77081
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77262
77263
77280
77285
77290
77293
77295
77299
77300
77301
77306
77307
77316
77317
77318
77321
77331
77332
77333
77334
77336
77338
77370
77371
X-rays bone survey infant

Joint survey single view
Ct bone density axial
Dxa bone density axial
Dxa bone density/peripheral
Magnetic image bone marrow
Dxa bone density study
Fracture assessment via dxa
Radiation therapy planning
Set radiation therapy field
Respirator motion mgmt simul
3-d radiotherapy plan
Radiation therapy dose plan
Radiotherapy dose plan imrt
Telethx isodose plan simple
Telethx isodose plan cplx
Brachytx isodose plan simple
Brachytx isodose intermed
Brachytx isodose complex
Special teletx port plan
Special radiation dosimetry
Radiation treatment aid(s)
Radiation physics consult
Design mlc device for imrt
Radiation physics consult
Srs multisource
471
471
291
291
291
296
291
291
484
484
484
484
481
481
481
481
484
480
484
484
484
484
476
476
484
480
479
479
479
478
343
478
346
PLAIN FILM
PLAIN FILM
BONE DENSITOMETRY
BONE DENSITOMETRY
BONE DENSITOMETRY
MRI- OTHER
BONE DENSITOMETRY
BONE DENSITOMETRY
THERAPEUTIC RADIOLOGY TREATMENT PLANN
THERAPEUTIC RADIOLOGY SIMULATION FIELD
LEVEL I THERAPEUTIC RADIATION TREATMENT
LEVEL I THERAPEUTIC RADIATION TREATMENT
TREATMENT DEVICE DESIGN AND CONSTRUCT
RADIOSURGERY
Page 1147 of 6734

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77373
77385
77386
77387
77399
77401
77402
77407
77412
77417
77422
77423
77424
77425
77427
77431
77432
77435
77469
77470
77499
77520
77522
77523
77525
77600
77605
77610
77615
77620
77750
77761
Srs linear based

Sbrt delivery
Ntsty modul rad tx dlvr smpl
Ntsty modul rad tx dlvr cplx
Guidance for radiaj tx dlvr
External radiation dosimetry
Radiation treatment delivery
Radiology port images(s)
Neutron beam tx simple
Neutron beam tx complex
Io rad tx delivery by x-ray
Io rad tx deliver by elctrns
Radiation tx management x5
Radiation therapy management
Stereotactic radiation trmt
Sbrt management
Io radiation tx management
Special radiation treatment
Radiation therapy management
Proton trmt simple w/o comp
Proton trmt simple w/comp
Proton trmt intermediate
Proton treatment complex
Hyperthermia treatment
Infuse radioactive materials
Apply intrcav radiat simple
346
343
343
343
490
483
341
341
343
343
471
347
347
343
343
483
483
483
483
483
344
483
348
348
348
348
345
345
345
345
345
344
482
RADIOSURGERY
PLAIN FILM
HIGH ENERGY NEUTRON RADIATION TREATMEN
HIGH ENERGY NEUTRON RADIATION TREATMEN
Page 1148 of 6734

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77768
77770
77771
77772
77778
77789
77790
77799
78012
78013
78014
78015
78016
78018
78020
78070
78071
78072
78075
78099
78102
78103
78104
78110
78111
78120
78121
78122
78130
78135
Apply intrcav radiat interm

Apply intrcav radiat compl
Hdr rdncl skn surf brachytx
Hdr rdncl skn surf brachytx
Hdr rdncl ntrstl/icav brchtx
Apply interstit radiat compl
Apply surf ldr radionuclide
Radiation handling
Radium/radioisotope therapy
Thyroid uptake measurement
Thyroid imaging w/blood flow
Thyroid imaging w/blood flow
Thyroid met imaging
Thyroid met imaging/studies
Thyroid met imaging body
Thyroid met uptake
Parathyroid planar imaging
Parathyrd planar w/wo subtrj
Parathyrd planar w/spect&ct
Adrenal cortex & medulla img
Endocrine nuclear procedure
Bone marrow imaging ltd
Bone marrow imaging mult
Bone marrow imaging body
Plasma volume single
Plasma volume multiple
Red cell mass single
Red cell mass multiple
Blood volume
Red cell survival study
Red cell survival kinetics
482
482
342
342
342
342
342
482
482
490
342
331
331
331
331
331
331
490
330
330
330
332
330
330
330
331
330
331
330
330
331
331
332
Page 1149 of 6734

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78190
78191
78195
78199
78201
78202
78205
78206
78215
78216
78226
78227
78230
78231
78232
78258
78261
78262
78264
78265
78266
78267
78268
78270
78271
78272
78278
78282
78290
78291
78299
Red cell sequestration

Spleen imaging
Platelet survival kinetics
Platelet survival
Lymph system imaging
Blood/lymph nuclear exam
Liver imaging
Liver imaging with flow
Liver imaging (3d)
Liver image (3d) with flow
Liver and spleen imaging
Liver & spleen image/flow
Hepatobiliary system imaging
Hepatobil syst image w/drug
Salivary gland imaging
Serial salivary imaging
Salivary gland function exam
Esophageal motility study
Gastric mucosa imaging
Gastroesophageal reflux exam
Gastric emptying imag study
Breath tst attain/anal c-14
Breath test analysis c-14
Vit b-12 absorption exam
Vit b-12 absrp exam int fac
Vit b-12 absorp combined
Acute gi blood loss imaging
Gi protein loss exam
Meckels divert exam
Leveen/shunt patency exam
Gi nuclear procedure
332
330
330
330
331
330
330
330
330
330
330
330
331
331
330
330
330
331
330
331
331
330
330
401
401
330
330
330
331
331
330
331
330
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
III DIAGNOSTIC NUCLEAR MEDICINE

I DIAGNOSTIC NUCLEAR MEDICINE
II DIAGNOSTIC NUCLEAR MEDICINE
II CHEMISTRY TESTS
II CHEMISTRY TESTS
Page 1150 of 6734

78300
78305
78306
78315
78320
78350
78351
78399
78414
78428
78445
78451
78452
78453
78454
78456
78457
78458
78459
78466
78468
78469
78472
78473
78481
78483
78491
78492
78494
78496
78499
78579
78580
Bone imaging limited area

Bone imaging multiple areas
Bone imaging whole body
Bone imaging 3 phase
Bone imaging (3d)
Bone mineral single photon
Bone mineral dual photon
Musculoskeletal nuclear exam
Non-imaging heart function
Cardiac shunt imaging
Vascular flow imaging
Ht muscle image spect sing
Ht muscle image spect mult
Ht muscle image planar sing
Ht musc image planar mult
Acute venous thrombus image
Venous thrombosis imaging
Ven thrombosis images bilat
Heart muscle imaging (pet)
Heart infarct image
Heart infarct image (ef)
Heart infarct image (3d)
Gated heart planar single
Gated heart multiple
Heart first pass single
Heart first pass multiple
Heart image (pet) single
Heart image (pet) multiple
Heart image spect
Heart first pass add-on
Cardiovascular nuclear exam
Lung ventilation imaging
Lung perfusion imaging
330
330
330
330
330
330
330
330
330
330
330
331
332
331
332
285
330
330
290
331
330
330
330
330
330
330
290
290
332
330
330
331
331

PET SCANS
PET SCANS
PET SCANS
Page 1151 of 6734

78582
78597
78598
78599
78600
78601
78605
78606
78607
78608
78609
78610
78630
78635
78645
78647
78650
78660
78699
78700
78701
78707
78708
78709
78710
78725
78730
78740
78761
78799
78800
78801
78802
Lung ventilat&perfus imaging

Lung perfusion differential
Lung perf&ventilat diferentl
Respiratory nuclear exam
Brain image < 4 views
Brain image w/flow < 4 views
Brain image 4+ views
Brain image w/flow 4 + views
Brain imaging (3d)
Brain imaging (pet)
Brain imaging (pet)
Brain flow imaging only
Cerebrospinal fluid scan
Csf ventriculography
Csf shunt evaluation
Cerebrospinal fluid scan
Csf leakage imaging
Nuclear exam of tear flow
Nervous system nuclear exam
Kidney imaging morphol
Kidney imaging with flow
K flow/funct image w/o drug
K flow/funct image w/drug
K flow/funct image multiple
Kidney imaging (3d)
Kidney function study
Urinary bladder retention
Ureteral reflux study
Testicular imaging w/flow
Genitourinary nuclear exam
Tumor imaging limited area
Tumor imaging mult areas
Tumor imaging whole body
331
331
331
330
330
330
330
330
331
290
290
330
331
331
330
330
330
330
330
330
330
330
330
330
330
330
330
330
330
330
331
331
332

PET SCANS
PET SCANS
Page 1152 of 6734

78803
78804
78805
78806
78807
78808
78811
78812
78813
78814
78815
78816
78999
79005
79101
79200
79300
79403
79440
79445
79999
80047
80048
80050
80051
80053
80055
80061
80069
80074
80076
80081
80150
Tumor imaging (3d)

Tumor imaging whole body
Abscess imaging ltd area
Abscess imaging whole body
Nuclear localization/abscess
Iv inj ra drug dx study
Pet image ltd area
Pet image skull-thigh
Pet image full body
Pet image w/ct lmtd
Pet image w/ct skull-thigh
Pet image w/ct full body
Nuclear diagnostic exam
Nuclear rx oral admin
Nuclear rx iv admin
Nuclear rx intracav admin
Nuclr rx interstit colloid
Hematopoietic nuclear tx
Nuclear rx intra-articular
Nuclear rx intra-arterial
Nuclear medicine therapy
Metabolic panel ionized ca
Metabolic panel total ca
General health panel
Electrolyte panel
Comprehen metabolic panel
Obstetric panel
Lipid panel
Renal function panel
Acute hepatitis panel
Hepatic function panel
Obstetric panel
Assay of amikacin
332
332
331
332
332
490
290
290
290
290
290
290
330
340
340
340
340
340
340
340
340
403
403
403
400
403
403
403
403
403
403
403
405

PET SCANS
PET SCANS
PET SCANS
PET SCANS
PET SCANS
PET SCANS
Page 1153 of 6734

80155
80156
80157
80158
80159
80162
80163
80164
80165
80168
80169
80170
80171
80173
80175
80176
80177
80178
80180
80183
80184
80185
80186
80188
80190
80192
80194
80195
80197
80198
80199
80200
80201
Drug assay caffeine

Assay carbamazepine total
Assay carbamazepine free
Drug assay cyclosporine
Drug assay clozapine
Assay of digoxin total
Assay of digoxin free
Assay dipropylacetic acd tot
Dipropylacetic acid free
Assay of ethosuximide
Drug assay everolimus
Assay of gentamicin
Drug screen quant gabapentin
Assay of haloperidol
Drug screen quan lamotrigine
Assay of lidocaine
Drug scrn quan levetiracetam
Assay of lithium
Drug scrn quan mycophenolate
Drug scrn quant oxcarbazepin
Assay of phenobarbital
Assay of phenytoin total
Assay of phenytoin free
Assay of primidone
Assay of procainamide
Assay of procainamide
Assay of quinidine
Assay of sirolimus
Assay of tacrolimus
Assay of theophylline
Drug screen quant tiagabine
Assay of tobramycin
Assay of topiramate
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
Page 1154 of 6734

80202
80203
80299
80300
80301
80302
80303
80304
80320
80321
80322
80323
80324
80325
80326
80327
80328
80329
80330
80331
80332
80333
80334
80335
80336
80337
80338
80339
80340
80341
80342
80343
80344
Assay of vancomycin
Drug screen quant zonisamide
Quantitative assay drug
Drug screen non tlc devices
Drug screen class list a
Drug screen prsmptv 1 class
Drug screen one/mult class
Drug screen one/mult class
Drug screen quantalcohols
Alcohols biomarkers 1or 2
Alcohols biomarkers 3/more
Alkaloids nos
Drug screen amphetamines 1/2
Amphetamines 3or 4
Amphetamines 5 or more
Anabolic steroid 1 or 2
Anabolic steroid 3 or more
Analgesics non-opioid 1 or 2
Analgesics non-opioid 3-5
Analgesics non-opioid 6/more
Antidepressants class 1 or 2
Antidepressants class 3-5
Antidepressants class 6/more
Antidepressant tricyclic 1/2
Antidepressant tricyclic 3-5
Tricyclic & cyclicals 6/more
Antidepressant not specified
Antiepileptics nos 1-3
Antiepileptics nos 4-6
Antiepileptics nos 7/more
Antipsychotics nos 1-3
Antipsychotics nos 4-6
Antipsychotics nos 7/more
405
405
405
404
404
405
404
404
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
TOXICOLOGY TESTS
TOXICOLOGY TESTS
THERAPEUTIC DRUG
TOXICOLOGY TESTS
TOXICOLOGY TESTS
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
THERAPEUTIC DRUG
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
Page 1155 of 6734

80345
80346
80347
80348
80349
80350
80351
80352
80353
80354
80355
80356
80357
80358
80359
80360
80361
80362
80363
80364
80365
80366
80367
80368
80369
80370
80371
80372
80373
80374
80375
80376
80377
Drug screening barbiturates

Benzodiazepines1-12
Benzodiazepines 13 or more
Drug screening buprenorphine
Cannabinoids natural
Cannabinoids synthetic 1-3
Cannabinoids synthetic 4-6
Cannabinoid synthetic 7/more
Drug screening cocaine
Drug screening fentanyl
Gabapentin non-blood
Heroin metabolite
Ketamine and norketamine
Drug screening methadone
Methylenedioxyamphetamines
Methylphenidate
Opiates 1 or more
Opioids & opiate analogs 1/2
Opioids & opiate analogs 3/4
Opioid &opiate analog 5/more
Drug screening oxycodone
Drug screening pregabalin
Drug screening propoxyphene
Sedative hypnotics
Skeletal muscle relaxant 1/2
Skel musc relaxant 3 or more
Stimulants synthetic
Drug screening tapentadol
Drug screening tramadol
Stereoisomer analysis
Drug/substance nos 1-3
Drug/substance nos 4-6
Drug/substance nos 7/more
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
405
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
THERAPEUTIC
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
DRUG
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
MONITORING
Page 1156 of 6734

80400
80402
80406
80408
80410
80412
80414
80415
80416
80417
80418
80420
80422
80424
80426
80428
80430
80432
80434
80435
80436
80438
80439
80500
80502
81000
81001
81002
81003
81005
81007
81015
81020
Acth stimulation panel

Aldosterone suppression eval
Calcitonin stimul panel
Crh stimulation panel
Testosterone response
Estradiol response panel
Renin stimulation panel
Renin stimulation panel
Pituitary evaluation panel
Dexamethasone panel
Glucagon tolerance panel
Glucagon tolerance panel
Gonadotropin hormone panel
Growth hormone panel
Growth hormone panel
Insulin suppression panel
Insulin tolerance panel
Insulin tolerance panel
Metyrapone panel
Trh stimulation panel
Trh stimulation panel
Lab pathology consultation
Lab pathology consultation
Urinalysis nonauto w/scope
Urinalysis auto w/scope
Urinalysis nonauto w/o scope
Urinalysis auto w/o scope
Urinalysis
Urine screen for bacteria
Microscopic exam of urine
Urinalysis glass test
399
399
399
399
399
399
399
399
403
403
399
399
399
399
399
399
399
399
399
399
399
399
399
490
490
410
410
411
411
410
410
410
410

URINALYSIS
URINALYSIS
URINALYSIS
URINALYSIS
URINALYSIS
URINALYSIS
Page 1157 of 6734

81025
81050
81099
81161
81162
81170
81200
81201
81202
81203
81205
81206
81207
81208
81209
81210
81211
81212
81213
81214
81215
81216
81217
81218
81219
81220
81221
81222
81223
81224
81225
81226
81227
Urine pregnancy test

Urinalysis volume measure
Urinalysis test procedure
Dmd dup/delet analysis
Brca1&2 seq & full dup/del
Abl1 gene
Aspa gene
Apc gene full sequence
Apc gene known fam variants
Apc gene dup/delet variants
Bckdhb gene
Bcr/abl1 gene major bp
Bcr/abl1 gene minor bp
Bcr/abl1 gene other bp
Blm gene
Braf gene
Brca1&2 seq & com dup/del
Brca1&2 185&5385&6174 var
Brca1&2 uncom dup/del var
Brca1 full seq & com dup/del
Brca1 gene known fam variant
Brca2 gene full sequence
Brca2 gene known fam variant
Cebpa gene full sequence
Calr gene com variants
Cftr gene com variants
Cftr gene known fam variants
Cftr gene dup/delet variants
Cftr gene full sequence
Cftr gene intron poly t
Cyp2c19 gene com variants
Cyp2d6 gene com variants
Cyp2c9 gene com variants
410
410
400
385
387
386
385
385
385
385
385
386
386
386
385
386
387
386
387
387
385
385
385
386
386
385
385
385
385
385
386
387
386
URINALYSIS
URINALYSIS
LEVEL III MOLECULAR PATHOLOGY AND GENET
LEVEL II MOLECULAR PATHOLOGY AND GENETI
Page 1158 of 6734

81228
81229
81235
81240
81241
81242
81243
81244
81245
81246
81250
81251
81252
81253
81254
81255
81256
81257
81260
81261
81262
81263
81264
81265
81266
81267
81268
81270
81272
81273
81275
81276
81280
Cytogen micrarray copy nmbr

Cytogen m array copy no&snp
Egfr gene com variants
F2 gene
F5 gene
Fancc gene
Fmr1 gene detection
Fmr1 gene characterization
Flt3 gene
Flt3 gene analysis
G6pc gene
Gba gene
Gjb2 gene full sequence
Gjb2 gene known fam variants
Gjb6 gene com variants
Hexa gene
Hfe gene
Hba1/hba2 gene
Ikbkap gene
Igh gene rearrange amp meth
Igh gene rearrang dir probe
Igh vari regional mutation
Igk rearrangeabn clonal pop
Str markers specimen anal
Str markers spec anal addl
Chimerism anal no cell selec
Chimerism anal w/cell select
Jak2 gene
Kit gene targeted seq analys
Kit gene analys d816 variant
Kras gene variants exon 2
Kras gene addl variants
Long qt synd gene full seq
385
385
386
385
385
385
385
385
386
385
385
385
385
385
385
385
385
385
385
386
385
387
386
386
385
386
386
385
386
385
386
386
385
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I MOLECULAR PATHOLOGY AND GENETIC

II MOLECULAR PATHOLOGY AND GENETI
III MOLECULAR PATHOLOGY AND GENET
Page 1159 of 6734

81281
81282
81287
81288
81290
81291
81292
81293
81294
81295
81296
81297
81298
81299
81300
81301
81302
81303
81304
81310
81311
81313
81314
81315
81316
81317
81318
81319
81321
81322
81323
81324
81325
Long qt synd known fam var

Long qt syn gene dup/dlt var
Mgmt gene methylation anal
Mlh1 gene
Mcoln1 gene
Mthfr gene
Mlh1 gene full seq
Mlh1 gene known variants
Mlh1 gene dup/delete variant
Msh2 gene full seq
Msh2 gene known variants
Msh2 gene dup/delete variant
Msh6 gene full seq
Msh6 gene known variants
Msh6 gene dup/delete variant
Microsatellite instability
Mecp2 gene full seq
Mecp2 gene known variant
Mecp2 gene dup/delet variant
Npm1 gene
Nras gene variants exon 2&3
Pca3/klk3 antigen
Pdgfra gene
Pml/raralpha com breakpoints
Pml/raralpha 1 breakpoint
Pms2 gene full seq analysis
Pms2 known familial variants
Pms2 gene dup/delet variants
Pten gene full sequence
Pten gene known fam variant
Pten gene dup/delet variant
Pmp22 gene dup/delet
Pmp22 gene full sequence
385
385
385
385
385
385
387
386
386
386
385
386
386
386
386
386
385
385
385
386
386
385
386
386
387
387
386
386
387
385
385
385
385
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

Page 1160 of 6734

81326
81330
81331
81332
81340
81341
81342
81350
81355
81370
81371
81372
81373
81374
81375
81376
81377
81378
81379
81380
81381
81382
81383
81400
81401
81402
81403
81404
81405
81406
81407
81408
81410
Pmp22 gene known fam variant

Smpd1 gene common variants
Snrpn/ube3a gene
Serpina1 gene
Trb@ gene rearrange amplify
Trb@ gene rearrange dirprobe
Trg gene rearrangement anal
Ugt1a1 gene
Vkorc1 gene
Hla i & ii typing lr
Hla i & ii type verify lr
Hla i typing complete lr
Hla i typing 1 locus lr
Hla i typing 1 antigen lr
Hla ii typing ag equiv lr
Hla ii typing 1 locus lr
Hla ii type 1 ag equiv lr
Hla i & ii typing hr
Hla i typing complete hr
Hla i typing 1 locus hr
Hla i typing 1 allele hr
Hla ii typing 1 loc hr
Hla ii typing 1 allele hr
Mopath procedure level 1
Aortic dysfunction/dilation
385
385
385
385
386
385
386
385
385
387
386
386
386
385
386
386
385
387
387
386
385
386
385
385
385
385
385
385
385
385
385
385
385
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

Page 1161 of 6734

81411
81412
81415
81416
81417
81420
81425
81426
81427
81430
81431
81432
81433
81434
81435
81436
81437
81438
81440
81442
81445
81450
81455
81460
81465
81470
81471
81479
81490
81493
81500
81503
81504
Aortic dysfunction/dilation
Ashkenazi jewish assoc dis
Exome sequence analysis
Exome sequence analysis
Exome re-evaluation
Fetal chrmoml aneuploidy
Genome sequence analysis
Genome sequence analysis
Genome re-evaluation
Hearing loss sequence analys
Hearing loss dup/del analys
Hrdtry brst ca-rlatd dsordrs
Hrdtry brst ca-rlatd dsordrs
Hereditary retinal disorders
Hereditary colon ca dsordrs
Hereditary colon ca dsordrs
Heredtry nurondcrn tum dsrdr
Heredtry nurondcrn tum dsrdr
Mitochondrial gene
Noonan spectrum disorders
Targeted genomic seq analys
Whole mitochondrial genome
Whole mitochondrial genome
X-linked intellectual dblt
X-linked intellectual dblt
Unlisted molecular pathology
Autoimmune rheumatoid arthr
Cor artery disease mrna
Onco (ovar) two proteins
Onco (ovar) five proteins
Oncology tissue of origin
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
386
387
385
385
385
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

Page 1162 of 6734

81506
81507
81508
81509
81510
81511
81512
81519
81525
81528
81535
81536
81538
81540
81545
81595
81599
82009
82010
82013
82016
82017
82024
82030
82040
82042
82043
82044
82045
82075
82085
82088
82103
Endo assay seven anal

Fetal aneuploidy trisom risk
Ftl cgen abnor two proteins
Ftl cgen abnor 3 proteins
Ftl cgen abnor three anal
Ftl cgen abnor four anal
Ftl cgen abnor five anal
Oncology breast mrna
Oncology colon mrna
Oncology colorectal scr
Oncology gynecologic
Oncology gynecologic
Oncology lung
Oncology tum unknown origin
Oncology thyroid
Cardiology hrt trnspl mrna
Unlisted maaa
Test for acetone/ketones
Acetone assay
Acetylcholinesterase assay
Acylcarnitines qual
Acylcarnitines quant
Assay of acth
Assay of adp & amp
Assay of serum albumin
Assay of urine albumin
Microalbumin quantitative
Microalbumin semiquant
Albumin ischemia modified
Assay of breath ethanol
Assay of aldolase
Assay of aldosterone
Alpha-1-antitrypsin total
385
385
385
385
385
385
385
385
387
387
387
385
385
387
387
387
385
400
400
401
401
401
399
399
402
400
410
410
401
400
400
399
401

URINALYSIS
URINALYSIS
Page 1163 of 6734

82104
82105
82106
82107
82108
82120
82127
82128
82131
82135
82136
82139
82140
82143
82150
82154
82157
82160
82163
82164
82172
82175
82180
82190
82232
82239
82240
82247
82248
82252
82261
82270
82271
Alpha-1-antitrypsin pheno
Alpha-fetoprotein serum
Alpha-fetoprotein amniotic
Alpha-fetoprotein l3
Assay of aluminum
Amines vaginal fluid qual
Amino acid single qual
Amino acids mult qual
Amino acids single quant
Assay aminolevulinic acid
Amino acids quant 2-5
Amino acids quan 6 or more
Assay of ammonia
Amniotic fluid scan
Assay of amylase
Androstanediol glucuronide
Assay of androstenedione
Assay of androsterone
Assay of angiotensin ii
Angiotensin i enzyme test
Assay of apolipoprotein
Assay of arsenic
Assay of ascorbic acid
Atomic absorption
Assay of beta-2 protein
Bile acids total
Bile acids cholylglycine
Bilirubin total
Bilirubin direct
Fecal bilirubin test
Assay of biotinidase
Occult blood feces
Occult blood other sources
401
401
401
400
404
391
401
401
401
401
401
401
400
401
400
399
399
399
399
401
401
404
400
401
399
401
401
400
400
402
401
400
402

TOXICOLOGY TESTS
LEVEL II PATHOLOGY
TOXICOLOGY TESTS
Page 1164 of 6734

82272
82274
82286
82300
82306
82308
82310
82330
82331
82340
82355
82360
82365
82370
82373
82374
82375
82376
82378
82379
82380
82382
82383
82384
82387
82390
82397
82415
82435
82436
82438
82441
82465
Occult bld feces 1-3 tests

Assay test for blood fecal
Assay of bradykinin
Assay of cadmium
Vitamin d 25 hydroxy
Assay of calcitonin
Assay of calcium
Assay of calcium
Calcium infusion test
Assay of calcium in urine
Calculus analysis qual
Calculus assay quant
Calculus spectroscopy
X-ray assay calculus
Assay c-d transfer measure
Assay blood carbon dioxide
Assay carboxyhb quant
Assay carboxyhb qual
Carcinoembryonic antigen
Assay of carnitine
Assay of carotene
Assay urine catecholamines
Assay blood catecholamines
Assay three catecholamines
Assay of cathepsin-d
Assay of ceruloplasmin
Chemiluminescent assay
Assay of chloramphenicol
Assay of blood chloride
Assay of urine chloride
Assay other fluid chlorides
Test for chlorohydrocarbons
Assay bld/serum cholesterol
402
402
401
404
401
399
402
402
400
400
401
401
401
401
401
402
400
400
400
401
400
399
399
399
401
401
400
405
402
402
400
404
402

TOXICOLOGY TESTS
TOXICOLOGY TESTS
Page 1165 of 6734

82480
82482
82485
82495
82507
82523
82525
82528
82530
82533
82540
82542
82550
82552
82553
82554
82565
82570
82575
82585
82595
82600
82607
82608
82610
82615
82626
82627
82633
82634
82638
82652
82656
Assay serum cholinesterase

Assay rbc cholinesterase
Assay chondroitin sulfate
Assay of chromium
Assay of citrate
Collagen crosslinks
Assay of copper
Assay of corticosterone
Cortisol free
Total cortisol
Assay of creatine
Col chromotography qual/quan
Assay of ck (cpk)
Assay of cpk in blood
Creatine mb fraction
Creatine isoforms
Assay of creatinine
Assay of urine creatinine
Creatinine clearance test
Assay of cryofibrinogen
Assay of cryoglobulin
Assay of cyanide
Vitamin b-12
B-12 binding capacity
Cystatin c
Test for urine cystines
Dehydroepiandrosterone
Dehydroepiandrosterone
Desoxycorticosterone
Deoxycortisol
Assay of dibucaine number
Vit d 1 25-dihydroxy
Pancreatic elastase fecal
401
401
399
404
401
395
404
399
400
399
402
401
400
400
401
401
400
400
400
401
400
404
398
401
401
401
401
399
399
399
401
401
401

TOXICOLOGY TESTS
TOXICOLOGY TESTS
TOXICOLOGY TESTS
Page 1166 of 6734

82657
82658
82664
82668
82670
82671
82672
82677
82679
82693
82696
82705
82710
82715
82725
82726
82728
82731
82735
82746
82747
82757
82759
82760
82775
82776
82777
82784
82785
82787
82800
82803
82805
Enzyme cell activity

Enzyme cell activity ra
Electrophoretic test
Assay of erythropoietin
Assay of estradiol
Assay of estrogens
Assay of estrogen
Assay of estriol
Assay of estrone
Assay of ethylene glycol
Assay of etiocholanolone
Fats/lipids feces qual
Fats/lipids feces quant
Assay of fecal fat
Assay of blood fatty acids
Long chain fatty acids
Assay of ferritin
Assay of fetal fibronectin
Assay of fluoride
Assay of folic acid serum
Assay of folic acid rbc
Assay of semen fructose
Assay of rbc galactokinase
Assay of galactose
Assay galactose transferase
Galactose transferase test
Galectin-3
Assay iga/igd/igg/igm each
Assay of ige
Igg 1 2 3 or 4 each
Blood ph
Blood gases any combination
Blood gases w/o2 saturation
401
401
400
401
399
399
399
399
399
404
399
400
401
401
401
401
400
401
404
400
408
401
401
401
401
401
401
401
401
395
400
400
400

TOXICOLOGY TESTS
TOXICOLOGY TESTS
Page 1167 of 6734

82810
82820
82930
82938
82941
82943
82945
82946
82947
82948
82950
82951
82952
82955
82960
82962
82963
82965
82977
82978
82979
82985
83001
83002
83003
83006
83009
83010
83012
83013
83014
83015
83018
Blood gases o2 sat only

Hemoglobin-oxygen affinity
Gastric analy w/ph ea spec
Gastrin test
Assay of gastrin
Assay of glucagon
Glucose other fluid
Glucagon tolerance test
Assay glucose blood quant
Reagent strip/blood glucose
Glucose test
Glucose tolerance test (gtt)
Gtt-added samples
Assay of g6pd enzyme
Test for g6pd enzyme
Glucose blood test
Assay of glucosidase
Assay of gdh enzyme
Assay of ggt
Assay of glutathione
Assay rbc glutathione
Assay of glycated protein
Assay of gonadotropin (fsh)
Assay of gonadotropin (lh)
Assay growth hormone (hgh)
Growth stimulation gene 2
H pylori (c-13) blood
Assay of haptoglobin quant
Assay of haptoglobins
H pylori (c-13) breath
H pylori drug admin
Heavy metal screen
Quantitative screen metals
400
408
401
399
399
399
400
401
402
411
402
400
400
401
400
402
401
401
402
401
401
401
399
399
399
399
401
401
401
401
401
404
404

TOXICOLOGY TESTS
TOXICOLOGY TESTS
Page 1168 of 6734

83020
83021
83026
83030
83033
83036
83037
83045
83050
83051
83060
83065
83068
83069
83070
83080
83088
83090
83150
83491
83497
83498
83499
83500
83505
83516
83518
83519
83520
83525
83527
83528
83540
Hemoglobin electrophoresis
Hemoglobin chromotography
Hemoglobin copper sulfate
Fetal hemoglobin chemical
Fetal hemoglobin assay qual
Glycosylated hemoglobin test
Glycosylated hb home device
Blood methemoglobin test
Blood methemoglobin assay
Assay of plasma hemoglobin
Blood sulfhemoglobin assay
Assay of hemoglobin heat
Hemoglobin stability screen
Assay of urine hemoglobin
Assay of hemosiderin qual
Assay of b hexosaminidase
Assay of histamine
Assay of homocystine
Assay of homovanillic acid
Assay of corticosteroids 17
Assay of 5-hiaa
Assay of progesterone 17-d
Assay of progesterone 20Assay free hydroxyproline
Assay total hydroxyproline
Immunoassay nonantibody
Immunoassay dipstick
Ria nonantibody
Immunoassay quant nos nonab
Assay of insulin
Assay of insulin
Assay of intrinsic factor
Assay of iron
401
409
408
401
401
400
400
401
401
401
401
401
401
402
401
401
401
399
399
399
398
399
399
399
399
394
394
394
394
398
399
401
400

Page 1169 of 6734

83550
83570
83582
83586
83593
83605
83615
83625
83630
83631
83632
83633
83655
83661
83662
83663
83664
83670
83690
83695
83698
83700
83701
83704
83718
83719
83721
83727
83735
83775
83785
83789
83825
Iron binding test

Assay of idh enzyme
Assay of ketogenic steroids
Assay 17- ketosteroids
Fractionation ketosteroids
Assay of lactic acid
Lactate (ld) (ldh) enzyme
Assay of ldh enzymes
Lactoferrin fecal (qual)
Lactoferrin fecal (quant)
Placental lactogen
Test urine for lactose
Assay of lead
L/s ratio fetal lung
Foam stability fetal lung
Fluoro polarize fetal lung
Lamellar bdy fetal lung
Assay of lap enzyme
Assay of lipase
Assay of lipoprotein(a)
Assay lipoprotein pla2
Lipopro bld electrophoretic
Lipoprotein bld hr fraction
Lipoprotein bld by nmr
Assay of lipoprotein
Assay of blood lipoprotein
Assay of blood lipoprotein
Assay of lrh hormone
Assay of magnesium
Assay malate dehydrogenase
Assay of manganese
Mass spectrometry qual/quan
Assay of mercury
400
401
398
398
398
401
402
401
401
401
401
400
404
401
401
391
391
401
400
401
401
401
401
401
400
401
400
399
400
401
404
401
404

TOXICOLOGY TESTS
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
TOXICOLOGY TESTS
TOXICOLOGY TESTS
Page 1170 of 6734

83835
83857
83861
83864
83872
83873
83874
83876
83880
83883
83885
83915
83916
83918
83919
83921
83930
83935
83937
83945
83950
83951
83970
83986
83987
83992
83993
84030
84035
84060
84061
84066
84075
Assay of metanephrines
Assay of methemalbumin
Microfluid analy tears
Mucopolysaccharides
Assay synovial fluid mucin
Assay of csf protein
Assay of myoglobin
Assay myeloperoxidase
Assay of natriuretic peptide
Assay nephelometry not spec
Assay of nickel
Assay of nucleotidase
Oligoclonal bands
Organic acids total quant
Organic acids qual each
Organic acid single quant
Assay of blood osmolality
Assay of urine osmolality
Assay of osteocalcin
Assay of oxalate
Oncoprotein her-2/neu
Oncoprotein dcp
Assay of parathormone
Assay ph body fluid nos
Exhaled breath condensate
Assay for phencyclidine
Assay for calprotectin fecal
Assay of blood pku
Assay of phenylketones
Assay acid phosphatase
Phosphatase forensic exam
Assay prostate phosphatase
Assay alkaline phosphatase
399
401
401
401
400
401
401
401
401
395
404
401
401
404
401
401
400
400
399
401
391
391
399
400
400
404
401
400
400
402
390
401
402

TOXICOLOGY TESTS
TOXICOLOGY TESTS
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
TOXICOLOGY TESTS
LEVEL I PATHOLOGY
Page 1171 of 6734

84078
84080
84081
84085
84087
84100
84105
84106
84110
84112
84119
84120
84126
84132
84133
84134
84135
84138
84140
84143
84144
84145
84146
84150
84152
84153
84154
84155
84156
84157
84160
84163
84165
Assay alkaline phosphatase

Assay alkaline phosphatases
Assay phosphatidylglycerol
Assay of rbc pg6d enzyme
Assay phosphohexose enzymes
Assay of phosphorus
Assay of urine phosphorus
Test for porphobilinogen
Assay of porphobilinogen
Eval amniotic fluid protein
Test urine for porphyrins
Assay of urine porphyrins
Assay of feces porphyrins
Assay of serum potassium
Assay of urine potassium
Assay of prealbumin
Assay of pregnanediol
Assay of pregnanetriol
Assay of pregnenolone
Assay of 17-hydroxypregneno
Assay of progesterone
Procalcitonin (pct)
Assay of prolactin
Assay of prostaglandin
Assay of psa complexed
Assay of psa total
Assay of psa free
Assay of protein serum
Assay of protein urine
Assay of protein other
Assay of protein any source
Pappa serum
Protein e-phoresis serum
402
401
401
401
401
402
400
400
401
401
401
401
401
402
400
400
399
399
399
399
398
399
399
399
400
400
400
402
400
400
402
401
400

Page 1172 of 6734

84166
84181
84182
84202
84203
84206
84207
84210
84220
84228
84233
84234
84235
84238
84244
84252
84255
84260
84270
84275
84285
84295
84300
84302
84305
84307
84311
84315
84375
84376
84377
84378
84379
Protein e-phoresis/urine/csf
Western blot test
Protein western blot test
Assay rbc protoporphyrin
Test rbc protoporphyrin
Assay of proinsulin
Assay of vitamin b-6
Assay of pyruvate
Assay of pyruvate kinase
Assay of quinine
Assay of estrogen
Assay of progesterone
Assay of endocrine hormone
Assay nonendocrine receptor
Assay of renin
Assay of selenium
Assay of serotonin
Assay of sex hormone globul
Assay of sialic acid
Assay of silica
Assay of serum sodium
Assay of urine sodium
Assay of sweat sodium
Assay of somatomedin
Assay of somatostatin
Spectrophotometry
Body fluid specific gravity
Chromatogram assay sugars
Sugars single qual
Sugars multiple qual
Sugars single quant
Sugars multiple quant
401
394
395
401
401
399
401
401
401
405
399
399
399
401
399
401
401
399
401
400
404
402
400
402
399
399
400
400
401
400
400
400
400

TOXICOLOGY TESTS
Page 1173 of 6734

84392
84402
84403
84425
84430
84431
84432
84436
84437
84439
84442
84443
84445
84446
84449
84450
84460
84466
84478
84479
84480
84481
84482
84484
84485
84488
84490
84510
84512
84520
84525
84540
84545
Assay of urine sulfate

Assay of free testosterone
Assay of total testosterone
Assay of thiocyanate
Thromboxane urine
Assay of thyroglobulin
Assay of total thyroxine
Assay of neonatal thyroxine
Assay of free thyroxine
Assay of thyroid activity
Assay thyroid stim hormone
Assay of tsi globulin
Assay of vitamin e
Assay of transcortin
Transferase (ast) (sgot)
Alanine amino (alt) (sgpt)
Assay of transferrin
Assay of triglycerides
Assay of thyroid (t3 or t4)
Assay triiodothyronine (t3)
Free assay (ft-3)
T3 reverse
Assay of troponin quant
Assay duodenal fluid trypsin
Test feces for trypsin
Assay of feces for trypsin
Assay of tyrosine
Assay of troponin qual
Assay of urea nitrogen
Urea nitrogen semi-quant
Assay of urine/urea-n
Urea-n clearance test
410
399
399
401
404
401
399
398
398
398
398
398
399
401
399
402
402
400
402
398
398
398
398
401
401
400
401
401
401
402
411
400
400
URINALYSIS
TOXICOLOGY TESTS
Page 1174 of 6734

84550
84560
84577
84578
84580
84583
84585
84586
84588
84590
84591
84597
84600
84620
84630
84681
84702
84703
84704
84830
84999
85002
85004
85007
85008
85009
85013
85014
85018
85025
85027
85032
85041
Assay of blood/uric acid

Assay of urine/uric acid
Assay of feces/urobilinogen
Test urine urobilinogen
Assay of urine urobilinogen
Assay of urine urobilinogen
Assay of urine vma
Assay of vip
Assay of vasopressin
Assay of vitamin a
Assay of nos vitamin
Assay of vitamin k
Assay of volatiles
Xylose tolerance test
Assay of zinc
Assay of c-peptide
Chorionic gonadotropin test
Chorionic gonadotropin assay
Hcg free betachain test
Ovulation tests
Clinical chemistry test
Bleeding time test
Automated diff wbc count
Bl smear w/diff wbc count
Bl smear w/o diff wbc count
Manual diff wbc count b-coat
Spun microhematocrit
Hematocrit
Hemoglobin
Complete cbc w/auto diff wbc
Complete cbc automated
Manual cell count each
Automated rbc count
402
400
401
411
401
400
399
399
399
401
405
401
401
401
404
401
398
400
401
399
400
406
408
408
408
408
408
408
408
408
408
408
408

TOXICOLOGY TESTS
Page 1175 of 6734

85044
85045
85046
85048
85049
85055
85060
85097
85130
85170
85175
85210
85220
85230
85240
85244
85245
85246
85247
85250
85260
85270
85280
85290
85291
85292
85293
85300
85301
85302
85303
85305
85306
Manual reticulocyte count

Automated reticulocyte count
Reticyte/hgb concentrate
Automated leukocyte count
Automated platelet count
Reticulated platelet assay
Blood smear interpretation
Bone marrow interpretation
Chromogenic substrate assay
Blood clot retraction
Blood clot lysis time
Clot factor ii prothrom spec
Blooc clot factor v test
Clot factor vii proconvertin
Clot factor viii ahg 1 stage
Clot factor viii reltd antgn
Clot factor viii vw ristoctn
Clot factor viii vw antigen
Clot factor viii multimetric
Clot factor ix ptc/chrstmas
Clot factor x stuart-power
Clot factor xi pta
Clot factor xii hageman
Clot factor xiii fibrin stab
Clot factor xiii fibrin scrn
Clot factor fletcher fact
Clot factor wght kininogen
Antithrombin iii activity
Antithrombin iii antigen
Clot inhibit prot c antigen
Clot inhibit prot c activity
Clot inhibit prot s total
Clot inhibit prot s free
408
408
408
408
408
407
490
390
409
406
406
406
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407
407

LEVEL I PATHOLOGY
Page 1176 of 6734

85307
85335
85337
85345
85347
85348
85360
85362
85366
85370
85378
85379
85380
85384
85385
85390
85396
85397
85400
85410
85415
85420
85421
85441
85445
85460
85461
85475
85520
85525
85530
85536
85540
Assay activated protein c

Factor inhibitor test
Thrombomodulin
Coagulation time lee & white
Coagulation time activated
Coagulation time otr method
Euglobulin lysis
Fibrin degradation products
Fibrinogen test
Fibrinogen test
Fibrin degrade semiquant
Fibrin degradation quant
Fibrin degradj d-dimer
Fibrinogen activity
Fibrinogen antigen
Fibrinolysins screen i&r
Clotting assay whole blood
Clotting funct activity
Fibrinolytic plasmin
Fibrinolytic antiplasmin
Fibrinolytic plasminogen
Heinz bodies direct
Heinz bodies induced
Hemoglobin fetal
Hemoglobin fetal
Hemolysin acid
Heparin assay
Heparin neutralization
Heparin-protamine tolerance
Iron stain peripheral blood
Wbc alkaline phosphatase
401
407
407
406
406
406
409
406
406
407
407
407
409
406
406
406
407
407
407
407
407
407
407
408
408
409
408
407
407
407
407
408
408
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II CHEMISTRY TESTS
II CLOTTING TESTS
II CLOTTING TESTS
I CLOTTING TESTS
I CLOTTING TESTS
I CLOTTING TESTS
II HEMATOLOGY TESTS
I CLOTTING TESTS
I CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II HEMATOLOGY TESTS
I CLOTTING TESTS
I CLOTTING TESTS
I CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
I HEMATOLOGY TESTS
I HEMATOLOGY TESTS
II HEMATOLOGY TESTS
I HEMATOLOGY TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
I HEMATOLOGY TESTS
I HEMATOLOGY TESTS
Page 1177 of 6734

85547
85549
85555
85557
85576
85597
85598
85610
85611
85612
85613
85635
85651
85652
85660
85670
85675
85705
85730
85732
85810
85999
86000
86001
86003
86005
86021
86022
86023
86038
86039
86060
86063
Rbc mechanical fragility

Muramidase
Rbc osmotic fragility
Rbc osmotic fragility
Blood platelet aggregation
Phospholipid pltlt neutraliz
Hexagnal phosph pltlt neutrl
Prothrombin time
Prothrombin test
Viper venom prothrombin time
Russell viper venom diluted
Reptilase test
Rbc sed rate nonautomated
Rbc sed rate automated
Rbc sickle cell test
Thrombin time plasma
Thrombin time titer
Thromboplastin inhibition
Thromboplastin time partial
Thromboplastin time partial
Blood viscosity examination
Hematology procedure
Agglutinins febrile antigen
Allergen specific igg
Allergen specific ige
Allergen specific ige
Wbc antibody identification
Platelet antibodies
Immunoglobulin assay
Antinuclear antibodies
Antinuclear antibodies (ana)
Antistreptolysin o titer
Antistreptolysin o screen
408
401
409
409
407
407
407
406
406
407
407
409
408
408
408
406
406
407
406
406
409
408
394
394
394
394
394
394
394
400
400
394
394
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I HEMATOLOGY TESTS
II CHEMISTRY TESTS
II HEMATOLOGY TESTS
II HEMATOLOGY TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
I CLOTTING TESTS
I CLOTTING TESTS
II CLOTTING TESTS
II CLOTTING TESTS
II HEMATOLOGY TESTS
I HEMATOLOGY TESTS
I HEMATOLOGY TESTS
I HEMATOLOGY TESTS
I CLOTTING TESTS
I CLOTTING TESTS
II CLOTTING TESTS
I CLOTTING TESTS
I CLOTTING TESTS
II HEMATOLOGY TESTS
I HEMATOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I CHEMISTRY TESTS
I CHEMISTRY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
Page 1178 of 6734

86077
86078
86079
86140
86141
86146
86147
86148
86152
86153
86155
86156
86157
86160
86161
86162
86171
86185
86200
86215
86225
86226
86235
86243
86255
86256
86277
86280
86294
86300
86301
86304
86305
Phys blood bank serv xmatch

Phys blood bank serv reactj
Phys blood bank serv authrj
C-reactive protein
C-reactive protein hs
Beta-2 glycoprotein antibody
Cardiolipin antibody ea ig
Anti-phospholipid antibody
Cell enumeration & id
Cell enumeration phys interp
Chemotaxis assay
Cold agglutinin screen
Cold agglutinin titer
Complement antigen
Complement/function activity
Complement total (ch50)
Complement fixation each
Counterimmunoelectrophoresis
Ccp antibody
Deoxyribonuclease antibody
Dna antibody native
Dna antibody single strand
Nuclear antigen antibody
Fc receptor
Fluorescent antibody screen
Fluorescent antibody titer
Growth hormone antibody
Hemagglutination inhibition
Immunoassay tumor qual
Immunoassay tumor ca 15-3
Immunoassay tumor ca 19-9
Immunoassay tumor ca 125
Human epididymis protein 4
390
390
390
394
400
401
395
401
395
395
395
394
394
394
394
394
394
394
394
394
394
394
395
395
395
395
399
394
397
397
397
397
397
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I IMMUNOLOGY TESTS
I CHEMISTRY TESTS
II CHEMISTRY TESTS
II IMMUNOLOGY TESTS
II CHEMISTRY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II ENDOCRINOLOGY TESTS
I IMMUNOLOGY TESTS
II MICROBIOLOGY TESTS
Page 1179 of 6734

86308
86309
86310
86316
86317
86318
86320
86325
86327
86329
86331
86332
86334
86335
86336
86337
86340
86341
86343
86344
86352
86353
86355
86356
86357
86359
86360
86361
86367
86376
86378
86382
86384
Heterophile antibody screen

Heterophile antibody titer
Heterophile antibody absrbj
Immunoassay tumor other
Immunoassay infectious agent
Immunoassay infectious agent
Serum immunoelectrophoresis
Other immunoelectrophoresis
Immunoelectrophoresis assay
Immunodiffusion nes
Immunodiffusion ouchterlony
Immune complex assay
Immunofix e-phoresis serum
Immunfix e-phorsis/urine/csf
Inhibin a
Insulin antibodies
Intrinsic factor antibody
Islet cell antibody
Leukocyte histamine release
Leukocyte phagocytosis
Cell function assay w/stim
Lymphocyte transformation
B cells total count
Mononuclear cell antigen
Nk cells total count
T cells total count
T cell absolute count/ratio
T cell absolute count
Stem cells total count
Microsomal antibody each
Migration inhibitory factor
Neutralization test viral
Nitroblue tetrazolium dye
394
394
394
401
395
395
401
401
401
395
395
395
395
395
402
399
399
395
395
395
395
395
395
395
395
395
395
395
395
399
395
395
396

Page 1180 of 6734

86386
86403
86406
86430
86431
86480
86481
86485
86486
86490
86510
86580
86590
86592
86593
86602
86603
86606
86609
86611
86612
86615
86617
86618
86619
86622
86625
86628
86631
86632
86635
86638
86641
Nuclear matrix protein 22

Particle agglut antbdy scrn
Particle agglut antbdy titr
Rheumatoid factor test qual
Rheumatoid factor quant
Tb test cell immun measure
Tb ag response t-cell susp
Skin test candida
Skin test nos antigen
Coccidioidomycosis skin test
Histoplasmosis skin test
Tb intradermal test
Streptokinase antibody
Syphilis test non-trep qual
Syphilis test non-trep quant
Antinomyces antibody
Adenovirus antibody
Aspergillus antibody
Bacterium antibody
Bartonella antibody
Blastomyces antibody
Bordetella antibody
Lyme disease antibody
Lyme disease antibody
Borrelia antibody
Brucella antibody
Campylobacter antibody
Candida antibody
Chlamydia antibody
Chlamydia igm antibody
Coccidioides antibody
Q fever antibody
Cryptococcus antibody
395
394
394
394
394
395
395
394
396
394
394
394
394
394
394
395
395
395
397
395
395
395
395
395
395
395
395
396
396
396
395
395
395
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I MICROBIOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
Page 1181 of 6734

86644
86645
86648
86651
86652
86653
86654
86658
86663
86664
86665
86666
86668
86671
86674
86677
86682
86684
86687
86688
86689
86692
86694
86695
86696
86698
86701
86702
86703
86704
86705
86706
86707
Cmv antibody
Cmv antibody igm
Diphtheria antibody
Encephalitis californ antbdy
Encephaltis east eqne anbdy
Encephaltis st louis antbody
Encephaltis west eqne antbdy
Enterovirus antibody
Epstein-barr antibody
Epstein-barr nuclear antigen
Epstein-barr capsid vca
Ehrlichia antibody
Francisella tularensis
Fungus nes antibody
Giardia lamblia antibody
Helicobacter pylori antibody
Helminth antibody
Hemophilus influenza antibdy
Htlv-i antibody
Htlv-ii antibody
Htlv/hiv confirmj antibody
Hepatitis delta agent antbdy
Herpes simplex nes antbdy
Herpes simplex type 1 test
Herpes simplex type 2 test
Histoplasma antibody
Hiv-1antibody
Hiv-2 antibody
Hiv-1/hiv-2 1 result antbdy
Hep b core antibody total
Hep b core antibody igm
Hep b surface antibody
Hepatitis be antibody
395
395
395
395
395
395
395
395
395
395
395
395
395
394
394
395
394
394
394
394
395
394
395
395
394
395
394
394
394
400
400
400
400
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I CHEMISTRY TESTS
I CHEMISTRY TESTS
I CHEMISTRY TESTS
I CHEMISTRY TESTS
Page 1182 of 6734

86708
86709
86710
86711
86713
86717
86720
86723
86727
86729
86732
86735
86738
86741
86744
86747
86750
86753
86756
86757
86759
86762
86765
86768
86771
86774
86777
86778
86780
86784
86787
86788
86789
Hepatitis a antibody
Hepatitis a igm antibody
Influenza virus antibody
John cunningham antibody
Legionella antibody
Leishmania antibody
Leptospira antibody
Listeria monocytogenes
Lymph choriomeningitis ab
Lympho venereum antibody
Mucormycosis antibody
Mumps antibody
Mycoplasma antibody
Neisseria meningitidis
Nocardia antibody
Parvovirus antibody
Malaria antibody
Protozoa antibody nos
Respiratory virus antibody
Rickettsia antibody
Rotavirus antibody
Rubella antibody
Rubeola antibody
Salmonella antibody
Shigella antibody
Tetanus antibody
Toxoplasma antibody
Toxoplasma antibody igm
Treponema pallidum
Trichinella antibody
Varicella-zoster antibody
West nile virus ab igm
West nile virus antibody
400
400
394
394
395
395
395
395
395
395
395
394
395
395
395
395
395
394
395
395
395
394
394
395
395
395
395
395
395
395
394
395
395
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I CHEMISTRY TESTS
I CHEMISTRY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
Page 1183 of 6734

86790
86793
86800
86803
86804
86805
86806
86807
86808
86812
86813
86816
86817
86821
86822
86825
86826
86828
86829
86830
86831
86832
86833
86834
86835
86849
86850
86860
86870
86880
86885
86886
86890
Virus antibody nos

Yersinia antibody
Thyroglobulin antibody
Hepatitis c ab test
Hep c ab test confirm
Lymphocytotoxicity assay
Lymphocytotoxicity assay
Cytotoxic antibody screening
Cytotoxic antibody screening
Hla typing a b or c
Hla typing a b or c
Hla typing dr/dq
Hla typing dr/dq
Lymphocyte culture mixed
Lymphocyte culture primed
Hla x-math non-cytotoxic
Hla x-match noncytotoxc addl
Hla class i&ii antibody qual
Hla class i/ii antibody qual
Hla class i phenotype qual
Hla class ii phenotype qual
Hla class i high defin qual
Hla class ii high defin qual
Hla class i semiquant panel
Hla class ii semiquant panel
Immunology procedure
Rbc antibody screen
Rbc antibody elution
Rbc antibody identification
Coombs test direct
Coombs test indirect qual
Coombs test indirect titer
Autologous blood process
394
395
399
400
401
393
393
393
393
393
393
393
393
393
393
393
393
393
393
393
393
393
393
393
393
394
394
394
394
394
394
394
393

Page 1184 of 6734

86891
86900
86901
86902
86904
86905
86906
86910
86911
86920
86921
86922
86923
86927
86930
86931
86932
86940
86941
86945
86950
86960
86965
86970
86971
86972
86975
86976
86977
86978
86985
86999
87003
Autologous blood op salvage

Blood typing serologic abo
Blood typing serologic rh(d)
Blood type antigen donor ea
Blood typing patient serum
Blood typing rbc antigens
Bld typing serologic rh phnt
Blood typing paternity test
Blood typing antigen system
Compatibility test spin
Compatibility test incubate
Compatibility test antiglob
Compatibility test electric
Plasma fresh frozen
Frozen blood prep
Frozen blood thaw
Frozen blood freeze/thaw
Hemolysins/agglutinins auto
Hemolysins/agglutinins
Blood product/irradiation
Leukacyte transfusion
Vol reduction of blood/prod
Pooling blood platelets
Rbc pretx incubatj w/chemicl
Rbc pretx incubatj w/enzymes
Rbc pretx incubatj w/density
Rbc serum pretx incubj drugs
Rbc serum pretx id dilution
Rbc serum pretx incubj/inhib
Rbc pretreatment serum
Split blood or products
Transfusion procedure
Small animal inoculation
393
486
486
486
486
486
486
486
486
486
486
393
393
393
393
393
393
395
395
486
393
393
393
393
393
393
393
393
393
486
393
393
397

BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
BASIC BLOOD TYPING
Page 1185 of 6734

87015
87040
87045
87046
87070
87071
87073
87075
87076
87077
87081
87084
87086
87088
87101
87102
87103
87106
87107
87109
87110
87116
87118
87140
87143
87147
87149
87150
87152
87153
87158
87164
87166
Specimen infect agnt concntj

Blood culture for bacteria
Feces culture aerobic bact
Stool cultr aerobic bact ea
Culture othr specimn aerobic
Culture aerobic quant other
Culture bacteria anaerobic
Cultr bacteria except blood
Culture anaerobe ident each
Culture aerobic identify
Culture screen only
Culture of specimen by kit
Urine culture/colony count
Urine bacteria culture
Skin fungi culture
Fungus isolation culture
Blood fungus culture
Fungi identification yeast
Fungi identification mold
Mycoplasma
Chlamydia culture
Mycobacteria culture
Mycobacteric identification
Culture type immunofluoresc
Culture typing glc/hplc
Culture type immunologic
Dna/rna direct probe
Dna/rna amplified probe
Culture type pulse field gel
Dna/rna sequencing
Culture typing added method
Dark field examination
Dark field examination
396
397
396
396
396
396
397
396
396
396
396
396
396
396
396
396
397
396
397
397
396
397
397
397
397
396
396
396
397
397
397
397
397
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
Page 1186 of 6734

87168
87169
87172
87176
87177
87181
87184
87185
87186
87187
87188
87190
87197
87205
87206
87207
87209
87210
87220
87230
87250
87252
87253
87254
87255
87260
87265
87267
87269
87270
87271
87272
87273
Macroscopic exam arthropod

Macroscopic exam parasite
Pinworm exam
Tissue homogenization cultr
Ova and parasites smears
Microbe susceptible diffuse
Microbe susceptible disk
Microbe susceptible enzyme
Microbe susceptible mic
Microbe susceptible mlc
Microbe suscept macrobroth
Microbe suscept mycobacteri
Bactericidal level serum
Smear gram stain
Smear fluorescent/acid stai
Smear special stain
Smear complex stain
Smear wet mount saline/ink
Tissue exam for fungi
Assay toxin or antitoxin
Virus inoculate eggs/animal
Virus inoculation tissue
Virus inoculate tissue addl
Virus inoculation shell via
Genet virus isolate hsv
Adenovirus ag if
Pertussis ag if
Enterovirus antibody dfa
Giardia ag if
Chlamydia trachomatis ag if
Cytomegalovirus dfa
Cryptosporidium ag if
Herpes simplex 2 ag if
396
396
396
396
396
396
396
396
396
396
396
396
396
396
396
396
400
396
396
397
397
397
397
397
397
394
394
394
394
394
394
394
394
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I CHEMISTRY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
Page 1187 of 6734

87274
87275
87276
87277
87278
87279
87280
87281
87283
87285
87290
87299
87300
87301
87305
87320
87324
87327
87328
87329
87332
87335
87336
87337
87338
87339
87340
87341
87350
87380
87385
87389
87390
Herpes simplex 1 ag if
Influenza b ag if
Influenza a ag if
Legionella micdadei ag if
Legion pneumophilia ag if
Parainfluenza ag if
Respiratory syncytial ag if
Pneumocystis carinii ag if
Rubeola ag if
Treponema pallidum ag if
Varicella zoster ag if
Antibody detection nos if
Ag detection polyval if
Adenovirus ag ia
Aspergillus ag ia
Chylmd trach ag ia
Clostridium ag ia
Cryptococcus neoform ag ia
Cryptosporidium ag ia
Giardia ag ia
Cytomegalovirus ag ia
E coli 0157 ag ia
Entamoeb hist dispr ag ia
Entamoeb hist group ag ia
Hpylori stool ia
H pylori ag ia
Hepatitis b surface ag ia
Hepatitis b surface ag ia
Hepatitis be ag ia
Hepatitis delta ag ia
Histoplasma capsul ag ia
Hiv-1 ag w/hiv-1 & hiv-2 ab
Hiv-1 ag ia
394
394
394
394
394
394
394
394
394
394
394
394
394
394
396
394
394
394
394
394
394
394
394
394
394
394
394
394
394
394
394
394
394
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
MICROBIOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
IMMUNOLOGY TESTS
Page 1188 of 6734

87391
87400
87420
87425
87427
87430
87449
87450
87451
87470
87471
87472
87475
87476
87477
87480
87481
87482
87485
87486
87487
87490
87491
87492
87493
87495
87496
87497
87498
87500
87501
87502
87503
Hiv-2 ag ia
Influenza a/b ag ia
Resp syncytial ag ia
Rotavirus ag ia
Shiga-like toxin ag ia
Strep a ag ia
Ag detect nos ia mult
Ag detect nos ia single
Ag detect polyval ia mult
Bartonella dna dir probe
Bartonella dna amp probe
Bartonella dna quant
Lyme dis dna dir probe
Lyme dis dna amp probe
Lyme dis dna quant
Candida dna dir probe
Candida dna amp probe
Candida dna quant
Chylmd pneum dna dir probe
Chylmd pneum dna amp probe
Chylmd pneum dna quant
Chylmd trach dna dir probe
Chylmd trach dna amp probe
Chylmd trach dna quant
C diff amplified probe
Cytomeg dna dir probe
Cytomeg dna amp probe
Cytomeg dna quant
Enterovirus probe&revrs trns
Vanomycin dna amp probe
Influenza dna amp prob 1+
Influenza dna amp probe
Influenza dna amp prob addl
394
395
397
394
394
394
394
394
394
394
397
397
397
397
397
394
394
394
394
397
397
394
394
394
394
397
397
397
397
395
395
395
395
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
I IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
II IMMUNOLOGY TESTS
Page 1189 of 6734

87505
87506
87507
87510
87511
87512
87515
87516
87517
87520
87521
87522
87525
87526
87527
87528
87529
87530
87531
87532
87533
87534
87535
87536
87537
87538
87539
87540
87541
87542
87550
87551
87552
Nfct agent detection gi

Iadna-dna/rna probe tq 6-11
Iadna-dna/rna probe tq 12-25
Gardner vag dna dir probe
Gardner vag dna amp probe
Gardner vag dna quant
Hepatitis b dna dir probe
Hepatitis b dna amp probe
Hepatitis b dna quant
Hepatitis c rna dir probe
Hepatitis c probe&rvrs trnsc
Hepatitis c revrs trnscrpj
Hepatitis g dna dir probe
Hepatitis g dna amp probe
Hepatitis g dna quant
Hsv dna dir probe
Hsv dna amp probe
Hsv dna quant
Hhv-6 dna dir probe
Hhv-6 dna amp probe
Hhv-6 dna quant
Hiv-1 dna dir probe
Hiv-1 probe&reverse trnscrpj
Hiv-1 quant&revrse trnscrpj
Hiv-2 dna dir probe
Hiv-2 probe&revrse trnscripj
Hiv-2 quant&revrse trnscripj
Legion pneumo dna dir prob
Legion pneumo dna amp prob
Legion pneumo dna quant
Mycobacteria dna dir probe
Mycobacteria dna amp probe
Mycobacteria dna quant
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
II
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
MICROBIOLOGY
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
TESTS
Page 1190 of 6734

87555
87556
87557
87560
87561
87562
87580
87581
87582
87590
87591
87592
87623
87624
87625
87631
87632
87633
87640
87641
87650
87651
87652
87653
87660
87661
87797
87798
87799
87800
87801
87802
87803
M.tuberculo dna dir probe

M.tuberculo dna amp probe
M.tuberculo dna quant
M.avium-intra dna dir prob
M.avium-intra dna amp prob
M.avium-intra dna quant
M.pneumon dna dir probe
M.pneumon dna amp probe
M.pneumon dna quant
N.gonorrhoeae dna dir prob
N.gonorrhoeae dna amp prob
N.gonorrhoeae dna quant
Hpv low-risk types
Hpv high-risk types
Hpv types 16 & 18 only
Resp virus 3-5 targets
Staph a dna amp probe
Mr-staph dna amp probe
Strep a dna dir probe
Strep a dna amp probe
Strep a dna quant
Strep b dna amp probe
Trichomonas vagin dir probe
Trichomonas vaginalis amplif
Detect agent nos dna dir
Detect agent nos dna amp
Detect agent nos dna quant
Detect agnt mult dna direc
Detect agnt mult dna ampli
Strep b assay w/optic
Clostridium toxin a w/optic
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
397
394
397
397
397
397
397
397
397
397
396
396
396
396
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I IMMUNOLOGY TESTS
Page 1191 of 6734

87804
87806
87807
87808
87809
87810
87850
87880
87899
87900
87901
87902
87903
87904
87905
87906
87910
87912
87999
88000
88005
88007
88012
88014
88016
88020
88025
88027
88028
88029
88036
88037
88040
Influenza assay w/optic

Hiv antigen w/hiv antibodies
Rsv assay w/optic
Trichomonas assay w/optic
Adenovirus assay w/optic
Chylmd trach assay w/optic
N. gonorrhoeae assay w/optic
Strep a assay w/optic
Agent nos assay w/optic
Phenotype infect agent drug
Genotype dna hiv reverse t
Genotype dna/rna hep c
Phenotype dna hiv w/culture
Phenotype dna hiv w/clt add
Sialidase enzyme assay
Genotype dna/rna hiv
Genotype cytomegalovirus
Genotype dna hepatitis b
Microbiology procedure
Autopsy (necropsy) gross
Autopsy (necropsy) complete
Limited autopsy
Limited autopsy
Forensic autopsy (necropsy)
396
397
396
396
396
396
396
396
396
397
397
397
397
397
397
395
395
395
396
999
999
999
999
999
999
999
999
999
999
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1192 of 6734

88045
88099
88104
88106
88108
88112
88120
88121
88125
88130
88140
88141
88142
88143
88147
88148
88150
88152
88153
88154
88155
88160
88161
88162
88164
88165
88166
88167
88172
88173
88174
88175
88177
Coroners autopsy (necropsy)

Necropsy (autopsy) procedure
Cytopath fl nongyn smears
Cytopath fl nongyn filter
Cytopath concentrate tech
Cytopath cell enhance tech
Cytp urne 3-5 probes ea spec
Cytp urine 3-5 probes cmptr
Forensic cytopathology
Sex chromatin identification
Sex chromatin identification
Cytopath c/v interpret
Cytopath c/v thin layer
Cytopath c/v thin layer redo
Cytopath c/v automated
Cytopath c/v auto rescreen
Cytopath c/v manual
Cytopath c/v auto redo
Cytopath c/v redo
Cytopath c/v select
Cytopath c/v index add-on
Cytopath smear other source
Cytopath tbs c/v manual
Cytopath tbs c/v redo
Cytopath tbs c/v auto redo
Cytopath tbs c/v select
Cytp dx eval fna 1st ea site
Cytopath eval fna report
Cytopath c/v auto in fluid
Cytopath c/v auto fluid redo
Cytp fna eval ea addl
999
999
390
390
390
390
391
391
390
390
390
392
392
392
392
392
392
392
392
392
392
390
390
390
392
392
392
392
390
390
392
392
390
UNASSIGNED
UNASSIGNED
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
PAP SMEARS
PAP SMEARS
LEVEL I PATHOLOGY
Page 1193 of 6734

88182
88184
88185
88187
88188
88189
88199
88230
88233
88235
88237
88239
88240
88241
88245
88248
88249
88261
88262
88263
88264
88267
88269
88271
88272
88273
88274
88275
88280
88283
88285
88289
88291
Cell marker study

Flowcytometry/ tc 1 marker
Flowcytometry/tc add-on
Flowcytometry/read 2-8
Flowcytometry/read 9-15
Flowcytometry/read 16 & >
Cytopathology procedure
Tissue culture lymphocyte
Tissue culture skin/biopsy
Tissue culture placenta
Tissue culture bone marrow
Tissue culture tumor
Cell cryopreserve/storage
Frozen cell preparation
Chromosome analysis 20-25
Chromosome analysis 100
Chromosome analys placenta
Chromosome analys amniotic
Cytogenetics dna probe
Cytogenetics 3-5
Cytogenetics 10-30
Cytogenetics 25-99
Cytogenetics 100-300
Chromosome karyotype study
Chromosome banding study
Chromosome count additional
Chromosome study additional
Cyto/molecular report
391
390
391
390
390
390
390
391
391
391
391
391
390
390
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
385
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II PATHOLOGY
I PATHOLOGY
II PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
I MOLECULAR
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
PATHOLOGY
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
GENETIC
Page 1194 of 6734

88299
88300
88302
88304
88305
88307
88309
88311
88312
88313
88314
88319
88321
88323
88325
88329
88331
88332
88333
88334
88341
88342
88344
88346
88348
88350
88355
88356
88358
88360
88361
88362
88363
Cytogenetic study
Surgical path gross
Tissue exam by pathologist
Decalcify tissue
Special stains group 1
Special stains group 2
Histochemical stains add-on
Enzyme histochemistry
Microslide consultation
Microslide consultation
Comprehensive review of data
Path consult introp
Path consult intraop 1 bloc
Path consult intraop addl
Intraop cyto path consult 1
Intraop cyto path consult 2
Immunohisto antb addl slide
Immunohisto antb 1st stain
Immunohisto antibody slide
Immunofluor antb 1st stain
Electron microscopy
Immunofluor antb addl stain
Analysis skeletal muscle
Analysis nerve
Analysis tumor
Tumor immunohistochem/manual
Tumor immunohistochem/comput
Nerve teasing preparations
Xm archive tissue molec anal
385
390
390
390
390
391
391
390
390
390
390
390
390
390
390
390
390
390
390
390
390
390
390
390
391
390
390
390
390
390
390
390
390
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
II PATHOLOGY
II PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
II PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
Page 1195 of 6734

88364
88365
88366
88367
88368
88369
88371
88372
88373
88374
88375
88377
88380
88381
88387
88388
88399
88720
88738
88740
88741
88749
89049
89050
89051
89055
89060
89125
89160
89190
89220
89230
89240
Insitu hybridization (fish)

Insitu hybridization auto
Insitu hybridization manual
M/phmtrc alysishquant/semiq
Protein western blot tissue
Protein analysis w/probe
M/phmtrc alys ishquant/semiq
Optical endomicroscpy interp
Microdissection laser
Microdissection manual
Tiss exam molecular study
Tiss ex molecul study add-on
Surgical pathology procedure
Bilirubin total transcut
Hgb quant transcutaneous
Transcutaneous carboxyhb
Transcutaneous methb
In vivo lab service
Chct for mal hyperthermia
Body fluid cell count
Body fluid cell count
Leukocyte assessment fecal
Exam synovial fluid crystals
Specimen fat stain
Exam feces for meat fibers
Nasal smear for eosinophils
Sputum specimen collection
Collect sweat for test
Pathology lab procedure
390
390
390
390
390
390
390
390
390
390
490
390
390
390
390
390
390
400
400
400
400
425
425
390
390
408
390
390
390
390
396
390
390
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
Page 1196 of 6734

89250
89251
89253
89254
89255
89257
89258
89259
89260
89261
89264
89268
89272
89280
89281
89290
89291
89300
89310
89320
89321
89322
89325
89329
89330
89331
89335
89337
89342
89343
89344
89346
89352
Cultr oocyte/embryo <4 days

Cultr oocyte/embryo <4 days
Embryo hatching
Oocyte identification
Prepare embryo for transfer
Sperm identification
Cryopreservation embryo(s)
Cryopreservation sperm
Sperm isolation simple
Sperm isolation complex
Identify sperm tissue
Insemination of oocytes
Extended culture of oocytes
Assist oocyte fertilization
Assist oocyte fertilization
Biopsy oocyte polar body
Biopsy oocyte polar body
Semen analysis w/huhner
Semen analysis w/count
Semen anal vol/count/mot
Semen anal sperm detection
Semen anal strict criteria
Sperm antibody test
Sperm evaluation test
Evaluation cervical mucus
Retrograde ejaculation anal
Cryopreserve testicular tiss
Cryopreservation oocyte(s)
Storage/year embryo(s)
Storage/year sperm/semen
Storage/year reprod tissue
Storage/year oocyte(s)
Thawing cryopresrved embryo
391
391
391
391
390
390
390
390
390
390
390
390
390
391
391
391
391
390
390
390
390
400
390
390
390
400
390
390
390
390
390
390
390
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
II PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I CHEMISTRY TESTS
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I CHEMISTRY TESTS
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
I PATHOLOGY
Page 1197 of 6734

89353
89354
89356
89398
9001F
9002F
9003F
9004F
9005F
9006F
9007F
90281
90283
90284
90287
90288
90291
90296
90371
90375
90376
90378
90384
90385
90386
90389
90393
90396
90399
90460
90461
90471
90472
Thawing cryopresrved sperm

Thaw cryoprsvrd reprod tiss
Thawing cryopresrved oocyte
Unlisted reprod med lab proc
Aortic aneurysm<5cm diam ct
Aortic aneurysm 5-5.4cm diam
Aortic anrysm5.5-5.9cm diam
Aortic anrysm 6/> cm diam
Asympt carot/vrtbrbas sten
Sympt sten-tia/strk<120days
Other carot sten 120 days/>
Human ig im
Human ig iv
Human ig sc
Botulinum antitoxin
Botulism ig iv
Cmv ig iv
Diphtheria antitoxin
Hep b ig im
Rabies ig im/sc
Rabies ig heat treated
Rsv mab im 50mg
Rh ig full-dose im
Rh ig minidose im
Rh ig iv
Tetanus ig im
Vaccina ig im
Varicella-zoster ig im
Immune globulin
Im admin 1st/only component
Im admin each addl component
Immunization admin
Immunization admin each add
390
390
390
417
490
490
490
490
490
490
490
415
416
437
415
415
416
415
416
416
416
416
415
415
415
414
414
414
414
459
459
459
459
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
Page 1198 of 6734

90473
90474
90476
90477
90581
90585
90586
90620
90621
90625
90630
90632
90633
90634
90636
90644
90647
90648
90649
90650
90651
90653
90654
90655
90656
90657
90658
90660
90661
90662
90664
90666
90667
Immune admin oral/nasal

Immune admin oral/nasal addl
Adenovirus vaccine type 4
Adenovirus vaccine type 7
Anthrax vaccine sc or im
Bcg vaccine percut
Bcg vaccine intravesical
Menb rp w/omv vaccine im
Menb rlp vaccine im
Cholera vaccine live oral
Flu vacc iiv4 no preserv id
Hepa vaccine adult im
Hepa vacc ped/adol 2 dose im
Hepa vacc ped/adol 3 dose
Hep a/hep b vacc adult im
Hib-mency vaccine 4 dose im
Hib prp-omp vacc 3 dose im
Hib prp-t vaccine 4 dose im
4vhpv vaccine 3 dose im
Iiv adjuvant vaccine im
Flu vacc iiv3 no preserv id
Iiv3 vacc no prsv 6-35 mo im
Iiv3 vacc no prsv 3 yrs+ im
Iiv3 vaccine 6-35 months im
Iiv3 vaccine 3 yrs+ im
Laiv3 vaccine intranasal
Cciiv3 vac im cult prsv free
Iiv no prsv increased ag im
Laiv vacc pandemic intranasl
Flu vac pandem prsrv free im
Iiv vacc pandemic adjuvt im
459
459
416
416
416
414
415
415
415
414
414
414
414
414
415
415
415
415
416
414
416
414
414
414
414
414
414
414
414
414
414
414
414
Page 1199 of 6734

90668
90670
90672
90673
90675
90676
90680
90681
90685
90686
90687
90688
90690
90691
90696
90697
90698
90700
90702
90707
90710
90713
90714
90715
90716
90717
90723
90732
90733
90734
90736
90738
90739
Iiv vaccine pandemic im

Pcv13 vaccine im
Laiv4 vaccine intranasal
Riv3 vaccine no preserv im
Rabies vaccine im
Rabies vaccine id
Rv5 vacc 3 dose live oral
Rv1 vacc 2 dose live oral
Iiv4 vacc no prsv 6-35 m im
Iiv4 vacc no prsv 3 yrs+ im
Iiv4 vaccine 6-35 months im
Iiv4 vaccine 3 yrs plus im
Typhoid vaccine oral
Typhoid vaccine im
Dtap-ipv vaccine 4-6 yrs im
Dtap-ipv-hib-hepb vaccine im
Dtap-ipv/hib vaccine im
Dtap vaccine < 7 yrs im
Dt vaccine under 7 yrs im
Mmr vaccine sc
Mmrv vaccine sc
Poliovirus ipv sc/im
Td vacc no presv 7 yrs+ im
Tdap vaccine 7 yrs/> im
Var vaccine live subq
Yellow fever vaccine subq
Dtap-hep b-ipv vaccine im
Ppsv23 vacc 2 yrs+ subq/im
Mpsv4 vaccine subq
Menacwy vaccine im
Hzv vaccine live subq
Inactivated je vacc im
Hepb vacc 2 dose adult im
414
415
414
414
416
416
415
414
414
414
414
414
414
414
414
415
415
414
414
414
414
414
415
415
415
415
415
414
415
415
416
416
416
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I IMMUNIZATION
II IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
III IMMUNIZATION
III IMMUNIZATION
II IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
II IMMUNIZATION
II IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
I IMMUNIZATION
II IMMUNIZATION
II IMMUNIZATION
II IMMUNIZATION
II IMMUNIZATION
II IMMUNIZATION
I IMMUNIZATION
II IMMUNIZATION
II IMMUNIZATION
III IMMUNIZATION
III IMMUNIZATION
III IMMUNIZATION
Page 1200 of 6734

90740
90743
90744
90746
90747
90748
90749
90785
90791
90792
90832
90833
90834
90836
90837
90838
90839
90840
90845
90846
90847
90849
90853
90863
90865
90867
90868
90869
90870
90875
90876
90880
90882
Hepb vacc 3 dose immunsup im

Hepb vacc 2 dose adolesc im
Hepb vacc 3 dose ped/adol im
Hepb vaccine 3 dose adult im
Hepb vacc 4 dose immunsup im
Hib-hepb vaccine im
Vaccine toxoid
Psytx complex interactive
Psych diagnostic evaluation
Psych diag eval w/med srvcs
Psytx pt&/family 30 minutes
Psytx pt&/fam w/e&m 30 min
Psytx crisis initial 60 min
Psytx crisis ea addl 30 min
Psychoanalysis
Family psytx w/o patient
Family psytx w/patient
Multiple family group psytx
Group psychotherapy
Pharmacologic mgmt w/psytx
Narcosynthesis
Tcranial magn stim tx plan
Tcranial magn stim tx deli
Tcran magn stim redetemine
Electroconvulsive therapy
Psychophysiological therapy
Psychophysiological therapy
Hypnotherapy
Environmental manipulation
416
416
414
415
415
416
414
490
323
323
315
316
316
316
316
316
316
490
316
317
317
318
318
322
426
489
489
489
212
427
427
315
490

COUNSELLING OR INDIVIDUAL BRIEF PSYCHO
INDIVIDUAL COMPREHENSIVE PSYCHOTHERAP
GROUP PSYCHOTHERAPY
GROUP PSYCHOTHERAPY
MEDICATION ADMINISTRATION & OBSERVATIO
ELECTROCONVULSIVE THERAPY
Page 1201 of 6734

90885
90887
90889
90899
90901
90911
90935
90937
90940
90945
90947
90951
90952
90953
90954
90955
90956
90957
90958
90959
90960
90961
90962
90963
90964
90965
90966
90967
90968
90969
90970
90989
90993
Psy evaluation of records

Consultation with family
Preparation of report
Psychiatric service/therapy
Biofeedback train any meth
Biofeedback peri/uro/rectal
Hemodialysis one evaluation
Hemodialysis repeated eval
Hemodialysis access study
Dialysis one evaluation
Dialysis repeated eval
Esrd serv 4 visits p mo <2yr
Esrd serv 2-3 vsts p mo <2yr
Esrd serv 1 visit p mo <2yrs
Esrd serv 4 vsts p mo 2-11
Esrd srv 2-3 vsts p mo 2-11
Esrd srv 1 visit p mo 2-11
Esrd srv 4 vsts p mo 12-19
Esrd srv 2-3 vsts p mo 12-19
Esrd serv 1 vst p mo 12-19
Esrd srv 4 visits p mo 20+
Esrd srv 2-3 vsts p mo 20+
Esrd serv 1 visit p mo 20+
Esrd home pt serv p mo <2yrs
Esrd home pt serv p mo 2-11
Esrd home pt serv p mo 12-19
Esrd home pt serv p mo 20+
Esrd home pt serv p day <2
Esrd home pt srv p day 2-11
Esrd home pt srv p day 12-19
Esrd home pt serv p day 20+
Dialysis training complete
Dialysis training incompl
490
317
490
315
427
427
168
168
285
169
169
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
169
169
169
169
428
428

HEMODIALYSIS
HEMODIALYSIS
PERITONEAL DIALYSIS
PERITONEAL DIALYSIS
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
PERITONEAL DIALYSIS
PERITONEAL DIALYSIS
PERITONEAL DIALYSIS
PERITONEAL DIALYSIS
Page 1202 of 6734

90997
90999
91010
91013
91020
91022
91030
91034
91035
91037
91038
91040
91065
91110
91111
91112
91117
91120
91122
91132
91133
91200
91299
92002
92004
92012
92014
92015
92018
92019
92020
92025
92060
Hemoperfusion
Dialysis procedure
Esophagus motility study
Esophgl motil w/stim/perfus
Gastric motility studies
Duodenal motility study
Acid perfusion of esophagus
Gastroesophageal reflux test
G-esoph reflx tst w/electrod
Esoph imped function test
Esoph imped funct test > 1hr
Esoph balloon distension tst
Breath hydrogen/methane test
Gi tract capsule endoscopy
Esophageal capsule endoscopy
Gi wireless capsule measure
Colon motility 6 hr study
Rectal sensation test
Anal pressure record
Electrogastrography
Electrogastrography w/test
Liver elastography
Gastroenterology procedure
Eye exam new patient
Eye exam new patient
Eye exam establish patient
Eye exam&tx estab pt 1/>vst
Determine refractive state
New eye exam & treatment
Eye exam & treatment
Special eye evaluation
Corneal topography
Special eye evaluation
168
169
130
130
130
130
130
130
130
130
130
130
401
138
130
130
130
489
489
213
213
288
130
491
491
491
491
491
239
239
230
230
491
HEMODIALYSIS
PERITONEAL DIALYSIS
Page 1203 of 6734

92065
92071
92072
92081
92082
92083
92100
92132
92133
92134
92136
92140
92145
92225
92226
92227
92228
92230
92235
92240
92250
92260
92265
92270
92275
92283
92284
92285
92286
92287
92310
92311
92312
Orthoptic/pleoptic training
Contact lens fitting for tx
Fit contac lens for managmnt
Visual field examination(s)
Serial tonometry exam(s)
Cmptr ophth dx img ant segmt
Cmptr ophth img optic nerve
Cptr ophth dx img post segmt
Ophthalmic biometry
Glaucoma provocative tests
Corneal hysteresis deter
Special eye exam initial
Special eye exam subsequent
Remote dx retinal imaging
Remote retinal imaging mgmt
Eye exam with photos
Icg angiography
Ophthalmoscopy/dynamometry
Eye muscle evaluation
Electro-oculography
Electroretinography
Color vision examination
Dark adaptation eye exam
Eye photography
Internal eye photography
Internal eye photography
Contact lens fitting
427
231
231
491
491
491
490
489
489
489
489
489
230
491
491
425
419
230
230
230
489
489
230
230
230
491
491
489
230
419
231
231
231

Page 1204 of 6734

92313
92314
92315
92316
92317
92325
92326
92340
92341
92342
92352
92353
92354
92355
92358
92370
92371
92499
92502
92504
92507
92508
92511
92512
92516
92520
92521
92522
92523
92524
92526
92531
92532

Prescription of contact lens
Rx cntact lens aphakia 1 eye
Rx cntact lens aphakia 2 eye
Rx corneoscleral cntact lens
Modification of contact lens
Replacement of contact lens
Fit spectacles monofocal
Fit spectacles bifocal
Fit spectacles multifocal
Fit aphakia spectcl monofocl
Fit aphakia spectcl multifoc
Fit spectacles single system
Fit spectacles compound lens
Aphakia prosth service temp
Repair & adjust spectacles
Repair & adjust spectacles
Eye service or procedure
Ear and throat examination
Ear microscopy examination
Speech/hearing therapy
Speech/hearing therapy
Nasopharyngoscopy
Nasal function studies
Facial nerve function test
Laryngeal function studies
Evaluation of speech fluency
Evaluate speech production
Speech sound lang comprehen
Behavral qualit analys voice
Oral function therapy
Spontaneous nystagmus study
Positional nystagmus test
489
425
489
489
425
489
489
490
490
490
425
425
425
425
489
422
422
230
253
490
272
275
62
251
251
251
272
272
272
272
272
490
490

SPEECH THERAPY & EVALUATION, GROUP
Page 1205 of 6734

92533
92534
92537
92538
92540
92541
92542
92544
92545
92546
92547
92548
92550
92551
92552
92553
92555
92556
92557
92558
92559
92560
92561
92562
92563
92564
92565
92567
92568
92570
92571
92572
92575
Caloric vestibular test

Optokinetic nystagmus test
Caloric vstblr test w/rec
Caloric vstblr test w/rec
Basic vestibular evaluation
Spontaneous nystagmus test
Positional nystagmus test
Optokinetic nystagmus test
Oscillating tracking test
Sinusoidal rotational test
Supplemental electrical test
Posturography
Tympanometry & reflex thresh
Pure tone hearing test air
Pure tone audiometry air
Audiometry air & bone
Speech threshold audiometry
Speech audiometry complete
Comprehensive hearing test
Evoked auditory test qual
Group audiometric testing
Bekesy audiometry screen
Bekesy audiometry diagnosis
Loudness balance test
Tone decay hearing test
Sisi hearing test
Stenger test pure tone
Tympanometry
Acoustic refl threshold tst
Acoustic immitance testing
Filtered speech hearing test
Staggered spondaic word test
Sensorineural acuity test
490
490
251
251
251
489
489
251
251
251
251
251
251
257
257
257
257
257
257
257
257
257
257
425
425
257
425
257
425
489
425
489
489

AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
Page 1206 of 6734

92576
92577
92579
92582
92583
92584
92585
92586
92587
92588
92590
92591
92592
92593
92594
92595
92596
92597
92601
92602
92603
92604
92605
92606
92607
92608
92609
92610
92611
92612
92613
92614
92615
Synthetic sentence test

Stenger test speech
Visual audiometry (vra)
Conditioning play audiometry
Select picture audiometry
Electrocochleography
Auditor evoke potent compre
Auditor evoke potent limit
Evoked auditory test limited
Evoked auditory tst complete
Hearing aid exam one ear
Hearing aid exam both ears
Hearing aid check one ear
Hearing aid check both ears
Electro hearng aid test one
Electro hearng aid tst both
Ear protector evaluation
Oral speech device eval
Cochlear implt f/up exam <7
Reprogram cochlear implt 7/>
Cochlear implt f/up exam 7/>
Reprogram cochlear implt 7/>
Ex for nonspeech device rx
Non-speech device service
Ex for speech device rx 1hr
Ex for speech device rx addl
Use of speech device service
Evaluate swallowing function
Motion fluoroscopy/swallow
Endoscopy swallow tst (fees)
Endoscopy swallow tst (fees)
Laryngoscopic sensory test
Eval laryngoscopy sense tst
257
489
257
489
489
251
213
213
251
251
257
257
257
257
257
257
425
272
489
489
489
489
272
272
272
272
272
272
471
130
130
62
62
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
PLAIN FILM
Page 1207 of 6734

92616
92617
92618
92620
92621
92625
92626
92627
92630
92633
92640
92700
92920
92921
92924
92925
92928
92929
92933
92934
92937
92938
92941
92943
92944
92950
92953
92960
92961
92970
92971
92973
92974
Fees w/laryngeal sense test

Interprt fees/laryngeal test
Ex for nonspeech dev rx add
Auditory function 60 min
Auditory function + 15 min
Tinnitus assessment
Eval aud rehab status
Eval aud status rehab add-on
Aud rehab pre-ling hear loss
Aud rehab postling hear loss
Aud brainstem implt programg
Ent procedure/service
Prq cardiac angioplast 1 art
Prq cardiac angio addl art
Prq card angio/athrect 1 art
Prq card angio/athrect addl
Prq card stent w/angio 1 vsl
Prq card stent w/angio addl
Prq card stent/ath/angio
Prq card stent/ath/angio
Prq revasc byp graft 1 vsl
Prq revasc byp graft addl
Prq card revasc mi 1 vsl
Prq card revasc chronic 1vsl
Prq card revasc chronic addl
Heart/lung resuscitation cpr
Temporary external pacing
Cardioversion electric ext
Cardioversion electric int
Cardioassist internal
Cardioassist external
Prq coronary mech thrombect
Cath place cardio brachytx
130
130
272
489
425
489
272
272
272
272
272
489
99
99
99
99
99
99
99
99
99
99
99
99
99
92
93
93
93
993
93
490
280

RESUSCITATION
CARDIOVERSION
CARDIOVERSION
CARDIOVERSION
CARDIOVERSION
Page 1208 of 6734

92975
92977
92978
92979
92986
92987
92990
92992
92993
92997
92998
93000
93005
93010
93015
93016
93017
93018
93024
93025
93040
93041
93042
93050
93224
93225
93226
93227
93228
93229
93260
93261
93268
Dissolve clot heart vessel

Dissolve clot heart vessel
Intravasc us heart add-on
Intravasc us heart add-on
Revision of aortic valve
Pul art balloon repr percut
Pul art balloon repr percut
Electrocardiogram complete
Electrocardiogram tracing
Electrocardiogram report
Cardiovascular stress test
Cardiac drug stress test
Microvolt t-wave assess
Rhythm ecg with report
Rhythm ecg tracing
Rhythm ecg report
Art pressure waveform analys
Ecg monit/reprt up to 48 hrs
Remote 30 day ecg rev/report
Remote 30 day ecg tech supp
Prgrmg dev eval impltbl sys
Interrogate subq defib
Ecg record/review
993
95
472
472
99
99
99
993
993
99
99
413
413
413
80
80
80
80
80
418
413
413
413
487
418
487
487
490
82
82
420
420
418

THROMBOLYSIS
ULTRASOUND GUIDANCE
ULTRASOUND GUIDANCE
CARDIOGRAM
CARDIOGRAM
CARDIOGRAM
CARDIOGRAM
CARDIOGRAM
CARDIOGRAM
CARDIAC ELECTROPHYSIOLOGIC TESTS AND M
Page 1209 of 6734

93270
93271
93272
93278
93279
93280
93281
93282
93283
93284
93285
93286
93287
93288
93289
93290
93291
93292
93293
93294
93295
93296
93297
93298
93299
93303
93304
93306
93307
93308
93312
93313
93314
Remote 30 day ecg rev/report

Ecg/monitoring and analysis
Ecg/review interpret only
Ecg/signal-averaged
Pm device progr eval sngl
Pm device progr eval dual
Pm device progr eval multi
Prgrmg eval implantable dfb
Ilr device eval progr
Peri-px pacemaker device evl
Peri-px device eval & prgr
Pm device eval in person
Interrog device eval heart
Icm device eval
Ilr device interrogate
Wcd device interrogate
Pm phone r-strip device eval
Pm device interrogate remote
Dev interrog remote 1/2/mlt
Pm/icd remote tech serv
Icm device interrogat remote
Ilr device interrogat remote
Icm/ilr remote tech serv
Echo transthoracic
Echo transthoracic
Tte w/doppler complete
Tte w/o doppler complete
Tte f-up or lmtd
Echo transesophageal
487
418
418
413
488
488
488
488
488
488
488
490
490
488
488
420
488
488
488
490
490
488
490
490
488
81
81
81
81
81
81
81
81

CARDIOGRAM
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
Page 1210 of 6734

93315
93316
93317
93318
93320
93321
93325
93350
93351
93352
93355
93451
93452
93453
93454
93455
93456
93457
93458
93459
93460
93461
93462
93463
93464
93503
93505
93530
93531
93532
93533
93561
93562
Echo transesophageal intraop
Doppler echo exam heart
Doppler echo exam heart
Doppler color flow add-on
Stress tte only
Stress tte complete
Admin ecg contrast agent
Echo transesophageal (tee)
Right heart cath
Left hrt cath w/ventrclgrphy
R&l hrt cath w/ventriclgrphy
Coronary artery angio s&i
Coronary art/grft angio s&i
R hrt coronary artery angio
R hrt art/grft angio
L hrt artery/ventricle angio
L hrt art/grft angio
R&l hrt art/ventricle angio
R&l hrt art/ventricle angio
L hrt cath trnsptl puncture
Drug admin & hemodynmic meas
Exercise w/hemodynamic meas
Insert/place heart catheter
Biopsy of heart lining
Rt heart cath congenital
R & l heart cath congenital
Cardiac output measurement
Card output measure subsq
81
81
81
81
81
81
81
81
81
490
81
84
84
84
84
84
84
84
84
84
84
84
84
490
418
83
61
84
84
84
84
489
489
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
Page 1211 of 6734

93563
93564
93565
93566
93567
93568
93571
93572
93580
93581
93582
93583
93600
93602
93603
93609
93610
93612
93613
93615
93616
93618
93619
93620
93621
93622
93623
93624
93631
93640
93641
93642
93644
Inject congenital card cath

Inject hrt congntl art/grft
Inject l ventr/atrial angio
Inject r ventr/atrial angio
Inject suprvlv aortography
Inject pulm art hrt cath
Heart flow reserve measure
Heart flow reserve measure
Transcath closure of asd
Transcath closure of vsd
Perq transcath closure pda
Perq transcath septal reduxn
Bundle of his recording
Intra-atrial recording
Right ventricular recording
Map tachycardia add-on
Intra-atrial pacing
Intraventricular pacing
Electrophys map 3d add-on
Esophageal recording
Esophageal recording
Heart rhythm pacing
Electrophysiology evaluation
Stimulation pacing heart
Electrophysiologic study
Heart pacing mapping
Evaluation heart device
490
490
490
490
490
490
81
81
99
89
89
993
82
96
96
82
96
96
490
96
96
96
89
89
82
82
82
82
88
420
82
82
420

ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ATRIAL AND VENTRICULAR RECORDING AND P
Page 1212 of 6734

93650
93653
93654
93655
93656
93657
93660
93662
93668
93701
93702
93724
93740
93745
93750
93770
93784
93786
93788
93790
93797
93798
93799
93880
93882
93886
93888
93890
93892
93893
93895
93922
93923

Ep & ablate supravent arrhyt
Ep & ablate ventric tachy
Ablate arrhythmia add on
Tx atrial fib pulm vein isol
Tx l/r atrial fib addl
Tilt table evaluation
Intracardiac ecg (ice)
Peripheral vascular rehab
Bioimpedance cv analysis
Bis xtracell fluid analysis
Analyze pacemaker system
Temperature gradient studies
Set-up cardiovert-defibrill
Interrogation vad in person
Measure venous pressure
Ambulatory bp monitoring
Ambulatory bp recording
Ambulatory bp analysis
Review/report bp recording
Cardiac rehab
Cardiac rehab/monitor
Cardiovascular procedure
Extracranial bilat study
Extracranial uni/ltd study
Intracranial complete study
Intracranial limited study
Tcd vasoreactivity study
Tcd emboli detect w/o inj
Tcd emboli detect w/inj
Carotid intima atheroma eval
Upr/l xtremity art 2 levels
Upr/lxtr art stdy 3+ lvls
89
89
89
89
89
89
418
81
271
425
425
420
489
418
418
490
418
487
487
490
94
94
413
288
288
288
288
288
288
288
288
418
418

ECHOCARDIOGRAPHY
PHYSICAL THERAPY
CARDIOGRAM
Page 1213 of 6734

93924
93925
93926
93930
93931
93965
93970
93971
93975
93976
93978
93979
93980
93981
93982
93990
93998
94002
94003
94004
94005
94010
94011
94012
94013
94014
94015
94016
94060
94070
94150
94200
94250
Lwr xtr vasc stdy bilat

Lower extremity study
Lower extremity study
Upper extremity study
Upper extremity study
Extremity study
Extremity study
Extremity study
Vascular study
Vascular study
Vascular study
Vascular study
Penile vascular study
Penile vascular study
Aneurysm pressure sens study
Doppler flow testing
Noninvas vasc dx study proc
Vent mgmt inpat init day
Vent mgmt inpat subq day
Vent mgmt nf per day
Home vent mgmt supervision
Breathing capacity test
Spirometry up to 2 yrs old
Spirmtry w/brnchdil inf-2 yr
Meas lung vol thru 2 yrs
Patient recorded spirometry
Patient recorded spirometry
Review patient spirometry
Evaluation of wheezing
Evaluation of wheezing
Vital capacity test
Lung function test (mbc/mvv)
Expired gas collection
418
289
289
288
288
418
289
289
288
288
288
288
288
288
418
288
418
67
67
490
490
412
412
412
60
412
412
490
412
60
412
412
412

VASCULAR DIAGNOSTIC ULTRASOUND OF LOWE
PULMONARY TESTS
PULMONARY TESTS
Page 1214 of 6734

94375
94400
94450
94452
94453
94610
94620
94621
94640
94642
94644
94645
94660
94662
94664
94667
94668
94669
94680
94681
94690
94726
94727
94728
94729
94750
94760
94761
94762
94770
94772
94774
94775
Respiratory flow volume loop

Co2 breathing response curve
Hypoxia response curve
Hast w/report
Hast w/oxygen titrate
Surfactant admin thru tube
Pulmonary stress test/simple
Pulm stress test/complex
Airway inhalation treatment
Aerosol inhalation treatment
Cbt 1st hour
Cbt each addl hour
Pos airway pressure cpap
Neg press ventilation cnp
Evaluate pt use of inhaler
Chest wall manipulation
Chest wall manipulation
Mechanical chest wall oscill
Exhaled air analysis o2
Exhaled air analysis o2/co2
Exhaled air analysis
Pulm funct tst plethysmograp
Pulm function test by gas
Pulm funct test oscillometry
Co/membane diffuse capacity
Pulmonary compliance study
Measure blood oxygen level
Exhaled carbon dioxide test
Breath recording infant
Ped home apnea rec compl
Ped home apnea rec hk-up
412
412
412
412
412
65
60
60
65
65
412
412
67
67
428
65
65
425
412
412
412
412
412
412
412
412
490
490
490
60
60
412
412

RESPIRATORY THERAPY
PULMONARY TESTS
PULMONARY TESTS
RESPIRATORY THERAPY
RESPIRATORY THERAPY
RESPIRATORY THERAPY
RESPIRATORY THERAPY
PULMONARY TESTS
PULMONARY TESTS
Page 1215 of 6734

94776
94777
94780
94781
94799
95004
95012
95017
95018
95024
95027
95028
95044
95052
95056
95060
95065
95070
95071
95076
95079
95115
95117
95120
95125
95130
95131
95132
95133
95134
95144
95145
95146
Ped home apnea rec downld

Ped home apnea rec report
Car seat/bed test 60 min
Car seat/bed test + 30 min
Pulmonary service/procedure
Percut allergy skin tests
Exhaled nitric oxide meas
Perq & icut allg test venoms
Perq&ic allg test drugs/biol
Icut allergy test drug/bug
Icut allergy titrate-airborn
Icut allergy test-delayed
Allergy patch tests
Photo patch test
Photosensitivity tests
Eye allergy tests
Nose allergy test
Bronchial allergy tests
Bronchial allergy tests
Ingest challenge ini 120 min
Ingest challenge addl 60 min
Immunotherapy one injection
Immunotherapy injections
Immunotherapy one injection
Immunotherapy 2/> injections
Immntx 1 sting insect
Immntx 2 sting insects
Antigen therapy services
412
412
412
60
412
116
412
116
116
116
116
116
116
116
116
116
116
116
116
130
130
458
458
458
458
458
458
458
458
458
458
458
458

PULMONARY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY TESTS
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
Page 1216 of 6734

95147
95148
95149
95165
95170
95180
95199
95250
95251
95782
95783
95800
95801
95803
95805
95806
95807
95808
95810
95811
95812
95813
95816
95819
95822
95824
95827
95829
95830
95831
95832
95833
95834

Rapid desensitization
Allergy immunology services
Glucose monitoring cont
Gluc monitor cont phys i&r
Polysom <6 yrs 4/> paramtrs
Polysom <6 yrs cpap/bilvl
Slp stdy unattended
Slp stdy unatnd w/anal
Actigraphy testing
Multiple sleep latency test
Sleep study unatt&resp efft
Sleep study attended
Polysom any age 1-3> param
Polysom 6/> yrs 4/> param
Polysom 6/>yrs cpap 4/> parm
Eeg 41-60 minutes
Eeg over 1 hour
Eeg awake and drowsy
Eeg awake and asleep
Eeg coma or sleep only
Eeg cerebral death only
Eeg all night recording
Surgery electrocorticogram
Insert electrodes for eeg
Limb muscle testing manual
Hand muscle testing manual
Body muscle testing manual
Body muscle testing manual
458
458
458
458
458
116
116
401
401
222
222
222
222
489
222
222
222
222
222
222
210
210
211
211
211
211
210
211
490
490
490
490
490
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY THERAPY
ALLERGY TESTS
ALLERGY TESTS
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
SLEEP STUDIES
Page 1217 of 6734

95851
95852
95857
95860
95861
95863
95864
95865
95866
95867
95868
95869
95870
95872
95873
95874
95875
95885
95886
95887
95905
95907
95908
95909
95910
95911
95912
95913
95921
95922
95923
95924
95925
Range of motion measurements

Range of motion measurements
Cholinesterase challenge
Muscle test one limb
Muscle test 2 limbs
Muscle test 3 limbs
Muscle test 4 limbs
Muscle test larynx
Muscle test hemidiaphragm
Muscle test cran nerv unilat
Muscle test cran nerve bilat
Muscle test thor paraspinal
Muscle test nonparaspinal
Muscle test one fiber
Guide nerv destr elec stim
Guide nerv destr needle emg
Limb exercise test
Musc tst done w/nerv tst lim
Musc test done w/n test comp
Musc tst done w/n tst nonext
Motor &/ sens nrve cndj test
Nvr cndj tst 1-2 studies
Nrv cndj tst 3-4 studies
Nrv cndj tst 5-6 studies
Nrv cndj test 7-8 studies
Nrv cndj test 13/> studies
Autonomic nrv parasym inervj
Autonomic nrv adrenrg inervj
Autonomic nrv syst funj test
Ans parasymp & symp w/tilt
Somatosensory testing
490
490
213
213
213
213
213
213
213
213
213
213
213
213
490
489
213
213
213
213
213
213
213
213
213
213
213
213
489
489
489
425
213

Page 1218 of 6734

95926
95927
95928
95929
95930
95933
95937
95938
95939
95940
95941
95943
95950
95951
95953
95954
95955
95956
95957
95958
95961
95962
95965
95966
95967
95970
95971
95972
95974
95975
95978
95979
95980
C motor evoked uppr limbs
C motor evoked lwr limbs
Visual evoked potential test
Blink reflex test
Neuromuscular junction test
C motor evoked upr&lwr limbs
Ionm in operatng room 15 min
Ionm remote/>1 pt or per hr
Parasymp&symp hrt rate test
Ambulatory eeg monitoring
Eeg monitoring/videorecord
Eeg monitoring/computer
Eeg monitoring/giving drugs
Eeg during surgery
Eeg monitor technol attended
Eeg digital analysis
Eeg monitoring/function test
Electrode stimulation brain
Electrode stim brain add-on
Meg spontaneous
Meg evoked single
Meg evoked each addl
Analyze neurostim no prog
Analyze neurostim simple
Analyze neurostim complex
Cranial neurostim complex
Cranial neurostim complex
Analyze neurostim brain/1h
Analyz neurostim brain addon
Io anal gast n-stim init
213
213
213
213
213
489
213
213
213
213
213
213
210
210
210
211
211
210
420
211
213
213
297
297
297
488
420
420
420
420
420
420
420

Page 1219 of 6734

95981
95982
95990
95991
95992
95999
96000
96001
96002
96003
96004
96020
96040
96101
96102
96103
96105
96110
96111
96116
96118
96119
96120
96125
96127
96150
96151
96152
96153
96154
96155
96360
96361
Io anal gast n-stim subsq

Io ga n-stim subsq w/reprog
Spin/brain pump refil & main
Spin/brain pump refil & main
Canalith repositioning proc
Neurological procedure
Motion analysis video/3d
Motion test w/ft press meas
Dynamic surface emg
Dynamic fine wire emg
Phys review of motion tests
Functional brain mapping
Genetic counseling 30 min
Psycho testing by psych/phys
Psycho testing by technician
Psycho testing admin by comp
Assessment of aphasia
Developmental screen w/score
Developmental test extend
Neurobehavioral status exam
Neuropsych tst by psych/phys
Neuropsych testing by tec
Neuropsych tst admin w/comp
Cognitive test by hc pro
Brief emotional/behav assmt
Assess hlth/behave init
Assess hlth/behave subseq
Intervene hlth/behave indiv
Intervene hlth/behave group
Interv hlth/behav fam w/pt
Interv hlth/behav fam no pt
Hydration iv infusion init
Hydrate iv infusion add-on
488
488
489
489
271
211
213
213
213
489
490
310
491
310
310
310
310
310
310
310
310
310
310
310
315
491
490
491
490
490
490
111
110

PHYSICAL THERAPY
DEVELOPMENTAL & NEUROPSYCHOLOGICAL TE
Page 1220 of 6734

96365
96366
96367
96368
96369
96370
96371
96372
96373
96374
96375
96376
96379
96401
96402
96405
96406
96409
96411
96413
96415
96416
96417
96420
96422
96423
96425
96440
96446
96450
96521
96522
96523
Ther/proph/diag iv inf init

Ther/proph/diag iv inf addon
Tx/proph/dg addl seq iv inf
Ther/diag concurrent inf
Sc ther infusion up to 1 hr
Sc ther infusion addl hr
Sc ther infusion reset pump
Ther/proph/diag inj sc/im
Ther/proph/diag inj ia
Ther/proph/diag inj iv push
Tx/pro/dx inj new drug addon
Tx/pro/dx inj same drug adon
Ther/prop/diag inj/inf proc
Chemo anti-neopl sq/im
Chemo hormon antineopl sq/im
Chemo intralesional up to 7
Chemo intralesional over 7
Chemo iv push sngl drug
Chemo iv push addl drug
Chemo iv infusion 1 hr
Chemo iv infusion addl hr
Chemo prolong infuse w/pump
Chemo iv infus each addl seq
Chemo ia push tecnique
Chemo ia infusion up to 1 hr
Chemo ia infuse each addl hr
Chemotherapy infusion method
Chemotherapy intracavitary
Chemotx admn prtl cavity
Chemotherapy into cns
Refill/maint portable pump
Refill/maint pump/resvr syst
Irrig drug delivery device
111
110
111
111
111
110
111
490
490
490
490
490
490
490
490
6
6
490
490
111
110
110
111
490
111
110
110
61
111
110
489
489
489

Page 1221 of 6734

96542
96549
96567
96570
96571
96900
96902
96904
96910
96912
96913
96920
96921
96922
96931
96932
96933
96934
96935
96936
96999
97001
97002
97003
97004
97005
97006
97010
97012
97014
97016
97018
97022
Chemotherapy injection
Chemotherapy unspecified
Photodynamic tx skin
Photodynmc tx 30 min add-on
Photodynamic tx addl 15 min
Ultraviolet light therapy
Trichogram
Whole body photography
Photochemotherapy with uv-b
Photochemotherapy with uv-a
Photochemotherapy uv-a or b
Laser tx skin < 250 sq cm
Laser tx skin 250-500 sq cm
Laser tx skin >500 sq cm
Rcm celulr subcelulr img skn
Dermatological procedure
Pt evaluation
Pt re-evaluation
Ot evaluation
Ot re-evaluation
Athletic train eval
Athletic train reeval
Hot or cold packs therapy
Mechanical traction therapy
Electric stimulation therapy
Vasopneumatic device therapy
Paraffin bath therapy
Whirlpool therapy
490
111
1
64
64
1
390
490
1
1
1
12
12
12
390
390
390
390
390
390
6
271
271
270
270
491
491
271
271
271
271
271
271

PHOTOCHEMOTHERAPY
PHOTOCHEMOTHERAPY
LEVEL I PATHOLOGY
PHOTOCHEMOTHERAPY
PHOTOCHEMOTHERAPY
PHOTOCHEMOTHERAPY
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
Page 1222 of 6734

97024
97026
97028
97032
97033
97034
97035
97036
97039
97110
97112
97113
97116
97124
97139
97140
97150
97530
97532
97533
97535
97537
97542
97545
97546
97597
97598
97602
97605
97606
97607
97608
97610
Diathermy eg microwave
Infrared therapy
Ultraviolet therapy
Electrical stimulation
Electric current therapy
Contrast bath therapy
Ultrasound therapy
Hydrotherapy
Physical therapy treatment
Therapeutic exercises
Neuromuscular reeducation
Aquatic therapy/exercises
Gait training therapy
Massage therapy
Physical medicine procedure
Manual therapy 1/> regions
Group therapeutic procedures
Therapeutic activities
Cognitive skills development
Sensory integration
Self care mngment training
Community/work reintegration
Wheelchair mngment training
Work hardening
Work hardening add-on
Rmvl devital tis 20 cm/<
Rmvl devital tis addl 20cm/<
Wound(s) care non-selective
Neg press wound tx </=50 cm
Neg press wound tx >50 cm
Neg press wnd tx </=50 sq cm
Neg press wound tx >50 cm
Low frequency non-thermal us
271
271
271
271
271
271
271
271
271
271
271
271
271
271
271
271
274
271
270
270
270
270
270
271
271
489
489
12
12
12
12
12
12
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
OCCUPATIONAL/PHYSICAL THERAPY, GROUP
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
Page 1223 of 6734

97750
97755
97760
97761
97762
97799
97802
97803
97804
97810
97811
97813
97814
98925
98926
98927
98928
98929
98940
98941
98942
98943
98960
98961
98962
98966
98967
98968
98969
99000
99001
99002
99024
Physical performance test

Assistive technology assess
Orthotic mgmt and training
Prosthetic training
C/o for orthotic/prosth use
Physical medicine procedure
Medical nutrition indiv in
Med nutrition indiv subseq
Medical nutrition group
Acupunct w/o stimul 15 min
Acupunct w/o stimul addl 15m
Acupunct w/stimul 15 min
Acupunct w/stimul addl 15m
Osteopath manj 1-2 regions
Chiropract manj 1-2 regions
Chiropract manj 3-4 regions
Chiropractic manj 5 regions
Chiropract manj xtrspinl 1/>
Self-mgmt educ & train 1 pt
Self-mgmt educ/train 2-4 pt
Self-mgmt educ/train 5-8 pt
Hc pro phone call 5-10 min
Online service by hc pro
Specimen handling office-lab
Specimen handling pt-lab
Device handling phys/qhp
Postop follow-up visit
271
271
271
271
271
271
118
118
118
271
271
271
271
273
273
273
273
273
271
271
271
271
428
429
429
491
491
491
491
999
490
490
490
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
NUTRITION THERAPY
NUTRITION THERAPY
NUTRITION THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
PHYSICAL THERAPY
UNASSIGNED
Page 1224 of 6734

99026
99027
99050
99051
99053
99056
99058
99060
99070
99071
99075
99078
99080
99082
99090
99091
99100
99116
99135
99140
99143
99144
99145
99148
99149
99150
99170
99172
99173
99174
99175
99177
99183
In-hospital on call service

Out-of-hosp on call service
Medical services after hrs
Med serv eve/wkend/holiday
Med serv 10pm-8am 24 hr fac
Med service out of office
Office emergency care
Out of office emerg med serv
Special supplies phys/qhp
Patient education materials
Medical testimony
Group health education
Special reports or forms
Unusual physician travel
Computer data analysis
Collect/review data from pt
Special anesthesia service
Anesthesia with hypothermia
Special anesthesia procedure
Emergency anesthesia
Mod sedat phys/qhp <5 yrs
Mod sedat phys/qhp 5yrs/>
Mod sedat phys/qhp ea 15 min
Mod sed diff phys/qhp<5 yrs
Mod sed diff phys/qhp 5/>yrs
Mod sed diff phys/qhp add on
Anogenital exam child w imag
Ocular function screen
Visual acuity screen
Ocular instrumnt screen bil
Induction of vomiting
Ocular instrumnt screen bil
Hyperbaric oxygen therapy
999
999
448
448
491
999
491
491
490
999
999
490
999
999
999
490
380
380
380
380
380
380
380
380
380
380
132
419
419
230
130
230
490
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
ANESTHESIA
Page 1225 of 6734

99184
99188
99190
99191
99192
99195
99199
99201
99202
99203
99204
99205
99211
99212
99213
99214
99215
99217
99218
99219
99220
99221
99222
99223
99224
99225
99226
99231
99232
99233
99234
99235
99236
Hypothermia ill neonate

App topical fluoride varnish
Special pump services
Phlebotomy
Special service/proc/report
Office/outpatient visit new
Office/outpatient visit est
Observation care discharge
Initial observation care
Initial hospital care
Subsequent observation care
Subsequent hospital care
Observ/hosp same date
993
377
993
993
993
112
999
491
491
491
491
491
491
491
491
491
491
492
492
492
492
999
999
999
492
492
492
999
999
999
492
492
492

PHLEBOTOMY
UNASSIGNED
ENCOUNTER/REFERRAL FOR OBSERVATION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
IND
IND
IND
IND
IND
IND
IND
IND
IND
IND
Page 1226 of 6734

99238
99239
99241
99242
99243
99244
99245
99251
99252
99253
99254
99255
99281
99282
99283
99284
99285
99288
99291
99292
99304
99305
99306
99307
99308
99309
99310
99315
99316
99318
99324
99325
99326
Hospital discharge day

Hospital discharge day
Office consultation
Office consultation
Office consultation
Office consultation
Office consultation
Inpatient consultation
Emergency dept visit
Direct advanced life support
Critical care first hour
Critical care addl 30 min
Nursing facility care init
Nursing fac care subseq
Nursing fac discharge day
Nursing fac discharge day
Annual nursing fac assessmnt
Domicil/r-home visit new pat
999
999
491
491
491
491
491
999
999
999
999
999
491
491
491
491
491
491
491
491
999
999
999
999
999
999
999
999
999
999
491
491
491
UNASSIGNED
UNASSIGNED
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
MEDICAL VISIT
MEDICAL VISIT
MEDICAL VISIT
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
INDICATOR
Page 1227 of 6734

99327
99328
99334
99335
99336
99337
99339
99340
99341
99342
99343
99344
99345
99347
99348
99349
99350
99354
99355
99356
99357
99358
99359
99360
99363
99364
99366
99367
99368
99374
99375
99377
99378

Domicil/r-home visit est pat
Domicil/r-home care supervis
Domicil/r-home care supervis
Home visit new patient
Home visit est patient
Prolong e&m/psyctx serv o/p
Prolong e&m/psyctx serv o/p
Prolonged service inpatient
Prolonged service inpatient
Prolong service w/o contact
Prolong serv w/o contact add
Physician standby services
Anticoagulant mgmt initial
Anticoagulant mgmt subseq
Team conf w/pat by hc prof
Team conf w/o pat by phys
Team conf w/o pat by hc pro
Home health care supervision
Hospice care supervision
491
491
491
491
491
491
491
491
999
999
999
999
999
999
999
999
999
491
491
993
993
491
491
490
490
490
490
490
490
490
490
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1228 of 6734

99379
99380
99381
99382
99383
99384
99385
99386
99387
99391
99392
99393
99394
99395
99396
99397
99401
99402
99403
99404
99406
99407
99408
99409
99411
99412
99415
99416
99420
99429
99441
99442
99443
Nursing fac care supervision

Nursing fac care supervision
Init pm e/m new pat infant
Init pm e/m new pat 1-4 yrs
Prev visit new age 5-11
Init pm e/m new pat 65+ yrs
Per pm reeval est pat infant
Prev visit est age 1-4
Per pm reeval est pat 65+ yr
Preventive counseling indiv
Behav chng smoking 3-10 min
Behav chng smoking > 10 min
Audit/dast 15-30 min
Audit/dast over 30 min
Preventive counseling group
Preventive counseling group
Prolong clincl staff svc
Prolong clincl staff svc add
Health risk assessment test
Unlisted preventive service
Phone e/m phys/qhp 5-10 min
999
999
491
491
491
491
491
491
491
491
491
491
491
491
491
491
490
490
490
490
451
451
315
316
490
490
490
490
491
490
491
491
491
UNASSIGNED
UNASSIGNED
Page 1229 of 6734

99444
99446
99447
99448
99449
99450
99455
99456
99460
99461
99462
99463
99464
99465
99466
99467
99468
99469
99471
99472
99475
99476
99477
99478
99479
99480
99485
99486
99487
99489
99490
99495
99496
Online e/m by phys/qhp

Interprof phone/online 5-10
Interprof phone/online 31/>
Basic life disability exam
Work related disability exam
Disability examination
Init nb em per day hosp
Init nb em per day non-fac
Sbsq nb em per day hosp
Same day nb discharge
Attendance at delivery
Nb resuscitation
Ped crit care transport
Ped crit care transport addl
Neonate crit care initial
Neonate crit care subsq
Ped critical care initial
Ped critical care subsq
Ped crit care age 2-5 init
Ped crit care age 2-5 subsq
Init day hosp neonate care
Ic lbw inf < 1500 gm subsq
Ic lbw inf 1500-2500 g subsq
Ic inf pbw 2501-5000 g subsq
Suprv interfacilty transport
Suprv interfac trnsport addl
Cmplx chron care w/o pt vsit
Cmplx chron care addl 30 min
Chron care mgmt srvc 20 min
Trans care mgmt 14 day disch
Trans care mgmt 7 day disch
491
490
490
490
490
491
491
491
993
999
993
993
999
92
999
999
993
993
993
993
993
993
993
993
993
993
999
999
490
490
490
490
490

UNASSIGNED
UNASSIGNED
RESUSCITATION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1230 of 6734

99497
99498
99499
99500
99501
99502
99503
99504
99505
99506
99507
99509
99510
99511
99512
99600
99601
99602
99605
99606
99607
A0021
A0080
A0090
A0100
A0110
A0120
A0130
A0140
A0160
A0170
A0180
A0190
Advncd care plan 30 min

Advncd care plan addl 30 min
Unlisted e&m service
Home visit prenatal
Home visit postnatal
Home visit nb care
Home visit resp therapy
Home visit mech ventilator
Home visit stoma care
Home visit im injection
Home visit cath maintain
Home visit day life activity
Home visit sing/m/fam couns
Home visit fecal/enema mgmt
Home visit for hemodialysis
Home visit nos
Home infusion/visit 2 hrs
Home infusion each addtl hr
Mtms by pharm np 15 min
Mtms by pharm est 15 min
Mtms by pharm addl 15 min
Outside state ambulance serv
Noninterest escort in non er
Interest escort in non er
Nonemergency transport taxi
Nonemergency transport bus
Noner transport mini-bus
Noner transport wheelch van
Nonemergency transport air
Noner transport case worker
Transport parking fees/tolls
Noner transport lodgng recip
Noner transport meals recip
490
490
491
999
999
999
999
999
999
999
999
999
490
999
999
999
117
117
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
HOME INFUSION
HOME INFUSION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1231 of 6734

A0200
A0210
A0225
A0380
A0382
A0384
A0390
A0392
A0394
A0396
A0398
A0420
A0422
A0424
A0425
A0426
A0427
A0428
A0429
A0430
A0431
A0432
A0433
A0434
A0435
A0436
A0888
A0998
A0999
A4206
A4207
A4208
A4209
Noner transport lodgng escrt

Noner transport meals escort
Neonatal emergency transport
Basic life support mileage
Basic support routine suppls
Bls defibrillation supplies
Advanced life support mileag
Als defibrillation supplies
Als iv drug therapy supplies
Als esophageal intub suppls
Als routine disposble suppls
Ambulance waiting 1/2 hr
Ambulance 02 life sustaining
Extra ambulance attendant
Ground mileage
Als 1
Als1-emergency
Bls
Bls-emergency
Fixed wing air transport
Rotary wing air transport
Pi volunteer ambulance co
Als 2
Specialty care transport
Fixed wing air mileage
Rotary wing air mileage
Noncovered ambulance mileage
Ambulance response/treatment
Unlisted ambulance service
1 cc sterile syringe&needle
5+ cc sterile syringe&needle
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
490
490
490
490
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
INCIDENTAL TO
INCIDENTAL TO
INCIDENTAL TO
INCIDENTAL TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1232 of 6734

A4210
A4211
A4212
A4213
A4215
A4216
A4217
A4218
A4220
A4221
A4222
A4223
A4230
A4231
A4232
A4233
A4234
A4235
A4236
A4244
A4245
A4246
A4247
A4248
A4250
A4252
A4253
A4255
A4256
A4257
A4258
A4259
A4261
Nonneedle injection device

Supp for self-adm injections
Non coring needle or stylet
20+ cc syringe only
Sterile needle
Sterile water/saline, 10 ml
Sterile water/saline, 500 ml
Sterile saline or water
Infusion pump refill kit
Maint drug infus cath per wk
Infusion supplies with pump
Infusion supplies w/o pump
Infus insulin pump non needl
Infusion insulin pump needle
Syringe w/needle insulin 3cc
Alkalin batt for glucose mon
J-cell batt for glucose mon
Lithium batt for glucose mon
Silvr oxide batt glucose mon
Alcohol or peroxide per pint
Alcohol wipes per box
Betadine/phisohex solution
Betadine/iodine swabs/wipes
Chlorhexidine antisept
Urine reagent strips/tablets
Blood ketone test or strip
Blood glucose/reagent strips
Glucose monitor platforms
Calibrator solution/chips
Replace lensshield cartridge
Lancet device each
Lancets per box
Cervical cap contraceptive
490
999
490
490
490
490
1001
490
999
1002
1003
999
999
999
490
1001
1001
1001
1001
999
999
999
999
999
1001
1001
1001
1001
1002
1002
1002
1001
417

UNASSIGNED
DURABLE MEDICAL EQUIPMENT AND SUPPLIES
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1233 of 6734

A4262
A4263
A4264
A4265
A4266
A4267
A4268
A4269
A4270
A4280
A4281
A4282
A4283
A4284
A4285
A4286
A4290
A4300
A4301
A4305
A4306
A4310
A4311
A4312
A4313
A4314
A4315
A4316
A4320
A4321
A4322
A4326
A4327
Temporary tear duct plug

Permanent tear duct plug
Intratubal occlusion device
Paraffin
Diaphragm
Male condom
Female condom
Spermicide
Disposable endoscope sheath
Brst prsths adhsv attchmnt
Replacement breastpump tube
Replacement breastpump adpt
Replacement breastpump cap
Replcmnt breast pump shield
Replcmnt breast pump bottle
Replcmnt breastpump lok ring
Sacral nerve stim test lead
Cath impl vasc access portal
Implantable access syst perc
Drug delivery system >=50 ml
Drug delivery system <=50 ml
Insert tray w/o bag/cath
Catheter w/o bag 2-way latex
Cath w/o bag 2-way silicone
Catheter w/bag 3-way
Cath w/drainage 2-way latex
Cath w/drainage 2-way silcne
Cath w/drainage 3-way
Irrigation tray
Cath therapeutic irrig agent
Irrigation syringe
Male external catheter
Fem urinary collect dev cup
999
999
490
1001
999
999
999
999
999
1001
999
999
999
999
999
999
999
999
999
999
999
1001
1002
1002
1002
1003
1003
1003
1001
999
1001
1002
1003
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1234 of 6734

A4328
A4330
A4331
A4332
A4333
A4334
A4335
A4336
A4337
A4338
A4340
A4344
A4346
A4349
A4351
A4352
A4353
A4354
A4355
A4356
A4357
A4358
A4360
A4361
A4362
A4363
A4364
A4366
A4367
A4368
A4369
A4371
A4372
Fem urinary collect pouch

Stool collection pouch
Extension drainage tubing
Lube sterile packet
Urinary cath anchor device
Urinary cath leg strap
Incontinence supply
Urethral insert
Incontinent rectal insert
Indwelling catheter latex
Indwelling catheter special
Cath indw foley 2 way silicn
Cath indw foley 3 way
Disposable male external cat
Straight tip urine catheter
Coude tip urinary catheter
Intermittent urinary cath
Cath insertion tray w/bag
Bladder irrigation tubing
Ext ureth clmp or compr dvc
Bedside drainage bag
Urinary leg or abdomen bag
Disposable ext urethral dev
Ostomy face plate
Solid skin barrier
Ostomy clamp, replacement
Adhesive, liquid or equal
Ostomy vent
Ostomy belt
Ostomy filter
Skin barrier liquid per oz
Skin barrier powder per oz
Skin barrier solid 4x4 equiv
1001
1001
1001
999
1001
1001
999
1001
1001
1002
1003
1002
1001
1001
1001
1001
1001
1002
1001
1003
1001
1001
999
1002
1001
1001
1001
1001
1001
999
1001
1001
1001
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT AND SUPPLIES

EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND
AND
AND
AND
AND
AND
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES

Page 1235 of 6734

A4373
A4375
A4376
A4377
A4378
A4379
A4380
A4381
A4382
A4383
A4384
A4385
A4387
A4388
A4389
A4390
A4391
A4392
A4393
A4394
A4395
A4396
A4397
A4398
A4399
A4400
A4402
A4404
A4405
A4406
A4407
A4408
A4409
Skin barrier with flange

Drainable plastic pch w fcpl
Drainable rubber pch w fcplt
Drainable plstic pch w/o fp
Drainable rubber pch w/o fp
Urinary plastic pouch w fcpl
Urinary rubber pouch w fcplt
Urinary plastic pouch w/o fp
Urinary hvy plstc pch w/o fp
Urinary rubber pouch w/o fp
Ostomy faceplt/silicone ring
Ost skn barrier sld ext wear
Ost clsd pouch w att st barr
Drainable pch w ex wear barr
Drainable pch w st wear barr
Drainable pch ex wear convex
Urinary pouch w ex wear barr
Urinary pouch w st wear barr
Urine pch w ex wear bar conv
Ostomy pouch liq deodorant
Ostomy pouch solid deodorant
Peristomal hernia supprt blt
Irrigation supply sleeve
Ostomy irrigation bag
Ostomy irrig cone/cath w brs
Ostomy irrigation set
Lubricant per ounce
Ostomy ring each
Nonpectin based ostomy paste
Pectin based ostomy paste
Ext wear ost skn barr <=4sq"
Ext wear ost skn barr >4sq"
Ost skn barr convex <=4 sq i
1001
1002
1003
1001
1003
1002
1003
1001
1002
1003
1001
1001
999
1001
1001
1001
1001
1001
1001
1001
999
1003
1001
1002
1002
1004
1001
1001
1001
1001
1001
1001
1001
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND
AND
AND
AND
AND
AND
AND
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
Page 1236 of 6734

A4410
A4411
A4412
A4413
A4414
A4415
A4416
A4417
A4418
A4419
A4420
A4421
A4422
A4423
A4424
A4425
A4426
A4427
A4428
A4429
A4430
A4431
A4432
A4433
A4434
A4435
A4450
A4452
A4455
A4456
A4458
A4459
A4461
Ost skn barr extnd >4 sq

Ost skn barr extnd =4sq
Ost pouch drain high output
2 pc drainable ost pouch
Ost sknbar w/o conv<=4 sq in
Ost skn barr w/o conv >4 sqi
Ost pch clsd w barrier/filtr
Ost pch w bar/bltinconv/fltr
Ost pch clsd w/o bar w filtr
Ost pch for bar w flange/flt
Ost pch clsd for bar w lk fl
Ostomy supply misc
Ost pouch absorbent material
Ost pch for bar w lk fl/fltr
Ost pch drain w bar & filter
Ost pch drain for barrier fl
Ost pch drain 2 piece system
Ost pch drain/barr lk flng/f
Urine ost pouch w faucet/tap
Urine ost pouch w bltinconv
Ost urine pch w b/bltin conv
Ost pch urine w barrier/tapv
Os pch urine w bar/fange/tap
Urine ost pch bar w lock fln
Ost pch urine w lock flng/ft
1pc ost pch drain hgh output
Non-waterproof tape
Waterproof tape
Adhesive remover per ounce
Adhesive remover, wipes
Reusable enema bag
Manual pump enema, reusable
Surgicl dress hold non-reuse
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
999
999
999
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
490
490
1001
490
999
1001
1001

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1237 of 6734

A4463
A4465
A4466
A4470
A4480
A4481
A4483
A4490
A4495
A4500
A4510
A4520
A4550
A4554
A4555
A4556
A4557
A4558
A4559
A4561
A4562
A4565
A4566
A4570
A4575
A4580
A4590
A4595
A4600
A4601
A4602
A4604
A4605
Surgical dress holder reuse

Non-elastic extremity binder
Elastic garment/covering
Gravlee jet washer
Vabra aspirator
Tracheostoma filter
Moisture exchanger
Above knee surgical stocking
Thigh length surg stocking
Below knee surgical stocking
Full length surg stocking
Incontinence garment anytype
Surgical trays
Disposable underpads
Ca tx e-stim electr/transduc
Electrodes, pair
Lead wires, pair
Conductive gel or paste
Coupling gel or paste
Pessary rubber, any type
Pessary, non rubber,any type
Slings
Should sling/vest/abrestrain
Splint
Hyperbaric o2 chamber disps
Cast supplies (plaster)
Special casting material
Tens suppl 2 lead per month
Sleeve, inter limb comp dev
Lith ion non prosth recharge
Replace lithium battery 1.5v
Tubing with heating element
Trach suction cath close sys
1002
999
999
999
999
490
490
999
999
999
999
999
999
999
1003
1002
1002
1001
490
1002
1004
999
999
999
999
999
999
1003
999
999
1001
1004
1002

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1238 of 6734

A4606
A4608
A4611
A4612
A4613
A4614
A4615
A4616
A4617
A4618
A4619
A4620
A4623
A4624
A4625
A4626
A4627
A4628
A4629
A4630
A4633
A4634
A4635
A4636
A4637
A4638
A4639
A4640
A4641
A4642
A4648
A4649
A4650
Oxygen probe used w oximeter

Transtracheal oxygen cath
Heavy duty battery
Battery cables
Battery charger
Hand-held pefr meter
Cannula nasal
Tubing (oxygen) per foot
Mouth piece
Breathing circuits
Face tent
Variable concentration mask
Tracheostomy inner cannula
Tracheal suction tube
Trach care kit for new trach
Tracheostomy cleaning brush
Spacer bag/reservoir
Oropharyngeal suction cath
Tracheostomy care kit
Repl bat t.e.n.s. own by pt
Uvl replacement bulb
Replacement bulb th lightbox
Underarm crutch pad
Handgrip for cane etc
Repl tip cane/crutch/walker
Repl batt pulse gen sys
Infrared ht sys replcmnt pad
Alternating pressure pad
Radiopharm dx agent noc
In111 satumomab
Implantable tissue marker
Surgical supplies
Implant radiation dosimeter
490
1004
1006
1004
1005
1002
999
999
1001
1001
1001
999
1001
1001
1001
1001
999
1001
1001
1001
1003
490
1001
1001
1001
999
1007
1004
999
490
490
490
490

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1239 of 6734

A4651
A4652
A4653
A4657
A4660
A4663
A4670
A4671
A4672
A4673
A4674
A4680
A4690
A4706
A4707
A4708
A4709
A4714
A4719
A4720
A4721
A4722
A4723
A4724
A4725
A4726
A4728
A4730
A4736
A4737
A4740
A4750
A4755
Calibrated microcap tube

Microcapillary tube sealant
Pd catheter anchor belt
Syringe w/wo needle
Sphyg/bp app w cuff and stet
Dialysis blood pressure cuff
Automatic bp monitor, dial
Disposable cycler set
Drainage ext line, dialysis
Ext line w easy lock connect
Chem/antisept solution, 8oz
Activated carbon filter, ea
Dialyzer, each
Bicarbonate conc sol per gal
Bicarbonate conc pow per pac
Acetate conc sol per gallon
Acid conc sol per gallon
Treated water per gallon
"y set" tubing
Dialysat sol fld vol > 249cc
Dialysat sol fld vol > 999cc
Dialys sol fld vol > 1999cc
Dialysate solution, non-dex
Fistula cannulation set, ea
Topical anesthetic, per gram
Inj anesthetic per 10 ml
Shunt accessory
Art or venous blood tubing
Comb art/venous blood tubing
490
490
490
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1240 of 6734

A4760
A4765
A4766
A4770
A4771
A4772
A4773
A4774
A4802
A4860
A4870
A4890
A4911
A4913
A4918
A4927
A4928
A4929
A4930
A4931
A4932
A5051
A5052
A5053
A5054
A5055
A5056
A5057
A5061
A5062
A5063
A5071
A5072
Dialysate sol test kit, each

Dialysate conc pow per pack
Dialysate conc sol add 10 ml
Blood collection tube/vacuum
Serum clotting time tube
Blood glucose test strips
Occult blood test strips
Ammonia test strips
Protamine sulfate per 50 mg
Disposable catheter tips
Plumb/elec wk hm hemo equip
Repair/maint cont hemo equip
Drain bag/bottle
Misc dialysis supplies noc
Venous pressure clamp
Non-sterile gloves
Surgical mask
Tourniquet for dialysis, ea
Sterile, gloves per pair
Reusable oral thermometer
Reusable rectal thermometer
Pouch clsd w barr attached
Clsd ostomy pouch w/o barr
Clsd ostomy pouch faceplate
Clsd ostomy pouch w/flange
Stoma cap
1 pc ost pouch w filter
1 pc ost pou w built-in conv
Pouch drainable w barrier at
Drnble ostomy pouch w/o barr
Drain ostomy pouch w/flange
Urinary pouch w/barrier
Urinary pouch w/o barrier
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
1001
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
AND
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
Page 1241 of 6734

A5073
A5081
A5082
A5083
A5093
A5102
A5105
A5112
A5113
A5114
A5120
A5121
A5122
A5126
A5131
A5200
A5500
A5501
A5503
A5504
A5505
A5506
A5507
A5508
A5510
A5512
A5513
A6000
A6010
A6011
A6021
A6022
A6023
Urinary pouch on barr w/flng

Stoma plug or seal, any type
Continent stoma catheter
Stoma absorptive cover
Ostomy accessory convex inse
Bedside drain btl w/wo tube
Urinary suspensory
Urinary leg bag
Latex leg strap
Foam/fabric leg strap
Skin barrier, wipe or swab
Solid skin barrier 6x6
Solid skin barrier 8x8
Disk/foam pad +or- adhesive
Appliance cleaner
Percutaneous catheter anchor
Diab shoe for density insert
Diabetic custom molded shoe
Diabetic shoe w/roller/rockr
Diabetic shoe with wedge
Diab shoe w/metatarsal bar
Diabetic shoe w/off set heel
Modification diabetic shoe
Diabetic deluxe shoe
Compression form shoe insert
Multi den insert direct form
Multi den insert custom mold
Wound warming wound cover
Collagen based wound filler
Collagen gel/paste wound fil
Collagen dressing <=16 sq in
Collagen drsg>16<=48 sq in
Collagen dressing >48 sq in
1001
1001
1002
490
1001
1002
1003
1003
1001
1001
999
1001
1002
1001
1002
1002
1004
1006
1003
1003
1003
1003
1003
999
999
1003
1003
999
1003
1001
1002
1002
1005

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1242 of 6734

A6024
A6025
A6154
A6196
A6197
A6198
A6199
A6203
A6204
A6205
A6206
A6207
A6208
A6209
A6210
A6211
A6212
A6213
A6214
A6215
A6216
A6217
A6218
A6219
A6220
A6221
A6222
A6223
A6224
A6228
A6229
A6230
A6231
Collagen dsg wound filler

Silicone gel sheet, each
Wound pouch each
Alginate dressing <=16 sq in
Alginate drsg >16 <=48 sq in
Alginate dressing > 48 sq in
Alginate drsg wound filler
Composite drsg <= 16 sq in
Composite drsg >16<=48 sq in
Composite drsg > 48 sq in
Contact layer <= 16 sq in
Contact layer >16<= 48 sq in
Contact layer > 48 sq in
Foam drsg <=16 sq in w/o bdr
Foam drg >16<=48 sq in w/o b
Foam drg > 48 sq in w/o brdr
Foam drg <=16 sq in w/border
Foam drg >16<=48 sq in w/bdr
Foam drg > 48 sq in w/border
Foam dressing wound filler
Non-sterile gauze<=16 sq in
Non-sterile gauze>16<=48 sq
Non-sterile gauze > 48 sq in
Gauze <= 16 sq in w/border
Gauze >16 <=48 sq in w/bordr
Gauze > 48 sq in w/border
Gauze <=16 in no w/sal w/o b
Gauze >16<=48 no w/sal w/o b
Gauze > 48 in no w/sal w/o b
Gauze <= 16 sq in water/sal
Gauze >16<=48 sq in watr/sal
Gauze > 48 sq in water/salne
Hydrogel dsg<=16 sq in
1001
999
1002
1001
1002
490
1001
1001
1001
490
490
1001
490
1001
1002
1003
1001
490
1001
490
490
490
490
1001
1001
490
1001
1001
1001
490
1001
490
1001

UNASSIGNED
Page 1243 of 6734

A6232
A6233
A6234
A6235
A6236
A6237
A6238
A6239
A6240
A6241
A6242
A6243
A6244
A6245
A6246
A6247
A6248
A6250
A6251
A6252
A6253
A6254
A6255
A6256
A6257
A6258
A6259
A6260
A6261
A6262
A6266
A6402
A6403
Hydrogel dsg>16<=48 sq in
Hydrogel dressing >48 sq in
Hydrocolld drg <=16 w/o bdr
Hydrocolld drg >16<=48 w/o b
Hydrocolld drg > 48 in w/o b
Hydrocolld drg <=16 in w/bdr
Hydrocolld drg >16<=48 w/bdr
Hydrocolld drg > 48 in w/bdr
Hydrocolld drg filler paste
Hydrocolloid drg filler dry
Hydrogel drg <=16 in w/o bdr
Hydrogel drg >16<=48 w/o bdr
Hydrogel drg >48 in w/o bdr
Hydrogel drg <= 16 in w/bdr
Hydrogel drg >16<=48 in w/b
Hydrogel drg > 48 sq in w/b
Hydrogel drsg gel filler
Skin seal protect moisturizr
Absorpt drg <=16 sq in w/o b
Absorpt drg >16 <=48 w/o bdr
Absorpt drg > 48 sq in w/o b
Absorpt drg <=16 sq in w/bdr
Absorpt drg >16<=48 in w/bdr
Absorpt drg > 48 sq in w/bdr
Transparent film <= 16 sq in
Transparent film >16<=48 in
Transparent film > 48 sq in
Wound cleanser any type/size
Wound filler gel/paste /oz
Wound filler dry form / gram
Impreg gauze no h20/sal/yard
Sterile gauze <= 16 sq in
Sterile gauze>16 <= 48 sq in
1001
1002
1001
1002
1003
1001
1002
490
1002
1001
1001
1002
1003
1001
1001
1002
1002
490
1001
1001
1001
1001
1001
490
1001
1001
1002
490
490
490
1001
490
490

Page 1244 of 6734

A6404
A6407
A6410
A6411
A6412
A6413
A6441
A6442
A6443
A6444
A6445
A6446
A6447
A6448
A6449
A6450
A6451
A6452
A6453
A6454
A6455
A6456
A6457
A6501
A6502
A6503
A6504
A6505
A6506
A6507
A6508
A6509
A6510
Sterile gauze > 48 sq in

Packing strips, non-impreg
Sterile eye pad
Non-sterile eye pad
Occlusive eye patch
Adhesive bandage, first-aid
Pad band w>=3" <5"/yd
Conform band n/s w<3"/yd
Conform band n/s w>=3"<5"/yd
Conform band n/s w>=5"/yd
Conform band s w <3"/yd
Conform band s w>=3" <5"/yd
Conform band s w >=5"/yd
Lt compres band <3"/yd
Lt compres band >=3" <5"/yd
Lt compres band >=5"/yd
Mod compres band w>=3"<5"/yd
High compres band w>=3"<5"yd
Self-adher band w <3"/yd
Self-adher band w>=3" <5"/yd
Self-adher band >=5"/yd
Zinc paste band w >=3"<5"/yd
Tubular dressing
Compres burngarment bodysuit
Compres burngarment chinstrp
Compres burngarment facehood
Cmprsburngarment glove-wrist
Cmprsburngarment glove-elbow
Cmprsburngrmnt glove-axilla
Cmprs burngarment foot-knee
Cmprs burngarment foot-thigh
Compres burn garment jacket
Compres burn garment leotard
490
1001
490
490
490
490
490
490
490
490
490
490
490
1001
1001
490
490
1001
490
490
1001
1001
1001
490
490
490
490
490
490
490
490
490
490

Page 1245 of 6734

A6511
A6512
A6513
A6530
A6531
A6532
A6533
A6534
A6535
A6536
A6537
A6538
A6539
A6540
A6541
A6544
A6545
A6549
A6550
A7000
A7001
A7002
A7003
A7004
A7005
A7006
A7007
A7008
A7009
A7010
A7012
A7013
A7014
Compres burn garment panty

Compres burn garment, noc
Compress burn mask face/neck
Compression stocking bk18-30
Gc stocking thighlngth 18-30
Gc stocking full lngth 18-30
Gc stocking waistlngth 18-30
Gc stocking garter belt
Grad comp non-elastic bk
G compression stocking
Neg pres wound ther drsg set
Disposable canister for pump
Nondisposable pump canister
Tubing used w suction pump
Nebulizer administration set
Disposable nebulizer sml vol
Nondisposable nebulizer set
Filtered nebulizer admin set
Lg vol nebulizer disposable
Disposable nebulizer prefill
Nebulizer reservoir bottle
Disposable corrugated tubing
Nebulizer water collec devic
Disposable compressor filter
Compressor nondispos filter
490
490
999
999
1003
1004
999
999
999
999
999
999
999
999
999
999
1004
999
1002
1001
1003
1001
1001
1001
1003
1001
1001
1002
1003
1002
1001
999
1001

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1246 of 6734

A7015
A7016
A7017
A7018
A7020
A7025
A7026
A7027
A7028
A7029
A7030
A7031
A7032
A7033
A7034
A7035
A7036
A7037
A7038
A7039
A7040
A7041
A7044
A7045
A7046
A7047
A7048
A7501
A7502
A7503
A7504
A7505
A7506
Aerosol mask used w nebulize

Nebulizer dome & mouthpiece
Nebulizer not used w oxygen
Water distilled w/nebulizer
Interface, cough stim device
Replace chest compress vest
Replace chst cmprss sys hose
Combination oral/nasal mask
Repl oral cushion combo mask
Repl nasal pillow comb mask
Cpap full face mask
Replacement facemask interfa
Replacement nasal cushion
Replacement nasal pillows
Nasal application device
Pos airway press headgear
Pos airway press chinstrap
Pos airway pressure tubing
Pos airway pressure filter
Filter, non disposable w pap
One way chest drain valve
Water seal drain container
Pap oral interface
Repl exhalation port for pap
Repl water chamber, pap dev
Resp suction oral interface
Vacuum drain bottle/tube kit
Tracheostoma valve w diaphra
Replacement diaphragm/fplate
Hmes filter holder or cap
Tracheostoma hmes filter
Hmes or trach valve housing
Hmes/trachvalve adhesivedisk
1001
1001
1005
999
1002
1008
1003
1005
1004
1002
1005
1004
1003
1002
1005
1003
1002
1003
1001
1002
1004
1004
1005
1002
1002
1001
1003
1005
1004
1002
490
1001
490

UNASSIGNED
Page 1247 of 6734

A7507
A7508
A7509
A7520
A7521
A7522
A7523
A7524
A7525
A7526
A7527
A8000
A8001
A8002
A8003
A8004
A9150
A9152
A9153
A9155
A9180
A9270
A9272
A9273
A9274
A9275
A9276
A9277
A9278
A9279
A9280
A9281
A9282
Integrated filter & holder

Housing & integrated adhesiv
Heat & moisture exchange sys
Trach/laryn tube non-cuffed
Trach/laryn tube cuffed
Trach/laryn tube stainless
Tracheostomy shower protect
Tracheostoma stent/stud/bttn
Tracheostomy mask
Tracheostomy tube collar
Trach/laryn tube plug/stop
Soft protect helmet prefab
Hard protect helmet prefab
Soft protect helmet custom
Hard protect helmet custom
Repl soft interface, helmet
Misc/exper non-prescript dru
Single vitamin nos
Multi-vitamin nos
Artificial saliva
Lice treatment, topical
Non-covered item or service
Disp wound suct, drsg/access
Hot/cold h2obot/cap/col/wrap
Ext amb insulin delivery sys
Disp home glucose monitor
Disposable sensor, cgm sys
External transmitter, cgm
External receiver, cgm sys
Monitoring feature/devicenoc
Alert device, noc
Reaching/grabbing device
Wig any type
1001
1001
1001
1003
1003
1003
490
1004
1001
1001
1001
1005
1005
999
999
999
999
999
999
999
999
999
1002
999
999
1001
1001
1001
1001
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1248 of 6734

A9283
A9284
A9300
A9500
A9501
A9502
A9503
A9504
A9505
A9507
A9508
A9509
A9510
A9512
A9516
A9517
A9520
A9521
A9524
A9526
A9527
A9528
A9529
A9530
A9531
A9532
A9536
A9537
A9538
A9539
A9540
A9541
A9542
Foot press off load supp dev

Non-electronic spirometer
Exercise equipment
Tc99m sestamibi
Technetium tc-99m teboroxime
Tc99m tetrofosmin
Tc99m medronate
Tc99m apcitide
Tl201 thallium
In111 capromab
I131 iodobenguate, dx
Iodine i-123 sod iodide mil
Tc99m disofenin
Tc99m pertechnetate
Iodine i-123 sod iodide mic
I131 iodide cap, rx
Tc99 tilmanocept diag 0.5mci
Tc99m exametazime
I131 serum albumin, dx
Nitrogen n-13 ammonia
Iodine i-125 sodium iodide
Iodine i-131 iodide cap, dx
I131 iodide sol, dx
I131 iodide sol, rx
I131 max 100uci
I125 serum albumin, dx
Tc99m depreotide
Tc99m mebrofenin
Tc99m pyrophosphate
Tc99m pentetate
Tc99m maa
Tc99m sulfur colloid
In111 ibritumomab, dx
999
999
999
490
490
490
490
490
490
490
490
490
490
490
490
438
490
490
490
490
435
490
490
438
490
490
490
490
490
490
490
490
490
UNASSIGNED
UNASSIGNED
UNASSIGNED
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1249 of 6734

A9543
A9544
A9545
A9546
A9547
A9548
A9550
A9551
A9552
A9553
A9554
A9555
A9556
A9557
A9558
A9559
A9560
A9561
A9562
A9563
A9564
A9566
A9567
A9568
A9569
A9570
A9571
A9572
A9575
A9576
A9577
A9578
A9579
Y90 ibritumomab, rx
I131 tositumomab, dx
I131 tositumomab, rx
Co57/58
In111 oxyquinoline
In111 pentetate
Tc99m gluceptate
Tc99m succimer
F18 fdg
Cr51 chromate
I125 iothalamate, dx
Rb82 rubidium
Ga67 gallium
Tc99m bicisate
Xe133 xenon 10mci
Co57 cyano
Tc99m labeled rbc
Tc99m oxidronate
Tc99m mertiatide
P32 na phosphate
P32 chromic phosphate
Tc99m fanolesomab
Technetium tc-99m aerosol
Technetium tc99m arcitumomab
Technetium tc-99m auto wbc
Indium in-111 auto wbc
Indium in-111 auto platelet
Indium in-111 pentetreotide
Inj gadoterate meglumi 0.1ml
Inj prohance multipack
Inj multihance
Inj multihance multipack
Gad-base mr contrast nos,1ml
465
490
465
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
437
438
490
490
490
490
490
490
490
490
490
490
490
490

Page 1250 of 6734

A9580
A9581
A9582
A9583
A9584
A9585
A9586
A9599
A9600
A9604
A9606
A9698
A9699
A9700
A9900
A9901
A9999
B4034
B4035
B4036
B4081
B4082
B4083
B4087
B4088
B4100
B4102
B4103
B4104
B4149
B4150
B4152
B4153
Sodium fluoride f-18

Gadoxetate disodium inj
Iodine i-123 iobenguane
Gadofosveset trisodium inj
Iodine i-123 ioflupane
Gadobutrol injection
Florbetapir f18
Radiopha dx beta amyloid pet
Sr89 strontium
Sm 153 lexidronam
Radium ra223 dichloride ther
Non-rad contrast materialnoc
Radiopharm rx agent noc
Echocardiography contrast
Supply/accessory/service
Delivery/set up/dispensing
Dme supply or accessory, nos
Enter feed supkit syr by day
Enteral feed supp pump per d
Enteral feed sup kit grav by
Enteral ng tubing w/ stylet
Enteral ng tubing w/o stylet
Enteral stomach tube levine
Gastro/jejuno tube, std
Gastro/jejuno tube, low-pro
Food thickener oral
Ef adult fluids and electro
Ef ped fluid and electrolyte
Additive for enteral formula
Ef blenderized foods
Ef complet w/intact nutrient
Ef calorie dense>/=1.5kcal
Ef hydrolyzed/amino acids
490
490
490
490
490
490
490
490
462
444
465
490
435
490
999
999
999
498
498
498
498
498
498
498
498
498
498
498
498
498
498
498
498

CLASS X COMBINED CHEMOTHERAPY AND PH
UNASSIGNED
UNASSIGNED
UNASSIGNED
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
Page 1251 of 6734

B4154
B4155
B4157
B4158
B4159
B4160
B4161
B4162
B4164
B4168
B4172
B4176
B4178
B4180
B4185
B4189
B4193
B4197
B4199
B4216
B4220
B4222
B4224
B5000
B5100
B5200
B9000
B9002
B9004
B9006
B9998
B9999
C1713
Ef spec metabolic noninherit

Ef incomplete/modular
Ef special metabolic inherit
Ef ped complete intact nut
Ef ped complete soy based
Ef ped caloric dense>/=0.7kc
Ef ped hydrolyzed/amino acid
Ef ped specmetabolic inherit
Parenteral 50% dextrose solu
Parenteral sol amino acid 3.
Parenteral sol amino acid 5.
Parenteral sol amino acid 7Parenteral sol amino acid >
Parenteral sol carb > 50%
Parenteral sol 10 gm lipids
Parenteral sol amino acid &
Parenteral sol 52-73 gm prot
Parenteral sol 74-100 gm pro
Parenteral sol > 100gm prote
Parenteral nutrition additiv
Parenteral supply kit premix
Parenteral supply kit homemi
Parenteral administration ki
Parenteral sol renal-amirosy
Parenteral solution hepatic
Parenteral sol hepatic fream
Enter infusion pump w/o alrm
Enteral infusion pump w/ ala
Parenteral infus pump portab
Parenteral infus pump statio
Enteral supp not otherwise c
Parenteral supp not othrws c
Anchor/screw bn/bn,tis/bn
498
498
498
498
498
498
498
498
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
454
490
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
PEN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
TPN FORMULAE
Page 1252 of 6734

C1714
C1715
C1716
C1717
C1719
C1721
C1722
C1724
C1725
C1726
C1727
C1728
C1729
C1730
C1731
C1732
C1733
C1749
C1750
C1751
C1752
C1753
C1754
C1755
C1756
C1757
C1758
C1759
C1760
C1762
C1763
C1764
C1765
Cath, trans atherectomy, dir

Brachytherapy needle
Brachytx, non-str, gold-198
Brachytx, non-str,hdr ir-192
Brachytx, ns, non-hdrir-192
Aicd, dual chamber
Aicd, single chamber
Cath, trans atherec,rotation
Cath, translumin non-laser
Cath, bal dil, non-vascular
Cath, bal tis dis, non-vas
Cath, brachytx seed adm
Cath, drainage
Cath, ep, 19 or few elect
Cath, ep, 20 or more elec
Cath, ep, diag/abl, 3d/vect
Cath, ep, othr than cool-tip
Endo, colon, retro imaging
Cath, hemodialysis,long-term
Cath, inf, per/cent/midline
Cath,hemodialysis,short-term
Cath, intravas ultrasound
Catheter, intradiscal
Catheter, intraspinal
Cath, pacing, transesoph
Cath, thrombectomy/embolect
Catheter, ureteral
Cath, intra echocardiography
Closure dev, vasc
Conn tiss, human(inc fascia)
Conn tiss, non-human
Event recorder, cardiac
Adhesion barrier
490
490
342
342
342
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490

Page 1253 of 6734

C1766
C1767
C1768
C1769
C1770
C1771
C1772
C1773
C1776
C1777
C1778
C1779
C1780
C1781
C1782
C1783
C1784
C1785
C1786
C1787
C1788
C1789
C1813
C1814
C1815
C1816
C1817
C1818
C1819
C1820
C1821
C1822
C1830
Intro/sheath,strble,non-peel
Generator, neuro non-recharg
Graft, vascular
Guide wire
Imaging coil, mr, insertable
Rep dev, urinary, w/sling
Infusion pump, programmable
Ret dev, insertable
Joint device (implantable)
Lead, aicd, endo single coil
Lead, neurostimulator
Lead, pmkr, transvenous vdd
Lens, intraocular (new tech)
Mesh (implantable)
Morcellator
Ocular imp, aqueous drain de
Ocular dev, intraop, det ret
Pmkr, dual, rate-resp
Pmkr, single, rate-resp
Patient progr, neurostim
Port, indwelling, imp
Prosthesis, breast, imp
Prosthesis, penile, inflatab
Retinal tamp, silicone oil
Pros, urinary sph, imp
Receiver/transmitter, neuro
Septal defect imp sys
Integrated keratoprosthesis
Tissue localization-excision
Gen, neuro, non-HF rechg bat
Interspinous implant
Gen, neuro, HF, rechg bat
Power bone marrow bx needle
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1254 of 6734

C1840
C1841
C1874
C1875
C1876
C1877
C1878
C1880
C1881
C1882
C1883
C1884
C1885
C1886
C1887
C1888
C1891
C1892
C1893
C1894
C1895
C1896
C1897
C1898
C1899
C1900
C2613
C2614
C2615
C2616
C2617
C2618
C2619
Telescopic intraocular lens

Retinal prosth int/ext comp
Stent, coated/cov w/del sys
Stent, coated/cov w/o del sy
Stent, non-coa/non-cov w/del
Stent, non-coat/cov w/o del
Matrl for vocal cord
Vena cava filter
Dialysis access system
Aicd, other than sing/dual
Adapt/ext, pacing/neuro lead
Embolization protect syst
Cath, translumin angio laser
Catheter, ablation
Catheter, guiding
Endovas non-cardiac abl cath
Infusion pump,non-prog, perm
Intro/sheath,fixed,peel-away
Intro/sheath, fixed,non-peel
Intro/sheath, non-laser
Lead, aicd, endo dual coil
Lead, aicd, non sing/dual
Lead, neurostim test kit
Lead, pmkr, other than trans
Lead, pmkr/aicd combination
Lead, coronary venous
Lung bx plug w/del sys
Probe, perc lumb disc
Sealant, pulmonary, liquid
Brachytx, non-str,yttrium-90
Stent, non-cor, tem w/o del
Probe/needle, cryo
Pmkr, dual, non rate-resp
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
349
490
490
490

LEVEL II AFTERLOADING BRACHYTHERAPY
Page 1255 of 6734

C2620
C2621
C2622
C2623
C2624
C2625
C2626
C2627
C2628
C2629
C2630
C2631
C2634
C2635
C2636
C2637
C2638
C2639
C2640
C2641
C2642
C2643
C2644
C2645
C2698
C2699
C5271
C5272
C5273
C5274
C5275
C5276
C5277
Pmkr, single, non rate-resp

Pmkr, other than sing/dual
Prosthesis, penile, non-inf
Cath, translumin, drug-coat
Wireless pressure sensor
Stent, non-cor, tem w/del sy
Infusion pump, non-prog,temp
Cath, suprapubic/cystoscopic
Catheter, occlusion
Intro/sheath, laser
Cath, ep, cool-tip
Rep dev, urinary, w/o sling
Brachytx, non-str, ha, i-125
Brachytx, non-str, ha, p-103
Brachy linear, non-str,p-103
Brachy,non-str,ytterbium-169
Brachytx, stranded, i-125
Brachytx, non-stranded,i-125
Brachytx, stranded, p-103
Brachytx, non-stranded,p-103
Brachytx, stranded, c-131
Brachytx, non-stranded,c-131
Brachytx cesium-131 chloride
Brachytx planar, p-103
Brachytx, stranded, nos
Brachytx, non-stranded, nos
Low cost skin substitute app
490
490
490
490
490
490
490
490
490
490
490
490
342
342
342
342
342
342
342
342
342
342
490
342
342
342
13
13
14
14
14
14
14

Page 1256 of 6734

C5278
C8900
C8901
C8902
C8903
C8904
C8905
C8906
C8907
C8908
C8909
C8910
C8911
C8912
C8913
C8914
C8918
C8919
C8920
C8921
C8922
C8923
C8924
C8925
C8926
C8927
C8928
C8929
C8930
C8931
C8932
C8933
C8934

Mra w/cont, abd
Mra w/o cont, abd
Mra w/o fol w/cont, abd
Mri w/cont, breast, uni
Mri w/o cont, breast, uni
Mri w/o fol w/cont, brst, un
Mri w/cont, breast, bi
Mri w/o cont, breast, bi
Mri w/o fol w/cont, breast,
Mra w/cont, chest
Mra w/o cont, chest
Mra w/o fol w/cont, chest
Mra w/cont, lwr ext
Mra w/o cont, lwr ext
Mra w/o fol w/cont, lwr ext
Mra w/cont, pelvis
Mra w/o cont, pelvis
Mra w/o fol w/cont, pelvis
Tte w or w/o fol w/cont, com
Tte w or w/o fol w/cont, f/u
2d tte w or w/o fol w/con,co
2d tte w or w/o fol w/con,fu
2d tee w or w/o fol w/con,in
Tee w or w/o fol w/cont,cong
Tee w or w/o fol w/cont, mon
Tte w or w/o fol w/con,stres
Tte w or wo fol wcon,doppler
Tte w or w/o contr, cont ecg
Mra, w/dye, spinal canal
Mra, w/o dye, spinal canal
Mra, w/o&w/dye, spinal canal
Mra, w/dye, upper extremity
14
283
283
283
296
296
296
296
296
296
282
282
282
283
283
283
283
283
283
81
81
81
81
81
81
81
81
81
81
283
283
283
283

MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MRI- OTHER
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
ECHOCARDIOGRAPHY
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
MAGNETIC RESONANCE
ANGIOGRAPHY - OTHER
ANGIOGRAPHY - OTHER
ANGIOGRAPHY - OTHER
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
CHES
CHES
CHES
OTHER
OTHER
OTHER
OTHER
OTHER
OTHER
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
ANGIOGRAPHY
OTHER
OTHER
OTHER
OTHER
Page 1257 of 6734

C8935
C8936
C8957
C9113
C9121
C9132
C9137
C9138
C9248
C9250
C9254
C9257
C9275
C9285
C9290
C9293
C9349
C9352
C9353
C9354
C9355
C9356
C9358
C9359
C9360
C9361
C9362
C9363
C9364
C9399
C9447
C9458
C9459
Mra, w/o dye, upper extr

Mra, w/o&w/dye, upper extr
Prolonged iv inf, req pump
Inj pantoprazole sodium, via
Injection, argatroban
Kcentra, per i.u.
Adynovate Factor VIII recom
Nuwiq Factor VIII recomb
Inj, clevidipine butyrate
Artiss fibrin sealant
Injection, lacosamide
Bevacizumab injection
Hexaminolevulinate hcl
Patch, lidocaine/tetracaine
Inj, bupivacaine liposome
Injection, glucarpidase
Puraply, puraply antimic
Neuragen nerve guide, per cm
Neurawrap nerve protector,cm
Veritas collagen matrix, cm2
Neuromatrix nerve cuff, cm
Tenoglide tendon prot, cm2
Surgimend, fetal
Implnt,bon void filler-putty
Surgimend, neonatal
Neuromend nerve wrap
Implnt,bon void filler-strip
Integra meshed bil wound mat
Porcine implant, permacol
Unclassified drugs or biolog
Inj, phenylephrine ketorolac
Florbetaben f18
Flutemetamol f18
283
283
110
496
444
435
463
463
436
490
435
460
490
435
435
465
455
490
490
490
490
490
490
490
490
490
490
490
490
435
436
490
490

CLASS XI COMBINED CHEMOTHERAPY AND P
Page 1258 of 6734

C9460
C9461
C9470
C9471
C9472
C9473
C9474
C9475
C9497
C9600
C9601
C9602
C9603
C9604
C9605
C9606
C9607
C9608
C9725
C9726
C9727
C9728
C9733
C9734
C9739
C9740
C9741
C9742
C9743
C9800
C9898
C9899
D0120
Injection, cangrelor
Choline C 11, diagnostic
Aripiprazole lauroxil im
Hymovis, 1 mg
Inj talimogene laherparepvec
Injection, mepolizumab
Inj, irinotecan liposome
Injection, necitumumab
Loxapine, inhalation powder
Perc drug-el cor stent sing
Perc drug-el cor stent bran
Perc d-e cor stent ather s
Perc d-e cor stent ather br
Perc d-e cor revasc t cabg s
Perc d-e cor revasc t cabg b
Perc d-e cor revasc w ami s
Perc d-e cor revasc chro sin
Perc d-e cor revasc chro add
Place endorectal app
Rxt breast appl place/remov
Insert palate implants
Place device/marker, non pro
Non-ophthalmic fva
U/s trtmt, not leiomyomata
Cystoscopy prostatic imp 1-3
Cysto impl 4 or more
Impl pressure sensor w/angio
Laryngoscopy with injection
Bulking/spacer material impl
Dermal filler inj px/suppl
Inpnt stay radiolabeled item
Inpt implant pros dev,no cov
Periodic oral evaluation
993
490
436
437
463
461
462
463
436
99
99
99
99
99
99
99
99
99
482
20
253
490
425
143
164
164
84
62
490
435
490
490
376

CLASS IX COMBINED CHEMOTHERAPY AND P
Page 1259 of 6734

D0140
D0145
D0150
D0160
D0170
D0171
D0180
D0190
D0191
D0210
D0220
D0230
D0240
D0250
D0251
D0270
D0272
D0273
D0274
D0277
D0290
D0310
D0320
D0321
D0322
D0330
D0340
D0350
D0351
D0364
D0365
D0366
D0367
Limit oral eval problm focus

Oral evaluation, pt < 3yrs
Comprehensve oral evaluation
Extensv oral eval prob focus
Re-eval,est pt,problem focus
Re-eval post-op visit
Comp periodontal evaluation
Screening of a patient
Assessment of a patient
Intraor complete film series
Intraoral periapical first
Intraoral periapical ea add
Intraoral occlusal film
Extraoral 2d project image
Extraoral posterior image
Dental bitewing single image
Dental bitewings two images
Bitewings - three images
Bitewings four images
Vert bitewings 7 to 8 images
Skull/facial bone image
Dental saliography
Dental tmj arthrogram incl i
Other tmj images by report
Dental tomographic survey
Panoramic image
2d cephalometric image
Oral/facial photo images
3d photographic image
Cone beam ct capt & interp
Cone beam ct interprete man
Cone beam ct interprete max
Cone beam ct interp both jaw
376
376
376
376
376
376
376
376
376
374
373
373
373
373
373
373
373
373
373
374
374
374
374
373
301
374
374
373
373
301
301
301
301

LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
CAT SCAN - OTHER
LEVEL I DENTAL FILM
LEVEL I DENTAL FILM
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
Page 1260 of 6734

D0368
D0369
D0370
D0371
D0380
D0381
D0382
D0383
D0384
D0385
D0386
D0391
D0393
D0394
D0395
D0415
D0416
D0417
D0418
D0422
D0423
D0425
D0431
D0460
D0470
D0472
D0473
D0474
D0475
D0476
D0477
D0478
D0479
Cone beam ct interprete tmj

Max mri capture & interprete
Max ultrasound capt & interp
Sialoendoscopy capt & interp
Cone beam ct capture limited
Cone beam ct capt mandible
Cone beam ct capt maxilla
Cone beam ct both jaws
Cone beam ct capture tmj
Max mri image capture
Max ultrasound image capture
Imterprete diagnostic image
Trtmnt simulation 3d image
Digital sub 2 or more images
Fusion 2 or more 3d images
Collection of microorganisms
Viral culture
Collect & prep saliva sample
Analysis of saliva sample
Collect & prep genetic samp
Genetic test spec analysis
Caries susceptibility test
Diag tst detect mucos abnorm
Pulp vitality test
Diagnostic casts
Gross exam, prep & report
Micro exam, prep & report
Micro w exam of surg margins
Decalcification procedure
Spec stains for microorganis
Spec stains not for microorg
Immunohistochemical stains
Tissue in-situ hybridization
301
296
288
374
301
301
301
301
301
296
288
490
376
376
376
396
396
490
390
385
385
396
490
377
376
390
390
350
390
390
390
391
391
CAT SCAN - OTHER

MRI- OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
CAT SCAN - OTHER
MRI- OTHER
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I ADJUNCTIVE GENERAL DENTAL SERVI
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL I PATHOLOGY
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
Page 1261 of 6734

D0480
D0481
D0482
D0483
D0484
D0485
D0486
D0502
D0601
D0602
D0603
D0999
D1110
D1120
D1206
D1208
D1310
D1320
D1330
D1351
D1352
D1353
D1354
D1510
D1515
D1520
D1525
D1550
D1555
D1999
D2140
D2150
D2160
Cytopath smear prep & report

Electron microscopy
Direct immunofluorescence
Indirect immunofluorescence
Consult slides prep elsewher
Consult inc prep of slides
Access of transep cytol samp
Other oral pathology procedu
Caries risk assess low risk
Caries risk assess mod risk
Caries risk assess high risk
Unspecified diagnostic proce
Dental prophylaxis adult
Dental prophylaxis child
Topical fluoride varnish
Topical app fluorid ex vrnsh
Nutri counsel-control caries
Tobacco counseling
Oral hygiene instruction
Dental sealant per tooth
Prev resin rest, perm tooth
Sealant repair per tooth
Interim caries med app
Space maintainer fxd unilat
Fixed bilat space maintainer
Remove unilat space maintain
Remove bilat space maintain
Recement space maintainer
Remove fix space maintainer
Unspecified preventive proc
Amalgam one surface permanen
Amalgam two surfaces permane
Amalgam three surfaces perma
390
391
391
391
391
350
390
376
376
376
376
376
377
377
377
377
377
451
377
372
377
372
377
351
351
377
377
350
377
377
361
361
362
LEVEL I PATHOLOGY
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
LEVEL II PATHOLOGY
LEVEL I PATHOLOGY
SEALANT
SEALANT
LEVEL II ADJUNCTIVE GENERAL DENTAL SERVI
Page 1262 of 6734

D2161
D2330
D2331
D2332
D2335
D2390
D2391
D2392
D2393
D2394
D2410
D2420
D2430
D2510
D2520
D2530
D2542
D2543
D2544
D2610
D2620
D2630
D2642
D2643
D2644
D2650
D2651
D2652
D2662
D2663
D2664
D2710
D2712
Amalgam 4 or > surfaces perm

Resin one surface-anterior
Resin two surfaces-anterior
Resin three surfaces-anterio
Resin 4/> surf or w incis an
Ant resin-based cmpst crown
Post 1 srfc resinbased cmpst
Post >=4srfc resinbase cmpst
Dental gold foil one surface
Dental gold foil two surface
Dental gold foil three surfa
Dental inlay metalic 1 surf
Dental inlay metallic 2 surf
Dental inlay metl 3/more sur
Dental onlay metallic 2 surf
Dental onlay metallic 3 surf
Dental onlay metl 4/more sur
Inlay porcelain/ceramic 1 su
Inlay porcelain/ceramic 2 su
Dental onlay porc 3/more sur
Dental onlay porcelin 2 surf
Dental onlay porcelin 3 surf
Dental onlay porc 4/more sur
Inlay composite/resin one su
Inlay composite/resin two su
Dental inlay resin 3/mre sur
Dental onlay resin 2 surface
Dental onlay resin 3 surface
Dental onlay resin 4/mre sur
Crown resin-based indirect
Crown 3/4 resin-based compos
362
361
361
361
362
361
361
361
362
362
361
361
361
361
361
361
361
361
361
361
361
362
361
361
361
361
361
361
361
361
361
363
363
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II DENTAL RESTORATIONS
I DENTAL RESTORATIONS
III DENTAL RESTORATION
III DENTAL RESTORATION
Page 1263 of 6734

D2720
D2721
D2722
D2740
D2750
D2751
D2752
D2780
D2781
D2782
D2783
D2790
D2791
D2792
D2794
D2799
D2910
D2915
D2920
D2921
D2929
D2930
D2931
D2932
D2933
D2934
D2940
D2941
D2949
D2950
D2951
D2952
D2953
Crown resin w/ high noble me

Crown resin w/ base metal
Crown resin w/ noble metal
Crown porcelain/ceramic subs
Crown porcelain w/ h noble m
Crown porcelain fused base m
Crown porcelain w/ noble met
Crown 3/4 cast hi noble met
Crown 3/4 cast base metal
Crown 3/4 cast noble metal
Crown 3/4 porcelain/ceramic
Crown full cast high noble m
Crown full cast base metal
Crown full cast noble metal
Crown-titanium
Provisional crown
Recement inlay onlay or part
Recement cast or prefab post
Re-cement or re-bond crown
Reattach tooth fragment
Prefab porc/ceram crown pri
Prefab stnlss steel crwn pri
Prefab stnlss steel crown pe
Prefabricated resin crown
Prefab stainless steel crown
Prefab steel crown primary
Protective restoration
Int therapeutic restoration
Restorative foundation
Core build-up incl any pins
Tooth pin retention
Post and core cast + crown
Each addtnl cast post
363
363
363
363
363
363
363
363
363
363
363
363
363
363
363
361
361
361
361
361
362
362
362
362
362
362
999
999
999
362
362
362
362

UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1264 of 6734

D2954
D2955
D2957
D2960
D2961
D2962
D2971
D2975
D2980
D2981
D2982
D2983
D2990
D2999
D3110
D3120
D3220
D3221
D3222
D3230
D3240
D3310
D3320
D3330
D3331
D3332
D3333
D3346
D3347
D3348
D3351
D3352
D3353
Prefab post/core + crown

Post removal
Each addtnl prefab post
Laminate labial veneer
Lab labial veneer resin
Lab labial veneer porcelain
Add proc construct new crown
Coping
Crown repair
Inlay repair
Onlay repair
Veneer repair
Resin infiltration of lesion
Dental unspec restorative pr
Pulp cap direct
Pulp cap indirect
Therapeutic pulpotomy
Gross pulpal debridement
Part pulp for apexogenesis
Pulpal therapy anterior prim
Pulpal therapy posterior pri
End thxpy, anterior tooth
End thxpy, bicuspid tooth
End thxpy, molar
Non-surg tx root canal obs
Incomplete endodontic tx
Internal root repair
Retreat root canal anterior
Retreat root canal bicuspid
Retreat root canal molar
Apexification/recalc initial
Apexification/recalc interim
Apexification/recalc final
362
361
362
361
361
361
361
361
361
361
361
361
361
361
364
364
364
365
364
364
365
365
365
366
366
366
366
365
365
366
364
364
364
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I ENDODONTICS
I ENDODONTICS
I ENDODONTICS
II ENDODONTICS
I ENDODONTICS
I ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
III ENDODONTICS
III ENDODONTICS
III ENDODONTICS
III ENDODONTICS
II ENDODONTICS
II ENDODONTICS
III ENDODONTICS
I ENDODONTICS
I ENDODONTICS
I ENDODONTICS
Page 1265 of 6734

D3355
D3356
D3357
D3410
D3421
D3425
D3426
D3427
D3428
D3429
D3430
D3431
D3432
D3450
D3460
D3470
D3910
D3920
D3950
D3999
D4210
D4211
D4212
D4230
D4231
D4240
D4241
D4245
D4249
D4260
D4261
D4263
D4264
Pulpal regeneration initial

Pulpal regeneration interim
Pulpal regeneration complete
Apicoectomy - anterior
Root surgery bicuspid
Root surgery molar
Root surgery ea add root
Periradicular surgery
Bone graft peri per tooth
Bone graft peri each addl
Retrograde filling
Biological materials
Guided tissue regeneration
Root amputation
Endodontic endosseous implan
Intentional replantation
Isolation- tooth w rubb dam
Tooth splitting
Canal prep/fitting of dowel
Endodontic procedure
Gingivectomy/plasty 4 or mor
Gingivectomy/plasty 1 to 3
Gingivectomy/plasty rest
Ana crown exp 4 or> per quad
Ana crown exp 1-3 per quad
Gingival flap proc w/ planin
Gngvl flap w rootplan 1-3 th
Apically positioned flap
Crown lengthen hard tissue
Osseous surgery 4 or more
Osseous surg 1 to 3 teeth
Bone replce graft first site
Bone replce graft each add
365
365
365
365
365
365
365
365
365
365
365
365
365
366
366
366
366
366
366
364
367
367
378
378
378
378
378
378
378
378
378
352
352
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
II ENDODONTICS
III ENDODONTICS
III ENDODONTICS
III ENDODONTICS
III ENDODONTICS
III ENDODONTICS
III ENDODONTICS
I ENDODONTICS
I ORAL AND MAXILLOFACIAL SURGERY
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
I PERIODONTICS
I PERIODONTICS
Page 1266 of 6734

D4265
D4266
D4267
D4268
D4270
D4273
D4274
D4275
D4276
D4277
D4278
D4283
D4285
D4320
D4321
D4341
D4342
D4355
D4381
D4910
D4920
D4921
D4999
D5110
D5120
D5130
D5140
D5211
D5212
D5213
D5214
D5221
D5222
Bio mtrls to aid soft/os reg

Guided tiss regen resorble
Guided tiss regen nonresorb
Surgical revision procedure
Pedicle soft tissue graft pr
Auto tissue graft 1st tooth
Distal/proximal wedge proc
Non-auto graft 1st tooth
Con tissue w dble ped graft
Soft tissue graft firsttooth
Soft tissue graft addl tooth
Auto tissue graft addl tooth
Non-auto graft addl tooth
Provision splnt intracoronal
Provisional splint extracoro
Periodontal scaling & root
Periodontal scaling 1-3teeth
Full mouth debridement
Localized delivery antimicro
Periodontal maint procedures
Unscheduled dressing change
Gingival irrigation per quad
Unspecified periodontal proc
Dentures complete maxillary
Dentures complete mandible
Dentures immediat maxillary
Dentures immediat mandible
Dentures maxill part resin
Dentures mand part resin
Dentures maxill part metal
Dentures mandibl part metal
Immed max part denture resin
Immed man part denture resin
352
352
352
378
378
378
378
352
378
378
378
378
378
352
352
352
352
352
352
352
352
352
352
358
358
357
357
357
357
358
358
357
357
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
I PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
II PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
I PERIODONTICS
III PROSTHODONTICS, REMOVABLE
II PROSTHODONTICS, REMOVABLE
Page 1267 of 6734

D5223
D5224
D5225
D5226
D5281
D5410
D5411
D5421
D5422
D5510
D5520
D5610
D5620
D5630
D5640
D5650
D5660
D5670
D5671
D5710
D5711
D5720
D5721
D5730
D5731
D5740
D5741
D5750
D5751
D5760
D5761
D5810
D5811
Immed max part dent metal

Immed mand part dent metal
Maxillary part denture flex
Mandibular part denture flex
Removable partial denture
Dentures adjust cmplt maxil
Dentures adjust cmplt mand
Dentures adjust part maxill
Dentures adjust part mandbl
Dentur repr broken compl bas
Replace denture teeth complt
Dentures repair resin base
Rep part denture cast frame
Rep partial denture clasp
Replace part denture teeth
Add tooth to partial denture
Add clasp to partial denture
Replc tth&acrlc on mtl frmwk
Replc tth&acrlc mandibular
Dentures rebase cmplt maxil
Dentures rebase cmplt mand
Dentures rebase part maxill
Dentures rebase part mandbl
Denture reln cmplt maxil ch
Denture reln cmplt mand chr
Denture reln part maxil chr
Denture reln part mand chr
Denture reln cmplt max lab
Denture reln cmplt mand lab
Denture reln part maxil lab
Denture reln part mand lab
Denture interm cmplt maxill
Denture interm cmplt mandbl
358
358
357
357
357
350
350
350
350
356
356
356
356
356
356
356
356
357
357
356
356
356
356
356
356
356
356
356
356
356
356
356
356
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

I ADJUNCTIVE GENERAL DENTAL SERVI
I PROSTHODONTICS, REMOVABLE
Page 1268 of 6734

D5820
D5821
D5850
D5851
D5862
D5863
D5864
D5865
D5866
D5867
D5875
D5899
D5911
D5912
D5913
D5914
D5915
D5916
D5919
D5922
D5923
D5924
D5925
D5926
D5927
D5928
D5929
D5931
D5932
D5933
D5934
D5935
D5936
Denture interm part maxill

Denture interm part mandbl
Denture tiss conditn maxill
Denture tiss condtin mandbl
Precision attachment
Overdenture complete max
Overdenture partial max
Overdenture complete mandib
Overdenture partial mandib
Replacement of precision att
Prosthesis modification
Removable prosthodontic proc
Facial moulage sectional
Facial moulage complete
Nasal prosthesis
Auricular prosthesis
Orbital prosthesis
Ocular prosthesis
Facial prosthesis
Nasal septal prosthesis
Ocular prosthesis interim
Cranial prosthesis
Facial augmentation implant
Replacement nasal prosthesis
Auricular replacement
Orbital replacement
Facial replacement
Surgical obturator
Postsurgical obturator
Refitting of obturator
Mandibular flange prosthesis
Mandibular denture prosth
Temp obturator prosthesis
356
356
356
356
356
358
358
358
358
356
356
356
359
359
360
360
360
360
360
360
360
360
360
360
360
360
360
360
360
360
360
360
360
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
I MAXILLOFACIAL PROSTHETICS
I MAXILLOFACIAL PROSTHETICS
II MAXILLOFACIAL PROSTHETICS
Page 1269 of 6734

D5937
D5951
D5952
D5953
D5954
D5955
D5958
D5959
D5960
D5982
D5983
D5984
D5985
D5986
D5987
D5988
D5991
D5992
D5993
D5994
D5999
D6010
D6011
D6012
D6013
D6040
D6050
D6051
D6052
D6055
D6056
D6057
D6058
Trismus appliance
Feeding aid
Pediatric speech aid
Adult speech aid
Superimposed prosthesis
Palatal lift prosthesis
Intraoral con def inter plt
Intraoral con def mod palat
Modify speech aid prosthesis
Surgical stent
Radiation applicator
Radiation shield
Radiation cone locator
Fluoride applicator
Commissure splint
Surgical splint
Vesiculobullous disease carr
Adjust max prost appliance
Main/clean max prosthesis
Peridontal medicament
Maxillofacial prosthesis
Odontics endosteal implant
Second stage implant surgery
Endosteal implant
Surgical place mini implant
Odontics eposteal implant
Odontics transosteal implnt
Interim abutment
Semi precision attach abut
Implant connecting bar
Prefabricated abutment
Custom abutment
Abutment supported crown
359
360
360
360
360
360
360
360
360
360
360
360
360
350
360
360
490
359
359
356
360
381
381
381
381
381
381
382
999
382
382
382
382

UNASSIGNED
Page 1270 of 6734

D6059
D6060
D6061
D6062
D6063
D6064
D6065
D6066
D6067
D6068
D6069
D6070
D6071
D6072
D6073
D6074
D6075
D6076
D6077
D6080
D6090
D6091
D6092
D6093
D6094
D6095
D6100
D6101
D6102
D6103
D6104
D6110
D6111
Abutment supported mtl crown

Implant supported crown
Implant supported mtl crown
Implant supported mtl crown
Abutment supported retainer
Implant supported retainer
Implant maintenance
Repair implant
Repl semi/precision attach
Recement supp crown
Recement supp part denture
Abut support crown titanium
Odontics repr abutment
Removal of implant
Debridement of a periimplant
Debridement & contouring
Bone graft repair perimplant
Bone graft time of implant
Implnt/abut remov dent max
Implnt/abut remov dent mand
382
382
382
382
382
382
382
382
382
382
382
382
382
382
382
382
382
382
382
381
381
381
381
381
382
381
381
381
381
381
381
382
382
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
II DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
I DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
Page 1271 of 6734

D6112
D6113
D6114
D6115
D6116
D6117
D6190
D6194
D6199
D6205
D6210
D6211
D6212
D6214
D6240
D6241
D6242
D6245
D6250
D6251
D6252
D6253
D6545
D6548
D6549
D6600
D6601
D6602
D6603
D6604
D6605
D6606
D6607
Imp/abut rem dent part max

Imp/abut rem dent part mand
Implnt/abut fixed dent max
Implnt/abut fixed dent mand
Imp/abut fixed dent part max
Imp/abut fixed dent part man
Radio/surgical implant index
Abut support retainer titani
Implant procedure
Pontic-indirect resin based
Prosthodont high noble metal
Bridge base metal cast
Bridge noble metal cast
Pontic titanium
Bridge porcelain high noble
Bridge porcelain base metal
Bridge porcelain nobel metal
Bridge porcelain/ceramic
Bridge resin w/high noble
Bridge resin base metal
Bridge resin w/noble metal
Provisional pontic
Dental retainr cast metl
Porcelain/ceramic retainer
Resin retainer
Porcelain/ceramic inlay 2srf
Porc/ceram inlay >= 3 surfac
Cst hgh nble mtl inlay 2 srf
Cst hgh nble mtl inlay >=3sr
Cst bse mtl inlay 2 surfaces
Cst bse mtl inlay >= 3 surfa
Cast noble metal inlay 2 sur
Cst noble mtl inlay >=3 surf
382
382
382
382
382
382
381
382
381
354
354
354
354
354
354
354
354
354
354
354
354
354
353
353
353
353
353
353
353
353
353
353
353
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
II DENTAL IMPLANTS
I DENTAL IMPLANTS
II DENTAL IMPLANTS
I DENTAL IMPLANTS
II PROSTHODONTICS, FIXED
I PROSTHODONTICS, FIXED
Page 1272 of 6734

D6608
D6609
D6610
D6611
D6612
D6613
D6614
D6615
D6624
D6634
D6710
D6720
D6721
D6722
D6740
D6750
D6751
D6752
D6780
D6781
D6782
D6783
D6790
D6791
D6792
D6793
D6794
D6920
D6930
D6940
D6950
D6980
D6985
Onlay porc/crmc 2 surfaces

Onlay porc/crmc >=3 surfaces
Onlay cst hgh nbl mtl 2 srfc
Onlay cst hgh nbl mtl >=3srf
Onlay cst base mtl 2 surface
Onlay cst base mtl >=3 surfa
Onlay cst nbl mtl 2 surfaces
Onlay cst nbl mtl >=3 surfac
Inlay titanium
Onlay titanium
Crown-indirect resin based
Retain crown resin w hi nble
Crown resin w/base metal
Crown resin w/noble metal
Crown porcelain/ceramic
Crown porcelain high noble
Crown porcelain base metal
Crown porcelain noble metal
Crown 3/4 high noble metal
Crown 3/4 cast based metal
Crown 3/4 cast noble metal
Crown 3/4 porcelain/ceramic
Crown full high noble metal
Crown full base metal cast
Crown full noble metal cast
Provisional retainer crown
Crown titanium
Dental connector bar
Recement/bond part denture
Stress breaker
Precision attachment
Fixed partial repair
Pediatric partial denture fx
353
353
353
353
353
353
353
353
353
353
353
355
355
355
355
355
355
355
355
355
355
355
355
355
355
353
355
353
353
353
353
356
354
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
III PROSTHODONTICS, FIXED
Page 1273 of 6734

D6999
D7111
D7140
D7210
D7220
D7230
D7240
D7241
D7250
D7251
D7260
D7261
D7270
D7272
D7280
D7282
D7283
D7285
D7286
D7287
D7288
D7290
D7291
D7292
D7293
D7294
D7295
D7310
D7311
D7320
D7321
D7340
D7350
Fixed prosthodontic proc

Extraction coronal remnants
Extraction erupted tooth/exr
Rem imp tooth w mucoper flp
Impact tooth remov soft tiss
Impact tooth remov part bony
Impact tooth remov comp bony
Impact tooth rem bony w/comp
Tooth root removal
Coronectomy
Oral antral fistula closure
Primary closure sinus perf
Tooth reimplantation
Tooth transplantation
Exposure impact tooth orthod
Mobilize erupted/malpos toot
Place device impacted tooth
Biopsy of oral tissue hard
Biopsy of oral tissue soft
Exfoliative cytolog collect
Brush biopsy
Repositioning of teeth
Transseptal fiberotomy
Screw retained plate
Temp anchorage dev w flap
Temp anchorage dev w/o flap
Bone harvest,auto graft proc
Alveoplasty w/ extraction
Alveoloplasty w/extract 1-3
Alveoplasty w/o extraction
Alveoloplasty not w/extracts
Vestibuloplasty ridge extens
Vestibuloplasty exten graft
356
367
367
367
367
368
368
368
367
367
368
368
367
367
368
367
367
367
367
367
367
367
367
367
367
367
367
367
367
367
367
368
369
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
II ORAL AND MAXILLOFACIAL SURGERY
III ORAL AND MAXILLOFACIAL SURGERY
Page 1274 of 6734

D7410
D7411
D7412
D7413
D7414
D7415
D7440
D7441
D7450
D7451
D7460
D7461
D7465
D7471
D7472
D7473
D7485
D7490
D7510
D7511
D7520
D7521
D7530
D7540
D7550
D7560
D7610
D7620
D7630
D7640
D7650
D7660
D7670
Rad exc lesion up to 1.25 cm

Excision benign lesion>1.25c
Excision benign lesion compl
Excision malig lesion<=1.25c
Excision malig lesion>1.25cm
Excision malig les complicat
Malig tumor exc to 1.25 cm
Malig tumor > 1.25 cm
Rem odontogen cyst to 1.25cm
Rem odontogen cyst > 1.25 cm
Rem nonodonto cyst to 1.25cm
Rem nonodonto cyst > 1.25 cm
Lesion destruction
Rem exostosis any site
Removal of torus palatinus
Remove torus mandibularis
Surg reduct osseoustuberosit
Maxilla or mandible resectio
I&d absc intraoral soft tiss
Incision/drain abscess intra
I&d abscess extraoral
Incision/drain abscess extra
Removal fb skin/areolar tiss
Removal of fb reaction
Removal of sloughed off bone
Maxillary sinusotomy
Maxilla open reduct simple
Clsd reduct simpl maxilla fx
Open red simpl mandible fx
Clsd red simpl mandible fx
Open red simp malar/zygom fx
Clsd red simp malar/zygom fx
Closd rductn splint alveolus
367
367
367
367
367
367
367
367
367
367
367
367
367
367
367
367
367
370
367
367
367
367
367
368
368
368
369
368
369
368
368
367
367
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

IV ORAL AND MAXILLOFACIAL SURGERY
Page 1275 of 6734

D7671
D7680
D7710
D7720
D7730
D7740
D7750
D7760
D7770
D7771
D7780
D7810
D7820
D7830
D7840
D7850
D7852
D7854
D7856
D7858
D7860
D7865
D7870
D7871
D7872
D7873
D7874
D7875
D7876
D7877
D7880
D7881
D7899
Alveolus open reduction

Reduct simple facial bone fx
Maxilla open reduct compound
Clsd reduct compd maxilla fx
Open reduct compd mandble fx
Clsd reduct compd mandble fx
Open red comp malar/zygma fx
Clsd red comp malar/zygma fx
Open reduc compd alveolus fx
Alveolus clsd reduc stblz te
Reduct compnd facial bone fx
Tmj open reduct-dislocation
Closed tmp manipulation
Tmj manipulation under anest
Removal of tmj condyle
Tmj meniscectomy
Tmj repair of joint disc
Tmj excisn of joint membrane
Tmj cutting of a muscle
Tmj reconstruction
Tmj cutting into joint
Tmj reshaping components
Tmj aspiration joint fluid
Lysis + lavage w catheters
Tmj diagnostic arthroscopy
Tmj arthroscopy lysis adhesn
Tmj arthroscopy disc reposit
Tmj arthroscopy synovectomy
Tmj arthroscopy discectomy
Tmj arthroscopy debridement
Occlusal orthotic appliance
Occ orthotic device adjust
Tmj unspecified therapy
367
368
370
368
370
368
368
367
367
367
367
369
367
367
369
369
369
369
369
370
370
370
367
367
350
369
369
369
369
369
367
350
367
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

Page 1276 of 6734

D7910
D7911
D7912
D7920
D7921
D7940
D7941
D7943
D7944
D7945
D7946
D7947
D7948
D7949
D7950
D7951
D7952
D7953
D7955
D7960
D7963
D7970
D7971
D7972
D7980
D7981
D7982
D7983
D7990
D7991
D7995
D7996
D7997
Dent sutur recent wnd to 5cm

Dental suture wound to 5 cm
Suture complicate wnd > 5 cm
Dental skin graft
Collect & appl blood product
Reshaping bone orthognathic
Bone cutting ramus closed
Cutting ramus open w/graft
Bone cutting segmented
Bone cutting body mandible
Reconstruction maxilla total
Reconstruct maxilla segment
Reconstruct midface no graft
Reconstruct midface w/graft
Mandible graft
Sinus aug w bone or bone sub
Sinus augmentation vertical
Bone replacement graft
Repair maxillofacial defects
Frenulectomy/frenectomy
Frenuloplasty
Excision hyperplastic tissue
Excision pericoronal gingiva
Surg redct fibrous tuberosit
Sialolithotomy
Excision of salivary gland
Sialodochoplasty
Closure of salivary fistula
Emergency tracheotomy
Dental coronoidectomy
Synthetic graft facial bones
Implant mandible for augment
Appliance removal
367
367
367
367
367
367
369
370
369
369
370
370
370
370
368
368
368
368
368
368
367
368
367
367
368
367
369
367
369
369
367
368
367
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL

Page 1277 of 6734

D7998
D7999
D8010
D8020
D8030
D8040
D8050
D8060
D8070
D8080
D8090
D8210
D8220
D8660
D8670
D8680
D8681
D8690
D8691
D8692
D8693
D8694
D8999
D9110
D9120
D9210
D9211
D9212
D9215
D9219
D9223
D9230
D9243
Intraoral place of fix dev

Oral surgery procedure
Limited dental tx primary
Limited dental tx transition
Limited dental tx adolescent
Limited dental tx adult
Intercep dental tx primary
Intercep dental tx transitn
Compre dental tx transition
Compre dental tx adolescent
Compre dental tx adult
Orthodontic rem appliance tx
Fixed appliance therapy habt
Preorthodontic tx visit
Periodic orthodontc tx visit
Orthodontic retention
Removable retainer adjust
Orthodontic treatment
Repair ortho appliance
Replacement retainer
Rebond/recement retainers
Repair fixed retainers
Orthodontic procedure
Tx dental pain minor proc
Fix partial denture section
Dent anesthesia w/o surgery
Regional block anesthesia
Trigeminal block anesthesia
Local anesthesia
Eval for deep sed/gen anesth
General anesthesia each 15m
Analgesia
Iv sedation each 15m
367
367
371
371
371
371
371
371
379
379
379
371
371
371
371
371
350
371
371
371
371
371
371
350
356
375
375
375
375
376
375
490
375

DENTAL ANESTHESIA
DENTAL ANESTHESIA
DENTAL ANESTHESIA
DENTAL ANESTHESIA
DENTAL ANESTHESIA
DENTAL ANESTHESIA
Page 1278 of 6734

D9248
D9310
D9410
D9420
D9430
D9440
D9450
D9610
D9612
D9630
D9910
D9911
D9920
D9930
D9932
D9933
D9934
D9935
D9940
D9941
D9942
D9943
D9950
D9951
D9952
D9970
D9971
D9972
D9973
D9974
D9975
D9985
D9986
Sedation (non-iv)
Dental consultation
Dental house call
Hospital/asc call
Office visit during hours
Office visit after hours
Case presentation tx plan
Dent therapeutic drug inject
Thera par drugs 2 or > admin
Other drugs/medicaments
Dent appl desensitizing med
Appl desensitizing resin
Behavior management
Treatment of complications
Clean & inspect rem dent max
Clean & inspect rem dent man
Clean rem part denture max
Clean rem part denture mand
Dental occlusal guard
Fabrication athletic guard
Repair/reline occlusal guard
Occlusal guard adjustment
Occlusion analysis
Limited occlusal adjustment
Complete occlusal adjustment
Enamel microabrasion
Odontoplasty 1-2 teeth
Extrnl bleaching per arch
Extrnl bleaching per tooth
Intrnl bleaching per tooth
External bleaching home app
Sales tax
Missed appointment
490
350
350
350
350
350
490
350
350
350
350
350
350
350
350
350
350
350
351
350
350
350
350
350
350
350
350
350
350
350
350
999
999

UNASSIGNED
UNASSIGNED
Page 1279 of 6734

D9987
D9999
E0100
E0105
E0110
E0111
E0112
E0113
E0114
E0116
E0117
E0118
E0130
E0135
E0140
E0141
E0143
E0144
E0147
E0148
E0149
E0153
E0154
E0155
E0156
E0157
E0158
E0159
E0160
E0161
E0162
E0163
E0165
Cancelled appointment
Adjunctive procedure
Cane adjust/fixed with tip
Cane adjust/fixed quad/3 pro
Crutch forearm pair
Crutch forearm each
Crutch underarm pair wood
Crutch underarm each wood
Crutch underarm pair no wood
Crutch underarm each no wood
Underarm springassist crutch
Crutch substitute
Walker rigid adjust/fixed ht
Walker folding adjust/fixed
Walker w trunk support
Rigid wheeled walker adj/fix
Walker folding wheeled w/o s
Enclosed walker w rear seat
Walker variable wheel resist
Heavyduty walker no wheels
Heavy duty wheeled walker
Forearm crutch platform atta
Walker platform attachment
Walker wheel attachment,pair
Walker seat attachment
Walker crutch attachment
Walker leg extenders set of4
Brake for wheeled walker
Sitz type bath or equipment
Sitz bath/equipment w/faucet
Sitz bath chair
Commode chair with fixed arm
Commode chair with detacharm
999
350
1002
1004
1004
1004
1003
1002
1003
1003
1006
999
1004
1004
1007
1005
1005
1006
1009
1005
1006
1004
1004
1003
1002
1004
1003
1002
1003
1003
1005
1005
1002
UNASSIGNED
UNASSIGNED
Page 1280 of 6734

E0167
E0168
E0170
E0171
E0172
E0175
E0181
E0182
E0184
E0185
E0186
E0187
E0188
E0189
E0190
E0191
E0193
E0194
E0196
E0197
E0198
E0199
E0200
E0202
E0203
E0205
E0210
E0215
E0217
E0218
E0221
E0225
E0231
Commode chair pail or pan

Heavyduty/wide commode chair
Commode chair electric
Commode chair non-electric
Seat lift mechanism toilet
Commode chair foot rest
Press pad alternating w/ pum
Replace pump, alt press pad
Dry pressure mattress
Gel pressure mattress pad
Air pressure mattress
Water pressure mattress
Synthetic sheepskin pad
Lambswool sheepskin pad
Positioning cushion
Protector heel or elbow
Powered air flotation bed
Air fluidized bed
Gel pressure mattress
Air pressure pad for mattres
Water pressure pad for mattr
Dry pressure pad for mattres
Heat lamp without stand
Phototherapy light w/ photom
Therapeutic lightbox tabletp
Heat lamp with stand
Electric heat pad standard
Electric heat pad moist
Water circ heat pad w pump
Water circ cold pad w pump
Infrared heating pad system
Hydrocollator unit
Wound warming device
1002
1005
1005
1003
999
1004
1003
1003
1006
1007
1002
1002
1003
1004
999
1001
1010
999
1003
1006
1006
1003
1004
1004
999
1006
1003
1004
1009
999
999
1008
999
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
- LEVEL 5
- LEVEL 5
AND SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
- LEVEL 6
- LEVEL 7
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4

EQUIPMENT - LEVEL 10
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
- LEVEL 6
- LEVEL 6
AND SUPPLIES
- LEVEL 4
- LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 6
AND SUPPLIES
- LEVEL 4
- LEVEL 9
EQUIPMENT - LEVEL 8
Page 1281 of 6734

E0232
E0235
E0236
E0239
E0240
E0241
E0242
E0243
E0244
E0245
E0246
E0247
E0248
E0249
E0250
E0251
E0255
E0256
E0260
E0261
E0265
E0266
E0270
E0271
E0272
E0273
E0274
E0275
E0276
E0277
E0280
E0290
E0291
Warming card for nwt

Paraffin bath unit portable
Pump for water circulating p
Hydrocollator unit portable
Bath/shower chair
Bath tub wall rail
Bath tub rail floor
Toilet rail
Toilet seat raised
Tub stool or bench
Transfer tub rail attachment
Trans bench w/wo comm open
Hdtrans bench w/wo comm open
Pad water circulating heat u
Hosp bed fixed ht w/ mattres
Hosp bed fixd ht w/o mattres
Hospital bed var ht w/ mattr
Hospital bed var ht w/o matt
Hosp bed semi-electr w/ matt
Hosp bed semi-electr w/o mat
Hosp bed total electr w/ mat
Hosp bed total elec w/o matt
Hospital bed institutional t
Mattress innerspring
Mattress foam rubber
Bed board
Over-bed table
Bed pan standard
Bed pan fracture
Powered pres-redu air mattrs
Bed cradle
Hosp bed fx ht w/o rails w/m
Hosp bed fx ht w/o rail w/o
999
1002
1003
1008
999
999
999
999
999
999
999
999
999
1005
1004
1004
1005
1004
999
1005
1005
1005
999
1006
1005
999
999
1002
1002
999
1003
1004
1003
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL

EQUIPMENT - LEVEL 8
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
5
4
4
5
4
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 6
EQUIPMENT - LEVEL 5

EQUIPMENT - LEVEL 4
Page 1282 of 6734

E0292
E0293
E0294
E0295
E0296
E0297
E0300
E0301
E0302
E0303
E0304
E0305
E0310
E0315
E0316
E0325
E0326
E0328
E0329
E0350
E0352
E0370
E0371
E0372
E0373
E0424
E0425
E0430
E0431
E0433
E0434
E0435
E0439
Hosp bed var ht w/o rail w/o

Hosp bed var ht w/o rail w/
Hosp bed semi-elect w/ mattr
Hosp bed semi-elect w/o matt
Hosp bed total elect w/ matt
Hosp bed total elect w/o mat
Enclosed ped crib hosp grade
Hd hosp bed, 350-600 lbs
Ex hd hosp bed > 600 lbs
Hosp bed hvy dty xtra wide
Hosp bed xtra hvy dty x wide
Rails bed side half length
Rails bed side full length
Bed accessory brd/tbl/supprt
Bed safety enclosure
Urinal male jug-type
Urinal female jug-type
Ped hospital bed, manual
Ped hospital bed semi/elect
Control unit bowel system
Disposable pack w/bowel syst
Air elevator for heel
Nonpower mattress overlay
Powered air mattress overlay
Nonpowered pressure mattress
Stationary compressed gas 02
Gas system stationary compre
Oxygen system gas portable
Portable gaseous 02
Portable liquid oxygen sys
Portable liquid 02
Oxygen system liquid portabl
Stationary liquid 02
1004
1004
1005
1005
1005
1005
1012
1006
1009
1006
1009
1002
1005
999
1005
1001
1002
999
999
999
999
999
1008
1008
1009
999
999
999
999
999
999
999
999
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 12
- LEVEL 6
- LEVEL 9
- LEVEL 6
- LEVEL 9
AND SUPPLIES
- LEVEL 5
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 8
EQUIPMENT - LEVEL 8
EQUIPMENT - LEVEL 9
Page 1283 of 6734

E0440
E0441
E0442
E0443
E0444
E0445
E0446
E0455
E0457
E0459
E0462
E0465
E0466
E0470
E0471
E0472
E0480
E0481
E0482
E0483
E0484
E0485
E0486
E0487
E0500
E0550
E0555
E0560
E0561
E0562
E0565
E0570
E0572
Oxygen system liquid station

Stationary o2 contents, gas
Stationary o2 contents, liq
Portable 02 contents, gas
Portable 02 contents, liquid
Oximeter non-invasive
Topical ox deliver sys, nos
Oxygen tent excl croup/ped t
Chest shell
Chest wrap
Rocking bed w/ or w/o side r
Home vent invasive interface
Home vent non-invasive inter
Rad w/o backup non-inv intfc
Rad w/backup non inv intrfc
Rad w backup invasive intrfc
Percussor elect/pneum home m
Intrpulmnry percuss vent sys
Cough stimulating device
Chest compression gen system
Non-elec oscillatory pep dvc
Oral device/appliance prefab
Oral device/appliance cusfab
Electronic spirometer
Ippb all types
Humidif extens supple w ippb
Humidifier for use w/ regula
Humidifier supplemental w/ i
Humidifier nonheated w pap
Humidifier heated used w pap
Compressor air power source
Nebulizer with compression
Aerosol compressor adjust pr
999
999
999
999
999
999
999
999
1009
1004
1007
1011
1011
1006
1009
1009
1003
999
1008
1011
1003
999
999
999
1005
1004
999
1005
1004
1006
1004
999
1003
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 9
- LEVEL 4
- LEVEL 7
- LEVEL 11
- LEVEL 11
- LEVEL 6
- LEVEL 9
- LEVEL 9
AND SUPPLIES
EQUIPMENT - LEVEL 8
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
5
4
6
4
Page 1284 of 6734

E0574
E0575
E0580
E0585
E0600
E0601
E0602
E0603
E0604
E0605
E0606
E0607
E0610
E0615
E0616
E0617
E0618
E0619
E0620
E0621
E0625
E0627
E0628
E0629
E0630
E0635
E0636
E0637
E0638
E0639
E0640
E0641
E0642
Ultrasonic generator w svneb

Nebulizer ultrasonic
Nebulizer for use w/ regulat
Nebulizer w/ compressor & he
Suction pump portab hom modl
Cont airway pressure device
Manual breast pump
Electric breast pump
Hosp grade elec breast pump
Vaporizer room type
Drainage board postural
Blood glucose monitor home
Pacemaker monitr audible/vis
Pacemaker monitr digital/vis
Cardiac event recorder
Automatic ext defibrillator
Apnea monitor
Apnea monitor w recorder
Cap bld skin piercing laser
Patient lift sling or seat
Patient lift bathroom or toi
Seat lift incorp lift-chair
Seat lift for pt furn-electr
Seat lift for pt furn-non-el
Patient lift hydraulic
Patient lift electric
Pt support & positioning sys
Combination sit to stand sys
Standing frame sys
Moveable patient lift system
Fixed patient lift system
Multi-position stnd fram sys
Dynamic standing frame
1003
1005
1005
1003
1003
1005
1003
999
999
1003
1002
999
1006
1009
490
1007
1006
999
1010
1005
999
1007
1007
1007
1005
1005
1011
999
999
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1285 of 6734

E0650
E0651
E0652
E0655
E0656
E0657
E0660
E0665
E0666
E0667
E0668
E0669
E0670
E0671
E0672
E0673
E0675
E0676
E0691
E0692
E0693
E0694
E0700
E0705
E0710
E0720
E0730
E0731
E0740
E0744
E0745
E0746
E0747
Pneuma compresor non-segment

Pneum compressor segmental
Pneum compres w/cal pressure
Pneumatic appliance half arm
Segmental pneumatic trunk
Segmental pneumatic chest
Pneumatic appliance full leg
Pneumatic appliance full arm
Pneumatic appliance half leg
Seg pneumatic appl full leg
Seg pneumatic appl full arm
Seg pneumatic appli half leg
Seg pneum int legs/trunk
Pressure pneum appl full leg
Pressure pneum appl full arm
Pressure pneum appl half leg
Pneumatic compression device
Inter limb compress dev nos
Uvl pnl 2 sq ft or less
Uvl sys panel 4 ft
Uvl sys panel 6 ft
Uvl md cabinet sys 6 ft
Safety equipment
Transfer device
Restraints any type
Tens two lead
Tens four lead
Conductive garment for tens/
Incontinence treatment systm
Neuromuscular stim for scoli
Neuromuscular stim for shock
Electromyograph biofeedback
Elec osteogen stim not spine
1010
1010
1015
1005
1009
1009
1005
1005
1005
1007
1008
1005
1009
1008
1007
1006
1008
999
1010
1011
1011
1014
999
1004
999
1007
1007
1007
1009
1004
1004
999
1014
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
10
10
15
5
9
9
5
5
5
7
8
5
9
8
7
6
8
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
10
11
11
14
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
7
7
7
9
4
4
Page 1286 of 6734

E0748
E0749
E0755
E0760
E0761
E0762
E0764
E0765
E0766
E0769
E0770
E0776
E0779
E0780
E0781
E0782
E0783
E0784
E0785
E0786
E0791
E0830
E0840
E0849
E0850
E0855
E0856
E0860
E0870
E0880
E0890
E0900
E0910
Elec osteogen stim spinal

Elec osteogen stim implanted
Electronic salivary reflex s
Osteogen ultrasound stimltor
Nontherm electromgntc device
Trans elec jt stim dev sys
Functional neuromuscularstim
Nerve stimulator for tx n&v
Elec stim cancer treatment
Electric wound treatment dev
Functional electric stim nos
Iv pole
Amb infusion pump mechanical
Mech amb infusion pump <8hrs
External ambulatory infus pu
Non-programble infusion pump
Programmable infusion pump
Ext amb infusn pump insulin
Replacement impl pump cathet
Implantable pump replacement
Parenteral infusion pump sta
Ambulatory traction device
Tract frame attach headboard
Cervical pneum trac equip
Traction stand free standing
Cervical traction equipment
Cervic collar w air bladders
Tract equip cervical tract
Tract frame attach footboard
Trac stand free stand extrem
Traction frame attach pelvic
Trac stand free stand pelvic
Trapeze bar attached to bed
1014
1006
999
1013
999
1011
1018
1004
1004
999
999
1005
1002
1001
1006
1014
1016
1008
1008
1016
1007
999
1004
1009
1005
1009
1005
1003
1005
1005
1005
1005
1002
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT - LEVEL 6
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
11
18
4
4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 6
- LEVEL 14
- LEVEL 16
- LEVEL 8
- LEVEL 8
- LEVEL 16
- LEVEL 7
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 4
- LEVEL 9
- LEVEL 5
- LEVEL 9
- LEVEL 5
AND SUPPLIES
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 5
AND SUPPLIES
Page 1287 of 6734

E0911
E0912
E0920
E0930
E0935
E0936
E0940
E0941
E0942
E0944
E0945
E0946
E0947
E0948
E0950
E0951
E0952
E0955
E0956
E0957
E0958
E0959
E0960
E0961
E0966
E0967
E0968
E0969
E0970
E0971
E0973
E0974
E0978
Hd trapeze bar attach to bed

Hd trapeze bar free standing
Fracture frame attached to b
Fracture frame free standing
Cont pas motion exercise dev
Cpm device, other than knee
Trapeze bar free standing
Gravity assisted traction de
Cervical head harness/halter
Pelvic belt/harness/boot
Belt/harness extremity
Fracture frame dual w cross
Fracture frame attachmnts pe
Fracture frame attachmnts ce
Tray
Loop heel
Toe loop/holder, each
Cushioned headrest
W/c lateral trunk/hip suppor
W/c medial thigh support
Whlchr att- conv 1 arm drive
Amputee adapter
W/c shoulder harness/straps
Wheelchair brake extension
Wheelchair head rest extensi
Manual wc hand rim w project
Wheelchair commode seat
Wheelchair narrowing device
Wheelchair no. 2 footplates
Wheelchair anti-tipping devi
W/ch access det adj armrest
W/ch access anti-rollback
W/c acc,saf belt pelv strap
1003
1005
1003
1003
1002
999
1003
1003
1002
1003
1003
1004
1009
1009
1005
1002
1002
1006
1005
1005
1003
1003
1004
1003
1004
1004
1002
1005
999
1003
1005
1004
1003
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 9
- LEVEL 9
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 6
- LEVEL 5
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
- LEVEL 4
- LEVEL 4
AND SUPPLIES
- LEVEL 5
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
- LEVEL 5
- LEVEL 4
AND SUPPLIES
Page 1288 of 6734

E0980
E0981
E0982
E0983
E0984
E0985
E0986
E0988
E0990
E0992
E0994
E0995
E1002
E1003
E1004
E1005
E1006
E1007
E1008
E1009
E1010
E1011
E1012
E1014
E1015
E1016
E1017
E1018
E1020
E1028
E1029
E1030
E1031
Wheelchair safety vest

Seat upholstery, replacement
Back upholstery, replacement
Add pwr joystick
Add pwr tiller
W/c seat lift mechanism
Man w/c push-rim powr system
Lever-activated wheel drive
Wheelchair elevating leg res
Wheelchair solid seat insert
Wheelchair arm rest
Wheelchair calf rest
Pwr seat tilt
Pwr seat recline
Pwr seat recline mech
Pwr seat recline pwr
Pwr seat combo w/o shear
Pwr seat combo w/shear
Pwr seat combo pwr shear
Add mech leg elevation
Add pwr leg elevation
Ped wc modify width adjustm
Ctr mount pwr elev leg rest
Reclining back add ped w/c
Shock absorber for man w/c
Shock absorber for power w/c
Hd shck absrbr for hd man wc
Hd shck absrber for hd powwc
Residual limb support system
W/c manual swingaway
W/c vent tray fixed
W/c vent tray gimbaled
Rollabout chair with casters
1003
1003
1004
1006
1012
1006
1015
1005
1005
1004
1002
1003
1014
1014
1015
1015
1015
1017
1017
999
1011
999
456
1007
1005
1005
999
999
1006
1006
1007
1011
1004

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1289 of 6734

E1035
E1036
E1037
E1038
E1039
E1050
E1060
E1070
E1083
E1084
E1085
E1086
E1087
E1088
E1089
E1090
E1092
E1093
E1100
E1110
E1130
E1140
E1150
E1160
E1161
E1170
E1171
E1172
E1180
E1190
E1195
E1200
E1220
Patient transfer system <300

Patient transfer system >300
Transport chair, ped size
Transport chair pt wt<=300lb
Transport chair pt wt >300lb
Whelchr fxd full length arms
Wheelchair detachable arms
Wheelchair detachable foot r
Hemi-wheelchair fixed arms
Hemi-wheelchair detachable a
Hemi-wheelchair fixed arms
Hemi-wheelchair detachable a
Wheelchair lightwt fixed arm
Wheelchair lightweight det a
Wheelchair lightweight det a
Wheelchair wide w/ leg rests
Wheelchair wide w/ foot rest
Whchr s-recl fxd arm leg res
Wheelchair semi-recl detach
Whlchr stand fxd arm ft rest
Wheelchair standard detach a
Wheelchair standard w/ leg r
Wheelchair fixed arms
Manual adult wc w tiltinspac
Whlchr ampu fxd arm leg rest
Wheelchair amputee w/o leg r
Wheelchair amputee detach ar
Wheelchair amputee w/ foot r
Wheelchair amputee w/ leg re
Wheelchair amputee heavy dut
Wheelchair amputee fixed arm
Whlchr special size/constrc
1009
1010
1005
1002
1003
1005
1005
1005
1004
1005
999
999
1005
1005
999
999
1005
1005
1005
1005
999
999
1004
1004
1012
1004
1004
1005
1005
1005
1005
1004
453
DURABLE MEDICAL EQUIPMENT

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
- LEVEL 9
- LEVEL 10
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 5
LEVEL
LEVEL
LEVEL
LEVEL
5
5
5
5
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
4
4
12
4
4
5
5
5
5
4
Page 1290 of 6734

E1221
E1222
E1223
E1224
E1225
E1226
E1227
E1228
E1229
E1230
E1231
E1232
E1233
E1234
E1235
E1236
E1237
E1238
E1239
E1240
E1250
E1260
E1270
E1280
E1285
E1290
E1295
E1296
E1297
E1298
E1300
E1310
E1352
Wheelchair spec size w foot

Wheelchair spec size w/ leg
Wheelchair spec size w foot
Wheelchair spec size w/ leg
Manual semi-reclining back
Manual fully reclining back
Wheelchair spec sz spec ht a
Wheelchair spec sz spec ht b
Pediatric wheelchair nos
Power operated vehicle
Rigid ped w/c tilt-in-space
Folding ped wc tilt-in-space
Rig ped wc tltnspc w/o seat
Fld ped wc tltnspc w/o seat
Rigid ped wc adjustable
Folding ped wc adjustable
Rgd ped wc adjstabl w/o seat
Fld ped wc adjstabl w/o seat
Ped power wheelchair nos
Whchr litwt det arm leg rest
Wheelchair lightwt foot rest
Wheelchair lightweight leg r
Whchr h-duty det arm leg res
Wheelchair heavy duty fixed
Wheelchair hvy duty detach a
Wheelchair heavy duty fixed
Wheelchair special seat heig
Wheelchair special seat dept
Wheelchair spec seat depth/w
Whirlpool portable
Whirlpool non-portable
O2 flow reg pos inspir press
1003
1004
1004
1004
1003
1009
1006
1003
999
1012
999
1012
1012
1012
1011
1011
1011
1011
999
1005
999
999
1004
1005
999
999
1005
1009
1005
1008
999
1012
999
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
- LEVEL 9
- LEVEL 6
AND SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
12
12
12
11
11
11
11
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 4
EQUIPMENT - LEVEL 5
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
5
9
5
8
Page 1291 of 6734

E1353
E1354
E1355
E1356
E1357
E1358
E1372
E1390
E1391
E1392
E1399
E1405
E1406
E1500
E1510
E1520
E1530
E1540
E1550
E1560
E1570
E1575
E1580
E1590
E1592
E1594
E1600
E1610
E1615
E1620
E1625
E1630
E1632
Oxygen supplies regulator

Wheeled cart, port cyl/conc
Oxygen supplies stand/rack
Batt pack/cart, port conc
Battery charger, port conc
Dc power adapter, port conc
Oxy suppl heater for nebuliz
Oxygen concentrator
Oxygen concentrator, dual
Portable oxygen concentrator
Durable medical equipment mi
O2/water vapor enrich w/heat
O2/water vapor enrich w/o he
Centrifuge
Kidney dialysate delivry sys
Heparin infusion pump
Replacement air bubble detec
Replacement pressure alarm
Bath conductivity meter
Replace blood leak detector
Adjustable chair for esrd pt
Transducer protect/fld bar
Unipuncture control system
Hemodialysis machine
Auto interm peritoneal dialy
Cycler dialysis machine
Deli/install chrg hemo equip
Reverse osmosis h2o puri sys
Deionizer h2o puri system
Replacement blood pump
Water softening system
Reciprocating peritoneal dia
Wearable artificial kidney
1003
999
1002
999
999
999
1005
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1292 of 6734

E1634
E1635
E1636
E1637
E1639
E1699
E1700
E1701
E1702
E1800
E1801
E1802
E1805
E1806
E1810
E1811
E1812
E1815
E1816
E1818
E1820
E1821
E1825
E1830
E1831
E1840
E1841
E1902
E2000
E2100
E2101
E2120
E2201
Peritoneal dialysis clamp

Compact travel hemodialyzer
Sorbent cartridges per 10
Hemostats for dialysis, each
Dialysis scale
Dialysis equipment noc
Jaw motion rehab system
Repl cushions for jaw motion
Repl measr scales jaw motion
Adjust elbow ext/flex device
Sps elbow device
Adjst forearm pro/sup device
Adjust wrist ext/flex device
Sps wrist device
Adjust knee ext/flex device
Sps knee device
Knee ext/flex w act res ctrl
Adjust ankle ext/flex device
Sps ankle device
Sps forearm device
Soft interface material
Replacement interface spsd
Adjust finger ext/flex devc
Adjust toe ext/flex device
Static str toe dev ext/flex
Adj shoulder ext/flex device
Static str shldr dev rom adj
Aac non-electronic board
Gastric suction pump hme mdl
Bld glucose monitor w voice
Bld glucose monitor w lance
Pulse gen sys tx endolymp fl
Man w/ch acc seat w>=20"<24"
999
999
999
999
999
999
1007
1002
1002
1005
1005
1007
1005
1005
1005
1005
1004
1005
1005
1005
1004
1005
1005
1005
1004
1008
1008
999
1004
1009
1005
1006
1007
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 7
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
- LEVEL 5
- LEVEL 7
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 8
- LEVEL 8
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
4
9
5
6
7
Page 1293 of 6734

E2202
E2203
E2204
E2205
E2206
E2207
E2208
E2209
E2210
E2211
E2212
E2213
E2214
E2215
E2216
E2217
E2218
E2219
E2220
E2221
E2222
E2224
E2225
E2226
E2227
E2228
E2230
E2231
E2291
E2292
E2293
E2294
E2295
Seat width 24-27 in

Frame depth less than 22 in
Frame depth 22 to 25 in
Manual wc accessory, handrim
Complete wheel lock assembly
Crutch and cane holder
Cylinder tank carrier
Arm trough each
Wheelchair bearings
Pneumatic propulsion tire
Pneumatic prop tire tube
Pneumatic prop tire insert
Pneumatic caster tire each
Pneumatic caster tire tube
Foam filled propulsion tire
Foam filled caster tire each
Foam propulsion tire each
Foam caster tire any size ea
Solid propulsion tire each
Solid caster tire each
Solid caster integrated whl
Propulsion whl excludes tire
Caster wheel excludes tire
Caster fork replacement only
Gear reduction drive wheel
Mwc acc, wheelchair brake
Manual standing system
Solid seat support base
Planar back for ped size wc
Planar seat for ped size wc
Contour back for ped size wc
Contour seat for ped size wc
Ped dynamic seating frame
1008
1009
1010
1003
1003
1003
1005
1005
1001
1003
1001
1003
1003
1001
999
999
999
1003
1003
1003
1002
1005
1002
1003
1011
1010
999
1005
999
999
999
999
999
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 8
- LEVEL 9
- LEVEL 10
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 11
- LEVEL 10
EQUIPMENT - LEVEL 5
Page 1294 of 6734

E2300
E2301
E2310
E2311
E2312
E2313
E2321
E2322
E2323
E2324
E2325
E2326
E2327
E2328
E2329
E2330
E2331
E2340
E2341
E2342
E2343
E2351
E2358
E2359
E2360
E2361
E2362
E2363
E2364
E2365
E2366
E2367
E2368
Pwr seat elevation sys

Pwr standing
Electro connect btw control
Electro connect btw 2 sys
Mini-prop remote joystick
Pwc harness, expand control
Hand interface joystick
Mult mech switches
Special joystick handle
Chin cup interface
Sip and puff interface
Breath tube kit
Head control interface mech
Head/extremity control inter
Head control nonproportional
Head control proximity switc
Attendant control
W/c wdth 20-23 in seat frame
W/c wdth 24-27 in seat frame
W/c dpth 20-21 in seat frame
W/c dpth 22-25 in seat frame
Electronic sgd interface
Gr 34 nonsealed leadacid
Gr34 sealed leadacid battery
22nf nonsealed leadacid
22nf sealed leadacid battery
Gr24 nonsealed leadacid
U1nonsealed leadacid battery
U1 sealed leadacid battery
Battery charger, single mode
Battery charger, dual mode
Pwr wc drivewheel motor repl
456
456
1011
1012
1012
1007
1012
1012
1004
1003
1011
1007
1013
1015
1011
1013
456
1007
1009
1008
1010
1009
1009
1009
1005
1005
1004
1005
1005
1005
1006
1008
1009

Page 1295 of 6734

E2369
E2370
E2371
E2372
E2373
E2374
E2375
E2376
E2377
E2378
E2381
E2382
E2383
E2384
E2385
E2386
E2387
E2388
E2389
E2390
E2391
E2392
E2394
E2395
E2396
E2397
E2402
E2500
E2502
E2504
E2506
E2508
E2510
Pwr wc drivewheel gear repl

Pwr wc dr wh motor/gear comb
Gr27 non-sealed leadacid
Hand/chin ctrl spec joystick
Hand/chin ctrl std joystick
Non-expandable controller
Expandable controller, repl
Expandable controller, initl
Pw actuator replacement
Pneum drive wheel tire
Tube, pneum wheel drive tire
Insert, pneum wheel drive
Pneumatic caster tire
Tube, pneumatic caster tire
Foam filled drive wheel tire
Foam filled caster tire
Foam drive wheel tire
Foam caster tire
Solid drive wheel tire
Solid caster tire
Solid caster tire, integrate
Drive wheel excludes tire
Caster wheel excludes tire
Caster fork
Pwc acc, lith-based battery
Neg press wound therapy pump
Sgd digitized pre-rec <=8min
Sgd prerec msg >8min <=20min
Sgd prerec msg>20min <=40min
Sgd prerec msg > 40 min
Sgd spelling phys contact
Sgd w multi methods msg/accs
1008
1010
1005
456
1011
1009
1010
1011
1009
1009
1004
1002
1005
1004
1004
1005
1004
1004
1003
1003
1002
1004
1004
1004
1004
1008
1011
1008
1011
1011
1012
1013
1016

Page 1296 of 6734

E2511
E2512
E2599
E2601
E2602
E2603
E2604
E2605
E2606
E2607
E2608
E2609
E2610
E2611
E2612
E2613
E2614
E2615
E2616
E2617
E2619
E2620
E2621
E2622
E2623
E2624
E2625
E2626
E2627
E2628
E2629
E2630
E2631
Sgd sftwre prgrm for pc/pda

Sgd accessory, mounting sys
Sgd accessory noc
Gen w/c cushion wdth < 22 in
Gen w/c cushion wdth >=22 in
Skin protect wc cus wd <22in
Skin protect wc cus wd>=22in
Position wc cush wdth <22 in
Position wc cush wdth>=22 in
Skin pro/pos wc cus wd <22in
Skin pro/pos wc cus wd>=22in
Custom fabricate w/c cushion
Powered w/c cushion
Gen use back cush wdth <22in
Gen use back cush wdth>=22in
Position back cush wd <22in
Position back cush wd>=22in
Pos back post/lat wdth <22in
Pos back post/lat wdth>=22in
Custom fab w/c back cushion
Replace cover w/c seat cush
Wc planar back cush wd <22in
Wc planar back cush wd>=22in
Adj skin pro w/c cus wd<22in
Adj skin pro wc cus wd>=22in
Adj skin pro/pos cus<22in
Adj skin pro/pos wc cus>=22
Seo mobile arm sup att to wc
Arm supp att to wc rancho ty
Mobile arm supports reclinin
Friction dampening arm supp
Monosuspension arm/hand supp
Elevat proximal arm support
999
999
999
1004
1005
1005
1005
1006
1008
1007
1007
999
999
1007
1008
1008
1009
1008
1009
999
1004
1009
1009
1007
1008
1007
1008
1009
1011
1010
1011
1009
1006
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
4
5
5
5
6
8
7
7
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
7
8
8
9
8
9
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
4
9
9
7
8
7
8
9
11
10
11
9
6
Page 1297 of 6734

E2632
E2633
E8000
E8001
E8002
G0008
G0009
G0010
G0027
G0101
G0102
G0103
G0104
G0105
G0106
G0108
G0109
G0117
G0118
G0120
G0121
G0122
G0123
G0124
G0127
G0128
G0129
G0130
G0141
G0143
G0144
G0145
G0147
Offset/lat rocker arm w/ela

Mobile arm support supinator
Posterior gait trainer
Upright gait trainer
Anterior gait trainer
Admin influenza virus vac
Admin pneumococcal vaccine
Admin hepatitis b vaccine
Semen analysis
Ca screen;pelvic/breast exam
Prostate ca screening; dre
Psa screening
Ca screen;flexi sigmoidscope
Colorectal scrn; hi risk ind
Colon ca screen;barium enema
Diab manage trn per indiv
Diab manage trn ind/group
Glaucoma scrn hgh risk direc
Glaucoma scrn hgh risk direc
Colon ca scrn; barium enema
Colon ca scrn not hi rsk ind
Colon ca scrn; barium enema
Screen cerv/vag thin layer
Screen c/v thin layer by md
Trim nail(s)
Corf skilled nursing service
Partial hosp prog service
Single energy x-ray study
Scr c/v cyto,autosys and md
Scr c/v cyto,thinlayer,rescr
Scr c/v cyto, automated sys
1005
1005
999
999
999
459
459
459
390
392
490
400
132
149
132
428
429
491
230
285
149
287
392
392
5
270
270
291
392
392
392
392
392

UNASSIGNED
UNASSIGNED
UNASSIGNED
LEVEL I PATHOLOGY
PAP SMEARS
DIGESTIVE RADIOLOGY
PAP SMEARS
PAP SMEARS
NAIL PROCEDURES
BONE DENSITOMETRY
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
PAP SMEARS
Page 1298 of 6734

G0148
G0151
G0152
G0153
G0155
G0156
G0157
G0158
G0159
G0160
G0161
G0162
G0163
G0164
G0166
G0168
G0175
G0176
G0177
G0179
G0180
G0181
G0182
G0186
G0202
G0204
G0206
G0219
G0235
G0237
G0238
G0239
G0245
Scr c/v cyto, autosys, rescr

Hhcp-serv of pt,ea 15 min
Hhcp-serv of ot,ea 15 min
Hhcp-svs of s/l path,ea 15mn
Hhcp-svs of csw,ea 15 min
Hhcp-svs of aide,ea 15 min
Hhc pt assistant ea 15
Hhc ot assistant ea 15
Hhc pt maint ea 15 min
Hhc occup therapy ea 15
Hhc slp ea 15 min
Hhc rn e&m plan svs, 15 min
Hhc lpn/rn obs/asses ea 15
Hhc lis nurse train ea 15
Extrnl counterpulse, per tx
Wound closure by adhesive
Opps service,sched team conf
Opps/php;activity therapy
Opps/php; train & educ serv
Md recertification hha pt
Md certification hha patient
Dstry eye lesn,fdr vssl tech
Screeningmammographydigital
Diagnosticmammographydigital
Diagnosticmammographydigital
Pet img wholbod melano nonco
Pet not otherwise specified
Therapeutic procd strg endur
Oth resp proc, indiv
Oth resp proc, group
Initial foot exam pt lops
392
270
270
272
999
999
999
999
999
999
999
999
999
999
487
12
999
319
319
490
490
490
490
232
286
286
286
290
290
65
65
425
491
PAP SMEARS
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
LEVEL I SKIN REPAIR
UNASSIGNED
ACTIVITY THERAPY
ACTIVITY THERAPY
PET SCANS
PET SCANS
RESPIRATORY THERAPY
RESPIRATORY THERAPY
Page 1299 of 6734

G0246
G0247
G0248
G0249
G0250
G0252
G0255
G0257
G0259
G0260
G0268
G0269
G0270
G0271
G0276
G0277
G0278
G0279
G0281
G0282
G0283
G0288
G0289
G0293
G0294
G0295
G0296
G0297
G0299
G0300
G0302
G0303
G0304
Followup eval of foot pt lop

Routine footcare pt w lops
Demonstrate use home inr mon
Provide inr test mater/equip
Md inr test revie inter mgmt
Pet imaging initial dx
Current percep threshold tst
Unsched dialysis esrd pt hos
Inject for sacroiliac joint
Inj for sacroiliac jt anesth
Removal of impacted wax md
Occlusive device in vein art
Mnt subs tx for change dx
Group mnt 2 or more 30 mins
Pild/placebo control clin tr
Hbot, full body chamber, 30m
Iliac art angio,cardiac cath
Tomosynthesis, mammo
Elec stim unattend for press
Elect stim wound care not pd
Elec stim other than wound
Recon, cta for surg plan
Arthro, loose body + chondro
Non-cov surg proc,clin trial
Non-cov proc, clinical trial
Electromagnetic therapy onc
Visit to determ ldct elig
Ldct for lung ca screen
HHS/hospice of RN ea 15 min
HHS/hospice of LPN ea 15 min
Pre-op service lvrs complete
Pre-op service lvrs 10-15dos
Pre-op service lvrs 1-9 dos
491
491
428
490
490
290
213
168
49
49
489
490
118
118
218
13
490
286
12
12
271
490
490
425
489
490
491
301
491
491
999
999
999

PET SCANS
HEMODIALYSIS
NUTRITION THERAPY
NUTRITION THERAPY
LEVEL I SKIN REPAIR
LEVEL I SKIN REPAIR
PHYSICAL THERAPY
CAT SCAN - OTHER
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1300 of 6734

G0305
G0306
G0307
G0328
G0329
G0333
G0337
G0339
G0340
G0341
G0342
G0343
G0364
G0365
G0372
G0378
G0379
G0380
G0381
G0382
G0383
G0384
G0389
G0390
G0396
G0397
G0398
G0399
G0400
G0402
G0403
G0404
G0405
Post op service lvrs min 6

Cbc/diffwbc w/o platelet
Cbc without platelet
Fecal blood scrn immunoassay
Electromagntic tx for ulcers
Dispense fee initial 30 day
Hospice evaluation preelecti
Robot lin-radsurg com, first
Robt lin-radsurg fractx 2-5
Percutaneous islet celltrans
Laparoscopy islet cell trans
Laparotomy islet cell transp
Bone marrow aspirate &biopsy
Vessel mapping hemo access
Md service required for pmd
Hospital observation per hr
Direct refer hospital observ
Lev 1 hosp type b ed visit
Ultrasound exam aaa screen
Trauma respons w/hosp criti
Alcohol/subs interv 15-30mn
Alcohol/subs interv >30 min
Home sleep test/type 2 porta
Initial preventive exam
Ekg for initial prevent exam
Ekg tracing for initial prev
Ekg interpret & report preve
999
408
408
400
12
490
999
346
346
993
148
993
490
288
999
450
492
491
491
491
491
491
288
491
315
316
489
489
489
491
413
413
413
UNASSIGNED
LEVEL I SKIN REPAIR
UNASSIGNED
RADIOSURGERY
RADIOSURGERY
UNASSIGNED
OBSERVATION
ENCOUNTER/REFERRAL FOR OBSERVATION IND
CARDIOGRAM
CARDIOGRAM
CARDIOGRAM
Page 1301 of 6734

G0406
G0407
G0408
G0409
G0410
G0411
G0412
G0413
G0414
G0415
G0416
G0420
G0421
G0422
G0423
G0424
G0425
G0426
G0427
G0428
G0429
G0432
G0433
G0435
G0436
G0437
G0438
G0439
G0442
G0443
G0444
G0445
G0446
Inpt/tele follow up 15
Corf related serv 15 mins ea
Grp psych partial hosp 45-50
Inter active grp psych parti
Open tx iliac spine uni/bil
Pelvic ring fracture uni/bil
Pelvic ring fx treat int fix
Open tx post pelvic fxcture
Prostate biopsy, any mthd
Ed svc ckd ind per session
Ed svc ckd grp per session
Intens cardiac rehab w/exerc
Intens cardiac rehab no exer
Pulmonary rehab w exer
Inpt/ed teleconsult30
Collagen meniscus implant
Dermal filler injection(s)
Eia hiv-1/hiv-2 screen
Elisa hiv-1/hiv-2 screen
Oral hiv-1/hiv-2 screen
Tobacco-use counsel 3-10 min
Tobacco-use counsel>10min
Ppps, initial visit
Ppps, subseq visit
Annual alcohol screen 15 min
Brief alcohol misuse counsel
Depression screen annual
High inten beh couns std 30m
Intens behave ther cardio dx
993
993
993
490
318
318
32
32
32
32
390
428
429
94
94
66
491
491
491
490
435
396
396
396
451
451
491
491
324
324
324
316
491

GROUP PSYCHOTHERAPY
GROUP PSYCHOTHERAPY
LEVEL I PATHOLOGY
MENTAL HEALTH SCREENING & BRIEF ASSESS
Page 1302 of 6734

G0447
G0448
G0451
G0452
G0453
G0454
G0455
G0458
G0459
G0460
G0463
G0466
G0467
G0468
G0469
G0470
G0471
G0472
G0473
G0475
G0476
G0477
G0478
G0479
G0480
G0481
G0482
G0483
G0913
G0914
G0915
G0916
G0917
Behavior counsel obesity 15m

Place perm pacing cardiovert
Devlopment test interpt&rep
Molecular pathology interpr
Cont intraop neuro monitor
Md document visit by npp
Fecal microbiota prep instil
Ldr prostate brachy comp rat
Telehealth inpt pharm mgmt
Autologous prp for ulcers
Hospital outpt clinic visit
Fqhc visit new patient
Fqhc visit, estab pt
Fqhc visit, ippe or awv
Fqhc visit, mh new pt
Fqhc visit, mh estab pt
Ven blood coll snf/hha
Hep c screen high risk/other
Group behave couns 2-10
Hiv combination assay
Hpv combo assay ca screen
Drug test presump optical
Drug test presump opt inst
Drug test presump not opt
Drug test def 1-7 classes
Drug test def 22+ classes
Improve visual funct
Survey not complete
No improve visual funct
Satisfy with care
Satisfy survey not complete
491
993
490
490
490
490
490
343
993
7
491
490
490
490
490
490
425
400
118
394
397
404
404
404
405
405
405
405
490
490
490
490
490

NUTRITION THERAPY
TOXICOLOGY TESTS
TOXICOLOGY TESTS
TOXICOLOGY TESTS
Page 1303 of 6734

G0918
G3001
G6001
G6002
G6003
G6004
G6005
G6006
G6007
G6008
G6009
G6010
G6011
G6012
G6013
G6014
G6015
G6016
G6017
G8395
G8396
G8397
G8398
G8399
G8400
G8401
G8404
G8405
G8410
G8415
G8416
G8417
G8418
No satisfy with care

Admin + supply, tositumomab
Echo guidance radiotherapy
Stereoscopic x-ray guidance
Radiation tx delivery imrt
Delivery comp imrt
Intrafraction track motion
Lvef>=40% doc normal or mild
Lvef not performed
Dil macula/fundus exam/w doc
Dil macular/fundus not perfo
Pt w/dxa results document
Pt w/dxa no results doc
Pt inelig osteo screen measu
Low extemity neur exam docum
Low extemity neur not perfor
Eval on foot documented
Eval on foot not performed
Pt inelig footwear evaluatio
Calc bmi abv up param f/u
Calc bmi blw low param f/u
490
460
472
474
341
343
343
343
343
343
343
343
343
343
343
343
343
477
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490

ULTRASOUND GUIDANCE
Page 1304 of 6734

G8419
G8420
G8421
G8422
G8427
G8428
G8430
G8431
G8432
G8433
G8442
G8450
G8451
G8452
G8458
G8460
G8461
G8465
G8473
G8474
G8475
G8476
G8477
G8478
G8482
G8483
G8484
G8485
G8486
G8487
G8489
G8490
G8491
Calc bmi out nrm param nof/u

Calc bmi norm parameters
Bmi not calculated
Pt inelig bmi calculation
Doc cur meds by prov
Cur meds not document
Pt inelig med check
Pos clin depres scrn f/u doc
Clin depression screen not d
Pt inelig; scrn clin dep
Pt inelig pain assessment
Beta-bloc rx pt w/abn lvef
Pt w/abn lvef inelig b-bloc
Pt w/abn lvef b-bloc no rx
Pt inelig geno no antvir tx
Pt inelig rna no antvir tx
Pt rec antivir treat hep c
High risk recurrence pro ca
Ace/arb thxpy rx'd
Ace/arb not rx'd; doc reas
Ace/arb thxpy not rx'd
Bp sys <140 and dias <90
Bp sys>=140 and/or dias >=90
Bp not performed/doc
Flu immunize order/admin
Flu imm no admin doc rea
Flu immunize no admin
Report, diabetes measures
Report, prev care measures
Report ckd measures
Cad measures grp
Ra measures grp
Hiv/aids measures grp
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1305 of 6734

G8494
G8495
G8496
G8497
G8498
G8499
G8500
G8506
G8509
G8510
G8511
G8535
G8536
G8539
G8540
G8541
G8542
G8543
G8544
G8545
G8548
G8549
G8551
G8559
G8560
G8561
G8562
G8563
G8564
G8565
G8566
G8567
G8568
Dm meas qual act perform

Ckd meas qual act perform
Prev care mg qual act perfrm
Cabg meas qual act perform
Cad meas qual act perform
Ra meas qual act perform
Hiv meas qual act perform
Pt rec ace/arb
Pos pain assess no f/u doc
Pt inelig neg scrn depres
Clin depres scrn no f/u doc
Pt inelig no eld mal scrn
No doc elder mal scrn
Doc funct and care plan
Pt inelig funct assess
No doc cur funct assess
Doc funct no deficiencies
Cur funct asses; no care pln
Cabg measures grp
Hepc measures grp
Hf measures grp
Hepc mg qual act perform
Hf mg qual act perform
Pt ref doc oto eval
Pt hx act drain prev 90 days
Pt inelig for ref oto eval
Pt no hx act drain 90 d
Pt no ref oto reas no spec
Pt ref oto eval
Ver doc hear loss
Pt inelig ref oto eval
Pt no doc hear loss
Pt no ref otolo no spec
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1306 of 6734

G8569
G8570
G8571
G8572
G8573
G8574
G8575
G8576
G8577
G8578
G8598
G8599
G8600
G8601
G8602
G8627
G8628
G8633
G8634
G8635
G8645
G8646
G8647
G8648
G8649
G8650
G8651
G8652
G8653
G8654
G8655
G8656
G8657
Prol intubation req

No prol intub req
Ster wd ifx 30 d postop
No ster wd ifx
Stk cabg
No strk cabg
Postop ren fail
No postop ren fail
Reop req bld grft oth
No reop req bld grft oth
Asp therp used
No asp therp used
Tpa initi w/in 3 hrs
No elig tpa init w/in 3 hrs
No tpa init w/in 3 hrs
Surg proc w/in 30 days
No surg proc w/in 30 days
Pharm ther osteo rx
Pt no elg phar ther osteo
No pharm ther osteo rx
Asthma measures grp
Asthma mg qual act perform
Fun stat score knee >= 0
Fun stat score knee < 0
Fun stat score knee pt noelg
Fun stat score knee not done
Fun stat score hip >= 0
Fun stat score hip < 0
Fun stat score hip pt no elg
Fun stat score hip not done
Fun stat score le >= 0
Fun stat score le < 0
Fun stat score le pt no elg
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1307 of 6734

G8658
G8659
G8660
G8661
G8662
G8663
G8664
G8665
G8666
G8667
G8668
G8669
G8670
G8671
G8672
G8673
G8674
G8694
G8696
G8697
G8698
G8708
G8709
G8710
G8711
G8712
G8721
G8722
G8723
G8724
G8725
G8726
G8728
Fun stat score le not done

Fun stat score ls >= 0
Fun stat score ls < 0
Fun stat score ls pt no elg
Fun stat score ls not done
Fun stat score shdl >=0
Fun stat score shdl < 0
Fun stat score shdl pt no el
Fun stat score shdl not done
Fun stat score ue >=0
Fun stat score ue < 0
Fun stat score ue pt no elg
Fun stat score ue not done
Fun stat score neck/ts >=0
Fun stat score neck/ts < 0
Fun stat scor nek/ts pt no e
Fun stat scor nek/ts not don
Lvef <40%
Antithromb thx presc
Antithromb no presc doc reas
Antithromb no presc no reas
Antibiotic not pres
Med reas antibiotic pres
Pt pres antibiotic
Pres antibiotic
Not pres antibiotic
Pt, pn, hist grade doc
Med reas pt, pn, not doc
Spec sit not prim tumor
Pt, pn, hist grade not doc
Lipid profile perf doc
Doc reas no lipid profile
Lipid profile not perf
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1308 of 6734

G8730
G8731
G8732
G8733
G8734
G8735
G8749
G8752
G8753
G8754
G8755
G8756
G8757
G8758
G8759
G8761
G8762
G8765
G8783
G8784
G8785
G8797
G8798
G8806
G8807
G8808
G8809
G8810
G8811
G8815
G8816
G8817
G8818
Pain doc pos and plan

Pain neg no plan
No doc of pain
Doc pos elder mal scrn plan
Doc neg elder mal no plan
Eld mal scrn pos no plan
Signs of melanoma absent
Sys bp less 140
Sys bp > or = 140
Dias bp less 90
Dias bp > or = 90
No bp measure doc
Copd mg qual act perform
Ibd mg qual act perform
Osa mg qual act perform
Dementia mg qual act perform
Pd mg qual act perform
Cataract mg qual act perform
Bp scrn perf rec interval
Pt no elig for bp assess
Bp scrn no perf at interval
Specimen site not esophagus
Specimen site not prostate
Transab or transvag us
Doc reas no us
No transab or transvag us
Rh-immunoglobulin order
Doc reas no rh-immuno
No rh-immunoglobulin order
Doc reas no statin therapy
Statin med pres at disch
Doc reas no statin med disch
Pt disch to home by day#7
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1309 of 6734

G8825
G8826
G8833
G8834
G8838
G8839
G8840
G8841
G8842
G8843
G8844
G8845
G8846
G8848
G8849
G8850
G8851
G8852
G8853
G8854
G8855
G8856
G8857
G8858
G8861
G8863
G8864
G8865
G8866
G8867
G8868
G8869
G8872
Pt not disch to home day#7

Pt disch home day #2 evar
Pt not disch home day#2 evar
Pt disch home day #2 cea
Not disch home by day #2
Sleep apnea assess
Doc reas no sleep apnea
No sleep apnea assess
Ahi or rdi initial dx
Doc reas no ahi or rdi
No ahi or rdi initial dx
Pos airway press prescribed
Mod or severe osa
Mild osa
Doc reas no pos air press
No pap prescribed
Adhere pos air press therapy
Pos air press prescribe
Pos air press not prescribe
Reas no adhere pos air pres
Pos air press adhere no perf
Ref for oto eval
No elig ref for oto eval
Not ref for oto eval
Dxa ordered for osteo
No assess bone loss
Pneumococcal vaccine admin
Doc med reas no pneumococcal
Doc pt reas no pneumococcal
No pneumococcal admin
1st course antitnf
Doc immun hep b 1st antitnf
Intraop image confirm excise
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1310 of 6734

G8873
G8874
G8875
G8876
G8877
G8878
G8879
G8880
G8881
G8882
G8883
G8884
G8885
G8898
G8899
G8900
G8902
G8903
G8906
G8907
G8908
G8909
G8910
G8911
G8912
G8913
G8914
G8915
G8916
G8917
G8918
G8923
G8924
Specimen not intraop image

Tissue not image intraop
Breast cancer dx min invsive
Doc reas no min inv dx
No brst cncr dx min invasive
Sent lymph node biopsy
Node neg inv brst cncr
Doc reas no lymph node biop
Brst cncr stage > t1n0m0
No sent lymph node biopsy
Rev, comm, track, doc biopsy
Doc reas biopsy not review
No rev, comm, track biopsy
Copd measures group
Inflammatory bowel dis mg
Obstructive sleep apnea mg
Dementia measures group
Parkinson's disease mg
Cataract measures group
Pt doc no events on discharg
Pt doc w burn prior to d/c
Pt doc no burn prior to d/c
Pt doc to have fall in asc
Pt doc no fall in asc
Pt doc with wrong event
Pt doc no wrong event
Pt trans to hosp post d/c
Pt not trans to hosp at d/c
Pt w iv ab given on time
Pt w iv ab not given on time
Pt w/o preop order iv ab pro
Lvef < 40% or lvsd
Fev<60% pred & copd sym
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1311 of 6734

G8925
G8926
G8927
G8928
G8929
G8934
G8935
G8936
G8937
G8938
G8939
G8940
G8941
G8942
G8944
G8946
G8947
G8948
G8950
G8952
G8953
G8955
G8956
G8958
G8959
G8960
G8961
G8962
G8963
G8964
G8965
G8966
G8967
FEV>=60% & no COPD sym

Spiro no perf or doc
Adj chem pres ajcc iii
Adj chem not pres rsn spec
Adj cmo not pres rsn not gvn
Lvef <40% or dep lv sys fcn
Rx ace or arb therapy
Pt not eligible ace/arb
No rx ace/arb therapy
Bmi calc, pt no f/u plan elg
Pain assess doc, f/u no doc
Srn clin dep doc no f/u pln
No doc elder scrn, pt no el
Doc fcn/care plan w/30 days
Ajcc mel cnr stg 0 - iic
Mibm but no dx of breast ca
1 or more neuropsych
No neuropsych symptoms
Pre-htn or htn doc, f/u indc
Pre-htn/htn, no f/u, not gvn
Oncology mg qual act perform
Most recent assess vol mgmt
Pt rcv hedia outpt dyls fac
Assess vol mgmt not doc
Clin tx mdd comm to tx clin
Clin tx mdd not comm
Csit lowrisk surg pts preop
Csit on pt any reas 30 days
Csi per asx pt w/pci 2 yrs
Csi any other than pci 2 yr
Csit perf on low chd rsk
Csit perf sx or high chd rsk
Wrfrn or oral antigoag pres
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1312 of 6734

G8968
G8969
G8970
G8971
G8972
G8973
G8974
G8975
G8976
G8977
G8978
G8979
G8980
G8981
G8982
G8983
G8984
G8985
G8986
G8987
G8988
G8989
G8990
G8991
G8992
G8993
G8994
G8995
G8996
G8997
G8998
G8999
G9001
Md rsn no pres wrfrn or othr

Pt rsn no pres wrfrn or othr
No rsk fac or 1 mod risk te
Warfrn or othr antcog no rx
1>=risk or>= mod risk for te
Mst rcnt hbb < 10g/dl
Hgb not doc rns not gvn
Hgb <10g/dl, med rsn
Hgb >= 10 g/dl
Oncology measures grp
Mobility current status
Mobility goal status
Mobility d/c status
Body pos current status
Body pos goal status
Body pos d/c status
Carry current status
Carry goal status
Carry d/c status
Self care current status
Self care goal status
Self care d/c status
Other pt/ot current status
Other pt/ot goal status
Other pt/ot d/c status
Sub pt/ot current status
Sub pt/ot goal status
Sub pt/ot d/c status
Swallow current status
Swallow goal status
Swallow d/c status
Motor speech current status
Mccd, initial rate
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1313 of 6734

G9002
G9003
G9004
G9005
G9006
G9007
G9008
G9009
G9010
G9011
G9012
G9013
G9014
G9016
G9017
G9018
G9019
G9020
G9033
G9034
G9035
G9036
G9050
G9051
G9052
G9053
G9054
G9055
G9056
G9057
G9058
G9059
G9060
Mccd,maintenance rate
Mccd, risk adj hi, initial
Mccd, risk adj lo, initial
Mccd, risk adj, maintenance
Mccd, home monitoring
Mccd, sch team conf
Mccd,phys coor-care ovrsght
Mccd, risk adj, level 3
Other specified case mgmt
Esrd demo bundle level i
Esrd demo bundle-level ii
Demo-smoking cessation coun
Amantadine hcl 100mg oral
Zanamivir,inhalation pwd 10m
Oseltamivir phosphate 75mg
Rimantadine hcl 100mg oral
Amantadine hcl oral brand
Zanamivir, inh pwdr, brand
Oseltamivir phosp, brand
Rimantadine hcl, brand
Oncology work-up evaluation
Oncology tx decision-mgmt
Onc surveillance for disease
Onc expectant management pt
Onc supervision palliative
Onc visit unspecified nos
Onc prac mgmt adheres guide
Onc pract mgmt differs trial
Onc prac mgmt disagree w/gui
Onc prac mgmt pt opt alterna
Onc prac mgmt dif pt comorb
490
490
490
490
490
490
490
490
490
490
490
490
490
451
435
435
496
439
435
437
437
435
490
490
490
490
490
490
490
490
490
490
490

SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1314 of 6734

G9061
G9062
G9063
G9064
G9065
G9066
G9067
G9068
G9069
G9070
G9071
G9072
G9073
G9074
G9075
G9077
G9078
G9079
G9080
G9083
G9084
G9085
G9086
G9087
G9088
G9089
G9090
G9091
G9092
G9093
G9094
G9095
G9096
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
prac cond noadd by guide

prac guide differs nos
dx nsclc stgi no progres
dx nsclc stg2 no progres
dx nsclc stg3a no progre
dx nsclc stg3b-4 metasta
dx nsclc dx unknown nos
dx sclc/nsclc limited
dx sclc/nsclc ext at dx
dx sclc/nsclc ext unknwn
dx brst stg1-2b hr,nopro
dx brst stg1-2 noprogres
dx brst stg3-hr, no pro
dx brst stg3-noprogress
dx brst metastic/ recur
dx prostate t1no progres
dx prostate t2no progres
dx prostate t3b-t4noprog
dx prostate w/rise psa
dx prostate unknwn nos
dx colon t1-3,n1-2,no pr
dx colon t4, n0 w/o prog
dx colon t1-4 no dx prog
dx colon metas evid dx
dx colon metas noevid dx
dx colon extent unknown
dx rectal t1-2 no progr
dx rectal t3 n0 no prog
dx rectal t1-3,n1-2noprg
dx rectal t4,n,m0 no prg
dx rectal m1 w/mets prog
dx rectal extent unknwn
dx esophag t1-t3 noprog
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1315 of 6734

G9097
G9098
G9099
G9100
G9101
G9102
G9103
G9104
G9105
G9106
G9107
G9108
G9109
G9110
G9111
G9112
G9113
G9114
G9115
G9116
G9117
G9123
G9124
G9125
G9126
G9128
G9129
G9130
G9131
G9132
G9133
G9134
G9135
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
Onc
dx esophageal t4 no prog
dx esophageal mets recur
dx esophageal unknown
dx gastric no recurrence
dx gastric p r1-r2noprog
dx gastric unresectable
dx gastric recurrent
dx gastric unknown nos
dx pancreatc p r0 res no
dx pancreatc p r1/r2 no
dx pancreatic unresectab
dx pancreatic unknwn nos
dx head/neck t1-t2no prg
dx head/neck t3-4 noprog
dx head/neck m1 mets rec
dx head/neck ext unknown
dx ovarian stg1a-b no pr
dx ovarian stg1a-b or 2
dx ovarian stg3/4 noprog
dx ovarian recurrence
dx ovarian unknown nos
dx cml chronic phase
dx cml acceler phase
dx cml blast phase
dx cml remission
dx multi myeloma stage i
dx mult myeloma stg2 hig
dx multi myeloma unknown
dx brst unknown nos
dx prostate mets no cast
dx prostate clinical met
nhlstg 1-2 no relap no
dx nhl stg 3-4 not relap
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1316 of 6734

G9136
G9137
G9138
G9139
G9140
G9143
G9147
G9148
G9149
G9150
G9151
G9152
G9153
G9156
G9157
G9158
G9159
G9160
G9161
G9162
G9163
G9164
G9165
G9166
G9167
G9168
G9169
G9170
G9171
G9172
G9173
G9174
G9175
Onc dx nhl trans to lg bcell

Onc dx nhl relapse/refractor
Onc dx nhl stg unknown
Onc dx cml dx status unknown
Frontier extended stay demo
Warfarin respon genetic test
Outpt iv insulin tx any mea
Medical home level 1
Medical home level ii
Medical home level iii
Mapcp demo state
Mapcp demo community
Mapcp demo physician
Evaluation for wheelchair
Transesoph doppl cardiac mon
Motor speech d/c status
Lang comp current status
Lang comp goal status
Lang comp d/c status
Lang express current status
Lang express goal status
Lang express d/c status
Atten current status
Atten goal status
Atten d/c status
Memory current status
Memory goal status
Memory d/c status
Voice current status
Voice goal status
Voice d/c status
Speech lang current status
Speech lang goal status
490
490
490
490
490
386
110
490
490
490
490
490
490
490
81
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490

ECHOCARDIOGRAPHY
Page 1317 of 6734

G9176
G9186
G9187
G9188
G9189
G9190
G9191
G9192
G9196
G9197
G9198
G9203
G9204
G9205
G9206
G9207
G9208
G9209
G9210
G9211
G9212
G9213
G9217
G9219
G9222
G9223
G9225
G9226
G9227
G9228
G9229
G9230
G9231
Speech lang d/c status

Motor speech goal status
Bpci home visit
Beta not given no reason
Beta pres or already taking
Medical reason for no beta
Pt reason for no beta
System reason for no beta
Med reason for no ceph
Order for ceph
No order for ceph no reason
Hep c rna done prior to med
No reason for no hep c rna
Hep c antiviral started
Hep c therapy started
Hep c genotype prior to med
No reason for no hep c geno
Hep c rna 4to12 wk after med
No hepc rna after med docrsn
No hepc rna after med no rsn
Doc of dsm-iv init eval
No doc of dsm-iv
No pcp proph low cd4 norsn
No oder pjp for med reason
Pjp proph ordered low cd4
Pjp proph ordered cd4 low
Norsn no foot exam
3 comp foot exam completed
Docrsn no care plan
Gc chl syp documented
Ptrsn no gc chl syp test
Norsn for gc chl syp test
Doc esrd dia trans preg
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1318 of 6734

G9232
G9233
G9234
G9235
G9236
G9237
G9238
G9239
G9240
G9241
G9242
G9243
G9244
G9245
G9246
G9247
G9250
G9251
G9254
G9255
G9256
G9257
G9258
G9259
G9260
G9261
G9262
G9263
G9264
G9265
G9266
G9267
G9268
Docrsn no comm comorb

Tkr composite
Tkr intent
Gs mg composite
Op rad mg composite
Gs mg intent
Op rad mg intent
Docrsn for catheter
Doc pt w cath maint dia
Doc pt w out cath maint dia
Doc viral load >=200
Doc viral load <200
Antiviral not ordered
Antiviral ordered
No med visit in 24mo
1 med visit in 24mo
Doc of pain comfort 48hr
Doc no pain comfort 48hr
Doc pt dischg >2d
Doc pt dischg <=2d
Doc death after cas
Doc stroke after cas
Doc stroke after cea
Doc surv no stroke after cas
Doc death after cea
Doc surv no stroke after cea
Doc death in hosp aaa repair
Doc surv in hosp aaa repair
Docrsn for cath maint dia
Doc cath >90d for maint dia
Norsn pt cath >=90d
Doc comp or mort w in 30d
Doc comp or mort w in 90d
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1319 of 6734

G9269
G9270
G9273
G9274
G9275
G9276
G9277
G9278
G9279
G9280
G9281
G9282
G9283
G9284
G9285
G9286
G9287
G9288
G9289
G9290
G9291
G9292
G9293
G9294
G9295
G9296
G9297
G9298
G9299
G9300
G9301
G9302
G9303
Doc no comp or mort w in 30d

Doc no comp or mort w in 90d
Sys<140 and dia<90
Bp out of nrml limits
Doc of non tobacco user
Doc of tobacco user
Doc daily aspirin or contra
Doc no daily aspirin
Pne scrn done doc vac done
Pne not given norsn
Pne scrn done doc not ind
Doc medrsn no histo type
Hist type doc on report
No hist type doc on report
Site not small cell lung ca
Antibio rx w in 10d of sympt
No antibio w in 10d of sympt
Doc medrsn no hist type rpt
Doc type nsm lung ca
No doc type nsm lung ca
Not nsm lung ca
Medrsn no pt category
No pt category on report
Pt cat and thck on report
Non cutaneous loc
Doc share dec prior proc
No doc share dec prior proc
Eval risk vte card 30d prior
No eval riskk vte card prior
Doc medrsn no compl antibio
Doc compl inf antibio
Norsn incomp inf antibio
Norsn no pros info op rpt
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1320 of 6734

G9304
G9305
G9306
G9307
G9308
G9309
G9310
G9311
G9312
G9313
G9314
G9315
G9316
G9317
G9318
G9319
G9321
G9322
G9324
G9326
G9327
G9329
G9340
G9341
G9342
G9344
G9345
G9347
G9348
G9349
G9350
G9351
G9352
Pros info op rpt

No interv req for leak
Interv req for leak
No ret for surg w in 30d
Unplnd ret to surg w in 30d
No unplnd hosp readm in 30d
Unplnd hosp readm in 30d
No surg site infection
Surgical site infection
Docrsn not first line amox
Norsn not first line amox
Doc first line amox
Doc comm risk calc
No doc comm risk calc
Image std nomenclature
Image not std nomenclature
Doc count of ct in 12mo
No doc count of ct in 12mo
Not all data norsn
Norsn no ct rpt to reg
Ct rpt to reg
Norsn no dicom format doc
Dicom format doc on rpt
Srch for ct w in 12 mos
No srch for ct in 12mo norsn
Sysrsn no dicom srch
Follow up pulm nod
No follow up pulm nod norsn
Docrsn no sinus ct dx
Doc sinus ct 28d
No doc sinus ct 28d or dx
Doc >1 sinus ct w 90d dx
Not >1 sinus ct w 90d dx
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1321 of 6734

G9353
G9354
G9355
G9356
G9357
G9358
G9359
G9360
G9361
G9364
G9365
G9366
G9367
G9368
G9380
G9381
G9382
G9383
G9384
G9385
G9386
G9389
G9390
G9393
G9394
G9395
G9396
G9399
G9400
G9401
G9402
G9403
G9404
Medrsn >1 sinus ct w 90d dx

1 or no ct sinus w/in 90d dx
No early ind/delivery
Early ind/delivery
Pp eval/edu perf
Pp eval/edu not perf
Doc of neg or man pos tb scn
No doc of neg or man pos tb
Med ind for induction
Sinus caus bac inx
1high risk med ord
1high risk no ord
2high risk med ord
2high risk no ord
Off assis eol iss
Doc med reas no offer eol
No off assis eol
Recd scrn hcv infec
Doc med reas no ann srn hcv
Doc pt reas not rec hcv srn
Scrn hcv infec not recd
Unpln rup post cap
No unpln rup post cap
Ini phq9 >9 remiss <5
Dx bipol, death, nhres, hosp
Ini phq9 >9 no remiss >=5
Ini phq9 >9 not assess
Doc disc tx choices
Doc reas no disc tx opt
No disc tx choices
Recd f/u w/in 30d disch
Doc reas no 30 day f/u
No 30 day f/u
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1322 of 6734

G9405
G9406
G9407
G9408
G9409
G9410
G9411
G9412
G9413
G9414
G9415
G9416
G9417
G9418
G9419
G9420
G9421
G9422
G9423
G9424
G9425
G9426
G9427
G9428
G9429
G9430
G9431
G9432
G9434
G9435
G9436
G9437
G9438
Recd f/u w/in 7d disch

Doc reas no 7d f/u
No 7d f/u
Card tamp w/in 30d
No card tamp e/in 30d
Admit w/in 180d req remov
No admit w/in 180d req remov
Admit w/in 180d req surg rev
No admit req surg rev
1dose menig vac btwn 11 & 13
No 1dose meni vac btwn 11&13
Tdap or td or 1tet/dipth
No tdap or td or 1tet/dipth
Lungcx bx rpt docs class
Med reas not incl histo type
Spec site no lung
Lung cx bx rpt no doc class
Rpt doc class histo type
Med reas rpt no histo type
Site no lung or lung cx
Spec rpt no doc class histo
Impr med time edarr pain med
No impro med time pain med
Rpt pt cat and pt1
Doc med reas no pt cat
Spec site no cutaneous
No pt cat and pt1
Asth controlled
Asth not controlled
Asp presc disch
Asp not presc doc reas
Asp not presc disch
P2y inhib presc
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1323 of 6734

G9439
G9440
G9441
G9442
G9443
G9448
G9449
G9450
G9451
G9452
G9453
G9454
G9455
G9456
G9457
G9458
G9459
G9460
G9463
G9464
G9465
G9466
G9467
G9468
G9469
G9470
G9471
G9472
G9473
G9474
G9475
G9476
G9477
P2y inhib not presc doc reas

P2y inhib not presc
Statin presc disch
Statin not presc doc reas
Statin not presc disch
Born 1945-1965
Hx bld transf b/f 1992
Hx injec drug use
1x scrn hcv infect
Doc med reas no scrn hcv
Pt reas no hcv infect
No hcv infect srn
Abd imag w/us, ct or mri
Doc med pt reas no hcc scrn
No abd imag w/o reason
Tob user recd cess interv
Tob non-user
No tob assess or cess inter
Sinusitis intent
Sinusitis comp
Aoe intent
Aoe comp
Recd cortico >=10mg/day >60d
No recd cortico>=10mg/d >60d
Rec cortico>60d or 1rx 600mg
No rec cortico>60d 1rx 600mg
W/in 2yr dxa not order
No dxa no med hx no rv sx
Chap services at hospice
Diet counsel at hospice
Other counselor at hospice
Volun service at hospice
Care coord at hospice
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
491
491
491
491
491

OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1324 of 6734

G9478
G9479
G9480
G9481
G9482
G9483
G9484
G9485
G9486
G9487
G9488
G9489
G9490
G9496
G9497
G9498
G9499
G9500
G9501
G9502
G9503
G9504
G9505
G9506
G9507
G9508
G9509
G9510
G9511
G9512
G9513
G9514
G9515
Othe therapist at hospice

Pharmacist at hospice
Admission to MCCM
Remote E/M new pt 10mins
Remote E/M est. pt 10mins
Joint replac mod home visit
Doc rsn no adeno/neopl detec
Preop anes or proxy b/4 surg
ABX reg prescribed
No start/rec antvir tx hep c
Rad exp time w/fluor doc
Rad exp time w/o fluor doc
Med reas no perf foot exam
Pt tk tams hcl
Doc reas no hbv status
Abx pres w/in 10 dys of symp
Bio imm resp mod presc
Doc reas on statin or contra
Doc pt not on statin
Remis 12m phq-9 score <5
Remis 12m not phq-9 score <5
Phq-9 >9 during 12m time
Indiv pdc > 0.8
Indiv pdc not > 0.8
Req ret or w/in 90d of surg
No reas, no ret or w/in 90d
491
491
490
491
491
491
491
491
491
491
491
491
491
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490

OR SIGNIFICA
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1325 of 6734

G9516
G9517
G9518
G9519
G9520
G9521
G9522
G9523
G9524
G9525
G9526
G9529
G9530
G9531
G9532
G9533
G9534
G9535
G9536
G9537
G9538
G9539
G9540
G9541
G9542
G9543
G9544
G9547
G9548
G9549
G9550
G9551
G9552
Impr vis acuit w/in 90d

No impr vis acuit w/in 90d
Doc active inj drug use
Final refract +/- 1.0 in 90d
Refract not +/- 1.0 w/in 90d
Er and ip hosp <2 in 12 mos
Er/ip hosp =/>2 in 12 mos
D/c hemo or perit dialysis
Refer to hospice
Doc pt reas no hospice refer
No reason, no refer hospice
Minor blunt trauma w/head ct
Min hd traum gcs=15 w/ct ed
Indic for head ct valid
Inj >24 hr in ed gcs <15
Indic for head ct not valid
Adv brain image not ordered
Normal neuro exam
Doc med reas adv brain image
Doc system reas adv imaging
Adv brain image ordered
Intent pot remv time placemt
Pt alive 3 mos post proc
Filter gone aft 3mos placmt
Doc reass appr remo filt 3ms
Doc 2x re-assess filt remov
No filt remov w/in 3mos plcm
Incid ct liver/kid/adre fdg
Abd imag and followup rec
Doc med reas no follow imag
Abd imag and followup no rec
Abd imag w/o liv/kid/adr les
Inc thyr node <1.0 in rpt
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1326 of 6734

G9553
G9554
G9555
G9556
G9557
G9558
G9559
G9560
G9561
G9562
G9563
G9572
G9573
G9574
G9577
G9578
G9579
G9580
G9581
G9582
G9583
G9584
G9585
G9593
G9594
G9595
G9596
G9597
G9598
G9599
G9600
G9601
G9602
Prior thyroid dise dx

Ct/mri chest/neck follup rec
Doc med reas no follow imag
Ct/mri chest follup not rec
Ct/mri chest/neck no thy nod
Tx beta-lactam abx therapy
Doc med reas no abx therapy
No beta-lactam abx ther, rng
Presc opiates >6 wks
Foll-up eval q3mo opiod tx
No f/u eval q3mo opiod tx
Phq-scr >9 doc in 12m time
Remis 6m w/6mos phq-9 <5
Remis 6m w/o 6mos phq-9 <5
Doc opioid tx 1x during ther
No doc opioid tx 1x at ther
Door to punc time <2hrs
Md doc, door to punc tm >2hr
Door to punc time >2hr, nrg
Eval opioid use instr/pt int
No eval Opi use instr/intv
Low pecarn ped head trauma
Gsc >15 & hd ct by ed md
Val rsn hd ct ord reg indic
Hd inj >24h/gcs >15/no res
No low pecarn ped head traum
Aor ane 5.5-5.9 cm max diam
Aor ane >=6.0 cm max diam
Symp aaa urgent repair
Pt dchg home post op day 7
Pt no dchg home postop day 7
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1327 of 6734

G9603
G9604
G9605
G9606
G9607
G9608
G9609
G9610
G9611
G9612
G9613
G9614
G9615
G9616
G9617
G9618
G9619
G9620
G9621
G9622
G9623
G9624
G9625
G9626
G9627
G9628
G9629
G9630
G9631
G9632
G9633
G9634
G9635
Pt surv improv bsline tx

Pt surv results not avail
Surv score no improv w/tx
Intraop cyst eval trac inj
Pt not elig
Intraop cyst eval not done
Doc order anti-plat or p2y12
Doc md rsn no antipla/p2y12
No antipla/p2y12 ord, rs nos
Pho doc >1 cecal ldmk com ex
Doc post surg anatomy
No photodoc cecal ldmk exam
Pre-op asst doc
Doc rsn no preop assmt
Pre-op asst not doc, rng
Doc scr uter mal or US/samp
Doc rsn no scr uter malig
No scr utr malig/US/samp RNG
Scr unheal ETOH w/counsel
No unheal ETOH user
Doc med rsn no scr ETOH use
No ETOH scr/no counc/NRG
Bld inj at surg/1mos post
Pt not elig
No bld inj at surg/1mos post
Vis inj at surg/1mos post
Pt not elig
No vis inj at surg/1mos post
Urtr inj at surg/1mos post
Pt not elig
No urtr inj at surg/1ms post
Qual life tool 2x same/impr
No doc rsn do qual life assm
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1328 of 6734

G9636
G9637
G9638
G9639
G9640
G9641
G9642
G9643
G9644
G9645
G9646
G9647
G9648
G9649
G9650
G9651
G9652
G9653
G9654
G9655
G9656
G9657
G9658
G9659
G9660
G9661
G9662
G9663
G9664
G9665
G9666
G9667
G9669
No life asst 2x same/decr

Doc >1 dose reduc tech
No doc >1 dose reduc tech
Amp no reqd in48h ieler proc
Doc plan hybrid/stage proc
Amp reqd w/in 48h ieler proc
Current cig smoker
Elective surgery
No smok b/4 anes day of surg
Had smoke b/4 anes day surg
Pt w/90d mrs 0-2
No mrs score in 90d followup
Pt w/90d mrs >2
Psori tool doc w/benchmk
Doc pt no ther chg or contra
Psori tool doc/no bnchmk met
Pt tx sys bio med psori 6mth
Pt no tx sys bio rx 6 mths
Mon anesth care
Toc tool incl key elem
Pt direct anesth loc to pacu
Toc dur aneth to icu
Toc tool incl elem not used
>85y no hx colo ca/rsn scope
Doc med rsn scope pt >85y
>85y scope othr rsn
Prior dx/active clin ascvd
Fast/dir ldl = 190 mg/dl
Taking statin or rec'd order
No statin/no order statin
Fas/dir ldl 70-189mg/dl mst
Doc med rsn no stat tx/presc
Intend rpt mult chr msr grp
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
INCIDENTAL
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
TO
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
VISIT
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1329 of 6734

G9670
G9671
G9672
G9673
G9674
G9675
G9676
G9677
G9678
H0001
H0002
H0003
H0004
H0005
H0006
H0007
H0008
H0009
H0010
H0011
H0012
H0013
H0014
H0015
H0016
H0017
H0018
H0019
H0020
H0021
H0022
H0023
H0024
Qty act mcc mg perf

Intend rpt dia retin msr grp
Qty act diab retin mg perf
Intend rpt card prev msr grp
Pt w/clin ascvd dx
Pt w/fast/dir lab ldl-c >190
40-75y w/type 1/2 w/ldl-c rs
Qty act card prev mg perf
Oncology Care Model service
Alcohol and/or drug assess
Alcohol and/or drug screenin
Alcohol and/or drug screenin
Alcohol and/or drug services
Alcohol and/or drug training
Alcohol and/or drug interven
Alcohol and/or drug outreach
Alcohol and/or drug preventi
490
490
490
490
490
490
490
490
490
323
323
400
315
318
320
321
993
993
311
311
311
311
426
313
999
312
312
999
322
999
999
490
490

GROUP PSYCHOTHERAPY
CASE MANAGEMENT & TREATMENT PLAN DEVE
CRISIS INTERVENTION
FULL DAY PARTIAL HOSPITALIZATION FOR SUB
HALF DAY PARTIAL HOSPITALIZATION FOR SU
UNASSIGNED
FULL DAY PARTIAL HOSPITALIZATION FOR MEN
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1330 of 6734

H0025
H0026
H0027
H0028
H0029
H0030
H0031
H0032
H0033
H0034
H0035
H0036
H0037
H0038
H0039
H0040
H0041
H0042
H0043
H0044
H0045
H0046
H0047
H0048
H0049
H0050
H1000
H1001
H1002
H1003
H1004
H1005
H1010

Alcohol and/or drug hotline
Mh health assess by non-md
Mh svc plan dev by non-md
Oral med adm direct observe
Med trng & support per 15min
Mh partial hosp tx under 24h
Comm psy face-face per 15min
Comm psy sup tx pgm per diem
Self-help/peer svc per 15min
Asser com tx face-face/15min
Assert comm tx pgm per diem
Fos c chld non-ther per diem
Fos c chld non-ther per mon
Supported housing, per diem
Supported housing, per month
Respite not-in-home per diem
Mental health service, nos
Alcohol/drug abuse svc nos
Spec coll non-blood:a/d test
Alcohol/drug screening
Alcohol/drug service 15 min
Prenatal care atrisk assessm
Antepartum management
Carecoordination prenatal
Prenatal at risk education
Follow up home visit/prental
Prenatalcare enhanced srv pk
Nonmed family planning ed
490
490
490
490
490
999
323
320
322
426
314
999
312
490
999
999
999
999
999
999
999
999
999
999
324
324
490
999
999
999
999
490
999

UNASSIGNED
HALF DAY PARTIAL HOSPITALIZATION FOR MEN
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1331 of 6734

H1011
H2000
H2001
H2010
H2011
H2012
H2013
H2014
H2015
H2016
H2017
H2018
H2019
H2020
H2021
H2022
H2023
H2024
H2025
H2026
H2027
H2028
H2029
H2030
H2031
H2032
H2033
H2034
H2035
H2036
H2037
J0120
J0129
Family assessment
Comp multidisipln evaluation
Rehabilitation program 1/2 d
Comprehensive med svc 15 min
Crisis interven svc, 15 min
Behav hlth day treat, per hr
Psych hlth fac svc, per diem
Skills train and dev, 15 min
Comp comm supp svc, 15 min
Comp comm supp svc, per diem
Psysoc rehab svc, per 15 min
Psysoc rehab svc, per diem
Ther behav svc, per 15 min
Ther behav svc, per diem
Com wrap-around sv, 15 min
Com wrap-around sv, per diem
Supported employ, per 15 min
Supported employ, per diem
Supp maint employ, 15 min
Supp maint employ, per diem
Psychoed svc, per 15 min
Sex offend tx svc, 15 min
Sex offend tx svc, per diem
Mh clubhouse svc, per 15 min
Mh clubhouse svc, per diem
Activity therapy, per 15 min
Multisys ther/juvenile 15min
A/d halfway house, per diem
A/d tx program, per hour
A/d tx program, per diem
Dev delay prev dp ch, 15 min
Tetracyclin injection
Abatacept injection
999
999
328
490
321
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
315
315
312
999
999
319
319
999
315
329
999
435
460
UNASSIGNED
UNASSIGNED
DAY REHABILITATION, HALF DAY
CRISIS INTERVENTION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
ACTIVITY THERAPY
ACTIVITY THERAPY
UNASSIGNED
DAY REHABILITATION, FULL DAY
UNASSIGNED
Page 1332 of 6734

J0130
J0131
J0132
J0133
J0135
J0153
J0171
J0178
J0180
J0190
J0200
J0202
J0205
J0207
J0210
J0215
J0220
J0221
J0256
J0257
J0270
J0275
J0278
J0280
J0282
J0285
J0287
J0288
J0289
J0290
J0295
J0300
J0330
Abciximab injection
Acetaminophen injection
Acetylcysteine injection
Acyclovir injection
Adalimumab injection
Adenosine inj 1mg
Adrenalin epinephrine inject
Aflibercept injection
Agalsidase beta injection
Inj biperiden lactate/5 mg
Alatrofloxacin mesylate
Injection, alemtuzumab
Alglucerase injection
Amifostine
Methyldopate hcl injection
Alefacept
Alglucosidase alfa injection
Lumizyme injection
Alpha 1 proteinase inhibitor
Glassia injection
Alprostadil for injection
Alprostadil urethral suppos
Amikacin sulfate injection
Aminophyllin 250 mg inj
Amiodarone hcl
Amphotericin b
Amphotericin b lipid complex
Ampho b cholesteryl sulfate
Amphotericin b liposome inj
Ampicillin 500 mg inj
Ampicillin sodium per 1.5 gm
Amobarbital 125 mg inj
Succinycholine chloride inj
460
435
435
496
441
490
435
461
464
435
435
460
437
433
437
444
465
465
461
461
435
435
496
496
496
435
438
436
439
435
496
435
496

CLASS XII COMBINED CHEMOTHERAPY AND P
Page 1333 of 6734

J0348
J0350
J0360
J0364
J0365
J0380
J0390
J0395
J0400
J0401
J0456
J0461
J0470
J0475
J0476
J0480
J0485
J0490
J0500
J0515
J0520
J0558
J0561
J0571
J0572
J0573
J0574
J0575
J0583
J0585
J0586
J0587
J0588
Anidulafungin injection
Injection anistreplase 30 u
Hydralazine hcl injection
Apomorphine hydrochloride
Aprotonin, 10,000 kiu
Inj metaraminol bitartrate
Chloroquine injection
Arbutamine hcl injection
Aripiprazole injection
Inj aripiprazole ext rel 1mg
Azithromycin
Atropine sulfate injection
Dimecaprol injection
Baclofen 10 mg injection
Baclofen intrathecal trial
Basiliximab
Belatacept injection
Belimumab injection
Dicyclomine injection
Inj benztropine mesylate
Bethanechol chloride inject
Peng benzathine/procaine inj
Penicillin g benzathine inj
Buprenorphine oral 1mg
Bupren/nal up to 3mg bupreno
Bupren/nal 3.1 to 6mg bupren
Bupren/nal 6.1 to 10mg bupre
Bupren/nal over 10mg bupreno
Bivalirudin
Injection,onabotulinumtoxina
Abobotulinumtoxina
Inj, rimabotulinumtoxinb
Incobotulinumtoxin a
436
462
496
438
431
435
435
435
435
436
496
496
435
440
436
461
437
461
435
436
435
435
435
435
435
435
435
435
440
439
439
439
439
Page 1334 of 6734

J0592
J0594
J0595
J0596
J0597
J0598
J0600
J0610
J0620
J0630
J0636
J0637
J0638
J0640
J0641
J0670
J0690
J0692
J0694
J0695
J0696
J0697
J0698
J0702
J0706
J0710
J0712
J0713
J0714
J0715
J0716
J0717
J0720
Buprenorphine hydrochloride
Busulfan injection
Butorphanol tartrate 1 mg
Injection, ruconest
C-1 esterase, berinert
C-1 esterase, cinryze
Edetate calcium disodium inj
Calcium gluconate injection
Calcium glycer & lact/10 ml
Calcitonin salmon injection
Inj calcitriol per 0.1 mcg
Caspofungin acetate
Canakinumab injection
Leucovorin calcium injection
Levoleucovorin injection
Inj mepivacaine hcl/10 ml
Cefazolin sodium injection
Cefepime hcl for injection
Cefoxitin sodium injection
Inj ceftolozane tazobactam
Ceftriaxone sodium injection
Sterile cefuroxime injection
Cefotaxime sodium injection
Betamethasone acet&sod phosp
Caffeine citrate injection
Cephapirin sodium injection
Ceftaroline fosamil inj
Inj ceftazidime per 500 mg
Ceftazidime and avibactam
Ceftizoxime sodium / 500 mg
Centruroides immune f(ab)
Certolizumab pegol inj 1mg
Chloramphenicol sodium injec
496
443
496
465
438
462
436
496
435
435
496
437
439
430
441
496
496
496
435
438
496
496
496
435
496
435
434
496
993
435
461
444
435
Page 1335 of 6734

J0725
J0735
J0740
J0743
J0744
J0745
J0760
J0770
J0775
J0780
J0795
J0800
J0833
J0834
J0840
J0850
J0875
J0878
J0881
J0882
J0885
J0887
J0888
J0890
J0894
J0895
J0897
J0945
J1000
J1020
J1030
J1040
J1050
Chorionic gonadotropin/1000u
Clonidine hydrochloride
Cidofovir injection
Cilastatin sodium injection
Ciprofloxacin iv
Inj codeine phosphate /30 mg
Colchicine injection
Colistimethate sodium inj
Collagenase, clost hist inj
Prochlorperazine injection
Corticorelin ovine triflutal
Corticotropin injection
Cosyntropin injection nos
Cosyntropin cortrosyn inj
Crotalidae poly immune fab
Cytomegalovirus imm iv /vial
Injection, dalbavancin
Daptomycin injection
Darbepoetin alfa, non-esrd
Darbepoetin alfa, esrd use
Epoetin alfa, non-esrd
Epoetin beta esrd use
Epoetin beta non esrd
Peginesatide injection
Decitabine injection
Deferoxamine mesylate inj
Denosumab injection
Brompheniramine maleate inj
Depo-estradiol cypionate inj
Methylprednisolone 20 mg inj
Medroxyprogesterone acetate
496
435
441
435
496
496
496
435
438
496
434
462
436
436
463
462
460
433
439
437
438
437
439
437
460
435
443
435
496
496
496
496
435
Page 1336 of 6734

J1071
J1094
J1100
J1110
J1120
J1160
J1162
J1165
J1170
J1180
J1190
J1200
J1205
J1212
J1230
J1240
J1245
J1250
J1260
J1265
J1267
J1270
J1290
J1300
J1320
J1322
J1324
J1325
J1327
J1330
J1335
J1364
J1380
Inj testosterone cypionate

Inj dexamethasone acetate
Dexamethasone sodium phos
Inj dihydroergotamine mesylt
Acetazolamid sodium injectio
Digoxin injection
Digoxin immune fab (ovine)
Phenytoin sodium injection
Hydromorphone injection
Dyphylline injection
Dexrazoxane hcl injection
Diphenhydramine hcl injectio
Chlorothiazide sodium inj
Dimethyl sulfoxide 50% 50 ml
Methadone injection
Dimenhydrinate injection
Dipyridamole injection
Inj dobutamine hcl/250 mg
Dolasetron mesylate
Dopamine injection
Doripenem injection
Injection, doxercalciferol
Ecallantide injection
Eculizumab injection
Amitriptyline injection
Elosulfase alfa, injection
Enfuvirtide injection
Epoprostenol injection
Eptifibatide injection
Ergonovine maleate injection
Ertapenem injection
Erythro lactobionate /500 mg
Estradiol valerate 10 mg inj
496
435
496
435
435
496
437
496
496
435
443
496
436
435
496
496
496
496
435
496
435
496
437
465
435
465
435
430
434
435
435
496
496
Page 1337 of 6734

J1410
J1430
J1435
J1436
J1438
J1439
J1442
J1443
J1447
J1450
J1451
J1452
J1453
J1455
J1457
J1458
J1459
J1460
J1556
J1557
J1559
J1560
J1561
J1562
J1566
J1568
J1569
J1570
J1571
J1572
J1573
J1575
J1580
Inj estrogen conjugate 25 mg

Ethanolamine oleate 100 mg
Injection estrone per 1 mg
Etidronate disodium inj
Etanercept injection
Inj ferric carboxymaltos 1mg
Inj filgrastim excl biosimil
Inj ferric pyrophosphate cit
Inj tbo filgrastim 1 microg
Fluconazole
Fomepizole, 15 mg
Intraocular fomivirsen na
Fosaprepitant injection
Foscarnet sodium injection
Gallium nitrate injection
Galsulfase injection
Inj ivig privigen 500 mg
Gamma globulin 1 cc inj
Inj, imm glob bivigam, 500mg
Gammaplex injection
Hizentra injection
Gamma globulin > 10 cc inj
Gamunex-c/gammaked
Vivaglobin, inj
Immune globulin, powder
Octagam injection
Gammagard liquid injection
Ganciclovir sodium injection
Hepagam b im injection
Flebogamma injection
Hepagam b intravenous, inj
Hyqvia 100mg immuneglobulin
Garamycin gentamicin inj
436
440
435
436
439
435
438
435
438
496
438
439
437
436
462
465
461
435
461
462
437
444
462
440
461
461
461
436
439
461
461
461
496
Page 1338 of 6734

J1590
J1595
J1599
J1600
J1602
J1610
J1620
J1626
J1630
J1631
J1640
J1642
J1644
J1645
J1650
J1652
J1655
J1670
J1675
J1700
J1710
J1720
J1725
J1730
J1740
J1741
J1742
J1743
J1744
J1745
J1750
J1756
J1786
Gatifloxacin injection
Injection glatiramer acetate
Ivig non-lyophilized, nos
Gold sodium thiomaleate inj
Golimumab for iv use 1mg
Glucagon hydrochloride/1 mg
Gonadorelin hydroch/ 100 mcg
Granisetron hcl injection
Haloperidol injection
Haloperidol decanoate inj
Hemin, 1 mg
Inj heparin sodium per 10 u
Inj heparin sodium per 1000u
Dalteparin sodium
Inj enoxaparin sodium
Fondaparinux sodium
Tinzaparin sodium injection
Tetanus immune globulin inj
Histrelin acetate
Hydrocortisone acetate inj
Hydrocortisone sodium ph inj
Hydrocortisone sodium succ i
Hydroxyprogesterone caproate
Diazoxide injection
Ibandronate sodium injection
Ibuprofen injection
Ibutilide fumarate injection
Idursulfase injection
Icatibant injection
Infliximab injection
Inj iron dextran
Iron sucrose injection
Imuglucerase injection
435
444
444
435
461
436
430
495
496
435
462
496
496
435
435
435
435
414
460
496
496
496
435
435
439
435
432
464
437
461
436
436
465
Page 1339 of 6734

J1790
J1800
J1810
J1815
J1817
J1826
J1830
J1833
J1835
J1840
J1850
J1885
J1890
J1930
J1931
J1940
J1945
J1950
J1953
J1955
J1956
J1960
J1980
J1990
J2001
J2010
J2020
J2060
J2150
J2170
J2175
J2180
J2185
Droperidol injection
Propranolol injection
Droperidol/fentanyl inj
Insulin injection
Insulin for insulin pump use
Interferon beta-1a inj
Interferon beta-1b / .25 mg
Injection, isavuconazonium
Itraconazole injection
Kanamycin sulfate 500 mg inj
Kanamycin sulfate 75 mg inj
Ketorolac tromethamine inj
Cephalothin sodium injection
Lanreotide injection
Laronidase injection
Furosemide injection
Lepirudin
Leuprolide acetate /3.75 mg
Levetiracetam injection
Inj levocarnitine per 1 gm
Levofloxacin injection
Levorphanol tartrate inj
Hyoscyamine sulfate inj
Chlordiazepoxide injection
Lidocaine injection
Lincomycin injection
Linezolid injection
Lorazepam injection
Mannitol injection
Mecasermin injection
Meperidine hydrochl /100 mg
Meperidine/promethazine inj
Meropenem
496
496
435
496
496
432
436
438
435
435
496
496
435
462
465
496
434
462
435
436
496
435
435
435
496
435
436
496
496
439
496
496
435
Page 1340 of 6734

J2210
J2212
J2248
J2250
J2260
J2265
J2270
J2274
J2278
J2280
J2300
J2310
J2315
J2320
J2323
J2325
J2353
J2354
J2355
J2357
J2358
J2360
J2370
J2400
J2405
J2407
J2410
J2425
J2426
J2430
J2440
J2460
J2469
Methylergonovin maleate inj

Methylnaltrexone injection
Micafungin sodium injection
Inj midazolam hydrochloride
Inj milrinone lactate / 5 mg
Minocycline hydrochloride
Morphine sulfate injection
In morphine preservativ free
Ziconotide injection
Inj, moxifloxacin 100 mg
Inj nalbuphine hydrochloride
Inj naloxone hydrochloride
Naltrexone, depot form
Nandrolone decanoate 50 mg
Natalizumab injection
Nesiritide injection
Octreotide injection, depot
Octreotide inj, non-depot
Oprelvekin injection
Omalizumab injection
Olanzapine long-acting inj
Orphenadrine injection
Phenylephrine hcl injection
Chloroprocaine hcl injection
Ondansetron hcl injection
Injection, oritavancin
Oxymorphone hcl injection
Palifermin injection
Paliperidone palmitate inj
Pamidronate disodium /30 mg
Papaverin hcl injection
Oxytetracycline injection
Palonosetron hcl
496
435
436
496
435
435
496
435
444
435
496
435
444
435
462
440
462
496
438
444
439
496
496
435
495
460
496
443
439
435
496
435
432
Page 1341 of 6734

J2501
J2502
J2503
J2504
J2505
J2507
J2510
J2513
J2515
J2540
J2543
J2545
J2547
J2550
J2560
J2562
J2590
J2597
J2650
J2670
J2675
J2680
J2690
J2700
J2704
J2710
J2720
J2724
J2725
J2730
J2760
J2765
J2770
Paricalcitol
Inj, pasireotide long acting
Pegaptanib sodium injection
Pegademase bovine, 25 iu
Injection, pegfilgrastim 6mg
Pegloticase injection
Penicillin g procaine inj
Pentastarch 10% solution
Pentobarbital sodium inj
Penicillin g potassium inj
Piperacillin/tazobactam
Pentamidine non-comp unit
Injection, peramivir
Promethazine hcl injection
Phenobarbital sodium inj
Plerixafor injection
Oxytocin injection
Inj desmopressin acetate
Prednisolone acetate inj
Totazoline hcl injection
Inj progesterone per 50 mg
Fluphenazine decanoate 25 mg
Procainamide hcl injection
Oxacillin sodium injeciton
Inj, propofol, 10 mg
Neostigmine methylslfte inj
Inj protamine sulfate/10 mg
Protein c concentrate
Inj protirelin per 250 mcg
Pralidoxime chloride inj
Phentolaine mesylate inj
Metoclopramide hcl injection
Quinupristin/dalfopristin
435
439
444
443
462
437
435
432
435
496
435
436
460
496
435
463
496
436
496
435
496
435
496
435
490
496
496
439
435
436
435
496
433
Page 1342 of 6734

J2778
J2780
J2783
J2785
J2788
J2790
J2791
J2792
J2793
J2794
J2795
J2796
J2800
J2805
J2810
J2820
J2850
J2860
J2910
J2916
J2920
J2930
J2940
J2941
J2950
J2993
J2995
J2997
J3000
J3010
J3030
J3060
J3070
Ranibizumab injection
Ranitidine hydrochloride inj
Rasburicase
Regadenoson injection
Rho d immune globulin 50 mcg
Rho d immune globulin inj
Rhophylac injection
Rho(d) immune globulin h, sd
Rilonacept injection
Risperidone, long acting
Ropivacaine hcl injection
Romiplostim injection
Methocarbamol injection
Sincalide injection
Inj theophylline per 40 mg
Sargramostim injection
Inj secretin synthetic human
Injection, siltuximab
Aurothioglucose injeciton
Na ferric gluconate complex
Methylprednisolone injection
Methylprednisolone injection
Somatrem injection
Somatropin injection
Promazine hcl injection
Reteplase injection
Inj streptokinase /250000 iu
Alteplase recombinant
Streptomycin injection
Fentanyl citrate injeciton
Sumatriptan succinate / 6 mg
Inj, taliglucerace alfa 10 u
Pentazocine injection
461
496
460
490
435
436
436
439
439
439
496
439
435
431
496
438
439
464
435
435
496
496
435
435
496
462
435
436
496
496
435
465
496

Page 1343 of 6734

J3090
J3095
J3101
J3105
J3110
J3121
J3145
J3230
J3240
J3243
J3246
J3250
J3260
J3262
J3265
J3280
J3285
J3300
J3301
J3302
J3303
J3305
J3310
J3315
J3320
J3350
J3355
J3357
J3360
J3364
J3365
J3370
J3380
Inj tedizolid phosphate

Telavancin injection
Tenecteplase injection
Terbutaline sulfate inj
Teriparatide injection
Inj testostero enanthate 1mg
Testosterone undecanoate 1mg
Chlorpromazine hcl injection
Thyrotropin injection
Tigecycline injection
Tirofiban hcl
Trimethobenzamide hcl inj
Tobramycin sulfate injection
Tocilizumab injection
Injection torsemide 10 mg/ml
Thiethylperazine maleate inj
Treprostinil injection
Triamcinolone a inj prs-free
Triamcinolone acet inj nos
Triamcinolone diacetate inj
Triamcinolone hexacetonl inj
Inj trimetrexate glucoronate
Perphenazine injeciton
Triptorelin pamoate
Spectinomycn di-hcl inj
Urea injection
Urofollitropin, 75 iu
Ustekinumab injection
Diazepam injection
Urokinase 5000 iu injection
Urokinase 250,000 iu inj
Vancomycin hcl injection
Injection, vedolizumab
436
435
436
496
461
496
496
496
444
437
434
496
435
438
435
435
460
436
496
496
435
435
496
434
435
435
437
437
496
496
439
496
462
Page 1344 of 6734

J3385
J3396
J3400
J3410
J3411
J3415
J3420
J3430
J3465
J3470
J3471
J3472
J3473
J3475
J3480
J3485
J3486
J3489
J3490
J3520
J3530
J3535
J3570
J3590
J7030
J7040
J7042
J7050
J7060
J7070
J7100
J7110
J7120
Velaglucerase alfa
Verteporfin injection
Triflupromazine hcl inj
Hydroxyzine hcl injection
Thiamine hcl 100 mg
Pyridoxine hcl 100 mg
Vitamin b12 injection
Vitamin k phytonadione inj
Injection, voriconazole
Hyaluronidase injection
Ovine, up to 999 usp units
Ovine, 1000 usp units
Hyaluronidase recombinant
Inj magnesium sulfate
Inj potassium chloride
Zidovudine
Ziprasidone mesylate
Zoledronic acid 1mg
Drugs unclassified injection
Edetate disodium per 150 mg
Nasal vaccine inhalation
Metered dose inhaler drug
Laetrile amygdalin vit b17
Unclassified biologics
Normal saline solution infus
5% dextrose/normal saline
5% dextrose/water
D5w infusion
Dextran 40 infusion
Dextran 75 infusion
Ringers lactate infusion
465
460
435
496
496
496
496
435
438
436
436
438
436
496
496
436
435
436
435
435
414
435
435
435
496
496
496
496
496
496
435
435
496

Page 1345 of 6734

J7121
J7131
J7178
J7180
J7181
J7182
J7183
J7185
J7186
J7187
J7188
J7189
J7190
J7191
J7192
J7193
J7194
J7195
J7196
J7197
J7198
J7199
J7200
J7201
J7205
J7297
J7298
J7300
J7301
J7303
J7304
J7306
J7307
5% dextrose in lac ringers

Hypertonic saline sol
Human fibrinogen conc inj
Factor xiii anti-hem factor
Factor xiii recomb a-subunit
Factor viii recomb novoeight
Wilate injection
Xyntha inj
Antihemophilic viii/vwf comp
Humate-p, inj
Factor viii recomb obizur
Factor viia
Factor viii
Factor viii (porcine)
Factor viii recombinant nos
Factor ix non-recombinant
Factor ix complex
Factor ix recombinant nos
Antithrombin recombinant
Antithrombin iii injection
Anti-inhibitor
Hemophilia clot factor noc
Factor ix recombinan rixubis
Factor ix fc fusion recomb
Factor viii fc fusion recomb
Levonorgestrel iu 52mg 3 yr
Levonorgestrel iu 52mg 5 yr
Intraut copper contraceptive
Levonorgestrel iu 13.5 mg
Contraceptive vaginal ring
Contraceptive hormone patch
Levonorgestrel implant sys
Etonogestrel implant system
490
496
460
465
463
463
462
463
462
462
463
463
463
465
463
463
462
463
438
440
463
437
463
463
463
439
439
436
439
436
436
437
439

Page 1346 of 6734

J7308
J7309
J7310
J7311
J7312
J7313
J7315
J7316
J7321
J7323
J7324
J7325
J7326
J7327
J7328
J7330
J7336
J7340
J7500
J7501
J7502
J7503
J7504
J7505
J7507
J7508
J7509
J7510
J7511
J7512
J7513
J7515
J7516
Aminolevulinic acid hcl top

Methyl aminolevulinate, top
Ganciclovir long act implant
Fluocinolone acetonide implt
Dexamethasone intra implant
Fluocinol acet intravit imp
Ophthalmic mitomycin
Inj, ocriplasmin, 0.125 mg
Hyalgan/supartz inj per dose
Euflexxa inj per dose
Orthovisc inj per dose
Synvisc or synvisc-one
Gel-one
Monovisc inj per dose
Gel-syn injection 0.1 mg
Cultured chondrocytes implnt
Capsaicin 8% patch
Carbidopa levodopa enteral
Azathioprine oral 50mg
Azathioprine parenteral
Cyclosporine oral 100 mg
Tacrol envarsus ex rel oral
Lymphocyte immune globulin
Monoclonal antibodies
Tacrolimus imme rel oral 1mg
Tacrol astagraf ex rel oral
Methylprednisolone oral
Prednisolone oral per 5 mg
Antithymocyte globuln rabbit
Prednisone ir or dr oral 1mg
Daclizumab, parenteral
Cyclosporine oral 25 mg
Cyclosporin parenteral 250mg
438
438
465
465
437
465
436
462
437
437
437
437
437
437
437
999
496
436
496
431
435
496
461
443
496
496
496
496
460
496
460
496
435
UNASSIGNED
Page 1347 of 6734

J7517
J7518
J7520
J7525
J7527
J7599
J7604
J7605
J7606
J7607
J7608
J7609
J7610
J7611
J7612
J7613
J7614
J7615
J7620
J7622
J7624
J7626
J7627
J7628
J7629
J7631
J7632
J7633
J7634
J7635
J7636
J7637
J7638
Mycophenolate mofetil oral

Mycophenolic acid
Sirolimus, oral
Tacrolimus injection
Oral everolimus
Immunosuppressive drug noc
Acetylcysteine comp unit
Arformoterol non-comp unit
Formoterol fumarate, inh
Levalbuterol comp con
Acetylcysteine non-comp unit
Albuterol comp unit
Albuterol comp con
Albuterol non-comp con
Levalbuterol non-comp con
Albuterol non-comp unit
Levalbuterol non-comp unit
Levalbuterol comp unit
Albuterol ipratrop non-comp
Beclomethasone comp unit
Betamethasone comp unit
Budesonide non-comp unit
Budesonide comp unit
Bitolterol mesylate comp con
Bitolterol mesylate comp unt
Cromolyn sodium noncomp unit
Cromolyn sodium comp unit
Budesonide non-comp con
Budesonide comp con
Atropine comp con
Atropine comp unit
Dexamethasone comp con
Dexamethasone comp unit
496
435
430
437
431
435
435
496
496
435
496
435
435
496
496
496
496
435
496
435
435
496
435
435
435
496
435
435
435
435
435
435
435
Page 1348 of 6734

J7639
J7640
J7641
J7642
J7643
J7644
J7645
J7647
J7648
J7649
J7650
J7657
J7658
J7659
J7660
J7665
J7667
J7668
J7669
J7670
J7674
J7676
J7680
J7681
J7682
J7683
J7684
J7685
J7686
J7699
J7799
J7999
J8498
Dornase alfa non-comp unit

Formoterol comp unit
Flunisolide comp unit
Glycopyrrolate comp con
Glycopyrrolate comp unit
Ipratropium bromide non-comp
Ipratropium bromide comp
Isoetharine comp con
Isoetharine non-comp con
Isoetharine non-comp unit
Isoetharine comp unit
Isoproterenol comp con
Isoproterenol non-comp con
Isoproterenol non-comp unit
Isoproterenol comp unit
Mannitol for inhaler
Metaproterenol comp con
Metaproterenol non-comp con
Metaproterenol non-comp unit
Metaproterenol comp unit
Methacholine chloride, neb
Pentamidine comp unit dose
Terbutaline sulf comp con
Terbutaline sulf comp unit
Tobramycin non-comp unit
Triamcinolone comp con
Triamcinolone comp unit
Tobramycin comp unit
Treprostinil, non-comp unit
Inhalation solution for dme
Non-inhalation drug for dme
Compounded drug, noc
Antiemetic rectal/supp nos
436
435
435
435
435
496
435
435
435
435
435
435
435
435
435
496
435
435
496
435
435
435
435
435
438
435
435
438
434
999
999
435
430
UNASSIGNED
UNASSIGNED
Page 1349 of 6734

J8499
J8501
J8510
J8515
J8520
J8521
J8530
J8540
J8560
J8562
J8565
J8597
J8600
J8610
J8650
J8655
J8700
J8705
J8999
J9000
J9015
J9017
J9019
J9020
J9025
J9027
J9031
J9032
J9033
J9035
J9039
J9040
J9041
Oral prescrip drug non chemo

Oral aprepitant
Oral busulfan
Cabergoline, oral 0.25mg
Capecitabine, oral, 150 mg
Capecitabine, oral, 500 mg
Cyclophosphamide oral 25 mg
Oral dexamethasone
Etoposide oral 50 mg
Oral fludarabine phosphate
Gefitinib oral
Antiemetic drug oral nos
Melphalan oral 2 mg
Methotrexate oral 2.5 mg
Nabilone oral
Netupitant palonosetron oral
Temozolomide
Topotecan oral
Oral prescription drug chemo
Doxorubicin hcl injection
Aldesleukin injection
Arsenic trioxide injection
Erwinaze injection
Asparaginase, nos
Azacitidine injection
Clofarabine injection
Bcg live intravesical vac
Injection, belinostat, 10mg
Bendamustine injection
Bevacizumab injection
Injection, blinatumomab
Bleomycin sulfate injection
Bortezomib injection
999
432
495
495
443
431
495
430
431
437
434
430
430
495
430
441
434
461
999
430
443
434
463
432
443
464
431
462
462
462
462
430
460
UNASSIGNED
UNASSIGNED
Page 1350 of 6734

J9042
J9043
J9045
J9047
J9050
J9055
J9060
J9065
J9070
J9098
J9100
J9120
J9130
J9150
J9151
J9155
J9160
J9165
J9171
J9175
J9178
J9179
J9181
J9185
J9190
J9200
J9201
J9202
J9206
J9207
J9208
J9209
J9211
Brentuximab vedotin inj

Cabazitaxel injection
Carboplatin injection
Injection, carfilzomib, 1 mg
Carmustine injection
Cetuximab injection
Cisplatin 10 mg injection
Inj cladribine per 1 mg
Cyclophosphamide 100 mg inj
Cytarabine liposome inj
Cytarabine hcl 100 mg inj
Dactinomycin injection
Dacarbazine 100 mg inj
Daunorubicin injection
Daunorubicin citrate inj
Degarelix injection
Denileukin diftitox inj
Diethylstilbestrol injection
Docetaxel injection
Elliotts b solution per ml
Inj, epirubicin hcl, 2 mg
Eribulin mesylate injection
Etoposide injection
Fludarabine phosphate inj
Fluorouracil injection
Floxuridine injection
Gemcitabine hcl injection
Goserelin acetate implant
Irinotecan injection
Ixabepilone injection
Ifosfamide injection
Mesna injection
Idarubicin hcl injection
465
443
430
431
434
461
430
433
431
461
495
461
430
432
432
433
463
435
443
435
431
461
430
431
495
431
438
439
431
462
431
430
433

Page 1351 of 6734

J9212
J9213
J9214
J9215
J9216
J9217
J9218
J9219
J9225
J9226
J9228
J9230
J9245
J9250
J9260
J9261
J9262
J9263
J9264
J9266
J9267
J9268
J9270
J9271
J9280
J9293
J9299
J9300
J9301
J9302
J9303
J9305
J9306
Interferon alfacon-1 inj

Interferon alfa-2a inj
Interferon alfa-2b inj
Interferon alfa-n3 inj
Interferon gamma 1-b inj
Leuprolide acetate suspnsion
Leuprolide acetate injeciton
Leuprolide acetate implant
Vantas implant
Supprelin la implant
Ipilimumab injection
Mechlorethamine hcl inj
Inj melphalan hydrochl 50 mg
Methotrexate sodium inj
Methotrexate sodium inj
Nelarabine injection
Inj, omacetaxine mep, 0.01mg
Oxaliplatin
Paclitaxel protein bound
Pegaspargase injection
Paclitaxel injection
Pentostatin injection
Plicamycin (mithramycin) inj
Inj pembrolizumab
Mitomycin injection
Mitoxantrone hydrochl / 5 mg
Injection, nivolumab
Gemtuzumab ozogamicin inj
Obinutuzumab inj
Ofatumumab injection
Panitumumab injection
Pemetrexed injection
Injection, pertuzumab, 1 mg
495
434
433
430
434
434
432
463
462
465
465
432
461
495
495
463
434
462
461
464
495
443
434
464
431
432
463
463
463
439
462
463
461

Page 1352 of 6734

J9307
J9308
J9310
J9315
J9320
J9328
J9330
J9340
J9351
J9354
J9355
J9357
J9360
J9370
J9371
J9390
J9395
J9400
J9600
J9999
K0001
K0002
K0003
K0004
K0005
K0006
K0007
K0008
K0009
K0010
K0011
K0012
K0013
Pralatrexate injection
Injection, ramucirumab
Rituximab injection
Romidepsin injection
Streptozocin injection
Temozolomide injection
Temsirolimus injection
Thiotepa injection
Topotecan injection
Inj, ado-trastuzumab emt 1mg
Trastuzumab injection
Valrubicin injection
Vinblastine sulfate inj
Vincristine sulfate 1 mg inj
Inj, vincristine sul lip 1mg
Vinorelbine tartrate inj
Injection, fulvestrant
Inj, ziv-aflibercept, 1mg
Porfimer sodium injection
Chemotherapy drug
Standard wheelchair
Stnd hemi (low seat) whlchr
Lightweight wheelchair
High strength ltwt whlchr
Ultralightweight wheelchair
Heavy duty wheelchair
Extra heavy duty wheelchair
Cstm manual wheelchair/base
Other manual wheelchair/base
Stnd wt frame power whlchr
Stnd wt pwr whlchr w control
Ltwt portbl power whlchr
Custom power whlchr base
462
462
463
462
433
443
443
433
443
463
461
462
495
495
434
430
441
462
463
430
999
1004
1004
1005
1011
1005
1005
1003
999
1008
999
1007
1004

UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1353 of 6734

K0014
K0015
K0017
K0018
K0019
K0020
K0037
K0038
K0039
K0040
K0041
K0042
K0043
K0044
K0045
K0046
K0047
K0050
K0051
K0052
K0053
K0056
K0065
K0069
K0070
K0071
K0072
K0073
K0077
K0098
K0105
K0108
K0195
Other power whlchr base

Detach non-adjus hght armrst
Detach adjust armrest base
Detach adjust armrst upper
Arm pad each
Fixed adjust armrest pair
High mount flip-up footrest
Leg strap each
Leg strap h style each
Adjustable angle footplate
Large size footplate each
Standard size footplate each
Ftrst lower extension tube
Ftrst upper hanger bracket
Footrest complete assembly
Elevat legrst low extension
Elevat legrst up hangr brack
Ratchet assembly
Cam relese assem ftrst/lgrst
Swingaway detach footrest
Elevate footrest articulate
Seat ht <17 or >=21 ltwt wc
Spoke protectors
Rear whl complete solid tire
Rear whl compl pneum tire
Front castr compl pneum tire
Frnt cstr cmpl sem-pneum tir
Caster pin lock each
Front caster assem complete
Drive belt power wheelchair
Iv hanger
W/c component-accessory nos
Elevating whlchair leg rests
999
1005
1004
1003
1002
1003
1004
1002
1004
1004
1004
1003
1002
1002
1004
1002
1004
1003
1004
1004
1005
1004
1003
1005
1005
1005
1004
1003
1004
1003
1005
999
1002
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 5
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 4
AND SUPPLIES
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
- LEVEL 5
Page 1354 of 6734

K0455
K0462
K0552
K0601
K0602
K0603
K0604
K0605
K0606
K0607
K0608
K0609
K0669
K0672
K0730
K0733
K0738
K0739
K0740
K0743
K0744
K0745
K0746
K0800
K0801
K0802
K0806
K0807
K0808
K0812
K0813
K0814
K0815
Pump uninterrupted infusion

Temporary replacement eqpmnt
Supply/ext inf pump syr type
Repl batt silver oxide 1.5 v
Repl batt silver oxide 3 v
Repl batt alkaline 1.5 v
Repl batt lithium 3.6 v
Repl batt lithium 4.5 v
Aed garment w elec analysis
Repl batt for aed
Repl garment for aed
Repl electrode for aed
Seat/back cus no dmepdac ver
Removable soft interface le
Ctrl dose inh drug deliv sys
12-24hr sealed lead acid
Portable gas oxygen system
Repair/svc dme non-oxygen eq
Repair/svc oxygen equipment
Portable home suction pump
Absorp drg <= 16 suc pump
Absorp drg >16<=48 suc pump
Absorp drg >48 suc pump
Pov group 1 std up to 300lbs
Pov group 1 hd 301-450 lbs
Pov group 1 vhd 451-600 lbs
Pov group 2 std up to 300lbs
Pov group 2 hd 301-450 lbs
Pov group 2 vhd 451-600 lbs
Power operated vehicle noc
Pwc gp 1 std port seat/back
Pwc gp 1 std port cap chair
Pwc gp 1 std seat/back
1006
999
1001
1001
1001
999
1001
1002
1012
1006
1005
1010
999
1004
1011
1003
999
999
999
999
999
999
999
1011
1011
1012
1011
1012
1013
453
1007
1008
1008

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
- LEVEL 6
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 12
- LEVEL 6
- LEVEL 5
- LEVEL 10
- LEVEL 4
- LEVEL 11
AND SUPPLIES
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
11
11
12
11
12
13
- LEVEL 7
- LEVEL 8
- LEVEL 8
Page 1355 of 6734

K0816
K0820
K0821
K0822
K0823
K0824
K0825
K0826
K0827
K0828
K0829
K0830
K0831
K0835
K0836
K0837
K0838
K0839
K0840
K0841
K0842
K0843
K0848
K0849
K0850
K0851
K0852
K0853
K0854
K0855
K0856
K0857
K0858
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
Pwc
gp 1 std cap chair

gp 2 std port seat/back
gp 2 std port cap chair
gp 2 std seat/back
gp 2 std cap chair
gp 2 hd seat/back
gp 2 hd cap chair
gp 2 vhd seat/back
gp vhd cap chair
gp 2 xtra hd seat/back
gp 2 xtra hd cap chair
gp2 std seat elevate s/b
gp2 std seat elevate cap
gp2 std sing pow opt s/b
gp2 std sing pow opt cap
gp 2 hd sing pow opt s/b
gp 2 hd sing pow opt cap
gp2 vhd sing pow opt s/b
gp2 xhd sing pow opt s/b
gp2 std mult pow opt s/b
gp2 std mult pow opt cap
gp2 hd mult pow opt s/b
gp 3 std seat/back
gp 3 std cap chair
gp 3 hd seat/back
gp 3 hd cap chair
gp 3 vhd seat/back
gp 3 vhd cap chair
gp 3 xhd seat/back
gp 3 xhd cap chair
gp3 std sing pow opt s/b
gp3 std sing pow opt cap
gp3 hd sing pow opt s/b
1008
1007
1008
1009
1009
1009
1009
1010
1009
1010
1010
453
453
1009
1009
1009
1009
1010
1011
1009
1009
1009
1009
1009
1010
1010
1010
1010
1011
1011
1010
1010
1010

LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
8
7
8
9
9
9
9
10
9
10
10
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
9
9
9
9
10
11
9
9
9
9
9
10
10
10
10
11
11
10
10
10
Page 1356 of 6734

K0859
K0860
K0861
K0862
K0863
K0864
K0868
K0869
K0870
K0871
K0877
K0878
K0879
K0880
K0884
K0885
K0886
K0890
K0891
K0898
K0899
K0900
K0901
K0902
L0112
L0113
L0120
L0130
L0140
L0150
L0160
L0170
L0172
Pwc gp3 hd sing pow opt cap

Pwc gp3 vhd sing pow opt s/b
Pwc gp3 std mult pow opt s/b
Pwc gp3 hd mult pow opt s/b
Pwc gp3 vhd mult pow opt s/b
Pwc gp3 xhd mult pow opt s/b
Pwc gp 4 std seat/back
Pwc gp 4 std cap chair
Pwc gp 4 hd seat/back
Pwc gp 4 vhd seat/back
Pwc gp4 std sing pow opt s/b
Pwc gp4 std sing pow opt cap
Pwc gp4 hd sing pow opt s/b
Pwc gp4 vhd sing pow opt s/b
Pwc gp4 std mult pow opt s/b
Pwc gp4 std mult pow opt cap
Pwc gp4 hd mult pow s/b
Pwc gp5 ped sing pow opt s/b
Pwc gp5 ped mult pow opt s/b
Power wheelchair noc
Pow mobil dev no dmepdac
Cstm dme other than wheelchr
Ko single upright pre ots
Ko double upright pre ots
Cranial cervical orthosis
Cranial cervical torticollis
Cerv flex n/adj foam pre ots
Flex thermoplastic collar mo
Cervical semi-rigid adjustab
Cerv semi-rig adj molded chn
Cerv sr wire occ/man pre ots
Cervical collar molded to pt
Cerv col sr foam 2pc pre ots
1010
1011
1010
1010
1011
1011
453
453
453
453
453
453
453
453
453
453
453
453
453
453
456
1001
1010
1010
1011
1007
1003
1005
1004
1005
1005
1009
1005

Page 1357 of 6734

L0174
L0180
L0190
L0200
L0220
L0450
L0452
L0454
L0455
L0456
L0457
L0458
L0460
L0462
L0464
L0466
L0467
L0468
L0469
L0470
L0472
L0480
L0482
L0484
L0486
L0488
L0490
L0491
L0492
L0621
L0622
L0623
L0624
Cerv sr 2pc thor ext pre ots

Cer post col occ/man sup adj
Cerv collar supp adj cerv ba
Cerv col supp adj bar & thor
Thor rib belt custom fabrica
Tlso flex trunk/thor pre ots
Tlso flex custom fab thoraci
Tlso trnk sj-t9 pre cst
Tlso flex trnk sj-t9 pre ots
Tlso flex trnk sj-ss pre cst
Tlso flex trnk sj-ss pre ots
Tlso 2mod symphis-xipho pre
Tlso 2 shl symphys-stern cst
Tlso 3mod sacro-scap pre
Tlso 4mod sacro-scap pre
Tlso r fram soft ant pre cst
Tlso r fram soft pre ots
Tlso rig fram pelvic pre cst
Tlso rig fram pelvic pre ots
Tlso rigid frame pre subclav
Tlso rigid frame hyperex pre
Tlso rigid plastic custom fa
Tlso rigid lined custom fab
Tlso rigid plastic cust fab
Tlso rigidlined cust fab two
Tlso rigid lined pre one pie
Tlso rigid plastic pre one
Tlso 2 piece rigid shell
Tlso 3 piece rigid shell
Sio flex pelvic/sacr pre ots
Sio flex pelvisacral custom
Sio rig pnl pelv/sac pre ots
Sio panel custom
1007
1008
1009
1009
1005
1005
999
1007
1007
1011
1011
1010
1011
1011
1011
1008
1008
1009
1009
1009
1008
1011
1011
1012
1012
1011
1007
1010
1009
1005
1006
999
999
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
7
8
9
9
5
5
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
7
7
11
11
10
11
11
11
8
8
9
9
9
8
11
11
12
12
11
7
10
9
5
6
Page 1358 of 6734

L0625
L0626
L0627
L0628
L0629
L0630
L0631
L0632
L0633
L0634
L0635
L0636
L0637
L0638
L0639
L0640
L0641
L0642
L0643
L0648
L0649
L0650
L0651
L0700
L0710
L0810
L0820
L0830
L0859
L0861
L0970
L0972
L0974
Lo flex l1-below l5 pre ots

Lo sag rig pnl stays pre cst
Lo sag ri an/pos pnl pre cst
Lso flex no ri stays pre ots
Lso flex w/rigid stays cust
Lso r post pnl sj-t9 pre cst
Lso sag r an/pos pnl pre cst
Lso sag rigid frame cust
Lso sc r pos/lat pnl pre cst
Lso flexion control custom
Lso sagit rigid panel prefab
Lso sagittal rigid panel cus
Lso sc r ant/pos pnl pre cst
Lso sag-coronal panel custom
Lso s/c shell/panel prefab
Lso s/c shell/panel custom
Lo rig pos pnl l1-l5 pre ots
Lo sag ri an/pos pnl pre ots
Lso sag ctr rigi pos pre ots
Lso sag r an/pos pnl pre ots
Lso sc r pos/lat pnl pre ots
Lso sc r ant/pos pnl pre ots
Lso sag-co shell pnl pre ots
Ctlso a-p-l control molded
Ctlso a-p-l control w/ inter
Halo cervical into jckt vest
Halo cervical into body jack
Halo cerv into milwaukee typ
Mri compatible system
Halo repl liner/interface
Tlso corset front
Lso corset front
Tlso full corset
1004
1004
1008
1004
999
1005
1011
999
1007
999
1011
1011
1011
1011
1011
1011
1008
1008
1005
1011
1007
1011
1011
1012
1012
1012
1012
1013
1011
1006
1005
1005
1006
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
4
4
8
4
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 7
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
11
11
11
11
11
11
8
8
5
11
7
11
11
12
12
12
12
13
11
6
5
5
6
Page 1359 of 6734

L0976
L0978
L0980
L0982
L0984
L0999
L1000
L1001
L1005
L1010
L1020
L1025
L1030
L1040
L1050
L1060
L1070
L1080
L1085
L1090
L1100
L1110
L1120
L1200
L1210
L1220
L1230
L1240
L1250
L1260
L1270
L1280
L1290
Lso full corset

Axillary crutch extension
Peroneal straps pair pre ots
Stocking sup grips 4 pre ots
Protect body sock ea pre ots
Add to spinal orthosis nos
Ctlso milwauke initial model
Ctlso infant immobilizer
Tension based scoliosis orth
Ctlso axilla sling
Kyphosis pad
Kyphosis pad floating
Lumbar bolster pad
Lumbar or lumbar rib pad
Sternal pad
Thoracic pad
Trapezius sling
Outrigger
Outrigger bil w/ vert extens
Lumbar sling
Ring flange plastic/leather
Ring flange plas/leather mol
Covers for upright each
Furnsh initial orthosis only
Lateral thoracic extension
Anterior thoracic extension
Milwaukee type superstructur
Lumbar derotation pad
Anterior asis pad
Anterior thoracic derotation
Abdominal pad
Rib gusset (elastic) each
Lateral trochanteric pad
1005
1006
1002
1002
1004
999
1012
999
1013
1004
1004
1005
1004
1004
1004
1005
1005
1004
1004
1005
1005
1006
1003
1011
1006
1006
1009
1004
1004
1004
1004
1004
1004
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 5
- LEVEL 6
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 13
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 6
AND SUPPLIES
- LEVEL 11
- LEVEL 6
- LEVEL 6
- LEVEL 9
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
Page 1360 of 6734

L1300
L1310
L1499
L1600
L1610
L1620
L1630
L1640
L1650
L1652
L1660
L1680
L1685
L1686
L1690
L1700
L1710
L1720
L1730
L1755
L1810
L1812
L1820
L1830
L1831
L1832
L1833
L1834
L1836
L1840
L1843
L1844
L1845
Body jacket mold to patient

Post-operative body jacket
Spinal orthosis nos
Ho flex frejka w/cov pre cst
Ho frejka cov only pre cst
Ho flex pavlik harns pre cst
Abduct control hip semi-flex
Pelv band/spread bar thigh c
Ho abduction hip adjustable
Ho bi thighcuffs w sprdr bar
Ho abduction static plastic
Pelvic & hip control thigh c
Post-op hip abduct custom fa
Ho post-op hip abduction
Combination bilateral ho
Leg perthes orth toronto typ
Legg perthes orth newington
Legg perthes orthosis trilat
Legg perthes orth scottish r
Legg perthes patten bottom t
Ko elastic with joints
Ko elastic w/joints pre ots
Ko elas w/ condyle pads & jo
Ko immob canvas long pre ots
Knee orth pos locking joint
Ko adj jnt pos r sup pre cst
Ko adj jnt pos r sup pre ots
Ko w/0 joint rigid molded to
Ko rigid w/o joints pre ots
Ko derot ant cruciate custom
Ko single upright pre cst
Ko w/adj jt rot cntrl molded
Ko double upright pre cst
1011
1011
999
1005
1003
1005
1005
1009
1006
1007
1005
1011
1011
1011
1012
1011
1012
1011
1011
1011
1005
1005
1005
1004
1007
1009
1009
1010
1005
1011
1010
1011
1010
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 5
AND SUPPLIES
- LEVEL 5
- LEVEL 5
- LEVEL 9
- LEVEL 6
- LEVEL 7
- LEVEL 5
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 12
- LEVEL 11
- LEVEL 12
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 7
- LEVEL 9
- LEVEL 9
- LEVEL 10
- LEVEL 5
- LEVEL 11
- LEVEL 10
- LEVEL 11
- LEVEL 10
Page 1361 of 6734

L1846
L1847
L1848
L1850
L1860
L1900
L1902
L1904
L1906
L1907
L1910
L1920
L1930
L1932
L1940
L1945
L1950
L1951
L1960
L1970
L1971
L1980
L1990
L2000
L2005
L2010
L2020
L2030
L2034
L2035
L2036
L2037
L2038
Ko w adj flex/ext rotat mold

Ko dbl upright w/air pre cst
Ko dbl upright w/air pre ots
Ko swedish type pre ots
Ko supracondylar socket mold
Afo sprng wir drsflx calf bd
Afo ankle gauntlet pre ots
Afo molded ankle gauntlet
Afo multilig ank sup pre ots
Afo supramalleolar custom
Afo sing bar clasp attach sh
Afo sing upright w/ adjust s
Afo plastic
Afo rig ant tib prefab tcf/=
Afo molded to patient plasti
Afo molded plas rig ant tib
Afo spiral molded to pt plas
Afo spiral prefabricated
Afo pos solid ank plastic mo
Afo plastic molded w/ankle j
Afo w/ankle joint, prefab
Afo sing solid stirrup calf
Afo doub solid stirrup calf
Kafo sing fre stirr thi/calf
Kafo sng/dbl mechanical act
Kafo sng solid stirrup w/o j
Kafo dbl solid stirrup band/
Kafo dbl solid stirrup w/o j
Kafo pla sin up w/wo k/a cus
Kafo plastic pediatric size
Kafo plas doub free knee mol
Kafo plas sing free knee mol
Kafo w/o joint multi-axis an
1011
1009
1009
1007
1011
1007
1004
1009
1005
1009
1007
1007
1006
1010
1009
1011
1010
1010
1009
1010
1009
1008
1009
1011
1014
1011
1011
1011
1012
1005
1012
1011
1011
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
11
9
9
7
11
7
4
9
5
9
7
7
6
10
9
11
10
10
9
10
9
8
9
11
14
11
11
11
12
5
12
11
11
Page 1362 of 6734

L2040
L2050
L2060
L2070
L2080
L2090
L2106
L2108
L2112
L2114
L2116
L2126
L2128
L2132
L2134
L2136
L2180
L2182
L2184
L2186
L2188
L2190
L2192
L2200
L2210
L2220
L2230
L2232
L2240
L2250
L2260
L2265
L2270
Hkafo torsion bil rot straps

Hkafo torsion cable hip pelv
Hkafo torsion ball bearing j
Hkafo torsion unilat rot str
Hkafo unilat torsion cable
Hkafo unilat torsion ball br
Afo tib fx cast plaster mold
Afo tib fx cast molded to pt
Afo tibial fracture soft
Afo tib fx semi-rigid
Afo tibial fracture rigid
Kafo fem fx cast thermoplas
Kafo fem fx cast molded to p
Kafo femoral fx cast soft
Kafo fem fx cast semi-rigid
Kafo femoral fx cast rigid
Plas shoe insert w ank joint
Drop lock knee
Limited motion knee joint
Adj motion knee jnt lerman t
Quadrilateral brim
Waist belt
Pelvic band & belt thigh fla
Limited ankle motion ea jnt
Dorsiflexion assist each joi
Dorsi & plantar flex ass/res
Split flat caliper stirr & p
Rocker bottom, contact afo
Round caliper and plate atta
Foot plate molded stirrup at
Reinforced solid stirrup
Long tongue stirrup
Varus/valgus strap padded/li
1006
1009
1009
1005
1008
1008
1010
1011
1009
1009
1010
1011
1011
1010
1011
1011
1005
1005
1005
1005
1007
1004
1008
1004
1004
1004
1004
1005
1004
1008
1006
1005
1004
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
6
9
9
5
8
8
10
11
9
9
10
11
11
10
11
11
5
5
5
5
7
4
8
4
4
4
4
5
4
8
6
5
4
Page 1363 of 6734

L2275
L2280
L2300
L2310
L2320
L2330
L2335
L2340
L2350
L2360
L2370
L2375
L2380
L2385
L2387
L2390
L2395
L2397
L2405
L2415
L2425
L2430
L2492
L2500
L2510
L2520
L2525
L2526
L2530
L2540
L2550
L2570
L2580
Plastic mod low ext pad/line

Molded inner boot
Abduction bar jointed adjust
Abduction bar-straight
Non-molded lacer
Lacer molded to patient mode
Anterior swing band
Pre-tibial shell molded to p
Prosthetic type socket molde
Extended steel shank
Patten bottom
Torsion ank & half solid sti
Torsion straight knee joint
Straight knee joint heavy du
Add le poly knee custom kafo
Offset knee joint each
Offset knee joint heavy duty
Suspension sleeve lower ext
Knee joint drop lock ea jnt
Knee joint cam lock each joi
Knee disc/dial lock/adj flex
Knee jnt ratchet lock ea jnt
Knee lift loop drop lock rin
Thi/glut/ischia wgt bearing
Th/wght bear quad-lat brim m
Th/wght bear quad-lat brim c
Th/wght bear nar m-l brim mo
Th/wght bear nar m-l brim cu
Thigh/wght bear lacer non-mo
Thigh/wght bear lacer molded
Thigh/wght bear high roll cu
Hip clevis type 2 posit jnt
Pelvic control pelvic sling
1005
1009
1007
1005
1006
1008
1006
1009
1011
1004
1006
1005
1005
1005
1005
1005
1005
1005
1004
1005
1005
1005
1005
1007
1010
1009
1011
1010
1006
1008
1007
1009
1009
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
5
9
7
5
6
8
6
9
11
4
6
5
5
5
5
5
5
5
4
5
5
5
5
7
10
9
11
10
6
8
7
9
9
Page 1364 of 6734

L2600
L2610
L2620
L2622
L2624
L2627
L2628
L2630
L2640
L2650
L2660
L2670
L2680
L2750
L2755
L2760
L2768
L2780
L2785
L2795
L2800
L2810
L2820
L2830
L2840
L2850
L2861
L2999
L3000
L3001
L3002
L3003
L3010
Hip clevis/thrust bearing fr

Hip clevis/thrust bearing lo
Pelvic control hip heavy dut
Hip joint adjustable flexion
Hip adj flex ext abduct cont
Plastic mold recipro hip & c
Metal frame recipro hip & ca
Pelvic control band & belt u
Pelvic control band & belt b
Pelv & thor control gluteal
Thoracic control thoracic ba
Thorac cont paraspinal uprig
Thorac cont lat support upri
Plating chrome/nickel pr bar
Carbon graphite lamination
Extension per extension per
Ortho sidebar disconnect
Non-corrosive finish
Drop lock retainer each
Knee control full kneecap
Knee cap medial or lateral p
Knee control condylar pad
Soft interface below knee se
Soft interface above knee se
Tibial length sock fx or equ
Femoral lgth sock fx or equa
Torsion mechanism knee/ankle
Lower extremity orthosis nos
Ft insert ucb berkeley shell
Foot insert remov molded spe
Foot insert plastazote or eq
Foot insert silicone gel eac
Foot longitudinal arch suppo
1006
1006
1007
1007
1007
1011
1011
1006
1007
1005
1006
1005
1005
1004
1005
1004
1005
1004
1003
1004
1005
1004
1004
1005
1003
1004
999
999
1007
1005
1005
1005
1005
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 6
- LEVEL 6
- LEVEL 7
- LEVEL 7
- LEVEL 7
- LEVEL 11
- LEVEL 11
- LEVEL 6
- LEVEL 7
- LEVEL 5
- LEVEL 6
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 5
- LEVEL 4
- LEVEL 5
- LEVEL 4
AND SUPPLIES
- LEVEL 4
- LEVEL 5
- LEVEL 4
- LEVEL 4
- LEVEL 5
AND SUPPLIES
- LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
7
5
5
5
5
Page 1365 of 6734

L3020
L3030
L3031
L3040
L3050
L3060
L3070
L3080
L3090
L3100
L3140
L3150
L3160
L3170
L3201
L3202
L3203
L3204
L3206
L3207
L3208
L3209
L3211
L3212
L3213
L3214
L3215
L3216
L3217
L3219
L3221
L3222
L3224
Foot longitud/metatarsal sup

Foot arch support remov prem
Foot lamin/prepreg composite
Ft arch suprt premold longit
Foot arch supp premold metat
Foot arch supp longitud/meta
Arch suprt att to sho longit
Arch supp att to shoe metata
Arch supp att to shoe long/m
Hallus-valgus nt dyn pre ots
Abduction rotation bar shoe
Abduct rotation bar w/o shoe
Shoe styled positioning dev
Foot plas heel stabi pre ots
Oxford w supinat/pronat inf
Oxford w/ supinat/pronator c
Oxford w/ supinator/pronator
Hightop w/ supp/pronator inf
Hightop w/ supp/pronator chi
Hightop w/ supp/pronator jun
Surgical boot each infant
Surgical boot each child
Surgical boot each junior
Benesch boot pair infant
Benesch boot pair child
Benesch boot pair junior
Orthopedic ftwear ladies oxf
Orthoped ladies shoes dpth i
Ladies shoes hightop depth i
Orthopedic mens shoes oxford
Orthopedic mens shoes dpth i
Mens shoes hightop depth inl
Woman's shoe oxford brace
1006
1004
999
1004
1004
1004
1003
1003
1003
1003
1004
1004
999
1004
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
1004
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
EQUIPMENT - LEVEL 6
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 4
EQUIPMENT - LEVEL 4
EQUIPMENT - LEVEL 4
Page 1366 of 6734

L3225
L3230
L3250
L3251
L3252
L3253
L3254
L3255
L3257
L3260
L3265
L3300
L3310
L3320
L3330
L3332
L3334
L3340
L3350
L3360
L3370
L3380
L3390
L3400
L3410
L3420
L3430
L3440
L3450
L3455
L3460
L3465
L3470
Man's shoe oxford brace

Custom shoes depth inlay
Custom mold shoe remov prost
Shoe molded to pt silicone s
Shoe molded plastazote cust
Shoe molded plastazote cust
Orth foot non-stndard size/w
Orth foot non-standard size/
Orth foot add charge split s
Ambulatory surgical boot eac
Plastazote sandal each
Sho lift taper to metatarsal
Shoe lift elev heel/sole neo
Shoe lift elev heel/sole cor
Lifts elevation metal extens
Shoe lifts tapered to one-ha
Shoe lifts elevation heel /i
Shoe wedge sach
Shoe heel wedge
Shoe sole wedge outside sole
Shoe sole wedge between sole
Shoe clubfoot wedge
Shoe outflare wedge
Shoe metatarsal bar wedge ro
Shoe metatarsal bar between
Full sole/heel wedge btween
Sho heel count plast reinfor
Heel leather reinforced
Shoe heel sach cushion type
Shoe heel new leather standa
Shoe heel new rubber standar
Shoe heel thomas with wedge
Shoe heel thomas extend to b
1004
999
999
999
999
999
999
999
999
999
999
1004
1004
999
1009
1004
1003
1004
1002
1003
1004
1004
1004
1003
1005
1004
1005
1004
1005
1003
1003
1004
1004
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT - LEVEL 4
EQUIPMENT - LEVEL 4
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 9
- LEVEL 4
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
- LEVEL 5
- LEVEL 4
- LEVEL 5
- LEVEL 4
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 4
Page 1367 of 6734

L3480
L3485
L3500
L3510
L3520
L3530
L3540
L3550
L3560
L3570
L3580
L3590
L3595
L3600
L3610
L3620
L3630
L3640
L3649
L3650
L3660
L3670
L3671
L3674
L3675
L3677
L3678
L3702
L3710
L3720
L3730
L3740
L3760
Shoe heel pad & depress for

Shoe heel pad removable for
Ortho shoe add leather insol
Orthopedic shoe add rub insl
O shoe add felt w leath insl
Ortho shoe add half sole
Ortho shoe add full sole
O shoe add standard toe tap
O shoe add horseshoe toe tap
O shoe add instep extension
O shoe add instep velcro clo
O shoe convert to sof counte
Ortho shoe add march bar
Trans shoe calip plate exist
Trans shoe caliper plate new
Trans shoe solid stirrup exi
Trans shoe solid stirrup new
Shoe dennis browne splint bo
Orthopedic shoe modifica nos
So 8 abd restraint pre ots
So 8 ab rstr can/web pre ots
So acro/clav can web pre ots
So cap design w/o jnts cf
So airplane w/wo joint cf
So vest canvas/web pre ots
So hard plas stabili pre cst
So hard plas stabili pre ots
Eo w/o joints cf
Eo elas w/metal jnts pre ots
Forearm/arm cuffs free motio
Forearm/arm cuffs ext/flex a
Cuffs adj lock w/ active con
Eo withjoint, prefabricated
1004
999
1003
1003
1003
1003
1004
1001
1002
1004
1004
1004
1003
1004
1005
1004
1005
1003
999
1004
999
999
1010
1011
999
999
1010
1006
1005
1009
1010
1011
1008
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
- LEVEL 4
- LEVEL 5
- LEVEL 4
- LEVEL 5
AND SUPPLIES
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
10
6
5
9
10
11
8
Page 1368 of 6734

L3762
L3763
L3764
L3765
L3766
L3806
L3807
L3808
L3809
L3891
L3900
L3901
L3904
L3905
L3906
L3908
L3912
L3913
L3915
L3916
L3917
L3918
L3919
L3921
L3923
L3924
L3925
L3927
L3929
L3930
L3931
L3933
L3935
Eo rigid w/o joints pre ots

Ewho rigid w/o jnts cf
Ewho w/joint(s) cf
Ewhfo rigid w/o jnts cf
Ewhfo w/joint(s) cf
Whfo w/joint(s) custom fab
Whfo w/o joints pre cst
Whfo, rigid w/o joints
Whfo w/o joints pre ots
Torsion mechanism wrist/elbo
Hinge extension/flex wrist/f
Hinge ext/flex wrist finger
Whfo electric custom fitted
Who w/nontorsion jnt(s) cf
Who w/o joints cf
Who cock-up nonmolde pre ots
Hfo flexion glove pre ots
Hfo w/o joints cf
Who nontorsion jnts pre cst
Who nontorsion jnts pre ots
Metacarp fx orthosis pre cst
Metacarp fx orthosis pre ots
Ho w/o joints cf
Hfo w/joint(s) cf
Hfo without joints pre cst
Hfo without joints pre ots
Fo pip dip jnt/sprng pre ots
Fo pip dip no jt spr pre ots
Hfo nontorsion jnts pre cst
Hfo nontorsion jnts pre ots
Whfo nontorsion joint prefab
Fo w/o joints cf
Fo nontorsion joint cf
1005
1009
1010
1011
1011
1008
1006
1007
1006
999
1011
1011
999
1010
1008
1004
999
1006
1009
1009
1005
1005
1006
1007
1004
1004
1004
1003
1004
1007
1006
1006
1006
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
5
9
10
11
11
8
6
7
6
EQUIPMENT - LEVEL 8
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 6
- LEVEL 9
- LEVEL 9
- LEVEL 5
- LEVEL 5
- LEVEL 6
- LEVEL 7
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
- LEVEL 4
- LEVEL 7
- LEVEL 6
- LEVEL 6
- LEVEL 6
Page 1369 of 6734

L3956
L3960
L3961
L3962
L3967
L3971
L3973
L3975
L3976
L3977
L3978
L3980
L3981
L3982
L3984
L3995
L3999
L4000
L4002
L4010
L4020
L4030
L4040
L4045
L4050
L4055
L4060
L4070
L4080
L4090
L4100
L4110
L4130
Add joint upper ext orthosis

Sewho airplan desig abdu pos
Sewho cap design w/o jnts cf
Sewho erbs palsey design abd
Sewho airplane w/o jnts cf
Sewho cap design w/jnt(s) cf
Sewho airplane w/jnt(s) cf
Sewhfo cap design w/o jnt cf
Sewhfo airplane w/o jnts cf
Sewhfo cap desgn w/jnt(s) cf
Sewhfo airplane w/jnt(s) cf
Up ext fx orthos humeral nos
Ue fx orth shoul cap forearm
Upper ext fx orthosis rad/ul
Upper ext fx orthosis wrist
Sock fracture or equal each
Upper limb orthosis nos
Repl girdle milwaukee orth
Replace strap, any orthosis
Replace trilateral socket br
Replace quadlat socket brim
Replace socket brim cust fit
Replace molded thigh lacer
Replace non-molded thigh lac
Replace molded calf lacer
Replace non-molded calf lace
Replace high roll cuff
Replace prox & dist upright
Repl met band kafo-afo prox
Repl met band kafo-afo calf/
Repl leath cuff kafo prox th
Repl leath cuff kafo-afo cal
Replace pretibial shell
999
1010
1011
1010
1011
1011
1011
1011
1011
1011
1011
1007
1007
1008
1007
1003
999
1011
999
1010
1010
1009
1008
1007
1008
1007
1007
1007
1005
1005
1005
1004
1009
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 10
- LEVEL 11
- LEVEL 10
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 7
- LEVEL 7
- LEVEL 8
- LEVEL 7
AND SUPPLIES
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
10
10
9
8
7
8
7
7
7
5
5
5
4
9
Page 1370 of 6734

L4205
L4210
L4350
L4360
L4361
L4370
L4386
L4387
L4392
L4394
L4396
L4397
L4398
L4631
L5000
L5010
L5020
L5050
L5060
L5100
L5105
L5150
L5160
L5200
L5210
L5220
L5230
L5250
L5270
L5280
L5301
L5312
L5321
Ortho dvc repair per 15 min

Orth dev repair/repl minor p
Ankle control ortho pre ots
Pneumat walking boot pre cst
Pneuma/vac walk boot pre ots
Pneum full leg splnt pre ots
Non-pneum walk boot pre cst
Non-pneum walk boot pre ots
Replace afo soft interface
Replace foot drop spint
Static or dynami afo pre cst
Static or dynami afo pre ots
Foot drop splint pre ots
Afo, walk boot type, cus fab
Sho insert w arch toe filler
Mold socket ank hgt w/ toe f
Tibial tubercle hgt w/ toe f
Ank symes mold sckt sach ft
Symes met fr leath socket ar
Molded socket shin sach foot
Plast socket jts/thgh lacer
Mold sckt ext knee shin sach
Mold socket bent knee shin s
Kne sing axis fric shin sach
No knee/ankle joints w/ ft b
No knee joint with artic ali
Fem focal defic constant fri
Hip canad sing axi cons fric
Tilt table locking hip sing
Hemipelvect canad sing axis
Bk mold socket sach ft endo
Knee disart, sach ft, endo
Ak open end sach
999
999
1005
1007
1007
1006
1005
1005
1002
1002
1005
1005
1004
1011
1009
1011
1012
1012
1013
1012
1014
1014
1014
1013
1012
1013
1014
1015
1015
1015
1012
1014
1013
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 5
- LEVEL 7
- LEVEL 7
- LEVEL 6
- LEVEL 5
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 11
- LEVEL 9
- LEVEL 11
- LEVEL 12
- LEVEL 12
- LEVEL 13
- LEVEL 12
- LEVEL 14
- LEVEL 14
- LEVEL 14
- LEVEL 13
- LEVEL 12
- LEVEL 13
- LEVEL 14
- LEVEL 15
- LEVEL 15
- LEVEL 15
- LEVEL 12
- LEVEL 14
- LEVEL 13
Page 1371 of 6734

L5331
L5341
L5400
L5410
L5420
L5430
L5450
L5460
L5500
L5505
L5510
L5520
L5530
L5535
L5540
L5560
L5570
L5580
L5585
L5590
L5595
L5600
L5610
L5611
L5613
L5614
L5616
L5617
L5618
L5620
L5622
L5624
L5626
Hip disart canadian sach ft

Hemipelvectomy canadian sach
Postop dress & 1 cast chg bk
Postop dsg bk ea add cast ch
Postop dsg & 1 cast chg ak/d
Postop dsg ak ea add cast ch
Postop app non-wgt bear dsg
Postop app non-wgt bear dsg
Init bk ptb plaster direct
Init ak ischal plstr direct
Prep bk ptb plaster molded
Perp bk ptb thermopls direct
Prep bk ptb thermopls molded
Prep bk ptb open end socket
Prep bk ptb laminated socket
Prep ak ischial plast molded
Prep ak ischial direct form
Prep ak ischial thermo mold
Prep ak ischial open end
Prep ak ischial laminated
Hip disartic sach thermopls
Hip disart sach laminat mold
Above knee hydracadence
Ak 4 bar link w/fric swing
Ak 4 bar ling w/hydraul swig
4-bar link above knee w/swng
Ak univ multiplex sys frict
Ak/bk self-aligning unit ea
Test socket symes
Test socket below knee
Test socket knee disarticula
Test socket above knee
Test socket hip disarticulat
1015
1015
1011
1009
1011
1009
1008
1009
1011
1012
1011
1011
1012
1012
1012
1012
1012
1012
1013
1012
1014
1015
1012
1011
1012
1011
1011
1009
1007
1007
1008
1008
1009
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
15
15
11
9
11
9
8
9
11
12
11
11
12
12
12
12
12
12
13
12
14
15
12
11
12
11
11
9
7
7
8
8
9
Page 1372 of 6734

L5628
L5629
L5630
L5631
L5632
L5634
L5636
L5637
L5638
L5639
L5640
L5642
L5643
L5644
L5645
L5646
L5647
L5648
L5649
L5650
L5651
L5652
L5653
L5654
L5655
L5656
L5658
L5661
L5665
L5666
L5668
L5670
L5671
Test socket hemipelvectomy

Below knee acrylic socket
Syme typ expandabl wall sckt
Ak/knee disartic acrylic soc
Symes type ptb brim design s
Symes type poster opening so
Symes type medial opening so
Below knee total contact
Below knee leather socket
Below knee wood socket
Knee disarticulat leather so
Above knee leather socket
Hip flex inner socket ext fr
Above knee wood socket
Bk flex inner socket ext fra
Below knee cushion socket
Below knee suction socket
Above knee cushion socket
Isch containmt/narrow m-l so
Tot contact ak/knee disart s
Ak flex inner socket ext fra
Suction susp ak/knee disart
Knee disart expand wall sock
Socket insert symes
Socket insert below knee
Socket insert knee articulat
Socket insert above knee
Multi-durometer symes
Multi-durometer below knee
Below knee cuff suspension
Bk molded distal cushion
Bk molded supracondylar susp
Bk/ak locking mechanism
1009
1007
1009
1009
1006
1007
1007
1007
1009
1011
1010
1009
1011
1009
1010
1009
1010
1010
1012
1009
1011
1009
1009
1007
1007
1008
1008
1009
1009
1004
1005
1007
1009
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
9
7
9
9
6
7
7
7
9
11
10
9
11
9
10
9
10
10
12
9
11
9
9
7
7
8
8
9
9
4
5
7
9
Page 1373 of 6734

L5672
L5673
L5676
L5677
L5678
L5679
L5680
L5681
L5682
L5683
L5684
L5685
L5686
L5688
L5690
L5692
L5694
L5695
L5696
L5697
L5698
L5699
L5700
L5701
L5702
L5703
L5704
L5705
L5706
L5707
L5710
L5711
L5712
Bk removable medial brim sus

Socket insert w lock mech
Bk knee joints single axis p
Bk knee joints polycentric p
Bk joint covers pair
Socket insert w/o lock mech
Bk thigh lacer non-molded
Intl custm cong/latyp insert
Bk thigh lacer glut/ischia m
Initial custom socket insert
Bk fork strap
Below knee sus/seal sleeve
Bk back check
Bk waist belt webbing
Bk waist belt padded and lin
Ak pelvic control belt light
Ak pelvic control belt pad/l
Ak sleeve susp neoprene/equa
Ak/knee disartic pelvic join
Ak/knee disartic pelvic band
Ak/knee disartic silesian ba
Shoulder harness
Replace socket below knee
Replace socket above knee
Replace socket hip
Symes ankle w/o (sach) foot
Custom shape cover bk
Custom shape cover ak
Custom shape cvr knee disart
Custom shape cvr hip disart
Kne-shin exo sng axi mnl loc
Knee-shin exo mnl lock ultra
Knee-shin exo frict swg & st
1007
1010
1008
1009
1003
1009
1007
1011
1010
1011
1004
1005
1004
1004
1005
1005
1006
1005
1006
1004
1005
1006
1013
1014
1015
1012
1009
1011
1011
1011
1008
1009
1009
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 7
- LEVEL 10
- LEVEL 8
- LEVEL 9
AND SUPPLIES
- LEVEL 9
- LEVEL 7
- LEVEL 11
- LEVEL 10
- LEVEL 11
- LEVEL 4
- LEVEL 5
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 6
- LEVEL 5
- LEVEL 6
- LEVEL 4
- LEVEL 5
- LEVEL 6
- LEVEL 13
- LEVEL 14
- LEVEL 15
- LEVEL 12
- LEVEL 9
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 8
- LEVEL 9
- LEVEL 9
Page 1374 of 6734

L5714
L5716
L5718
L5722
L5724
L5726
L5728
L5780
L5781
L5782
L5785
L5790
L5795
L5810
L5811
L5812
L5814
L5816
L5818
L5822
L5824
L5826
L5828
L5830
L5840
L5845
L5848
L5850
L5855
L5856
L5857
L5858
L5859
Knee-shin exo variable frict

Knee-shin exo mech stance ph
Knee-shin exo frct swg & sta
Knee-shin pneum swg frct exo
Knee-shin exo fluid swing ph
Knee-shin ext jnts fld swg e
Knee-shin fluid swg & stance
Knee-shin pneum/hydra pneum
Lower limb pros vacuum pump
Hd low limb pros vacuum pump
Exoskeletal bk ultralt mater
Exoskeletal ak ultra-light m
Exoskel hip ultra-light mate
Endoskel knee-shin mnl lock
Endo knee-shin mnl lck ultra
Endo knee-shin frct swg & st
Endo knee-shin hydral swg ph
Endo knee-shin polyc mch sta
Endo knee-shin frct swg & st
Endo knee-shin pneum swg frc
Endo knee-shin fluid swing p
Miniature knee joint
Endo knee-shin fluid swg/sta
Endo knee-shin pneum/swg pha
Multi-axial knee/shin system
Knee-shin sys stance flexion
Knee-shin sys hydraul stance
Endo ak/hip knee extens assi
Mech hip extension assist
Elec knee-shin swing/stance
Elec knee-shin swing only
Stance phase only
Knee-shin pro flex/ext cont
1009
1010
1011
1011
1011
1012
1012
1011
1014
1014
1009
1010
1011
1009
1010
1009
1014
1011
1011
1012
1011
1013
1013
1012
1014
1011
1011
1005
1007
1020
1017
1020
1011
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
9
10
11
11
11
12
12
11
14
14
9
10
11
9
10
9
14
11
11
12
11
13
13
12
14
11
11
5
7
20
17
20
11
Page 1375 of 6734

L5910
L5920
L5925
L5930
L5940
L5950
L5960
L5961
L5962
L5964
L5966
L5968
L5969
L5970
L5971
L5972
L5973
L5974
L5975
L5976
L5978
L5979
L5980
L5981
L5982
L5984
L5985
L5986
L5987
L5988
L5990
L5999
L6000
Endo below knee alignable sy

Endo ak/hip alignable system
Above knee manual lock
High activity knee frame
Endo bk ultra-light material
Endo ak ultra-light material
Endo hip ultra-light materia
Endo poly hip, pneu/hyd/rot
Below knee flex cover system
Above knee flex cover system
Hip flexible cover system
Multiaxial ankle w dorsiflex
Ak/ft power asst incl motors
Foot external keel sach foot
Sach foot, replacement
Flexible keel foot
Ank-foot sys dors-plant flex
Foot single axis ankle/foot
Combo ankle/foot prosthesis
Energy storing foot
Ft prosth multiaxial ankl/ft
Multi-axial ankle/ft prosth
Flex foot system
Flex-walk sys low ext prosth
Exoskeletal axial rotation u
Endoskeletal axial rotation
Lwr ext dynamic prosth pylon
Multi-axial rotation unit
Shank ft w vert load pylon
Vertical shock reducing pylo
User adjustable heel height
Lowr extremity prosthes nos
Part hand thumb rem
1008
1009
1008
1013
1009
1010
1011
1015
1009
1011
1011
1013
1020
1006
1006
1008
1020
1006
1009
1009
1007
1012
1014
1013
1009
1009
1007
1010
1016
1012
1011
999
1011
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
8
9
8
13
9
10
11
15
9
11
11
13
20
6
6
8
20
6
9
9
7
12
14
13
9
9
7
10
16
12
11
Page 1376 of 6734

L6010
L6020
L6026
L6050
L6055
L6100
L6110
L6120
L6130
L6200
L6205
L6250
L6300
L6310
L6320
L6350
L6360
L6370
L6380
L6382
L6384
L6386
L6388
L6400
L6450
L6500
L6550
L6570
L6580
L6582
L6584
L6586
L6588
Part hand little/ring

Part hand no fingers
Part hand myo exclu term dev
Wrst mld sck flx hng tri pad
Wrst mold sock w/exp interfa
Elb mold sock flex hinge pad
Elbow mold sock suspension t
Elbow mold doub splt soc ste
Elbow stump activated lock h
Elbow mold outsid lock hinge
Elbow molded w/ expand inter
Elbow inter loc elbow forarm
Shlder disart int lock elbow
Shoulder passive restor comp
Shoulder passive restor cap
Thoracic intern lock elbow
Thoracic passive restor comp
Thoracic passive restor cap
Postop dsg cast chg wrst/elb
Postop dsg cast chg elb dis/
Postop dsg cast chg shlder/t
Postop ea cast chg & realign
Postop applicat rigid dsg on
Below elbow prosth tiss shap
Elb disart prosth tiss shap
Above elbow prosth tiss shap
Shldr disar prosth tiss shap
Scap thorac prosth tiss shap
Wrist/elbow bowden cable mol
Wrist/elbow bowden cbl dir f
Elbow fair lead cable molded
Elbow fair lead cable dir fo
Shdr fair lead cable molded
1011
1011
1016
1012
1013
1012
1012
1012
1013
1013
1014
1013
1014
1013
1012
1014
1013
1012
1011
1011
1012
1008
1009
1012
999
1013
1014
1015
1011
1011
1012
1012
1013
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
11
11
16
12
13
12
12
12
13
13
14
13
14
13
12
14
13
12
11
11
12
8
9
12
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
13
14
15
11
11
12
12
13
Page 1377 of 6734

L6590
L6600
L6605
L6610
L6611
L6615
L6616
L6620
L6621
L6623
L6624
L6625
L6628
L6629
L6630
L6632
L6635
L6637
L6638
L6640
L6641
L6642
L6645
L6646
L6647
L6648
L6650
L6655
L6660
L6665
L6670
L6672
L6675
Shdr fair lead cable direct

Polycentric hinge pair
Single pivot hinge pair
Flexible metal hinge pair
Additional switch, ext power
Disconnect locking wrist uni
Disconnect insert locking wr
Flexion/extension wrist unit
Flex/ext wrist w/wo friction
Spring-ass rot wrst w/ latch
Flex/ext/rotation wrist unit
Rotation wrst w/ cable lock
Quick disconn hook adapter o
Lamination collar w/ couplin
Stainless steel any wrist
Latex suspension sleeve each
Lift assist for elbow
Nudge control elbow lock
Elec lock on manual pw elbow
Shoulder abduction joint pai
Excursion amplifier pulley t
Excursion amplifier lever ty
Shoulder flexion-abduction j
Multipo locking shoulder jnt
Shoulder lock actuator
Ext pwrd shlder lock/unlock
Shoulder universal joint
Standard control cable extra
Heavy duty control cable
Teflon or equal cable lining
Hook to hand cable adapter
Harness chest/shlder saddle
Harness figure of 8 sing con
1013
1006
1006
1006
1008
1006
1004
1007
1012
1010
1014
1009
1009
1005
1006
1004
1006
1008
1012
1007
1005
1006
1007
1013
1009
1013
1008
1004
1005
1004
1004
1006
1005
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
13
6
6
6
8
6
4
7
12
10
14
9
9
5
6
4
6
8
12
7
5
6
7
13
9
13
8
4
5
4
4
6
5
Page 1378 of 6734

L6676
L6677
L6680
L6682
L6684
L6686
L6687
L6688
L6689
L6690
L6691
L6692
L6693
L6694
L6695
L6696
L6697
L6698
L6703
L6704
L6706
L6707
L6708
L6709
L6711
L6712
L6713
L6714
L6715
L6721
L6722
L6805
L6810
Harness figure of 8 dual con

Ue triple control harness
Test sock wrist disart/bel e
Test sock elbw disart/above
Test socket shldr disart/tho
Suction socket
Frame typ socket bel elbow/w
Frame typ sock above elb/dis
Frame typ socket shoulder di
Frame typ sock interscap-tho
Removable insert each
Silicone gel insert or equal
Lockingelbow forearm cntrbal
Elbow socket ins use w/lock
Elbow socket ins use w/o lck
Cus elbo skt in for con/atyp
Cus elbo skt in not con/atyp
Below/above elbow lock mech
Term dev, passive hand mitt
Term dev, sport/rec/work att
Term dev mech hook vol open
Term dev mech hook vol close
Term dev mech hand vol open
Term dev mech hand vol close
Ped term dev, hook, vol open
Ped term dev, hook, vol clos
Ped term dev, hand, vol open
Ped term dev, hand, vol clos
Term device, multi art digit
Hook/hand, hvy dty, vol open
Hook/hand, hvy dty, vol clos
Term dev modifier wrist unit
Term dev precision pinch dev
1005
1007
1006
1007
1008
1009
1009
1009
1010
1010
1008
1009
1013
1010
1009
1011
1011
1009
1007
1009
1008
1011
1011
1011
1009
1011
1011
1011
999
1012
1012
1008
1006
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
5
7
6
7
8
9
9
9
10
10
8
9
13
10
9
11
11
9
7
9
8
11
11
11
9
11
11
11
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
12
12
8
6
Page 1379 of 6734

L6880
L6881
L6882
L6883
L6884
L6885
L6890
L6895
L6900
L6905
L6910
L6915
L6920
L6925
L6930
L6935
L6940
L6945
L6950
L6955
L6960
L6965
L6970
L6975
L7007
L7008
L7009
L7040
L7045
L7170
L7180
L7181
L7185
Elec hand ind art digits

Term dev auto grasp feature
Microprocessor control uplmb
Replc sockt below e/w disa
Replc sockt above elbow disa
Replc sockt shldr dis/interc
Prefab glove for term device
Custom glove for term device
Hand restorat thumb/1 finger
Hand restoration multiple fi
Hand restoration no fingers
Hand restoration replacmnt g
Wrist disarticul switch ctrl
Wrist disart myoelectronic c
Below elbow switch control
Below elbow myoelectronic ct
Elbow disarticulation switch
Elbow disart myoelectronic c
Above elbow switch control
Above elbow myoelectronic ct
Shldr disartic switch contro
Shldr disartic myoelectronic
Interscapular-thor switch ct
Interscap-thor myoelectronic
Adult electric hand
Pediatric electric hand
Adult electric hook
Prehensile actuator
Pediatric electric hook
Electronic elbow hosmer swit
Electronic elbow sequential
Electronic elbo simultaneous
Electron elbow adolescent sw
999
1014
1013
1011
1012
1013
1006
1009
1011
1011
1011
1010
1016
1017
1016
1017
1017
1018
1018
1019
1019
1020
1020
1020
1014
1015
1014
1013
1011
1016
1020
1020
1016
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
14
13
11
12
13
6
9
11
11
11
10
16
17
16
17
17
18
18
19
19
20
20
20
14
15
14
13
11
16
20
20
16
Page 1380 of 6734

L7186
L7190
L7191
L7259
L7360
L7362
L7364
L7366
L7367
L7368
L7400
L7401
L7402
L7403
L7404
L7405
L7499
L7510
L7520
L7600
L7900
L7902
L8000
L8001
L8002
L8010
L8015
L8020
L8030
L8031
L8032
L8035
L8039
Electron elbow child switch

Elbow adolescent myoelectron
Elbow child myoelectronic ct
Electronic wrist rotator any
Six volt bat otto bock/eq ea
Battery chrgr six volt otto
Twelve volt battery utah/equ
Battery chrgr 12 volt utah/e
Replacemnt lithium ionbatter
Lithium ion battery charger
Add ue prost be/wd, ultlite
Add ue prost a/e ultlite mat
Add ue prost s/d ultlite mat
Add ue prost b/e acrylic
Add ue prost a/e acrylic
Add ue prost s/d acrylic
Upper extremity prosthes nos
Prosthetic device repair rep
Repair prosthesis per 15 min
Prosthetic donning sleeve
Male vacuum erection system
Tension ring, vac erect dev
Mastectomy bra
Breast prosthesis bra & form
Brst prsth bra & bilat form
Mastectomy sleeve
Ext breastprosthesis garment
Mastectomy form
Breast prosthes w/o adhesive
Breast prosthesis w adhesive
Reusable nipple prosthesis
Custom breast prosthesis
Breast prosthesis nos
1017
1017
1018
1012
1006
1007
1008
1009
1008
1009
1007
1007
1008
1007
1009
1010
999
999
999
999
1009
1001
1003
1005
1005
999
1004
1006
1007
1007
1003
1013
999
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
17
17
18
12
6
7
8
9
8
9
7
7
8
7
9
10
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 9
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
- LEVEL 5
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 4
- LEVEL 6
- LEVEL 7
- LEVEL 7
AND SUPPLIES
- LEVEL 13
Page 1381 of 6734

L8040
L8041
L8042
L8043
L8044
L8045
L8046
L8047
L8048
L8049
L8300
L8310
L8320
L8330
L8400
L8410
L8415
L8417
L8420
L8430
L8435
L8440
L8460
L8465
L8470
L8480
L8485
L8499
L8500
L8501
L8505
L8507
L8509
Nasal prosthesis
Midfacial prosthesis
Orbital prosthesis
Upper facial prosthesis
Hemi-facial prosthesis
Auricular prosthesis
Partial facial prosthesis
Nasal septal prosthesis
Unspec maxillofacial prosth
Repair maxillofacial prosth
Truss single w/ standard pad
Truss double w/ standard pad
Truss addition to std pad wa
Truss add to std pad scrotal
Sheath below knee
Sheath above knee
Sheath upper limb
Pros sheath/sock w gel cushn
Prosthetic sock multi ply bk
Prosthetic sock multi ply ak
Pros sock multi ply upper lm
Shrinker below knee
Shrinker above knee
Shrinker upper limb
Pros sock single ply bk
Pros sock single ply ak
Pros sock single ply upper l
Unlisted misc prosthetic ser
Artificial larynx
Tracheostomy speaking valve
Artificial larynx, accessory
Trach-esoph voice pros pt in
Trach-esoph voice pros md in
1012
1013
1013
1014
1014
1012
1012
1011
999
999
1005
1005
1004
1004
1002
1002
1002
1002
1002
1003
1002
1004
1004
1004
1001
1002
1002
999
1010
1005
999
1003
1005
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
12
13
13
14
14
12
12
11
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 5
- LEVEL 5
- LEVEL 4
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
EQUIPMENT - LEVEL 5
EQUIPMENT - LEVEL 5
Page 1382 of 6734

L8510
L8511
L8512
L8513
L8514
L8515
L8600
L8603
L8604
L8605
L8606
L8607
L8609
L8610
L8612
L8613
L8614
L8615
L8616
L8617
L8618
L8619
L8621
L8622
L8623
L8624
L8627
L8628
L8629
L8630
L8631
L8641
L8642
Voice amplifier
Indwelling trach insert
Gel cap for trach voice pros
Trach pros cleaning device
Repl trach puncture dilator
Gel cap app device for trach
Implant breast silicone/eq
Collagen imp urinary 2.5 ml
Dextranomer/hyaluronic acid
Inj bulking agent anal canal
Synthetic implnt urinary 1ml
Inj vocal cord bulking agent
Artificial cornea
Ocular implant
Aqueous shunt prosthesis
Ossicular implant
Cochlear device
Coch implant headset replace
Coch implant microphone repl
Coch implant trans coil repl
Coch implant tran cable repl
Coch imp ext proc/contr rplc
Repl zinc air battery
Repl alkaline battery
Lith ion batt cid,non-earlvl
Lith ion batt cid, ear level
Cid ext speech process repl
Cid ext controller repl
Cid transmit coil and cable
Metacarpophalangeal implant
Mcp joint repl 2 pc or more
Metatarsal joint implant
Hallux implant
1006
1004
1001
1001
1005
1004
1010
1008
490
490
1006
490
1016
1009
1009
1007
1020
1008
1005
1004
1003
999
999
999
1004
1005
1016
1011
1005
1008
1012
1008
1007

UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1383 of 6734

L8658
L8659
L8670
L8679
L8680
L8681
L8682
L8683
L8684
L8685
L8686
L8687
L8688
L8689
L8690
L8691
L8692
L8693
L8695
L8696
L8699
L9900
M0075
M0076
M0100
M0300
M0301
P2028
P2029
P2031
P2033
P2038
P3000
Interphalangeal joint spacer

Interphalangeal joint repl
Vascular graft, synthetic
Imp neurosti pls gn any type
Implt neurostim elctr each
Pt prgrm for implt neurostim
Implt neurostim radiofq rec
Radiofq trsmtr for implt neu
Radiof trsmtr implt scrl neu
Implt nrostm pls gen sng rec
Implt nrostm pls gen sng non
Implt nrostm pls gen dua rec
Implt nrostm pls gen dua non
External recharg sys intern
Aud osseo dev, int/ext comp
Osseointegrated snd proc rpl
Non-osseointegrated snd proc
Aud osseo dev, abutment
External recharg sys extern
Ext antenna phren nerve stim
Prosthetic implant nos
O&p supply/accessory/service
Cellular therapy
Prolotherapy
Intragastric hypothermia
Iv chelationtherapy
Fabric wrapping of aneurysm
Cephalin floculation test
Congo red blood test
Hair analysis
Blood thymol turbidity
Blood mucoprotein
Screen pap by tech w md supv
1007
1012
1009
1015
1009
1011
1015
1015
1010
1019
1017
1020
1018
1011
1015
1012
999
1011
1002
1007
490
999
999
999
999
435
999
397
397
397
397
400
392

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
PAP SMEARS
Page 1384 of 6734

P3001
P7001
P9010
P9011
P9012
P9016
P9017
P9019
P9020
P9021
P9022
P9023
P9031
P9032
P9033
P9034
P9035
P9036
P9037
P9038
P9039
P9040
P9041
P9043
P9044
P9045
P9046
P9047
P9048
P9050
P9051
P9052
P9053
Screening pap smear by phys

Culture bacterial urine
Whole blood for transfusion
Blood split unit
Cryoprecipitate each unit
Rbc leukocytes reduced
Plasma 1 donor frz w/in 8 hr
Platelets, each unit
Plaelet rich plasma unit
Red blood cells unit
Washed red blood cells unit
Frozen plasma, pooled, sd
Platelets leukocytes reduced
Platelets, irradiated
Platelets leukoreduced irrad
Platelets, pheresis
Platelet pheres leukoreduced
Platelet pheresis irradiated
Plate pheres leukoredu irrad
Rbc irradiated
Rbc deglycerolized
Rbc leukoreduced irradiated
Albumin (human),5%, 50ml
Plasma protein fract,5%,50ml
Cryoprecipitatereducedplasma
Albumin (human), 5%, 250 ml
Albumin (human), 25%, 20 ml
Albumin (human), 25%, 50ml
Plasmaprotein fract,5%,250ml
Granulocytes, pheresis unit
Blood, l/r, cmv-neg
Platelets, hla-m, l/r, unit
Plt, pher, l/r cmv-neg, irr
392
396
113
113
113
113
113
113
113
113
113
114
113
113
113
113
113
113
113
113
113
113
113
113
113
113
113
113
113
114
113
113
113
PAP SMEARS
Page 1385 of 6734

P9054
P9055
P9056
P9057
P9058
P9059
P9060
P9070
P9071
P9072
P9603
P9604
P9612
P9615
Q0035
Q0081
Q0083
Q0084
Q0085
Q0091
Q0092
Q0111
Q0112
Q0113
Q0114
Q0115
Q0138
Q0139
Q0144
Q0161
Q0162
Q0163
Q0164
Blood, l/r, froz/degly/wash

Plt, aph/pher, l/r, cmv-neg
Blood, l/r, irradiated
Rbc, frz/deg/wsh, l/r, irrad
Rbc, l/r, cmv-neg, irrad
Plasma, frz between 8-24hour
Fr frz plasma donor retested
Pathogen reduced plasma pool
Pathogen reduced plasma sing
Pathogen reduced platelets
One-way allow prorated miles
One-way allow prorated trip
Catheterize for urine spec
Urine specimen collect mult
Cardiokymography
Infusion ther other than che
Chemo by other than infusion
Chemotherapy by infusion
Chemo by both infusion and o
Obtaining screen pap smear
Set up port xray equipment
Wet mounts/ w preparations
Potassium hydroxide preps
Pinworm examinations
Fern test
Post-coital mucous exam
Ferumoxytol, non-esrd
Ferumoxytol, esrd use
Azithromycin dihydrate, oral
Chlorpromazine hcl 5mg oral
Ondansetron oral
Diphenhydramine hcl 50mg
Prochlorperazine maleate 5mg
113
113
113
113
113
113
113
113
113
113
999
999
490
490
413
111
490
111
111
392
490
397
397
397
401
401
438
438
490
435
495
496
496

UNASSIGNED
UNASSIGNED
CARDIOGRAM
PAP SMEARS
Page 1386 of 6734

Q0166
Q0167
Q0169
Q0173
Q0174
Q0175
Q0177
Q0180
Q0181
Q0478
Q0479
Q0480
Q0481
Q0482
Q0483
Q0484
Q0485
Q0486
Q0487
Q0488
Q0489
Q0490
Q0491
Q0492
Q0493
Q0494
Q0495
Q0496
Q0497
Q0498
Q0499
Q0500
Q0501
Granisetron hcl 1 mg oral

Dronabinol 2.5mg oral
Promethazine hcl 12.5mg oral
Trimethobenzamide hcl 250mg
Thiethylperazine maleate10mg
Perphenazine 4mg oral
Hydroxyzine pamoate 25mg
Dolasetron mesylate oral
Unspecified oral anti-emetic
Power adapter, combo vad
Power module combo vad, rep
Driver pneumatic vad, rep
Microprcsr cu elec vad, rep
Microprcsr cu combo vad, rep
Monitor elec vad, rep
Monitor elec or comb vad rep
Monitor cable elec vad, rep
Mon cable elec/pneum vad rep
Leads any type vad, rep only
Pwr pack base elec vad, rep
Pwr pck base combo vad, rep
Emr pwr source elec vad, rep
Emr pwr source combo vad rep
Emr pwr cbl elec vad, rep
Emr pwr cbl combo vad, rep
Emr hd pmp elec/combo, rep
Charger elec/combo vad, rep
Battery elec/combo vad, rep
Bat clps elec/comb vad, rep
Holster elec/combo vad, rep
Belt/vest elec/combo vad rep
Filters elec/combo vad, rep
Shwr cov elec/combo vad, rep
495
435
496
496
435
496
496
435
435
1005
1019
1020
1020
1014
1020
1013
1007
1007
1007
999
1020
1010
1011
1004
1006
1006
1014
1011
1009
1009
1005
1003
1009

UNASSIGNED
Page 1387 of 6734

Q0502
Q0503
Q0504
Q0506
Q0507
Q0508
Q0509
Q0510
Q0511
Q0512
Q0513
Q0514
Q0515
Q1004
Q1005
Q2004
Q2009
Q2017
Q2026
Q2028
Q2034
Q2035
Q2036
Q2037
Q2038
Q2039
Q2043
Q2049
Q2050
Q2052
Q3001
Q3014
Q3027
Mobility cart pneum vad, rep

Battery pneum vad replacemnt
Pwr adpt pneum vad, rep veh
Lith-ion batt elec/pneum vad
Misc sup/acc ext vad
Mis sup/acc imp vad
Mis sup/ac imp vad nopay med
Dispens fee immunosupressive
Sup fee antiem,antica,immuno
Px sup fee anti-can sub pres
Disp fee inhal drugs/30 days
Disp fee inhal drugs/90 days
Sermorelin acetate injection
Ntiol category 4
Ntiol category 5
Bladder calculi irrig sol
Fosphenytoin inj pe
Teniposide, 50 mg
Radiesse injection
Inj, sculptra, 0.5mg
Agriflu vaccine
Afluria vacc, 3 yrs & >, im
Flulaval vacc, 3 yrs & >, im
Fluvirin vacc, 3 yrs & >, im
Fluzone vacc, 3 yrs & >, im
Nos flu vacc, 3 yrs & >, im
Sipuleucel-t auto cd54+
Imported lipodox inj
Doxorubicin inj 10mg
Ivig demo, services/supplies
Brachytherapy radioelements
Telehealth facility fee
Inj beta interferon im 1 mcg
1009
1011
1009
1010
490
490
490
999
999
999
999
999
443
490
490
490
435
460
435
13
414
414
414
414
414
414
443
462
462
999
490
497
439

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
TELEHEALTH FACILITATION
Page 1388 of 6734

Q3028
Q3031
Q4001
Q4002
Q4003
Q4004
Q4005
Q4006
Q4007
Q4008
Q4009
Q4010
Q4011
Q4012
Q4013
Q4014
Q4015
Q4016
Q4017
Q4018
Q4019
Q4020
Q4021
Q4022
Q4023
Q4024
Q4025
Q4026
Q4027
Q4028
Q4029
Q4030
Q4031
Inj beta interferon sq 1 mcg

Collagen skin test
Cast sup body cast plaster
Cast sup body cast fiberglas
Cast sup shoulder cast plstr
Cast sup shoulder cast fbrgl
Cast sup long arm adult plst
Cast sup long arm adult fbrg
Cast sup long arm ped plster
Cast sup long arm ped fbrgls
Cast sup sht arm adult plstr
Cast sup sht arm adult fbrgl
Cast sup sht arm ped plaster
Cast sup sht arm ped fbrglas
Cast sup gauntlet plaster
Cast sup gauntlet fiberglass
Cast sup gauntlet ped plster
Cast sup gauntlet ped fbrgls
Cast sup lng arm splint plst
Cast sup lng arm splint fbrg
Cast sup lng arm splnt ped p
Cast sup lng arm splnt ped f
Cast sup sht arm splint plst
Cast sup sht arm splint fbrg
Cast sup sht arm splnt ped p
Cast sup sht arm splnt ped f
Cast sup hip spica plaster
Cast sup hip spica fiberglas
Cast sup hip spica ped plstr
Cast sup hip spica ped fbrgl
Cast sup long leg plaster
Cast sup long leg fiberglass
Cast sup lng leg ped plaster
439
490
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1389 of 6734

Q4032
Q4033
Q4034
Q4035
Q4036
Q4037
Q4038
Q4039
Q4040
Q4041
Q4042
Q4043
Q4044
Q4045
Q4046
Q4047
Q4048
Q4049
Q4050
Q4051
Q4074
Q4081
Q4082
Q4100
Q4101
Q4102
Q4103
Q4104
Q4105
Q4106
Q4107
Q4108
Q4110
Cast sup lng leg ped fbrgls

Cast sup lng leg cylinder pl
Cast sup lng leg cylinder fb
Cast sup lngleg cylndr ped p
Cast sup lngleg cylndr ped f
Cast sup shrt leg plaster
Cast sup shrt leg fiberglass
Cast sup shrt leg ped plster
Cast sup shrt leg ped fbrgls
Cast sup lng leg splnt plstr
Cast sup lng leg splnt fbrgl
Cast sup lng leg splnt ped p
Cast sup lng leg splnt ped f
Cast sup sht leg splnt plstr
Cast sup sht leg splnt fbrgl
Cast sup sht leg splnt ped p
Cast sup sht leg splnt ped f
Finger splint, static
Cast supplies unlisted
Splint supplies misc
Iloprost non-comp unit dose
Epoetin alfa, 100 units esrd
Drug/bio noc part b drug cap
Skin substitute, nos
Apligraf
Oasis wound matrix
Oasis burn matrix
Integra bmwd
Integra drt
Dermagraft
Graftjacket
Integra matrix
Primatrix
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
439
436
999
455
455
455
455
455
455
455
455
455
455
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1390 of 6734

Q4111
Q4112
Q4113
Q4114
Q4115
Q4116
Q4117
Q4118
Q4119
Q4120
Q4121
Q4122
Q4123
Q4124
Q4125
Q4126
Q4127
Q4128
Q4129
Q4130
Q4131
Q4132
Q4133
Q4134
Q4135
Q4136
Q4137
Q4138
Q4139
Q4140
Q4141
Q4142
Q4143
Gammagraft
Cymetra injectable
Graftjacket xpress
Integra flowable wound matri
Alloskin
Alloderm
Hyalomatrix
Matristem micromatrix
Matristem wound matrix
Matristem burn matrix
Theraskin
Dermacell
Alloskin
Oasis tri-layer wound matrix
Arthroflex
Memoderm/derma/tranz/integup
Talymed
Flexhd/allopatchhd/matrixhd
Unite biomatrix
Strattice tm
Epifix
Grafix core
Grafix prime
Hmatrix
Mediskin
Ezderm
Amnioexcel or biodexcel, 1cm
Biodfence dryflex, 1cm
Amnio or biodmatrix, inj 1cc
Biodfence 1cm
Alloskin ac, 1 cm
Xcm biologic tiss matrix 1cm
Repriza, 1cm
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
IMPLANTED
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
TISSUE
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
OF
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
ANY
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
TYPE
Page 1391 of 6734

Q4145
Q4146
Q4147
Q4148
Q4149
Q4150
Q4151
Q4152
Q4153
Q4154
Q4155
Q4156
Q4157
Q4158
Q4159
Q4160
Q4161
Q4162
Q4163
Q4164
Q4165
Q5001
Q5002
Q5003
Q5004
Q5005
Q5006
Q5007
Q5008
Q5009
Q5010
Q5101
Q9950
Epifix, inj, 1mg

Tensix, 1cm
Architect ecm px fx 1 sq cm
Neox 1k, 1cm
Excellagen, 0.1 cc
Allowrap ds or dry 1 sq cm
Amnioband, guardian 1 sq cm
Dermapure 1 square cm
Dermavest, plurivest sq cm
Biovance 1 square cm
Neoxflo or clarixflo 1 mg
Neox 100 1 square cm
Revitalon 1 square cm
Marigen 1 square cm
Affinity1 square cm
Nushield 1 square cm
Bio-connekt per square cm
Amnio bio and woundex flow
Amnio bio and woundex sq cm
Helicoll, per square cm
Keramatrix, per square cm
Hospice or home hlth in home
Hospice/home hlth in asst lv
Hospice in lt/non-skilled nf
Hospice in snf
Hospice, inpatient hospital
Hospice in hospice facility
Hospice in ltch
Hospice in inpatient psych
Hospice/home hlth, place nos
Hospice home care in hospice
Inj filgrastim gcsf biosimil
Inj sulf hexa lipid microsph
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
455
491
491
999
999
999
999
999
999
999
999
438
490

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1392 of 6734

Q9951
Q9953
Q9954
Q9955
Q9956
Q9957
Q9958
Q9959
Q9960
Q9961
Q9962
Q9963
Q9964
Q9965
Q9966
Q9967
Q9968
Q9969
Q9980
R0070
R0075
R0076
S0012
S0014
S0017
S0020
S0021
S0023
S0028
S0030
S0032
S0034
S0039
Locm >= 400 mg/ml iodine,1ml

Inj fe-based mr contrast,1ml
Oral mr contrast, 100 ml
Inj perflexane lip micros,ml
Inj octafluoropropane mic,ml
Inj perflutren lip micros,ml
Hocm <=149 mg/ml iodine, 1ml
Hocm 150-199mg/ml iodine,1ml
Hocm>= 400mg/ml iodine, 1ml
Locm 100-199mg/ml iodine,1ml
Visualization adjunct
Non-heu tc-99m add-on/dose
Genvisc, inj, 1mg
Transport portable x-ray
Transport port x-ray multipl
Transport portable ekg
Butorphanol tartrate, nasal
Tacrine hydrochloride, 10 mg
Injection, aminocaproic acid
Injection, bupivicaine hydro
Injection, cefoperazone sod
Injection, cimetidine hydroc
Injection, famotidine, 20 mg
Injection, metronidazole
Injection, nafcillin sodium
Injection, ofloxacin, 400 mg
Injection, sulfamethoxazole
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
490
437
999
999
999
435
435
435
435
435
435
435
435
435
435
435

UNASSIGNED
UNASSIGNED
UNASSIGNED
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1393 of 6734

S0040
S0073
S0074
S0077
S0078
S0080
S0081
S0088
S0090
S0091
S0092
S0093
S0104
S0106
S0108
S0109
S0117
S0119
S0122
S0126
S0128
S0132
S0136
S0137
S0138
S0139
S0140
S0142
S0145
S0148
S0155
S0156
S0157
Injection, ticarcillin disod

Injection, aztreonam, 500 mg
Injection, cefotetan disodiu
Injection, clindamycin phosp
Injection, fosphenytoin sodi
Injection, pentamidine iseth
Injection, piperacillin sodi
Imatinib 100 mg
Sildenafil citrate, 25 mg
Granisetron 1mg
Hydromorphone 250 mg
Morphine 500 mg
Zidovudine, oral, 100 mg
Bupropion hcl sr 60 tablets
Mercaptopurine 50 mg
Methadone oral 5mg
Tretinoin topical 5 g
Ondansetron 4 mg
Inj menotropins 75 iu
Inj follitropin alfa 75 iu
Inj follitropin beta 75 iu
Inj ganirelix acetat 250 mcg
Clozapine, 25 mg
Didanosine, 25 mg
Finasteride, 5 mg
Minoxidil, 10 mg
Saquinavir, 200 mg
Colistimethate inh sol mg
Peg interferon alfa-2a/180
Peg interferon alfa-2b/10
Epoprostenol dilutant
Exemestane, 25 mg
Becaplermin gel 1%, 0.5 gm
460
435
435
435
435
435
435
434
435
431
435
435
435
435
430
435
435
495
435
436
435
437
435
435
435
435
437
437
436
437
437
430
435

Page 1394 of 6734

S0160
S0164
S0166
S0169
S0170
S0171
S0172
S0174
S0175
S0176
S0177
S0178
S0179
S0182
S0183
S0187
S0189
S0190
S0191
S0194
S0197
S0199
S0201
S0207
S0208
S0209
S0215
S0220
S0221
S0250
S0255
S0257
S0260
Dextroamphetamine
Injection pantroprazole
Inj olanzapine 2.5mg
Calcitrol
Anastrozole 1 mg
Bumetanide 0.5 mg
Chlorambucil 2 mg
Dolasetron 50 mg
Flutamide 125 mg
Hydroxyurea 500 mg
Levamisole 50 mg
Lomustine 10 mg
Megestrol 20 mg
Procarbazine, oral
Prochlorperazine 5 mg
Tamoxifen 10 mg
Testosterone pellet 75 mg
Mifepristone, oral, 200 mg
Misoprostol, oral, 200 mcg
Vitamin suppl 100 caps
Prenatal vitamins 30 day
Med abortion inc all ex drug
Partial hospitalization serv
Paramedicintercep nonhospals
Paramed intrcept nonvol
Wc van mileage per mi
Nonemerg transp mileage
Medical conference by physic
Medical conference, 60 min
Comp geriatr assmt team
Hospice refer visit nonmd
End of life counseling
H&p for surgery
435
496
439
435
430
435
430
435
432
430
435
434
430
430
496
430
435
436
435
999
999
999
314
999
999
999
999
999
999
490
490
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
HALF DAY PARTIAL HOSPITALIZATION FOR MEN
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1395 of 6734

S0265
S0270
S0271
S0272
S0273
S0274
S0280
S0281
S0302
S0310
S0315
S0316
S0317
S0320
S0340
S0341
S0342
S0353
S0354
S0390
S0395
S0400
S0500
S0504
S0506
S0508
S0510
S0512
S0514
S0515
S0516
S0518
S0580
Genetic counsel 15 mins

Home std case rate 30 days
Home hospice case 30 days
Home episodic case 30 days
Md home visit outside cap
Nurse practr visit outs cap
Medical home, initial plan
Medical home, maintenance
Completed epsdt
Hospitalist visit
Disease management program
Follow-up/reassessment
Disease mgmt per diem
Rn telephone calls to dmp
Lifestyle mod 1st stage
Lifestyle mod 2 or 3 stage
Lifestyle mod 4th stage
Cancer treatmentplan initial
Cancer treatment plan change
Rout foot care per visit
Impression casting ft
Global eswl kidney
Dispos cont lens
Singl prscrp lens
Bifoc prscp lens
Trifoc prscrp lens
Non-prscrp lens
Daily cont lens
Color cont lens
Scleral lens liquid bandage
Safety frames
Sunglass frames
Polycarb lens
490
999
999
999
999
999
490
490
999
999
999
999
999
999
999
999
999
491
491
5
999
999
999
999
999
999
999
999
999
999
999
999
999

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
NAIL PROCEDURES
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1396 of 6734

S0581
S0590
S0592
S0595
S0596
S0601
S0610
S0612
S0613
S0618
S0620
S0621
S0622
S0630
S0800
S0810
S0812
S1001
S1002
S1015
S1016
S1030
S1031
S1034
S1035
S1036
S1037
S1040
S1090
S2053
S2054
S2055
S2060
Nonstnd lens
Misc integral lens serv
Comp cont lens eval
New lenses in pts old frame
Phakic iol refractive error
Screening proctoscopy
Annual gynecological examina
Annual gynecological examina
Ann breast exam
Audiometry for hearing aid
Routine ophthalmological exa
Routine ophthalmological exa
Phys exam for college
Removal of sutures
Laser in situ keratomileusis
Photorefractive keratectomy
Phototherap keratect
Deluxe item
Custom item
Iv tubing extension set
Non-pvc intravenous administ
Gluc monitor purchase
Gluc monitor rental
Art pancreas system
Art pancreas inv disp sensor
Art pancreas ext transmitter
Art pancreas ext receiver
Cranial remolding orthosis
Mometasone sinus implant
Transplantation of small int
Transplantation of multivisc
Harvesting of donor multivis
Lobar lung transplantation
999
999
491
999
490
149
491
491
491
257
491
491
491
999
234
235
235
999
999
999
999
999
999
999
999
999
999
999
490
999
999
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
AUDIOMETRY
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1397 of 6734

S2061
S2065
S2066
S2067
S2068
S2070
S2079
S2080
S2083
S2095
S2102
S2103
S2107
S2112
S2115
S2117
S2118
S2120
S2140
S2142
S2150
S2152
S2202
S2205
S2206
S2207
S2208
S2209
S2225
S2230
S2235
S2260
S2265
Donor lobectomy (lung)

Simult panc kidn trans
Breast gap flap reconst
Breast "stacked" diep/gap
Breast diep or siea flap
Cysto laser tx ureteral calc
Lap esophagomyotomy
Laup
Adjustment gastric band
Transcath emboliz microspher
Islet cell tissue transplant
Adrenal tissue transplant
Adoptive immunotherapy
Knee arthroscp harv
Periacetabular osteotomy
Arthroereisis, subtalar
Total hip resurfacing
Low density lipoprotein(ldl)
Cord blood harvesting
Cord blood-derived stem-cell
Bmt harv/transpl 28d pkg
Solid organ transpl pkg
Echosclerotherapy
Minimally invasive direct co
Myringotomy laser-assist
Implant semi-imp hear
Implant auditory brain imp
Induced abortion 17-24 weeks
Induced abortion 25-28 wks
999
999
999
999
999
999
999
999
489
999
999
999
999
999
999
999
32
999
999
999
999
999
999
993
993
993
993
993
252
253
253
194
194
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1398 of 6734

S2266
S2267
S2300
S2325
S2340
S2341
S2342
S2348
S2350
S2351
S2400
S2401
S2402
S2403
S2404
S2405
S2409
S2411
S2900
S3000
S3005
S3600
S3601
S3620
S3630
S3645
S3650
S3652
S3655
S3708
S3722
S3800
S3840
Induced abortion 29-31 wks

Induced abortion 32 or more
Arthroscopy, shoulder, surgi
Hip core decompression
Chemodenervation of abductor
Chemodenerv adduct vocal
Nasal endoscop po debrid
Decompress disc rf lumbar
Diskectomy, anterior, with d
Diskectomy, anterior, with d
Fetal surg congen hernia
Fetal surg urin trac obstr
Fetal surg cong cyst malf
Fetal surg pulmon sequest
Fetal surg myelomeningo
Fetal surg sacrococ teratoma
Fetal surg noc
Fetoscop laser ther ttts
Robotic surgical system
Bilat dil retinal exam
Eval self-assess depression
Stat lab
Stat lab home/nf
Newborn metabolic screening
Eosinophil blood count
Hiv-1 antibody testing of or
Saliva test, hormone level;
Saliva test, hormone level;
Antisperm antibodies test
Gastrointestinal fat absorpt
Dose optimization auc - 5fu
Genetic testing als
Dna analysis ret-oncogene
194
194
37
491
253
253
62
31
221
221
191
192
192
192
192
191
191
191
490
490
490
999
999
401
408
396
401
401
395
400
490
385
385
LEVEL I ARTHROSCOPY
UNASSIGNED
UNASSIGNED
Page 1399 of 6734

S3841
S3842
S3844
S3845
S3846
S3849
S3850
S3852
S3853
S3861
S3865
S3866
S3870
S3900
S3902
S3904
S4005
S4011
S4013
S4014
S4015
S4016
S4017
S4018
S4020
S4021
S4022
S4023
S4025
S4026
S4027
S4028
S4030
Gene test retinoblastoma

Gene test hippel-lindau
Dna analysis deafness
Gene test alpha-thalassemia
Gene test beta-thalassemia
Gene test niemann-pick
Gene test sickle cell
Dna analysis apoe alzheimer
Gene test myo musclr dyst
Genetic test brugada
Comp genet test hyp cardiomy
Spec gene test hyp cardiomy
Cgh test developmental delay
Surface emg
Ballistocardiogram
Masters two step
Interim labor facility globa
Ivf package
Compl gift case rate
Compl zift case rate
Complete ivf nos case rate
Frozen ivf case rate
Ivf canc a stim case rate
F emb trns canc case rate
Ivf canc a aspir case rate
Ivf canc p aspir case rate
Asst oocyte fert case rate
Incompl donor egg case rate
Donor serv ivf case rate
Procure donor sperm
Store prev froz embryos
Microsurg epi sperm asp
Sperm procure init visit
385
385
385
385
385
385
385
385
385
385
385
385
385
425
418
418
999
190
190
190
190
190
190
190
190
190
190
190
190
190
190
190
190

UNASSIGNED
Page 1400 of 6734

S4031
S4035
S4037
S4040
S4042
S4981
S4989
S4990
S4991
S4993
S4995
S5000
S5001
S5010
S5012
S5013
S5014
S5035
S5036
S5100
S5101
S5102
S5105
S5108
S5109
S5110
S5111
S5115
S5116
S5120
S5121
S5125
S5126
Sperm procure subs visit

Stimulated iui case rate
Cryo embryo transf case rate
Monit store cryo embryo 30 d
Ovulation mgmt per cycle
Insert levonorgestrel ius
Contracept iud
Nicotine patch legend
Nicotine patch nonlegend
Contraceptive pills for bc
Smoking cessation gum
Prescription drug, generic
Prescription drug,brand name
5% dextrose and 0.45% saline
5% dextrose with potassium
5%dextrose/0.45%saline1000ml
D5w/0.45ns w kcl and mgs04
Hit routine device maint
Hit device repair
Adult daycare services 15min
Adult day care per half day
Adult day care per diem
Centerbased day care perdiem
Homecare train pt 15 min
Homecare train pt session
Family homecare training 15m
Family homecare train/sessio
Nonfamily homecare train/15m
Nonfamily hc train/session
Chore services per 15 min
Chore services per diem
Attendant care service /15m
Attendant care service /diem
190
190
190
190
190
190
439
490
490
435
490
999
999
490
490
490
490
117
117
999
999
999
999
999
999
999
999
999
999
999
999
999
999
UNASSIGNED
UNASSIGNED
HOME INFUSION
HOME INFUSION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
OR SIGNIFICA
OR SIGNIFICA
OR SIGNIFICA
OR
OR
OR
OR
SIGNIFICA
SIGNIFICA
SIGNIFICA
SIGNIFICA
Page 1401 of 6734

S5130
S5131
S5135
S5136
S5140
S5141
S5145
S5146
S5150
S5151
S5160
S5161
S5162
S5165
S5170
S5175
S5180
S5181
S5185
S5190
S5199
S5497
S5498
S5501
S5502
S5517
S5518
S5520
S5521
S5522
S5523
S5550
S5551
Homaker service nos per 15m

Homemaker service nos /diem
Adult companioncare per 15m
Adult companioncare per diem
Adult foster care per diem
Adult foster care per month
Child fostercare th per diem
Ther fostercare child /month
Unskilled respite care /15m
Unskilled respitecare /diem
Emer response sys instal&tst
Emer rspns sys serv permonth
Emer rspns system purchase
Home modifications per serv
Homedelivered prepared meal
Laundry serv,ext,prof,/order
Hh respiratory thrpy in eval
Hh respiratory thrpy nos/day
Med reminder serv per month
Wellness assessment by nonph
Personal care item nos each
Hit cath care noc
Hit simple cath care
Hit complex cath care
Hit interim cath care
Hit declotting kit
Hit cath repair kit
Hit picc insert kit
Hit midline cath insert kit
Hit picc insert no supp
Hip midline cath insert kit
Insulin rapid 5 u
Insulin most rapid 5 u
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
65
999
999
999
117
117
117
117
117
117
117
117
117
117
452
452
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
RESPIRATORY THERAPY
UNASSIGNED
UNASSIGNED
UNASSIGNED
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
DIABETES SUPPLIES
DIABETES SUPPLIES
Page 1402 of 6734

S5552
S5553
S5560
S5561
S5565
S5566
S5570
S5571
S8030
S8032
S8035
S8037
S8040
S8042
S8055
S8080
S8085
S8092
S8096
S8097
S8100
S8101
S8110
S8120
S8121
S8130
S8131
S8185
S8186
S8189
S8210
S8265
S8270
Insulin intermed 5 u
Insulin long acting 5 u
Insulin reuse pen 1.5 ml
Insulin reuse pen 3 ml
Insulin cartridge 150 u
Insulin cartridge 300 u
Insulin dispos pen 1.5 ml
Insulin dispos pen 3 ml
Tantalum ring application
Low dose CT lung screening
Magnetic source imaging
Mrcp
Topographic brain mapping
Mri low field
Us guidance fetal reduct
Scintimammography
Fluorine-18 fluorodeoxygluco
Electron beam computed tomog
Portable peak flow meter
Asthma kit
Spacer without mask
Spacer with mask
Peak expiratory flow rate (p
O2 contents gas cubic ft
O2 contents liquid lb
Interferential stim 2 chan
Interferential stim 4 chan
Flutter device
Swivel adaptor
Trach supply noc
Mucus trap
Haberman feeder
Enuresis alarm
452
452
452
452
452
452
452
452
490
301
296
292
999
999
472
286
999
301
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
DIABETES SUPPLIES
DIABETES SUPPLIES
DIABETES SUPPLIES
DIABETES SUPPLIES
DIABETES SUPPLIES
DIABETES SUPPLIES
DIABETES SUPPLIES
DIABETES SUPPLIES
CAT SCAN - OTHER
MRI- OTHER
MRI- ABDOMEN
UNASSIGNED
UNASSIGNED
ULTRASOUND GUIDANCE
UNASSIGNED
CAT SCAN - OTHER
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1403 of 6734

S8301
S8415
S8420
S8421
S8422
S8423
S8424
S8425
S8426
S8427
S8428
S8429
S8430
S8431
S8450
S8451
S8452
S8460
S8490
S8930
S8940
S8948
S8950
S8990
S8999
S9001
S9007
S9024
S9025
S9034
S9055
S9056
S9061
Infect control supplies nos

Supplies for home delivery
Custom gradient sleev/glov
Ready gradient sleev/glov
Custom grad sleeve med
Custom grad sleeve heavy
Ready gradient sleeve
Custom grad glove med
Custom grad glove heavy
Ready gradient glove
Ready gradient gauntlet
Gradient pressure wrap
Padding for comprssn bdg
Compression bandage
Splint digit
Splint wrist or ankle
Splint elbow
Camisole post-mast
100 insulin syringes
Auricular electrostimulation
Hippotherapy per session
Low-level laser trmt 15 min
Complex lymphedema therapy,
Pt or manip for maint
Resuscitation bag
Home uterine monitor with or
Ultrafiltration monitor
Paranasal sinus ultrasound
Omnicardiogram/cardiointegra
Eswl for gallstones
Procuren or other growth fac
Coma stimulation per diem
Medical supplies and equipme
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
490
999
999
1001
425
271
999
271
271
999
999
999
288
999
160
999
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
PHYSICAL THERAPY
UNASSIGNED
PHYSICAL THERAPY
PHYSICAL THERAPY
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1404 of 6734

S9083
S9088
S9090
S9097
S9098
S9110
S9117
S9122
S9123
S9124
S9125
S9126
S9127
S9128
S9129
S9131
S9140
S9141
S9145
S9150
S9152
S9208
S9209
S9211
S9212
S9213
S9214
S9325
S9326
S9327
S9328
S9329
S9330
Urgent care center global

Services provided in urgent
Vertebral axial decompressio
Home visit wound care
Home phototherapy visit
Telemonitoring/home per mnth
Back school visit
Home health aide or certifie
Nursing care in home rn
Nursing care, in the home; b
Respite care, in the home, p
Hospice care, in the home, p
Social work visit, in the ho
Speech therapy, in the home,
Occupational therapy, in the
Pt in the home per diem
Diabetic management program,
Insulin pump initiation
Evaluation by ocularist
Speech therapy, re-eval
Home mgmt preterm labor
Home mgmt pprom
Home mgmt gest hypertension
Hm postpar hyper per diem
Hm preeclamp per diem
Hm gest dm per diem
Hit pain mgmt per diem
Hit cont pain per diem
Hit int pain per diem
Hit pain imp pump diem
Hit chemo per diem
Hit cont chem diem
999
999
999
999
999
999
999
999
999
999
999
999
999
272
270
271
491
491
491
999
272
999
999
999
999
999
999
117
117
117
117
117
117
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
PHYSICAL THERAPY
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
Page 1405 of 6734

S9331
S9335
S9336
S9338
S9339
S9340
S9341
S9342
S9343
S9345
S9346
S9347
S9348
S9349
S9351
S9353
S9355
S9357
S9359
S9361
S9363
S9364
S9365
S9366
S9367
S9368
S9370
S9372
S9373
S9374
S9375
S9376
S9377
Hit intermit chemo diem

Ht hemodialysis diem
Hit cont anticoag diem
Hit immunotherapy diem
Hit periton dialysis diem
Hit enteral per diem
Hit enteral grav diem
Hit enteral pump diem
Hit enteral bolus nurs
Hit anti-hemophil diem
Hit alpha-1-proteinas diem
Hit longterm infusion diem
Hit sympathomim diem
Hit tocolysis diem
Hit cont antiemetic diem
Hit cont insulin diem
Hit chelation diem
Hit enzyme replace diem
Hit anti-tnf per diem
Hit diuretic infus diem
Hit anti-spasmotic diem
Hit tpn total diem
Hit tpn 1 liter diem
Hit tpn over 3l diem
Ht inj antiemetic diem
Ht inj anticoag diem
Hit hydra total diem
Hit hydra 1 liter diem
Hit hydra over 3l diem
117
168
117
117
169
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
117
999
999
117
117
117
117
117
HOME INFUSION
HEMODIALYSIS
HOME INFUSION
HOME INFUSION
PERITONEAL DIALYSIS
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
UNASSIGNED
UNASSIGNED
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
Page 1406 of 6734

S9379
S9381
S9401
S9430
S9433
S9434
S9435
S9436
S9437
S9438
S9439
S9441
S9442
S9443
S9444
S9445
S9446
S9447
S9449
S9451
S9452
S9453
S9454
S9455
S9460
S9465
S9470
S9472
S9473
S9474
S9475
S9476
S9480
Hit noc per diem

Hit high risk/escort
Anticoag clinic per session
Pharmacy comp/disp serv
Medical food oral 100% nutr
Mod solid food suppl
Medical foods for inborn err
Lamaze class
Childbirth refresher class
Cesarean birth class
Vbac class
Asthma education
Birthing class
Lactation class
Parenting class
Pt education noc individ
Pt education noc group
Infant safety class
Weight mgmt class
Exercise class
Nutrition class
Smoking cessation class
Stress mgmt class
Nutritional counseling, diet
Cardiac rehabilitation progr
Pulmonary rehabilitation pro
Enterostomal therapy by a re
Ambulatory setting substance
Vestibular rehab per diem
Intensive outpatient psychia
117
999
999
999
999
999
999
999
999
999
999
999
999
999
999
428
429
999
999
999
118
451
999
999
999
999
118
94
66
490
311
272
327
HOME INFUSION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
NUTRITION THERAPY
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
NUTRITION THERAPY
INTENSIVE OUTPATIENT PSYCHIATRIC TREATM
Page 1407 of 6734

S9482
S9484
S9485
S9490
S9494
S9497
S9500
S9501
S9502
S9503
S9504
S9529
S9537
S9538
S9542
S9558
S9559
S9560
S9562
S9590
S9810
S9900
S9901
S9960
S9961
S9970
S9975
S9976
S9977
S9981
S9982
S9986
S9988
Family stabilization 15 min

Crisis intervention per hour
Crisis intervention mental h
Hit corticosteroid/diem
Hit antibiotic total diem
Hit antibiotic q3h diem
Venipuncture home/snf
Ht hem horm inj diem
Hit blood products diem
Ht inj noc per diem
Ht inj growth horm diem
Hit inj interferon diem
Ht inj hormone diem
Ht inj palivizumab diem
Ht irrigation diem
Ht pharm per hour
Christian sci pract visit
Christian sci nurse visit
Air ambulanc nonemerg fixed
Air ambulan nonemerg rotary
Health club membership yr
Transplant related per diem
Lodging per diem
Meals per diem
Med record copy admin
Med record copy per page
Not medically necessary svc
Serv part of phase i trial
317
321
312
117
117
117
117
117
117
117
117
490
999
113
490
999
999
999
999
490
117
999
490
999
999
999
999
999
999
999
999
999
999
CRISIS INTERVENTION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
HOME INFUSION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
HOME INFUSION
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1408 of 6734

S9989
S9990
S9991
S9992
S9994
S9996
S9999
T1000
T1001
T1002
T1003
T1004
T1005
T1006
T1007
T1009
T1010
T1012
T1013
T1014
T1015
T1016
T1017
T1018
T1019
T1020
T1021
T1022
T1023
T1024
T1025
T1026
T1027
Services outside us
Services provided as part of
Services provided as part of
Transportation costs to and
Lodging costs (e.g. hotel ch
Meals for clinical trial par
Sales tax
Private duty/independent nsg
Nursing assessment/evaluatn
Rn services up to 15 minutes
Lpn/lvn services up to 15min
Nsg aide service up to 15min
Respite care service 15 min
Family/couple counseling
Treatment plan development
Child sitting services
Meals when receive services
Alcohol/substance abuse skil
Sign lang/oral interpreter
Telehealth transmit, per min
Clinic service
Case management
Targeted case management
School-based iep ser bundled
Personal care ser per 15 min
Personal care ser per diem
Hh aide or cn aide per visit
Contracted services per day
Program intake assessment
Team evaluation & management
Ped compr care pkg, per diem
Ped compr care pkg, per hour
Family training & counseling
999
999
999
999
999
999
999
999
999
999
999
999
999
317
320
999
999
999
490
999
999
999
999
999
999
999
999
999
324
999
999
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1409 of 6734

T1028
T1029
T1030
T1031
T1502
T1503
T1505
T1999
T2001
T2002
T2003
T2004
T2005
T2007
T2010
T2011
T2012
T2013
T2014
T2015
T2016
T2017
T2018
T2019
T2020
T2021
T2022
T2023
T2024
T2025
T2026
T2027
T2028
Home environment assessment

Dwelling lead investigation
Rn home care per diem
Lpn home care per diem
Medication admin visit
Med admin, not oral/inject
Elec med comp dev, noc
Noc retail items andsupplies
N-et; patient attend/escort
N-et; per diem
N-et; encounter/trip
N-et; commerc carrier pass
N-et; stretcher van
Non-emer transport wait time
Pasrr level i
Pasrr level ii
Habil ed waiver, per diem
Habil ed waiver per hour
Habil prevoc waiver, per d
Habil prevoc waiver per hr
Habil res waiver per diem
Habil res waiver 15 min
Habil sup empl waiver/diem
Habil sup empl waiver 15min
Day habil waiver per diem
Day habil waiver per 15 min
Case management, per month
Targeted case mgmt per month
Serv asmnt/care plan waiver
Waiver service, nos
Special childcare waiver/d
Spec childcare waiver 15 min
Special supply, nos waiver
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1410 of 6734

T2029
T2030
T2031
T2032
T2033
T2034
T2035
T2036
T2037
T2038
T2039
T2040
T2041
T2042
T2043
T2044
T2045
T2046
T2048
T2049
T2101
T4521
T4522
T4523
T4524
T4525
T4526
T4527
T4528
T4529
T4530
T4531
T4532
Special med equip, noswaiver

Assist living waiver/month
Assist living waiver/diem
Res care, nos waiver/month
Res, nos waiver per diem
Crisis interven waiver/diem
Utility services waiver
Camp overnite waiver/session
Camp day waiver/session
Comm trans waiver/service
Vehicle mod waiver/service
Financial mgt waiver/15min
Support broker waiver/15 min
Hospice routine home care
Hospice continuous home care
Hospice respite care
Hospice general care
Hospice long term care, r&b
Bh ltc res r&b, per diem
N-et; stretcher van, mileage
Breast milk proc/store/dist
Adult size brief/diaper sm
Adult size brief/diaper med
Adult size brief/diaper lg
Adult size brief/diaper xl
Adult size pull-on sm
Adult size pull-on med
Adult size pull-on lg
Adult size pull-on xl
Ped size brief/diaper sm/med
Ped size brief/diaper lg
Ped size pull-on sm/med
Ped size pull-on lg
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
999
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1411 of 6734

T4533
T4534
T4535
T4536
T4537
T4538
T4539
T4540
T4541
T4542
T4543
T4544
T5001
T5999
V2020
V2025
V2100
V2101
V2102
V2103
V2104
V2105
V2106
V2107
V2108
V2109
V2110
V2111
V2112
V2113
V2114
V2115
V2118
Youth size brief/diaper

Youth size pull-on
Disposable liner/shield/pad
Reusable pull-on any size
Reusable underpad bed size
Diaper serv reusable diaper
Reuse diaper/brief any size
Reusable underpad chair size
Large disposable underpad
Small disposable underpad
Adult disp brief/diap abv xl
Adlt disp und/pull on abv xl
Position seat spec orth need
Supply, nos
Vision svcs frames purchases
Eyeglasses delux frames
Lens spher single plano 4.00
Single visn sphere 4.12-7.00
Singl visn sphere 7.12-20.00
Spherocylindr 4.00d/12-2.00d
Spherocylindr 4.00d/2.12-4d
Spherocylinder 4.00d/4.25-6d
Spherocylinder 4.00d/>6.00d
Spherocylinder 4.25d/12-2d
Spherocylinder 4.25d/over 6d
Spherocylindr 7.25d/.25-2.25
Spherocylinder over 12.00d
Lens lenticular bifocal
Lens aniseikonic single
999
999
999
999
999
999
999
999
999
999
999
999
999
999
1004
999
1003
1003
1004
1003
1003
1003
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
Page 1412 of 6734

V2121
V2199
V2200
V2201
V2202
V2203
V2204
V2205
V2206
V2207
V2208
V2209
V2210
V2211
V2212
V2213
V2214
V2215
V2218
V2219
V2220
V2221
V2299
V2300
V2301
V2302
V2303
V2304
V2305
V2306
V2307
V2308
V2309
Lenticular lens, single

Lens single vision not oth c
Lens spher bifoc plano 4.00d
Lens sphere bifocal 4.12-7.0
Lens sphere bifocal 7.12-20.
Lens sphcyl bifocal 4.00d/.1
Lens sphcy bifocal 4.00d/2.1
Lens sphcy bifocal 4.00d/4.2
Lens sphcy bifocal 4.00d/ove
Lens sphcy bifocal 4.25-7d/.
Lens sphcy bifocal 4.25-7/2.
Lens sphcy bifocal 4.25-7/4.
Lens sphcy bifocal 4.25-7/ov
Lens sphcy bifo 7.25-12/.25Lens sphcyl bifo 7.25-12/2.2
Lens sphcyl bifo 7.25-12/4.2
Lens sphcyl bifocal over 12.
Lens lenticular bifocal
Lens aniseikonic bifocal
Lens bifocal seg width over
Lens bifocal add over 3.25d
Lenticular lens, bifocal
Lens bifocal speciality
Lens sphere trifocal 4.00d
Lens sphere trifocal 4.12-7.
Lens sphere trifocal 7.12-20
Lens sphcy trifocal 4.0/.12Lens sphcy trifocal 4.0/2.25
Lens sphcy trifocal 4.0/4.25
Lens sphcyl trifocal 4.00/>6
Lens sphcy trifocal 4.25-7/.
Lens sphc trifocal 4.25-7/2.
Lens sphc trifocal 4.25-7/4.
1004
999
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
1004
1005
1005
1005
1004
1003
1005
999
1004
1004
1004
1004
1004
1004
1004
1004
1004
1005
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
UNASSIGNED
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
DURABLE MEDICAL
EQUIPMENT - LEVEL 4
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 4
- LEVEL 5
- LEVEL 5
- LEVEL 5
- LEVEL 4
AND SUPPLIES
- LEVEL 5
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
LEVEL
4
4
4
4
4
4
4
4
4
5
Page 1413 of 6734

V2310
V2311
V2312
V2313
V2314
V2315
V2318
V2319
V2320
V2321
V2399
V2410
V2430
V2499
V2500
V2501
V2502
V2503
V2510
V2511
V2512
V2513
V2520
V2521
V2522
V2523
V2530
V2531
V2599
V2600
V2610
V2615
V2623
Lens sphc trifocal 4.25-7/>6

Lens sphc trifo 7.25-12/.25Lens sphc trifo 7.25-12/2.25
Lens sphc trifo 7.25-12/4.25
Lens sphcyl trifocal over 12
Lens lenticular trifocal
Lens aniseikonic trifocal
Lens trifocal seg width > 28
Lens trifocal add over 3.25d
Lenticular lens, trifocal
Lens trifocal speciality
Lens variab asphericity sing
Lens variable asphericity bi
Variable asphericity lens
Contact lens pmma spherical
Cntct lens pmma-toric/prism
Contact lens pmma bifocal
Cntct lens pmma color vision
Cntct gas permeable sphericl
Cntct toric prism ballast
Cntct lens gas permbl bifocl
Contact lens extended wear
Contact lens hydrophilic
Cntct lens hydrophilic toric
Cntct lens hydrophil bifocl
Cntct lens hydrophil extend
Contact lens gas impermeable
Contact lens gas permeable
Contact lens/es other type
Hand held low vision aids
Single lens spectacle mount
Telescop/othr compound lens
Plastic eye prosth custom
1005
1005
1005
1005
1005
1005
1005
1004
1004
1005
999
1005
1005
999
1004
1005
1005
1005
1005
1005
1006
1005
1005
1006
1006
1005
1006
1009
999
490
490
490
1011

UNASSIGNED
UNASSIGNED
UNASSIGNED
Page 1414 of 6734

V2624
V2625
V2626
V2627
V2628
V2629
V2630
V2631
V2632
V2700
V2702
V2710
V2715
V2718
V2730
V2744
V2745
V2750
V2755
V2756
V2760
V2761
V2762
V2770
V2780
V2781
V2782
V2783
V2784
V2785
V2786
V2787
V2788
Polishing artifical eye

Enlargemnt of eye prosthesis
Reduction of eye prosthesis
Scleral cover shell
Fabrication & fitting
Prosthetic eye other type
Anter chamber intraocul lens
Iris support intraoclr lens
Post chmbr intraocular lens
Balance lens
Deluxe lens feature
Glass/plastic slab off prism
Prism lens/es
Fresnell prism press-on lens
Special base curve
Tint photochromatic lens/es
Tint, any color/solid/grad
Anti-reflective coating
Uv lens/es
Eye glass case
Scratch resistant coating
Mirror coating
Polarization, any lens
Occluder lens/es
Oversize lens/es
Progressive lens per lens
Lens, 1.54-1.65 p/1.60-1.79g
Lens, >= 1.66 p/>=1.80 g
Lens polycarb or equal
Corneal tissue processing
Occupational multifocal lens
Astigmatism-correct function
Presbyopia-correct function
1004
1008
1006
1011
1007
999
490
490
490
1004
999
1004
1002
1003
1002
1002
1002
1002
1002
999
1002
999
999
1002
1002
999
1004
1004
1004
485
999
490
490

UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
UNASSIGNED
CORNEAL TISSUE PROCESSING
UNASSIGNED
Page 1415 of 6734

V2790
V2797
V2799
V5008
V5010
V5011
V5014
V5020
V5030
V5040
V5050
V5060
V5070
V5080
V5090
V5095
V5100
V5110
V5120
V5130
V5140
V5150
V5160
V5170
V5180
V5190
V5200
V5210
V5220
V5230
V5240
V5241
V5242
Amniotic membrane
Vis item/svc in other code
Misc vision item or service
Hearing screening
Assessment for hearing aid
Hearing aid fitting/checking
Hearing aid repair/modifying
Conformity evaluation
Body-worn hearing aid air
Body-worn hearing aid bone
Hearing aid monaural in ear
Behind ear hearing aid
Glasses air conduction
Glasses bone conduction
Hearing aid dispensing fee
Implant mid ear hearing pros
Body-worn bilat hearing aid
Hearing aid dispensing fee
Body-worn binaur hearing aid
In ear binaural hearing aid
Behind ear binaur hearing ai
Glasses binaural hearing aid
Dispensing fee binaural
Within ear cros hearing aid
Behind ear cros hearing aid
Glasses cros hearing aid
Cros hearing aid dispens fee
In ear bicros hearing aid
Behind ear bicros hearing ai
Glasses bicros hearing aid
Dispensing fee bicros
Dispensing fee, monaural
Hearing aid, monaural, cic
490
422
422
257
257
257
257
257
1009
1009
1009
1009
1007
1007
490
1007
1008
490
1010
1010
1010
1010
490
1009
1009
1007
490
1009
1009
1007
490
490
1011

AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
AUDIOMETRY
Page 1416 of 6734

V5243
V5244
V5245
V5246
V5247
V5248
V5249
V5250
V5251
V5252
V5253
V5254
V5255
V5256
V5257
V5258
V5259
V5260
V5261
V5262
V5263
V5264
V5265
V5266
V5267
V5268
V5269
V5270
V5271
V5272
V5273
V5274
V5275
Hearing aid, monaural, itc

Hearing aid, prog, mon, cic
Hearing aid, prog, mon, itc
Hearing aid, prog, mon, ite
Hearing aid, prog, mon, bte
Hearing aid, binaural, cic
Hearing aid, binaural, itc
Hearing aid, prog, bin, cic
Hearing aid, prog, bin, itc
Hearing aid, prog, bin, ite
Hearing aid, prog, bin, bte
Hearing id, digit, mon, cic
Hearing aid, digit, mon, itc
Hearing aid, digit, mon, ite
Hearing aid, digit, mon, bte
Hearing aid, digit, bin, cic
Hearing aid, digit, bin, itc
Hearing aid, digit, bin, ite
Hearing aid, digit, bin, bte
Hearing aid, disp, monaural
Hearing aid, disp, binaural
Ear mold/insert
Ear mold/insert, disp
Battery for hearing device
Hearing aid sup/access/dev
Ald telephone amplifier
Alerting device, any type
Ald, tv amplifier, any type
Ald, tv caption decoder
Tdd
Ald for cochlear implant
Ald unspecified
Ear impression
1011
1011
1011
1010
1010
1011
1011
1011
1011
1011
1011
1011
1011
1010
1010
1011
1011
1011
1011
1004
1005
1003
1003
1001
1002
1003
1005
1004
1004
1003
1007
1004
1002
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
DURABLE
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
MEDICAL
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
EQUIPMENT
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 10
- LEVEL 10
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 10
- LEVEL 10
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 11
- LEVEL 4
- LEVEL 5
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
AND SUPPLIES
- LEVEL 5
- LEVEL 4
- LEVEL 4
AND SUPPLIES
- LEVEL 7
- LEVEL 4
AND SUPPLIES
Page 1417 of 6734

V5281
V5282
V5283
V5284
V5285
V5286
V5287
V5288
V5289
V5290
V5298
V5299
V5336
V5362
V5363
V5364
Ald fm/dm system, monaural

Ald fm/dm system binaural
Ald neck, loop ind receiver
Ald fm/dm ear level receiver
Ald fm/dm aud input receiver
Ald blu tooth fm/dm receiver
Ald fm/dm receiver, nos
Ald fm/dm transmitter ald
Ald fm/dm adapt/boot couplin
Ald transmitter microphone
Hearing aid noc
Hearing service
Repair communication device
Speech screening
Language screening
Dysphagia screening
1010
1010
1005
1007
1005
1004
1005
1010
1003
1008
1005
1004
1007
272
272
272

Page 1418 of 6734

nment (version 3.11)

2016
rican Medical Association. All Rights Reserved.
ctive content (the logic, formulas, and algorithms for selecting a particular code for defining or assigning a particular patient
Title to the EAPG Materials, and the ownership of all copyright, trademark, patent, trade secret, or any other right of a similar kind
suppliers. 3M grants you the limited, non-transferable, non-exclusive permission to use the EAPG Materials for your organization's
Materials to any third party, (ii) reverse-engineer or disassemble the Materials, or (iii) incorporate the EAPG Materials, in whole or
ND ITS SUPPLIERS, TO THE FULLEST EXTENT PERMITTED BY LAW, DISCLAIM ALL WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED,
M DOES NOT WARRANT THAT THE EAPG MATERIALS WILL BE ERROR-FREE.
EAPG Type
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
EAPG Category
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Laboratory
Anesthesia
Anesthesia
Anesthesia
Page 1419 of 6734

Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1420 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1421 of 6734

Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned
Ancillary
Ancillary

Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Pathology
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
No APG assigned
Anesthesia
Anesthesia
Page 1422 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1423 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
No APG assigned
Page 1424 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Anesthesia
Laboratory
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1425 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Page 1426 of 6734

Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Incidental
No APG assigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1427 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Radiation Therapy
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1428 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Unassigned
Ancillary
Incidental
Incidental
Incidental
Ancillary
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Anesthesia
No APG assigned
Anesthesia
Page 1429 of 6734

Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Unassigned
No APG assigned
No APG assigned
No APG assigned
Page 1430 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

No APG assigned
Breast procedures
Page 1431 of 6734

Ancillary
Incidental
Ancillary
Ancillary
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental

Nuclear Medicine
Nuclear Medicine
No APG assigned
Radiology
Radiology
Radiology
Pathology
Page 1432 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary

No APG assigned
Radiation Therapy
Radiation Therapy
Page 1433 of 6734

Incidental
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary

Pathology
Pathology
Laboratory
Page 1434 of 6734

Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1435 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1436 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1437 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1438 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Skin
Skin
Skin
Skin
Skin
and integumentary system procedures

Page 1439 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Skin
Skin
Skin
Skin
Skin

Page 1440 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin

Page 1441 of 6734

Incidental
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin

Page 1442 of 6734

Incidental
Incidental
Incidental
Incidental
Skin
Skin
Skin
Skin
Skin

Page 1443 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1444 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
integumentary
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1445 of 6734

Incidental
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin

Page 1446 of 6734

Ancillary

Page 1447 of 6734

Incidental
Ancillary
Ancillary
Ancillary
Skin
Skin
Skin
Skin
Skin
Skin
Skin

Page 1448 of 6734

Incidental
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin
Skin

Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Page 1449 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
No APG assigned
No APG assigned
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Page 1450 of 6734

Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Breast procedures
No APG assigned
Breast procedures
Breast procedures
Breast procedures
No APG assigned
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Breast procedures
Page 1451 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1452 of 6734

Incidental
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1453 of 6734

Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Rehabilitation
Rehabilitation
Page 1454 of 6734

Incidental

Page 1455 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1456 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1457 of 6734

Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1458 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1459 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1460 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1461 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1462 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1463 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1464 of 6734

Unassigned
Unassigned
Unassigned
Incidental

No APG assigned
No APG assigned
No APG assigned
Page 1465 of 6734

Unassigned

No APG assigned
Page 1466 of 6734

Unassigned
No APG assigned
Page 1467 of 6734

Incidental

Page 1468 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1469 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1470 of 6734


Page 1471 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1472 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1473 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1474 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1475 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1476 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1477 of 6734

Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1478 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1479 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1480 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1481 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1482 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1483 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1484 of 6734

Unassigned

No APG assigned
Page 1485 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1486 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1487 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1488 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1489 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1490 of 6734

Unassigned

No APG assigned
Page 1491 of 6734

Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
Page 1492 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1493 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1494 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1495 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1496 of 6734

Unassigned

No APG assigned
Page 1497 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1498 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1499 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
Musculoskeletal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1500 of 6734

Incidental
Incidental
Incidental

Page 1501 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Incidental
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1502 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Incidental

Page 1503 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1504 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Incidental

No APG assigned
Page 1505 of 6734

Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Ancillary
Ancillary
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1506 of 6734

Incidental
Unassigned
Unassigned
No APG assigned
No APG assigned
Page 1507 of 6734

Incidental
Incidental

Page 1508 of 6734

Incidental
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1509 of 6734

Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1510 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Ancillary
Ancillary
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Radiology
Page 1511 of 6734

Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1512 of 6734

Incidental
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Unassigned
Incidental
Unassigned
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1513 of 6734

Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1514 of 6734

Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1515 of 6734

Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1516 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Incidental procedures and
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
services
services
Page 1517 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
Page 1518 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1519 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
Page 1520 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
services
Page 1521 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1522 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1523 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1524 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1525 of 6734

Incidental
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1526 of 6734

Unassigned
Incidental
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1527 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1528 of 6734

Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1529 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1530 of 6734

Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1531 of 6734

Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Page 1532 of 6734

Ancillary
Ancillary
Incidental
Ancillary
Incidental
Incidental
Incidental

Page 1533 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary
No APG assigned
Page 1534 of 6734

Ancillary
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1535 of 6734

Incidental
Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1536 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
Page 1537 of 6734

Unassigned
Incidental
Incidental
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1538 of 6734

Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1539 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental

No APG assigned
Breast procedures
Breast procedures
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Nuclear Medicine
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1540 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1541 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1542 of 6734

Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1543 of 6734

Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1544 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1545 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1546 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1547 of 6734

Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

No APG assigned
Page 1548 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Incidental

Page 1549 of 6734

Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1550 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1551 of 6734

Incidental
Incidental
Incidental

Page 1552 of 6734

Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1553 of 6734

Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1554 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Ancillary

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1555 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1556 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1557 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1558 of 6734

Incidental

Page 1559 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1560 of 6734

Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1561 of 6734

Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1562 of 6734

Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Incidental
Unassigned
Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1563 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1564 of 6734

Incidental
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1565 of 6734

Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1566 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1567 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1568 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Radiology
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1569 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1570 of 6734

Ancillary
Incidental
Unassigned
Ancillary
Incidental
Ancillary
Radiology
No APG assigned
Page 1571 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1572 of 6734

Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1573 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1574 of 6734

Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1575 of 6734

Unassigned
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1576 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1577 of 6734

Ancillary
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1578 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1579 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1580 of 6734

Incidental

Page 1581 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
Genitourinary
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1582 of 6734

Incidental

Page 1583 of 6734

Unassigned
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
No APG assigned
No APG assigned
No APG assigned
Page 1584 of 6734

Unassigned
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Reproductive system procedures

No APG assigned
Page 1585 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1586 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1587 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1588 of 6734

Unassigned
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned
Female
Female
Female
Female
Female
Female

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1589 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Female
Female
Female
Female
Female
Female
Female
Female
Female

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1590 of 6734

Ancillary
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1591 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Ancillary
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1592 of 6734

Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1593 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Female
Female
Female
Female

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1594 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Female
Female
Female
Female
Female
Female
Female

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1595 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1596 of 6734

Unassigned
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1597 of 6734

Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1598 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1599 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1600 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1601 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1602 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1603 of 6734

Ancillary
Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1604 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1605 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1606 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1607 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Radiation Therapy
Radiation Therapy
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1608 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1609 of 6734

Ancillary

Page 1610 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1611 of 6734

Unassigned

No APG assigned
Page 1612 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1613 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Ancillary

No APG assigned
Page 1614 of 6734

Incidental

Page 1615 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1616 of 6734

Ancillary

Page 1617 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1618 of 6734

Ancillary
Ancillary

Page 1619 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
Ophthalmologic
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
system
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1620 of 6734

Ancillary

Page 1621 of 6734

Ancillary
Unassigned
Ancillary
Ancillary
Ancillary

No APG assigned
Page 1622 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1623 of 6734

Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Significant
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure

Page 1624 of 6734

Unassigned
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary

No APG assigned
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1625 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1626 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1627 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1628 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1629 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1630 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1631 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1632 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1633 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1634 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1635 of 6734

Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1636 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1637 of 6734

Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Page 1638 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiology
Radiation Therapy
Radiology
Radiation Therapy
Page 1639 of 6734

Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiology
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiology
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiology
Radiology
Radiology
Radiology
Radiology
Radiation Therapy
Radiology
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Page 1640 of 6734

Incidental
Incidental
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Page 1641 of 6734

Ancillary
Ancillary
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Laboratory
Laboratory
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Page 1642 of 6734

Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Page 1643 of 6734

Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Radiologic
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Page 1644 of 6734

Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Nuclear Medicine
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1645 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1646 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1647 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1648 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1649 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1650 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1651 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1652 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1653 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1654 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1655 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1656 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1657 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1658 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1659 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1660 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1661 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1662 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Laboratory
Laboratory
Page 1663 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1664 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1665 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1666 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1667 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1668 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1669 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1670 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Pathology
Pathology
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1671 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1672 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1673 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1674 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1675 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1676 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1677 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1678 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1679 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1680 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1681 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1682 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1683 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1684 of 6734

Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
No APG assigned
No APG assigned
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Page 1685 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1686 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Laboratory
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Page 1687 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Pathology
Laboratory
Pathology
Pathology
Pathology
Pathology
Laboratory
Pathology
Pathology
Page 1688 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Laboratory
Pathology
Pathology
Pathology
Laboratory
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Page 1689 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Drug
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Pathology
Pathology
Pathology
Page 1690 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1691 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1692 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental

Page 1693 of 6734

Incidental
Incidental
Ancillary
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Ancillary

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1694 of 6734

Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Laboratory
Page 1695 of 6734

Ancillary
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary

Page 1696 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental

Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Page 1697 of 6734

Incidental
Incidental
Diagnostic Significant
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc

Page 1698 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Radiology
Page 1699 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Incidental

Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
No APG assigned
Page 1700 of 6734

Unassigned
Ancillary
Ancillary
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
No APG assigned
Radiology
Radiology
No APG assigned
No APG assigned
Page 1701 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Incidental
Incidental
Ancillary
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc

Page 1702 of 6734

Incidental
Incidental
Ancillary
Ancillary
Ancillary
Page 1703 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Incidental
Ancillary
Ancillary

No APG assigned
Page 1704 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Rehabilitation
Page 1705 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary

Page 1706 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Ancillary
Ancillary
Other
Other
Other
Other
Other
ancillary tests and procedures

Page 1707 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

Page 1708 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Other
Other
Other
Other
Other
Other
Other

Laboratory
Laboratory
Page 1709 of 6734

Incidental
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc
Proc

Page 1710 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

Page 1711 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Other
Other
Other
Other

Rehabilitation
Page 1712 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Ancillary

Page 1713 of 6734

Incidental
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental

Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Pathology
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Page 1714 of 6734

Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Therapy & Rehab

Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Therapy & Rehab
Ancillary
Ancillary
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Page 1715 of 6734

Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Physical
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Therapy &
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Unassigned
Incidental
Incidental
Incidental
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehab
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
No APG assigned
Page 1716 of 6734

Unassigned
Unassigned
Ancillary
Ancillary
Incidental
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Page 1717 of 6734

Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
No APG assigned
Dental procedures
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1718 of 6734

Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1719 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1720 of 6734

Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
Page 1721 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1722 of 6734

Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1723 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
services
services
services
services
Page 1724 of 6734

Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
DME
Incidental
Unassigned
DME
DME
Unassigned
Unassigned
Unassigned
Incidental
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
Ancillary

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1725 of 6734

Unassigned
Unassigned
Incidental
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1726 of 6734

DME
DME
DME
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1727 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
Page 1728 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Incidental
Incidental
DME
Incidental
Unassigned
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1729 of 6734

DME
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
Incidental
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
Unassigned
Unassigned
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1730 of 6734

Incidental
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
Unassigned
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
Incidental
DME
DME
DME
Unassigned
DME
DME
Unassigned
Incidental
Incidental
Incidental
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1731 of 6734

Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1732 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1733 of 6734

DME
DME
DME
Incidental
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1734 of 6734

DME
Unassigned
DME
DME
DME
Incidental
DME
DME
DME
Incidental
Incidental
DME
Incidental
DME
DME
DME
DME
Incidental
DME
Incidental
Incidental
Incidental
Incidental
DME
DME
Incidental
DME
DME
DME
Incidental
DME
Incidental
DME

No APG assigned
Page 1735 of 6734

DME
DME
DME
DME
DME
DME
DME
Incidental
DME
DME
DME
DME
DME
DME
DME
DME
DME
Incidental
DME
DME
DME
DME
DME
Incidental
DME
DME
DME
Incidental
Incidental
Incidental
DME
Incidental
Incidental

Page 1736 of 6734

Incidental
DME
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
DME
DME
Incidental
Incidental
DME
Incidental
Incidental
DME
DME
DME
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1737 of 6734

Incidental
Incidental
Unassigned
Unassigned
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1738 of 6734

DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Incidental
DME
Incidental

No APG assigned
Page 1739 of 6734

DME
DME
DME
DME
DME
DME
Incidental
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
Unassigned
Unassigned
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1740 of 6734

Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Drug
Incidental
Incidental
Incidental
Incidental
Drug
Incidental
Incidental
Drug
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
Page 1741 of 6734

Drug
Incidental
Drug
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Drug
Drug
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Page 1742 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Drug
Drug
Drug
Incidental
Drug
Incidental
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
Page 1743 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Incidental

Page 1744 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Radiation Therapy
Radiation Therapy
Radiation Therapy
Page 1745 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1746 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Radiation Therapy
Page 1747 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Page 1748 of 6734


Page 1749 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Incidental
Drug
Drug
Incidental
Drug
Drug
Drug
DME
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Drug
Drug
Incidental
Incidental
Page 1750 of 6734

Unassigned
Incidental
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Incidental
Ancillary
Incidental
Drug
Incidental
Incidental
Ancillary
No APG assigned
Radiation Therapy
Breast procedures
Dental procedures
Page 1751 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Page 1752 of 6734

Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Dental Procedure
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Laboratory
Laboratory
Pathology
Laboratory
Laboratory
Laboratory
Dental procedures
Dental procedures
Pathology
Pathology
Dental procedures
Pathology
Pathology
Pathology
Pathology
Pathology
Page 1753 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Dental Procedure
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Dental Procedure
Ancillary
Dental Procedure
Ancillary
Dental Procedure
Dental Procedure
Ancillary
Ancillary
Dental Procedure
Ancillary
Ancillary
Dental Procedure
Dental Procedure
Dental Procedure
Pathology
Pathology
Pathology
Pathology
Pathology
Dental procedures
Pathology
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Page 1754 of 6734

Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1755 of 6734

Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Unassigned
Unassigned
Unassigned
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
No APG assigned
No APG assigned
No APG assigned
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Page 1756 of 6734

Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1757 of 6734

Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1758 of 6734

Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
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Dental
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Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
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Dental
Dental
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Dental
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Dental
procedures
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Page 1760 of 6734

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Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
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Dental
Dental
Dental
Dental
Dental
Dental
procedures
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Page 1761 of 6734

Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Incidental
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Unassigned
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
No APG assigned
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Page 1762 of 6734

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Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
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Dental
procedures
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Page 1763 of 6734

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Dental
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Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
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procedures
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Page 1764 of 6734

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Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
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procedures
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Page 1765 of 6734

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Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
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Page 1766 of 6734

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Dental
Dental
Dental
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Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
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Page 1767 of 6734

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Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
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Dental
Dental
Dental
Dental
Dental
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Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
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Page 1768 of 6734

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Dental
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Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Procedure
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
Dental
procedures
procedures
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procedures
procedures
procedures
procedures
procedures
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Page 1769 of 6734

Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Page 1770 of 6734

Incidental
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Incidental
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Dental Procedure
Unassigned
Unassigned

Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
Dental procedures
No APG assigned
No APG assigned
Page 1771 of 6734

Unassigned
Dental Procedure
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
Dental procedures
No APG assigned
Page 1772 of 6734

DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
Unassigned
Unassigned
DME
Unassigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1773 of 6734

Unassigned
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
Unassigned
DME
DME
Unassigned
Unassigned
DME
DME
Unassigned
DME
DME
DME
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1774 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1775 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
Unassigned
Unassigned
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
Unassigned
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1776 of 6734

DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
Unassigned
DME
DME
Incidental
DME
DME
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1777 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1778 of 6734

DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1779 of 6734

DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
Page 1780 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1781 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1782 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
Unassigned
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
Unassigned
DME
Unassigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1783 of 6734

DME
Unassigned
DME
Unassigned
Unassigned
Unassigned
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1784 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1785 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1786 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1787 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1788 of 6734

Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1789 of 6734

DME
DME
Unassigned
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary

No APG assigned
No APG assigned
No APG assigned
Pathology
Pathology
Laboratory
Pathology
Pathology
Rehabilitation
Rehabilitation
Pathology
Pathology
Pathology
Pathology
Pathology
Page 1790 of 6734

Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Incidental
Incidental
Incidental
Incidental
Ancillary
Incidental
Pathology
Rehabilitation
Rehabilitation
Rehabilitation
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1791 of 6734

Incidental
Incidental
Ancillary
Incidental
Incidental
Ancillary
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned

Rehabilitation
No APG assigned
No APG assigned
No APG assigned
Page 1792 of 6734

Unassigned
Ancillary
Ancillary
Ancillary
Incidental
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
No APG assigned
Laboratory
Laboratory
Laboratory
No APG assigned
Radiation Therapy
Radiation Therapy
No APG assigned
No APG assigned
No APG assigned
Page 1793 of 6734

Unassigned
Unassigned
Unassigned
Incidental
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Drug
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
No APG assigned
No APG assigned
No APG assigned
Pathology
Laboratory
Laboratory
Laboratory
Page 1794 of 6734

Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental

No APG assigned
Radiation Therapy
No APG assigned
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1795 of 6734

Incidental
Drug
Ancillary
Ancillary
Ancillary
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental

Radiology
Radiology
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiation Therapy
Radiology
Page 1796 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1797 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1798 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1799 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1800 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1801 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
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Incidental
Incidental
Incidental
Incidental
procedures
procedures
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Page 1802 of 6734

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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
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Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
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Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
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Page 1803 of 6734

Incidental
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Incidental
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Incidental
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Incidental
Incidental
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Incidental
Incidental
Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
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Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
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Page 1804 of 6734

Incidental
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Incidental
Incidental
Incidental
Incidental
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Incidental
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Incidental
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Incidental
Incidental
Incidental
Incidental
procedures
procedures
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Page 1805 of 6734

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Incidental
Ancillary
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Incidental
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Incidental
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Page 1806 of 6734

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Incidental
Incidental
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Incidental
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Incidental
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Incidental
Incidental
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Incidental
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Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
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Page 1807 of 6734

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Incidental
procedures
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Page 1808 of 6734

Incidental
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Ancillary
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procedures and services

Laboratory
Page 1809 of 6734

Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
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procedures
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Page 1810 of 6734

Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
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Page 1811 of 6734

Incidental
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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
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Page 1812 of 6734

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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
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Page 1813 of 6734

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Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
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Page 1814 of 6734

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Incidental
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Page 1815 of 6734

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procedures
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procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1816 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1817 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1818 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1819 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1820 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
services
Page 1821 of 6734

Mental
Mental
Mental
Mental
Mental
Mental
Mental
Mental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Health & Counseling
Health & Counseling
Ancillary
Health & Counseling
Health & Counseling
Health & Counseling
Health & Counseling
Unassigned
Unassigned
Per Diem
Per Diem
Per Diem
Per Diem
Health & Counseling
Per Diem
Unassigned
Per Diem
Per Diem
Unassigned
Health & Counseling
Unassigned
Unassigned
Incidental
Incidental

Laboratory
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1822 of 6734

Mental
Mental
Mental
Mental
Mental
Mental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Health & Counseling
Health & Counseling
Health & Counseling
Health & Counseling
Per Diem
Unassigned
Per Diem
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Health & Counseling
Health & Counseling
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1823 of 6734

Mental
Mental
Mental
Mental
Mental
Mental
Mental
Mental
Unassigned
Unassigned
Health & Counseling
Incidental
Health & Counseling
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Health & Counseling
Health & Counseling
Per Diem
Unassigned
Unassigned
Health & Counseling
Health & Counseling
Unassigned
Health & Counseling
Health & Counseling
Unassigned
Drug
Drug
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1824 of 6734

Drug
Drug
Drug
Drug
Drug
Incidental
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

Page 1825 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1826 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Unassigned
Drug
Drug
Drug
Drug
Chemotherapy and other

No APG assigned
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1827 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1828 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1829 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1830 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Ancillary
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

Page 1831 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1832 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1833 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Incidental
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

Page 1834 of 6734

Drug
Drug
Drug
Incidental
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

Page 1835 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1836 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Ancillary
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

Page 1837 of 6734

Incidental
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

Page 1838 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Unassigned
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

No APG assigned
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1839 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1840 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Unassigned
Unassigned
Drug
Drug

No APG assigned
No APG assigned
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1841 of 6734

Unassigned
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Unassigned
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
No APG assigned
No APG assigned
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1842 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1843 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1844 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Unassigned
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
DME
DME

No APG assigned
No APG assigned
No APG assigned
Page 1845 of 6734

Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
No APG assigned
No APG assigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Page 1846 of 6734

DME
Unassigned
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1847 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1848 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1849 of 6734

DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
Page 1850 of 6734

DME
DME
DME
DME
Unassigned
DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
Page 1851 of 6734

DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
Page 1852 of 6734

DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
Page 1853 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1854 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1855 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1856 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
Page 1857 of 6734

DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1858 of 6734

DME
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1859 of 6734

DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
Unassigned
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1860 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
Unassigned
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
Page 1861 of 6734

Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
No APG assigned
Page 1862 of 6734

Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
Page 1863 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1864 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1865 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1866 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1867 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
Page 1868 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
Page 1869 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1870 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
Page 1871 of 6734

Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
Page 1872 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
Unassigned
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1873 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
Unassigned
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1874 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
Incidental
Incidental
DME
Incidental
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Unassigned
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
No APG assigned
Page 1875 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Drug
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Pathology
Page 1876 of 6734

Ancillary
Ancillary
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Pathology
Laboratory
lymphatic, and endocrine
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1877 of 6734

Unassigned
Unassigned
Incidental
Incidental
Ancillary
Incidental
Ancillary
Incidental
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Drug
Drug
Incidental
Drug
Drug
Drug
Drug
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
Hematologic,
lymphatic, and endocrine procedures

No APG assigned
No APG assigned
Pathology
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1878 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
Page 1879 of 6734

DME
DME
DME
DME
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Drug
Incidental
Incidental
Incidental
Drug
Drug
Drug
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Drug
Drug
Drug
Unassigned
Incidental
Ancillary
Drug

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1880 of 6734

Drug
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1881 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Drug
Drug
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1882 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1883 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Drug
Incidental

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1884 of 6734

Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Drug
Unassigned
Unassigned
Unassigned
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug

No APG assigned
No APG assigned
No APG assigned
Page 1885 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
Chemotherapy
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
other
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
drugs
Page 1886 of 6734

Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Drug
Unassigned
Unassigned
Unassigned
Per Diem
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1887 of 6734

Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1888 of 6734

Unassigned
Unassigned
Incidental
Unassigned
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1889 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1890 of 6734

Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Incidental
Ancillary
Ancillary

No APG assigned
No APG assigned
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Page 1891 of 6734

Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Ancillary
Unassigned
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
Laboratory
No APG assigned
Page 1892 of 6734

Drug
Incidental
Incidental
Drug
Incidental
Unassigned
Unassigned
Incidental
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1893 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
DME
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1894 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
Incidental
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
Radiology
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1895 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
DME
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Rehabilitation
No APG assigned
Rehabilitation
Rehabilitation
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1896 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Incidental
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Rehabilitation
Rehabilitation
Rehabilitation
No APG assigned
Rehabilitation
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1897 of 6734

Unassigned
Unassigned

No APG assigned
No APG assigned
Page 1898 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Ancillary
Ancillary
Unassigned
Unassigned
Unassigned
Ancillary
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Per Diem

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Rehabilitation
Page 1899 of 6734

Per Diem
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1900 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Incidental
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1901 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
Page 1902 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
APG
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
assigned
Page 1903 of 6734

Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
Unassigned
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1904 of 6734

DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME

No APG assigned
No APG assigned
Page 1905 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
Incidental
Incidental
Incidental
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
Page 1906 of 6734

DME
DME
DME
DME
DME
Unassigned
Incidental
Incidental
Incidental
DME
Unassigned
DME
DME
DME
DME
DME
DME
DME
DME
Unassigned
DME
Unassigned
Unassigned
DME
DME
Unassigned
DME
DME
DME
Ancillary
Unassigned
Incidental
Incidental
Other
Other
Other
Other
Other

No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
No APG assigned
Page 1907 of 6734

Incidental
Ancillary
Ancillary
DME
DME
DME
DME
DME
DME
Incidental
DME
DME
Incidental
DME
DME
DME
DME
Incidental
DME
DME
DME
Incidental
DME
DME
DME
Incidental
Incidental
DME
Proc
Proc
Proc
Proc
Proc

Page 1908 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
ancillary
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
tests
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
and
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
procedures
Page 1909 of 6734

DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
DME
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other
Other

Rehabilitation
Rehabilitation
Rehabilitation
Page 1910 of 6734
ICD-10 CM diagnosis codes with EAPG Assignment (version 3.11)

particular patient classification or subset of patient classifications or selecting a particular code or subset of codes contained or reflected in such EAPG Materials). Title to the EAPG Mate
or any other right of a similar kind or nature arising under the laws of any country in the world (collectively, "Intellectual Property Rights") thereto, are the property of 3M and/or its supp
permission to use the EAPG Materials for your organization's internal purposes. Any other use requires 3M's prior written permission.
Your use of the EAPG Materials shall immediately terminate in the event that you or your organization: (i) sell, re-license or redistribute the EAPG Materials to any third party, (ii) reverseMaterials, in whole or in part, in any other work for use or distribution outside of your organization. YOUR USE OF THE EAPG MATERIALS IS ON AN "AS IS" BASIS. 3M AND ITS SUPPLIERS,
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT OF THIRD PARTIES' RIGHTS, AND FITNESS FOR A PARTICULAR PU
ERROR-FREE.
DX
A000
A001
A009
DX Description
Cholera due to Vibrio cholerae 01, biovar
cholerae
Cholera due to Vibrio cholerae 01, biovar
eltor
Cholera, unspecified
EAPG Description
DX Gender
0
EAPG
625
625
625
A0100
Typhoid fever, unspecified
809
A0101
Typhoid meningitis
809
A0102
Typhoid fever with heart involvement
809
A0103
Typhoid pneumonia
809
A0104
Typhoid arthritis
809
A0105
Typhoid osteomyelitis
809
A0109
Typhoid fever with other complications
809
A011
Paratyphoid fever A
809
A012
Paratyphoid fever B
809
A013
Paratyphoid fever C
809
A014
Paratyphoid fever, unspecified
809
A020
Salmonella enteritis
625
A021
Salmonella sepsis
805
SEPTICEMIA & DISSEMINATED INFECTIONS
A0220
Localized salmonella infection, unspecified
809
A0221
Salmonella meningitis
510
A0222
Salmonella pneumonia
577
Page 1911 of 6734

A0223
Salmonella arthritis
654
OSTEOMYELITIS, SEPTIC ARTHRITIS & OT
A0224
Salmonella osteomyelitis
654
A0225
Salmonella pyelonephritis
809
A0229
Salmonella with other localized infection
809
A028
Other specified salmonella infections
809
A029
Salmonella infection, unspecified
809
A030
Shigellosis due to Shigella dysenteriae
625
A031
Shigellosis due to Shigella flexneri
625
A032
Shigellosis due to Shigella boydii
625
A033
Shigellosis due to Shigella sonnei
625
A038
Other shigellosis
625
A039
Shigellosis, unspecified
625
A040
Enteropathogenic Escherichia coli infection
625
A041
Enterotoxigenic Escherichia coli infection
625
A042
Enteroinvasive Escherichia coli infection
625
A043
625
A044
Enterohemorrhagic Escherichia coli

infection
Other intestinal Escherichia coli infections
625
A045
Campylobacter enteritis
625
A046
Enteritis due to Yersinia enterocolitica
625
A047
Enterocolitis due to Clostridium difficile
625
A048
625
A049
Other specified bacterial intestinal

infections
Bacterial intestinal infection, unspecified
625
A050
Foodborne staphylococcal intoxication
625
A051
Botulism food poisoning
805
A052
625
A053
Foodborne Clostridium perfringens

intoxication
Foodborne Vibrio parahaemolyticus
625
A054
intoxication
Foodborne Bacillus cereus intoxication
625
A055
Foodborne Vibrio vulnificus intoxication
625
A058
Other specified bacterial foodborne

intoxications
625
Page 1912 of 6734

A059
625
A060
Bacterial foodborne intoxication,

unspecified
Acute amebic dysentery
625
A061
Chronic intestinal amebiasis
625
A062
Amebic nondysenteric colitis
625
A063
Ameboma of intestine
809
A064
Amebic liver abscess
640
A065
Amebic lung abscess
577
A066
Amebic brain abscess
510
A067
Cutaneous amebiasis
675
OTHER SKIN, SUBCUTANEOUS TISSUE & B
A0681
Amebic cystitis
809
A0682
Other amebic genitourinary infections
809
A0689
Other amebic infections
809
A069
Amebiasis, unspecified
809
A070
Balantidiasis
625
A071
Giardiasis [lambliasis]
625
A072
Cryptosporidiosis
625
A073
Isosporiasis
625
A074
Cyclosporiasis
625
A078
625
A079
Other specified protozoal intestinal

diseases
Protozoal intestinal disease, unspecified
625
A080
Rotaviral enteritis
627
NON-BACTERIAL GASTROENTERITIS, NAUS
Acute gastroenteropathy due to Norwalk

agent
Acute gastroenteropathy due to other
small
roundenteritis
viruses
Adenoviral
627
627
627
A0831
Calicivirus enteritis
627
A0832
Astrovirus enteritis
627
A0839
Other viral enteritis
627
A084
Viral intestinal infection, unspecified
627
A088
Other specified intestinal infections
627
A0811
A0819
A082
Page 1913 of 6734

A09
627
A150
Infectious gastroenteritis and colitis,

unspecified
Tuberculosis of lung
577
A154
Tuberculosis of intrathoracic lymph nodes
577
A155
577
A156
Tuberculosis of larynx, trachea and

bronchus
Tuberculous pleurisy
577
A157
Primary respiratory tuberculosis
577
A158
Other respiratory tuberculosis
577
A159
Respiratory tuberculosis unspecified
577
A170
Tuberculous meningitis
510
A171
Meningeal tuberculoma
510
A1781
Tuberculoma of brain and spinal cord
510
A1782
Tuberculous meningoencephalitis
510
A1783
Tuberculous neuritis
809
A1789
Other tuberculosis of nervous system
510
510
A1801
Tuberculosis of nervous system,

unspecified
Tuberculosis of spine
654
A1802
Tuberculous arthritis of other joints
654
A1803
Tuberculosis of other bones
654
A1809
Other musculoskeletal tuberculosis
654
A1810
723
KIDNEY AND CHRONIC URINARY TRACT INF
A1811
Tuberculosis of genitourinary system,

unspecified
Tuberculosis of kidney and ureter
723
A1812
Tuberculosis of bladder
723
A1813
Tuberculosis of other urinary organs
723
A1814
Tuberculosis of prostate
741
MALE REPRODUCTIVE SYSTEM DIAGNOSES
A1815
Tuberculosis of other male genital organs
741
A1816
Tuberculosis of cervix
751
FEMALE REPRODUCTIVE SYSTEM INFECTIO
A1817
Tuberculous female pelvic inflammatory

disease
Tuberculosis of other female genital
751
751
organs
Tuberculous peripheral lymphadenopathy
809
A179
A1818
A182
Page 1914 of 6734

A1831
Tuberculous peritonitis
625
A1832
Tuberculous enteritis
625
A1839
Retroperitoneal tuberculosis
625
673
CELLULITIS & OTHER BACTERIAL SKIN INF
A1850
Tuberculosis of skin and subcutaneous

tissue
Tuberculosis of eye, unspecified
550
A1851
Tuberculous episcleritis
550
A1852
Tuberculous keratitis
550
A1853
Tuberculous chorioretinitis
550
A1854
Tuberculous iridocyclitis
550
A1859
Other tuberculosis of eye
550
A186
Tuberculosis of (inner) (middle) ear
565
LEVEL II OTHER EAR, NOSE, MOUTH,THROA
A187
Tuberculosis of adrenal glands
693
A1881
Tuberculosis of thyroid gland
693
A1882
Tuberculosis of other endocrine glands
809
A1883
Tuberculosis of digestive tract organs, NEC
625
A1884
Tuberculosis of heart
809
A1885
Tuberculosis of spleen
809
A1889
Tuberculosis of other sites
809
805
A191
Acute miliary tuberculosis of a single

specified
site tuberculosis of multiple sites
Acute miliary
805
A192
Acute miliary tuberculosis, unspecified
805
A198
Other miliary tuberculosis
805
A199
Miliary tuberculosis, unspecified
805
A200
Bubonic plague
805
A201
Cellulocutaneous plague
805
A202
Pneumonic plague
577
A203
Plague meningitis
809
A207
Septicemic plague
805
A208
Other forms of plague
809
A184
A190
Page 1915 of 6734

A209
Plague, unspecified
809
A210
Ulceroglandular tularemia
809
A211
Oculoglandular tularemia
809
A212
Pulmonary tularemia
577
A213
Gastrointestinal tularemia
625
A217
Generalized tularemia
805
A218
Other forms of tularemia
805
A219
Tularemia, unspecified
805
A220
Cutaneous anthrax
673
A221
Pulmonary anthrax
577
A222
Gastrointestinal anthrax
625
A227
Anthrax sepsis
805
A228
Other forms of anthrax
809
A229
Anthrax, unspecified
809
A230
Brucellosis due to Brucella melitensis
809
A231
Brucellosis due to Brucella abortus
809
A232
Brucellosis due to Brucella suis
809
A233
Brucellosis due to Brucella canis
809
A238
Other brucellosis
809
A239
Brucellosis, unspecified
809
A240
Glanders
809
A241
Acute and fulminating melioidosis
809
A242
Subacute and chronic melioidosis
809
A243
Other melioidosis
809
A249
Melioidosis, unspecified
809
A250
Spirillosis
805
A251
Streptobacillosis
805
A259
Rat-bite fever, unspecified
809
A260
Cutaneous erysipeloid
809
Page 1916 of 6734

A267
Erysipelothrix sepsis
805
A268
Other forms of erysipeloid
809
A269
Erysipeloid, unspecified
809
A270
Leptospirosis icterohemorrhagica
809
A2781
Aseptic meningitis in leptospirosis
510
A2789
Other forms of leptospirosis
510
A279
Leptospirosis, unspecified
809
A280
Pasteurellosis
809
A281
Cat-scratch disease
809
A282
Extraintestinal yersiniosis
809
A288
809
A289
Oth zoonotic bacterial diseases, not

elsewhere
classified
Zoonotic bacterial
disease, unspecified
809
A300
Indeterminate leprosy
809
A301
Tuberculoid leprosy
809
A302
Borderline tuberculoid leprosy
809
A303
Borderline leprosy
809
A304
Borderline lepromatous leprosy
809
A305
Lepromatous leprosy
809
A308
Other forms of leprosy
809
A309
Leprosy, unspecified
809
A310
Pulmonary mycobacterial infection
577
A311
Cutaneous mycobacterial infection
673
A312
805
A318
Dissem mycobacterium aviumintracellulare

complex
(DMAC)
Other mycobacterial
infections
809
A319
Mycobacterial infection, unspecified
809
A320
Cutaneous listeriosis
809
A3211
Listerial meningitis
809
A3212
Listerial meningoencephalitis
809
Listerial sepsis
805
A327
Page 1917 of 6734

A3281
Oculoglandular listeriosis
809
A3282
Listerial endocarditis
809
A3289
Other forms of listeriosis
809
Listeriosis, unspecified
809
A33
Tetanus neonatorum
809
A34
Obstetrical tetanus
761
POSTPARTUM & POST ABORTION DIAGNOS
A35
Other tetanus
805
A360
Pharyngeal diphtheria
565
A361
Nasopharyngeal diphtheria
565
A362
Laryngeal diphtheria
565
A363
Cutaneous diphtheria
673
A3681
Diphtheritic cardiomyopathy
593
A3682
Diphtheritic radiculomyelitis
805
A3683
Diphtheritic polyneuritis
805
A3684
Diphtheritic tubulo-interstitial nephropathy
805
A3685
Diphtheritic cystitis
723
A3686
Diphtheritic conjunctivitis
554
A3689
Other diphtheritic complications
510
Diphtheria, unspecified
809
577
A3701
Whooping cough due to Bordetella

pertussis
pneumonia
Whoopingwithout
cough due
to Bordetella
577
A3710
pertussis
pneumonia
Whoopingwith
cough
due to Bordetella paraper
577
A3711
Whooping cough due to Bordetella

parapertussis
w pneumonia
Whooping cough
due to other Bordetella
577
577
species
w/ocough
pneumonia
Whooping
due to oth Bordetella
species
with
pneumonia
Whooping
cough,
unspecified species
577
577
577
A380
without
pneumonia
Whooping
cough, unspecified species with
pneumonia
Scarlet fever with otitis media
809
A381
Scarlet fever with myocarditis
809
A329
A369
A3700
A3780
A3781
A3790
A3791
Page 1918 of 6734

A388
Scarlet fever with other complications
809
A389
Scarlet fever, uncomplicated
809
A390
Meningococcal meningitis
510
A391
Waterhouse-Friderichsen syndrome
805
A392
Acute meningococcemia
805
A393
Chronic meningococcemia
805
A394
Meningococcemia, unspecified
805
A3950
Meningococcal carditis, unspecified
593
A3951
Meningococcal endocarditis
593
A3952
Meningococcal myocarditis
593
A3953
Meningococcal pericarditis
593
A3981
Meningococcal encephalitis
510
A3982
Meningococcal retrobulbar neuritis
550
A3983
Meningococcal arthritis
654
A3984
Postmeningococcal arthritis
654
A3989
Other meningococcal infections
805
A399
Meningococcal infection, unspecified
805
A400
Sepsis due to streptococcus, group A
805
A401
Sepsis due to streptococcus, group B
805
A403
Sepsis due to Streptococcus pneumoniae
805
A408
Other streptococcal sepsis
805
A409
Streptococcal sepsis, unspecified
805
805
805
A411
Sepsis due to Methicillin susceptible

Staphylococcus
aureus resistant
Sepsis due to Methicillin
Staphylococcus
aureus
Sepsis due to other
specified
805
A412
staphylococcus
Sepsis due to unspecified staphylococcus
805
A413
Sepsis due to Hemophilus influenzae
805
A414
Sepsis due to anaerobes
805
Gram-negative sepsis, unspecified
805
A4101
A4102
A4150
Page 1919 of 6734

A4151
Sepsis due to Escherichia coli [E. coli]
805
A4152
Sepsis due to Pseudomonas
805
A4153
Sepsis due to Serratia
805
A4159
Other Gram-negative sepsis
805
A4181
Sepsis due to Enterococcus
805
A4189
Other specified sepsis
805
A419
Sepsis, unspecified organism
805
A420
Pulmonary actinomycosis
577
A421
Abdominal actinomycosis
625
A422
Cervicofacial actinomycosis
673
A427
Actinomycotic sepsis
805
A4281
Actinomycotic meningitis
809
A4282
Actinomycotic encephalitis
809
A4289
Other forms of actinomycosis
809
A429
Actinomycosis, unspecified
809
A430
Pulmonary nocardiosis
577
A431
Cutaneous nocardiosis
673
A438
Other forms of nocardiosis
809
A439
Nocardiosis, unspecified
809
A440
Systemic bartonellosis
809
A441
809
A448
Cutaneous and mucocutaneous

bartonellosis
Other forms of bartonellosis
809
A449
Bartonellosis, unspecified
809
Erysipelas
673
A480
Gas gangrene
805
A481
Legionnaires' disease
578
PNEUMONIA EXCEPT FOR COMMUNITY ACQ
A482
809
A483
Nonpneumonic Legionnaires' disease

[Pontiac
fever]
Toxic shock
syndrome
805
A484
Brazilian purpuric fever
809
A46
Page 1920 of 6734

A4851
Infant botulism
510
A4852
Wound botulism
510
Other specified bacterial diseases
809
Methicillin suscep staph infection, unsp

site
Methicillin resis staph infection, unsp site
809
809
A491
Streptococcal infection, unspecified site
809
A492
Hemophilus influenzae infection,

unspecified
Mycoplasmasite
infection, unspecified site
809
809
Other bacterial infections of unspecified

site
Bacterial infection, unspecified
809
809
A5001
Early congenital syphilitic oculopathy
553
A5002
660
LEVEL I OTHER MUSCULOSKELETAL SYSTE
A5003
Early congenital syphilitic

osteochondropathy
Early congenital syphilitic pharyngitis
564
LEVEL I OTHER EAR, NOSE, MOUTH,THROA
A5004
Early congenital syphilitic pneumonia
576
A5005
Early congenital syphilitic rhinitis
564
A5006
Early cutaneous congenital syphilis
675
A5007
Early mucocutaneous congenital syphilis
675
A5008
Early visceral congenital syphilis
809
A5009
744
751
A501
Other early congenital syphilis,

symptomatic
Other early congenital syphilis,
symptomatic
Early congenital syphilis, latent
744
A501
Early congenital syphilis, latent
751
A502
Early congenital syphilis, unspecified
744
A502
Early congenital syphilis, unspecified
751
553
550
A5032
Late congenital syphilitic oculopathy,

unspecified
Late congenital syphilitic interstitial
keratitis
Late congenital syphilitic chorioretinitis
553
A5039
Other late congenital syphilitic oculopathy
553
A5040
Late congenital neurosyphilis, unspecified
510
A488
A4901
A4902
A493
A498
A499
A5009
A5030
A5031
Page 1921 of 6734

A5041
Late congenital syphilitic meningitis
510
A5042
Late congenital syphilitic encephalitis
510
A5043
Late congenital syphilitic polyneuropathy
510
A5044
553
A5045
Late congenital syphilitic optic nerve

atrophy
Juvenile general paresis
510
A5049
Other late congenital neurosyphilis
510
A5051
Clutton's joints
661
LEVEL II OTHER MUSCULOSKELETAL SYSTE
A5052
Hutchinson's teeth
563
A5053
Hutchinson's triad
563
A5054
Late congenital cardiovascular syphilis
592
A5055
Late congenital syphilitic arthropathy
660
A5056
Late congenital syphilitic

osteochondropathy
Syphilitic saddle nose
660
564
744
751
A506
Other late congenital syphilis,

symptomatic
Other late congenital syphilis,
symptomatic
Late congenital syphilis, latent
744
A506
Late congenital syphilis, latent
751
A507
Late congenital syphilis, unspecified
744
A507
Late congenital syphilis, unspecified
751
A509
Congenital syphilis, unspecified
744
A509
Congenital syphilis, unspecified
751
A510
744
A510
751
A511
Primary anal syphilis
624
A512
Primary syphilis of other sites
744
A512
Primary syphilis of other sites
751
A5131
Condyloma latum
673
A5132
Syphilitic alopecia
673
A5139
Other secondary syphilis of skin
673
A5057
A5059
A5059
Page 1922 of 6734

A5141
Secondary syphilitic meningitis
510
A5142
Secondary syphilitic female pelvic disease
751
A5143
Secondary syphilitic oculopathy
550
A5144
Secondary syphilitic nephritis
723
A5145
Secondary syphilitic hepatitis
640
A5146
Secondary syphilitic osteopathy
654
A5149
Other secondary syphilitic conditions
809
A515
Early syphilis, latent
744
A515
Early syphilis, latent
751
A519
Early syphilis, unspecified
744
A519
Early syphilis, unspecified
751
A5200
Cardiovascular syphilis, unspecified
593
A5201
Syphilitic aneurysm of aorta
600
CARDIAC STRUCTURAL & VALVULAR DIAGN
A5202
Syphilitic aortitis
600
A5203
Syphilitic endocarditis
593
A5204
Syphilitic cerebral arteritis
593
A5205
Other cerebrovascular syphilis
593
A5206
Other syphilitic heart involvement
593
A5209
Other cardiovascular syphilis
593
A5210
Symptomatic neurosyphilis, unspecified
522
DEGENERATIVE NERVOUS SYSTEM DIAGNOS
A5211
Tabes dorsalis
522
A5212
Other cerebrospinal syphilis
522
A5213
Late syphilitic meningitis
510
A5214
Late syphilitic encephalitis
510
A5215
Late syphilitic neuropathy
527
A5216
Charcot's arthropathy (tabetic)
527
A5217
General paresis
522
A5219
Other symptomatic neurosyphilis
522
Asymptomatic neurosyphilis
510
A522
Page 1923 of 6734

A523
Neurosyphilis, unspecified
522
A5271
Late syphilitic oculopathy
550
A5272
Syphilis of lung and bronchus
577
A5273
576
A5274
Symptomatic late syphilis of other

respiratory
organs
Syphilis of liver
and other viscera
640
A5275
Syphilis of kidney and ureter
723
A5276
744
751
A5277
Other genitourinary symptomatic late

syphilis
Other genitourinary symptomatic late
syphilis
Syphilis of bone and joint
654
A5278
Syphilis of other musculoskeletal tissue
654
A5279
Other symptomatic late syphilis
744
A5279
Other symptomatic late syphilis
751
A528
Late syphilis, latent
744
A528
Late syphilis, latent
751
A529
Late syphilis, unspecified
744
A529
Late syphilis, unspecified
751
A530
Latent syphilis, unspecified as early or late
744
A530
Latent syphilis, unspecified as early or late
751
A539
Syphilis, unspecified
744
A539
Syphilis, unspecified
751
Gonococcal infection of lower

genitourinary
tract, unsp
Gonococcal infection
of lower
744
751
723
A5402
genitourinary
tract, and
unspurethritis,
Gonococcal cystitis
unspecified
Gonococcal vulvovaginitis, unspecified
751
A5403
Gonococcal cervicitis, unspecified
751
A5409
Other gonococcal infection of lower

genitourinary
tractinfection of lower
Other gonococcal
genitourinary
Gonocl infct oftract
lower GU tract w periureth
744
751
744
and
accinfct
glndof
abcs
Gonocl
lower GU tract w periureth
and acc glnd abcs
751
A5276
A5400
A5400
A5401
A5409
A541
A541
Page 1924 of 6734

A5421
Gonococcal infection of kidney and ureter
723
A5422
Gonococcal prostatitis
743
PROSTATITIS
A5423
741
751
A5429
Gonococcal infection of other male genital

organs
Gonococcal female pelvic inflammatory
disease
Other gonococcal genitourinary infections
744
A5429
Other gonococcal genitourinary infections
751
A5430
Gonococcal infection of eye, unspecified
550
A5431
Gonococcal conjunctivitis
554
A5432
Gonococcal iridocyclitis
550
A5433
Gonococcal keratitis
550
A5439
Other gonococcal eye infection
550
A5440
654
A5441
Gonococcal infection of musculoskeletal

system,
unspecified
Gonococcal
spondylopathy
654
A5442
Gonococcal arthritis
654
A5443
Gonococcal osteomyelitis
654
A5449
654
A545
Gonococcal infection of other

musculoskeletal
tissue
Gonococcal pharyngitis
564
A546
Gonococcal infection of anus and rectum
624
A5481
Gonococcal meningitis
510
A5482
Gonococcal brain abscess
524
A5483
Gonococcal heart infection
593
A5484
Gonococcal pneumonia
576
A5485
Gonococcal peritonitis
625
A5486
Gonococcal sepsis
805
A5489
Other gonococcal infections
809
Gonococcal infection, unspecified
809
A55
Chlamydial lymphogranuloma (venereum)
744
A55
Chlamydial lymphogranuloma (venereum)
751
Chlamydial infection of lower

genitourinary tract, unsp
744
A5424
A549
A5600
Page 1925 of 6734

A5600
751
A5601
Chlamydial infection of lower

genitourinary
tract,and
unsp
Chlamydial cystitis
urethritis
744
A5601
Chlamydial cystitis and urethritis
751
A5602
Chlamydial vulvovaginitis
751
A5609
744
751
A5611
Other chlamydial infection of lower

genitourinary
tractinfection of lower
Other chlamydial
genitourinary
tract pelvic inflammatory
Chlamydial female
751
A5619
disease
Other chlamydial genitourinary infection
744
A5619
Other chlamydial genitourinary infection
751
744
751
A563
Chlamydial infection of genitourinary tract,

unspecified
Chlamydial infection of genitourinary tract,
unspecified
Chlamydial infection of anus and rectum
744
A563
Chlamydial infection of anus and rectum
751
A564
Chlamydial infection of pharynx
564
A568
744
751
A57
Sexually transmitted chlamydial infection

of
other sites
Sexually
transmitted chlamydial infection
of
other
sites
Chancroid
744
A57
Chancroid
751
A58
Granuloma inguinale
744
A58
Granuloma inguinale
751
A5900
Urogenital trichomoniasis, unspecified
744
A5900
Urogenital trichomoniasis, unspecified
751
A5901
Trichomonal vulvovaginitis
751
A5902
Trichomonal prostatitis
743
PROSTATITIS
A5903
Trichomonal cystitis and urethritis
744
A5903
Trichomonal cystitis and urethritis
751
A5909
Other urogenital trichomoniasis
744
A5909
Other urogenital trichomoniasis
751
Trichomoniasis of other sites
809
A5609
A562
A562
A568
A598
Page 1926 of 6734

A599
Trichomoniasis, unspecified
809
Herpesviral infection of urogenital system,

unspecified
Herpesviral infection of urogenital system,
unspecified
Herpesviral infection of penis
744
751
741
744
A6003
Herpesviral infection of other male genital

organs
Herpesviral cervicitis
751
A6004
Herpesviral vulvovaginitis
751
A6009
Herpesviral infection of other urogenital

tract
Herpesviral infection of other urogenital
tract
Herpesviral infection of perianal skin and
rectum
Herpesviral infection of perianal skin and
744
751
744
751
744
751
A630
rectum
Anogenital herpesviral infection,
unspecified
Anogenital herpesviral infection,
unspecified
Anogenital (venereal) warts
744
A630
Anogenital (venereal) warts
751
A638
744
751
A64
Other specified predominantly sexually

transmitted
diseases
Other specified
predominantly sexually
transmitted
diseases
Unspecified sexually transmitted disease
744
A64
Unspecified sexually transmitted disease
751
A65
Nonvenereal syphilis
809
A660
Initial lesions of yaws
673
A661
Multiple papillomata and wet crab yaws
675
A662
Other early skin lesions of yaws
673
A663
Hyperkeratosis of yaws
673
A664
Gummata and ulcers of yaws
673
A665
Gangosa
564
A666
Bone and joint lesions of yaws
654
A667
Other manifestations of yaws
809
A668
Latent yaws
809
A6000
A6000
A6001
A6002
A6009
A601
A601
A609
A609
A638
Page 1927 of 6734

A669
Yaws, unspecified
809
A670
Primary lesions of pinta
673
A671
Intermediate lesions of pinta
673
A672
Late lesions of pinta
809
A673
Mixed lesions of pinta
673
A679
Pinta, unspecified
809
A680
Louse-borne relapsing fever
809
A681
Tick-borne relapsing fever
809
A689
Relapsing fever, unspecified
809
A690
Necrotizing ulcerative stomatitis
563
A691
Other Vincent's infections
510
A6920
Lyme disease, unspecified
809
A6921
Meningitis due to Lyme disease
809
A6922
Other neurologic disorders in Lyme

disease
Arthritis due to Lyme disease
809
809
809
A698
Other conditions associated with Lyme

disease
Other specified spirochetal infections
809
A699
Spirochetal infection, unspecified
809
Chlamydia psittaci infections
809
A710
Initial stage of trachoma
550
A711
Active stage of trachoma
550
A719
Trachoma, unspecified
550
A740
Chlamydial conjunctivitis
553
A7481
Chlamydial peritonitis
809
A7489
Other chlamydial diseases
809
A749
Chlamydial infection, unspecified
809
A750
809
A751
Epidemic louse-borne typhus fever d/t

Rickettsia
prowazekii
Recrudescent
typhus [Brill's disease]
809
A752
Typhus fever due to Rickettsia typhi
809
A6923
A6929
A70
Page 1928 of 6734

A753
809
A759
Typhus fever due to Rickettsia

tsutsugamushi
Typhus fever, unspecified
809
A770
Spotted fever due to Rickettsia rickettsii
809
A771
Spotted fever due to Rickettsia conorii
809
A772
Spotted fever due to Rickettsia siberica
809
A773
Spotted fever due to Rickettsia australis
809
A7740
Ehrlichiosis, unspecified
809
A7741
Ehrlichiosis chafeensis [E. chafeensis]
809
A7749
Other ehrlichiosis
809
A778
Other spotted fevers
809
A779
Spotted fever, unspecified
809
Q fever
809
A790
Trench fever
809
A791
Rickettsialpox due to Rickettsia akari
809
A7981
Rickettsiosis due to Ehrlichia sennetsu
809
A7989
Other specified rickettsioses
809
A799
Rickettsiosis, unspecified
809
A800
Acute paralytic poliomyelitis, vaccineassociated

Acute paralytic poliomyelitis, wild virus,
imported
Acute paralytic poliomyelitis, wild virus,
510
510
510
A8030
indigenous
Acute paralytic poliomyelitis, unspecified
510
A8039
Other acute paralytic poliomyelitis
510
A804
Acute nonparalytic poliomyelitis
808
VIRAL ILLNESS
A809
Acute poliomyelitis, unspecified
510
A8100
Creutzfeldt-Jakob disease, unspecified
522
A8101
Variant Creutzfeldt-Jakob disease
522
A8109
Other Creutzfeldt-Jakob disease
522
A811
Subacute sclerosing panencephalitis
522
A812
Progressive multifocal
leukoencephalopathy
522
A78
A801
A802
Page 1929 of 6734

A8181
Kuru
522
A8182
Gerstmann-Straussler-Scheinker syndrome
522
A8183
Fatal familial insomnia
522
A8189
522
A819
Other atypical virus infections of central

nervous
system
Atypical virus
infection of central nervous
522
A820
system,
unsp
Sylvatic rabies
510
A821
Urban rabies
510
A829
Rabies, unspecified
510
A830
Japanese encephalitis
510
A831
Western equine encephalitis
510
A832
Eastern equine encephalitis
510
A833
St Louis encephalitis
510
A834
Australian encephalitis
510
A835
California encephalitis
510
A836
Rocio virus disease
510
A838
Other mosquito-borne viral encephalitis
510
A839
510
A840
Mosquito-borne viral encephalitis,

unspecified
Far Eastern tick-borne encephalitis
510
A841
Central European tick-borne encephalitis
510
A848
Other tick-borne viral encephalitis
510
A849
Tick-borne viral encephalitis, unspecified
510
A850
Enteroviral encephalitis
510
A851
Adenoviral encephalitis
510
A852
Arthropod-borne viral encephalitis,

unspecified
Other specified viral encephalitis
510
510
Unspecified viral encephalitis
510
A870
Enteroviral meningitis
510
A871
Adenoviral meningitis
510
A872
Lymphocytic choriomeningitis
510
A858
A86
Page 1930 of 6734

A878
Other viral meningitis
510
A879
Viral meningitis, unspecified
510
A880
Enteroviral exanthematous fever [Boston

exanthem]
Epidemic vertigo
510
524
510
A89
Other specified viral infections of central

nervous
system
Unspecified
viral infection of central
510
A90
nervous
system
Dengue fever
[classical dengue]
808
VIRAL ILLNESS
A91
Dengue hemorrhagic fever
808
VIRAL ILLNESS
A920
Chikungunya virus disease
808
VIRAL ILLNESS
A921
O'nyong-nyong fever
808
VIRAL ILLNESS
A922
Venezuelan equine fever
510
A9230
West Nile virus infection, unspecified
510
A9231
West Nile virus infection with encephalitis
510
A9232
West Nile virus infection with oth

neurologic
manifestation
West Nile virus
infection with other
complications
Rift Valley fever
510
510
808
VIRAL ILLNESS
808
VIRAL ILLNESS
A929
Other specified mosquito-borne viral

fevers
Mosquito-borne viral fever, unspecified
808
VIRAL ILLNESS
A930
Oropouche virus disease
808
VIRAL ILLNESS
A931
Sandfly fever
808
VIRAL ILLNESS
A932
Colorado tick fever
808
VIRAL ILLNESS
A938
Other specified arthropod-borne viral

fevers
Unspecified arthropod-borne viral fever
808
VIRAL ILLNESS
808
VIRAL ILLNESS
A950
Sylvatic yellow fever
808
VIRAL ILLNESS
A951
Urban yellow fever
808
VIRAL ILLNESS
A959
Yellow fever, unspecified
808
VIRAL ILLNESS
A960
Junin hemorrhagic fever
808
VIRAL ILLNESS
A961
Machupo hemorrhagic fever
808
VIRAL ILLNESS
A962
Lassa fever
808
VIRAL ILLNESS
A881
A888
A9239
A924
A928
A94
Page 1931 of 6734

A968
Other arenaviral hemorrhagic fevers
808
VIRAL ILLNESS
A969
Arenaviral hemorrhagic fever, unspecified
808
VIRAL ILLNESS
A980
Crimean-Congo hemorrhagic fever
808
VIRAL ILLNESS
A981
Omsk hemorrhagic fever
808
VIRAL ILLNESS
A982
Kyasanur Forest disease
808
VIRAL ILLNESS
A983
Marburg virus disease
808
VIRAL ILLNESS
A984
Ebola virus disease
808
VIRAL ILLNESS
A985
Hemorrhagic fever with renal syndrome
723
A988
Other specified viral hemorrhagic fevers
808
VIRAL ILLNESS
Unspecified viral hemorrhagic fever
808
VIRAL ILLNESS
B000
Eczema herpeticum
671
B001
Herpesviral vesicular dermatitis
564
B002
564
B003
Herpesviral gingivostomatitis and

pharyngotonsillitis
Herpesviral meningitis
510
B004
Herpesviral encephalitis
510
B0050
Herpesviral ocular disease, unspecified
550
B0051
Herpesviral iridocyclitis
550
B0052
Herpesviral keratitis
550
B0053
Herpesviral conjunctivitis
550
B0059
Other herpesviral disease of eye
550
B007
Disseminated herpesviral disease
805
B0081
Herpesviral hepatitis
625
B0082
Herpes simplex myelitis
510
B0089
Other herpesviral infection
808
VIRAL ILLNESS
B009
Herpesviral infection, unspecified
675
B010
Varicella meningitis
808
VIRAL ILLNESS
Varicella encephalitis and

encephalomyelitis
Varicella myelitis
510
510
Varicella pneumonia
577
A99
B0111
B0112
B012
Page 1932 of 6734

B0181
Varicella keratitis
808
VIRAL ILLNESS
B0189
Other varicella complications
808
VIRAL ILLNESS
B019
Varicella without complication
808
VIRAL ILLNESS
B020
Zoster encephalitis
510
B021
Zoster meningitis
510
B0221
Postherpetic geniculate ganglionitis
510
B0222
Postherpetic trigeminal neuralgia
510
B0223
Postherpetic polyneuropathy
510
B0224
Postherpetic myelitis
510
B0229
510
B0230
Other postherpetic nervous system

involvement
Zoster ocular disease, unspecified
550
B0231
Zoster conjunctivitis
550
B0232
Zoster iridocyclitis
550
B0233
Zoster keratitis
550
B0234
Zoster scleritis
550
B0239
Other herpes zoster eye disease
550
B027
Disseminated zoster
808
VIRAL ILLNESS
B028
Zoster with other complications
808
VIRAL ILLNESS
B029
Zoster without complications
671
B03
Smallpox
808
VIRAL ILLNESS
B04
Monkeypox
808
VIRAL ILLNESS
B050
Measles complicated by encephalitis
510
B051
Measles complicated by meningitis
808
VIRAL ILLNESS
B052
Measles complicated by pneumonia
577
B053
Measles complicated by otitis media
562
INFECTIONS OF UPPER RESPIRATORY TRACT
B054
Measles with intestinal complications
808
VIRAL ILLNESS
B0581
Measles keratitis and keratoconjunctivitis
553
B0589
Other measles complications
808
VIRAL ILLNESS
B059
Measles without complication
808
VIRAL ILLNESS
Page 1933 of 6734

B0600
510
B0601
Rubella with neurological complication,

unspecified
Rubella encephalitis
510
B0602
Rubella meningitis
510
B0609
Other neurological complications of rubella
510
B0681
Rubella pneumonia
808
VIRAL ILLNESS
B0682
Rubella arthritis
661
B0689
Other rubella complications
808
VIRAL ILLNESS
B069
Rubella without complication
808
VIRAL ILLNESS
B070
Plantar wart
675
B078
Other viral warts
675
B079
Viral wart, unspecified
675
B08010
Cowpox
808
VIRAL ILLNESS
B08011
Vaccinia not from vaccine
808
VIRAL ILLNESS
B0802
Orf virus disease
675
B0803
Pseudocowpox [milker's node]
675
B0804
Paravaccinia, unspecified
808
VIRAL ILLNESS
B0809
Other orthopoxvirus infections
808
VIRAL ILLNESS
Molluscum contagiosum
675
B0820
Exanthema subitum [sixth disease], unspeci
808
VIRAL ILLNESS
B0821
Exanthema subitum [sixth disease] due to
808
VIRAL ILLNESS
B0822
Exanthema subitum [sixth disease] due to

human
herpesvirus
7 [fifth disease]
Erythema
infectiosum
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
B085
Enteroviral vesicular stomatitis with

exanthem
Enteroviral vesicular pharyngitis
565
B0860
Parapoxvirus infection, unspecified
808
VIRAL ILLNESS
B0861
Bovine stomatitis
808
VIRAL ILLNESS
B0862
Sealpox
808
VIRAL ILLNESS
B0869
Other parapoxvirus infections
808
VIRAL ILLNESS
B0870
Yatapoxvirus infection, unspecified
808
VIRAL ILLNESS
B081
B083
B084
Page 1934 of 6734

B0871
Tanapox virus disease
808
VIRAL ILLNESS
B0872
Yaba pox virus disease
808
VIRAL ILLNESS
B0879
Other yatapoxvirus infections
808
VIRAL ILLNESS
Oth viral infections with skin and mucous

membrane
lesions with skin and mucous
Unsp viral infection
808
VIRAL ILLNESS
808
VIRAL ILLNESS
B1001
membrane
lesions 6 encephalitis
Human herpesvirus
525
B1009
Other human herpesvirus encephalitis
525
B1081
Human herpesvirus 6 infection
808
VIRAL ILLNESS
B1082
Human herpesvirus 7 infection
808
VIRAL ILLNESS
B1089
Other human herpesvirus infection
808
VIRAL ILLNESS
B150
Hepatitis A with hepatic coma
510
B159
Hepatitis A without hepatic coma
636
B160
Acute hepatitis B with delta-agent with

hepatic
coma B with delta-agent without
Acute hepatitis
hepatic
coma B without delta-agent with
Acute hepatitis
510
636
510
636
510
B1710
hepatic
coma B w/o delta-agent and
Acute hepatitis
without
hepatic coma
Acute delta-(super)
infection of hepatitis B
carrier
Acute hepatitis C without hepatic coma
636
B1711
Acute hepatitis C with hepatic coma
510
B172
Acute hepatitis E
636
B178
Other specified acute viral hepatitis
636
B179
Acute viral hepatitis, unspecified
636
B180
Chronic viral hepatitis B with delta-agent
636
B181
636
B182
Chronic viral hepatitis B without deltaagent

Chronic viral hepatitis C
636
B188
Other chronic viral hepatitis
636
B189
Chronic viral hepatitis, unspecified
636
B190
Unspecified viral hepatitis with hepatic

coma
Unspecified viral hepatitis B without
hepatic coma
510
636
B088
B09
B161
B162
B169
B170
B1910
Page 1935 of 6734

B1911
Unspecified viral hepatitis B with hepatic

coma
Unspecified viral hepatitis C without
hepatic
coma
Unspecified
viral hepatitis C with hepatic
coma
Unspecified viral hepatitis without hepatic
510
636
510
636
881
AIDS
B250
coma
Human immunodeficiency virus [HIV]
disease
Cytomegaloviral pneumonitis
808
VIRAL ILLNESS
B251
Cytomegaloviral hepatitis
808
VIRAL ILLNESS
B252
Cytomegaloviral pancreatitis
808
VIRAL ILLNESS
B258
Other cytomegaloviral diseases
808
VIRAL ILLNESS
B259
Cytomegaloviral disease, unspecified
808
VIRAL ILLNESS
B260
Mumps orchitis
741
B261
Mumps meningitis
510
B262
Mumps encephalitis
510
B263
Mumps pancreatitis
635
PANCREAS DIAGNOSES EXCEPT MALIGNAN
B2681
Mumps hepatitis
640
B2682
Mumps myocarditis
808
VIRAL ILLNESS
B2683
Mumps nephritis
808
VIRAL ILLNESS
B2684
Mumps polyneuropathy
510
B2685
Mumps arthritis
808
VIRAL ILLNESS
B2689
Other mumps complications
808
VIRAL ILLNESS
B269
Mumps without complication
808
VIRAL ILLNESS
Gammaherpesviral mononucleosis without

complication
Gammaherpesviral mononucleosis with
polyneuropathy
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
meningitis
other
complications
Cytomegaloviral
mononucleosis without
808
VIRAL ILLNESS
808
VIRAL ILLNESS
complications
Cytomegaloviral mononucleosis with
polyneuropathy
Cytomegaloviral mononucleosis with
meningitis
Cytomegaloviral mononucleosis with other
complication
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
B1920
B1921
B199
B20
B2700
B2701
B2702
B2709
B2710
B2711
B2712
B2719
Page 1936 of 6734

B2780
Other infectious mononucleosis without

complication
Other infectious mononucleosis with
polyneuropathy
Other infectious mononucleosis with
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
meningitis
Other infectious mononucleosis with other
complication
Infectious mononucleosis, unspecified
808
VIRAL ILLNESS
808
VIRAL ILLNESS
without
complication
Infectious
mononucleosis, unspecified with
polyneuropathy
Infectious mononucleosis, unspecified with
meningitis
Infectious mononucleosis, unsp with other
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
B300
complication
Keratoconjunctivitis due to adenovirus
554
B301
Conjunctivitis due to adenovirus
554
B302
Viral pharyngoconjunctivitis
554
B303
554
B308
Acute epidemic hemorrhagic conjunctivitis

(enteroviral)
Other viral conjunctivitis
553
B309
Viral conjunctivitis, unspecified
553
B330
Epidemic myalgia
577
B331
Ross River disease
808
VIRAL ILLNESS
B3320
Viral carditis, unspecified
593
B3321
Viral endocarditis
600
B3322
Viral myocarditis
593
B3323
Viral pericarditis
593
B3324
Viral cardiomyopathy
808
VIRAL ILLNESS
808
VIRAL ILLNESS
B334
Retrovirus infections, not elsewhere

classified
Hantavirus (cardio)-pulmonary syndrome
808
VIRAL ILLNESS
B338
[HPS]
Other [HCPS]
specified viral diseases
808
VIRAL ILLNESS
B340
Adenovirus infection, unspecified
808
VIRAL ILLNESS
B341
Enterovirus infection, unspecified
808
VIRAL ILLNESS
B342
Coronavirus infection, unspecified
808
VIRAL ILLNESS
B343
Parvovirus infection, unspecified
808
VIRAL ILLNESS
B344
Papovavirus infection, unspecified
808
VIRAL ILLNESS
B2781
B2782
B2789
B2790
B2791
B2792
B2799
B333
Page 1937 of 6734

B348
Other viral infections of unspecified site
808
VIRAL ILLNESS
B349
Viral infection, unspecified
808
VIRAL ILLNESS
B350
Tinea barbae and tinea capitis
675
B351
Tinea unguium
675
B352
Tinea manuum
675
B353
Tinea pedis
675
B354
Tinea corporis
675
B355
Tinea imbricata
675
B356
Tinea cruris
675
B358
Other dermatophytoses
675
B359
Dermatophytosis, unspecified
675
B360
Pityriasis versicolor
675
B361
Tinea nigra
675
B362
White piedra
675
B363
Black piedra
675
B368
Other specified superficial mycoses
675
B369
Superficial mycosis, unspecified
675
B370
Candidal stomatitis
564
B371
Pulmonary candidiasis
577
B372
Candidiasis of skin and nail
675
B373
Candidiasis of vulva and vagina
751
B3741
Candidal cystitis and urethritis
744
B3741
Candidal cystitis and urethritis
751
B3742
Candidal balanitis
744
B3749
Other urogenital candidiasis
744
B3749
Other urogenital candidiasis
751
B375
Candidal meningitis
510
B376
Candidal endocarditis
593
B377
Candidal sepsis
805
Page 1938 of 6734

B3781
Candidal esophagitis
625
B3782
Candidal enteritis
625
B3783
Candidal cheilitis
564
B3784
Candidal otitis externa
565
B3789
Other sites of candidiasis
809
B379
Candidiasis, unspecified
809
B380
Acute pulmonary coccidioidomycosis
577
B381
Chronic pulmonary coccidioidomycosis
577
B382
577
B383
Pulmonary coccidioidomycosis,
unspecified
Cutaneous coccidioidomycosis
675
B384
Coccidioidomycosis meningitis
510
B387
Disseminated coccidioidomycosis
809
B3881
Prostatic coccidioidomycosis
675
B3889
Other forms of coccidioidomycosis
809
B389
Coccidioidomycosis, unspecified
809
B390
Acute pulmonary histoplasmosis capsulati
577
B391
577
B392
Chronic pulmonary histoplasmosis

capsulati
Pulmonary histoplasmosis capsulati,
577
B393
unspecified
Disseminated histoplasmosis capsulati
809
B394
Histoplasmosis capsulati, unspecified
809
B395
Histoplasmosis duboisii
809
B399
Histoplasmosis, unspecified
809
B400
Acute pulmonary blastomycosis
809
B401
Chronic pulmonary blastomycosis
809
B402
Pulmonary blastomycosis, unspecified
809
B403
Cutaneous blastomycosis
809
B407
Disseminated blastomycosis
809
B4081
Blastomycotic meningoencephalitis
809
B4089
Other forms of blastomycosis
809
Page 1939 of 6734

B409
Blastomycosis, unspecified
809
B410
Pulmonary paracoccidioidomycosis
809
B417
Disseminated paracoccidioidomycosis
809
B418
Other forms of paracoccidioidomycosis
809
B419
Paracoccidioidomycosis, unspecified
809
B420
Pulmonary sporotrichosis
809
B421
Lymphocutaneous sporotrichosis
809
B427
Disseminated sporotrichosis
809
B4281
Cerebral sporotrichosis
809
B4282
Sporotrichosis arthritis
809
B4289
Other forms of sporotrichosis
809
B429
Sporotrichosis, unspecified
809
B430
Cutaneous chromomycosis
809
B431
Pheomycotic brain abscess
809
B432
809
B438
Subcutaneous pheomycotic abscess and

cyst
Other forms of chromomycosis
809
B439
Chromomycosis, unspecified
809
B440
Invasive pulmonary aspergillosis
809
B441
Other pulmonary aspergillosis
809
B442
Tonsillar aspergillosis
809
B447
Disseminated aspergillosis
809
B4481
Allergic bronchopulmonary aspergillosis
577
B4489
Other forms of aspergillosis
809
B449
Aspergillosis, unspecified
809
B450
Pulmonary cryptococcosis
809
B451
Cerebral cryptococcosis
809
B452
Cutaneous cryptococcosis
809
B453
Osseous cryptococcosis
809
B457
Disseminated cryptococcosis
809
Page 1940 of 6734

B458
Other forms of cryptococcosis
809
B459
Cryptococcosis, unspecified
809
B460
Pulmonary mucormycosis
809
B461
Rhinocerebral mucormycosis
809
B462
Gastrointestinal mucormycosis
809
B463
Cutaneous mucormycosis
809
B464
Disseminated mucormycosis
809
B465
Mucormycosis, unspecified
809
B468
Other zygomycoses
809
B469
Zygomycosis, unspecified
809
B470
Eumycetoma
809
B471
Actinomycetoma
809
B479
Mycetoma, unspecified
673
B480
Lobomycosis
809
B481
Rhinosporidiosis
809
B482
Allescheriasis
809
B483
Geotrichosis
809
B484
Penicillosis
809
B488
Other specified mycoses
809
Unspecified mycosis
809
B500
Plasmodium falciparum malaria with cerebra
809
B508
Other severe and complicated Plasmodium

falciparum
Plasmodiummalaria
falciparum malaria,
809
809
unspecified
Plasmodium vivax malaria with rupture of
spleen
Plasmodium vivax malaria with other
complications
Plasmodium vivax malaria without
complication
Plasmodium malariae malaria with
809
809
809
809
nephropathy
Plasmodium malariae malaria with other
complications
Plasmodium malariae malaria without
complication
809
809
B49
B509
B510
B518
B519
B520
B528
B529
Page 1941 of 6734

B530
Plasmodium ovale malaria
809
B531
Malaria due to simian plasmodia
809
B538
Other malaria, not elsewhere classified
809
Unspecified malaria
809
B550
Visceral leishmaniasis
809
B551
Cutaneous leishmaniasis
675
B552
Mucocutaneous leishmaniasis
675
B559
Leishmaniasis, unspecified
809
B560
Gambiense trypanosomiasis
809
B561
Rhodesiense trypanosomiasis
809
B569
African trypanosomiasis, unspecified
809
B570
Acute Chagas' disease with heart

involvement
Acute Chagas' disease without heart
involvement
Chagas' disease (chronic) with heart
593
809
593
809
B5731
involvement
Chagas' disease with digestive system
involvement,
unsp
Megaesophagus
in Chagas' disease
809
B5732
Megacolon in Chagas' disease
809
B5739
Other digestive system involvement in Chag
809
B5740
809
B5741
Chagas' disease with nervous system

involvement,
unspecified
Meningitis in Chagas'
disease
809
B5742
Meningoencephalitis in Chagas' disease
809
B5749
Other nervous system involvement in

Chagas'
Chagas' disease
disease (chronic) with other organ
809
809
B5800
involvement
Toxoplasma oculopathy, unspecified
809
B5801
Toxoplasma chorioretinitis
550
B5809
Other toxoplasma oculopathy
550
B581
Toxoplasma hepatitis
640
B582
Toxoplasma meningoencephalitis
510
B583
Pulmonary toxoplasmosis
577
B54
B571
B572
B5730
B575
Page 1942 of 6734

B5881
Toxoplasma myocarditis
593
B5882
Toxoplasma myositis
809
B5883
Toxoplasma tubulo-interstitial nephropathy
809
B5889
Toxoplasmosis with other organ

involvement
Toxoplasmosis, unspecified
809
809
Pneumocystosis
577
Babesiosis
809
B6010
Acanthamebiasis, unspecified
809
B6011
809
B6012
Meningoencephalitis due to
Acanthamoeba
(culbertsoni)
Conjunctivitis due
to Acanthamoeba
550
B6013
Keratoconjunctivitis due to Acanthamoeba
550
B6019
Other acanthamebic disease
809
B602
Naegleriasis
809
B608
Other specified protozoal diseases
809
Unspecified protozoal disease
809
723
640
809
B653
Schistosomiasis due to Schistosoma

haematobium
mansoni
japonicum
Cercarial dermatitis
675
B658
Other schistosomiasis
809
B659
Schistosomiasis, unspecified
809
B660
Opisthorchiasis
640
B661
Clonorchiasis
640
B662
Dicroceliasis
809
B663
Fascioliasis
640
B664
Paragonimiasis
577
B665
Fasciolopsiasis
640
B668
Other specified fluke infections
809
B669
Fluke infection, unspecified
809
B589
B59
B600
B64
B650
B651
B652
Page 1943 of 6734

B670
Echinococcus granulosus infection of liver
640
B671
Echinococcus granulosus infection of lung
577
B672
Echinococcus granulosus infection of bone
809
B6731
Echinococcus granulosus infection, thyroid

gland
Echinococcus granulosus infection,
multiple
sites granulosus infection, other
Echinococcus
sites
Echinococcus granulosus infection,
693
809
809
809
unspecified
Echinococcus multilocularis infection of
liver
Echinococcus multilocularis infection,
multiple
sites multilocularis infection,
Echinococcus
640
809
809
other
sites
Echinococcus
multilocularis infection,
unspecified
Echinococcosis, unspecified, of liver
809
640
B6790
Echinococcosis, unspecified
809
B6799
Other echinococcosis
809
B680
Taenia solium taeniasis
625
B681
Taenia saginata taeniasis
625
B689
Taeniasis, unspecified
625
B690
Cysticercosis of central nervous system
625
B691
Cysticercosis of eye
625
B6981
Myositis in cysticercosis
625
B6989
Cysticercosis of other sites
625
B699
Cysticercosis, unspecified
625
B700
Diphyllobothriasis
625
B701
Sparganosis
625
B710
Hymenolepiasis
625
B711
Dipylidiasis
625
B718
Other specified cestode infections
625
B719
Cestode infection, unspecified
625
Dracunculiasis
809
B6732
B6739
B674
B675
B6761
B6769
B677
B678
B72
Page 1944 of 6734

B7300
809
B7301
Onchocerciasis with eye involvement,

unspecified
Onchocerciasis with endophthalmitis
809
B7302
Onchocerciasis with glaucoma
809
B7309
Onchocerciasis with other eye involvement
809
B731
Onchocerciasis without eye disease
809
B740
Filariasis due to Wuchereria bancrofti
809
B741
Filariasis due to Brugia malayi
809
B742
Filariasis due to Brugia timori
809
B743
Loiasis
809
B744
Mansonelliasis
809
B748
Other filariases
809
B749
Filariasis, unspecified
809
Trichinellosis
809
B760
Ancylostomiasis
625
B761
Necatoriasis
625
B768
Other hookworm diseases
625
B769
Hookworm disease, unspecified
625
B770
Ascariasis with intestinal complications
625
B7781
Ascariasis pneumonia
809
B7789
Ascariasis with other complications
625
B779
Ascariasis, unspecified
625
B780
Intestinal strongyloidiasis
625
B781
Cutaneous strongyloidiasis
673
B787
Disseminated strongyloidiasis
625
B789
Strongyloidiasis, unspecified
625
B79
Trichuriasis
625
B80
Enterobiasis
625
B810
Anisakiasis
625
B811
Intestinal capillariasis
625
B75
Page 1945 of 6734

B812
Trichostrongyliasis
625
B813
Intestinal angiostrongyliasis
624
B814
Mixed intestinal helminthiases
809
B818
Other specified intestinal helminthiases
624
B820
Intestinal helminthiasis, unspecified
624
B829
Intestinal parasitism, unspecified
624
B830
Visceral larva migrans
809
B831
Gnathostomiasis
809
B832
809
B833
Angiostrongyliasis due to Parastrongylus

cantonensis
Syngamiasis
809
B834
Internal hirudiniasis
675
B838
Other specified helminthiases
809
B839
Helminthiasis, unspecified
809
B850
675
675
B852
Pediculosis due to Pediculus humanus

capitis
Pediculosis due to Pediculus humanus
corporis
Pediculosis, unspecified
675
B853
Phthiriasis
675
B854
Mixed pediculosis and phthiriasis
675
Scabies
675
B870
Cutaneous myiasis
675
B871
Wound myiasis
675
B872
Ocular myiasis
675
B873
Nasopharyngeal myiasis
675
B874
Aural myiasis
675
B8781
Genitourinary myiasis
675
B8782
Intestinal myiasis
675
B8789
Myiasis of other sites
675
B879
Myiasis, unspecified
675
B880
Other acariasis
675
B851
B86
Page 1946 of 6734

B881
Tungiasis [sandflea infestation]
675
B882
Other arthropod infestations
675
B883
External hirudiniasis
675
B888
Other specified infestations
675
B889
Infestation, unspecified
675
Unspecified parasitic disease
809
Sequelae of central nervous system

tuberculosis
Sequelae of genitourinary tuberculosis
525
723
Sequelae of tuberculosis of bones and

joints
Sequelae of tuberculosis of other organs
654
809
577
B91
Sequelae of respiratory and unspecified

tuberculosis
Sequelae of poliomyelitis
525
B92
Sequelae of leprosy
809
B940
Sequelae of trachoma
554
B941
Sequelae of viral encephalitis
525
B942
Sequelae of viral hepatitis
809
B948
Sequelae of oth infectious and parasitic

diseases
Sequelae of unspecified infectious and
parasitic
disease
Streptococcus,
group A, causing diseases
809
809
809
classd
elswhr group B, causing diseases
Streptococcus,
classd
elswhr as the cause of diseases
Enterococcus
809
809
classified
elsewhere
Streptococcus
pneumoniae causing
diseases
classd elswhr
Oth streptococcus
as the cause of
809
809
diseases
classd elswhr
Unsp streptococcus
as the cause of
diseases
classd
elswhr
Methicillin suscep staph infct causing dis
classd
elswhr
Methicillin
resis staph infct causing
809
809
809
diseases
classd elswhr
Oth staphylococcus
as the cause of
diseases
classd
elswhr
Unsp staphylococcus as the cause of
809
809
diseases
classd
elswhr
Mycoplasma
pneumoniae
as the cause of
diseases classd elswhr
809
B89
B900
B901
B902
B908
B909
B949
B950
B951
B952
B953
B954
B955
B9561
B9562
B957
B958
B960
Page 1947 of 6734

B961
B9620
B9621
B9622
B9623
B9629
B963
B964
B965
B966
B967
B9681
B9682
B9689
B970
B9710
B9711
B9712
B9719
B9721
B9729
B9730
B9731
B9732
B9733
B9734
B9735
B9739
B974
Klebsiella pneumoniae as the cause of

diseases
classd elswhr
Unsp Escherichia
coli as the cause of
809
809
diseases
classd
elswhr
Shiga toxin
E coli
(STEC) O157 causing dis
classd
elswhr
Oth shiga
toxin E coli (STEC) causing
809
809
diseases
classd
Unsp shiga
toxinelswhr
E coli (STEC) causing dis
classd
elswhr
Oth Escherichia coli as the cause of
809
809
diseases
classd
elswhr as the cause of
Hemophilus
influenzae
diseases
classd elswhr
Proteus (mirabilis)
(morganii) causing dis
809
809
classd
elswhr (mallei) causing diseases
Pseudomonas
classd
elswhrfragilis as the cause of
Bacteroides
809
809
diseases
classd
elswhr causing diseases
Clostridium
perfringens
classd
elswhrpylori as the cause of
Helicobacter
809
810
H. PYLORI INFECTION
diseases
classd elswhr
Vibrio vulnificus
as the cause of diseases
classd
elswhr
Oth bacterial agents as the cause of
809
809
diseases
classd
elswhr
Adenovirus
as the
cause of diseases
classified
elsewhere
Unsp enterovirus as the cause of diseases
808
VIRAL ILLNESS
808
VIRAL ILLNESS
classd
elswhr as the cause of diseases
Coxsackievirus
classified
Echovirus elsewhere
808
VIRAL ILLNESS
808
VIRAL ILLNESS
classified
elsewhere
Oth enterovirus
classd
elswhr
SARS-associated coronavirus causing
808
VIRAL ILLNESS
577
diseases
classd elswhr
Oth coronavirus
classd
elswhr
Unsp retrovirus as the cause of diseases
808
VIRAL ILLNESS
808
VIRAL ILLNESS
classd
elswhr
Lentivirus
classified
elsewhere
Oncovirus as the cause of diseases
808
VIRAL ILLNESS
808
VIRAL ILLNESS
classified
elsewhere
HTLV-I as the
cause of diseases classified
elsewhere
HTLV-II as the cause of diseases classified
808
VIRAL ILLNESS
808
VIRAL ILLNESS
elsewhere
HIV 2 as the cause of diseases classified
elsewhere
Oth retrovirus as the cause of diseases
880
HIV INFECTION
808
VIRAL ILLNESS
classified
elsewhere
Respiratory
syncytial virus causing
diseases classd elswhr
572
Page 1948 of 6734

B975
Reovirus as the cause of diseases

classified
Parvoviruselsewhere
808
VIRAL ILLNESS
808
VIRAL ILLNESS
classified
elsewhere
Papillomavirus
classified
elsewhere
Human metapneumovirus
as the cause of
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
B998
diseases
classd elswhr
Oth viral agents
classd
elswhr
Other infectious disease
809
B999
Unspecified infectious disease
809
C000
Malignant neoplasm of external upper lip
560
EAR, NOSE, MOUTH, THROAT, CRANIAL/FA
C001
Malignant neoplasm of external lower lip
560
C002
Malignant neoplasm of external lip,

unspecified
Malignant neoplasm of upper lip, inner
aspect
Malignant neoplasm of lower lip, inner
560
560
560
560
560
C008
aspect
Malignant neoplasm of lip, unspecified,
inner
aspect
Malignant
neoplasm of commissure of lip,
unspecified
Malignant neoplasm of overlapping sites of
560
C009
lip
Malignant neoplasm of lip, unspecified
560
C01
Malignant neoplasm of base of tongue
560
Malignant neoplasm of dorsal surface of

tongue
Malignant neoplasm of border of tongue
560
560
560
C023
Malignant neoplasm of ventral surface of

tongue
Malig neoplasm of anterior two-thirds of
560
C024
tongue,
part
unsp
Malignant
neoplasm
of lingual tonsil
560
C028
560
560
C030

tongue
Malignant neoplasm of tongue,
unspecified
Malignant neoplasm of upper gum
560
C031
Malignant neoplasm of lower gum
560
C039
Malignant neoplasm of gum, unspecified
560
C040
Malignant neoplasm of anterior floor of

mouth
Malignant neoplasm of lateral floor of
mouth
560
560
B976
B977
B9781
B9789
C003
C004
C005
C006
C020
C021
C022
C029
C041
Page 1949 of 6734

C048
560
560
C050

floor
of mouth
Malignant
neoplasm of floor of mouth,
unspecified
Malignant neoplasm of hard palate
560
C051
Malignant neoplasm of soft palate
560
C052
Malignant neoplasm of uvula
560
C058
560
C059

palate
Malignant neoplasm of palate, unspecified
560
C060
Malignant neoplasm of cheek mucosa
560
C061
Malignant neoplasm of vestibule of mouth
560
C062
Malignant neoplasm of retromolar area
560
Malignant neoplasm of ovrlp sites of unsp

parts
of mouth
Malignant
neoplasm of overlapping sites of
oth
prt
mouth
Malignant neoplasm of mouth, unspecified
560
560
560
Malignant neoplasm of parotid gland
560
Malignant neoplasm of submandibular

gland
Malignant neoplasm of sublingual gland
560
560
Malignant neoplasm of major salivary

gland,
unspecified
Malignant
neoplasm of tonsillar fossa
560
560
560
C098
Malig neoplasm of tonsillar pillar (anterior)

(posterior)
560
C099
tonsil
Malignant neoplasm of tonsil, unspecified
560
C100
Malignant neoplasm of vallecula
560
C101
Malignant neoplasm of anterior surface of

epiglottis
Malignant neoplasm of lateral wall of
oropharynx
Malignant neoplasm of posterior wall of
oropharynx
Malignant neoplasm of branchial cleft
560
560
560
560

oropharynx
Malignant neoplasm of oropharynx,
unspecified
Malignant neoplasm of superior wall of
560
560
560
C049
C0680
C0689
C069
C07
C080
C081
C089
C090
C091
C102
C103
C104
C108
C109
C110
nasopharynx
Page 1950 of 6734

C111

nasopharynx
nasopharynx
Malignant neoplasm of anterior wall of
560
560
560
nasopharynx
nasopharynx
Malignant neoplasm of nasopharynx,
unspecified
Malignant neoplasm of pyriform sinus
560
560
560
C130
Malignant neoplasm of postcricoid region
560
C131
Malig neoplasm of aryepiglottic fold,

hypopharyngeal
aspect
Malignant neoplasm
of posterior wall of
hypopharynx
hypopharynx
Malignant neoplasm of hypopharynx,
560
560
560
560
unspecified
Malignant neoplasm of pharynx,
unspecified
Malignant neoplasm of Waldeyer's ring
560
560
Malig neoplm of ovrlp sites of lip, oral

cavity
and neoplasm
pharynx of upper third of
Malignant
560
620
620
620
620
C159
esophagus
Malignant neoplasm of middle third of
esophagus
Malignant neoplasm of lower third of
esophagus
esophagus
Malignant neoplasm of esophagus,
620
C160
unspecified
Malignant neoplasm of cardia
620
C161
Malignant neoplasm of fundus of stomach
620
C162
Malignant neoplasm of body of stomach
620
C163
Malignant neoplasm of pyloric antrum
620
C164
Malignant neoplasm of pylorus
620
C165
Malignant neoplasm of lesser curvature of

stomach,
Malignantunsp
neoplasm of greater curvature
of
stomach,
unsp
Malignant neoplasm
of overlapping sites of
620
620
620
stomach
Malignant neoplasm of stomach,
unspecified
Malignant neoplasm of duodenum
620
620
C112
C113
C118
C119
C12
C132
C138
C139
C140
C142
C148
C153
C154
C155
C158
C166
C168
C169
C170
Page 1951 of 6734

C171
Malignant neoplasm of jejunum
620
C172
Malignant neoplasm of ileum
620
C173
Meckel's diverticulum, malignant
620
C178
620
620
C180

small
intestine
Malignant
neoplasm of small intestine,
unspecified
Malignant neoplasm of cecum
620
C181
Malignant neoplasm of appendix
620
C182
Malignant neoplasm of ascending colon
620
C183
Malignant neoplasm of hepatic flexure
620
C184
Malignant neoplasm of transverse colon
620
C185
Malignant neoplasm of splenic flexure
620
C186
Malignant neoplasm of descending colon
620
C187
Malignant neoplasm of sigmoid colon
620
C188

colon
Malignant neoplasm of colon, unspecified
620
620
Malignant neoplasm of rectosigmoid

junction
Malignant neoplasm of rectum
620
620
C210
Malignant neoplasm of anus, unspecified
620
C211
Malignant neoplasm of anal canal
620
C212
Malignant neoplasm of cloacogenic zone
620
C218
620
C220
Malig neoplasm of ovrlp sites of rectum,

anus
anal canal
Liver and
cell carcinoma
634
MALIGNANCY OF HEPATOBILIARY SYSTEM
C221
Intrahepatic bile duct carcinoma
634
C222
Hepatoblastoma
634
C223
Angiosarcoma of liver
634
C224
Other sarcomas of liver
634
C227
Other specified carcinomas of liver
634
C228
Malignant neoplasm of liver, primary,

unspecified
as tooftype
Malig neoplasm
liver, not specified as
634
634
C179
C189
C19
C20
C229
primary or sec
Page 1952 of 6734

C23
Malignant neoplasm of gallbladder
634
Malignant neoplasm of extrahepatic bile

duct
Malignant neoplasm of ampulla of Vater
634
634
634
634
C250

biliary
tractneoplasm of biliary tract,
Malignant
unspecified
Malignant neoplasm of head of pancreas
634
C251
Malignant neoplasm of body of pancreas
634
C252
Malignant neoplasm of tail of pancreas
634
C253
Malignant neoplasm of pancreatic duct
634
C254
Malignant neoplasm of endocrine pancreas
634
C257
634
634
634
C260
Malignant neoplasm of other parts of

pancreas
pancreas
Malignant neoplasm of pancreas,
unspecified
Malignant neoplasm of intestinal tract,
620
C261
part
unspecified
Malignant
neoplasm of spleen
801
LYMPHOMA, MYELOMA & NON-ACUTE LEUK
C269
620
C300
Malignant neoplasm of ill-defined sites

within
the neoplasm
dgstv sys of nasal cavity
Malignant
560
C301
Malignant neoplasm of middle ear
560
C310
Malignant neoplasm of maxillary sinus
560
C311
Malignant neoplasm of ethmoidal sinus
560
C312
Malignant neoplasm of frontal sinus
560
C313
Malignant neoplasm of sphenoid sinus
560
C318
560
560
C320

accessory
sinuses of accessory sinus,
Malignant neoplasm
unspecified
Malignant neoplasm of glottis
560
C321
Malignant neoplasm of supraglottis
560
C322
Malignant neoplasm of subglottis
560
C323
Malignant neoplasm of laryngeal cartilage
560
C328

larynx
560
C240
C241
C248
C249
C258
C259
C319
Page 1953 of 6734

C329
Malignant neoplasm of larynx, unspecified
560
Malignant neoplasm of trachea
571
Malignant neoplasm of unspecified main

bronchus
Malignant neoplasm of right main
bronchus
Malignant neoplasm of left main bronchus
571
571
571
Malignant neoplasm of upper lobe, unsp

bronchus
lung
Malignantor
neoplasm
of upper lobe, right
bronchus
lung
Malignantor
neoplasm
of upper lobe, left
bronchus
or
lung
Malignant neoplasm of middle lobe,
571
571
571
571
bronchus
lung
Malignantor
neoplasm
of lower lobe, unsp
bronchus
or
lung
Malignant neoplasm of lower lobe, right
bronchus
lung
Malignantor
neoplasm
of lower lobe, left
bronchus
or
lung
571
571
571
571
bronchus
lung of ovrlp sites of right
Malignantand
neoplasm
bronchus
lung of ovrlp sites of left
Malignantand
neoplasm
bronchus
lung of unsp part of unsp
Malignantand
neoplasm
571
571
571
bronchus
lung
Malignantor
neoplasm
of unsp part of right
bronchus
or
lung
Malignant neoplasm of unsp part of left
bronchus
lung
Malignantor
neoplasm
of thymus
571
571
804
LYMPHATIC & OTHER MALIGNANCIES & NE
C380
Malignant neoplasm of heart
593
C381
Malignant neoplasm of anterior

mediastinum
Malignant neoplasm of posterior
mediastinum
Malignant neoplasm of mediastinum, part
unspecified
Malignant neoplasm of pleura
571
571
571
571
571
C390
Malig neoplm of ovrlp sites of heart,

mediastinum
and pleura
Malignant neoplasm
of upper respiratory
560
C399
tract,
part neoplasm
unsp
Malignant
of lower respiratory tra
571
Malig neoplasm of scapula and long bones

of
unsp
upper limb
Malig
neoplasm
of scapula and long bones
of right upper limb
653
MUSCULOSKELETAL MALIGNANCY & PATHO
653
C33
C3400
C3401
C3402
C3410
C3411
C3412
C342
C3430
C3431
C3432
C3480
C3481
C3482
C3490
C3491
C3492
C37
C382
C383
C384
C388
C4000
C4001
Page 1954 of 6734

C4002
Malig neoplasm of scapula and long bones of
653
C4010
Malignant neoplasm of short bones of

unspecified
upper limb
Malignant neoplasm
of short bones of right
upper
limbneoplasm of short bones of left
Malignant
upper
limbneoplasm of long bones of
Malignant
653
653
653
653
unspecified
lower limb
Malignant neoplasm
of long bones of right
lower
limb
Malignant neoplasm of long bones of left lo
653
653
Malignant neoplasm of short bones of

unspecified
lower limb
Malignant neoplasm
of short bones of right
lower
limb
Malignant neoplasm of short bones of left
lower
limb
Malig neoplm
of ovrlp sites of bone/artic
653
653
653
653
cartl
unsp limb
Maligof
neoplm
of ovrlp sites of bone/artic
cartl
of
r
limb
Malig neoplm of ovrlp sites of bone/artic
cartl
left limb of unsp bones and artic
Maligof
neoplasm
653
653
653
653
653
C410
cartlg
of unsp limb
Malig neoplasm
of unsp bones and artic
cartlg
of
right
limb
Malig neoplasm of unsp bones and artic
cartlg
of left
limb
Malignant
neoplasm
of bones of skull and
560
C411
face
Malignant neoplasm of mandible
560
C412
Malignant neoplasm of vertebral column
653
C413
Malignant neoplasm of ribs, sternum and

clavicle
Malignant neoplasm of pelvic bones,
sacrum
and
coccyx of bone and articular
Malignant
neoplasm
cartilage,
Malignant unsp
melanoma of lip
653
653
653
671
Malignant melanoma of unspecified eyelid,

including
Malignantcanthus
melanoma of right eyelid,
including
Malignantcanthus
melanoma of left eyelid,
554
554
554
including
Malignantcanthus
melanoma of unsp ear and
external
auricular
canal
Malignant melanoma
of right ear and
external
auricular
canal
Malignant melanoma of left ear and
671
671
671
C4011
C4012
C4020
C4021
C4022
C4030
C4031
C4032
C4080
C4081
C4082
C4090
C4091
C4092
C414
C419
C430
C4310
C4311
C4312
C4320
C4321
C4322
external auricular canal

Page 1955 of 6734

C4330
671
C4331
Malignant melanoma of unspecified part of

face
Malignant melanoma of nose
671
C4339
Malignant melanoma of other parts of face
671
Malignant melanoma of scalp and neck
671
C4351
Malignant melanoma of anal skin
671
C4352
Malignant melanoma of skin of breast
671
C4359
Malignant melanoma of other part of trunk
671
C4360
Malignant melanoma of unsp upper limb,

including
Malignantshoulder
melanoma of right upper limb,
including
shoulder
Malignant melanoma of left upper limb, inc
671
671
671
Malignant melanoma of unspecified lower

limb,
including
hip
Malignant
melanoma
of right lower limb,
including
hip
Malignant melanoma of left lower limb,
671
671
671
including
Malignanthip
melanoma of overlapping sites
of
skin
Malignant
melanoma of skin, unspecified
671
671
675
C4401
Unspecified malignant neoplasm of skin of

lip
Basal cell carcinoma of skin of lip
675
C4402
Squamous cell carcinoma of skin of lip
675
C4409
Other specified malignant neoplasm of skin o
675
Unsp malignant neoplasm skin/ unsp

eyelid,
includingneoplasm
canthus skin/ right
Unsp malignant
eyelid,
inc canthus
Unsp malignant
neoplasm skin/ left eyelid,
553
553
553
including
Basal cell canthus
carcinoma skin/ unsp eyelid,
including
canthus
Basal cell carcinoma skin/ right eyelid,
including
Basal cell canthus
carcinoma skin/ left eyelid,
553
553
553
including
Squamouscanthus
cell carcinoma skin/ unsp
eyelid,
including
canthus skin/ right
Squamous cell carcinoma
eyelid,
inc canthus
Squamous
cell carcinoma skin/ left eyelid,
553
553
553
including
canthus
Oth malignant
neoplasm skin/ unsp eyelid,
including canthus
553
C434
C4361
C4362
C4370
C4371
C4372
C438
C439
C4400
C44101
C44102
C44109
C44111
C44112
C44119
C44121
C44122
C44129
C44191
Page 1956 of 6734

C44192
Oth malignant neoplasm skin/ right eyelid,

including
canthus
Oth malignant
including
canthus
Unsp malig neoplasm skin/ unsp ear and
553
553
675
external
auric
canal skin/ right ear and
Unsp malig
neoplasm
external
auric
canal skin/ left ear and
Unsp malig
neoplasm
external
canal skin/ unsp ear and
Basal cellauric
carcinoma
675
675
675
external
canal skin/ r ear and
Basal cellauric
carcinoma
external
Basal cellauric
carcinoma
external
auric
Squamous
cellcanal
carcinoma skin/ unsp ear
675
675
675
and
extrn auric
canal
Squamous
cell carcinoma
skin/ r ear and
external
auric
canal
Squamous cell carcinoma skin/ left ear and
extrn
auricneoplasm
canal
Oth malig
skin/ unsp ear and
675
675
675
external
Oth maligauric
neoplasm
external
Oth maligauric
neoplasm
external
auric canal
Unsp malignant
neoplasm of skin of
675
675
675
unspecified
of faceneoplasm of skin of
Unspecified part
malignant
nose
Unsp malignant neoplasm of skin of other
675
675
parts
face
Basal of
cell
carcinoma of skin of unspecified
parts
face
Basal of
cell
carcinoma of skin of nose
675
675
675
C44320
Basal cell carcinoma of skin of other parts

of
face
Squamous
cell carcinoma of skin of
675
C44321
unspecified
parts
of face of skin of nose
Squamous cell
carcinoma
675
C44329
Squamous cell carcinoma of skin of other

parts
of face neoplasm of skin of
Oth malignant
675
675
unspecified
parts
of face neoplasm of
Other specified
malignant
skin
of nose
Oth malignant
neoplasm of skin of other
675
675
parts
of facemalignant neoplasm of skin of
Unspecified
scalp
neck
Basal and
cell carcinoma
of skin of scalp and
675
675
neck
Squamous cell carcinoma of skin of scalp
and neck
675
C44199
C44201
C44202
C44209
C44211
C44212
C44219
C44221
C44222
C44229
C44291
C44292
C44299
C44300
C44301
C44309
C44310
C44311
C44319
C44390
C44391
C44399
C4440
C4441
C4442
Page 1957 of 6734

C4449
Other specified malignant neoplasm of

skin
of scalpmalignant
and neck neoplasm of anal
Unspecified
675
675
675
C44509
skin
Unspecified malignant neoplasm of skin of
breast
Unsp malignant neoplasm of skin of other
675
C44510
part
trunk
Basalofcell
carcinoma of anal skin
675
C44511
Basal cell carcinoma of skin of breast
675
C44519
675
C44520
Basal cell carcinoma of skin of other part

of
trunk
Squamous
cell carcinoma of anal skin
675
C44521
Squamous cell carcinoma of skin of breast
675
C44529
Squamous cell carcinoma of skin of other

part
trunk
Otherofspecified
malignant neoplasm of
675
675
675
C44599
anal
Otherskin
specified malignant neoplasm of
skin
of
breast neoplasm of skin of other par
Oth malignant
675
C44601
Unsp malignant neoplasm skin/ unsp upper l
675
C44602
Unsp malignant neoplasm skin/ right

upper
limb, inc shoulder
Unsp malignant
neoplasm skin/ left upper
limb,
inc
shoulder
Basal cell carcinoma skin/ unsp upper
675
675
675
limb,
Basal inc
cellshoulder
carcinoma skin/ right upper
limb,
Basal inc
cellshoulder
carcinoma skin/ left upper limb,
inc
shoulder
Squamous cell carcinoma skin/ unsp upper
675
675
675
limb,
inc shoulder
Squamous
cell carcinoma skin/ right upper
limb,
inc
shoulder
Squamous cell carcinoma skin/ left upper
limb,
inc shoulder
Oth malignant
neoplasm skin/ unsp upper
675
675
675
limb,
inc shoulder
Oth malignant
neoplasm skin/ right upper
limb,
inc
shoulder
Oth malignant neoplasm skin/ left upper lim
675
675
Unsp malignant neoplasm skin/ unsp lower

limb,
Unsp including
malignanthip
neoplasm skin/ right lower
limb,
inc
hip
Unsp malignant neoplasm skin/ left lower
675
675
675
limb,
hip skin/ unsp lower limb,
Basal including
cell carcinoma
including hip
675
C44500
C44501
C44590
C44591
C44609
C44611
C44612
C44619
C44621
C44622
C44629
C44691
C44692
C44699
C44701
C44702
C44709
C44711
Page 1958 of 6734

C44712
Basal cell carcinoma skin/ right lower limb,

including
Basal cell hip
carcinoma skin/ left lower limb,
including
hip
Squamous cell carcinoma skin/ unsp lower
675
675
675
limb,
including
hip
Squamous
cell carcinoma
skin/ right lower
limb,
inc
hip
Squamous cell carcinoma skin/ left lower
limb,
including neoplasm
hip
Oth malignant
skin/ unsp lower
675
675
675
limb,
including neoplasm
hip
Oth malignant
skin/ right lower
limb,
including neoplasm
hip
Oth malignant
skin/ left lower
limb,
including
hip
Unspecified malignant neoplasm of
675
675
675
overlapping
sites of skin
Basal cell carcinoma
of overlapping sites
of
skin
Squamous cell carcinoma of overlapping
675
675
675
C4490
sites
of skin
Oth malignant
neoplasm of overlapping
sites
of
skin
Unspecified malignant neoplasm of skin,
675
C4491
unspecified
Basal cell carcinoma of skin, unspecified
675
C4492
675
675
C450
Squamous cell carcinoma of skin,

unspecified
Other specified malignant neoplasm of
skin,
unspecified
Mesothelioma
of pleura
571
C451
Mesothelioma of peritoneum
620
C452
Mesothelioma of pericardium
593
C457
Mesothelioma of other sites
804
C459
Mesothelioma, unspecified
804
C460
Kaposi's sarcoma of skin
671
C461
Kaposi's sarcoma of soft tissue
671
C462
Kaposi's sarcoma of palate
560
C463
Kaposi's sarcoma of lymph nodes
671
C464
Kaposi's sarcoma of gastrointestinal sites
620
C4650
Kaposi's sarcoma of unspecified lung
571
C4651
Kaposi's sarcoma of right lung
571
C4652
Kaposi's sarcoma of left lung
571
C44719
C44721
C44722
C44729
C44791
C44792
C44799
C4480
C4481
C4482
C4489
C4499
Page 1959 of 6734

C467
Kaposi's sarcoma of other sites
671
C469
Kaposi's sarcoma, unspecified
671
C470
Malignant neoplasm of prph nerves of head,
560
Malig neoplm of prph nerves of unsp

upper
limb, incofshoulder
Malig neoplm
prph nerves of right upper
limb,
inc
shldr
Malig neoplm of prph nerves of left upper
653
653
653
limb,
shoulder
Malig inc
neoplasm
of prph nerves of unsp
lower
limb, inc hip
Malig neoplasm
of prph nerves of right
lower
limb,
inc
hip
Malig neoplasm of prph nerves of left
lower
limb,neoplasm
inc hip of peripheral nerves
Malignant
653
653
653
653
of
thorax neoplasm of peripheral nerves
Malignant
of
abdomen
Malignant
neoplasm of peripheral nerves
of
pelvis
Malignant neoplasm of peripheral nerves
of
trunk,
unsp of ovrlp sites of prph nrv and
Malig
neoplm
653
653
653
653
Malig neoplasm of prph nerves and

autonm
nervous
sys,of
unsp
Malignant
neoplasm
retroperitoneum
653
804
Malignant neoplasm of specified parts of

peritoneum
Malignant neoplasm of peritoneum, unspeci
620
620
Malig neoplasm of ovrlp sites of

retroperiton
peritoneum
Malig neoplmand
of conn
and soft tissue of
head,
face
and
neck
Malig neoplm of conn & soft tiss of unsp
620
560
653
upr
lmb,
inc shldr
Malig
neoplm
of conn and soft tiss of r upr
limb,
shldrof conn and soft tiss of l upr
Malig inc
neoplm
limb,
shldrof conn and soft tiss of unsp
Malig inc
neoplm
low
limb,
inc hip
Malig
neoplm
of conn and soft tiss of r low
653
653
653
653
limb,
hip of conn and soft tiss of left
Malig inc
neoplm
low
limb, inc
hip
Malignant
neoplasm
of connective and soft t
653
653
Malignant neoplasm of connective and soft

tissue
of abdomen
Malignant
neoplasm of connective and soft
tissue of pelvis
653
653
C4710
C4711
C4712
C4720
C4721
C4722
C473
C474
C475
C476
C478
C479
C480
C481
C482
C488
C490
C4910
C4911
C4912
C4920
C4921
C4922
C493
C494
C495
Page 1960 of 6734

C496
653
653
C499
Malignant neoplasm of conn and soft

tissue
of trunk,
unsp of ovrlp sites of conn
Malignant
neoplasm
and
soft tissue
Malignant
neoplasm of connective and soft
653
C4A0
tissue,
Merkel unsp
cell carcinoma of lip
671
Merkel cell carcinoma of unsp eyelid,

including
Merkel cellcanthus
carcinoma of right eyelid,
including
canthus
Merkel cell carcinoma of left eyelid,
671
671
671
including
Merkel cellcanthus
carcinoma of unsp ear and
external
auric
canal of right ear and
Merkel cell carcinoma
external
auric
canal of left ear and
Merkel cell
carcinoma
671
671
671
external
auric
canal of unspecified part
Merkel cell
carcinoma
of
face cell carcinoma of nose
Merkel
671
671
Merkel cell carcinoma of other parts of

face
Merkel cell carcinoma of scalp and neck
671
671
C4A51
Merkel cell carcinoma of anal skin
671
C4A52
Merkel cell carcinoma of skin of breast
671
C4A59
Merkel cell carcinoma of other part of

trunk
Merkel cell carcinoma of unsp upper limb,
including
Merkel cellshoulder
carcinoma of right upper limb,
inc
shoulder
Merkel cell carcinoma of left upper limb,
671
671
671
671
671
671
C4A72
including
Merkel cellshoulder
carcinoma of unsp lower limb,
including
hip
Merkel cell carcinoma of right lower limb,
including
Merkel cellhip
carcinoma of left lower limb,
671
C4A8
including
Merkel cellhip
carcinoma of overlapping sites
671
C4A9
Merkel cell carcinoma, unspecified
671
Malignant neoplasm of nipple and areola,

right
female
breast of nipple and areola,
Malignant
neoplasm
left
femaleneoplasm
breast
Malignant
of nipple and areola,
unsp
female
breast
672
672
672
672
C498
C4A10
C4A11
C4A12
C4A20
C4A21
C4A22
C4A30
C4A31
C4A39
C4A4
C4A60
C4A61
C4A62
C4A70
C4A71
C50011
C50012
C50019
C50021
right male breast

Page 1961 of 6734

C50022

left
male breast
Malignant
neoplasm of nipple and areola,
unsp
male
breast
Malignant neoplasm
of central portion of
672
672
672
right
female
breast of central portion of
Malignant
neoplasm
left
femaleneoplasm
breast
Malignant
unsp
female
breast
Malignant neoplasm of central portion of
right
male neoplasm
breast
Malignant
672
672
672
672
672
C50211
left
male breast
Malignant
neoplasm of central portion of
unsp
male
breast
Malig neoplm
of upper-inner quadrant of rig
672
C50212
Malig neoplasm of upper-inner quadrant of l
672
C50219
Malig neoplasm of upper-inner quadrant of

unsp
breast
Malig female
neoplasm
of upper-inner quadrant of
right
male
breast
Malig neoplasm of upper-inner quadrant of
672
672
672
672
C50311
left
male
breast of upper-inner quadrant of
Malig
neoplasm
unsp
breast
Malig male
neoplm
of lower-inner quadrant of rig
672
C50312
Malig neoplasm of lower-inner quadrant of l
672
C50319
Malig neoplasm of lower-inner quadrant of

unsp
breast
Malig female
neoplasm
of lower-inner quadrant of
right
breastof lower-inner quadrant of
Maligmale
neoplasm
672
672
672
672
C50411
left
male
breast of lower-inner quadrant of
Malig
neoplasm
unsp
breast
Malig male
neoplm
of upper-outer quadrant of rig
672
C50412
Malig neoplasm of upper-outer quadrant of l
672
C50419
Malig neoplasm of upper-outer quadrant of

unsp
breast
Malig female
neoplasm
of upper-outer quadrant of
right
male
breast
Malig neoplasm of upper-outer quadrant of
672
672
672
672
C50511
left
male
breast of upper-outer quadrant of
Malig
neoplasm
unsp
breast
Malig male
neoplm
of lower-outer quadrant of rig
672
C50512
Malig neoplasm of lower-outer quadrant of l
672
C50519
Malig neoplasm of lower-outer quadrant of

unsp female breast
672
C50029
C50111
C50112
C50119
C50121
C50122
C50129
C50221
C50222
C50229
C50321
C50322
C50329
C50421
C50422
C50429
Page 1962 of 6734

C50521
Malig neoplasm of lower-outer quadrant of

right
breastof lower-outer quadrant of
Maligmale
neoplasm
left
male
breast of lower-outer quadrant of
Malig
neoplasm
unsp
male neoplasm
breast
Malignant
of axillary tail of right
672
672
672
672
female
breast
Malignant
neoplasm of axillary tail of left
female
breast
Malignant neoplasm of axillary tail of unsp
female
breast
Malignant
neoplasm of axillary tail of right
male
breast
Malignant
neoplasm of axillary tail of left
672
672
672
672
male
breast
Malignant
neoplasm of axillary tail of unsp
male
breast
Malignant neoplasm of ovrlp sites of right
female
breast
Malignant
neoplasm of ovrlp sites of left
672
672
672
female
breast
Malignant
neoplasm of ovrlp sites of unsp
female
breast
right
male neoplasm
breast
Malignant
of overlapping sites of
672
672
672
left
male breast
Malignant
neoplasm of overlapping sites of
unsp
male
breast
Malignant neoplasm
of unsp site of right
female
breast
Malignant neoplasm of unspecified site of le
672
672
672
Malignant neoplasm of unsp site of

unspecified
female breast
Malignant neoplasm
of unspecified site of
right
male
breast
Malignant neoplasm of unspecified site of
672
672
672
672
C510
left
male breast
Malignant
neoplasm of unsp site of
unspecified
male breast
Malignant neoplasm
of labium majus
750
FEMALE REPRODUCTIVE SYSTEM MALIGNA
C511
Malignant neoplasm of labium minus
750
C512
Malignant neoplasm of clitoris
750
C518

vulva
Malignant neoplasm of vulva, unspecified
750
750
Malignant neoplasm of vagina
750
C530
Malignant neoplasm of endocervix
750
C531
Malignant neoplasm of exocervix
750
C50522
C50529
C50611
C50612
C50619
C50621
C50622
C50629
C50811
C50812
C50819
C50821
C50822
C50829
C50911
C50912
C50919
C50921
C50922
C50929
C519
C52
Page 1963 of 6734

C538
750
750
C540

cervix
uterineoplasm of cervix uteri,
Malignant
unspecified
Malignant neoplasm of isthmus uteri
750
C541
Malignant neoplasm of endometrium
750
C542
Malignant neoplasm of myometrium
750
C543
Malignant neoplasm of fundus uteri
750
C548

corpus
uteri
Malignant
neoplasm of corpus uteri,
unspecified
Malignant neoplasm of uterus, part
750
750
750
C561
unspecified
Malignant neoplasm of right ovary
750
C562
Malignant neoplasm of left ovary
750
C569
Malignant neoplasm of unspecified ovary
750
750
C5701
Malignant neoplasm of unspecified

fallopian
Malignanttube
neoplasm of right fallopian tube
750
C5702
Malignant neoplasm of left fallopian tube
750
C5710
Malignant neoplasm of unspecified broad

ligament
Malignant neoplasm of right broad
ligament
Malignant neoplasm of left broad ligament
750
750
750
Malignant neoplasm of unspecified round

ligament
Malignant neoplasm of right round
ligament
Malignant neoplasm of left round ligament
750
750
750
C573
Malignant neoplasm of parametrium
750
C574
Malignant neoplasm of uterine adnexa,

unspecified
Malignant neoplasm of other specified
female
genital
organsof ovrlp sites of
Malignant
neoplasm
750
750
750
female
genital
organsof female genital
Malignant
neoplasm
organ,
unspecified
Malignant
neoplasm of placenta
750
750
C600
Malignant neoplasm of prepuce
740
MALIGNANCY, MALE REPRODUCTIVE SYST
C601
Malignant neoplasm of glans penis
740
C539
C549
C55
C5700
C5711
C5712
C5720
C5721
C5722
C577
C578
C579
C58
Page 1964 of 6734

C602
Malignant neoplasm of body of penis
740
C608

penis
Malignant neoplasm of penis, unspecified
740
740
Malignant neoplasm of prostate
740

undescended
testis of undescended right
Malignant neoplasm
testis
Malignant neoplasm of undescended left
testis
740
740
740
740
740
740
C6290
descended
testis
Malignant neoplasm
of descended right
testis
Malignant neoplasm of descended left
testis
Malig neoplasm of unsp testis, unsp desce
740
C6291
Malig neoplm of right testis, unsp descend
740
C6292
740
C6300
Malig neoplasm of left testis, unsp

descended
or undescended
Malignant neoplasm
of unspecified
740
C6301
epididymis
Malignant neoplasm of right epididymis
740
C6302
Malignant neoplasm of left epididymis
740
C6310

spermatic
cord
Malignant neoplasm
of right spermatic
cord
Malignant neoplasm of left spermatic cord
740
740
740
C632
Malignant neoplasm of scrotum
740
C637
Malignant neoplasm of other specified

male
genital
organs of ovrlp sites of male
Malignant
neoplasm
genital
organs
Malignant
neoplasm of male genital organ,
740
740
740
721
721
C649
unspecified
Malignant neoplasm of right kidney,
except
renal
pelvis of left kidney, except
Malignant
neoplasm
renal
pelvis
Malignant
neoplasm of unsp kidney,
721
C651
except
renal
pelvis of right renal pelvis
Malignant
neoplasm
721
C652
Malignant neoplasm of left renal pelvis
721
C659
Malignant neoplasm of unspecified renal

pelvis
721
C609
C61
C6200
C6201
C6202
C6210
C6211
C6212
C6311
C6312
C638
C639
C641
C642
Page 1965 of 6734

C661
Malignant neoplasm of right ureter
721
C662
Malignant neoplasm of left ureter
721
C669
Malignant neoplasm of unspecified ureter
721
C670
Malignant neoplasm of trigone of bladder
721
C671
Malignant neoplasm of dome of bladder
721
C672
721
721
721
C675

bladder
Malignant neoplasm of anterior wall of
bladder
bladder
Malignant neoplasm of bladder neck
721
C676
Malignant neoplasm of ureteric orifice
721
C677
Malignant neoplasm of urachus
721
C678
721
721
C680

bladder
Malignant neoplasm of bladder,
unspecified
Malignant neoplasm of urethra
721
C681
Malignant neoplasm of paraurethral glands
721
C688
721
721
C6900

urinary
organs
Malignant
neoplasm of urinary organ,
unspecified
554
C6901
conjunctiva
Malignant neoplasm of right conjunctiva
554
C6902
Malignant neoplasm of left conjunctiva
554
C6910
Malignant neoplasm of unspecified cornea
554
C6911
Malignant neoplasm of right cornea
554
C6912
Malignant neoplasm of left cornea
554
C6920
Malignant neoplasm of unspecified retina
554
C6921
Malignant neoplasm of right retina
554
C6922
Malignant neoplasm of left retina
554
C6930
Malignant neoplasm of unspecified choroid
554
C6931
Malignant neoplasm of right choroid
554
C6932
Malignant neoplasm of left choroid
554
C673
C674
C679
C689
Page 1966 of 6734

C6940
554
C6941
Malignant neoplasm of unspecified ciliary

body
Malignant neoplasm of right ciliary body
554
C6942
Malignant neoplasm of left ciliary body
554
C6950
554
554
C6952

lacrimal
gland
and duct
Malignant
neoplasm
of right lacrimal gland
and
duct
Malignant neoplasm of left lacrimal gland
554
C6960
and
duct neoplasm of unspecified orbit
Malignant
554
C6961
Malignant neoplasm of right orbit
554
C6962
Malignant neoplasm of left orbit
554
C6980

eye
and adnexa
Malignant
neoplasm of ovrlp sites of right
eye
and adnexa
Malignant
neoplasm of ovrlp sites of left
eye
and
adnexa
Malignant neoplasm of unspecified site of
554
554
554
554
554
554
C700
unspecified
eye
Malignant neoplasm
of unspecified site of
right
eye neoplasm of unspecified site of
Malignant
left
eye neoplasm of cerebral meninges
Malignant
521
C701
Malignant neoplasm of spinal meninges
521
C709
Malignant neoplasm of meninges, unspecifi
521
C710
521
C711
Malignant neoplasm of cerebrum, except

lobes
and ventricles
Malignant
neoplasm of frontal lobe
521
C712
Malignant neoplasm of temporal lobe
521
C713
Malignant neoplasm of parietal lobe
521
C714
Malignant neoplasm of occipital lobe
521
C715
Malignant neoplasm of cerebral ventricle
521
C716
Malignant neoplasm of cerebellum
521
C717
Malignant neoplasm of brain stem
521
C718
521
C719

brain
Malignant neoplasm of brain, unspecified
521
C720
Malignant neoplasm of spinal cord
521
C6951
C6981
C6982
C6990
C6991
C6992
Page 1967 of 6734

C721
Malignant neoplasm of cauda equina
521

olfactory
Malignantnerve
neoplasm of right olfactory
nerve
Malignant neoplasm of left olfactory nerve
521
521
521
521
C7231
Malignant neoplasm of unspecified optic

nerve
Malignant neoplasm of right optic nerve
521
C7232
Malignant neoplasm of left optic nerve
521
C7240

acoustic
Malignantnerve
neoplasm of right acoustic
nerve
Malignant neoplasm of left acoustic nerve
521
521
521
Malignant neoplasm of unspecified cranial

nerve
Malignant neoplasm of other cranial
nerves
Malignant neoplasm of central nervous
system,
unspecified
Malignant
neoplasm of thyroid gland
521
521
521
693
Malignant neoplasm of cortex of

unspecified
adrenal gland
Malignant neoplasm
of cortex of right
adrenal
gland
Malignant neoplasm of cortex of left
693
693
693
adrenal
gland
Malignant
neoplasm of medulla of
unspecified
adrenal gland
Malignant neoplasm
of medulla of right
adrenal
gland
Malignant neoplasm of medulla of left adren
693
693
693
693
693
C7492
Malignant neoplasm of unsp part of

unspecified
adrenal gland
Malignant neoplasm
of unsp part of right
adrenal
gland
Malignant
neoplasm of unspecified part of
693
C750
left
adrenalneoplasm
gland
Malignant
of parathyroid gland
693
C751
Malignant neoplasm of pituitary gland
693
C752
693
C753
Malignant neoplasm of craniopharyngeal

duct
Malignant neoplasm of pineal gland
521
C754
Malignant neoplasm of carotid body
521
C755
Malignant neoplasm of aortic body and

other paraganglia
521
C7220
C7221
C7222
C7230
C7241
C7242
C7250
C7259
C729
C73
C7400
C7401
C7402
C7410
C7411
C7412
C7490
C7491
Page 1968 of 6734

C758
693
693
C760
Malignant neoplasm with pluriglandular

involvement,
unsp of endocrine gland,
Malignant neoplasm
unspecified
Malignant neoplasm of head, face and
560
C761
neck
Malignant neoplasm of thorax
571
C762
Malignant neoplasm of abdomen
620
C763
Malignant neoplasm of pelvis
740
653
C7641
Malignant neoplasm of unspecified upper

limb
Malignant neoplasm of right upper limb
653
C7642
Malignant neoplasm of left upper limb
653
C7650
653
C7651
Malignant neoplasm of unspecified lower

limb
Malignant neoplasm of right lower limb
653
C7652
Malignant neoplasm of left lower limb
653
Malignant neoplasm of other specified illdefined

Sec and sites
unsp malig neoplasm of nodes of h
804
804
Secondary and unsp malignant neoplasm

of
intrathorac
Secondary
andnodes
unsp malignant neoplasm
of
intra-abd
nodes
Sec and unsp malig neoplasm of axilla and
804
804
804
804
C775
Sec and unsp malig neoplasm of inguinal

and
lower limb
Secondary
and nodes
unsp malignant neoplasm
804
C778
of
intrapelv
nodes
Sec
and unsp
malig neoplasm of nodes of mu
804
C779
Secondary and unsp malignant neoplasm

of
lymph node,
unsp neoplasm of
Secondary
malignant
804
571
unspecified
lung
Secondary malignant
neoplasm of right
lung
Secondary malignant neoplasm of left lung
571
571
Secondary malignant neoplasm of

mediastinum
Secondary malignant neoplasm of pleura
571
571
Secondary malignant neoplasm of unsp

respiratory
organ
Secondary malignant
neoplasm of other
respiratory
organs
Secondary malignant neoplasm of small
intestine
571
571
620
C759
C7640
C768
C770
C771
C772
C773
C774
C7800
C7801
C7802
C781
C782
C7830
C7839
C784
Page 1969 of 6734

C785
Secondary malignant neoplasm of large int
620
C786

retroperiton
and peritoneum
Secondary malig
neoplasm of liver and intra
620
634

unspecified
digestive organ
Secondary malignant
neoplasm of other dig
620
620
Secondary malignant neoplasm of unsp

kidney
and malignant
renal pelvis
Secondary
neoplasm of r kidney a
721
721
Secondary malignant neoplasm of left

kidney
and malignant
renal pelvis
Secondary
neoplasm of
unspecified
urinary
organs
Secondary malignant neoplasm of bladder
721
721
721
721
C792
Secondary malignant neoplasm of other

urinary
organs
Secondary
malignant neoplasm of skin
671
C7931
Secondary malignant neoplasm of brain
521
C7932
Secondary malignant neoplasm of cerebral
521
C7940
Secondary malignant neoplasm of unsp part
521
C7949
Secondary malignant neoplasm of oth

parts
of nervous
system
Secondary
malignant
neoplasm of bone
521
653
Secondary malignant neoplasm of bone

marrow
unspecified
ovary
Secondary malignant
neoplasm of right
ovary
653
750
750
750
693
693
C7972
ovary
unspecified
adrenal gland
Secondary malignant
neoplasm of right
adrenal
gland
693
C7981
adrenal
gland
Secondary
malignant neoplasm of breast
672
C7982
Secondary malignant neoplasm of genital

organs
Secondary malignant neoplasm of other
specified
Secondarysites
malignant neoplasm of
unspecified
site
Malignant carcinoid
tumor of unspecified
804
804
804
620
C787
C7880
C7889
C7900
C7901
C7902
C7910
C7911
C7919
C7951
C7952
C7960
C7961
C7962
C7970
C7971
C7989
C799
C7A00
site
Page 1970 of 6734

C7A010 Malignant carcinoid tumor of the
C7A011 duodenum
Malignant carcinoid tumor of the jejunum
620
620
C7A012 Malignant carcinoid tumor of the ileum
620
C7A019 Malignant carcinoid tumor of the sm int,

portion
C7A020 unsp
Malignant
carcinoid tumor of the appendix
620
620
C7A021 Malignant carcinoid tumor of the cecum
620

colon
C7A023 ascending
Malignant carcinoid
tumor of the
transverse
colon
colon tumor of the sigmoid
C7A025 descending
Malignant carcinoid
C7A026 colon
Malignant carcinoid tumor of the rectum
620
620
620
620
620
C7A029 Malignant carcinoid tumor of the lg int,

portion
C7A090 unsp
Malignant
carcinoid tumor of the bronchus
and
lung
C7A091 Malignant carcinoid tumor of the thymus
620
571
804
C7A092 Malignant carcinoid tumor of the stomach
620
C7A093 Malignant carcinoid tumor of the kidney
721
C7A094 Malignant carcinoid tumor of the foregut

C7A095 NOS
Malignant carcinoid tumor of the midgut
C7A096 NOS
Malignant carcinoid tumor of the hindgut
C7A098 NOS
Malignant carcinoid tumors of other sites
620
620
620
620
Malignant poorly differentiated

neuroendocrine
Other malignanttumors
neuroendocrine tumors
620
620
804
804
C7B02
Secondary carcinoid tumors, unspecified

site
Secondary carcinoid tumors of distant
lymph
nodes
Secondary
carcinoid tumors of liver
634
C7B03
Secondary carcinoid tumors of bone
653
C7B04
Secondary carcinoid tumors of peritoneum
620
C7B09
Secondary carcinoid tumors of other sites
804
Secondary Merkel cell carcinoma
671
C7A1
C7A8
C7B00
C7B01
C7B1
Page 1971 of 6734

C7B8
Other secondary neuroendocrine tumors
804
C800
Disseminated malignant neoplasm,

unspecified
Malignant (primary) neoplasm, unspecified
804
804
Malignant neoplasm associated with

transplanted
organ predominant Hodgkin
Nodular lymphocyte
804
801
lymphoma,
unsppredom
site
Nodlr lymphocy
Hdgkn lymph,
nodes
of
head,
face,
&
nk
Nodular lymphocy predom Hodgkin
801
801
lymphoma,
intrathorac
nodesHodgkin
Nodular lymphocyte
predom
lymphoma,
intra-abd
nodes
Nodlr lymphocy
predom
Hdgkn lymph,
801
801
nodes
of axla and
upr lmb
Nodlr lymphocy
predom
Hdgkn
lymph,nodes
of
ing
rgn
&
lowHodgkin
lmb
Nodular lymphocyte predom
lymph
801
801
Nodular lymphocyte predominant Hodgkin

lymphoma,
spleen predom Hodgkin lymph
Nodular lymphocyte
801
801
Nodlr lymphocy predom Hdgkn lymph,

extrnod
solid org
site
Nodular &
sclerosis
classical
Hodgkin
801
801
lymphoma,
unsp Hdgkn
site
Nodlr scler class
lymph, nodes of
head,
face,
and
neck
Nodular sclerosis class Hodgkin
801
801
lymphoma,
intrathorac
nodes
Nodular sclerosis
class Hodgkin
lymphoma,
intra-abd
nodes
Nodlr scler class
Hdgkn
lymph, nodes of
axla
and
upper
limb
Nodlr scler class Hdgkn lymph, nodes of
801
801
801
ing
rgn and
low limb
Nodular
sclerosis
class Hodgkin
lymphoma,
intrapelv
nodesHodgkin
Nodular sclerosis classical
801
801
lymphoma,
spleenclass Hodgkin
Nodular sclerosis
lymphoma,
nodesHdgkn
mult site
Nodlr scler class
lymph, extrnod
801
801
and
solid
organ sites
Mixed
cellularity
classical Hodgkin
lymphoma,
Mix cellular unsp
class site
Hdgkn lymph, nodes of he
801
801
Mixed cellular classical Hodgkin

lymphoma,
intrathorac
nodes
Mixed cellular
classical Hodgkin
801
801
lymphoma,
nodes
Mix cellular intra-abd
class Hdgkn
lymph, nodes of
axla and upper limb
801
C801
C802
C8100
C8101
C8102
C8103
C8104
C8105
C8106
C8107
C8108
C8109
C8110
C8111
C8112
C8113
C8114
C8115
C8116
C8117
C8118
C8119
C8120
C8121
C8122
C8123
C8124
Page 1972 of 6734

C8125
Mix cellular class Hdgkn lymph, nodes of

ing
rgncellular
and low
lmb
Mixed
classical
Hodgkin
801
801
lymphoma,
intrapelv
nodes
Mixed cellularity
classical
Hodgkin
lymphoma,
spleen
Mixed cellular
classical Hodgkin
801
801
lymphoma,
mult site
Mix cellular nodes
class Hdgkn
lymph, extrnod
and
solid
org
sites
Lymphocyte depleted classical Hodgkin lym
801
801
801
C8132
Lymphocy deplet class Hdgkn lymph,

nodes
of head,
face,class
& nk Hodgkin lymphoma
Lymphocy
depleted
801
C8133
Lymphocy depleted class Hodgkin lymphoma
801
C8134
Lymphocy deplet class Hdgkn lymph, nodes
801
C8135
Lymphocy deplet class Hdgkn lymph,nodes o
801
C8136
Lymphocy depleted class Hodgkin

lymphoma,
Lymphocyteintrapelv
depletednodes
classical Hodgkin ly
801
801
Lymphocy depleted class Hodgkin

lymphoma,
nodesclass
mult Hdgkn
site
Lymphocy deplet
lymph, extrnod
801
801
Lymphocyte-rich classical Hodgkin

lymphoma,
unspecified
Lymp-rich class
Hodgkinsite
lymph, nodes of
head,
face,
and
neck
Lymp-rich classical Hodgkin lymphoma, intr
801
801
801
801
C8144
Lymp-rich classical Hodgkin lymphoma,

intra-abd
nodes lymph, nodes of
Lymp-richlymph
class Hdgkn
801
C8145
axilla
and upper
limb lymph, nodes of ing
Lymp-rich
class Hdgkn
801
C8146

intrapelv
lymph nodes
Lymphocyte-rich
classical Hodgkin lymphom
801
801

lymph
nodes
mult
site lymph, extrnod
Lymp-rich
class
Hodgkin
801
801
801
C8171
and
solid
organHodgkin
sites
Other
classical
lymphoma,
unspecified
site
Oth class Hodgkin lymphoma, nodes of head
801
C8172
Other classical Hodgkin lymphoma, intrath
801
C8173
Oth classical Hodgkin lymphoma, intraabdominal lymph nodes
801
C8126
C8127
C8128
C8129
C8130
C8131
C8137
C8138
C8139
C8140
C8141
C8142
C8143
C8147
C8148
C8149
C8170
Page 1973 of 6734

C8174
Oth class Hodgkin lymphoma, nodes of

axilla
and Hodgkin
upper limb
Oth class
lymph, nodes of ing
801
801
region
and lower
limb lymphoma,
Other classical
Hodgkin
intrapelvic
lymph
nodes lymphoma, spleen
Other classical
Hodgkin
801
801
801
C8179
Oth classical Hodgkin lymphoma, lymph

nodes
mult
site
Oth class
Hodgkin
lymphoma, extrnod and
801
C8190
solid
organ
sites
Hodgkin
lymphoma,
unspecified, unspecified
801
C8191
801
C8192
Hodgkin lymphoma, unsp, lymph nodes of

head,
face,
and neckunspecified, intrathora
Hodgkin
lymphoma,
801
C8193
Hodgkin lymphoma, unspecified, intra-abd
801
C8194
801
801
C8196
Hodgkin lymphoma, unsp, lymph nodes of

axilla
andlymphoma,
upper limbunsp, nodes of ing
Hodgkin
region
and
lower limb
Hodgkin
lymphoma,
unspecified,
801
C8197
intrapelvic
lymph nodes
Hodgkin lymphoma,
unspecified, spleen
801
C8198
Hodgkin lymphoma, unspecified, lymph

nodes
of lymphoma,
multiple sites
Hodgkin
unsp, extranodal and
801
801
solid
organ
sites
Follicular
lymphoma
grade I, unspecified
site
Follicular lymphoma grade I, nodes of
head,
face,
and neckgrade I, intrathoracic
Follicular
lymphoma
lymph
nodes
Follicular
lymphoma grade I, intra-
801
801
801
801
abdominal
lymph nodes
Follicular lymphoma
grade I, nodes of
axilla
and
upper
limb
Foliclar lymph grade I, nodes of ing region
801
801
and
lowerlymphoma
limb
Follicular
grade I, intrapelvic
lymph
nodes
Follicular lymphoma grade I, spleen
801
801
Follicular lymphoma grade I, lymph nodes

of
multiple
sites
Follicular
lymphoma
grade I, extrnod and
solid
organ
sites
Follicular lymphoma grade II, unspecified
801
801
801
site
Follicular lymphoma grade II, nodes of
head,
face,
and neckgrade II, intrathoracic
Follicular
lymphoma
lymph nodes
801
801
C8175
C8176
C8177
C8178
C8195
C8199
C8200
C8201
C8202
C8203
C8204
C8205
C8206
C8207
C8208
C8209
C8210
C8211
C8212
Page 1974 of 6734

C8213
Follicular lymphoma grade II, intraabdominal

lymph nodes
Follicular lymphoma
grade II, nodes of
axilla
and
upper
limb
Foliclar lymph grade II, nodes of ing region
801
801
801
and
lowerlymphoma
limb
Follicular
grade II, intrapelvic
lymph
nodes
Follicular lymphoma grade II, spleen
801
801
Follicular lymphoma grade II, lymph nodes

of
multiple
sites
Follicular
lymphoma
grade II, extrnod and
solid
organ
sites
Follicular
lymphoma
grade III, unspecified,
801
801
801
unspecified
site
Foliclar lymph
grade III, unsp, nodes of
head,
face,
and
nk grade III, unsp,
Follicular lymphoma
801
801
intrathorac
lymph nodes
Follicular lymphoma
grade III, unsp, intraabd
lymph
nodes
Foliclar
lymph
grade III, unsp, nodes of
801
801
axla
andlymph
uppergrade
limb III, unsp, nodes of ing
Foliclar
rgn
and low
lmb
Follicular
lymphoma
grade III, unsp,
801
801
intrapelvic
lymph nodes
Follicular lymphoma
grade III, unspecified,
spleen
Follicular lymphoma grade III, unsp, lymph
nodes
sitegrade III, unsp, extrnod and
Foliclarmult
lymph
801
801
801
solid
org sites
Follicular
lymphoma grade IIIa, unspecified
site
Foliclar lymphoma grade IIIa, nodes of
801
801
head,
face,
and neckgrade IIIa,
Follicular
lymphoma
intrathoracic
lymph nodes
Follicular lymphoma
grade IIIa, intraabdominal
lymph
nodes
Foliclar lymphoma grade IIIa, nodes of
801
801
801
801
C8236
axilla
and
upper
limbIIIa, nodes of ing rgn
Foliclar
lymph
grade
and
lowerlymphoma
limb
Follicular
grade IIIa, intrapelvic
801
C8237
lymph
nodes
Follicular
lymphoma grade IIIa, spleen
801
C8238
Follicular lymphoma grade IIIa, lymph

nodes
site
Foliclarmult
lymphoma
grade IIIa, extrnod and
801
801
solid
organ
sites
Follicular
lymphoma
grade IIIb, unspecified
site
Foliclar lymphoma grade IIIb, nodes of
801
801
C8214
C8215
C8216
C8217
C8218
C8219
C8220
C8221
C8222
C8223
C8224
C8225
C8226
C8227
C8228
C8229
C8230
C8231
C8232
C8233
C8234
C8235
C8239
C8240
C8241
head, face, and neck

Page 1975 of 6734

C8242
Follicular lymphoma grade IIIb,

intrathoracic
lymph nodes
Follicular lymphoma
grade IIIb, intraabdominal
lymph
nodes
Foliclar lymphoma grade IIIb, nodes of
801
801
801
801
C8246
axilla
and
upper
limbIIIb, nodes of ing rgn
Foliclar
lymph
grade
and
lowerlymphoma
limb
Follicular
grade IIIb, intrapelvic
801
C8247
lymph
nodes
Follicular
lymphoma grade IIIb, spleen
801
C8248
Follicular lymphoma grade IIIb, lymph

nodes
site
Foliclarmult
lymphoma
grade IIIb, extrnod and
801
801
solid
organ
sites
Diffuse
follicle
center lymphoma,
unspecified
site
Diffuse folicl center lymph, nodes of head,
face,
and
neck center lymphoma,
Diffuse
follicle
801
801
801
intrathoracic
nodes
Diffuse folliclelymph
center
lymphoma, intra-abd
lymph
nodes
Diffuse folicl center lymph, nodes of axilla
801
801
801
C8256
and
upper
Diffus
folicllimb
cntr lymph, nodes of ing region
and
lower
limbcenter lymphoma,
Diffuse
follicle
801
C8257
intrapelvic
lymph
nodes
Diffuse follicle
center
lymphoma, spleen
801
C8258
Diffuse follicle center lymphoma, lymph

nodes
Diffusemult
foliclsite
center lymph, extrnod and
801
801
solid
organ follicle
sites center lymphoma,
Cutaneous
unspecified
site
Cutan folicl center
lymphoma, nodes of hea
801
801
801
801
C8264
Cutaneous follicle center lymphoma,

intrathorac
lymph center
nodes lymphoma, intraCutaneous follicle
abd
lymph
Cutan
foliclnodes
center lymphoma, nodes of
801
C8265
axilla
limb nodes of ing region
Cutanand
foliclupper
cntr lymph,
801
C8266

intrapelvic
Cutaneous lymph
follicle nodes
center lymphoma,
spleen
801
801
801
lymph
nodescenter
mult site
Cutan folicl
lymphoma, extrnod and
solid
organ
sites
Other types of follicular lymphoma,
801
801
C8243
C8244
C8245
C8249
C8250
C8251
C8252
C8253
C8254
C8255
C8259
C8260
C8261
C8262
C8263
C8267
C8268
C8269
C8280
unspecified site
Page 1976 of 6734

C8281
Oth types of foliclar lymph, nodes of head,

face,
and neck
Oth types
of follicular lymphoma,
801
801
intrathoracic
lymph nodes
Oth types of follicular
lymphoma, intra-abd
lymph
nodes
Oth types
of foliclar lymph, nodes of axilla
801
801
801
C8286
and
upper of
limb
Oth types
foliclar lymph, nodes of ing
rgn
and
lower
Other types of limb
follicular lymphoma,
801
C8287
intrapelvic
nodes lymphoma, spleen
Other typeslymph
of follicular
801
C8288
Oth types of follicular lymphoma, lymph

nodes
multofsite
Oth types
foliclar lymph, extrnod and
801
801
solid
organ
sites
Follicular
lymphoma,
unspecified,
unspecified
site
Follicular lymphoma, unsp, nodes of head,
face,
and lymphoma,
neck
Follicular
unspecified,
801
801
801
intrathoracic
lymph nodes
Follicular lymphoma,
unsp, intraabdominal
lymph
nodes
Follicular lymphoma, unsp, nodes of axilla
and
upper
limb
Foliclar
lymphoma,
unsp, nodes of ing
801
801
801
region
and
lower limbunspecified,
Follicular
lymphoma,
intrapelvic
lymph nodes
Follicular lymphoma,
unspecified, spleen
801
801
Follicular lymphoma, unsp, lymph nodes of

multiple
Follicularsites
lymphoma, unsp, extranodal and
solid
organ
sites lymphoma, unspecified
Small cell B-cell
801
801
801
site
Small cell B-cell lymphoma, nodes of head,
face,
Smalland
cell neck
B-cell lymphoma, intrathoracic
lymph
nodes
Small cell
B-cell lymphoma, intra-
801
801
801
abdominal
lymphlymphoma,
nodes
Small cell B-cell
nodes of axilla
and
upper
limb
Small cell B-cell lymph, nodes of ing
801
801
region
andB-cell
lowerlymphoma,
limb
Small cell
intrapelvic
lymph
nodes
Small cell B-cell lymphoma, spleen
801
801
Small cell B-cell lymphoma, lymph nodes

of
multiple
sites lymphoma, extranodal
Small
cell B-cell
and solid organ sites
801
801
C8282
C8283
C8284
C8285
C8289
C8290
C8291
C8292
C8293
C8294
C8295
C8296
C8297
C8298
C8299
C8300
C8301
C8302
C8303
C8304
C8305
C8306
C8307
C8308
C8309
Page 1977 of 6734

C8310
Mantle cell lymphoma, unspecified site
801
C8311
Mantle cell lymphoma, lymph nodes of

head,
and neck intrathoracic lymph
Mantleface,
cell lymphoma,
nodes
Mantle cell lymphoma, intra-abdominal
801
801
801
801
801
C8316
lymph
Mantle nodes
cell lymphoma, lymph nodes of
axilla
and
limb nodes of ing region
Mantle cellupper
lymphoma,
and
lower
Mantle
celllimb
lymphoma, intrapelvic lymph
801
C8317
nodes
Mantle cell lymphoma, spleen
801
C8318
Mantle cell lymphoma, lymph nodes of

multiple
sites
Mantle cell
lymphoma, extranodal and
solid
organ
sites
Diffuse large
B-cell lymphoma, unspecified
801
801
801
site
Diffuse large B-cell lymphoma, nodes of
head,
neck
Diffuseface,
largeand
B-cell
lymphoma,
801
801
intrathoracic
nodes
Diffuse large lymph
B-cell lymphoma,
intraabdominal
lymph
Diffuse large
B-cellnodes
lymph, nodes of axilla
801
801
801
C8336
and
upper
Diffus
largelimb
B-cell lymph, nodes of ing rgn
and
lower
limb
Diffuse large B-cell lymphoma, intrapelvic
801
C8337
lymph
Diffusenodes
large B-cell lymphoma, spleen
801
C8338
801
801
C8350
Diffuse large B-cell lymphoma, lymph

nodes
multiple
Diffuseoflarge
B-cellsites
lymphoma, extrnod
and
solid
organ
sites
Lymphoblastic (diffuse) lymphoma,
801
C8351
unspecified
sitelymphoma, nodes of head, fa
Lymphoblastic
801
C8352
Lymphoblastic (diffuse) lymphoma,

intrathoracic
nodes
Lymphoblasticlymph
(diffuse)
lymphoma, intraabd
lymph
nodes
Lymphoblastic lymphoma, nodes of axilla a
801
801
801
801
C8356
Lymphoblastic lymphoma, nodes of ing

region
and lower
limb lymphoma,
Lymphoblastic
(diffuse)
801
C8357
intrapelvic
lymph
nodeslymphoma, spleen
Lymphoblastic
(diffuse)
801
C8358
Lymphoblastic (diffuse) lymphoma, lymph

nodes mult site
801
C8312
C8313
C8314
C8315
C8319
C8330
C8331
C8332
C8333
C8334
C8335
C8339
C8353
C8354
C8355
Page 1978 of 6734

C8359
Lymphoblastic lymphoma, extrnod and

solid
organ
sites unspecified site
Burkitt
lymphoma,
801
801
Burkitt lymphoma, lymph nodes of head,

face,
and
neck
Burkitt
lymphoma,
intrathoracic lymph
nodes
Burkitt lymphoma, intra-abdominal lymph
801
801
801
801
801
C8376
nodes
Burkitt lymphoma, lymph nodes of axilla
and
upper
limb
Burkitt
lymphoma,
nodes of inguinal
region
lower limb
Burkitt and
lymphoma,
intrapelvic lymph
801
C8377
nodes
Burkitt lymphoma, spleen
801
C8378
Burkitt lymphoma, lymph nodes of

multiple
sites
Burkitt lymphoma,
extranodal and solid
organ
sites
Other non-follicular
lymphoma, unspecified
801
801
801
Oth non-follic lymphoma, lymph nodes of

head,
and necklymphoma, intrathorac
Other face,
non-follicular
801
801
Other non-follicular lymphoma, intraabdominal

lymph
nodes nodes of axilla
Oth non-follic
lymphoma,
801
801
801
C8386
and
upper limb
Oth non-follic
lymphoma, nodes of ing
region
and
lower
limb
lymphoma, intrapelvic
801
C8387
lymph
nodes
lymphoma, spleen
801
C8388
Other non-follicular lymphoma, lymph

nodes
of multiple
sites
Oth non-follic
lymphoma,
extranodal and
801
801
solid
organ sites
Non-follicular
(diffuse) lymphoma, unsp,
unspecified
site
Non-follic lymphoma,
unsp, nodes of head,
801
801
801
801
C8394
Non-follic (diffuse) lymphoma, unsp,

intrathorac
lymph nodes
Non-follic (diffuse)
lymphoma, unsp, intraabd
lymphlymphoma,
nodes
Non-follic
unsp, nodes of axilla
801
C8395
and
upperlymph,
limb unsp, nodes of ing region
Non-follic
801
C8396
Non-follic (diffuse) lymphoma, unsp,

intrapelvic
lymph
nodes
Non-follicular
(diffuse)
lymphoma,
801
801
C8370
C8371
C8372
C8373
C8374
C8375
C8379
C8380
C8381
C8382
C8383
C8384
C8385
C8389
C8390
C8391
C8392
C8393
C8397
unspecified, spleen
Page 1979 of 6734

C8398
801
C8399
Non-follic (diffuse) lymphoma, unsp, lymph

nodes
mult
site
Non-follic
lymphoma,
unsp, extrnod and
801
C8400
solid
organ
sites
Mycosis
fungoides,
unspecified site
801
C8401
Mycosis fungoides, lymph nodes of head,

face,
andfungoides,
neck
Mycosis
intrathoracic lymph
nodes
Mycosis fungoides, intra-abdominal lymph
801
801
801
801
801
C8406
nodes
Mycosis fungoides, lymph nodes of axilla
and
upper
limb
Mycosis
fungoides,
nodes of inguinal
region
and
lower
limb
Mycosis fungoides, intrapelvic lymph
801
C8407
nodes
Mycosis fungoides, spleen
801
C8408
Mycosis fungoides, lymph nodes of

multiple
sites
Mycosis fungoides,
extranodal and solid
organ
sites
Sezary disease, unspecified site
801
801
801
Sezary disease, lymph nodes of head,

face,
and
neck intrathoracic lymph nodes
Sezary
disease,
801
801
801
801
C8415
Sezary disease, intra-abdominal lymph

nodes
Sezary disease, lymph nodes of axilla and
upper
Sezarylimb
disease, nodes of inguinal region
801
C8416
and
lower
limb intrapelvic lymph nodes
Sezary
disease,
801
C8417
Sezary disease, spleen
801
C8418
Sezary disease, lymph nodes of multiple

sites
Sezary disease, extranodal and solid organ
sites
Peripheral T-cell lymphoma, not classified,
801
801
801
unspecified
site not class, nodes of
Prph T-cell lymph,
head,
face,T-cell
and neck
Peripheral
lymphoma, not class,
801
801
intrathorac
nodes
Peripheral T-cell
lymphoma, not classified,
intra-abd
nodes
Prph T-cell lymph, not class, nodes of axilla
801
801
and
Prphupper
T-cell limb
lymph, not class, nodes of ing
rgn
and
low
limblymphoma, not classified,
Peripheral T-cell
801
801
C8402
C8403
C8404
C8405
C8409
C8410
C8411
C8412
C8413
C8414
C8419
C8440
C8441
C8442
C8443
C8444
C8445
C8446
intrapelv nodes
Page 1980 of 6734

C8447
C8448
C8449
C8460
C8461
C8462
C8463
C8464
C8465
C8466
C8467
C8468
C8469
C8470
C8471
C8472
C8473
C8474
C8475
C8476
C8477
C8478
C8479
C8490
C8491
C8492
C8493
C8494
C8495

spleen
nodes
multlymph,
site
Prph T-cell
not class, extrnod and
801
801
801
solid
organlarge
sites cell lymphoma, ALKAnaplastic
positive,
Anaplstc unsp
lg cellsite
lymph, ALK-pos, nodes of
head,
face,
and
Anaplastic large nk
cell lymphoma, ALK-pos,
801
801
801
intrathorac
nodes
Anaplastic large
cell lymphoma, ALK-pos,
intra-abd
nodes
Anaplstc lg
cell lymph, ALK-pos, nodes of
801
801
axla
and upr
limb
Anaplstc
lg cell
lymph, ALK-pos, nodes of
ing
rgn
&
low
lmb
Anaplastic large cell lymphoma, ALK-pos,
801
801
intrapelv
Anaplasticnodes
large cell lymphoma, ALKpositive,
spleen
Anaplastic
large cell lymphoma, ALK-pos,
nodes
mult
site lymph, ALK-pos, extrnod
Anaplstc lg cell
801
801
801
and
solid org
sites
Anaplastic
large
cell lymphoma, ALKnegative,
unsp
Anaplstc lg
cell site
lymph, ALK-neg, nodes of
head,
face,
and
Anaplastic large nk
cell lymphoma, ALK-neg,
801
801
801
intrathorac
nodes
Anaplastic large
cell lymphoma, ALK-neg,
intra-abd
nodes
Anaplstc lg cell lymph, ALK-neg, nodes of
801
801
axla
and upr
limb
Anaplstc
lg cell
lymph, ALK-neg, nodes of
ing
rgn
&
low
lmb
Anaplastic large cell lymphoma, ALK-neg,
801
801
intrapelv
Anaplasticnodes
large cell lymphoma, ALKnegative,
spleen
Anaplastic large cell lymphoma, ALK-neg,
nodes
mult
site lymph, ALK-neg, extrnod
Anaplstc
lg cell
801
801
801
and
solid
org sites
Mature
T/NK-cell
lymphomas, unspecified,
unspecified
site
Mature T/NK-cell lymph, unsp, nodes of head
801
801
Mature T/NK-cell lymphomas, unsp,

intrathoracic
lymph
nodes
Mature T/NK-cell
lymphomas,
unsp, intraabd
lymph
nodes
Mature T/NK-cell lymph, unsp, nodes of
801
801
801
axilla
and
upper limb
Mature
T/NK-cell
lymph, unsp, nodes of ing
rgn and low limb
801
Page 1981 of 6734

C8496
Mature T/NK-cell lymphomas, unsp,

intrapelvic
lymphlymphomas,
nodes
Mature T/NK-cell
unspecified,
spleen
Mature T/NK-cell lymphomas, unsp, lymph
801
801
801
nodes
site lymph, unsp, extrnod and
Maturemult
T/NK-cell
solid
organ T-cell
sites lymphoma, unspecified,
Cutaneous
801
801
unspecified
Cutan T-cell site
lymphoma, unsp nodes of
head,
face,
and
Cutaneous T-cellneck
lymphoma, unsp,
801
801
intrathoracic
lymph
nodes unsp, intraCutaneous T-cell
lymphoma,
abdominal
nodes unsp, nodes of
Cutan T-celllymph
lymphoma,
801
801
axilla
upper
limb
Cutanand
T-cell
lymph,
unsp, nodes of ing
region
and
lower
limb
Cutaneous T-cell lymphoma, unsp,
801
801
intrapelvic
nodes
Cutaneous lymph
T-cell lymphoma,
unspecified,
spleen
Cutaneous T-cell lymphoma, unsp, lymph
nodes
mult site
Cutan T-cell
lymphoma, unsp, extrnod and
801
801
801
solid
sites
Otherorgan
mature
T/NK-cell lymphomas,
unspecified
site
Oth mature T/NK-cell lymph, nodes of head,
801
801
Other mature T/NK-cell lymphomas,

intrathoracic
lymph nodes
Oth mature T/NK-cell
lymphomas, intra-
801
801
801
801
C84Z6
abdominal
nodes
Oth maturelymph
T/NK-cell
lymph, nodes of
axilla
and
upper
limb
Oth mature T/NK-cell lymph, nodes of ing
rgn
and
lower T/NK-cell
limb
Other
mature
lymphomas,
801
C84Z7
intrapelvic
lymph
nodeslymphomas, spleen
Other mature
T/NK-cell
801
C84Z8
Oth mature T/NK-cell lymphomas, lymph

nodes
mult site
Oth mature
T/NK-cell lymph, extrnod and
solid
organ
sites
Unspecified B-cell lymphoma, unspecified
801
801
801
site
Unsp B-cell lymphoma, lymph nodes of
head,
face, and
neck
Unspecified
B-cell
lymphoma, intrathoracic
801
801
lymph
nodesB-cell lymphoma, intraUnspecified
abdominal
nodeslymph nodes of
Unsp B-celllymph
lymphoma,
axilla and upper limb
801
801
C8497
C8498
C8499
C84A0
C84A1
C84A2
C84A3
C84A4
C84A5
C84A6
C84A7
C84A8
C84A9
C84Z0
C84Z1
C84Z2
C84Z3
C84Z4
C84Z5
C84Z9
C8510
C8511
C8512
C8513
C8514
Page 1982 of 6734

C8515
Unsp B-cell lymphoma, nodes of ing region

and
lower limb
Unspecified
B-cell lymphoma, intrapelvic
lymph
nodes
Unspecified B-cell lymphoma, spleen
801
801
801
Unspecified B-cell lymphoma, lymph

nodes
of multiple
sites extranodal and
Unsp B-cell
lymphoma,
801
801
solid
organ sites
Mediastinal
(thymic) large B-cell
lymphoma,
unspecified
site nodes of
Mediastnl large B-cell lymph,
head,
face,(thymic)
and neck
Mediastnl
large B-cell lymphoma,
801
801
801
intrathorac
Mediastinal nodes
lymphoma,
intra-abd
Mediastnl large B-cell nodes
lymph, nodes of
axilla
and
upper
limb
Mediastnl lg B-cell lymph, nodes of ing rgn
and
lower limb
Mediastinal
801
801
801
801
lymphoma,
nodesB-cell
Mediastinal intrapelv
(thymic) large
lymphoma,
Mediastinal spleen
801
801
lymphoma,
nodes
multlymph,
site extrnod and
Mediastnl large
B-cell
solid
organofsites
Oth types
non-Hodgkin lymphoma,
801
801
unspecified
Oth types ofsite
non-hodg lymph, nodes of
head,
face,
and
neck
Oth types of non-Hodgkin
lymphoma,
801
801
801
C8584
intrathoracic
lymph nodes lymphoma,
Oth types of non-Hodgkin
intra-abd
nodes lymph, nodes of axil
Oth typeslymph
of non-hodg
801
C8585
Oth types of non-hodg lymph, nodes of ing
801
C8586
Oth types of non-Hodgkin lymphoma,

intrapelvic
lymph
nodes
Other specified
types
of non-Hodgkin
801
801
lymphoma,
Oth types ofspleen
non-Hodgkin lymphoma,
lymph
nodes
mult site lymph, extrnod and
Oth types of non-hodg
solid
organ sites
Non-Hodgkin
lymphoma, unspecified,
801
801
801
unspecified
Non-Hodgkinsite
lymphoma, unsp, nodes of
head,
face,
and
neck
Non-Hodgkin lymphoma,
unspecified,
intrathoracic
lymph
nodes
Non-Hodgkin lymphoma, unsp, intra-abdom
801
801
801
C8516
C8517
C8518
C8519
C8520
C8521
C8522
C8523
C8524
C8525
C8526
C8527
C8528
C8529
C8580
C8581
C8582
C8583
C8587
C8588
C8589
C8590
C8591
C8592
C8593
Page 1983 of 6734

C8594
Non-Hodgkin lymphoma, unsp, nodes of axil
801
C8595
Non-hodg lymphoma, unsp, nodes of ing reg
801
C8596
Non-Hodgkin lymphoma, unspecified,

intrapelvic
lymph
nodes unspecified,
Non-Hodgkin
lymphoma,
spleen
Non-Hodgkin lymphoma, unsp, lymph nodes o
801
801
801
801
C860
Non-Hodgkin lymphoma, unsp, extranodal

and
solid organ
siteslymphoma, nasal type
Extranodal
NK/T-cell
801
C861
Hepatosplenic T-cell lymphoma
801
C862
801
C863
Enteropathy-type (intestinal) T-cell

lymphoma
Subcutaneous panniculitis-like T-cell
801
C864
lymphoma
Blastic NK-cell lymphoma
801
C865
Angioimmunoblastic T-cell lymphoma
801
C866
801
C880
Primary cutaneous CD30-positive T-cell

proliferations
Waldenstrom macroglobulinemia
804
C882
Heavy chain disease
801
C883
Immunoproliferative small intestinal

disease
Extrnod mrgnl zn B-cell lymph of mucosa-
801
801
assoc
Other lymphoid
malignanttiss
immunoproliferative
diseases
Malignant immunoproliferative disease,
804
801
801
C9001
unspecified
Multiple myeloma not having achieved
remission
Multiple myeloma in remission
801
C9002
Multiple myeloma in relapse
800
ACUTE LEUKEMIA
C9010
801
C9011
Plasma cell leukemia not having achieved

remission
Plasma cell leukemia in remission
801
C9012
Plasma cell leukemia in relapse
800
ACUTE LEUKEMIA
C9020
Extramedullary plasmacytoma not having

achieved
remission
Extramedullary
plasmacytoma in
remission
Extramedullary plasmacytoma in relapse
801
801
800
ACUTE LEUKEMIA
Solitary plasmacytoma not having

achieved remission
801
C8597
C8598
C8599
C884
C888
C889
C9000
C9021
C9022
C9030
Page 1984 of 6734

C9031
Solitary plasmacytoma in remission
801
C9032
Solitary plasmacytoma in relapse
800
ACUTE LEUKEMIA
C9100
Acute lymphoblastic leukemia not having

achieved
remission leukemia, in
Acute lymphoblastic
remission
Acute lymphoblastic leukemia, in relapse
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
Chronic lymphocytic leuk of B-cell type not

achieve
remis
Chronic lymphocytic
leukemia of B-cell
type
in remission
Chronic
lymphocytic leukemia of B-cell type
801
801
801
801
801
800
ACUTE LEUKEMIA
C9140
Prolymphocytic leukemia of B-cell type not

achieve
remission
Prolymphocytic
leukemia of B-cell type, in
remission
Prolymphocytic leukemia of B-cell type, in
relapse
Hairy cell leukemia not having achieved
801
C9141
remission
Hairy cell leukemia, in remission
801
C9142
Hairy cell leukemia, in relapse
801
C9150
Adult T-cell lymph/leuk (HTLV-1-assoc) not
801
C9151
Adult T-cell lymphoma/leukemia (HTLV-1assoc),

in remission
Adult T-cell
lymphoma/leukemia (HTLV-1-asso
801
800
ACUTE LEUKEMIA
Prolymphocytic leukemia of T-cell type not

achieve
remission
Prolymphocytic
leukemia of T-cell type, in
remission
Prolymphocytic leukemia of T-cell type, in r
801
801
800
ACUTE LEUKEMIA
801
C9191
Lymphoid leukemia, unspecified not

having
achieved
remission
Lymphoid
leukemia,
unspecified, in
801
C9192
remission
Lymphoid leukemia, unspecified, in relapse
800
ACUTE LEUKEMIA
C91A0
Mature B-cell leukemia Burkitt-type not

achieve
remission
Mature B-cell
leukemia Burkitt-type, in
remission
Mature B-cell leukemia Burkitt-type, in
801
801
800
ACUTE LEUKEMIA
801
C91Z1
relapse
Other lymphoid leukemia not having
achieved
remission
Other lymphoid
leukemia, in remission
801
C91Z2
Other lymphoid leukemia, in relapse
800
ACUTE LEUKEMIA
C9101
C9102
C9110
C9111
C9112
C9130
C9131
C9132
C9152
C9160
C9161
C9162
C9190
C91A1
C91A2
C91Z0
Page 1985 of 6734

C9200
800
ACUTE LEUKEMIA
C9201
Acute myeloblastic leukemia, not having

achieved
remission leukemia, in remission
Acute myeloblastic
800
ACUTE LEUKEMIA
C9202
Acute myeloblastic leukemia, in relapse
800
ACUTE LEUKEMIA
C9210
Chronic myeloid leuk, BCR/ABL-positive,

not
achieve
remis
Chronic
myeloid
leukemia, BCR/ABL-
801
801
positive,
in remission
Chronic myeloid
leukemia, BCR/ABLpositive,
in
relapse
Atyp chronic myeloid leuk, BCR/ABL-neg, no
801
801
Atypical chronic myeloid leukemia,

BCR/ABL-neg,
in myeloid
remission
Atypical chronic
leukemia,
801
801
801
C9231
BCR/ABL-neg,
in relapse
Myeloid sarcoma,
not having achieved
remission
Myeloid sarcoma, in remission
801
C9232
Myeloid sarcoma, in relapse
800
ACUTE LEUKEMIA
C9240
Acute promyelocytic leukemia, not having

achieved
remission leukemia, in
Acute promyelocytic
remission
Acute promyelocytic leukemia, in relapse
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
C9252
Acute myelomonocytic leukemia, not

having
achieved remission
Acute myelomonocytic
leukemia, in
remission
Acute myelomonocytic leukemia, in
800
ACUTE LEUKEMIA
C9260
relapse
Acute myeloid leukemia w 11q23-abnormalit
800
ACUTE LEUKEMIA
C9261
Acute myeloid leukemia with 11q23abnormality

in leukemia
remissionwith 11q23-abnorma
Acute myeloid
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
801
C9291
Myeloid leukemia, unspecified, not having

achieved
remissionunspecified in remission
Myeloid leukemia,
801
C9292
Myeloid leukemia, unspecified in relapse
800
ACUTE LEUKEMIA
C92A0
Acute myeloid leuk w multilin dysplasia,

not
achieve
remis
Acute
myeloid
leukemia w multilin
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
dysplasia,
in remission
Acute myeloid
leukemia w multilineage
dysplasia,
in
relapse
Other myeloid leukemia not having
achieved
remission
Other myeloid
800
ACUTE LEUKEMIA
801
801
C9211
C9212
C9220
C9221
C9222
C9230
C9241
C9242
C9250
C9251
C9262
C9290
C92A1
C92A2
C92Z0
C92Z1
Page 1986 of 6734

C92Z2
Other myeloid leukemia, in relapse
800
ACUTE LEUKEMIA
C9300
Acute monoblastic/monocytic leukemia,

not
achieve
remission
Acute
monoblastic/monocytic
leukemia, in
remission
Acute monoblastic/monocytic leukemia, in
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
relapse
Chronic myelomonocytic leukemia not
achieve
remission
Chronic myelomonocytic
leukemia, in
remission
Chronic myelomonocytic leukemia, in
801
801
801
relapse
Juvenile myelomonocytic leukemia, not
achieve
Juvenile remission
myelomonocytic leukemia, in
remission
Juvenile myelomonocytic leukemia, in
801
801
800
ACUTE LEUKEMIA
relapse
Monocytic leukemia, unsp, not having
achieved
Monocyticremission
leukemia, unspecified in
remission
Monocytic leukemia, unspecified in relapse
801
801
800
ACUTE LEUKEMIA
801
C93Z1
Other monocytic leukemia, not having

achieved
remission
Other monocytic
801
C93Z2
Other monocytic leukemia, in relapse
800
ACUTE LEUKEMIA
C9400
800
ACUTE LEUKEMIA
C9401
Acute erythroid leukemia, not having

achieved
remission
Acute erythroid
800
ACUTE LEUKEMIA
C9402
Acute erythroid leukemia, in relapse
800
ACUTE LEUKEMIA
C9420
Acute megakaryoblastic leukemia not

achieve
remission
Acute megakaryoblastic
leukemia, in
remission
Acute megakaryoblastic leukemia, in
801
801
800
ACUTE LEUKEMIA
801
C9431
relapse
Mast cell leukemia not having achieved
remission
Mast cell leukemia, in remission
801
C9432
Mast cell leukemia, in relapse
800
ACUTE LEUKEMIA
C9440
Acute panmyelosis w myelofibrosis not

achieve
remission with myelofibrosis, in
Acute panmyelosis
remission
Acute panmyelosis with myelofibrosis, in
804
804
804
relapse
Myelodysplastic disease, not classified
804
C9301
C9302
C9310
C9311
C9312
C9330
C9331
C9332
C9390
C9391
C9392
C93Z0
C9421
C9422
C9430
C9441
C9442
C946
Page 1987 of 6734

C9480
801
C9481
Other specified leukemias not having

achieved
remission
Other specified
leukemias, in remission
801
C9482
Other specified leukemias, in relapse
800
ACUTE LEUKEMIA
C9500
Acute leukemia of unsp cell type not

achieve
remission
Acute leukemia
of unspecified cell type, in
remission
Acute leukemia of unspecified cell type, in
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
800
ACUTE LEUKEMIA
relapse
Chronic leukemia of unsp cell type not
achieve
remissionof unspecified cell type,
Chronic leukemia
in
remission
Chronic
leukemia of unspecified cell type,
801
801
801
801
C9591
in
relapse unspecified not having
Leukemia,
achieved
Leukemia,remission
unspecified, in remission
801
C9592
Leukemia, unspecified, in relapse
800
ACUTE LEUKEMIA
804
C962
Multifocal and multisystemic Langerhanscell

histiocytosis
Malignant
mast cell tumor
801
C964
Sarcoma of dendritic cells (accessory cells)
801
C965
Multifocal and unisystemic Langerhans-cell

histiocytosis
Unifocal Langerhans-cell histiocytosis
691
691
Malig neoplm of lymphoid, hematpoetc

and
rel tissue,
unsp
Histiocytic
sarcoma
801
801
Oth malig neoplm of lymphoid,

hematpoetc
Carcinoma inand
siturelated
of oral tissue
cavity,
801
564
unspecified
site
Carcinoma in
situ of labial mucosa and
vermilion
Carcinomaborder
in situ of buccal mucosa
564
564
564
D0004
Carcinoma in situ of gingiva and

edentulous
alveolar
Carcinoma in
situ of ridge
soft palate
564
D0005
Carcinoma in situ of hard palate
564
D0006
Carcinoma in situ of floor of mouth
564
D0007
Carcinoma in situ of tongue
564
D0008
Carcinoma in situ of pharynx
564
C9501
C9502
C9510
C9511
C9512
C9590
C960
C966
C969
C96A
C96Z
D0000
D0001
D0002
D0003
Page 1988 of 6734

D001
Carcinoma in situ of esophagus
624
D002
Carcinoma in situ of stomach
624
D010
Carcinoma in situ of colon
624
D011
Carcinoma in situ of rectosigmoid junction
624
D012
Carcinoma in situ of rectum
624
D013
Carcinoma in situ of anus and anal canal
624
D0140
Carcinoma in situ of unspecified part of

intestine
Carcinoma in situ of other parts of
intestine
Carcinoma in situ of liver, gallbladder and
bile
ducts in situ of other specified
Carcinoma
624
624
640
624
624
D020
digestive
Carcinomaorgans
in situ of digestive organ,
unspecified
Carcinoma in situ of larynx
564
D021
Carcinoma in situ of trachea
576
Carcinoma in situ of unspecified bronchus

and
lung in situ of right bronchus and
Carcinoma
lung
Carcinoma in situ of left bronchus and lung
576
576
576
Carcinoma in situ of other parts of

respiratory
system
Carcinoma in
situ of respiratory system,
unspecified
Melanoma in situ of lip
576
576
671
Melanoma in situ of unspecified eyelid,

including
Melanomacanthus
in situ of right eyelid, including
canthus
Melanoma in situ of left eyelid, including
554
554
554
canthus
Melanoma in situ of unsp ear and external
auricular
Melanomacanal
in situ of right ear and external
auricular
canal
Melanoma in situ of left ear and external
671
671
671
auricular
Melanomacanal
in situ of unspecified part of
face
Melanoma in situ of other parts of face
671
671
Melanoma in situ of scalp and neck
671
Melanoma in situ of anal skin
671
D0149
D015
D017
D019
D0220
D0221
D0222
D023
D024
D030
D0310
D0311
D0312
D0320
D0321
D0322
D0330
D0339
D034
D0351
Page 1989 of 6734

D0352
Melanoma in situ of breast (skin) (soft

tissue)
Melanoma in situ of other part of trunk
671
671
Melanoma in situ of unsp upper limb,

including
Melanomashoulder
in situ of right upper limb,
including
shoulder
Melanoma in situ of left upper limb,
671
671
671
including
Melanomashoulder
in situ of unspecified lower
limb,
including
hipof right lower limb,
Melanoma in situ
including
Melanomahip
in situ of left lower limb,
671
671
671
D038
including
Melanomahip
in situ of other sites
671
D039
Melanoma in situ, unspecified
671
D040
Carcinoma in situ of skin of lip
675
Carcinoma in situ of skin of unsp eyelid,

including
Carcinomacanthus
in situ of skin of right eyelid,
including
canthus
Carcinoma in situ of skin of left eyelid,
including
Ca in situ canthus
skin of unsp ear and external
553
553
553
675
auricular
Ca in situ canal
skin of right ear and external
auricular
canal
Ca in situ skin of left ear and external
auricular
canal
Carcinoma
in situ of skin of unspecified
675
675
675
675
D044
part
of facein situ of skin of other parts of
Carcinoma
face
Carcinoma in situ of skin of scalp and neck
675
D045
Carcinoma in situ of skin of trunk
675
D0460
Ca in situ skin of unsp upper limb,

including
Ca in situ shoulder
skin of right upper limb,
675
675
including
Ca in situ shoulder
skin of left upper limb, including
shoulder
Carcinoma in situ of skin of unsp lower
675
675
675
675
D048
limb,
including
hipof skin of right lower
Carcinoma
in situ
limb,
including
hipof skin of left lower limb,
Carcinoma
in situ
including
Carcinomahip
in situ of skin of other sites
675
D049
Carcinoma in situ of skin, unspecified
675
D0359
D0360
D0361
D0362
D0370
D0371
D0372
D0410
D0411
D0412
D0420
D0421
D0422
D0430
D0439
D0461
D0462
D0470
D0471
D0472
Page 1990 of 6734

D0500
675
D0501
Lobular carcinoma in situ of unspecified

breast
Lobular carcinoma in situ of right breast
675
D0502
Lobular carcinoma in situ of left breast
675
D0510
Intraductal carcinoma in situ of

unspecified
breast
Intraductal carcinoma
in situ of right
breast
Intraductal carcinoma in situ of left breast
675
675
675
Oth type of carcinoma in situ of

unspecified
breast
Other specified
type of carcinoma in situ
of
right
breast
Other specified type of carcinoma in situ
of
left breasttype of carcinoma in situ of
Unspecified
675
675
675
675
675
675
D060
unspecified
Unspecified breast
type of carcinoma in situ of
right
breast type of carcinoma in situ of
Unspecified
left
breast in situ of endocervix
Carcinoma
752
LEVEL I MENSTRUAL AND OTHER FEMALE
D061
Carcinoma in situ of exocervix
752
D067
Carcinoma in situ of other parts of cervix
752
D069
Carcinoma in situ of cervix, unspecified
752
D070
Carcinoma in situ of endometrium
752
D071
Carcinoma in situ of vulva
804
D072
Carcinoma in situ of vagina
804
804
804
D074
Carcinoma in situ of unspecified female

genital
organs
Carcinoma
in situ of other female genital
organs
Carcinoma in situ of penis
742
NEOPLASMS OF THE MALE REPRODUCTIVE
D075
Carcinoma in situ of prostate
742
Carcinoma in situ of unspecified male

genital
organs
Carcinoma
in situ of scrotum
742
742
Carcinoma in situ of other male genital

organs
Carcinoma in situ of bladder
742
726
OTHER KIDNEY & URINARY TRACT DIAGNO
Carcinoma in situ of unspecified urinary

organ
Carcinoma in situ of other urinary organs
726
726
D0511
D0512
D0580
D0581
D0582
D0590
D0591
D0592
D0730
D0739
D0760
D0761
D0769
D090
D0910
D0919
Page 1991 of 6734

D0920
Carcinoma in situ of unspecified eye
553
D0921
Carcinoma in situ of right eye
553
D0922
Carcinoma in situ of left eye
553
692
D098
Carcinoma in situ of thyroid and other

endocrine
Carcinomaglands
in situ of other specified sites
804
D099
Carcinoma in situ, unspecified
804
D100
Benign neoplasm of lip
563
D101
Benign neoplasm of tongue
563
D102
Benign neoplasm of floor of mouth
563
Benign neoplasm of unspecified part of

mouth
Benign neoplasm of other parts of mouth
563
563
D104
Benign neoplasm of tonsil
564
D105
564
D106
Benign neoplasm of other parts of

oropharynx
Benign neoplasm of nasopharynx
564
D107
Benign neoplasm of hypopharynx
564
D109
Benign neoplasm of pharynx, unspecified
564
D110
Benign neoplasm of parotid gland
564
D117
564
564
D120
Benign neoplasm of other major salivary

glands
Benign neoplasm of major salivary gland,
unspecified
Benign neoplasm of cecum
624
D121
Benign neoplasm of appendix
624
D122
Benign neoplasm of ascending colon
624
D123
Benign neoplasm of transverse colon
624
D124
Benign neoplasm of descending colon
624
D125
Benign neoplasm of sigmoid colon
624
D126
Benign neoplasm of colon, unspecified
624
D127
Benign neoplasm of rectosigmoid junction
624
D128
Benign neoplasm of rectum
624
D129
Benign neoplasm of anus and anal canal
624
D093
D1030
D1039
D119
Page 1992 of 6734

D130
Benign neoplasm of esophagus
624
D131
Benign neoplasm of stomach
624
D132
Benign neoplasm of duodenum
624

small
intestine
Benign
neoplasm of other parts of small
intestine
Benign neoplasm of liver
624
624
640
640
D136
Benign neoplasm of extrahepatic bile

ducts
Benign neoplasm of pancreas
635
D137
Benign neoplasm of endocrine pancreas
692
D139
624
564
D141
Benign neoplasm of ill-defined sites within

the
dgstv
sys
Benign
neoplasm
of mid ear, nasl cav and
accessory
sinusesof larynx
Benign neoplasm
564
D142
Benign neoplasm of trachea
576
Benign neoplasm of unspecified bronchus

and
lung
Benign
neoplasm of right bronchus and
lung
Benign neoplasm of left bronchus and lung
576
576
576
576
D150
Benign neoplasm of respiratory system,

unspecified
Benign neoplasm of thymus
785
ANEMIA EXCEPT FOR IRON DEFICIENCY AN
D151
Benign neoplasm of heart
593
D152
Benign neoplasm of mediastinum
576
D157
Benign neoplasm of other specified

intrathoracic
organs
Benign neoplasm
of intrathoracic organ, uns
576
576
Benign neoplasm of scapula and long

bones
unsp upper
limb and long bones of
Benignofneoplm
of scapula
661
661
Benign neoplasm of scapula and long

bones
left upperoflimb
Benignofneoplasm
short bones of
661
661
unspecified
upperof
limb
Benign neoplasm
short bones of right
upper
limb
Benign neoplasm of short bones of left
upper
Benignlimb
neoplasm of long bones of
661
661
661
D1330
D1339
D134
D135
D140
D1430
D1431
D1432
D144
D159
D1600
D1601
D1602
D1610
D1611
D1612
D1620
unspecified lower limb

Page 1993 of 6734

D1621
Benign neoplasm of long bones of right

lower
Benignlimb
neoplasm of long bones of left
lower
limb
Benign neoplasm of short bones of
661
661
661
661
661
D164
unspecified
lower of
limb
Benign neoplasm
short bones of right
lower
limb
Benign neoplasm of short bones of left
lower
Benignlimb
neoplasm of bones of skull and
564
D165
face
Benign neoplasm of lower jaw bone
563
D166
Benign neoplasm of vertebral column
661
D167
Benign neoplasm of ribs, sternum and

clavicle
Benign neoplasm of pelvic bones, sacrum
and
coccyx
Benign
neoplasm of bone and articular
576
661
661
cartilage,
unspecified
Ben lipomatous
neoplm of skin, subcu of
head,
face
and
neck
Benign lipomatous neoplasm of skin,
675
675
subcu
trunk
Benignoflipomatous
neoplasm of skin,
subcu
unsp limb neoplasm of skin,
Benignoflipomatous
subcu
right arm neoplasm of skin,
Benignoflipomatous
675
675
675
subcu
left arm neoplasm of skin,
Benignoflipomatous
subcu
right leg neoplasm of skin,
Benignoflipomatous
subcu
left leg
Benignoflipomatous
neoplasm of skin,
subcu
of
unsp
sites
Benign lipomatous neoplasm of skin,
675
675
675
675
subcu
sites
Benignoflipomatous
neoplasm of
intrathoracic
organs
Benign lipomatous neoplasm of intraabdominal
organs neoplasm of spermatic
Benign lipomatous
576
624
741
D1771
cord
Benign lipomatous neoplasm of kidney
624
D1772
675
D1779
Benign lipomatous neoplasm of other

genitourinary
organneoplasm of other sites
Benign lipomatous
675
D179
Benign lipomatous neoplasm, unspecified
675
D1800
Hemangioma unspecified site
593
D1801
Hemangioma of skin and subcutaneous

tissue
675
D1622
D1630
D1631
D1632
D168
D169
D170
D171
D1720
D1721
D1722
D1723
D1724
D1730
D1739
D174
D175
D176
Page 1994 of 6734

D1802
Hemangioma of intracranial structures
525
D1803
Hemangioma of intra-abdominal structures
624
D1809
Hemangioma of other sites
593
D181
Lymphangioma, any site
785
D190
Benign neoplasm of mesothelial tissue of

pleura
peritoneum
other
sites
Benign
neoplasm of mesothelial tissue,
576
624
804
804
unspecified
Benign neoplasm of soft tissue of
retroperitoneum
Benign neoplasm of soft tissue of
peritoneum
Benign neoplasm of connctv/soft tiss of
head,
face and
neck
Ben neoplm
of connctv/soft
tiss of unsp
624
624
564
661
upr
inc of
shldr
Ben limb,
neoplm
connctv/soft tiss of r upper
limb,
inc
shldr
Ben neoplm of connctv/soft tiss of left upr
limb,
inc shldr
Ben neoplm
of connctv/soft tiss of unsp
lower
limb,
inc
hip
Ben neoplm of connctv/soft
tiss of right
661
661
661
661
lower
limb, inc
hip
Ben neoplm
of connctv/soft
tiss of left
lower
limb,
inc
hip
Benign neoplasm of connective and oth soft
661
661
Benign neoplasm of connective and oth

soft
tissue
of abdomen
Benign
neoplasm
of connective and oth
soft
tissue
of
pelvis
Benign neoplasm of connctv/soft tiss of
661
661
661
trunk,
Benignunsp
neoplasm of connective and other
soft
tissue, unsp
Melanocytic
nevi of lip
661
675
Melanocytic nevi of unspecified eyelid,

including
canthus
Melanocytic
nevi of right eyelid, including
canthus
Melanocytic nevi of left eyelid, including
553
553
553
canthus
Melanocytic nevi of unsp ear and external
auricular
canal
Melanocytic
nevi of right ear and external
auricular
canal
Melanocytic nevi of left ear and external
675
675
675
D191
D197
D199
D200
D201
D210
D2110
D2111
D2112
D2120
D2121
D2122
D213
D214
D215
D216
D219
D220
D2210
D2211
D2212
D2220
D2221
D2222
auricular canal
Page 1995 of 6734

D2230
Melanocytic nevi of unspecified part of

face
Melanocytic nevi of other parts of face
675
675
D224
Melanocytic nevi of scalp and neck
675
D225
Melanocytic nevi of trunk
675
Melanocytic nevi of unsp upper limb,

including
shoulder
Melanocytic
nevi of right upper limb,
including
shoulder
Melanocytic nevi of left upper limb,
675
675
675
including
shoulder
Melanocytic
nevi of unspecified lower limb,
including
hip
Melanocytic nevi of right lower limb,
including
hipnevi of left lower limb,
Melanocytic
675
675
675
D229
including
hipnevi, unspecified
Melanocytic
675
D230
Other benign neoplasm of skin of lip
675
Oth benign neoplasm skin/ unsp eyelid,

including
canthus
Oth benign
neoplasm skin/ right eyelid,
including
canthus
Oth benign
553
553
553
including
canthus
Oth benign
neoplasm skin/ unsp ear and
external
auric
Oth benign neoplasm
external
auric
Oth benign
neoplasm
675
675
675
external
auricneoplasm
canal
Other benign
of skin of
unspecified
part
of
face
Other benign neoplasm of skin of other
parts
face neoplasm of skin of scalp
Other of
benign
and
neck
Other
benign neoplasm of skin of trunk
675
675
675
675
Oth benign neoplasm skin/ unsp upper

limb,
inc shoulder
Oth benign
neoplasm skin/ right upper
limb,
inc
shoulder
Oth benign neoplasm skin/ left upper limb,
675
675
675
inc
Othshoulder
benign neoplasm skin/ unsp lower
limb,
including
hip
Oth benign
neoplasm
skin/ right lower
limb,
including
hip
Oth benign neoplasm skin/ left lower limb,
675
675
675
including
hip neoplasm of skin,
Other benign
unspecified
675
D2239
D2260
D2261
D2262
D2270
D2271
D2272
D2310
D2311
D2312
D2320
D2321
D2322
D2330
D2339
D234
D235
D2360
D2361
D2362
D2370
D2371
D2372
D239
Page 1996 of 6734

D241
Benign neoplasm of right breast
675
D242
Benign neoplasm of left breast
675
D249
Benign neoplasm of unspecified breast
675
D250
Submucous leiomyoma of uterus
752
D251
Intramural leiomyoma of uterus
752
D252
Subserosal leiomyoma of uterus
752
D259
Leiomyoma of uterus, unspecified
752
D260
Other benign neoplasm of cervix uteri
752
D261
Other benign neoplasm of corpus uteri
752
D267
752
752
D270
Other benign neoplasm of other parts of

uterus
Other benign neoplasm of uterus,
unspecified
Benign neoplasm of right ovary
752
D271
Benign neoplasm of left ovary
752
D279
Benign neoplasm of unspecified ovary
752
D280
Benign neoplasm of vulva
752
D281
Benign neoplasm of vagina
752
D282
752
752
D289
Benign neoplasm of uterine tubes and

ligaments
Benign neoplasm of other specified female
genital
Benign organs
neoplasm of female genital organ,
752
D290
unspecified
Benign neoplasm of penis
741
D291
Benign neoplasm of prostate
741
D2920
Benign neoplasm of unspecified testis
741
D2921
Benign neoplasm of right testis
741
D2922
Benign neoplasm of left testis
741
D2930
741
D2931
Benign neoplasm of unspecified

epididymis
Benign neoplasm of right epididymis
741
D2932
Benign neoplasm of left epididymis
741
D294
Benign neoplasm of scrotum
741
D298
Benign neoplasm of other specified male

genital organs
741
D269
D287
Page 1997 of 6734

D299
741
D3000
Benign neoplasm of male genital organ,

unspecified
Benign neoplasm of unspecified kidney
726
D3001
Benign neoplasm of right kidney
726
D3002
Benign neoplasm of left kidney
726
D3010
726
D3011
Benign neoplasm of unspecified renal

pelvis
Benign neoplasm of right renal pelvis
726
D3012
Benign neoplasm of left renal pelvis
726
D3020
Benign neoplasm of unspecified ureter
726
D3021
Benign neoplasm of right ureter
726
D3022
Benign neoplasm of left ureter
726
D303
Benign neoplasm of bladder
726
D304
Benign neoplasm of urethra
726
D308
726
726
D3100

urinary
organs
Benign neoplasm
of urinary organ,
unspecified
Benign neoplasm of unspecified
553
D3101
conjunctiva
Benign neoplasm of right conjunctiva
553
D3102
Benign neoplasm of left conjunctiva
553
D3110
Benign neoplasm of unspecified cornea
553
D3111
Benign neoplasm of right cornea
553
D3112
Benign neoplasm of left cornea
553
D3120
Benign neoplasm of unspecified retina
553
D3121
Benign neoplasm of right retina
553
D3122
Benign neoplasm of left retina
553
D3130
Benign neoplasm of unspecified choroid
553
D3131
Benign neoplasm of right choroid
553
D3132
Benign neoplasm of left choroid
553
D3140
553
D3141
Benign neoplasm of unspecified ciliary

body
Benign neoplasm of right ciliary body
553
D3142
Benign neoplasm of left ciliary body
553
D309
Page 1998 of 6734

D3150
Benign neoplasm of unspecified lacrimal

gland
duct of right lacrimal gland
Benignand
neoplasm
and
duct
Benign
neoplasm of left lacrimal gland and
553
553
553
duct
Benign neoplasm of unspecified site of
unspecified
orbit of unspecified site of
Benign neoplasm
right
orbit
Benign
neoplasm of unspecified site of left
orbit
553
553
553
553
553
553
D320
unspecified
eye of unspecified part of
Benign neoplasm
right
eye
Benign
neoplasm of unspecified part of left
eye
Benign neoplasm of cerebral meninges
525
D321
Benign neoplasm of spinal meninges
525
D329
Benign neoplasm of meninges, unspecified
525
D330
Benign neoplasm of brain, supratentorial
525
D331
Benign neoplasm of brain, infratentorial
525
D332
Benign neoplasm of brain, unspecified
525
D333
Benign neoplasm of cranial nerves
525
D334
Benign neoplasm of spinal cord
525
D337
Benign neoplasm of oth parts of central

nervous
system of central nervous
Benign neoplasm
system,
unspecified
Benign neoplasm
of thyroid gland
525
525
692
692
D3501
Benign neoplasm of unspecified adrenal

gland
Benign neoplasm of right adrenal gland
692
D3502
Benign neoplasm of left adrenal gland
692
D351
Benign neoplasm of parathyroid gland
692
D352
Benign neoplasm of pituitary gland
692
D353
Benign neoplasm of craniopharyngeal duct
692
D354
Benign neoplasm of pineal gland
525
D355
Benign neoplasm of carotid body
525
D356
Benign neoplasm of aortic body and other

paraganglia
525
D3151
D3152
D3160
D3161
D3162
D3190
D3191
D3192
D339
D34
D3500
Page 1999 of 6734

D357

endocrine
glands of endocrine gland,
Benign neoplasm
unspecified
Benign neoplasm of lymph nodes
692
692
785
D3610
Benign neoplasm of prph nerves and auton
661
D3611
Ben neoplm of prph nerves and autonm

nrv
of face/hed/nk
Bensys
neoplm
of prph nrv & autonm nrv sys,
661
661
upr
inc shldr
Ben lmb,
neoplm
of prph nrv & autonm nrv sys
of
low lmb,
inc hip
Benign
neoplm
of prph nerves and autonm n
661
661
Benign neoplm of prph nerves and autonm

nervous
sys of abd
Benign neoplm
of prph nerves and autonm
nrv
sys
of
pelvis
Ben neoplm of prph nerves and autonm
661
661
661
D367
nrv
sys neoplasm
of trunk, unsp
Benign
of other specified sites
804
D369
Benign neoplasm, unspecified site
804
D3701
Neoplasm of uncertain behavior of lip
564
D3702
Neoplasm of uncertain behavior of tongue
564
D37030 Neoplasm of uncertain behavior of the

salivary
gland
D37031 parotid
Neoplasm
of uncrt
behavior of the
564
564
salivary
gland of the
D37032 sublingual
Neoplasm of
uncrt behav
salivary
gland
D37039 submandibular
Neoplasm of uncrt
behavior
of the major
salivary
gland,
unsp
D3704 Neoplasm of uncertain behavior of the
564
564
D359
D360
D3612
D3613
D3614
D3615
D3616
D3617
564
minor
salivary
glands behavior of
Neoplasm
of uncertain
pharynx
Neoplasm of uncertain behavior of sites of
the
oral cavity
Neoplasm
of uncertain behavior of
564
564
624
624
624
D374
stomach
Neoplasm of uncertain behavior of small
intestine
Neoplasm of uncertain behavior of
appendix
Neoplasm of uncertain behavior of colon
624
D375
Neoplasm of uncertain behavior of rectum
624
D376
Neoplasm of uncertain behavior of liver,

GB
& bile duct
Neoplasm
of uncertain behavior of oth
digestive organs
640
624
D3705
D3709
D371
D372
D373
D378
Page 2000 of 6734

D379

digestive
unsp behavior of larynx
Neoplasmorgan,
of uncertain
624
564

trachea,
bronchus
and lung
Neoplasm
of uncertain
behavior of pleura
576
576

mediastinum
Neoplasm of uncertain behavior of thymus
576
576
Neoplasm of uncertain behavior of other

respiratory
Neoplasm oforgans
uncertain behavior of
respiratory
organ,
unspbehavior of uterus
Neoplasm of uncertain
576
576
752
752
752
752
D392

unspecified
Neoplasm ofovary
uncertain behavior of right
ovary
Neoplasm of uncertain behavior of left
ovary
752
D398
placenta
Neoplasm of uncertain behavior of oth fema
752
D399
Neoplasm of uncertain behavior of female

genital
unsp
Benign organ,
carcinoid
tumor of unspecified site
752
624
D3A010 Benign carcinoid tumor of the duodenum
624
D3A011 Benign carcinoid tumor of the jejunum
624
D3A012 Benign carcinoid tumor of the ileum
624
D3A019 Benign carcinoid tumor of the small

unsp portion
D3A020 intestine,
Benign carcinoid
tumor of the appendix
624
624
D3A021 Benign carcinoid tumor of the cecum
624
D3A022 Benign carcinoid tumor of the ascending

D3A023 colon
Benign carcinoid tumor of the transverse
D3A024 colon
Benign carcinoid tumor of the descending
D3A025 colon
Benign carcinoid tumor of the sigmoid
624
624
624
624
D3A026 colon
Benign carcinoid tumor of the rectum
624
D3A029 Benign carcinoid tumor of the large

unsp portion
D3A090 intestine,
Benign carcinoid
tumor of the bronchus
and lung
624
576
D380
D381
D382
D383
D384
D385
D386
D390
D3910
D3911
D3912
D3A00
Page 2001 of 6734

D3A091 Benign carcinoid tumor of the thymus
785
D3A092 Benign carcinoid tumor of the stomach
624
D3A093 Benign carcinoid tumor of the kidney
726
D3A094 Benign carcinoid tumor of the foregut NOS
624
D3A095 Benign carcinoid tumor of the midgut NOS
624
D3A096 Benign carcinoid tumor of the hindgut NOS
624
D3A098 Benign carcinoid tumors of other sites
624
D3A8
Other benign neuroendocrine tumors
624
D400

prostate
unspecified
Neoplasm oftestis
testis
742
742
742
742
testis
Neoplasm of uncertain behavior of oth
male
genital
Neoplasm
of organs
uncertain behavior of male
genital
organ,
unsp
Neoplasm
of uncertain
behavior of
742
742
726
unspecified
Neoplasm ofkidney
kidney
kidney
726
726
726
unspecified
pelvisbehavior of right
Neoplasm ofrenal
uncertain
renal
pelvisof uncertain behavior of left
Neoplasm
renal
pelvisof uncertain behavior of
Neoplasm
726
726
726
726
726
D413
unspecified
Neoplasm ofureter
ureter
ureter
Neoplasm of uncertain behavior of urethra
726
D414
Neoplasm of uncertain behavior of bladder
726
D418
Neoplasm of uncertain behavior of oth

urinary
organs
Neoplasm
unspecified
organ
Neoplasm ofurinary
uncertain
behavior of
726
726
525
cerebral
meninges
Neoplasm
of uncertain behavior of spinal
meninges
525
D4010
D4011
D4012
D408
D409
D4100
D4101
D4102
D4110
D4111
D4112
D4120
D4121
D4122
D419
D420
D421
Page 2002 of 6734

D429

meninges,
unspecified
Neoplasm of
uncertain behavior of brain,
supratentorial
Neoplasm of uncertain behavior of brain,
infratentorial
Neoplasm of uncertain behavior of brain,
525
525
525
525
unspecified
Neoplasm of uncertain behavior of cranial
nerves
Neoplasm of uncertain behavior of spinal co
525
525
Neoplasm of uncertain behavior of prt

central
nervous
systembehavior of cnsl,
Neoplasm
of uncertain
unsp
Neoplasm of uncertain behavior of thyroid
525
525
692
gland
unspecified
gland
Neoplasm ofadrenal
uncertain
behavior of right
adrenal
gland
Neoplasm
of uncertain behavior of left
693
693
693
adrenal
gland
Neoplasm
parathyroid
Neoplasm ofgland
uncertain behavior of
pituitary
Neoplasmgland
692
693
693
craniopharyngeal
duct behavior of pineal
Neoplasm of uncertain
gland
Neoplasm of uncertain behavior of carotid
body
Neoplasm of uncrt behav of aortic body
525
525
525
and
oth paraganglia
Neoplasm
of uncertain behavior of unsp
endocrine
gland
Polycythemia vera
692
804
Refractory anemia without ring

sideroblasts,
so stated
Refractory anemia
with ring sideroblasts
804
804
804
D4621
Refractory anemia with excess of blasts,

unspecified
Refractory anemia with excess of blasts 1
804
D4622
Refractory anemia with excess of blasts 2
804
D464
Refractory anemia, unspecified
804
D469
Myelodysplastic syndrome, unspecified
804
D46A
Refractory cytopenia with multilineage

dysplasia
Refract cytopenia w multilin dysplasia and r
804
804
D430
D431
D432
D433
D434
D438
D439
D440
D4410
D4411
D4412
D442
D443
D444
D445
D446
D447
D449
D45
D460
D461
D4620
D46B
Page 2003 of 6734

D46C
Myelodysplastic syndrome w isolated

del(5q)
chromsoml abnlt
Other myelodysplastic
syndromes
804
804
804
D471
Histiocytic and mast cell tumors of

uncertain
behavior
Chronic myeloproliferative
disease
804
D472
Monoclonal gammopathy
804
D473
Essential (hemorrhagic) thrombocythemia
781
D474
Osteomyelofibrosis
785
D479
Neoplm of uncrt behav of

lymphoid,hematpoetc
& rel tiss,unspdisorde
Post-transplant lymphoproliferative
804
805
804
D480
Oth neoplm of uncrt behav of lymphoid,

hematpoetc
rel tiss behavior of
Neoplasm of &
uncertain
661
D481
bone/artic
cartl
Neoplasm of
uncertain behavior of connctv/s
661
D482
Neoplm of uncrt behav of prph nerves and

autonm
nervous
sys
Neoplasm
of uncertain
behavior of
661
624
retroperitoneum
peritoneum
Neoplasm of uncertain behavior of skin
624
675

unspecified
Neoplasm ofbreast
breast
breast
Neoplasm of uncertain behavior of other
675
675
675
804
specified
Neoplasmsites
of uncertain behavior,
unspecified
Neoplasm of unspecified behavior of
digestive
Neoplasmsystem
of unspecified behavior of
804
624
576
respiratory
Neoplasm ofsystem
unsp behavior of bone, soft
tissue,
and
skin
661
675
breast
bladder
Neoplasm of unsp behavior of other
genitourinary
organs
Neoplasm of unspecified
behavior of brain
726
726
525
Neoplm of unsp behav of endo glands and

oth prt nervous sys
692
D46Z
D470
D47Z1
D47Z9
D483
D484
D485
D4860
D4861
D4862
D487
D489
D490
D491
D492
D493
D494
D495
D496
D497
Page 2004 of 6734

D4981
804
804
804
D500
Neoplasm of unspecified behavior of retina

and
choroid
Neoplasm
of unspecified behavior of other
specified
sites
unspecified
siteanemia secondary to blood
Iron deficiency
785
D501
loss
(chronic)dysphagia
Sideropenic
786
D508
Other iron deficiency anemias
786
D509
Iron deficiency anemia, unspecified
786
D510
785
D511
Vitamin B12 defic anemia due to intrinsic

factor
Vit B12deficiency
defic anemia d/t slctv vit B12
785
D512
malabsorp
w protein
Transcobalamin
II deficiency
785
D513
Other dietary vitamin B12 deficiency

anemia
Other vitamin B12 deficiency anemias
785
785
785
D520
Vitamin B12 deficiency anemia,

unspecified
Dietary folate deficiency anemia
785
D521
Drug-induced folate deficiency anemia
785
D528
Other folate deficiency anemias
785
D529
Folate deficiency anemia, unspecified
785
D530
Protein deficiency anemia
785
D531
785
D532
Other megaloblastic anemias, not

elsewhere
classified
Scorbutic anemia
785
D538
Other specified nutritional anemias
785
D539
Nutritional anemia, unspecified
785
D550
Anemia due to glucose-6-phosphate

dehydrogenase
deficiency
Anemia due to other
disorders of
785
785
glutathione
Anemia due metabolism
to disorders of glycolytic
enzymes
Anemia due to disorders of nucleotide
metabolism
Other anemias due to enzyme disorders
785
785
785
Anemia due to enzyme disorder,

unspecified
Alpha thalassemia
785
785
D4989
D499
D518
D519
D551
D552
D553
D558
D559
D560
Page 2005 of 6734

D561
Beta thalassemia
785
D562
Delta-beta thalassemia
785
D563
Thalassemia minor
785
D564
785
D565
Hereditary persistence of fetal hemoglobin

[HPFH]
Hemoglobin E-beta thalassemia
785
D568
Other thalassemias
785
D569
Thalassemia, unspecified
785
D5700
Hb-SS disease with crisis, unspecified
783
D5701
Hb-SS disease with acute chest syndrome
783
D5702
Hb-SS disease with splenic sequestration
783
Sickle-cell disease without crisis
784
SICKLE CELL ANEMIA
Sickle-cell/Hb-C disease without crisis
784
SICKLE CELL ANEMIA
783
783
783
784
SICKLE CELL ANEMIA
784
SICKLE CELL ANEMIA
D57411 Sickle-cell thalassemia with acute chest

D57412 syndrome
Sickle-cell thalassemia with splenic
D57419 sequestration
Sickle-cell thalassemia with crisis,
D5780 unspecified
Other sickle-cell disorders without crisis
783
783
783
784
SICKLE CELL ANEMIA
D57811 Other sickle-cell disorders with acute chest

D57812 syndrome
Other sickle-cell disorders with splenic
Other sickle-cell disorders with crisis,
unspecified
D580
Hereditary spherocytosis
783
783
783
785
D571
D5720
D57211 Sickle-cell/Hb-C disease with acute chest

D57212 syndrome
Sickle-cell/Hb-C disease with splenic
Sickle-cell/Hb-C disease with crisis,
unspecified
D573
Sickle-cell trait
D5740
Sickle-cell thalassemia without crisis
D581
Hereditary elliptocytosis
785
D582
Other hemoglobinopathies
785
D588
Other specified hereditary hemolytic

anemias
Hereditary hemolytic anemia, unspecified
785
785
D589
Page 2006 of 6734

D590
Drug-induced autoimmune hemolytic

anemia
Other autoimmune hemolytic anemias
780
780
780
D593
Drug-induced nonautoimmune hemolytic

anemia
Hemolytic-uremic syndrome
720
RENAL FAILURE
D594
Other nonautoimmune hemolytic anemias
780
D595
780
D596
Paroxysmal nocturnal hemoglobinuria

[Marchiafava-Micheli]
Hemoglobinuria due to hemolysis from
780
D598
other
Other external
acquiredcauses
hemolytic anemias
780
D599
Acquired hemolytic anemia, unspecified
780
D600
Chronic acquired pure red cell aplasia
785
D601
Transient acquired pure red cell aplasia
785
D608
Other acquired pure red cell aplasias
785
D609
Acquired pure red cell aplasia, unspecified
785
D6101
Constitutional (pure) red blood cell aplasia
780
D6109
Other constitutional aplastic anemia
780
D611
Drug-induced aplastic anemia
785
D612
Aplastic anemia due to other external

agents
Idiopathic aplastic anemia
785
785
D61810 Antineoplastic chemotherapy induced

D61811 pancytopenia
Other drug-induced pancytopenia
780
780
D61818 Other pancytopenia
780
D591
D592
D613
D6182
Myelophthisis
780
D6189
Oth aplastic anemias and other bone

marrow
syndromes
Aplastic failure
anemia,
unspecified
785
780
Acute posthemorrhagic anemia
785
D630
Anemia in neoplastic disease
785
D631
Anemia in chronic kidney disease
785
D638
Anemia in other chronic diseases classified

elsewhere
Hereditary sideroblastic anemia
785
785
D619
D62
D640
Page 2007 of 6734

D641
785
785
D643
Secondary sideroblastic anemia due to

disease
Secondary sideroblastic anemia due to
drugs
toxins anemias
Other and
sideroblastic
785
D644
Congenital dyserythropoietic anemia
785
Anemia due to antineoplastic

chemotherapy
Other specified anemias
785
785
Anemia, unspecified
785
D65
Disseminated intravascular coagulation
781
D66
Hereditary factor VIII deficiency
782
D67
Hereditary factor IX deficiency
782
D680
Von Willebrand's disease
782
D681
Hereditary factor XI deficiency
782
Hereditary deficiency of other clotting

D68311 factors
Acquired hemophilia
782
781
D68312 Antiphospholipid antibody with

disorder
D68318 hemorrhagic
Oth hemorrhagic
disord d/t intrns circ
anticoag,antib,inhib
D6832 Hemorrhagic disord d/t extrinsic circulating
781
781
D642
D6481
D6489
D649
D682
781
anticoagulants
Acquired coagulation factor deficiency
781
D6851
Activated protein C resistance
785
D6852
Prothrombin gene mutation
785
D6859
Other primary thrombophilia
785
D6861
Antiphospholipid syndrome
785
D6862
Lupus anticoagulant syndrome
785
D6869
Other thrombophilia
785
D688
Other specified coagulation defects
781
D689
Coagulation defect, unspecified
781
D690
Allergic purpura
655
CONNECTIVE TISSUE DIAGNOSES
D691
Qualitative platelet defects
781
D692
Other nonthrombocytopenic purpura
781
D684
Page 2008 of 6734

D693
Immune thrombocytopenic purpura
781
D6941
Evans syndrome
781
D6942
781
D6949
Congenital and hereditary

thrombocytopenia
purpura
Other primary thrombocytopenia
781
D6951
Posttransfusion purpura
781
D6959
Other secondary thrombocytopenia
781
D696
Thrombocytopenia, unspecified
781
D698
Other specified hemorrhagic conditions
655
D699
Hemorrhagic condition, unspecified
781
D700
Congenital agranulocytosis
785
D701
785
D702
Agranulocytosis secondary to cancer

chemotherapy
Other drug-induced agranulocytosis
785
D703
Neutropenia due to infection
785
D704
Cyclic neutropenia
785
D708
Other neutropenia
785
D709
Neutropenia, unspecified
785
780
D720
Functional disorders of polymorphonuclear

neutrophils
Genetic anomalies of leukocytes
780
D721
Eosinophilia
785
D72810 Lymphocytopenia
785
D72818 Other decreased white blood cell count
785
D72819 Decreased white blood cell count,

D72820 unspecified
Lymphocytosis (symptomatic)
785
785
D72821 Monocytosis (symptomatic)
785
D72822 Plasmacytosis
785
D72823 Leukemoid reaction
785
D72824 Basophilia
785
D72825 Bandemia
785
D72828 Other elevated white blood cell count
785
D71
Page 2009 of 6734

D72829 Elevated white blood cell count,
D7289 unspecified
Other specified disorders of white blood
cells
D729
Disorder of white blood cells, unspecified
785
785
785
D730
Hyposplenism
785
D731
Hypersplenism
785
D732
Chronic congestive splenomegaly
785
D733
Abscess of spleen
785
D734
Cyst of spleen
785
D735
Infarction of spleen
785
D7381
Neutropenic splenomegaly
780
D7389
Other diseases of spleen
785
D739
Disease of spleen, unspecified
785
D740
Congenital methemoglobinemia
785
D748
Other methemoglobinemias
785
D749
Methemoglobinemia, unspecified
785
D750
Familial erythrocytosis
785
D751
Secondary polycythemia
785
D7581
Myelofibrosis
780
D7582
Heparin induced thrombocytopenia (HIT)
780
D7589
785
D759
Other specified diseases of blood and

blood-forming
organs
Disease of blood
and blood-forming
785
D761
organs,
unspecified
Hemophagocytic
lymphohistiocytosis
780
D762
Hemophagocytic syndrome, infectionassociated

Other histiocytosis syndromes
780
780
Oth disord of bld/bld-frm organs in

diseases
classd elswhr of the spleen comp
Intraop hemor/hemtom
a
proc on
the spleen
Intraop
hemor/hemtom
of the spleen comp
785
852
852
oth
procedure
Accidental
pnctr & lac of the spleen dur
proc
on
the
spleen
Accidental pnctr
& lac of the spleen during
oth procedure
852
852
D763
D77
D7801
D7802
D7811
D7812
Page 2010 of 6734

D7821
Postprocedural hemor/hemtom of the spleen
852
D7822
Postproc hemor/hemtom of the spleen

following
oth procedure
Other intraoperative
complications of the
852
852
852
D800
spleen
Other postprocedural complications of the
spleen
Hereditary hypogammaglobulinemia
785
D801
Nonfamilial hypogammaglobulinemia
785
D802
Selective deficiency of immunoglobulin A

[IgA]
Selective deficiency of immunoglobulin G
[IgG]
subclasses
Selective
deficiency of immunoglobulin M
[IgM]
Immunodeficiency with increased
785
785
785
785
780
D807
immunoglobulin
[IgM]
Antibody defic w M
near-norm
immunoglob
or
w hyperimmunoglob
Transient
hypogammaglobulinemia of
785
D808
infancy
Other immunodeficiencies with predominant
780
D809
Immunodeficiency with predominantly antib
780
D810
Severe combined immunodeficiency with

reticular
dysgenesis
Severe combined
immunodeficiency w low T
780
780
780
D813
Severe combined immunodef w low or

normal
B-cell
numbers[ADA] deficiency
Adenosine
deaminase
691
D814
Nezelof's syndrome
780
D815
Purine nucleoside phosphorylase [PNP]

deficiency
Major histocompatibility complex class I
691
780
deficiency
D817
Major histocompatibility complex class II
D81810 deficiency
Biotinidase deficiency
780
691
D81818 Other biotin-dependent carboxylase

D81819 deficiency
Biotin-dependent carboxylase deficiency,
690
MALNUTRITION, FAILURE TO THRIVE & OT
690
unspecified
Other combined immunodeficiencies
780
D819
Combined immunodeficiency, unspecified
780
D820
Wiskott-Aldrich syndrome
780
D821
Di George's syndrome
780
D7881
D7889
D803
D804
D805
D806
D811
D812
D816
D8189
Page 2011 of 6734

D822
Immunodeficiency with short-limbed

stature
Immunodef fol heredit defctv response to
Epstein-Barr
virus
Hyperimmunoglobulin
E [IgE] syndrome
785
785
785
785
D829
Immunodeficiency associated with oth

major
defects
Immunodeficiency
associated with major def
785
D830
Com variab immunodef w predom abnlt of B
785
D831
Com variab immunodef w predom immunoreg
785
D832
Common variable immunodef w

autoantibodies
B- or T-cells
Other common to
variable
785
785
785
D840
immunodeficiencies
Common variable immunodeficiency,
unspecified
Lymphocyte function antigen-1 [LFA-1]
785
D841
defect
Defects in the complement system
691
D848
Other specified immunodeficiencies
785
D849
Immunodeficiency, unspecified
785
D860
Sarcoidosis of lung
577
D861
Sarcoidosis of lymph nodes
577
D862
Sarcoidosis of lung with sarcoidosis of

lymph
nodes
Sarcoidosis
of skin
577
577
D8681
Sarcoid meningitis
577
D8682
577
D8683
Multiple cranial nerve palsies in

sarcoidosis
Sarcoid iridocyclitis
577
D8684
Sarcoid pyelonephritis
577
D8685
Sarcoid myocarditis
577
D8686
Sarcoid arthropathy
577
D8687
Sarcoid myositis
577
D8689
Sarcoidosis of other sites
577
D869
Sarcoidosis, unspecified
577
D890
Polyclonal hypergammaglobulinemia
804
D891
Cryoglobulinemia
804
D823
D824
D828
D838
D839
D863
Page 2012 of 6734

D892
Hypergammaglobulinemia, unspecified
785
D893
Immune reconstitution syndrome
785
D89810 Acute graft-versus-host disease
510
D89811 Chronic graft-versus-host disease
780
D89812 Acute on chronic graft-versus-host disease
510
D89813 Graft-versus-host disease, unspecified
780
Autoimmune lymphoproliferative
syndrome
[ALPS] the immune
Oth disrd involving
780
785
mechanism,
NEC the immune
Disorder involving
mechanism,
unspecified
Congenital iodine-deficiency
syndrome,
785
693
neurological
type
syndrome,
myxedematous
type
syndrome,
mixed
type
Congenital iodine-deficiency syndrome,
693
693
693
unspecified
Iodine-deficiency related diffuse (endemic)
goiter
Iodine-deficiency related multinodular
(endemic)
goiter related (endemic) goiter,
Iodine-deficiency
692
692
692
unspecified
Oth iodine-deficiency related thyroid
disord
and allied
cond
Subclinical
iodine-deficiency
692
692
hypothyroidism
Congenital hypothyroidism with diffuse
goiter
Congenital hypothyroidism without goiter
693
693
692
E033
Hypothyroidism due to meds and oth

exogenous
substances
Postinfectious
hypothyroidism
692
E034
Atrophy of thyroid (acquired)
692
E035
Myxedema coma
528
E038
Other specified hypothyroidism
692
E039
Hypothyroidism, unspecified
692
E040
Nontoxic diffuse goiter
692
E041
Nontoxic single thyroid nodule
692
E042
Nontoxic multinodular goiter
692
D8982
D8989
D899
E000
E001
E002
E009
E010
E011
E012
E018
E02
E030
E031
E032
Page 2013 of 6734

E048
Other specified nontoxic goiter
692
E049
Nontoxic goiter, unspecified
692
Thyrotoxicosis w diffuse goiter w/o

thyrotoxic
crisisw diffuse goiter w
Thyrotoxicosis
thyrotoxic
crisis
or storm
Thyrotxcosis
w toxic
sing thyroid nodule
693
693
693
w/o
thyrotxc crisis
Thyrotxcosis
w toxic single thyroid nodule
w
thyrotxc
crisis
Thyrotxcosis w toxic multinod goiter w/o
thyrotoxic
crisis
Thyrotxcosis
w toxic multinodular goiter w
693
693
693
thyrotoxic
crisis
Thyrotxcosis
from ectopic thyroid tissue
w/o
thyrotxc
crisis
Thyrotxcosis from ectopic thyroid tissue w
thyrotoxic
crisisfactitia without thyrotoxic
Thyrotoxicosis
693
693
693
crisis
or storm factitia with thyrotoxic crisis
Thyrotoxicosis
or
storm
Other
thyrotoxicosis without thyrotoxic
693
693
crisis
storm
Otheror
thyrotoxicosis
with thyrotoxic crisis
or
storm
Thyrotoxicosis,
unsp without thyrotoxic
693
693
693
E060
crisis
or storm unspecified with thyrotoxic
Thyrotoxicosis,
crisis
storm
Acuteor
thyroiditis
692
E061
Subacute thyroiditis
692
E062
692
E063
Chronic thyroiditis with transient

thyrotoxicosis
Autoimmune thyroiditis
693
E064
Drug-induced thyroiditis
692
E065
Other chronic thyroiditis
692
E069
Thyroiditis, unspecified
692
E070
Hypersecretion of calcitonin
692
E071
Dyshormogenetic goiter
693
E0781
Sick-euthyroid syndrome
871
SIGNS, SYMPTOMS & OTHER FACTORS INF
E0789
Other specified disorders of thyroid
692
Disorder of thyroid, unspecified
692
Diab d/t undrl cond w hyprosm w/o nonket

hyprgly-hypros coma
711
DIABETES WITH OTHER MANIFESTATIONS
E0500
E0501
E0510
E0511
E0520
E0521
E0530
E0531
E0540
E0541
E0580
E0581
E0590
E0591
E079
E0800
Page 2014 of 6734

E0801
Diabetes due to underlying condition w hy
510
E0810
Diabetes due to underlying condition w

ketoacidosis
coma
Diabetes duew/o
to underlying
condition w ket
711
510
714
714
E0829

diabetic
Diabetesnephropathy
due to undrl cond w diabetic
chronic
kidney
Diabetes due todisease
undrl condition w oth diab
714
E08311
Diab due to undrl cond w unsp diabetic rt
710
DIABETES WITH OPHTHALMIC MANIFESTAT
E08319
710
E08321
Diab due to undrl cond w unsp diab rtnop

w/o
Diabmacular
d/t undrledema
cond w mild nonprlf diab rt
710
E08329
Diab d/t undrl cond w mild nonprlf diab rt
710
E08331
Diab due to undrl cond w mod nonprlf diab
710
E08339
Diab d/t undrl cond w mod nonprlf diab rtn
710
E08341
Diab d/t undrl cond w severe nonprlf diab

rtnop
w mclr
Diab d/t
undrledema
cond w sev nonprlf diab
rtnop
w/o to
mclr
edema
Diab due
undrl
cond w prolif diab rtnop
710
710
710
710
E0836
Diab due to undrl cond w prolif diab rtnop

w/o
macular
Diabetes
dueedema
to underlying condition w
710
E0839
diabetic
Diabetescataract
due to undrl condition w oth diab
710
E0840

diabetic
unsp condition w diabetic
Diabetesneurop,
due to undrl
712
DIABETES WITH NEUROLOGIC MANIFESTAT
712
mononeuropathy
diabetic
Diab duepolyneurop
to undrl cond w diabetic autonm
712
712
(poly)neuropathy
diabetic
Diabetesamyotrophy
due to undrl condition w oth
712
712
diabetic
comp
Diab dueneuro
to undrl
cond w diab prph
angiopath
gangrene
Diab due tow/o
undrl
cond w diabetic prph
angiopath
w
gangrene
711
711
711
oth
circulatory
Diabetes
due tocomp
undrl cond w diabetic
neuropathic
arthrop
oth diabetic arthrop
712
712
E0811
E0821
E0822
E08349
E08351
E08359
E0841
E0842
E0843
E0844
E0849
E0851
E0852
E0859
E08610
E08618
Page 2015 of 6734

E08620

diabetic
Diabetesdermatitis
mellitus due to underlying
711
711
711
711
E08630
condition
w foot
ulcer
Diabetes due
to underlying
condition w
oth
skin ulcer
Diabetes
due to underlying condition w
oth
skin
comp
711
E08638
periodontal
disease
Diabetes due
to underlying condition w oth
711
E08641

hypoglycemia
w underlying
coma
Diabetes due to
condition w
hypoglycemia
w/o
coma
510
711
711
hyperglycemia
oth
complication
Diabetes
due to underlying condition w
unsp
complications
Diabetes
due to underlying condition w/o
711
711
713
complications
Drug/chem diab w hyprosm w/o nonket
hyprgly-hypros
comamellitus w
Drug/chem diabetes
711
510
hyperosmolarity
w coma
Drug/chem diabetes
mellitus w
ketoacidosis
w/o
coma
Drug/chem diabetes mellitus w
ketoacidosis
w coma mellitus w diabetic
Drug/chem diabetes
nephropathy
Drug/chem diabetes w diabetic chronic
711
510
714
714
714
E09311
kidney
disease
Drug/chem
diabetes w oth diabetic kidney
complication
Drug/chem diabetes w unsp diabetic rtnop
710
E09319
Drug/chem diabetes w unsp diabetic rtnop
710
E09321
Drug/chem diab w mild nonprlf diabetic rt
710
E09329
710
E09331
Drug/chem diab w mild nonprlf diab rtnop

w/o
maculardiab
edema
Drug/chem
w moderate nonprlf diab r
710
E09339
Drug/chem diab w mod nonprlf diab rtnop
710
E09341
Drug/chem diab w severe nonprlf diab

rtnop
w macular
edema
Drug/chem
diab w
severe nonprlf diab
rtnop
w/o
macular
edema
Drug/chem diabetes w prolif diabetic rtno
710
710
710
Drug/chem diabetes w prolif diabetic rtnop

w/o macular edema
710
E08621
E08622
E08628
E08649
E0865
E0869
E088
E089
E0900
E0901
E0910
E0911
E0921
E0922
E0929
E09349
E09351
E09359
Page 2016 of 6734

E0936
Drug/chem diabetes mellitus w diabetic

cataract
Drug/chem diabetes w oth diabetic
ophthalmic
complication
Drug/chem diabetes
w neuro comp w diabet
710
710
712
Drug/chem diabetes w neuro comp w

diabetic
mononeuropathy
Drug/chem
diabetes w neurological comp
712
712
w
diabetic polyneurop
Drug/chem
diab w neuro comp w diab
autonm
(poly)neuropathy
Drug/chem diabetes w neurological comp w
712
712
Drug/chem diabetes w neuro comp w oth

diabetic
neuro
comp w diabetic prph
Drug/chem
diabetes
angiopath
gangrene
Drug/chemw/o
diabetes
w diabetic prph
712
711
711
angiopath
gangrene
Drug/chemwdiabetes
mellitus w oth
circulatory
Drug/chem complications
diabetes w diabetic
711
712
neuropathic
arthropathy
Drug/chem diabetes
mellitus w oth
diabetic
arthropathy
Drug/chem diabetes mellitus w diabetic
dermatitis
Drug or chemical induced diabetes
712
711
711
mellitus
with foot induced
ulcer
Drug or chemical
diabetes
mellitus
w
oth
skin
ulcer
Drug/chem diabetes mellitus w oth skin
complications
711
711
711
periodontal
disease mellitus w oth oral
Drug/chem diabetes
complications
hypoglycemia
w coma
Drug/chem diabetes
mellitus w
711
510
711
hypoglycemia
w/oinduced
coma diabetes
Drug or chemical
mellitus
w hyperglycemia
Drug/chem
diabetes mellitus w oth
711
711
E098
complication
Drug/chem diabetes mellitus w unsp compli
711
E099
Drug or chemical induced diabetes

mellitus
w/o complications
Type 1 diabetes
mellitus with ketoacidosis
713
711
without
coma mellitus with ketoacidosis
Type 1 diabetes
with
Type coma
1 diabetes mellitus with diabetic
nephropathy
Type 1 diabetes mellitus w diabetic chronic
510
714
714
E0939
E0940
E0941
E0942
E0943
E0944
E0949
E0951
E0952
E0959
E09610
E09618
E09620
E09621
E09622
E09628
E09630
E09638
E09641
E09649
E0965
E0969
E1010
E1011
E1021
E1022
kidney disease
Page 2017 of 6734

E1029
Type 1 diabetes mellitus w oth diabetic kid
714
E10311
Type 1 diabetes w unsp diabetic

retinopathy
w macular
Type 1 diabetes
w unspedema
diabetic rtnop w/o
macular
edema
Type 1 diab
w mild nonprlf diabetic rtnop
710
710
710
710
E10331
Type 1 diab w mild nonprlf diabetic rtnop

w/o
Typemacular
1 diab wedema
moderate nonprlf diab rtnop
710
E10339
Type 1 diab w moderate nonprlf diab rtnop
710
E10341
Type 1 diab w severe nonprlf diabetic

rtnop
macular
edema
Type 1wdiab
w severe
nonprlf diab rtnop
w/o
macular
edema
Type 1 diabetes w prolif diabetic rtnop w
710
710
710
macular
edema w prolif diabetic rtnop w/o
Type 1 diabetes
macular
edema mellitus with diabetic
Type 1 diabetes
cataract
Type 1 diabetes w oth diabetic ophthalmic
710
710
710
complication
Type 1 diabetes mellitus with diabetic
neuropathy,
unsp
Type 1 diabetes
mellitus with diabetic
mononeuropathy
712
712
712
712
E1044
polyneuropathy
Type 1 diabetes w diabetic autonomic
(poly)neuropathy
712
E1049
amyotrophy
Type 1 diabetes w oth diabetic neurological
712
E1051
Type 1 diabetes w diabetic peripheral

angiopath
w/o gangrene
Type 1 diabetes
w diabetic peripheral
angiopathy
w
gangrene
Type 1 diabetes mellitus with oth
711
711
711
circulatory
complications
Type 1 diabetes
mellitus w diabetic
neuropathic
arthropathy
Type 1 diabetes mellitus with other
712
712
diabetic
arthropathy
Type 1 diabetes
dermatitis
Type 1 diabetes mellitus with foot ulcer
711
711
Type 1 diabetes mellitus with other skin

ulcer
complications
Type 1 diabetes mellitus with periodontal
disease
711
711
711
E10319
E10321
E10329
E10349
E10351
E10359
E1036
E1039
E1040
E1041
E1042
E1043
E1052
E1059
E10610
E10618
E10620
E10621
E10622
E10628
E10630
Page 2018 of 6734

E10638
Type 1 diabetes mellitus with other oral

complications
Type 1 diabetes mellitus with
hypoglycemia
with
comawith
Type 1 diabetes
mellitus
711
510
711
hypoglycemia
without
coma
Type 1 diabetes
mellitus
with
hyperglycemia
specified
complication
Type 1 diabetes
mellitus with unspecified
711
711
711
complications
Type 1 diabetes mellitus without
complications
Type 2 diab w hyprosm w/o nonket
713
711
hyprgly-hypros
(NKHHC)
Type 2 diabetescoma
mellitus
with
hyperosmolarity
with
coma
510
714
nephropathy
Type 2 diabetes mellitus w diabetic chronic
kidney
disease mellitus w oth diabetic kid
Type 2 diabetes
714
714
Type 2 diabetes w unsp diabetic

retinopathy
w macular
Type 2 diabetes
w unspedema
diabetic rtnop w/o
macular
edema
Type 2 diab
710
710
710
710
E11331
Type 2 diab w mild nonprlf diabetic rtnop

w/o
Typemacular
2 diab wedema
moderate nonprlf diab rtnop
710
E11339
Type 2 diab w moderate nonprlf diab rtnop
710
E11341
Type 2 diab w severe nonprlf diabetic

rtnop
macular
edema
Type 2wdiab
w severe
nonprlf diab rtnop
w/o
macular
edema
Type 2 diabetes w prolif diabetic rtnop w
710
710
710
macular
edema w prolif diabetic rtnop w/o
Type 2 diabetes
macular
edema mellitus with diabetic
Type 2 diabetes
cataract
Type 2 diabetes w oth diabetic ophthalmic
710
710
710
complication
neuropathy,
unsp
Type 2 diabetes
mononeuropathy
712
712
712
polyneuropathy
Type 2 diabetes w diabetic autonomic
(poly)neuropathy
712
712
E10641
E10649
E1065
E1069
E108
E109
E1100
E1101
E1121
E1122
E1129
E11311
E11319
E11321
E11329
E11349
E11351
E11359
E1136
E1139
E1140
E1141
E1142
E1143
E1144
amyotrophy
Page 2019 of 6734

E1149
Type 2 diabetes w oth diabetic neurological
712
E1151
Type 2 diabetes w diabetic peripheral

angiopath
w/o gangrene
Type 2 diabetes
w diabetic peripheral
angiopathy
w gangrene
Type 2 diabetes
mellitus with oth
711
711
711
circulatory
complications
Type 2 diabetes
mellitus w diabetic
neuropathic
arthropathy
712
712
diabetic
arthropathy
Type 2 diabetes
dermatitis
Type 2 diabetes mellitus with foot ulcer
711
711

ulcer
complications
Type 2 diabetes mellitus with periodontal
disease
Type 2 diabetes mellitus with other oral
711
711
711
711
complications
Type 2 diabetes mellitus with
hypoglycemia
with
comawith
Type 2 diabetes
mellitus
510
711
711
711
E118
hypoglycemia
without
coma
Type 2 diabetes
mellitus
with
hyperglycemia
specified
complication
Type 2 diabetes
mellitus with unspecified
711
E119
complications
Type 2 diabetes mellitus without complicati
713
Oth diab w hyprosm w/o nonket hyprglyhypros

coma (NKHHC)
Oth diabetes
mellitus with
711
510
hyperosmolarity
with coma
Oth diabetes mellitus
with ketoacidosis
without
coma
Oth diabetes mellitus with ketoacidosis
711
510
with
Othercoma
specified diabetes mellitus with
diabetic
nephropathy
Oth diabetes
mellitus with diabetic chronic
714
714
kidney
disease
Oth diabetes
mellitus with oth diabetic
kidney
complication
Oth diabetes
w unsp diabetic retinopathy
714
710
710
E13321
Oth diabetes w unsp diabetic retinopathy

w/o
Oth macular
diabetesedema
710
E13329
Oth diabetes w mild nonprlf diabetic rtnop
710
E1152
E1159
E11610
E11618
E11620
E11621
E11622
E11628
E11630
E11638
E11641
E11649
E1165
E1169
E1300
E1301
E1310
E1311
E1321
E1322
E1329
E13311
E13319
Page 2020 of 6734

E13331
Oth diab w moderate nonprlf diabetic

rtnop
w macular
edema
Oth diab
w moderate
nonprlf diabetic rtno
710
710
710
E13349
Oth diabetes w severe nonprlf diabetic

rtnop
w macular
edema
Oth diab
w severe
nonprlf diabetic rtnop
710
E13351
w/o
Oth macular
diabetesedema
w prolif diabetic retinopathy
710
E13359
Oth diabetes w prolif diabetic retinopathy

w/o
macular
edema
Other
specified
diabetes mellitus with diabe
710
710
Oth diabetes mellitus w oth diabetic

ophthalmic
complication
Oth diabetes
710
712
neuropathy,
Oth diabetesunspecified
mononeuropathy
Oth diabetes mellitus with diabetic polyneu
712
712
Oth diabetes mellitus w diabetic

autonomic
(poly)neuropathy
Other specified
diabetes mellitus with
diabetic
amyotrophy
Oth diabetes w oth diabetic neurological
712
712
712
complication
Oth diabetes w diabetic peripheral
angiopathy
gangrene
Oth diabetesw/o
w diabetic
peripheral
711
711
angiopathy
gangrene
Oth diabeteswmellitus
with other
circulatory
complications
Oth diabetes mellitus with diabetic
neuropathic
Oth diabetesarthropathy
mellitus with other diabetic
711
712
712
arthropathy
Other specified diabetes mellitus with
diabetic
dermatitis
Other specified
diabetes mellitus with foot
ulcer
711
711
711
other
skin ulcer
Oth diabetes
mellitus with other skin
complications
711
711
periodontal
Oth diabetesdisease
mellitus with other oral
complications
Oth diabetes mellitus with hypoglycemia
with
coma
Oth diabetes
mellitus with hypoglycemia
711
510
711
without
coma diabetes mellitus with
Other specified
hyperglycemia
Oth diabetes mellitus with other specified
711
711
E13339
E13341
E1336
E1339
E1340
E1341
E1342
E1343
E1344
E1349
E1351
E1352
E1359
E13610
E13618
E13620
E13621
E13622
E13628
E13630
E13638
E13641
E13649
E1365
E1369
complication
Page 2021 of 6734

E138
Oth diabetes mellitus with unspecified

complications
Other specified diabetes mellitus without
711
713
complications
Nondiabetic hypoglycemic coma
510
E160
Drug-induced hypoglycemia without coma
692
E161
Other hypoglycemia
692
E162
Hypoglycemia, unspecified
692
E163
Increased secretion of glucagon
692
E164
Increased secretion of gastrin
624
E168
692
E169
Other specified disorders of pancreatic

internal
Disordersecretion
of pancreatic internal secretion,
692
E200
unspecified
Idiopathic hypoparathyroidism
693
E201
Pseudohypoparathyroidism
694
E208
Other hypoparathyroidism
693
E209
Hypoparathyroidism, unspecified
693
E210
Primary hyperparathyroidism
692
E211
693
E212
Secondary hyperparathyroidism, not

elsewhere
classified
Other hyperparathyroidism
693
E213
Hyperparathyroidism, unspecified
692
E214
693
E215
Other specified disorders of parathyroid

gland
Disorder of parathyroid gland, unspecified
693
E220
Acromegaly and pituitary gigantism
693
E221
Hyperprolactinemia
693
E222
Syndrome of inappropriate secretion of

antidiuretic
hormoneof pituitary gland
Other hyperfunction
693
693
693
E230
Hyperfunction of pituitary gland,

unspecified
Hypopituitarism
693
E231
Drug-induced hypopituitarism
692
E232
Diabetes insipidus
693
E233
Hypothalamic dysfunction, not elsewhere

classified
692
E139
E15
E228
E229
Page 2022 of 6734

E236
Other disorders of pituitary gland
692
E237
Disorder of pituitary gland, unspecified
692
E240
Pituitary-dependent Cushing's disease
693
E241
Nelson's syndrome
692
E242
Drug-induced Cushing's syndrome
693
E243
Ectopic ACTH syndrome
693
E244
693
E248
Alcohol-induced pseudo-Cushing's
syndrome
Other Cushing's syndrome
693
E249
Cushing's syndrome, unspecified
693
E250
693
E258
Congenital adrenogenital disorders assoc

w
enzyme
deficiencydisorders
Other
adrenogenital
693
E259
Adrenogenital disorder, unspecified
693
E2601
Conn's syndrome
693
E2602
Glucocorticoid-remediable aldosteronism
693
E2609
Other primary hyperaldosteronism
693
Secondary hyperaldosteronism
693
E2681
Bartter's syndrome
693
E2689
Other hyperaldosteronism
693
E269
Hyperaldosteronism, unspecified
693
E270
Other adrenocortical overactivity
693
E271
Primary adrenocortical insufficiency
693
E272
Addisonian crisis
693
E273
Drug-induced adrenocortical insufficiency
693
E2740
Unspecified adrenocortical insufficiency
693
E2749
Other adrenocortical insufficiency
693
E275
Adrenomedullary hyperfunction
693
E278
Other specified disorders of adrenal gland
693
E279
Disorder of adrenal gland, unspecified
693
E280
Estrogen excess
752
E261
Page 2023 of 6734

E281
Androgen excess
752
E282
Polycystic ovarian syndrome
752
E28310
Symptomatic premature menopause
752
E28319
Asymptomatic premature menopause
752
Other primary ovarian failure
752
E288
Other ovarian dysfunction
752
E289
Ovarian dysfunction, unspecified
752
E290
Testicular hyperfunction
693
E291
Testicular hypofunction
693
E298
Other testicular dysfunction
693
E299
Testicular dysfunction, unspecified
693
E300
Delayed puberty
692
E301
Precocious puberty
692
E308
Other disorders of puberty
692
E309
Disorder of puberty, unspecified
692
E310
Autoimmune polyglandular failure
692
E311
Polyglandular hyperfunction
692
Multiple endocrine neoplasia [MEN]

syndrome,
unspecified
Multiple endocrine
neoplasia [MEN] type I
692
693
693
693
E318
Multiple endocrine neoplasia [MEN] type

IIA
Multiple endocrine neoplasia [MEN] type
IIB
Other polyglandular dysfunction
692
E319
Polyglandular dysfunction, unspecified
692
E320
Persistent hyperplasia of thymus
785
E321
Abscess of thymus
785
E328
Other diseases of thymus
785
E329
Disease of thymus, unspecified
785
E340
Carcinoid syndrome
693
E341
Other hypersecretion of intestinal

hormones
692
E2839
E3120
E3121
E3122
E3123
Page 2024 of 6734

E342
693
E343
Ectopic hormone secretion, not elsewhere

classified
Short stature due to endocrine disorder
693
E344
Constitutional tall stature
693
693
E3451
Androgen insensitivity syndrome,

unspecified
Complete androgen insensitivity syndrome
693
E3452
Partial androgen insensitivity syndrome
693
E348
Other specified endocrine disorders
692
E349
Endocrine disorder, unspecified
692
E35
Disorders of endocrine glands in diseases c
692
E3601
Intraop hemor/hemtom of endo sys org com
852
E3602
Intraop hemor/hemtom of an endo sys org

comp
oth &
procedure
Acc pnctr
lac of an endo sys org during
852
852
an
proc
Accendo
pnctrsys
& lac
of an endo sys org during
oth
procedure
Other intraoperative complications of
852
852
E40
endocrine
system
Kwashiorkor
830
EATING DISORDERS
E41
Nutritional marasmus
690
E42
Marasmic kwashiorkor
830
EATING DISORDERS
E43
690
E440
Unspecified severe protein-calorie

malnutrition
Moderate protein-calorie malnutrition
830
EATING DISORDERS
E441
Mild protein-calorie malnutrition
830
EATING DISORDERS
Retarded development following proteincalorie

malnutrition
Unspecified
protein-calorie malnutrition
830
EATING DISORDERS
830
EATING DISORDERS
Vitamin A deficiency with conjunctival

xerosis
Vitamin A deficiency w Bitot's spot and
conjunctival
xerosis with corneal xerosis
Vitamin A deficiency
553
553
553
553
E504
Vitamin A deficiency with corneal

ulceration
and xerosiswith keratomalacia
Vitamin A deficiency
553
E505
Vitamin A deficiency with night blindness
553
E506
Vitamin A deficiency with xerophthalmic

scars of cornea
553
E3450
E3611
E3612
E368
E45
E46
E500
E501
E502
E503
Page 2025 of 6734

E507
553
E508
Other ocular manifestations of vitamin A

deficiency
Other manifestations of vitamin A
690
E509
deficiency
Vitamin A deficiency, unspecified
690
E5111
Dry beriberi
690
E5112
Wet beriberi
690
E512
Wernicke's encephalopathy
690
E518
Other manifestations of thiamine

deficiency
Thiamine deficiency, unspecified
690
690
Niacin deficiency [pellagra]
690
E530
Riboflavin deficiency
690
E531
Pyridoxine deficiency
690
E538
Deficiency of other specified B group

vitamins
Vitamin B deficiency, unspecified
690
690
Ascorbic acid deficiency
690
E550
Rickets, active
661
E559
Vitamin D deficiency, unspecified
690
E560
Deficiency of vitamin E
690
E561
Deficiency of vitamin K
690
E568
Deficiency of other vitamins
690
E569
Vitamin deficiency, unspecified
690
E58
Dietary calcium deficiency
690
E59
Dietary selenium deficiency
690
E60
Dietary zinc deficiency
690
E610
Copper deficiency
690
E611
Iron deficiency
690
E612
Magnesium deficiency
690
E613
Manganese deficiency
690
E614
Chromium deficiency
690
E615
Molybdenum deficiency
690
E519
E52
E539
E54
Page 2026 of 6734

E616
Vanadium deficiency
690
E617
Deficiency of multiple nutrient elements
690
E618
690
690
E630
Deficiency of other specified nutrient

elements
Deficiency of nutrient element,
unspecified
Essential fatty acid [EFA] deficiency
690
E631
Imbalance of constituents of food intake
690
E638
Other specified nutritional deficiencies
690
E639
Nutritional deficiency, unspecified
690
E640
Sequelae of protein-calorie malnutrition
830
EATING DISORDERS
E641
Sequelae of vitamin A deficiency
690
E642
Sequelae of vitamin C deficiency
690
E643
Sequelae of rickets
661
E648
Sequelae of other nutritional deficiencies
690
E649
Sequelae of unspecified nutritional

deficiency
Localized adiposity
690
675
Morbid (severe) obesity due to excess

calories
Other obesity due to excess calories
695
OBESITY
695
OBESITY
E661
Drug-induced obesity
695
OBESITY
E662
577
E663
Morbid (severe) obesity with alveolar

hypoventilation
Overweight
690
E668
Other obesity
695
OBESITY
E669
Obesity, unspecified
695
OBESITY
E670
Hypervitaminosis A
690
E671
Hypercarotinemia
690
E672
Megavitamin-B6 syndrome
690
E673
Hypervitaminosis D
690
E678
Other specified hyperalimentation
690
Sequelae of hyperalimentation
690
Classical phenylketonuria
691
E619
E65
E6601
E6609
E68
E700
Page 2027 of 6734

E701
Other hyperphenylalaninemias
691
691
E7021
Disorder of tyrosine metabolism,

unspecified
Tyrosinemia
691
E7029
Other disorders of tyrosine metabolism
691
E7030
Albinism, unspecified
691
E70310
X-linked ocular albinism
691
E70311
Autosomal recessive ocular albinism
691
E70318
Other ocular albinism
691
E70319
Ocular albinism, unspecified
691
E70320
691
691
E70328
Tyrosinase negative oculocutaneous

albinism
Tyrosinase positive oculocutaneous
albinism
Other oculocutaneous albinism
691
E70329
Oculocutaneous albinism, unspecified
691
E70330
Chediak-Higashi syndrome
691
E70331
Hermansky-Pudlak syndrome
691
E70338
Other albinism with hematologic

abnormality
Albinism with hematologic abnormality,
691
691
E7039
unspecified
Other specified albinism
691
E7040
691
E7041
Disorders of histidine metabolism,

unspecified
Histidinemia
691
E7049
Other disorders of histidine metabolism
691
E705
Disorders of tryptophan metabolism
691
E708
691
E709
Other disorders of aromatic amino-acid

metabolism
Disorder of aromatic amino-acid
691
E710
metabolism,
unspecified
Maple-syrup-urine
disease
691
E71110
Isovaleric acidemia
691
E71111
3-methylglutaconic aciduria
691
E71118
Other branched-chain organic acidurias
691
E71120
Methylmalonic acidemia
691
E7020
E70321
E70339
Page 2028 of 6734

E71121
Propionic acidemia
691
E71128
Other disorders of propionate metabolism
691
E7119
Other disorders of branched-chain aminoacid

metabolism
Disorder
of branched-chain amino-acid
691
691
metabolism,
unsp
Disorder of fatty-acid
metabolism, unspecif
691
Long chain/very long chain acyl CoA

dehydrogenase
deficiency
Medium chain acyl
CoA dehydrogenase
691
691
deficiency
Short chain acyl CoA dehydrogenase
deficiency
Glutaric aciduria type II
691
691
Muscle carnitine palmitoyltransferase

deficiency
Other disorders of fatty-acid oxidation
691
691
E7132
Disorders of ketone metabolism
691
E7139
Other disorders of fatty-acid metabolism
691
E7140
Disorder of carnitine metabolism,

unspecified
Primary carnitine deficiency
691
691
Carnitine deficiency due to inborn errors of

metabolism
Iatrogenic carnitine deficiency
691
691
E71440
Ruvalcaba-Myhre-Smith syndrome
691
E71448
Other secondary carnitine deficiency
691
Peroxisomal disorder, unspecified
691
E71510
Zellweger syndrome
691
E71511
Neonatal adrenoleukodystrophy
691
E71518
Other disorders of peroxisome biogenesis
691
E71520
691
E71521
Childhood cerebral X-linked

adrenoleukodystrophy
Adolescent X-linked adrenoleukodystrophy
691
E71522
Adrenomyeloneuropathy
691
E71528
Other X-linked adrenoleukodystrophy
691
E71529
X-linked adrenoleukodystrophy,
unspecified
Other grouptype
2 peroxisomal disorders
691
691
E712
E7130
E71310
E71311
E71312
E71313
E71314
E71318
E7141
E7142
E7143
E7150
E7153
Page 2029 of 6734

E71540
Rhizomelic chondrodysplasia punctata
691
E71541
Zellweger-like syndrome
691
E71542
Other group 3 peroxisomal disorders
691
E71548
Other peroxisomal disorders
691
691
E7201
Disorders of amino-acid transport,

unspecified
Cystinuria
691
E7202
Hartnup's disease
691
E7203
Lowe's syndrome
691
E7204
Cystinosis
691
E7209
Other disorders of amino-acid transport
691
E7210
Disorders of sulfur-bearing amino-acid

metabolism,
unsp
Homocystinuria
691
691
Methylenetetrahydrofolate reductase
deficiency
Other disorders of sulfur-bearing amino-
691
691
691
E7221
acid
metabolism
Disorder
of urea cycle metabolism,
unspecified
Argininemia
691
E7222
Arginosuccinic aciduria
691
E7223
Citrullinemia
691
E7229
Other disorders of urea cycle metabolism
691
Disorders of lysine and hydroxylysine

metabolism
Disorders of ornithine metabolism
691
691
691
E7251
Disorder of glycine metabolism,

unspecified
Non-ketotic hyperglycinemia
691
E7252
Trimethylaminuria
691
E7253
Hyperoxaluria
691
E7259
Other disorders of glycine metabolism
691
E728
691
E729
Other specified disorders of amino-acid

metabolism
Disorder of amino-acid metabolism,
691
E730
unspecified
Congenital lactase deficiency
624
E7200
E7211
E7212
E7219
E7220
E723
E724
E7250
Page 2030 of 6734

E731
Secondary lactase deficiency
624
E738
Other lactose intolerance
624
E739
Lactose intolerance, unspecified
624
E7400
Glycogen storage disease, unspecified
691
E7401
von Gierke disease
691
E7402
Pompe disease
691
E7403
Cori disease
691
E7404
McArdle disease
691
E7409
Other glycogen storage disease
691
E7410
624
E7411
Disorder of fructose metabolism,

unspecified
Essential fructosuria
624
E7412
Hereditary fructose intolerance
624
E7419
Other disorders of fructose metabolism
624
E7420
691
E7421
Disorders of galactose metabolism,

unspecified
Galactosemia
691
E7429
Other disorders of galactose metabolism
691
E7431
Sucrase-isomaltase deficiency
624
E7439
Other disorders of intestinal carbohydrate

absorption
Disorders of pyruvate metabolism and
624
691
gluconeogenesis
Other specified disorders of carbohydrate
metabolism
Disorder of carbohydrate metabolism,
691
691
E7500
unspecified
GM2 gangliosidosis, unspecified
522
E7501
Sandhoff disease
522
E7502
Tay-Sachs disease
522
E7509
Other GM2 gangliosidosis
522
E7510
Unspecified gangliosidosis
522
E7511
Mucolipidosis IV
522
E7519
Other gangliosidosis
522
E7521
Fabry (-Anderson) disease
691
E744
E748
E749
Page 2031 of 6734

E7522
Gaucher disease
691
E7523
Krabbe disease
522
E75240
Niemann-Pick disease type A
691
E75241
Niemann-Pick disease type B
691
E75242
Niemann-Pick disease type C
691
E75243
Niemann-Pick disease type D
691
E75248
Other Niemann-Pick disease
691
E75249
Niemann-Pick disease, unspecified
691
E7525
Metachromatic leukodystrophy
522
E7529
Other sphingolipidosis
522
E753
Sphingolipidosis, unspecified
691
E754
Neuronal ceroid lipofuscinosis
522
E755
Other lipid storage disorders
691
E756
Lipid storage disorder, unspecified
691
E7601
Hurler's syndrome
691
E7602
Hurler-Scheie syndrome
691
E7603
Scheie's syndrome
691
Mucopolysaccharidosis, type II
691
E76210
Morquio A mucopolysaccharidoses
691
E76211
Morquio B mucopolysaccharidoses
691
E76219
691
E7622
Morquio mucopolysaccharidoses,
unspecified
Sanfilippo mucopolysaccharidoses
691
E7629
Other mucopolysaccharidoses
691
E763
Mucopolysaccharidosis, unspecified
691
E768
Other disorders of glucosaminoglycan

metabolism
Glucosaminoglycan metabolism disorder,
691
691
unspecified
Defects in post-translational mod of
lysosomal
Defects in enzymes
glycoprotein degradation
691
691
Other disorders of glycoprotein

metabolism
691
E761
E769
E770
E771
E778
Page 2032 of 6734

E779
691
E780
Disorder of glycoprotein metabolism,

unspecified
Pure hypercholesterolemia
691
E781
Pure hyperglyceridemia
691
E782
Mixed hyperlipidemia
691
E783
Hyperchylomicronemia
691
E784
Other hyperlipidemia
691
E785
Hyperlipidemia, unspecified
691
E786
Lipoprotein deficiency
691
691
E7871
Disorder of bile acid and cholesterol

metabolism,
unsp
Barth syndrome
661
E7872
Smith-Lemli-Opitz syndrome
661
E7879
691
E7881
Other disorders of bile acid and cholesterol

metabolism
Lipoid dermatoarthritis
691
E7889
Other lipoprotein metabolism disorders
691
691
E790
Disorder of lipoprotein metabolism,

unspecified
Hyperuricemia w/o signs of inflam arthrit
871
E791
and
tophaceous
dis
Lesch-Nyhan
syndrome
691
E792
Myoadenylate deaminase deficiency
691
E798
691
691
E800
Other disorders of purine and pyrimidine

metabolism
Disorder of purine and pyrimidine
metabolism,
unspecified porphyria
Hereditary erythropoietic
691
E801
Porphyria cutanea tarda
691
E8020
Unspecified porphyria
691
E8021
Acute intermittent (hepatic) porphyria
691
E8029
Other porphyria
691
E803
Defects of catalase and peroxidase
691
E804
Gilbert syndrome
640
E805
Crigler-Najjar syndrome
640
E806
Other disorders of bilirubin metabolism
640
E7870
E789
E799
Page 2033 of 6734

E807
640
E8300
Disorder of bilirubin metabolism,

unspecified
Disorder of copper metabolism,
691
E8301
unspecified
Wilson's disease
691
E8309
Other disorders of copper metabolism
691
E8310
Disorder of iron metabolism, unspecified
691
E83110
Hereditary hemochromatosis
691
E83111
691
E83118
Hemochromatosis due to repeated red

blood
transfusions
Other cell
hemochromatosis
691
E83119
Hemochromatosis, unspecified
691
Other disorders of iron metabolism
691
Disorders of zinc metabolism
673
Disorder of phosphorus metabolism,

unspecified
Familial hypophosphatemia
691
691
Hereditary vitamin D-dependent rickets

(type
(type 2)of phosphorus metabolism
Other 1)
disorders
691
691
694
E8341
Disorders of magnesium metabolism,

unspecified
Hypermagnesemia
694
E8342
Hypomagnesemia
694
E8349
Other disorders of magnesium metabolism
694
E8350
694
E8351
Unspecified disorder of calcium

metabolism
Hypocalcemia
694
E8352
Hypercalcemia
694
E8359
Other disorders of calcium metabolism
694
E8381
Hungry bone syndrome
691
E8389
Other disorders of mineral metabolism
691
691
E840
Disorder of mineral metabolism,

unspecified
Cystic fibrosis with pulmonary
570
E8411
manifestations
Meconium ileus in cystic fibrosis
625
E8419
Cystic fibrosis with other intestinal

manifestations
625
E8319
E832
E8330
E8331
E8332
E8339
E8340
E839
Page 2034 of 6734

E848
Cystic fibrosis with other manifestations
635
E849
Cystic fibrosis, unspecified
570
E850
655
E851
Non-neuropathic heredofamilial
amyloidosis
Neuropathic heredofamilial amyloidosis
655
E852
Heredofamilial amyloidosis, unspecified
655
E853
Secondary systemic amyloidosis
655
E854
Organ-limited amyloidosis
655
E858
Other amyloidosis
655
E859
Amyloidosis, unspecified
655
E860
Dehydration
694
E861
Hypovolemia
694
E869
Volume depletion, unspecified
694
E870
Hyperosmolality and hypernatremia
694
E871
Hypo-osmolality and hyponatremia
694
E872
Acidosis
694
E873
Alkalosis
694
E874
Mixed disorder of acid-base balance
694
E875
Hyperkalemia
694
E876
Hypokalemia
694
E8770
Fluid overload, unspecified
694
E8771
Transfusion associated circulatory overload
593
E8779
Other fluid overload
694
Oth disorders of electrolyte and fluid

balance,
NEC
Alpha-1-antitrypsin
deficiency
694
691
804
E881
Oth disorders of plasma-protein

metabolism,
NEC
Lipodystrophy,
not elsewhere classified
691
E882
Lipomatosis, not elsewhere classified
691
E883
Tumor lysis syndrome
720
RENAL FAILURE
Mitochondrial metabolism disorder,

unspecified
691
E878
E8801
E8809
E8840
Page 2035 of 6734

E8841
MELAS syndrome
691
E8842
MERRF syndrome
691
E8849
Other mitochondrial metabolism disorders
691
E8881
Metabolic syndrome
691
E8889
Other specified metabolic disorders
691
E889
Metabolic disorder, unspecified
691
E890
Postprocedural hypothyroidism
692
E891
Postprocedural hypoinsulinemia
692
E892
Postprocedural hypoparathyroidism
693
E893
Postprocedural hypopituitarism
692
752
E8941
Asymptomatic postprocedural ovarian

failure
Symptomatic postprocedural ovarian
752
E895
failure
Postprocedural testicular hypofunction
693
E896
Postprocedural adrenocortical (-medullary)

hypofunction
Postproc hemor/hemtom of endo sys org fol
693
852
Postproc hemor/hemtom of an endo sys

org
oth procedure
Oth fol
postproc
endocrine and metabolic
852
852
comp
anddementia
disorderswithout behavioral
Vascular
disturbance
Vascular dementia with behavioral
827
827
disturbance
Dementia in oth diseases classd elswhr
w/o
behavrl
Dementia
in disturb
oth diseases classd elswhr w
behavioral
disturb
Unspecified dementia without behavioral
827
827
827
disturbance
Unspecified dementia with behavioral
disturbance
Amnestic disorder due to known
827
827
physiological
condition
Delirium due to
known physiological
condition
Psychotic disorder w hallucin due to known
826
827
physiol
condition
Catatonic
disorder due to known
physiological
condition
Psychotic disorder
w delusions due to
known
physiol
cond
Mood disorder due to known physiological c
827
827
827
E8940
E89810
E89811
E8989
F0150
F0151
F0280
F0281
F0390
F0391
F04
F05
F060
F061
F062
F0630
Page 2036 of 6734

F0631
Mood disorder due to known physiol cond

w
depressv
Mood
disordfeatures
d/t physiol cond w major
827
827
depressive-like
epsd
Mood disorder due
to known physiol cond
w
manic
features
Mood
disorder
due to known physiol cond
w
mixed
features
Anxiety disorder due to known
827
827
827
physiological
condition
Oth mental disorders
due to known
physiological
condition
Personality change due to known
827
827
F0781
physiological
condition
Postconcussional
syndrome
530
F0789
Oth personality & behavrl disord due to

known
physiol cond
Unsp personality
& behavrl disord due to
827
827
known
physioldisorder
cond due to known
Unsp mental
physiological
Alcohol abuse,condition
uncomplicated
827
842
Alcohol abuse with intoxication,

uncomplicated
Alcohol abuse with intoxication delirium
842
842
Alcohol abuse with intoxication,

unspecified
Alcohol abuse with alcohol-induced mood
disorder
Alcohol abuse w alcoh-induce psychotic
842
842
842
disorder
w delusions
Alcohol abuse
w alcoh-induce psychotic
disorder
w hallucin
Alcohol abuse
with alcohol-induced
842
842
psychotic
disorder,
unsp
Alcohol abuse
with alcohol-induced
anxiety
disorder
Alcohol abuse
with alcohol-induced sexual
dysfunction
Alcohol abuse with alcohol-induced sleep
842
842
525
842
842
F1020
disorder
Alcohol abuse with other alcohol-induced
disorder
Alcohol abuse with unspecified alcoholinduced
disorder
Alcohol dependence,
uncomplicated
842
F1021
Alcohol dependence, in remission
842
Alcohol dependence with intoxication,

uncomplicated
Alcohol dependence with intoxication
delirium
Alcohol dependence with intoxication,
842
842
842
F0632
F0633
F0634
F064
F068
F070
F079
F09
F1010
F10120
F10121
F10129
F1014
F10150
F10151
F10159
F10180
F10181
F10182
F10188
F1019
F10220
F10221
F10229
unspecified
Page 2037 of 6734

F10230
Alcohol dependence with withdrawal,

uncomplicated
Alcohol dependence with withdrawal
delirium
Alcohol dependence w withdrawal with
842
842
842
perceptual
disturbance
Alcohol dependence
with withdrawal,
unspecified
Alcohol dependence with alcohol-induced m
842
842
Alcohol depend w alcoh-induce psychotic

disorder
w delusions
Alcohol depend
w alcoh-induce psychotic
disorder
w hallucin w alcoh-induce
Alcohol dependence
842
842
842
F1026
psychotic
disorder,
unsp
Alcohol depend
w alcoh-induce
persisting a
842
F1027
Alcohol dependence with alcohol-induced

persisting
dementia with alcohol-induced an
Alcohol dependence
842
842
Alcohol dependence with alcohol-induced

sexual
Alcoholdysfunction
dependence with alcohol-induced
sleep
disorder
Alcohol dependence with other alcohol-indu
842
525
842
Alcohol dependence with unspecified

alcohol-induced
disorder with intoxication,
Alcohol use, unspecified
842
842
uncomplicated
Alcohol use, unspecified with intoxication
delirium
Alcohol use, unspecified with intoxication,
842
842
Alcohol use, unspecified with alcoholinduced

mood
disorder
Alcohol use,
unsp
w alcoh-induce psych
842
842
disorder
w delusions
Alcohol use,
unsp w alcoh-induce psych
disorder
w
hallucin
Alcohol use, unsp w alcohol-induced
842
842
psychotic
disorder,
Alcohol use,
unsp wunsp
alcoh-induce persist
amnestic
disorder
Alcohol use, unsp with alcohol-induced
842
842
persisting
dementia
Alcohol use,
unsp with alcohol-induced
anxiety
disorder
Alcohol use,
unsp with alcohol-induced
sexual
dysfunction
Alcohol use, unspecified with alcohol-
842
842
525
induced
sleep
disorder with other
Alcohol use,
unspecified
alcohol-induced
disorder
Alcohol use, unsp
with unspecified alcohol-
842
842
F10231
F10232
F10239
F1024
F10250
F10251
F10259
F10280
F10281
F10282
F10288
F1029
F10920
F10921
F10929
F1094
F10950
F10951
F10959
F1096
F1097
F10980
F10981
F10982
F10988
F1099
induced disorder
Page 2038 of 6734

F1110
Opioid abuse, uncomplicated
840
Opioid abuse with intoxication,

uncomplicated
Opioid abuse with intoxication delirium
840
840
840
F11129
Opioid abuse with intoxication with

perceptual
disturbance
Opioid abuse
with intoxication, unspecified
840
F1114
Opioid abuse with opioid-induced mood dis
840
Opioid abuse w opioid-induced psychotic

disorder
w delusions
Opioid abuse
w opioid-induced psychotic
disorder
w
hallucin
Opioid abuse with opioid-induced
840
840
840
psychotic
disorder,
unsp
Opioid abuse
with opioid-induced
sexual
dysfunction
Opioid abuse with opioid-induced sleep
disorder
Opioid abuse with other opioid-induced
840
525
840
840
F1120
disorder
Opioid abuse with unspecified opioidinduced
disorder
Opioid dependence,
uncomplicated
840
F1121
Opioid dependence, in remission
840
Opioid dependence with intoxication,

uncomplicated
Opioid dependence with intoxication deliri
840
840
Opioid dependence w intoxication with

perceptual
disturbance
Opioid dependence
with intoxication,
840
840
F1123
unspecified
Opioid dependence with withdrawal
840
F1124
Opioid dependence with opioid-induced moo
840
F11250
Opioid depend w opioid-induc psychotic

disorder
w delusions
Opioid depend
w opioid-induc psychotic diso
840
840
Opioid dependence w opioid-induced

psychotic
disorder, unsp
Opioid dependence
with opioid-induced
840
840
sexual
dysfunction with opioid-induced
Opioid dependence
sleep
Opioiddisorder
dependence with other opioid-induce
840
840
Opioid dependence with unspecified

opioid-induced
disorder uncomplicated
Opioid use, unspecified,
840
840
F11120
F11121
F11122
F11150
F11151
F11159
F11181
F11182
F11188
F1119
F11220
F11221
F11222
F11229
F11251
F11259
F11281
F11282
F11288
F1129
F1190
Page 2039 of 6734

F11920
Opioid use, unspecified with intoxication,

uncomplicated
Opioid use, unspecified with intoxication
delirium
Opioid use, unsp w intoxication with
840
840
840
perceptual
Opioid use,disturbance
unspecified with intoxication,
unspecified
Opioid use, unspecified with withdrawal
840
840
Opioid use, unspecified with opioidinduced

mood
disorder
Opioid use,
unsp
w opioid-induc psych
840
840
disorder
w delusions
Opioid use,
unsp w opioid-induc psych
disorder
w
hallucin
Opioid use, unsp w opioid-induced
840
840
psychotic
disorder,
unsp
Opioid use,
unsp with
opioid-induced
sexual
dysfunction
Opioid use, unspecified with opioid-
840
525
840
F1199
induced
sleep
disorder with other opioidOpioid use,
unspecified
induced
disorder
Opioid use,
unsp with unspecified opioid-
840
F1210
induced
Cannabisdisorder
abuse, uncomplicated
843
Cannabis abuse with intoxication,

uncomplicated
Cannabis abuse with intoxication delirium
843
843
Cannabis abuse with intoxication with

perceptual
disturbance
Cannabis abuse
with intoxication,
843
843
unspecified
Cannabis abuse with psychotic disorder
with
delusions
Cannabis
abuse with psychotic disorder
with
hallucinations
Cannabis abuse with psychotic disorder,
unspecified
Cannabis abuse with cannabis-induced
843
843
843
843
843
843
F1220
anxiety
disorder
Cannabis
abuse with other cannabisinduced
disorder
Cannabis abuse with unspecified cannabisinduced
Cannabisdisorder
dependence, uncomplicated
843
F1221
Cannabis dependence, in remission
843
Cannabis dependence with intoxication,

uncomplicated
Cannabis dependence with intoxication deli
843
843
Cannabis dependence w intoxication w

perceptual disturbance
843
F11921
F11922
F11929
F1193
F1194
F11950
F11951
F11959
F11981
F11982
F11988
F12120
F12121
F12122
F12129
F12150
F12151
F12159
F12180
F12188
F1219
F12220
F12221
F12222
Page 2040 of 6734

F12229
Cannabis dependence with intoxication,

unspecified
Cannabis dependence with psychotic disorde
843
843
Cannabis dependence w psychotic

disorder
hallucinations
Cannabiswith
dependence
with psychotic disorde
843
843
843
843
F1229
Cannabis dependence with cannabisinduced

disorder
Cannabisanxiety
dependence
with other
cannabis-induced
disorder
Cannabis dependence with unsp cannabis-
843
F1290
induced
Cannabisdisorder
use, unspecified, uncomplicated
843
Cannabis use, unspecified with

intoxication,
uncomplicated
Cannabis use,
unspecified with
843
843
intoxication
delirium
Cannabis use,
unsp w intoxication w
perceptual
disturbance
Cannabis use,
unspecified with
843
843
intoxication,
unspecified
Cannabis use,
unsp with psychotic
disorder
with
delusions
Cannabis use, unsp w psychotic disorder
843
843
with
hallucinations
Cannabis
use, unsp with psychotic
disorder,
unspecified
Cannabis use, unspecified with anxiety
843
843
disorder
Cannabis use, unsp with other cannabisinduced
Cannabisdisorder
use, unsp with unsp cannabisinduced
Sedative,disorder
hypnotic or anxiolytic abuse,
843
843
843
843
843
F13129
uncomplicated
Sedatv/hyp/anxiolytc abuse w intoxication,
uncomplicated
Sedatv/hyp/anxiolytc abuse w intoxication
delirium
Sedative, hypnotic or anxiolytic abuse w
843
F1314
intoxication,
unsp or anxiolytic abuse w m
Sedative, hypnotic
843
Sedatv/hyp/anxiolytc abuse w psychotic

disorder
w delusions abuse w psychotic
Sedatv/hyp/anxiolytc
disorder
w hallucin abuse w psychotic
disorder,
Sedative, unsp
hypnotic or anxiolytic abuse w
843
843
843
843
anxiety
disorder
Sedative,
sexual
dysfunction
sleep disorder
843
525
F12250
F12251
F12259
F12280
F12288
F12920
F12921
F12922
F12929
F12950
F12951
F12959
F12980
F12988
F1299
F1310
F13120
F13121
F13150
F13151
F13159
F13180
F13181
F13182
Page 2041 of 6734

F13188

oth
disorder
Sedative,
unsp
disorder
Sedative, hypnotic or anxiolytic
843
843
843
dependence,
uncomplicated
Sedative, hypnotic
or anxiolytic
dependence,
in
remission
Sedatv/hyp/anxiolytc dependence w
intoxication,
uncomp dependence w
843
843
843
intoxication
delirium dependence w
intoxication,
unsp
dependence w
withdrawal,
uncomplicated
Sedatv/hyp/anxiolytc dependence w withdra
843
843
843
843
F13239
Sedatv/hyp/anxiolytc depend w w/drawal

w
perceptual disturb dependence w withdr
843
F1324
Sedative, hypnotic or anxiolytic dependenc
843
F13250
Sedatv/hyp/anxiolytc depend w psychotic di
843
F13251
Sedatv/hyp/anxiolytc depend w psychotic di
843
F13259
psychotic
disorder, unsp
depend w persisting
843
843
amnestic
disorder
dependence w
persisting
dementia
anxiety
disorder
dependence w sexual
843
843
843
Sedative, hypnotic or anxiolytic

dependence
w sleep
Sedative, hypnotic
ordisorder
anxiolytic
843
843
dependence
w oth disorder
Sedative, hypnotic
or anxiolytic
dependence
w unspor
disorder
Sedative, hypnotic,
anxiolytic use, unsp
843
843
Sedatv/hyp/anxiolytc use, unsp w

intoxication,
uncomplicated
use, unsp w
intoxication
delirium use, unsp w intoxicati
843
843
843

withdrawal,
uncomplicated
use, unsp w withdrawa
843
843

w/drawal w perceptl disturb
843
F1319
F1320
F1321
F13220
F13221
F13229
F13230
F13231
F13232
F1326
F1327
F13280
F13281
F13282
F13288
F1329
F1390
F13920
F13921
F13929
F13930
F13931
F13932
Page 2042 of 6734

F13939

withdrawal,
unsp or anxiolytic use, unsp
Sedative, hypnotic
w
mood disorder
use, unsp w psych
843
843
843
disorder
w delusions use, unsp w psych
disorder
w hallucin use, unsp w
psychotic
disorder, unsp
use, unsp w persist
amnestic
disorder
843
843
843
843
persisting
dementia use, unsp w anxiety
disorder
Sedatv/hyp/anxiolytc use, unsp w sexual
dysfunction
Sedative, hypnotic or anxiolytic use, unsp
843
843
525
w
sleep disorder
Sedative,
hypnotic or anxiolytic use, unsp
w
oth disorder
Sedative,
hypnotic or anxiolytic use, unsp
w
unsp
disorder
Cocaine abuse, uncomplicated
843
843
841
Cocaine abuse with intoxication,

uncomplicated
Cocaine abuse with intoxication with
delirium
Cocaine abuse with intoxication with
841
841
841
perceptual
disturbance
Cocaine abuse
with intoxication,
unspecified
Cocaine abuse with cocaine-induced mood d
841
841
Cocaine abuse w cocaine-induc psychotic

disorder
w delusions
Cocaine abuse
w cocaine-induc psychotic
disorder
w
hallucin
Cocaine abuse with cocaine-induced
841
841
841
psychotic
disorder,
Cocaine abuse
with unsp
cocaine-induced
anxiety
Cocaine disorder
abuse with cocaine-induced
841
841
525
841
F1419
sexual
Cocainedysfunction
abuse with cocaine-induced sleep
disorder
Cocaine abuse with other cocaine-induced
disorder
Cocaine abuse with unspecified cocaine-
841
F1420
induced
Cocaine disorder
841
F1421
Cocaine dependence, in remission
841
Cocaine dependence with intoxication,

uncomplicated
841
F1394
F13950
F13951
F13959
F1396
F1397
F13980
F13981
F13982
F13988
F1399
F1410
F14120
F14121
F14122
F14129
F1414
F14150
F14151
F14159
F14180
F14181
F14182
F14188
F14220
Page 2043 of 6734

F14221
Cocaine dependence with intoxication delir
841
F14222
Cocaine dependence w intoxication w

perceptual
disturbance
Cocaine dependence
with intoxication,
841
841
F1423
unspecified
Cocaine dependence with withdrawal
841
F1424
841
F14250
Cocaine dependence with cocaine-induced

mood
disorder
Cocaine
depend w cocaine-induc psych diso
841
F14251
Cocaine depend w cocaine-induc psychotic d
841
F14259
Cocaine dependence w cocaine-induc

psychotic
disorder, unsp
Cocaine dependence
with cocaine-induced a
841
841
Cocaine dependence with cocaine-induced

sexual
Cocainedysfunction
dependence with cocaine-induced
sleep
disorder
Cocaine
dependence with other cocaine-
841
841
841
induced
Cocaine disorder
dependence with unspecified
cocaine-induced
disorder uncomplicated
Cocaine use, unspecified,
841
841
841
841
F14922
Cocaine use, unspecified with intoxication,

uncomplicated
Cocaine use, unspecified with intoxication
delirium
Cocaine use, unsp w intoxication with
841
F14929
perceptual
disturbance
Cocaine use,
unspecified with intoxication,
841
F1494
Cocaine use, unspecified with cocaine-indu
841
F14950
Cocaine use, unsp w cocaine-induc psych

disorder
w delusions
Cocaine use,
unsp w cocaine-induc psych di
841
841
841
F14980
Cocaine use, unsp w cocaine-induced

psychotic
disorder,
unspcocaine-induced
Cocaine use,
unsp with
841
F14981
anxiety
Cocaine disorder
use, unsp with cocaine-induced sex
841
F14982
Cocaine use, unspecified with cocaine-induc
525
F14988
841
F1499
Cocaine use, unspecified with other

cocaine-induced
disorder
Cocaine use, unsp
with unspecified
841
F1510
cocaine-induced
disorder
Other stimulant abuse,
uncomplicated
843
Other stimulant abuse with intoxication,

uncomplicated
843
F14229
F14280
F14281
F14282
F14288
F1429
F1490
F14920
F14921
F14951
F14959
F15120
Page 2044 of 6734

F15121
843
F15122
Other stimulant abuse with intoxication

delirium
Oth stimulant abuse w intoxication w
843
F15129
perceptual
disturbance
Other stimulant
abuse with intoxication, un
843
F1514
Other stimulant abuse with stimulant-indu
843
F15150
Oth stimulant abuse w stim-induce psych

disorder
w delusions
Oth stimulant
abuse w stim-induce psych
disorder
w
hallucin
Oth stimulant abuse w stim-induce
843
843
843
psychotic
disorder,
Oth stimulant
abuseunsp
with stimulantinduced
anxiety
disorder
Oth stimulant abuse w stimulant-induced
843
843
sexual
dysfunction
Other stimulant
abuse with stimulantinduced
sleep
disorder
Other stimulant abuse with other
stimulant-induced
disorder
Other stimulant abuse
with unsp
525
843
843
stimulant-induced
disorder
Other stimulant dependence,
uncomplicated
Other stimulant dependence, in remission
843
843
Other stimulant dependence with

intoxication,
uncomplicated
Other stimulant
dependence with
intoxication
delirium
Oth stimulant dependence w intox w
perceptual
disturbance
Other stimulant
dependence with
843
843
843
843
F1523
intoxication,
unspecified
Other stimulant
dependence with withdrawa
843
F1524
843
F15250
Oth stimulant dependence w stimulantinduced

disorder
Oth stimmood
depend
w stim-induce psych disor
843
F15251
Oth stimulant depend w stim-induce psych d
843
F15259
843
F15280
Oth stimulant depend w stim-induce

psychotic
disorder,
unsp w stim-induce
Oth stimulant
dependence
843
F15281
anxiety
disorder
Oth stimulant
dependence w stim-induce se
843
F15282
Oth stimulant dependence w stimulant-indu
843
F15288
Oth stimulant dependence with oth stimulan
843
Oth stimulant dependence w unsp

stimulant-induced
disorder
Other stimulant use,
unspecified,
843
843
F15151
F15159
F15180
F15181
F15182
F15188
F1519
F1520
F1521
F15220
F15221
F15222
F15229
F1529
F1590
uncomplicated
Page 2045 of 6734

F15920
Other stimulant use, unsp with

intoxication,
uncomplicated
Other stimulant
use, unspecified with
intoxication
delirium
Oth stimulant use, unsp w intox w
843
843
843
perceptual
disturbance
Other stimulant
use, unsp with
intoxication,
unspecified
Other stimulant use, unspecified with withd
843
843
Oth stimulant use, unsp with stimulantinduced

disorder
Oth stimmood
use, unsp
w stim-induce psych
843
843
disorder
delusions
Oth stim w
use,
unsp w stim-induce psych
disorder
w
hallucin
Oth stimulant use, unsp w stim-induce psyc
843
843
843
843
F15982
Oth stimulant use, unsp w stimulantinduced

anxiety
disorder
Oth stimulant
use,
unsp w stim-induce
sexual
dysfunction
Oth stimulant
use, unsp w stimulant-
525
F15988
induced
sleep use,
disorder
Oth stimulant
unsp with oth stimulant-
843
Oth stimulant use, unsp with unsp

stimulant-induced
disorder
Hallucinogen abuse,
uncomplicated
843
843
843
843
F16122
Hallucinogen abuse with intoxication,

uncomplicated
Hallucinogen abuse with intoxication with
delirium
Hallucinogen abuse w intoxication w
843
F16129
perceptual
disturbance
Hallucinogen
abuse with intoxication, unspe
843
F1614
Hallucinogen abuse with hallucinogeninduced

moodabuse
disorder
Hallucinogen
w psychotic disorder w
delusions
Hallucinogen abuse w psychotic disorder w
843
843
843
hallucinations
Hallucinogen abuse w psychotic disorder,
unsp
Hallucinogen abuse w hallucinogeninduced
disorder
Hallucignanxiety
abuse w
hallucign persisting perc
843
843
843
843
F1619
Hallucinogen abuse with other

hallucinogen-induced
disorder
Hallucinogen abuse with
unsp
843
F1620
disorder
Hallucinogen dependence,
uncomplicated
843
F1621
Hallucinogen dependence, in remission
843
F15921
F15922
F15929
F1593
F1594
F15950
F15951
F15959
F15980
F15981
F1599
F1610
F16120
F16121
F16150
F16151
F16159
F16180
F16183
F16188
Page 2046 of 6734

F16220
Hallucinogen dependence with

intoxication,
Hallucinogenuncomplicated
dependence with intoxication
with
delirium
Hallucinogen dependence with
843
843
843
intoxication,
Hallucinogenunspecified
dependence w hallucinogeninduced
mood
disorder
Hallucinogen dependence
w psychotic
disorder
w
delusions
Hallucinogen dependence w psychotic
843
843
843
disorder
w hallucin
Hallucinogen
dependence w psychotic
disorder,
unspdependence w anxiety
Hallucinogen
disorder
Hallucign depend w hallucign persisting per
843
843
843
Hallucinogen dependence w oth

disorder
Hallucinogen dependence
w unsp
843
843
disorder
Hallucinogen use, unspecified,
uncomplicated
Hallucinogen use, unsp with intoxication,
843
843
uncomplicated
Hallucinogen use, unsp with intoxication
with
delirium use, unspecified with intoxicat
Hallucinogen
843
843
Hallucinogen use, unsp w hallucinogeninduced

mooduse,
disorder
Hallucinogen
unsp w psychotic
disorder
w
delusions
Hallucinogen use, unsp w psychotic
843
843
843
disorder
w hallucinations
Hallucinogen
use, unsp w psychotic
disorder,
unsp
Hallucinogen use, unsp w anxiety disorder
843
843
Hallucign use, unsp w hallucign persist

perception
disorder
Hallucinogen
use, unsp w oth hallucinogen-
843
843
Hallucinogen use, unsp w unsp

Nicotine dependence, disorder
unspecified,
843
871
871
F17203
uncomplicated
Nicotine dependence, unspecified, in
remission
Nicotine dependence unspecified, with with
843
F17208
Nicotine dependence, unsp, w oth nicotine-
843
F17209
Nicotine dependence, unsp, w unsp

nicotine-induced
disorders
Nicotine dependence,
cigarettes,
843
871
F16221
F16229
F1624
F16250
F16251
F16259
F16280
F16283
F16288
F1629
F1690
F16920
F16921
F16929
F1694
F16950
F16951
F16959
F16980
F16983
F16988
F1699
F17200
F17201
F17210
uncomplicated
Page 2047 of 6734

F17211
Nicotine dependence, cigarettes, in

remission
Nicotine dependence, cigarettes, with
withdrawal
Nicotine dependence, cigarettes, w oth
871
843
843
disorders
Nicotine dependence, cigarettes, w unsp
disorders
Nicotine dependence, chewing tobacco,
uncomplicated
Nicotine dependence, chewing tobacco, in
843
871
871
843
843
843
F17290
remission
Nicotine dependence, chewing tobacco,
with
withdrawal
Nicotine
dependence, chewing tobacco, w
oth
disorders
Nicotine dependence, chewing tobacco, w
unsp
disorders
Nicotine
dependence, other tobacco
871
F17291
product,
uncomplicated
other tobacco product
871
F17293
Nicotine dependence, other tobacco

product,
with withdrawal
oth tobacco product,
843
843
w
oth disorders
Nicotine
dependence, oth tobacco product,
w
unsp disorders
Inhalant
abuse, uncomplicated
843
843
Inhalant abuse with intoxication,

uncomplicated
Inhalant abuse with intoxication delirium
843
843
Inhalant abuse with intoxication,

unspecified
Inhalant abuse with inhalant-induced
mood
disorder
Inhalant
abuse w inhalnt-induce psych
843
843
843
disorder
Inhalant
disorder
Inhalant
843
843
psychotic
disorder,
Inhalant abuse
withunsp
inhalant-induced
dementia
Inhalant abuse with inhalant-induced
843
843
843
843
F1820
anxiety
Inhalantdisorder
abuse with other inhalant-induced
disorder
Inhalant abuse with unspecified inhalantinduced
Inhalant disorder
843
F1821
Inhalant dependence, in remission
843
Inhalant dependence with intoxication,

uncomplicated
843
F17213
F17218
F17219
F17220
F17221
F17223
F17228
F17229
F17298
F17299
F1810
F18120
F18121
F18129
F1814
F18150
F18151
F18159
F1817
F18180
F18188
F1819
F18220
w delusions
abuse
w inhalnt-induce psych
w
hallucin
abuse w inhalant-induced
Page 2048 of 6734

F18221
Inhalant dependence with intoxication

delirium
Inhalant dependence with intoxication,
unspecified
Inhalant dependence with inhalant-induced
843
843
843
Inhalant depend w inhalnt-induce psych

disorder
w delusions
Inhalant depend
w inhalnt-induce psych
disorder
w
hallucin
Inhalant depend w inhalnt-induce
843
843
843
psychotic
disorder, unsp
Inhalant dependence
with inhalantinduced
Inhalant dementia
dependence with inhalantinduced
anxiety
disorder
Inhalant dependence
with other inhalant-
843
843
843
induced
Inhalant disorder
dependence with unsp inhalantinduced
disorder
Inhalant use, unspecified, uncomplicated
843
843
Inhalant use, unspecified with intoxication,

uncomplicated
Inhalant use, unspecified with intoxication
with
delirium
Inhalant
use, unspecified with intoxication,
843
843
843
843
843
F18951
unspecified
Inhalant use, unsp with inhalant-induced
mood
disorder
Inhalant
use, unsp w inhalnt-induce psych
disord
w
delusions
Inhalant use,
unsp w inhalnt-induce psych
843
F18959
disord
w use,
hallucin
Inhalant
unsp w inhalnt-induce psychot
843
Inhalant use, unsp with inhalant-induced

persisting
dementia
Inhalant use,
unsp with inhalant-induced
anxiety
disorder
Inhalant use, unsp with other inhalant-
843
843
843
induced
Inhalant disorder
use, unsp with unsp inhalantinduced
disorder
Other psychoactive
substance abuse,
843
843
843
843
843
F19129
uncomplicated
Oth psychoactive substance abuse w
intoxication,
uncomp
Oth psychoactive
substance abuse with
intoxication
delirium
Oth psychoactv
substance abuse w intox w
perceptual
disturb
Other psychoactive substance abuse with
843
F1914
intoxication,
unsp substance abuse w mood
Oth psychoactive
843
Oth psychoactv substance abuse w psych

disorder w delusions
843
F18229
F1824
F18250
F18251
F18259
F1827
F18280
F18288
F1829
F1890
F18920
F18921
F18929
F1894
F18950
F1897
F18980
F18988
F1899
F1910
F19120
F19121
F19122
F19150
Page 2049 of 6734

F19151
Oth psychoactv substance abuse w psych

disorder
w hallucinsubstance abuse w
Oth psychoactive
843
843
psychotic
disorder,
unsp abuse w persist
Oth psychoactv
substance
amnestic
disorder substance abuse w
Oth psychoactive
843
843
persisting
dementia
Oth psychoactive
substance abuse w
anxiety
disorder
Oth psychoactive substance abuse w
sexual
dysfunctionsubstance abuse w sleep
Oth psychoactive
disorder
Oth psychoactive substance abuse w oth
843
843
525
843
disorder
Oth psychoactive substance abuse w unsp
disorder
Other psychoactive substance
843
843
843
F19220
dependence,
uncomplicated
Other psychoactive
substance
dependence,
in remission
Oth psychoactive
substance dependence
843
F19221
w
intoxication,
uncomp
Oth
psychoactive
substance dependence w i
843
F19222
Oth psychoactv substance depend w intox w
843
F19229
Oth psychoactive substance dependence

w
intoxication,
unsp
Oth
psychoactive
substance dependence w
843
843

w
withdrawal
delirium
Oth
psychoactv
sub depend w w/drawal w pe
843
843

with
withdrawal, unsp
Oth psychoactive
substance dependence w
843
843
F19250
Oth psychoactv substance depend w psych d
843
F19251
843
F19259
Oth psychoactv substance depend w

psych
disorder wsubstance
hallucin depend w psychot
Oth psychoactv
843
F1926
Oth psychoactv substance depend w persist
843
F1927

w
persisting
dementia
Oth
psychoactive
substance dependence w a
843
843

w
sexual
dysfunction
Oth
psychoactive
substance dependence
w
sleep
disorder
843
843
843
F19159
F1916
F1917
F19180
F19181
F19182
F19188
F1919
F1920
F1921
F19230
F19231
F19232
F19239
F1924
F19280
F19281
F19282
F19288
w oth disorder
Page 2050 of 6734

F1929
Oth psychoactive substance dependence w
843
F1990
Other psychoactive substance use, unspeci
843
Oth psychoactive substance use, unsp w

intoxication,
uncomp
Oth psychoactive
substance use, unsp w
intox
w
delirium
Oth psychoactv sub use, unsp w intox w
843
843
843
perceptl
disturb substance use, unsp
Oth psychoactive
with
intoxication, unsp
Oth psychoactive
withdrawal,
uncomp
Oth psychoactive
withdrawal
delirium
Oth psychoactv sub use, unsp w w/drawal w
843
843
843
843
Other psychoactive substance use, unsp

with
withdrawal, unsp
Oth psychoactive
843
843
mood
disorder sub use, unsp w psych
Oth psychoactv
disorder
w delusions
Oth psychoactv
sub use, unsp w psych
disorder
w
hallucin
Oth psychoactv substance use, unsp w
843
843
843
psych
disorder, unsp
Oth psychoactv
sub use, unsp w persist
amnestic
disorder
843
843
persisting
dementia
Oth psychoactive
anxiety
disorder
sexual
dysfunctionsubstance use, unsp w
Oth psychoactive
sleep
disorder
Oth psychoactive
843
843
525
843
843
F200
oth
Oth disorder
psychoactive substance use, unsp w
unsp
disorder
Paranoid
schizophrenia
820
SCHIZOPHRENIA
F201
Disorganized schizophrenia
820
SCHIZOPHRENIA
F202
Catatonic schizophrenia
820
SCHIZOPHRENIA
F203
Undifferentiated schizophrenia
820
SCHIZOPHRENIA
F205
Residual schizophrenia
820
SCHIZOPHRENIA
F2081
Schizophreniform disorder
820
SCHIZOPHRENIA
F2089
Other schizophrenia
820
SCHIZOPHRENIA
Schizophrenia, unspecified
820
SCHIZOPHRENIA
F19920
F19921
F19922
F19929
F19930
F19931
F19932
F19939
F1994
F19950
F19951
F19959
F1996
F1997
F19980
F19981
F19982
F19988
F1999
F209
Page 2051 of 6734

F21
Schizotypal disorder
822
PERSONALITY & IMPULSE CONTROL DIAGN
F22
Delusional disorders
831
F23
Brief psychotic disorder
831
F24
Shared psychotic disorder
831
F250
Schizoaffective disorder, bipolar type
820
SCHIZOPHRENIA
F251
Schizoaffective disorder, depressive type
820
SCHIZOPHRENIA
F258
Other schizoaffective disorders
820
SCHIZOPHRENIA
F259
Schizoaffective disorder, unspecified
820
SCHIZOPHRENIA
Oth psych disorder not due to a sub or

known
physiol cond
Unsp psychosis
not due to a substance or
known
physiol
cond
Manic episode without psychotic
821
MAJOR DEPRESSIVE DIAGNOSES & OTHER/
821
823
BIPOLAR DISORDERS
symptoms,
unspecified
Manic episode
without psychotic
symptoms,
mild
Manic episode without psychotic
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
F302
symptoms,
moderate
Manic episode,
severe, without psychotic
symptoms
Manic episode, severe with psychotic
823
BIPOLAR DISORDERS
F303
symptoms
Manic episode in partial remission
823
BIPOLAR DISORDERS
F304
Manic episode in full remission
823
BIPOLAR DISORDERS
F308
Other manic episodes
823
BIPOLAR DISORDERS
F309
Manic episode, unspecified
823
BIPOLAR DISORDERS
F310
Bipolar disorder, current episode

hypomanic
Bipolar disord, crnt episode manic w/o
psych
unsp
Bipolarfeatures,
disord, crnt
episode manic w/o
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
psych
mildepisode manic w/o
Bipolarfeatures,
disord, crnt
psych
modepsd manic w/o psych
Bipolarfeatures,
disord, crnt
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
features,
severe
Bipolar disord,
crnt episode manic severe
w
psychdisord,
features
Bipolar
crnt epsd depress, mild or
mod
severt,
unsp
Bipolar disorder, current episode
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
depressed,
mild current episode
Bipolar disorder,
depressed,
moderate
Bipolar disord,
crnt epsd depress, sev, w/o
psych features
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
F28
F29
F3010
F3011
F3012
F3013
F3110
F3111
F3112
F3113
F312
F3130
F3131
F3132
F314
Page 2052 of 6734

F315
Bipolar disord, crnt epsd depress, severe,

w
psychdisorder,
features current episode mixed,
Bipolar
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
unspecified
Bipolar disorder, current episode mixed,
mild
Bipolar disorder, current episode mixed,
moderate
Bipolar disord, crnt epsd mixed, severe,
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
w/o
psych
features
Bipolar
disord,
crnt episode mixed, severe,
w
psych
features
Bipolar disord, currently in remis, most
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
recent
unsp
Bipolarepisode
disord, in
partial remis, most
recent
epsd
hypomanic
Bipolar disord, in full remis, most recent
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
episode
hypomanic
Bipolar disord,
in partial remis, most
recent
episode
manic
Bipolar disorder,
in full remis, most recent
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
episode
manic in partial remis, most
Bipolar disord,
recent
depress
Bipolarepsd
disorder,
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
823
BIPOLAR DISORDERS
F3178
episode
depress
Bipolar disord,
in partial remis, most
recent
mixed
Bipolarepisode
disorder,
823
BIPOLAR DISORDERS
F3181
episode
Bipolar IImixed
disorder
823
BIPOLAR DISORDERS
F3189
Other bipolar disorder
823
BIPOLAR DISORDERS
F319
Bipolar disorder, unspecified
823
BIPOLAR DISORDERS
F320
Major depressive disorder, single episode,

mild
moderate
Major depressv disord, single epsd, sev
821
821
821
w/o
psych
features
Major
depressv
disord, single epsd, severe
w
psych
features
Major
depressv
disorder, single episode, in
821
821
partial
remis
Major depressive
disorder, single episode,
in
full
remission
Other depressive episodes
821
823
BIPOLAR DISORDERS
821
F330

unspecified
Major depressive disorder, recurrent, mild
821
F331
Major depressive disorder, recurrent, moder
821
F332
Major depressv disorder, recurrent severe w
821
F3160
F3161
F3162
F3163
F3164
F3170
F3171
F3172
F3173
F3174
F3175
F3176
F3177
F321
F322
F323
F324
F325
F328
F329
Page 2053 of 6734

F333
Major depressv disorder, recurrent, severe

w
psych
symptoms
Major
depressive
disorder, recurrent, in
821
821
remission,
unsp disorder, recurrent, in
Major depressive
partial
remission disorder, recurrent, in full
Major depressive
remission
Other recurrent depressive disorders
821
821
823
BIPOLAR DISORDERS
821
F340
Major depressive disorder, recurrent,

unspecified
Cyclothymic disorder
822
F341
Dysthymic disorder
824
DEPRESSION EXCEPT MAJOR DEPRESSIVE
F348
823
BIPOLAR DISORDERS
F349
Other persistent mood [affective]

disorders
Persistent mood [affective] disorder,
823
BIPOLAR DISORDERS
F39
unspecified
Unspecified mood [affective] disorder
823
BIPOLAR DISORDERS
F4000
Agoraphobia, unspecified
825
ADJUSTMENT DISORDERS & NEUROSES EX
F4001
Agoraphobia with panic disorder
825
F4002
Agoraphobia without panic disorder
825
F4010
Social phobia, unspecified
825
F4011
Social phobia, generalized
825
F40210
Arachnophobia
825
F40218
Other animal type phobia
825
F40220
Fear of thunderstorms
825
F40228
Other natural environment type phobia
825
F40230
Fear of blood
825
F40231
Fear of injections and transfusions
825
F40232
Fear of other medical care
825
F40233
Fear of injury
825
F40240
Claustrophobia
825
F40241
Acrophobia
825
F40242
Fear of bridges
825
F40243
Fear of flying
825
F40248
Other situational type phobia
825
F3340
F3341
F3342
F338
F339
Page 2054 of 6734

F40290
Androphobia
825
F40291
Gynephobia
825
F40298
Other specified phobia
825
F408
Other phobic anxiety disorders
825
F409
Phobic anxiety disorder, unspecified
825
F410
Panic disorder without agoraphobia
826
F411
Generalized anxiety disorder
826
F413
Other mixed anxiety disorders
826
F418
Other specified anxiety disorders
826
F419
Anxiety disorder, unspecified
826
Obsessive-compulsive disorder
825
Acute stress reaction
826
F4310
Post-traumatic stress disorder, unspecified
825
F4311
Post-traumatic stress disorder, acute
825
F4312
Post-traumatic stress disorder, chronic
825
F4320
Adjustment disorder, unspecified
825
F4321
Adjustment disorder with depressed mood
824
DEPRESSION EXCEPT MAJOR DEPRESSIVE
F4322
Adjustment disorder with anxiety
825
F4323
Adjustment disorder with mixed anxiety

and
depressed
moodwith disturbance of co
Adjustment
disorder
825
825
Adjustment disorder w mixed disturb of

emotions
and
conduct
Adjustment
disorder
with other symptoms
825
825
F438
Other reactions to severe stress
825
F439
Reaction to severe stress, unspecified
825
F440
Dissociative amnesia
826
F441
Dissociative fugue
826
F442
Dissociative stupor
826
F444
Conversion disorder with motor symptom

or
deficit disorder with seizures or
Conversion
convulsions
826
826
F42
F430
F4324
F4325
F4329
F445
Page 2055 of 6734

F446
Conversion disorder with sensory

symptom
ordisorder
deficit with mixed symptom
Conversion
presentation
Dissociative identity disorder
826
826
822
831
F449
Other dissociative and conversion

disorders
Dissociative and conversion disorder,
826
F450
unspecified
Somatization disorder
825
F451
Undifferentiated somatoform disorder
825
F4520
Hypochondriacal disorder, unspecified
825
F4521
Hypochondriasis
825
F4522
Body dysmorphic disorder
825
F4529
Other hypochondriacal disorders
825
F4541
Pain disorder exclusively related to

psychological
factors
Pain disorder with
related psychological
825
825
F458
factors
Other somatoform disorders
825
F459
Somatoform disorder, unspecified
825
F481
Depersonalization-derealization syndrome
825
F482
Pseudobulbar affect
827
F488
Other specified nonpsychotic mental

disorders
Nonpsychotic mental disorder, unspecified
825
826
F5000
Anorexia nervosa, unspecified
830
EATING DISORDERS
F5001
Anorexia nervosa, restricting type
830
EATING DISORDERS
F5002
830
EATING DISORDERS
F502
Anorexia nervosa, binge eating/purging

type
Bulimia nervosa
830
EATING DISORDERS
F508
Other eating disorders
830
EATING DISORDERS
F509
Eating disorder, unspecified
830
EATING DISORDERS
F5101
Primary insomnia
831
F5102
Adjustment insomnia
831
F5103
Paradoxical insomnia
831
F5104
Psychophysiologic insomnia
831
F447
F4481
F4489
F4542
F489
Page 2056 of 6734

F5105
Insomnia due to other mental disorder
831
F5109
831
F5111
Oth insomnia not due to a substance or

known
cond
Primaryphysiol
hypersomnia
831
F5112
Insufficient sleep syndrome
831
F5113
Hypersomnia due to other mental disorder
831
F5119
831
F513
Oth hypersomnia not due to a substance

or
known physiol
cond
Sleepwalking
[somnambulism]
831
F514
Sleep terrors [night terrors]
831
F515
Nightmare disorder
831
F518
831
F519
Oth sleep disord not due to a sub or

known
physiol cond
Sleep disorder
not due to a sub or known
831
F520
physiol
cond,
unsp desire disorder
Hypoactive
sexual
831
F521
Sexual aversion disorder
831
F5221
Male erectile disorder
831
F5222
Female sexual arousal disorder
831
F5231
Female orgasmic disorder
831
F5232
Male orgasmic disorder
831
F524
Premature ejaculation
831
F525
Vaginismus not due to a substance or

known
physiol
condition
Dyspareunia
not
due to a substance or
752
831
known
physiol
condnot due to a sub or
Oth sexual
dysfnct
known
physiol
cond not due to a sub or
Unsp sexual
dysfnct
831
871
F53
known
physiol
cond
Puerperal
psychosis
827
F54
831
F550
Psych & behavrl factors assoc w disord or

dis
classd
elswhr
Abuse
of antacids
843
F551
Abuse of herbal or folk remedies
843
F552
Abuse of laxatives
843
F553
Abuse of steroids or hormones
843
F554
Abuse of vitamins
843
F526
F528
F529
Page 2057 of 6734

F558
843
831
F600
Abuse of other non-psychoactive

substances
Unsp behavrl synd assoc w physiol disturb
and
physcl
factors disorder
Paranoid
personality
822
F601
Schizoid personality disorder
822
F602
Antisocial personality disorder
822
F603
Borderline personality disorder
822
F604
Histrionic personality disorder
822
F605
Obsessive-compulsive personality disorder
822
F606
Avoidant personality disorder
822
F607
Dependent personality disorder
822
F6081
Narcissistic personality disorder
822
F6089
Other specific personality disorders
822
F609
Personality disorder, unspecified
822
F630
Pathological gambling
831
F631
Pyromania
829
F632
Kleptomania
831
F633
Trichotillomania
831
F6381
Intermittent explosive disorder
829
F6389
Other impulse disorders
829
F639
Impulse disorder, unspecified
829
F641
831
F642
Gender identity disorder in adolescence

and
adulthood
Gender
identity disorder of childhood
831
F648
Other gender identity disorders
831
F649
Gender identity disorder, unspecified
831
F650
Fetishism
831
F651
Transvestic fetishism
831
F652
Exhibitionism
831
F653
Voyeurism
831
F654
Pedophilia
831
F59
Page 2058 of 6734

F6550
Sadomasochism, unspecified
831
F6551
Sexual masochism
831
F6552
Sexual sadism
831
F6581
Frotteurism
831
F6589
Other paraphilias
831
F659
Paraphilia, unspecified
831
F66
Other sexual disorders
831
F6810
Factitious disorder, unspecified
822
F6811
Factitious disorder w predom psych signs

and
symptoms
Factitious
disorder w predom physical sign
826
822
Factitious disord w comb psych and physcl

signs
symptoms
Other and
specified
disorders of adult
826
826
822
F70
personality
behavior
Unspecified and
disorder
of adult personality
and
behavior
Mild intellectual disabilities
828
MENTAL RETARDATION
F71
Moderate intellectual disabilities
828
MENTAL RETARDATION
F72
Severe intellectual disabilities
828
MENTAL RETARDATION
F73
Profound intellectual disabilities
828
MENTAL RETARDATION
F78
Other intellectual disabilities
828
MENTAL RETARDATION
F79
Unspecified intellectual disabilities
828
MENTAL RETARDATION
F800
Phonological disorder
831
F801
Expressive language disorder
831
F802
Mixed receptive-expressive language

disorder
Speech and language development delay
831
871
F8081
due
to hearing
Childhood
onsetloss
fluency disorder
524
F8089
831
F809
Other developmental disorders of speech

and
language disorder of speech and
Developmental
831
F810
language,
unspecified
Specific reading
disorder
831
F812
Mathematics disorder
831
Disorder of written expression
831
F6812
F6813
F688
F69
F804
F8181
Page 2059 of 6734

F8189
Other developmental disorders of

scholastic
skills disorder of scholastic
Developmental
831
831
831
F840
skills,
unspecified
Specific
developmental disorder of motor
function
Autistic disorder
827
F842
Rett's syndrome
522
F843
Other childhood disintegrative disorder
827
F845
Asperger's syndrome
827
F848
Other pervasive developmental disorders
827
F849
Pervasive developmental disorder,

unspecified
Other disorders of psychological
827
831
development
Unspecified disorder of psychological
development
Attn-defct hyperactivity disorder, predom
831
829
inattentive
type
Attn-defct hyperactivity
disorder, predom
hyperactive
type
Attention-deficit hyperactivity disorder,
829
829
829
829
F910
combined
type hyperactivity disorder,
Attention-deficit
other
type
Attention-deficit
hyperactivity disorder,
unspecified
type
Conduct disorder confined to family
829
F911
context
Conduct disorder, childhood-onset type
829
F912
Conduct disorder, adolescent-onset type
829
F913
Oppositional defiant disorder
829
F918
Other conduct disorders
829
F919
Conduct disorder, unspecified
829
F930
Separation anxiety disorder of childhood
825
F938
Other childhood emotional disorders
829
F939
Childhood emotional disorder, unspecified
829
F940
Selective mutism
831
F941
Reactive attachment disorder of childhood
831
F942
Disinhibited attachment disorder of

childhood
Other childhood disorders of social
831
829
F819
F82
F88
F89
F900
F901
F902
F908
F909
F948
functioning
Page 2060 of 6734

F949
831
F950
Childhood disorder of social functioning,

unspecified
Transient tic disorder
525
F951
Chronic motor or vocal tic disorder
525
F952
Tourette's disorder
525
F958
Other tic disorders
525
F959
Tic disorder, unspecified
525
F980
Enuresis not due to a substance or known

physiol
condition
Encopresis
not due to a substance or
831
831
F9821
known
physiol
condition
Rumination
disorder
of infancy
825
F9829
831
F983
Other feeding disorders of infancy and

early
Pica ofchildhood
infancy and childhood
831
F984
Stereotyped movement disorders
831
F985
Adult onset fluency disorder
831
F988
Oth behav/emotn disord w onset usly occur
831
F989
Unsp behav/emotn disord w onst usly

occur
chldhd and
Mentalindisorder,
not adol
otherwise specified
829
826
G000
Hemophilus meningitis
510
G001
Pneumococcal meningitis
510
G002
Streptococcal meningitis
510
G003
Staphylococcal meningitis
510
G008
Other bacterial meningitis
510
G009
Bacterial meningitis, unspecified
510
510
510
G030
Meningitis in bacterial diseases classified

elsewhere
Meningitis in oth infec/parastc diseases
classd
elswhr meningitis
Nonpyogenic
510
G031
Chronic meningitis
510
G032
Benign recurrent meningitis [Mollaret]
510
G038
Meningitis due to other specified causes
524
G039
Meningitis, unspecified
510
F981
F99
G01
G02
Page 2061 of 6734

G0400
Acute disseminated encephalitis and

encephalomyelitis,
unspencephalitis and e
Postinfect acute dissem
510
510
Postimmun ac dissem encphlts, myelitis

and
encephalomyelitis
Tropical
spastic paraplegia
525
520
Bacterial meningoencephalitis and

meningomyelitis,
Acute necrotizing NEC
hemorrhagic encephalopa
510
510
Postinfectious acute necrotizing

hemorrhagic
encephalopathy
Postimmun acute
necrotizing hemorrhagic
510
525
510
G0481
encephalopathy
Other acute necrotizing hemorrhagic
encephalopathy
Other encephalitis and encephalomyelitis
510
G0489
Other myelitis
510
G0490
Encephalitis and encephalomyelitis,

unspecified
Myelitis, unspecified
510
510
510
G054
Encephalitis and encephalomyelitis in

diseases
elswhr
Myelitis inclassd
diseases
classified elsewhere
510
G060
Intracranial abscess and granuloma
510
G061
Intraspinal abscess and granuloma
510
G062
Extradural and subdural abscess,

unspecified
Intcrn & intraspinal abscs & granuloma in
dis
classd elswhr
Intracranial
and intraspinal phlebitis and
510
510
525
thrombophlebitis
Sequelae of inflammatory diseases of
central
nervous
system
Huntington's
disease
525
522
G110
Congenital nonprogressive ataxia
522
G111
Early-onset cerebellar ataxia
522
G112
Late-onset cerebellar ataxia
522
G113
522
G114
Cerebellar ataxia with defective DNA

repair
Hereditary spastic paraplegia
522
G118
Other hereditary ataxias
522
G119
Hereditary ataxia, unspecified
522
G0401
G0402
G041
G042
G0430
G0431
G0432
G0439
G0491
G053
G07
G08
G09
G10
Page 2062 of 6734

G120
Infantile spinal muscular atrophy, type I

[Werdnig-Hoffman]
Other inherited spinal muscular atrophy
522
522
G1220
Motor neuron disease, unspecified
522
G1221
Amyotrophic lateral sclerosis
522
G1222
Progressive bulbar palsy
522
G1229
Other motor neuron disease
522
Other spinal muscular atrophies and

related
syndromes
Spinal muscular
atrophy, unspecified
522
522
Paraneoplastic neuromyopathy and

neuropathy
Oth systemic atrophy aff cnsl in neoplastic
527
527
disease
Systemic atrophy primarily affecting the
cnsl
in myxedema
Systemic
atrophy aff cnsl in oth diseases
522
522
G14
classd
elswhr
Postpolio
syndrome
525
G20
Parkinson's disease
522
Malignant neuroleptic syndrome
524
G2111
Neuroleptic induced parkinsonism
522
G2119
522
522
G213
Other drug induced secondary

parkinsonism
Secondary parkinsonism due to other
external
agents parkinsonism
Postencephalitic
522
G214
Vascular parkinsonism
522
G218
Other secondary parkinsonism
522
G219
Secondary parkinsonism, unspecified
522
G230
Hallervorden-Spatz disease
522
G231
Progressive supranuclear ophthalmoplegia
522
G232
Striatonigral degeneration
522
G238
Other specified degenerative diseases of

basal
ganglia disease of basal ganglia,
Degenerative
522
522
G2401
unspecified
Drug induced subacute dyskinesia
525
G2402
Drug induced acute dystonia
525
G121
G128
G129
G130
G131
G132
G138
G210
G212
G239
Page 2063 of 6734

G2409
Other drug induced dystonia
525
G241
Genetic torsion dystonia
522
G242
Idiopathic nonfamilial dystonia
525
G243
Spasmodic torticollis
525
G244
Idiopathic orofacial dystonia
525
G245
Blepharospasm
553
G248
Other dystonia
525
G249
Dystonia, unspecified
524
G250
Essential tremor
524
G251
Drug-induced tremor
524
G252
Other specified forms of tremor
524
G253
Myoclonus
524
G254
Drug-induced chorea
522
G255
Other chorea
522
G2561
Drug induced tics
525
G2569
Other tics of organic origin
525
G2570
522
G2571
Drug induced movement disorder,

unspecified
Drug induced akathisia
522
G2579
Other drug induced movement disorders
522
G2581
Restless legs syndrome
524
G2582
Stiff-man syndrome
525
G2583
Benign shuddering attacks
525
G2589
Other specified extrapyramidal and

movement
disorders
Extrapyramidal
and movement disorder, uns
522
522
522
G300
Extrapyramidal and movement disord in

diseases
classd
elswhr
Alzheimer's
disease
with early onset
522
G301
Alzheimer's disease with late onset
522
G308
Other Alzheimer's disease
522
G309
Alzheimer's disease, unspecified
522
G259
G26
Page 2064 of 6734

G3101
Pick's disease
522
G3109
Other frontotemporal dementia
522
522
522
G3181
Senile degeneration of brain, not

elsewhere
classified
Degeneration
of nervous system due to
alcohol
Alpers disease
522
G3182
Leigh's disease
522
G3183
Dementia with Lewy bodies
522
G3184
Mild cognitive impairment, so stated
829
G3185
Corticobasal degeneration
522
G3189
Other specified degenerative diseases of

nervous
system
Degenerative
disease of nervous system,
522
522
unspecified
Subac comb degeneration of spinal cord in
dis
classd elswhr
Cerebellar
ataxia in diseases classified
elsewhere
Oth degeneratv disord of nervous sys in
520
522
525
dis
classd
elswhr
Multiple
sclerosis
523
MULTIPLE SCLEROSIS & OTHER DEMYELINA
G360
Neuromyelitis optica [Devic]
523
G361
Acute and subacute hemorrhagic

leukoencephalitis
[Hurst]
Other specified acute
disseminated
523
523
523
G370
demyelination
Acute disseminated demyelination,
unspecified
Diffuse sclerosis of central nervous system
523
G371
Central demyelination of corpus callosum
523
G372
Central pontine myelinolysis
523
G373
Acute transverse myelitis in demyelinating

disease
ofnecrotizing
cnsl
Subacute
myelitis of central
525
510
nervous
system
Concentric
sclerosis [Balo] of central
nervous
system
Oth demyelinating
diseases of central nerv
523
523
523
529
SEIZURE
529
SEIZURE
G311
G312
G319
G320
G3281
G3289
G35
G368
G369
G374
G375
G378
G379
Demyelinating disease of central nervous

G40001 system,
Local-relunspecified
idio epi w seiz of loc onst, not
ntrct,
w
stat
G40009 Local-rel idioepi
epi w seiz of loc onst,not
ntrct,w/o stat epi
Page 2065 of 6734

G40011 Local-rel idio epi w seiz of loc onset, ntrct,
stat epiidio epi w seiz of loc onset, ntrct,
G40019 w
Local-rel
stat epi
G40101 w/o
Local-rel
symptc epi w simp part seiz, not
529
SEIZURE
529
SEIZURE
529
SEIZURE
w stat
epi epi w simp prt seiz,not
G40109 ntrct,
Local-rel
symptc
w/osymptc
stat epiepi w simple part seiz,
G40111 ntrct,
Local-rel
w stat
epi epi w simple part seiz,
G40119 ntrct,
Local-rel
symptc
529
SEIZURE
529
SEIZURE
529
SEIZURE
w/osymptc
stat epiepi w cmplx prt seiz, not
G40201 ntrct,
Local-rel
w stat
epi epi w cmplx prt seiz,not
G40209 ntrct,
Local-rel
symptc
stat epiepi w cmplx partial seiz,
G40211 ntrct,w/o
Local-rel symptc
w stat
epi epi w cmplx part seiz,
G40219 ntrct,
Local-rel
symptc
529
SEIZURE
529
SEIZURE
529
SEIZURE
529
SEIZURE
w/o stat epi

G40301 ntrct,
Gen idiopathic
epilepsy, not intractable, w
G40309 stat
Gen epi
idiopathic epilepsy, not intractable,
w/o
stat
epi idiopathic epilepsy,
G40311 Generalized
529
SEIZURE
529
SEIZURE
529
SEIZURE
stat epi epilepsy,

G40319 intractable,
Generalized w
idiopathic
w/o stat
epi not intractable,
G40401 intractable,
Oth generalized
epilepsy,
stat
epi
G40409 w
Oth
generalized
epilepsy, not intractable,
529
SEIZURE
529
SEIZURE
529
SEIZURE
epi
G40411 w/o
Oth stat
generalized
epilepsy, intractable, w
status
epilepticus
G40419 Oth generalized epilepsy, intractable, w/o
epi seiz rel to extrn causes, not ntrct,
G40501 stat
Epileptic
529
SEIZURE
529
SEIZURE
529
SEIZURE
stat episeiz rel to extrn causes, not ntrct,

G40509 w
Epileptic
stat
epi
G40801 w/o
Other
epilepsy,
not intractable, with status
epilepticus
G40802 Other epilepsy, not intractable, without
529
SEIZURE
529
SEIZURE
529
SEIZURE
epilepticus
G40803 status
Other epilepsy,
intractable, with status
epilepticus
G40804 Other epilepsy, intractable, without status
G40811 epilepticus
Lennox-Gastaut syndrome, not intractable,
529
SEIZURE
529
SEIZURE
529
SEIZURE
stat epi
G40812 w
Lennox-Gastaut
syndrome, not intractable,
w/o
stat
epi
G40813 Lennox-Gastaut syndrome, intractable, w sta
529
SEIZURE
529
SEIZURE
G40814 Lennox-Gastaut syndrome, intractable,

status
epilepticus
G40821 w/o
Epileptic
spasms,
not intractable, with
529
SEIZURE
529
SEIZURE
status epilepticus
Page 2066 of 6734

G40822 Epileptic spasms, not intractable, w/o
epilepticus
G40823 status
Epileptic
spasms, intractable, with status
529
SEIZURE
529
SEIZURE
G40824 epilepticus
Epileptic spasms, intractable, without
epilepticus
G4089 status
Other seizures
529
SEIZURE
529
SEIZURE
G40901 Epilepsy, unsp, not intractable, with status

G40909 epilepticus
Epilepsy, unsp, not intractable, without
epilepticus
G40911 status
Epilepsy,
unspecified, intractable, with
529
SEIZURE
529
SEIZURE
529
SEIZURE
epilepticus
G40919 status
Epilepsy,
unsp, intractable, without status
epilepticus
G40A01 Absence epileptic syndrome, not
529
SEIZURE
529
SEIZURE
w stat syndrome,
epi
G40A09 intractable,
Absence epileptic
not
intractable,
w/o
stat
epi
G40A11 Absence epileptic syndrome, intractable,
stat epiepileptic syndrome, intractable,
G40A19 w
Absence
529
SEIZURE
529
SEIZURE
529
SEIZURE
stat myoclonic
epi
G40B01 w/o
Juvenile
epilepsy, not
intractable,
w
stat
epi
G40B09 Juvenile myoclonic epilepsy, not
w/o statepilepsy,
epi
G40B11 intractable,
Juvenile myoclonic
intractable, w
stat
epi
G40B19 Juvenile myoclonic epilepsy, intractable,
529
SEIZURE
529
SEIZURE
529
SEIZURE
529
SEIZURE
stat epi
G43001 w/o
Migraine
w/o aura, not intractable, with
status
migrainosus
G43009 Migraine w/o aura, not intractable, w/o
migrainosus
G43011 status
Migraine
without aura, intractable, with
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
migrainosus
G43019 status
Migraine
w/o aura, intractable, without
status
migrainosus
G43101 Migraine with aura, not intractable, with
migrainosus
G43109 status
Migraine
with aura, not intractable, w/o
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
migrainosus
G43111 status
Migraine
with aura, intractable, with status
migrainosus
G43119 Migraine with aura, intractable, without
migrainosus
G43401 status
Hemiplegic
migraine, not intractable, w
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
migrainosus
G43409 status
Hemiplegic
migraine, not intractable, w/o
status
migrainosus
G43411 Hemiplegic migraine, intractable, with
migrainosus
G43419 status
Hemiplegic
migraine, intractable, without
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
migrainosus
G43501 status
Perst migraine
aura w/o cereb infrc, not
ntrct, w stat migr
531
MIGRAINE
Page 2067 of 6734

G43509 Perst migrn aura w/o cereb infrc, not ntrct,
migr aura w/o cerebral infrc,
G43511 w/o
Perststat
migraine
w stat migr
G43519 ntrct,
Perst migraine
aura w/o cerebral infrc,
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
w/o stat migr

G43601 ntrct,
Perst migraine
aura w cerebral infrc, not
ntrct,
w
stat
migr
G43609 Perst migraine aura w cereb infrc, not
w/o stat migr
G43611 ntrct,
Perst migraine
aura w cerebral infrc, ntrct,
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
statmigraine
migr
G43619 w
Perst
aura w cerebral infrc, ntrct,
stat migraine
migr
G43701 w/o
Chronic
w/o aura, not intractable,
w
stat
migr
G43709 Chronic migraine w/o aura, not intractable,
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
stat migraine
migr
G43711 w/o
Chronic
w/o aura, intractable, w
status
migrainosus
G43719 Chronic migraine w/o aura, intractable,
stat
migr
G43801 w/o
Other
migraine,
not intractable, with
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
migrainosus
G43809 status
Other migraine,
not intractable, without
status
migrainosus
G43811 Other migraine, intractable, with status
G43819 migrainosus
Other migraine, intractable, without status
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
G43821 migrainosus
Menstrual migraine, not intractable, with
migrainosus
G43829 status
Menstrual
migraine, not intractable, w/o
status
migrainosus
G43831 Menstrual migraine, intractable, with
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
migrainosus
G43839 status
Menstrual
migraine, intractable, without
status
migrainosus
G43901 Migraine, unsp, not intractable, with status
531
MIGRAINE
531
MIGRAINE
G43909 migrainosus
Migraine, unsp, not intractable, without
migrainosus
G43911 status
Migraine,
unspecified, intractable, with
migrainosus
G43919 status
Migraine,
unsp, intractable, without status
531
MIGRAINE
531
MIGRAINE
531
MIGRAINE
G43A0
migrainosus
Cyclical vomiting, not intractable
531
MIGRAINE
G43A1
Cyclical vomiting, intractable
531
MIGRAINE
G43B0
Ophthalmoplegic migraine, not intractable
531
MIGRAINE
G43B1
Ophthalmoplegic migraine, intractable
531
MIGRAINE
G43C0
Periodic headache syndromes in chld/adlt,

not
intractable
Periodic
headache syndromes in child or
adult, intractable
531
MIGRAINE
531
MIGRAINE
G43C1
Page 2068 of 6734

G43D0
Abdominal migraine, not intractable
531
MIGRAINE
G43D1
Abdominal migraine, intractable
531
MIGRAINE
G44001 Cluster headache syndrome, unspecified,

G44009 intractable
Cluster headache syndrome, unspecified,
intractable
G44011 not
Episodic
cluster headache, intractable
530
530
530
G44019 Episodic cluster headache, not intractable
530
G44021 Chronic cluster headache, intractable
530
G44029 Chronic cluster headache, not intractable
530
G44031 Episodic paroxysmal hemicrania,

G44039 intractable
Episodic paroxysmal hemicrania, not
G44041 intractable
Chronic paroxysmal hemicrania,
530
530
530
G44049 intractable
Chronic paroxysmal hemicrania, not
G44051 intractable
Shrt lst unil nerlgif hdache w cnjnct
530
530
G44059 inject/tear,
Shrt lst unilntrct
nerlgif hdache w cnjnct
not ntrct
G44091 inject/tear,
Other trigeminal
autonomic cephalgias
(TAC),
intractable
G44099 Other trigeminal autonomic cephalgias
530
530
530
(TAC),
notheadache,
intractable
G441
Vascular
not elsewhere
classified
G44201 Tension-type headache, unspecified,
G44209 intractable
Tension-type headache, unspecified, not
G44211 intractable
Episodic tension-type headache,
530
530
530
530
G44219 intractable
Episodic tension-type headache, not
G44221 intractable
Chronic tension-type headache,
G44229 intractable
Chronic tension-type headache, not
530
530
530
G44301 intractable
Post-traumatic headache, unspecified,
G44309 intractable
Post-traumatic headache, unspecified, not
G44311 intractable
Acute post-traumatic headache,
530
530
530
G44319 intractable
Acute post-traumatic headache, not
G44321 intractable
Chronic post-traumatic headache,
G44329 intractable
Chronic post-traumatic headache, not
530
530
530
intractable
Page 2069 of 6734

G4440
530
530
G4451
Drug-induced headache, NEC, not

intractable
Drug-induced headache, not elsewhere
classified,
Hemicraniaintractable
continua
530
G4452
New daily persistent headache (NDPH)
530
G4453
Primary thunderclap headache
530
G4459
Other complicated headache syndrome
530
G4481
Hypnic headache
530
G4482
Headache associated with sexual activity
530
G4483
Primary cough headache
530
G4484
Primary exertional headache
530
G4485
Primary stabbing headache
530
G4489
Other headache syndrome
530
G450
Vertebro-basilar artery syndrome
526
TRANSIENT ISCHEMIA
G451
Carotid artery syndrome (hemispheric)
526
TRANSIENT ISCHEMIA
G452
526
TRANSIENT ISCHEMIA
G453
Multiple and bilateral precerebral artery

syndromes
Amaurosis fugax
554
G454
Transient global amnesia
528
G458
526
TRANSIENT ISCHEMIA
G459
Oth transient cerebral ischemic attacks

and
related
synd ischemic attack,
Transient
cerebral
526
TRANSIENT ISCHEMIA
G460
unspecified
Middle cerebral artery syndrome
526
TRANSIENT ISCHEMIA
G461
Anterior cerebral artery syndrome
526
TRANSIENT ISCHEMIA
G462
Posterior cerebral artery syndrome
526
TRANSIENT ISCHEMIA
G463
Brain stem stroke syndrome
524
G464
Cerebellar stroke syndrome
524
G465
Pure motor lacunar syndrome
524
G466
Pure sensory lacunar syndrome
524
G467
Other lacunar syndromes
524
G468
Oth vascular syndromes of brain in

cerebrovascular
diseases
Insomnia, unspecified
524
831
G4441
G4700
Page 2070 of 6734

G4701
Insomnia due to medical condition
525
G4709
Other insomnia
831
G4710
Hypersomnia, unspecified
831
G4711
831
831
G4713
Idiopathic hypersomnia with long sleep

time
Idiopathic hypersomnia without long sleep
time
Recurrent hypersomnia
831
G4714
Hypersomnia due to medical condition
525
G4719
Other hypersomnia
831
G4720
Circadian rhythm sleep disorder,

unspecified
type sleep disorder, delayed
Circadian rhythm
sleep
phase
type sleep disorder, advanced
Circadian
rhythm
sleep
phase
type sleep disorder, irregular
Circadian
rhythm
831
831
831
831
831
831
831
G4727
sleep
wake
type sleep disorder, free
Circadian
rhythm
running
Circadiantype
rhythm sleep disorder, jet lag
type
Circadian rhythm sleep disorder, shift work
type
Circadian rhythm sleep disorder in
831
G4729
conditions
classd
elswhrsleep disorder
Other circadian
rhythm
831
G4730
Sleep apnea, unspecified
564
G4731
Primary central sleep apnea
525
G4732
High altitude periodic breathing
576
G4733
Obstructive sleep apnea (adult) (pediatric)
564
G4734
Idio sleep related nonobstructive alveolar

hypoventilation
Congenital central alveolar
577
525
576
G4737
hypoventilation
syndrome
Sleep related hypoventilation
in conditions
classd
elswhr
Central sleep apnea in conditions
525
G4739
classified
elsewhere
Other sleep
apnea
564
G47411 Narcolepsy with cataplexy
525
G47419 Narcolepsy without cataplexy
525
G47421 Narcolepsy in conditions classified

elsewhere with cataplexy
525
G4712
G4721
G4722
G4723
G4724
G4725
G4726
G4735
G4736
Page 2071 of 6734

G47429 Narcolepsy in conditions classified
w/o
cataplexy
G4750 elsewhere
Parasomnia,
unspecified
525
831
G4751
Confusional arousals
831
G4752
REM sleep behavior disorder
831
G4753
Recurrent isolated sleep paralysis
525
G4754
831
G4759
Parasomnia in conditions classified

elsewhere
Other parasomnia
831
G4761
Periodic limb movement disorder
525
G4762
Sleep related leg cramps
660
G4763
Sleep related bruxism
563
G4769
Other sleep related movement disorders
831
G478
Other sleep disorders
831
G479
Sleep disorder, unspecified
831
G500
Trigeminal neuralgia
527
G501
Atypical facial pain
527
G508
Other disorders of trigeminal nerve
527
G509
Disorder of trigeminal nerve, unspecified
527
G510
Bell's palsy
527
G511
Geniculate ganglionitis
527
G512
Melkersson's syndrome
527
G513
Clonic hemifacial spasm
527
G514
Facial myokymia
527
G518
Other disorders of facial nerve
527
G519
Disorder of facial nerve, unspecified
527
G520
Disorders of olfactory nerve
527
G521
Disorders of glossopharyngeal nerve
527
G522
Disorders of vagus nerve
527
G523
Disorders of hypoglossal nerve
527
G527
Disorders of multiple cranial nerves
527
Page 2072 of 6734

G528
Disorders of other specified cranial nerves
527
G529
Cranial nerve disorder, unspecified
527
G53
527
G540
Cranial nerve disorders in diseases

classified
elsewhere
Brachial plexus
disorders
527
G541
Lumbosacral plexus disorders
527
G542
Cervical root disorders, not elsewhere

classified
Thoracic root disorders, not elsewhere
520
520
520
G545
classified
Lumbosacral root disorders, not elsewhere
classified
Neuralgic amyotrophy
527
G546
Phantom limb syndrome with pain
527
G547
Phantom limb syndrome without pain
527
G548
Other nerve root and plexus disorders
527
G549
Nerve root and plexus disorder, unspecified
527
527
G5600
Nerve root and plexus compressions in

diseases
classd
elswhr unspecified
Carpal tunnel
syndrome,
527
G5601
upper
Carpallimb
tunnel syndrome, right upper limb
527
G5602
Carpal tunnel syndrome, left upper limb
527
G5610
527
527
527
G5620
Other lesions of median nerve, unspecified

upper
limb
Other lesions
of median nerve, right upper
limb
Other lesions of median nerve, left upper
limb
Lesion of ulnar nerve, unspecified upper
527
G5621
limb
Lesion of ulnar nerve, right upper limb
527
G5622
Lesion of ulnar nerve, left upper limb
527
G5630
527
G5631
Lesion of radial nerve, unspecified upper

limb
Lesion of radial nerve, right upper limb
527
G5632
Lesion of radial nerve, left upper limb
527
G5640
Causalgia of unspecified upper limb
527
G5641
Causalgia of right upper limb
527
G5642
Causalgia of left upper limb
527
G543
G544
G55
G5611
G5612
Page 2073 of 6734

G5680
Other specified mononeuropathies of

unspecified
upper
limb
Other specified
mononeuropathies
of right
upper
limb
Other specified mononeuropathies of left
527
527
527
upper
limb mononeuropathy of
Unspecified
unspecified
limb
Unspecified upper
mononeuropathy
of right
upper
limb
Unspecified mononeuropathy of left upper
527
527
527
527
G5701
limb
Lesion of sciatic nerve, unspecified lower
limb
Lesion of sciatic nerve, right lower limb
527
G5702
Lesion of sciatic nerve, left lower limb
527
G5710
527
G5711
Meralgia paresthetica, unspecified lower

limb
Meralgia paresthetica, right lower limb
527
G5712
Meralgia paresthetica, left lower limb
527
G5720
527
G5721
Lesion of femoral nerve, unspecified lower

limb
Lesion of femoral nerve, right lower limb
527
G5722
Lesion of femoral nerve, left lower limb
527
G5730
Lesion of lateral popliteal nerve,

unspecified
lowerpopliteal
limb
Lesion of lateral
nerve, right
lower
limb
Lesion of lateral popliteal nerve, left lower
527
527
527
limb
Lesion of medial popliteal nerve,
unspecified
lowerpopliteal
limb
Lesion of medial
nerve, right
lower
limb
Lesion of medial popliteal nerve, left lower
527
527
527
527
G5751
limb
Tarsal tunnel syndrome, unspecified lower
limb
Tarsal tunnel syndrome, right lower limb
527
G5752
Tarsal tunnel syndrome, left lower limb
527
G5760
527
G5761
Lesion of plantar nerve, unspecified lower

limb
Lesion of plantar nerve, right lower limb
527
G5762
Lesion of plantar nerve, left lower limb
527
G5770
Causalgia of unspecified lower limb
527
G5771
Causalgia of right lower limb
527
G5681
G5682
G5690
G5691
G5692
G5700
G5731
G5732
G5740
G5741
G5742
G5750
Page 2074 of 6734

G5772
Causalgia of left lower limb
527
G5780
Other specified mononeuropathies of

unspecified
lower
limb
Other specified
mononeuropathies
of right
lower
Other limb
specified mononeuropathies of left
527
527
527
lower
limb mononeuropathy of
Unspecified
unspecified
limb
Unspecified lower
mononeuropathy
of right
lower
limb
Unspecified mononeuropathy of left lower
527
527
527
G580
limb
Intercostal neuropathy
527
G587
Mononeuritis multiplex
527
G588
Other specified mononeuropathies
527
G589
Mononeuropathy, unspecified
527
527
G600
Mononeuropathy in diseases classified

elsewhere
Hereditary motor and sensory neuropathy
527
G601
Refsum's disease
527
G602
Neuropathy in association with hereditary

ataxia
Idiopathic progressive neuropathy
527
527
527
G609
Other hereditary and idiopathic

neuropathies
Hereditary and idiopathic neuropathy,
527
G610
unspecified
Guillain-Barre syndrome
510
G611
Serum neuropathy
527
Chronic inflammatory demyelinating

polyneuritis
Other inflammatory polyneuropathies
523
527
G619
Inflammatory polyneuropathy, unspecified
527
G620
Drug-induced polyneuropathy
527
G621
Alcoholic polyneuropathy
527
G622
Polyneuropathy due to other toxic agents
527
G6281
Critical illness polyneuropathy
527
G6282
Radiation-induced polyneuropathy
527
G6289
Other specified polyneuropathies
527
G5781
G5782
G5790
G5791
G5792
G59
G603
G608
G6181
G6189
Page 2075 of 6734

G629
Polyneuropathy, unspecified
527
Polyneuropathy in diseases classified

elsewhere
Other disorders of peripheral nervous
system
Sequelae of Guillain-Barre syndrome
527
527
527
Sequelae of other inflammatory

polyneuropathy
Sequelae of toxic polyneuropathy
527
527
522
522
G701
Myasthenia gravis without (acute)

exacerbation
Myasthenia gravis with (acute)
exacerbation
Toxic myoneural disorders
527
G702
Congenital and developmental myasthenia
527
G7080
Lambert-Eaton syndrome, unspecified
522
G7081
Lambert-Eaton syndrome in disease

classified
elsewhere
Other specified
myoneural disorders
522
527
G709
Myoneural disorder, unspecified
527
G710
Muscular dystrophy
522
G7111
Myotonic muscular dystrophy
525
G7112
Myotonia congenita
525
G7113
Myotonic chondrodystrophy
525
G7114
Drug induced myotonia
525
G7119
Other specified myotonic disorders
525
G712
Congenital myopathies
524
G713
525
G718
Mitochondrial myopathy, not elsewhere

classified
Other primary disorders of muscles
525
G719
Primary disorder of muscle, unspecified
525
G720
Drug-induced myopathy
524
G721
Alcoholic myopathy
524
G722
Myopathy due to other toxic agents
524
G723
Periodic paralysis
524
Inclusion body myositis [IBM]
661
G63
G64
G650
G651
G652
G7000
G7001
G7089
G7241
Page 2076 of 6734

G7249
661
G7281
Oth inflammatory and immune

myopathies,
Critical illnessNEC
myopathy
524
G7289
Other specified myopathies
525
G729
Myopathy, unspecified
525
G731
Lambert-Eaton syndrome in neoplastic dise
522
G733
522
G737
Myasthenic syndromes in other diseases

classified
Myopathyelsewhere
in diseases classified elsewhere
524
G800
Spastic quadriplegic cerebral palsy
536
CEREBRAL PALSY
G801
Spastic diplegic cerebral palsy
536
CEREBRAL PALSY
G802
Spastic hemiplegic cerebral palsy
536
CEREBRAL PALSY
G803
Athetoid cerebral palsy
536
CEREBRAL PALSY
G804
Ataxic cerebral palsy
536
CEREBRAL PALSY
G808
Other cerebral palsy
536
CEREBRAL PALSY
G809
Cerebral palsy, unspecified
536
CEREBRAL PALSY
Flaccid hemiplegia affecting unspecified

side
Flaccid hemiplegia affecting right
dominant
side
Flaccid hemiplegia
affecting left dominant
side
Flaccid hemiplegia affecting right
533
AFTEREFFECTS OF CEREBROVASCULAR AC
533
533
533
nondominant
side affecting left
Flaccid hemiplegia
nondominant
side affecting unspecified
Spastic hemiplegia
533
533
side
Spastic hemiplegia affecting right
dominant
side
Spastic hemiplegia
affecting left dominant
side
Spastic hemiplegia affecting right
533
533
533
nondominant
side affecting left
Spastic hemiplegia
nondominant
side
Hemiplegia, unspecified
affecting
533
533
unspecified
Hemiplegia, side
unspecified affecting right
dominant
side
Hemiplegia, unspecified affecting left
dominant
side
Hemiplegia,
533
533
533
nondominant
side
Hemiplegia, unspecified
affecting left
nondominant side
533
G8100
G8101
G8102
G8103
G8104
G8110
G8111
G8112
G8113
G8114
G8190
G8191
G8192
G8193
G8194
Page 2077 of 6734

G8220
Paraplegia, unspecified
520
G8221
Paraplegia, complete
520
G8222
Paraplegia, incomplete
520
G8250
Quadriplegia, unspecified
520
G8251
Quadriplegia, C1-C4 complete
520
G8252
Quadriplegia, C1-C4 incomplete
520
G8253
Quadriplegia, C5-C7 complete
520
G8254
Quadriplegia, C5-C7 incomplete
520
Diplegia of upper limbs
520
Monoplegia of lower limb affecting

unspecified
Monoplegia side
of lower limb affecting right
dominant
side
Monoplegia
of lower limb affecting left
dominant
side
Monoplegia of lower limb affecting right
525
525
525
525
nondominant
Monoplegia ofside
lower limb affecting left
nondominant
Monoplegia ofside
upper limb affecting
525
525
unspecified
Monoplegia side
of upper limb affecting right
dominant
side
Monoplegia of upper limb affecting left
dominant
side
Monoplegia
of upper limb affecting right
nondominant
Monoplegia ofside
upper limb affecting left
525
525
525
525
nondominant
side
Monoplegia, unspecified
affecting
unspecified
side
Monoplegia, unspecified affecting right
dominant
side
Monoplegia,
unspecified affecting left
525
525
525
525
525
G834
dominant
side
Monoplegia,
nondominant
side
Monoplegia, unspecified
affecting left
nondominant
side
Cauda equina syndrome
527
G835
Locked-in state
524
G8381
Brown-Sequard syndrome
524
G8382
Anterior cord syndrome
524
G8383
Posterior cord syndrome
524
G830
G8310
G8311
G8312
G8313
G8314
G8320
G8321
G8322
G8323
G8324
G8330
G8331
G8332
G8333
G8334
Page 2078 of 6734

G8384
Todd's paralysis (postepileptic)
524
G8389
Other specified paralytic syndromes
524
G839
Paralytic syndrome, unspecified
525
G890
Central pain syndrome
663
PAIN
G8911
Acute pain due to trauma
663
PAIN
G8912
Acute post-thoracotomy pain
663
PAIN
G8918
Other acute postprocedural pain
663
PAIN
G8921
Chronic pain due to trauma
663
PAIN
G8922
Chronic post-thoracotomy pain
663
PAIN
G8928
Other chronic postprocedural pain
663
PAIN
G8929
Other chronic pain
663
PAIN
G893
Neoplasm related pain (acute) (chronic)
663
PAIN
G894
Chronic pain syndrome
663
PAIN
G9001
Carotid sinus syncope
527
G9009
527
G901
Other idiopathic peripheral autonomic

neuropathy
Familial dysautonomia [Riley-Day]
524
G902
Horner's syndrome
527
G903
Multi-system degeneration of the

autonomic
system
Autonomic nervous
dysreflexia
522
527
Complex regional pain syndrome I,

G90511 unspecified
Complex regional pain syndrome I of right
limb
G90512 upper
Complex
regional pain syndrome I of left
limb
G90513 upper
Complex
regional pain syndrome I of
527
527
527
527
limb,
bilateral
G90519 upper
Complex
regional
pain syndrome I of
unspecified
upper
limb syndrome I of right
G90521 Complex regional pain
limb
G90522 lower
Complex
regional pain syndrome I of left
lower
limb
G90523 Complex regional pain syndrome I of lower
527
527
527
527
bilateral
G90529 limb,
Complex
regional pain syndrome I of
unspecified
lower pain
limb syndrome I of other
G9059 Complex regional
specified site
527
527
G904
G9050
Page 2079 of 6734

G908
527
G909
Other disorders of autonomic nervous

system
Disorder of the autonomic nervous
527
G910
system,
unspecified
Communicating
hydrocephalus
522
G911
Obstructive hydrocephalus
522
G912
(Idiopathic) normal pressure

hydrocephalus
Post-traumatic hydrocephalus, unspecified
525
522
522
G918
Hydrocephalus in diseases classified

elsewhere
Other hydrocephalus
522
G919
Hydrocephalus, unspecified
522
Toxic encephalopathy
528
G930
Cerebral cysts
525
G931
528
G932
Anoxic brain damage, not elsewhere

classified
Benign intracranial hypertension
525
G933
Postviral fatigue syndrome
871
G9340
Encephalopathy, unspecified
528
G9341
Metabolic encephalopathy
528
G9349
Other encephalopathy
528
G935
Compression of brain
528
G936
Cerebral edema
528
G937
Reye's syndrome
524
G9381
Temporal sclerosis
525
G9382
Brain death
510
G9389
Other specified disorders of brain
525
Disorder of brain, unspecified
525
Other disorders of brain in diseases

classified
elsewhere
Syringomyelia
and syringobulbia
522
522
520
G9519
Acute infarction of spinal cord (embolic)

(nonembolic)
Other vascular myelopathies
520
G9520
Unspecified cord compression
520
G913
G914
G92
G939
G94
G950
G9511
Page 2080 of 6734

G9529
Other cord compression
520
G9581
Conus medullaris syndrome
520
G9589
Other specified diseases of spinal cord
520
G959
Disease of spinal cord, unspecified
520
G960
Cerebrospinal fluid leak
524
G9611
Dural tear
520
G9612
Meningeal adhesions (cerebral) (spinal)
520
G9619
Other disorders of meninges, not

elsewhere
classified
Other specified
disorders of central
520
525
nervous
Disorder system
of central nervous system,
unspecified
Cerebrospinal fluid leak from spinal
525
524
puncture
Other reaction to spinal and lumbar
puncture
Intracranial hypotension following ventricul
530
524
Intraop hemor/hemtom of a nervous sys

org
comp
nrv sys proc of a nervous sys
Intraop
hemor/hemtom
org
comp oth
procedure
Accidental
puncture
or laceration of dura
852
852
520
during
a procedure
Acc pnctr
& lac of nervous sys org during a
nervous
sys
proc
Acc pnctr & lac
of nervous sys org during
oth
procedure
Postproc
hemor/hemtom of a nrv sys org fol
852
852
852
Postproc hemor/hemtom of a nervous sys

org
folintraoperative
oth procedure complications of
Other
852
524
524
G980
nervous
system
Oth postproc
complications and disorders
of
nervous sys
Neurogenic
arthritis, not elsewhere
525
G988
classified
Other disorders of nervous system
525
G990
Autonomic neuropathy in diseases

classified
elsewhere
Myelopathy
in diseases classified
527
G968
G969
G970
G971
G972
G9731
G9732
G9741
G9748
G9749
G9751
G9752
G9781
G9782
G992
520
elsewhere
G998
Oth disrd of nervous system in diseases
elsewhere
H00011 classified
Hordeolum
externum right upper eyelid
525
553
H00012 Hordeolum externum right lower eyelid
553
Page 2081 of 6734

H00013 Hordeolum externum right eye,
eyelid
H00014 unspecified
Hordeolum externum
left upper eyelid
553
553
H00015 Hordeolum externum left lower eyelid
553
H00016 Hordeolum externum left eye, unspecified

H00019 eyelid
Hordeolum externum unspecified eye,
eyelid
H00021 unspecified
Hordeolum internum
right upper eyelid
553
553
553
H00022 Hordeolum internum right lower eyelid
553
H00023 Hordeolum internum right eye, unspecified

H00024 eyelid
Hordeolum internum left upper eyelid
553
553
H00025 Hordeolum internum left lower eyelid
553
H00026 Hordeolum internum left eye, unspecified

H00029 eyelid
Hordeolum internum unspecified eye,
eyelid
H00031 unspecified
Abscess of right
upper eyelid
553
553
553
H00032 Abscess of right lower eyelid
553
H00033 Abscess of eyelid right eye, unspecified

H00034 eyelid
Abscess of left upper eyelid
553
553
H00035 Abscess of left lower eyelid
553
H00036 Abscess of eyelid left eye, unspecified

H00039 eyelid
Abscess of eyelid unspecified eye,
eyelid
H0011 unspecified
Chalazion right
upper eyelid
553
553
553
H0012
Chalazion right lower eyelid
553
H0013
Chalazion right eye, unspecified eyelid
553
H0014
Chalazion left upper eyelid
553
H0015
Chalazion left lower eyelid
553
H0016
Chalazion left eye, unspecified eyelid
553
Chalazion unspecified eye, unspecified

H01001 eyelid
Unspecified blepharitis right upper eyelid
553
553
H01002 Unspecified blepharitis right lower eyelid
553
H01003 Unspecified blepharitis right eye,

unspecified eyelid
553
H0019
Page 2082 of 6734

H01004 Unspecified blepharitis left upper eyelid
553
H01005 Unspecified blepharitis left lower eyelid
553
H01006 Unspecified blepharitis left eye,

H01009 unspecified
Unspecified eyelid
blepharitis unspecified eye,
unspecified
eyelid
H01011 Ulcerative blepharitis right upper eyelid
553
553
553
H01012 Ulcerative blepharitis right lower eyelid
553
H01013 Ulcerative blepharitis right eye,

eyelid
H01014 unspecified
Ulcerative blepharitis
left upper eyelid
553
553
H01015 Ulcerative blepharitis left lower eyelid
553
H01016 Ulcerative blepharitis left eye, unspecified

H01019 eyelid
Ulcerative blepharitis unspecified eye,
eyelid
H01021 unspecified
right upper eyelid
553
553
553
H01022 Squamous blepharitis right lower eyelid
553
H01023 Squamous blepharitis right eye,

eyelid
H01024 unspecified
left upper eyelid
553
553
H01025 Squamous blepharitis left lower eyelid
553
H01026 Squamous blepharitis left eye, unspecified

H01029 eyelid
Squamous blepharitis unspecified eye,
eyelid of right upper eyelid
H01111 unspecified
Allergic dermatitis
553
553
553
H01112 Allergic dermatitis of right lower eyelid
553
H01113 Allergic dermatitis of right eye, unspecified

H01114 eyelid
Allergic dermatitis of left upper eyelid
553
553
H01115 Allergic dermatitis of left lower eyelid
553
H01116 Allergic dermatitis of left eye, unspecified

H01119 eyelid
Allergic dermatitis of unspecified eye,
eyelid
H01121 unspecified
Discoid lupus
erythematosus of right
553
553
553
H01122 upper
Discoideyelid
lupus erythematosus of right lower
eyelid
H01123 Discoid lupus erythematosus of right eye,
eyelid
H01124 unspecified
Discoid lupus
erythematosus of left upper
eyelid
553
553
553
Page 2083 of 6734

H01125 Discoid lupus erythematosus of left lower
H01126 eyelid
Discoid lupus erythematosus of left eye,
eyelid
H01129 unspecified
Discoid lupus
erythematosus of unsp eye,
H01131 unspecified
Eczematouseyelid
dermatitis of right upper
553
553
553
553
H01132 eyelid
Eczematous dermatitis of right lower
H01133 eyelid
Eczematous dermatitis of right eye,
H01134 unspecified
Eczematouseyelid
dermatitis of left upper eyelid
553
553
553
H01135 Eczematous dermatitis of left lower eyelid
553
H01136 Eczematous dermatitis of left eye, unspecifi
553
H01139 Eczematous dermatitis of unspecified eye,

eyelid
H01141 unspecified
Xeroderma of
right upper eyelid
553
553
H01142 Xeroderma of right lower eyelid
553
H01143 Xeroderma of right eye, unspecified eyelid
553
H01144 Xeroderma of left upper eyelid
553
H01145 Xeroderma of left lower eyelid
553
H01146 Xeroderma of left eye, unspecified eyelid
553
H01149 Xeroderma of unspecified eye, unspecified

eyelid
H018
Other specified inflammations of eyelid
553
553
553
H02001 Unspecified entropion of right upper eyelid
553
H02002 Unspecified entropion of right lower eyelid
553
H02003 Unspecified entropion of right eye,

H02004 unspecified
Unspecified eyelid
entropion of left upper eyelid
553
553
H02005 Unspecified entropion of left lower eyelid
553
H02006 Unspecified entropion of left eye,

H02009 unspecified
Unspecified eyelid
entropion of unspecified eye,
unspecified
eyelid
H02011 Cicatricial entropion of right upper eyelid
553
553
553
H02012 Cicatricial entropion of right lower eyelid
553
H02013 Cicatricial entropion of right eye,

unspecified eyelid
553
H019
Unspecified inflammation of eyelid
Page 2084 of 6734

H02014 Cicatricial entropion of left upper eyelid
553
H02015 Cicatricial entropion of left lower eyelid
553
H02016 Cicatricial entropion of left eye,

eyelid of unspecified eye,
H02019 unspecified
Cicatricial entropion
eyelid
H02021 unspecified
of right upper eyelid
553
553
553
H02022 Mechanical entropion of right lower eyelid
553
H02023 Mechanical entropion of right eye,

eyelid
H02024 unspecified
of left upper eyelid
553
553
H02025 Mechanical entropion of left lower eyelid
553
H02026 Mechanical entropion of left eye,

eyelid
H02029 unspecified
of unspecified eye,
eyelid
H02031 unspecified
Senile entropion
553
553
553
H02032 Senile entropion of right lower eyelid
553
H02033 Senile entropion of right eye, unspecified

H02034 eyelid
Senile entropion of left upper eyelid
553
553
H02035 Senile entropion of left lower eyelid
553
H02036 Senile entropion of left eye, unspecified

H02039 eyelid
Senile entropion of unspecified eye,
eyelidof right upper eyelid
H02041 unspecified
Spastic entropion
553
553
553
H02042 Spastic entropion of right lower eyelid
553
H02043 Spastic entropion of right eye, unspecified

H02044 eyelid
Spastic entropion of left upper eyelid
553
553
H02045 Spastic entropion of left lower eyelid
553
H02046 Spastic entropion of left eye, unspecified

H02049 eyelid
Spastic entropion of unspecified eye,
eyelidentropian right upper
H02051 unspecified
Trichiasis without
553
553
553
H02052 eyelid
Trichiasis without entropian right lower
H02053 eyelid
Trichiasis without entropian right eye,
eyelidentropian left upper
H02054 unspecified
Trichiasis without
eyelid
553
553
553
Page 2085 of 6734

H02055 Trichiasis without entropian left lower
H02056 eyelid
Trichiasis without entropian left eye,
eyelidentropian unsp eye,
H02059 unspecified
Trichiasis without
H02101 unspecified
Unspecified eyelid
ectropion of right upper eyelid
553
553
553
553
H02102 Unspecified ectropion of right lower eyelid
553
H02103 Unspecified ectropion of right eye,

H02104 unspecified
Unspecified eyelid
ectropion of left upper eyelid
553
553
H02105 Unspecified ectropion of left lower eyelid
553
H02106 Unspecified ectropion of left eye,

H02109 unspecified
Unspecified eyelid
ectropion of unspecified eye,
unspecified
eyelid
H02111 Cicatricial ectropion of right upper eyelid
553
553
553
H02112 Cicatricial ectropion of right lower eyelid
553
H02113 Cicatricial ectropion of right eye,

eyelid of left upper eyelid
H02114 unspecified
553
553
H02115 Cicatricial ectropion of left lower eyelid
553
H02116 Cicatricial ectropion of left eye,

eyelid of unspecified eye,
H02119 unspecified
eyelid
H02121 unspecified
553
553
553
H02122 Mechanical ectropion of right lower eyelid
553
H02123 Mechanical ectropion of right eye,

eyelid
H02124 unspecified
of left upper eyelid
553
553
H02125 Mechanical ectropion of left lower eyelid
553
H02126 Mechanical ectropion of left eye,

eyelid
H02129 unspecified
of unspecified eye,
unspecified
eyelid
H02131 Senile ectropion of right upper eyelid
553
553
553
H02132 Senile ectropion of right lower eyelid
553
H02133 Senile ectropion of right eye, unspecified

H02134 eyelid
Senile ectropion of left upper eyelid
553
553
H02135 Senile ectropion of left lower eyelid
553
Page 2086 of 6734

H02136 Senile ectropion of left eye, unspecified
H02139 eyelid
Senile ectropion of unspecified eye,
eyelidof right upper eyelid
H02141 unspecified
Spastic ectropion
553
553
553
H02142 Spastic ectropion of right lower eyelid
553
H02143 Spastic ectropion of right eye, unspecified

H02144 eyelid
Spastic ectropion of left upper eyelid
553
553
H02145 Spastic ectropion of left lower eyelid
553
H02146 Spastic ectropion of left eye, unspecified

H02149 eyelid
Spastic ectropion of unspecified eye,
H02201 unspecified
Unspecified eyelid
lagophthalmos right upper
553
553
553
H02202 eyelid
Unspecified lagophthalmos right lower
H02203 eyelid
Unspecified lagophthalmos right eye,
H02204 unspecified
Unspecified eyelid
lagophthalmos left upper
553
553
553
H02205 eyelid
Unspecified lagophthalmos left lower
H02206 eyelid
Unspecified lagophthalmos left eye,
eyelid unspecified eye,
H02209 unspecified
Unsp lagophthalmos
553
553
553
eyelid
H02211 unspecified
Cicatricial lagophthalmos
right upper
eyelid
H02212 Cicatricial lagophthalmos right lower
H02213 eyelid
Cicatricial lagophthalmos right eye,
553
553
553
eyelid
H02214 unspecified
left upper eyelid
553
H02215 Cicatricial lagophthalmos left lower eyelid
553
H02216 Cicatricial lagophthalmos left eye,

eyelid
H02219 unspecified
unsp eye,
unspecified
eyelid
H02221 Mechanical lagophthalmos right upper
553
553
553
H02222 eyelid
Mechanical lagophthalmos right lower
H02223 eyelid
Mechanical lagophthalmos right eye,
eyelid
H02224 unspecified
Mechanical lagophthalmos
left upper
553
553
553
H02225 eyelid
Mechanical lagophthalmos left lower
H02226 eyelid
Mechanical lagophthalmos left eye, unspecif
553
553
Page 2087 of 6734

H02229 Mechanical lagophthalmos unspecified
unspecified
eyelid right upper eyelid
H02231 eye,
Paralytic
lagophthalmos
553
553
H02232 Paralytic lagophthalmos right lower eyelid
553
H02233 Paralytic lagophthalmos right eye,

eyelid
H02234 unspecified
left upper eyelid
553
553
H02235 Paralytic lagophthalmos left lower eyelid
553
H02236 Paralytic lagophthalmos left eye,

eyelid
H02239 unspecified
unspecified eye,
unspecified
eyelid
H0230 Blepharochalasis unspecified eye,
553
553
553
H0231
unspecified
eyelidright upper eyelid
Blepharochalasis
553
H0232
Blepharochalasis right lower eyelid
553
H0233
553
H0234
Blepharochalasis right eye, unspecified

eyelid
Blepharochalasis left upper eyelid
553
H0235
Blepharochalasis left lower eyelid
553
Blepharochalasis left eye, unspecified

H02401 eyelid
Unspecified ptosis of right eyelid
553
553
H02402 Unspecified ptosis of left eyelid
553
H02403 Unspecified ptosis of bilateral eyelids
553
H02409 Unspecified ptosis of unspecified eyelid
553
H02411 Mechanical ptosis of right eyelid
553
H02412 Mechanical ptosis of left eyelid
553
H02413 Mechanical ptosis of bilateral eyelids
553
H02419 Mechanical ptosis of unspecified eyelid
553
H02421 Myogenic ptosis of right eyelid
553
H02422 Myogenic ptosis of left eyelid
553
H02423 Myogenic ptosis of bilateral eyelids
553
H02429 Myogenic ptosis of unspecified eyelid
553
H02431 Paralytic ptosis of right eyelid
553
H02432 Paralytic ptosis of left eyelid
553
H0236
Page 2088 of 6734

H02433 Paralytic ptosis of bilateral eyelids
553
H02439 Paralytic ptosis unspecified eyelid
553
H02511 Abnormal innervation syndrome right

eyelid
H02512 upper
Abnormal
innervation syndrome right lower
553
553
H02513 Abnormal innervation syndrome right eye,

eyelid
H02514 unspecified
Abnormal innervation
syndrome left upper
eyelid
H02515 Abnormal innervation syndrome left lower
553
553
553
H02516 eyelid
Abnormal innervation syndrome left eye, un
553
H02519 Abnormal innervation syndrome unsp eye,

eyelid right upper eyelid
H02521 unspecified
Blepharophimosis
553
553
H02522 Blepharophimosis right lower eyelid
553
H02523 Blepharophimosis right eye, unspecified

H02524 eyelid
Blepharophimosis left upper eyelid
553
553
H02525 Blepharophimosis left lower eyelid
553
H02526 Blepharophimosis left eye, unspecified

H02529 eyelid
Blepharophimosis unspecified eye,
lid right upper eyelid
H02531 unspecified
Eyelid retraction
553
553
553
H02532 Eyelid retraction right lower eyelid
553
H02533 Eyelid retraction right eye, unspecified

H02534 eyelid
Eyelid retraction left upper eyelid
553
553
H02535 Eyelid retraction left lower eyelid
553
H02536 Eyelid retraction left eye, unspecified

H02539 eyelid
Eyelid retraction unspecified eye,
lid affecting eyelid function
H0259 unspecified
Other disorders
553
553
553
675
H0261
Xanthelasma of unspecified eye,

unspecified
eyelid
Xanthelasma
675
H0262
Xanthelasma of right lower eyelid
675
H0263
Xanthelasma of right eye, unspecified

eyelid
Xanthelasma of left upper eyelid
675
675
H0260
H0264
Page 2089 of 6734

H0265
Xanthelasma of left lower eyelid
675
Xanthelasma of left eye, unspecified

H0270 eyelid
Unsp degenerative disorders of eyelid and
area
H02711 periocular
Chloasma of
right upper eyelid and
periocular
area
H02712 Chloasma of right lower eyelid and
675
553
553
553
area
H02713 periocular
Chloasma of
right eye, unsp eyelid and
periocular
area
H02714 Chloasma of left upper eyelid and
area
H02715 periocular
Chloasma of
left lower eyelid and
553
553
553
area
H02716 periocular
Chloasma of
left eye, unspecified eyelid
and
periocular
areaeye, unspecified eyelid
H02719 Chloasma of unsp
periocular
areaupper eyelid and
H02721 and
Madarosis
of right
553
553
553
area
H02722 periocular
Madarosis of
right lower eyelid and
periocular
area
H02723 Madarosis of right eye, unsp eyelid and
area
H02724 periocular
Madarosis of
left upper eyelid and
553
553
553
area
H02725 periocular
Madarosis of
left lower eyelid and
periocular
area
H02726 Madarosis of left eye, unsp eyelid and
area
H02729 periocular
Madarosis of
unsp eye, unsp eyelid and
553
553
553
area upper eyelid and periocular

H02731 periocular
Vitiligo of right
H02732 area
Vitiligo of right lower eyelid and periocular
H02733 area
Vitiligo of right eye, unsp eyelid and
553
553
553
area
H02734 periocular
Vitiligo of left
upper eyelid and periocular
area
H02735 Vitiligo of left lower eyelid and periocular
H02736 area
Vitiligo of left eye, unspecified eyelid and
553
553
553
area eye, unspecified eyelid and

H02739 periocular
Vitiligo of unsp
area
H0279 periocular
Other degenerative
disorders of eyelid and
area body in right upper eyelid
H02811 periocular
Retained foreign
553
553
553
H02812 Retained foreign body in right lower eyelid
553
H02813 Retained foreign body in right eye,

eyelid
H02814 unspecified
Retained foreign
body in left upper eyelid
553
553
H0266
Page 2090 of 6734

H02815 Retained foreign body in left lower eyelid
553
H02816 Retained foreign body in left eye,

eyelid
H02819 unspecified
Retained foreign
body in unspecified eye,
eyelid
H02821 unspecified
Cysts of right
upper eyelid
553
553
553
H02822 Cysts of right lower eyelid
553
H02823 Cysts of right eye, unspecified eyelid
553
H02824 Cysts of left upper eyelid
553
H02825 Cysts of left lower eyelid
553
H02826 Cysts of left eye, unspecified eyelid
553
H02829 Cysts of unspecified eye, unspecified

H02831 eyelid
Dermatochalasis of right upper eyelid
553
553
H02832 Dermatochalasis of right lower eyelid
553
H02833 Dermatochalasis of right eye, unspecified

H02834 eyelid
Dermatochalasis of left upper eyelid
553
553
H02835 Dermatochalasis of left lower eyelid
553
H02836 Dermatochalasis of left eye, unspecified

H02839 eyelid
Dermatochalasis of unspecified eye,
eyelid
H02841 unspecified
Edema of right
upper eyelid
553
553
553
H02842 Edema of right lower eyelid
553
H02843 Edema of right eye, unspecified eyelid
553
H02844 Edema of left upper eyelid
553
H02845 Edema of left lower eyelid
553
H02846 Edema of left eye, unspecified eyelid
553
H02849 Edema of unspecified eye, unspecified

H02851 eyelid
Elephantiasis of right upper eyelid
553
553
H02852 Elephantiasis of right lower eyelid
553
H02853 Elephantiasis of right eye, unspecified

H02854 eyelid
Elephantiasis of left upper eyelid
553
553
H02855 Elephantiasis of left lower eyelid
553
Page 2091 of 6734

H02856 Elephantiasis of left eye, unspecified
H02859 eyelid
Elephantiasis of unspecified eye,
eyelid
H02861 unspecified
Hypertrichosis
553
553
553
H02862 Hypertrichosis of right lower eyelid
553
H02863 Hypertrichosis of right eye, unspecified

H02864 eyelid
Hypertrichosis of left upper eyelid
553
553
H02865 Hypertrichosis of left lower eyelid
553
H02866 Hypertrichosis of left eye, unspecified

H02869 eyelid
Hypertrichosis of unspecified eye,
eyelid of right upper eyelid
H02871 unspecified
Vascular anomalies
553
553
553
H02872 Vascular anomalies of right lower eyelid
553
H02873 Vascular anomalies of right eye,

eyelid of left upper eyelid
H02874 unspecified
Vascular anomalies
553
553
H02875 Vascular anomalies of left lower eyelid
553
H02876 Vascular anomalies of left eye, unspecified

H02879 eyelid
Vascular anomalies of unspecified eye,
eyelid
H0289 unspecified
Other specified
disorders of eyelid
553
553
553
553
H04001 Unspecified dacryoadenitis, right lacrimal

H04002 gland
Unspecified dacryoadenitis, left lacrimal
H04003 gland
Unspecified dacryoadenitis, bilateral
553
553
553
glands
H04009 lacrimal
Unspecified
dacryoadenitis, unspecified
gland
H04011 lacrimal
Acute dacryoadenitis,
right lacrimal gland
553
550
H04012 Acute dacryoadenitis, left lacrimal gland
550
H04013 Acute dacryoadenitis, bilateral lacrimal

H04019 glands
Acute dacryoadenitis, unspecified lacrimal
H04021 gland
Chronic dacryoadenitis, right lacrimal
550
550
553
H04022 gland
Chronic dacryoadenitis, left lacrimal gland
553
H04023 Chronic dacryoadenitis, bilateral lacrimal

gland
553
H029
Unspecified disorder of eyelid
Page 2092 of 6734

H04029 Chronic dacryoadenitis, unspecified
gland
H04031 lacrimal
Chronic enlargement
of right lacrimal
gland
H04032 Chronic enlargement of left lacrimal gland
553
553
553
H04033 Chronic enlargement of bilateral lacrimal

H04039 glands
Chronic enlargement of unspecified
H04111 lacrimal
Dacryopsgland
of right lacrimal gland
553
553
553
H04112 Dacryops of left lacrimal gland
553
H04113 Dacryops of bilateral lacrimal glands
553
H04119 Dacryops of unspecified lacrimal gland
553
H04121 Dry eye syndrome of right lacrimal gland
553
H04122 Dry eye syndrome of left lacrimal gland
553
H04123 Dry eye syndrome of bilateral lacrimal

H04129 glands
Dry eye syndrome of unspecified lacrimal
H04131 gland
Lacrimal cyst, right lacrimal gland
553
553
553
H04132 Lacrimal cyst, left lacrimal gland
553
H04133 Lacrimal cyst, bilateral lacrimal glands
553
H04139 Lacrimal cyst, unspecified lacrimal gland
553
H04141 Primary lacrimal gland atrophy, right

gland gland atrophy, left
H04142 lacrimal
Primary lacrimal
gland gland atrophy, bilateral
H04143 lacrimal
Primary lacrimal
glands gland atrophy,
H04149 lacrimal
Primary lacrimal
553
553
553
553
lacrimalgland
glandatrophy, right
H04151 unspecified
Secondary lacrimal
gland
H04152 lacrimal
Secondary
lacrimal gland atrophy, left
lacrimal
gland
H04153 Secondary lacrimal gland atrophy,
553
553
553
lacrimal
glands
H04159 bilateral
Secondary
lacrimal
gland atrophy,
lacrimal
gland right lacrimal
H04161 unspecified
Lacrimal gland
dislocation,
H04162 gland
Lacrimal gland dislocation, left lacrimal
553
553
553
H04163 gland
Lacrimal gland dislocation, bilateral
H04169 lacrimal
Lacrimal glands
gland dislocation, unspecified
lacrimal gland
553
553
Page 2093 of 6734

H0419
Other specified disorders of lacrimal gland
553
H04201 Unspecified epiphora, right lacrimal gland
553
H04202 Unspecified epiphora, left lacrimal gland
553
H04203 Unspecified epiphora, bilateral lacrimal

H04209 glands
Unspecified epiphora, unspecified lacrimal
H04211 gland
Epiphora due to excess lacrimation, right
553
553
553
H04212 lacrimal
Epiphoragland
due to excess lacrimation, left
H04213 lacrimal
Epiphoragland
due to excess lacrimation, bi
lacrimal
glands
H04219 Epiphora due to excess lacrimation, unsp
H04221 lacrimal
Epiphoragland
due to insufficient drainage, right
553
553
553
553
H04222 lacrimal
Epiphoragland
due to insufficient drainage, left
H04223 lacrimal
Epiphoragland
due to insufficient drainage, bi
lacrimal
glands
H04229 Epiphora due to insufficient drainage, unsp
gland
H04301 lacrimal
Unspecified
dacryocystitis of right lacrimal
553
553
553
553
H04302 passage
Unspecified dacryocystitis of left lacrimal
H04303 passage
Unspecified dacryocystitis of bilateral
passages
H04309 lacrimal
Unspecified
dacryocystitis of unspecified
lacrimal
passage
H04311 Phlegmonous dacryocystitis of right
553
553
553
553
passage
H04312 lacrimal
Phlegmonous
dacryocystitis of left lacrimal
passage
H04313 Phlegmonous dacryocystitis of bilateral
passages
H04319 lacrimal
Phlegmonous
dacryocystitis of unspecified
553
553
553
passage
H04321 lacrimal
Acute dacryocystitis
of right lacrimal
H04322 passage
Acute dacryocystitis of left lacrimal
H04323 passage
Acute dacryocystitis of bilateral lacrimal
550
550
550
H04329 passages
Acute dacryocystitis of unspecified
passage
H04331 lacrimal
Acute lacrimal
canaliculitis of right
lacrimal
passage
H04332 Acute lacrimal canaliculitis of left lacrimal
550
550
550
H04333 passage
Acute lacrimal canaliculitis of bilateral
passages
H04339 lacrimal
Acute lacrimal
canaliculitis of unspecified
lacrimal passage
550
550
Page 2094 of 6734

H04411 Chronic dacryocystitis of right lacrimal
H04412 passage
Chronic dacryocystitis of left lacrimal
H04413 passage
Chronic dacryocystitis of bilateral lacrimal
553
553
553
H04419 passages
Chronic dacryocystitis of unspecified
passagecanaliculitis of right
H04421 lacrimal
Chronic lacrimal
553
553
passagecanaliculitis of left
H04422 lacrimal
Chronic lacrimal
passagecanaliculitis of bi lacrimal
H04423 lacrimal
Chronic lacrimal
H04429 passages
Chronic lacrimal canaliculitis of unsp
553
553
553
passagemucocele of right lacrimal

H04431 lacrimal
Chronic lacrimal
H04432 passage
Chronic lacrimal mucocele of left lacrimal
H04433 passage
Chronic lacrimal mucocele of bilateral
553
553
553
passages
H04439 lacrimal
Chronic lacrimal
mucocele of unspecified
lacrimal
passage
H04511 Dacryolith of right lacrimal passage
553
553
H04512 Dacryolith of left lacrimal passage
553
H04513 Dacryolith of bilateral lacrimal passages
553
H04519 Dacryolith of unspecified lacrimal passage
553
H04521 Eversion of right lacrimal punctum
553
H04522 Eversion of left lacrimal punctum
553
H04523 Eversion of bilateral lacrimal punctum
553
H04529 Eversion of unspecified lacrimal punctum
553
H04531 Neonatal obstruction of right nasolacrimal

H04532 duct
Neonatal obstruction of left nasolacrimal
H04533 duct
Neonatal obstruction of bilateral
duct
H04539 nasolacrimal
Neonatal obstruction
of unspecified
553
553
553
553
ductlacrimal canaliculi
H04541 nasolacrimal
Stenosis of right
553
H04542 Stenosis of left lacrimal canaliculi
553
H04543 Stenosis of bilateral lacrimal canaliculi
553
H04549 Stenosis of unspecified lacrimal canaliculi
553
H04551 Acquired stenosis of right nasolacrimal

duct
553
Page 2095 of 6734

H04552 Acquired stenosis of left nasolacrimal duct
553
H04553 Acquired stenosis of bilateral nasolacrimal

H04559 duct
Acquired stenosis of unspecified
ductlacrimal punctum
H04561 nasolacrimal
Stenosis of right
553
553
553
H04562 Stenosis of left lacrimal punctum
553
H04563 Stenosis of bilateral lacrimal punctum
553
H04569 Stenosis of unspecified lacrimal punctum
553
H04571 Stenosis of right lacrimal sac
553
H04572 Stenosis of left lacrimal sac
553
H04573 Stenosis of bilateral lacrimal sac
553
H04579 Stenosis of unspecified lacrimal sac
553
H04611 Lacrimal fistula right lacrimal passage
553
H04612 Lacrimal fistula left lacrimal passage
553
H04613 Lacrimal fistula bilateral lacrimal passages
553
H04619 Lacrimal fistula unspecified lacrimal

H0469 passage
Other changes of lacrimal passages
553
553
H04811 Granuloma of right lacrimal passage
553
H04812 Granuloma of left lacrimal passage
553
H04813 Granuloma of bilateral lacrimal passages
553
H04819 Granuloma of unspecified lacrimal

H0489 passage
Other disorders of lacrimal system
553
553
H049
Disorder of lacrimal system, unspecified
553
H0500
Unspecified acute inflammation of orbit
553
H05011 Cellulitis of right orbit
550
H05012 Cellulitis of left orbit
550
H05013 Cellulitis of bilateral orbits
550
H05019 Cellulitis of unspecified orbit
550
H05021 Osteomyelitis of right orbit
550
H05022 Osteomyelitis of left orbit
550
Page 2096 of 6734

H05023 Osteomyelitis of bilateral orbits
550
H05029 Osteomyelitis of unspecified orbit
550
H05031 Periostitis of right orbit
550
H05032 Periostitis of left orbit
550
H05033 Periostitis of bilateral orbits
550
H05039 Periostitis of unspecified orbit
550
H05041 Tenonitis of right orbit
550
H05042 Tenonitis of left orbit
550
H05043 Tenonitis of bilateral orbits
550
H05049 Tenonitis of unspecified orbit
550
Unspecified chronic inflammatory

ofof
orbit
H05111 disorders
Granuloma
right orbit
553
553
H05112 Granuloma of left orbit
553
H05113 Granuloma of bilateral orbits
553
H05119 Granuloma of unspecified orbit
553
H05121 Orbital myositis, right orbit
553
H05122 Orbital myositis, left orbit
553
H05123 Orbital myositis, bilateral
553
H05129 Orbital myositis, unspecified orbit
553
553
H05211 Displacement (lateral) of globe, right eye
553
H05212 Displacement (lateral) of globe, left eye
553
H05213 Displacement (lateral) of globe, bilateral
553
H05219 Displacement (lateral) of globe,

eyeorbit
H05221 unspecified
Edema of right
553
554
H05222 Edema of left orbit
554
H05223 Edema of bilateral orbit
554
H05229 Edema of unspecified orbit
554
H05231 Hemorrhage of right orbit
553
H0510
H0520
Unspecified exophthalmos
Page 2097 of 6734

H05232 Hemorrhage of left orbit
553
H05233 Hemorrhage of bilateral orbit
553
H05239 Hemorrhage of unspecified orbit
553
H05241 Constant exophthalmos, right eye
553
H05242 Constant exophthalmos, left eye
553
H05243 Constant exophthalmos, bilateral
553
H05249 Constant exophthalmos, unspecified eye
553
H05251 Intermittent exophthalmos, right eye
553
H05252 Intermittent exophthalmos, left eye
553
H05253 Intermittent exophthalmos, bilateral
553
H05259 Intermittent exophthalmos, unspecified

H05261 eye
Pulsating exophthalmos, right eye
553
553
H05262 Pulsating exophthalmos, left eye
553
H05263 Pulsating exophthalmos, bilateral
553
H05269 Pulsating exophthalmos, unspecified eye
553
553
H05311 Atrophy of right orbit
553
H05312 Atrophy of left orbit
553
H05313 Atrophy of bilateral orbit
553
H05319 Atrophy of unspecified orbit
553
H05321 Deformity of right orbit due to bone

H05322 disease
Deformity of left orbit due to bone disease
553
553
H05323 Deformity of bilateral orbits due to bone

H05329 disease
Deformity of unspecified orbit due to bone
H05331 disease
Deformity of right orbit due to trauma or
553
553
553
H05332 surgery
Deformity of left orbit due to trauma or
H05333 surgery
Deformity of bilateral orbits due to trauma
surgery of unspecified orbit due to
H05339 or
Deformity
553
553
553
or surgery
H05341 trauma
Enlargement
of right orbit
553
H0530
Unspecified deformity of orbit
Page 2098 of 6734

H05342 Enlargement of left orbit
553
H05343 Enlargement of bilateral orbits
553
H05349 Enlargement of unspecified orbit
553
H05351 Exostosis of right orbit
553
H05352 Exostosis of left orbit
553
H05353 Exostosis of bilateral orbits
553
H05359 Exostosis of unspecified orbit
553
H05401 Unspecified enophthalmos, right eye
553
H05402 Unspecified enophthalmos, left eye
553
H05403 Unspecified enophthalmos, bilateral
553
H05409 Unspecified enophthalmos, unspecified

H05411 eye
Enophthalmos due to atrophy of orbital
553
553
right eye
H05412 tissue,
Enophthalmos
due to atrophy of orbital
tissue,
left
eye
H05413 Enophthalmos due to atrophy of orbital
bilateraldue to atrophy of orbital
H05419 tissue,
Enophthalmos
unsp eye
H05421 tissue,
Enophthalmos
due to trauma or surgery,
553
553
553
553
eye
H05422 right
Enophthalmos
due to trauma or surgery,
left
eye
H05423 Enophthalmos due to trauma or surgery,
H05429 bilateral
Enophthalmos due to trauma or surgery,
eye
H0550 unspecified
Retained (old)
fb following penetrating
553
553
553
553
553
553
H0551
H0552
H0553
wound
of (old)
unspfb
orbit
Retained
following penetrating
wound
of
right
orbit
Retained (old) fb following penetrating
wound
of (old)
left orbit
Retained
fb following penetrating
553
bi orbit
H05811 wound
Cyst of of
right
orbit
553
H05812 Cyst of left orbit
553
H05813 Cyst of bilateral orbits
553
H05819 Cyst of unspecified orbit
553
H05821 Myopathy of extraocular muscles, right

H05822 orbit
Myopathy of extraocular muscles, left orbit
553
553
Page 2099 of 6734

H05823 Myopathy of extraocular muscles, bilateral
553
H05829 Myopathy of extraocular muscles,

orbitof orbit
H0589 unspecified
Other disorders
553
553
Unspecified disorder of orbit
553
H10011 Acute follicular conjunctivitis, right eye
553
H10012 Acute follicular conjunctivitis, left eye
553
H10013 Acute follicular conjunctivitis, bilateral
553
H10019 Acute follicular conjunctivitis, unspecified

H10021 eye
Other mucopurulent conjunctivitis, right
H10022 eye
Other mucopurulent conjunctivitis, left eye
553
553
553
H10023 Other mucopurulent conjunctivitis,

H10029 bilateral
Other mucopurulent conjunctivitis,
H1010 unspecified
Acute atopiceye
conjunctivitis, unspecified
553
553
H059
553
H1011
eye
Acute atopic conjunctivitis, right eye
553
H1012
Acute atopic conjunctivitis, left eye
553
H1013
Acute atopic conjunctivitis, bilateral
553
H10211 Acute toxic conjunctivitis, right eye
554
H10212 Acute toxic conjunctivitis, left eye
554
H10213 Acute toxic conjunctivitis, bilateral
554
H10219 Acute toxic conjunctivitis, unspecified eye
554
H10221 Pseudomembranous conjunctivitis, right

H10222 eye
Pseudomembranous conjunctivitis, left eye
553
553
H10223 Pseudomembranous conjunctivitis,

H10229 bilateral
Pseudomembranous conjunctivitis,
eye
H10231 unspecified
Serous conjunctivitis,
except viral, right
553
553
553
H10232 eye
Serous conjunctivitis, except viral, left eye
553
H10233 Serous conjunctivitis, except viral, bilateral
553
H10239 Serous conjunctivitis, except viral,

H1030 unspecified
Unspecified eye
acute conjunctivitis,
553
553
unspecified eye
Page 2100 of 6734

H1031
Unspecified acute conjunctivitis, right eye
553
H1032
Unspecified acute conjunctivitis, left eye
553
H1033
Unspecified acute conjunctivitis, bilateral
553
H10401 Unspecified chronic conjunctivitis, right

H10402 eye
Unspecified chronic conjunctivitis, left eye
553
553
H10403 Unspecified chronic conjunctivitis, bilateral
553
H10409 Unspecified chronic conjunctivitis,

eye
H10411 unspecified
Chronic giant
papillary conjunctivitis, right
eye
H10412 Chronic giant papillary conjunctivitis, left
553
553
553
H10413 eye
Chronic giant papillary conjunctivitis,
H10419 bilateral
Chronic giant papillary conjunctivitis,
eyeconjunctivitis, right eye
H10421 unspecified
Simple chronic
553
553
553
H10422 Simple chronic conjunctivitis, left eye
553
H10423 Simple chronic conjunctivitis, bilateral
553
H10429 Simple chronic conjunctivitis, unspecified

H10431 eye
Chronic follicular conjunctivitis, right eye
553
553
H10432 Chronic follicular conjunctivitis, left eye
553
H10433 Chronic follicular conjunctivitis, bilateral
553
H10439 Chronic follicular conjunctivitis,

eye
H1044 unspecified
Vernal conjunctivitis
553
553
553
H10501 Unspecified blepharoconjunctivitis, right

H10502 eye
Unspecified blepharoconjunctivitis, left eye
553
553
H10503 Unspecified blepharoconjunctivitis,

H10509 bilateral
Unspecified blepharoconjunctivitis,
eye
H10511 unspecified
Ligneous conjunctivitis,
right eye
553
553
553
H10512 Ligneous conjunctivitis, left eye
553
H10513 Ligneous conjunctivitis, bilateral
553
H10519 Ligneous conjunctivitis, unspecified eye
553
H1045
Other chronic allergic conjunctivitis
Page 2101 of 6734

H10521 Angular blepharoconjunctivitis, right eye
553
H10522 Angular blepharoconjunctivitis, left eye
553
H10523 Angular blepharoconjunctivitis, bilateral
553
H10529 Angular blepharoconjunctivitis, unspecified

H10531 eye
Contact blepharoconjunctivitis, right eye
553
553
H10532 Contact blepharoconjunctivitis, left eye
553
H10533 Contact blepharoconjunctivitis, bilateral
553
H10539 Contact blepharoconjunctivitis, unspecified

H10811 eye
Pingueculitis, right eye
553
553
H10812 Pingueculitis, left eye
553
H10813 Pingueculitis, bilateral
553
H10819 Pingueculitis, unspecified eye
553
Other conjunctivitis
553
Unspecified conjunctivitis
555
CONJUNCTIVITIS
H11001 Unspecified pterygium of right eye
553
H11002 Unspecified pterygium of left eye
553
H11003 Unspecified pterygium of eye, bilateral
553
H11009 Unspecified pterygium of unspecified eye
553
H11011 Amyloid pterygium of right eye
553
H11012 Amyloid pterygium of left eye
553
H11013 Amyloid pterygium of eye, bilateral
553
H11019 Amyloid pterygium of unspecified eye
553
H11021 Central pterygium of right eye
553
H11022 Central pterygium of left eye
553
H11023 Central pterygium of eye, bilateral
553
H11029 Central pterygium of unspecified eye
553
H11031 Double pterygium of right eye
553
H11032 Double pterygium of left eye
553
H11033 Double pterygium of eye, bilateral
553
H1089
H109
Page 2102 of 6734

H11039 Double pterygium of unspecified eye
553
H11041 Peripheral pterygium, stationary, right eye
553
H11042 Peripheral pterygium, stationary, left eye
553
H11043 Peripheral pterygium, stationary, bilateral
553
H11049 Peripheral pterygium, stationary,

eye
H11051 unspecified
Peripheral pterygium,
progressive, right
eye
H11052 Peripheral pterygium, progressive, left eye
553
553
553
H11053 Peripheral pterygium, progressive,

H11059 bilateral
Peripheral pterygium, progressive,
eye
H11061 unspecified
Recurrent pterygium
of right eye
553
553
553
H11062 Recurrent pterygium of left eye
553
H11063 Recurrent pterygium of eye, bilateral
553
H11069 Recurrent pterygium of unspecified eye
553
553
H11111 Conjunctival deposits, right eye
553
H11112 Conjunctival deposits, left eye
553
H11113 Conjunctival deposits, bilateral
553
H11119 Conjunctival deposits, unspecified eye
553
H11121 Conjunctival concretions, right eye
553
H11122 Conjunctival concretions, left eye
553
H11123 Conjunctival concretions, bilateral
553
H11129 Conjunctival concretions, unspecified eye
553
H11131 Conjunctival pigmentations, right eye
553
H11132 Conjunctival pigmentations, left eye
553
H11133 Conjunctival pigmentations, bilateral
553
H11139 Conjunctival pigmentations, unspecified

H11141 eye
Conjunctival xerosis, unspecified, right eye
553
553
H11142 Conjunctival xerosis, unspecified, left eye
553
H11143 Conjunctival xerosis, unspecified, bilateral
553
H1110
Unspecified conjunctival degenerations
Page 2103 of 6734

H11149 Conjunctival xerosis, unspecified,
H11151 unspecified
Pinguecula, eye
right eye
553
553
H11152 Pinguecula, left eye
553
H11153 Pinguecula, bilateral
553
H11159 Pinguecula, unspecified eye
553
H11211 Conjunctival adhesions and strands

eye
H11212 (localized),
Conjunctivalright
adhesions
and strands
eye
H11213 (localized),
Conjunctivalleft
adhesions
and strands
553
553
553
H11219 (localized),
Conjunctivalbilateral
adhesions and strands
(localized),
unsp
eye
H11221 Conjunctival granuloma,
right eye
553
553
H11222 Conjunctival granuloma, left eye
553
H11223 Conjunctival granuloma, bilateral
553
H11229 Conjunctival granuloma, unspecified
553
H11231 Symblepharon, right eye
553
H11232 Symblepharon, left eye
553
H11233 Symblepharon, bilateral
553
H11239 Symblepharon, unspecified eye
553
H11241 Scarring of conjunctiva, right eye
553
H11242 Scarring of conjunctiva, left eye
553
H11243 Scarring of conjunctiva, bilateral
553
H11249 Scarring of conjunctiva, unspecified eye
553
H1130
Conjunctival hemorrhage, unspecified eye
553
H1131
Conjunctival hemorrhage, right eye
553
H1132
Conjunctival hemorrhage, left eye
553
H1133
Conjunctival hemorrhage, bilateral
553
H11411 Vascular abnormalities of conjunctiva,

eye abnormalities of conjunctiva, left
H11412 right
Vascular
H11413 eye
Vascular abnormalities of conjunctiva,
553
553
553
H11419 bilateral
Vascular abnormalities of conjunctiva,
unspecified eye
553
Page 2104 of 6734

H11421 Conjunctival edema, right eye
553
H11422 Conjunctival edema, left eye
553
H11423 Conjunctival edema, bilateral
553
H11429 Conjunctival edema, unspecified eye
553
H11431 Conjunctival hyperemia, right eye
553
H11432 Conjunctival hyperemia, left eye
553
H11433 Conjunctival hyperemia, bilateral
553
H11439 Conjunctival hyperemia, unspecified eye
553
H11441 Conjunctival cysts, right eye
553
H11442 Conjunctival cysts, left eye
553
H11443 Conjunctival cysts, bilateral
553
H11449 Conjunctival cysts, unspecified eye
553
H11811 Pseudopterygium of conjunctiva, right eye
553
H11812 Pseudopterygium of conjunctiva, left eye
553
H11813 Pseudopterygium of conjunctiva, bilateral
553
H11819 Pseudopterygium of conjunctiva,

eye
H11821 unspecified
Conjunctivochalasis,
right eye
553
553
H11822 Conjunctivochalasis, left eye
553
H11823 Conjunctivochalasis, bilateral
553
H11829 Conjunctivochalasis, unspecified eye
553
Other specified disorders of conjunctiva
553
Unspecified disorder of conjunctiva
553
H15001 Unspecified scleritis, right eye
553
H15002 Unspecified scleritis, left eye
553
H15003 Unspecified scleritis, bilateral
553
H15009 Unspecified scleritis, unspecified eye
553
H15011 Anterior scleritis, right eye
553
H15012 Anterior scleritis, left eye
553
H15013 Anterior scleritis, bilateral
553
H1189
H119
Page 2105 of 6734

H15019 Anterior scleritis, unspecified eye
553
H15021 Brawny scleritis, right eye
553
H15022 Brawny scleritis, left eye
553
H15023 Brawny scleritis, bilateral
553
H15029 Brawny scleritis, unspecified eye
553
H15031 Posterior scleritis, right eye
553
H15032 Posterior scleritis, left eye
553
H15033 Posterior scleritis, bilateral
553
H15039 Posterior scleritis, unspecified eye
553
H15041 Scleritis with corneal involvement, right

H15042 eye
Scleritis with corneal involvement, left eye
553
553
H15043 Scleritis with corneal involvement,

H15049 bilateral
Scleritis with corneal involvement,
eye
H15051 unspecified
Scleromalacia
perforans, right eye
553
553
553
H15052 Scleromalacia perforans, left eye
553
H15053 Scleromalacia perforans, bilateral
553
H15059 Scleromalacia perforans, unspecified eye
553
H15091 Other scleritis, right eye
553
H15092 Other scleritis, left eye
553
H15093 Other scleritis, bilateral
553
H15099 Other scleritis, unspecified eye
553
H15101 Unspecified episcleritis, right eye
553
H15102 Unspecified episcleritis, left eye
553
H15103 Unspecified episcleritis, bilateral
553
H15109 Unspecified episcleritis, unspecified eye
553
H15111 Episcleritis periodica fugax, right eye
553
H15112 Episcleritis periodica fugax, left eye
553
H15113 Episcleritis periodica fugax, bilateral
553
H15119 Episcleritis periodica fugax, unspecified

eye
553
Page 2106 of 6734

H15121 Nodular episcleritis, right eye
553
H15122 Nodular episcleritis, left eye
553
H15123 Nodular episcleritis, bilateral
553
H15129 Nodular episcleritis, unspecified eye
553
H15811 Equatorial staphyloma, right eye
554
H15812 Equatorial staphyloma, left eye
554
H15813 Equatorial staphyloma, bilateral
554
H15819 Equatorial staphyloma, unspecified eye
554
H15821 Localized anterior staphyloma, right eye
554
H15822 Localized anterior staphyloma, left eye
554
H15823 Localized anterior staphyloma, bilateral
554
H15829 Localized anterior staphyloma, unspecified

H15831 eye
Staphyloma posticum, right eye
554
554
H15832 Staphyloma posticum, left eye
554
H15833 Staphyloma posticum, bilateral
554
H15839 Staphyloma posticum, unspecified eye
554
H15841 Scleral ectasia, right eye
553
H15842 Scleral ectasia, left eye
553
H15843 Scleral ectasia, bilateral
553
H15849 Scleral ectasia, unspecified eye
553
H15851 Ring staphyloma, right eye
554
H15852 Ring staphyloma, left eye
554
H15853 Ring staphyloma, bilateral
554
H15859 Ring staphyloma, unspecified eye
554
Other disorders of sclera
553
Unspecified disorder of sclera
553
H16001 Unspecified corneal ulcer, right eye
550
H16002 Unspecified corneal ulcer, left eye
550
H16003 Unspecified corneal ulcer, bilateral
550
H1589
H159
Page 2107 of 6734

H16009 Unspecified corneal ulcer, unspecified eye
550
H16011 Central corneal ulcer, right eye
550
H16012 Central corneal ulcer, left eye
550
H16013 Central corneal ulcer, bilateral
550
H16019 Central corneal ulcer, unspecified eye
550
H16021 Ring corneal ulcer, right eye
553
H16022 Ring corneal ulcer, left eye
553
H16023 Ring corneal ulcer, bilateral
553
H16029 Ring corneal ulcer, unspecified eye
553
H16031 Corneal ulcer with hypopyon, right eye
550
H16032 Corneal ulcer with hypopyon, left eye
550
H16033 Corneal ulcer with hypopyon, bilateral
550
H16039 Corneal ulcer with hypopyon, unspecified

H16041 eye
Marginal corneal ulcer, right eye
550
553
H16042 Marginal corneal ulcer, left eye
553
H16043 Marginal corneal ulcer, bilateral
553
H16049 Marginal corneal ulcer, unspecified eye
553
H16051 Mooren's corneal ulcer, right eye
553
H16052 Mooren's corneal ulcer, left eye
553
H16053 Mooren's corneal ulcer, bilateral
553
H16059 Mooren's corneal ulcer, unspecified eye
553
H16061 Mycotic corneal ulcer, right eye
550
H16062 Mycotic corneal ulcer, left eye
550
H16063 Mycotic corneal ulcer, bilateral
550
H16069 Mycotic corneal ulcer, unspecified eye
550
H16071 Perforated corneal ulcer, right eye
550
H16072 Perforated corneal ulcer, left eye
550
H16073 Perforated corneal ulcer, bilateral
550
H16079 Perforated corneal ulcer, unspecified eye
550
Page 2108 of 6734

H16101 Unspecified superficial keratitis, right eye
553
H16102 Unspecified superficial keratitis, left eye
553
H16103 Unspecified superficial keratitis, bilateral
553
H16109 Unspecified superficial keratitis,

eye right eye
H16111 unspecified
Macular keratitis,
553
553
H16112 Macular keratitis, left eye
553
H16113 Macular keratitis, bilateral
553
H16119 Macular keratitis, unspecified eye
553
H16121 Filamentary keratitis, right eye
553
H16122 Filamentary keratitis, left eye
553
H16123 Filamentary keratitis, bilateral
553
H16129 Filamentary keratitis, unspecified eye
553
H16131 Photokeratitis, right eye
553
H16132 Photokeratitis, left eye
553
H16133 Photokeratitis, bilateral
553
H16139 Photokeratitis, unspecified eye
553
H16141 Punctate keratitis, right eye
553
H16142 Punctate keratitis, left eye
553
H16143 Punctate keratitis, bilateral
553
H16149 Punctate keratitis, unspecified eye
553
H16201 Unspecified keratoconjunctivitis, right eye
553
H16202 Unspecified keratoconjunctivitis, left eye
553
H16203 Unspecified keratoconjunctivitis, bilateral
553
H16209 Unspecified keratoconjunctivitis,

eye
H16211 unspecified
Exposure keratoconjunctivitis,
right eye
553
553
H16212 Exposure keratoconjunctivitis, left eye
553
H16213 Exposure keratoconjunctivitis, bilateral
553
H16219 Exposure keratoconjunctivitis, unspecified

H16221 eye
Keratoconjunct sicca, not specified as
553
553
Sjogren's, right eye

Page 2109 of 6734

H16222 Keratoconjunct sicca, not specified as
left eye
H16223 Sjogren's,
Keratoconjunct
sicca, not specified as
Sjogren's,
bilateral
H16229 Keratoconjunct sicca, not specified as
unsp
eye
H16231 Sjogren's,
Neurotrophic
keratoconjunctivitis,
right
553
553
553
553
H16232 eye
Neurotrophic keratoconjunctivitis, left eye
553
H16233 Neurotrophic keratoconjunctivitis, bilateral
553
H16239 Neurotrophic keratoconjunctivitis,

H16241 unspecified
Ophthalmia eye
nodosa, right eye
553
554
H16242 Ophthalmia nodosa, left eye
554
H16243 Ophthalmia nodosa, bilateral
554
H16249 Ophthalmia nodosa, unspecified eye
554
H16251 Phlyctenular keratoconjunctivitis, right eye
553
H16252 Phlyctenular keratoconjunctivitis, left eye
553
H16253 Phlyctenular keratoconjunctivitis, bilateral
553
H16259 Phlyctenular keratoconjunctivitis,

eye
H16261 unspecified
Vernal keratoconjunct,
w limbar and
553
550
involv, r eye w limbar and

H16262 corneal
involv, left eye w limbar and
H16263 corneal
involv, bi
H16269 corneal
w limbar and
550
550
550
involv, unsp eye right eye

H16291 corneal
Other keratoconjunctivitis,
553
H16292 Other keratoconjunctivitis, left eye
553
H16293 Other keratoconjunctivitis, bilateral
553
H16299 Other keratoconjunctivitis, unspecified eye
553
H16301 Unspecified interstitial keratitis, right eye
553
H16302 Unspecified interstitial keratitis, left eye
553
H16303 Unspecified interstitial keratitis, bilateral
553
H16309 Unspecified interstitial keratitis,

eye right eye
H16311 unspecified
Corneal abscess,
553
550
H16312 Corneal abscess, left eye
550
Page 2110 of 6734

H16313 Corneal abscess, bilateral
550
H16319 Corneal abscess, unspecified eye
550
H16321 Diffuse interstitial keratitis, right eye
553
H16322 Diffuse interstitial keratitis, left eye
553
H16323 Diffuse interstitial keratitis, bilateral
553
H16329 Diffuse interstitial keratitis, unspecified

H16331 eye
Sclerosing keratitis, right eye
553
553
H16332 Sclerosing keratitis, left eye
553
H16333 Sclerosing keratitis, bilateral
553
H16339 Sclerosing keratitis, unspecified eye
553
H16391 Other interstitial and deep keratitis, right

H16392 eye
Other interstitial and deep keratitis, left
H16393 eye
Other interstitial and deep keratitis,
H16399 bilateral
Other interstitial and deep keratitis,
553
553
553
553
H16401 unspecified
Unspecified eye
corneal neovascularization,
right
eye
H16402 Unspecified corneal neovascularization,
eye
H16403 left
Unspecified
corneal neovascularization,
553
553
553
H16409 bilateral
Unspecified corneal neovascularization,
eye
H16411 unspecified
Ghost vessels
(corneal), right eye
553
553
H16412 Ghost vessels (corneal), left eye
553
H16413 Ghost vessels (corneal), bilateral
553
H16419 Ghost vessels (corneal), unspecified eye
553
H16421 Pannus (corneal), right eye
553
H16422 Pannus (corneal), left eye
553
H16423 Pannus (corneal), bilateral
553
H16429 Pannus (corneal), unspecified eye
553
H16431 Localized vascularization of cornea, right

H16432 eye
Localized vascularization of cornea, left
H16433 eye
Localized vascularization of cornea,
bilateral
553
553
553
Page 2111 of 6734

H16439 Localized vascularization of cornea,
eye
H16441 unspecified
Deep vascularization
of cornea, right eye
553
553
H16442 Deep vascularization of cornea, left eye
553
H16443 Deep vascularization of cornea, bilateral
553
H16449 Deep vascularization of cornea,

unspecified
eye
H168
Other keratitis
553
553
Unspecified keratitis
553
H1700
Adherent leukoma, unspecified eye
553
H1701
Adherent leukoma, right eye
553
H1702
Adherent leukoma, left eye
553
H1703
Adherent leukoma, bilateral
553
H1710
Central corneal opacity, unspecified eye
553
H1711
Central corneal opacity, right eye
553
H1712
Central corneal opacity, left eye
553
H1713
Central corneal opacity, bilateral
553
H17811 Minor opacity of cornea, right eye
553
H17812 Minor opacity of cornea, left eye
553
H17813 Minor opacity of cornea, bilateral
553
H17819 Minor opacity of cornea, unspecified eye
553
H17821 Peripheral opacity of cornea, right eye
553
H17822 Peripheral opacity of cornea, left eye
553
H17823 Peripheral opacity of cornea, bilateral
553
H17829 Peripheral opacity of cornea, unspecified

H1789 eye
Other corneal scars and opacities
553
553
553
H18001 Unspecified corneal deposit, right eye
553
H18002 Unspecified corneal deposit, left eye
553
H18003 Unspecified corneal deposit, bilateral
553
H18009 Unspecified corneal deposit, unspecified

eye
553
H169
H179
Unspecified corneal scar and opacity
Page 2112 of 6734

H18011 Anterior corneal pigmentations, right eye
553
H18012 Anterior corneal pigmentations, left eye
553
H18013 Anterior corneal pigmentations, bilateral
553
H18019 Anterior corneal pigmentations,

eye
H18021 unspecified
Argentous corneal
deposits, right eye
553
553
H18022 Argentous corneal deposits, left eye
553
H18023 Argentous corneal deposits, bilateral
553
H18029 Argentous corneal deposits, unspecified

H18031 eye
Corneal deposits in metabolic disorders,
553
553
eyedeposits in metabolic disorders,

H18032 right
Corneal
eye deposits in metabolic disorders,
H18033 left
Corneal
H18039 bilateral
Corneal deposits in metabolic disorders,
eye ring, right eye
H18041 unspecified
Kayser-Fleischer
553
553
553
554
H18042 Kayser-Fleischer ring, left eye
554
H18043 Kayser-Fleischer ring, bilateral
554
H18049 Kayser-Fleischer ring, unspecified eye
554
H18051 Posterior corneal pigmentations, right eye
553
H18052 Posterior corneal pigmentations, left eye
553
H18053 Posterior corneal pigmentations, bilateral
553
H18059 Posterior corneal pigmentations,

eye pigmentations, right eye
H18061 unspecified
Stromal corneal
553
553
H18062 Stromal corneal pigmentations, left eye
553
H18063 Stromal corneal pigmentations, bilateral
553
H18069 Stromal corneal pigmentations,

eye
H1810 unspecified
Bullous keratopathy,
unspecified eye
553
553
H1811
Bullous keratopathy, right eye
553
H1812
Bullous keratopathy, left eye
553
H1813
Bullous keratopathy, bilateral
553
H1820
Unspecified corneal edema
553
Page 2113 of 6734

H18211 Corneal edema secondary to contact lens,
eyeedema secondary to contact lens,
H18212 right
Corneal
eye edema secondary to contact lens,
H18213 left
Corneal
H18219 bilateral
Corneal edema secondary to contact lens,
553
553
553
553
eye edema, right eye

H18221 unspecified
Idiopathic corneal
553
H18222 Idiopathic corneal edema, left eye
553
H18223 Idiopathic corneal edema, bilateral
553
H18229 Idiopathic corneal edema, unspecified eye
553
H18231 Secondary corneal edema, right eye
553
H18232 Secondary corneal edema, left eye
553
H18233 Secondary corneal edema, bilateral
553
H18239 Secondary corneal edema, unspecified eye
553
553
H18311 Folds and rupture in Bowman's membrane,

H18312 right
Folds eye
and rupture in Bowman's membrane,
left
eye
H18313 Folds and rupture in Bowman's membrane,
H18319 bilateral
Folds and rupture in Bowman's membrane,
553
553
553
553
eye
H18321 unspecified
Folds in Descemet's
membrane, right eye
553
H18322 Folds in Descemet's membrane, left eye
553
H18323 Folds in Descemet's membrane, bilateral
553
H18329 Folds in Descemet's membrane,

eye
H18331 unspecified
Rupture in Descemet's
membrane, right
H18332 eye
Rupture in Descemet's membrane, left eye
553
553
553
H18333 Rupture in Descemet's membrane,

H18339 bilateral
Rupture in Descemet's membrane,
H1840 unspecified
Unspecified eye
corneal degeneration
553
553
553
H18411 Arcus senilis, right eye
553
H18412 Arcus senilis, left eye
553
H18413 Arcus senilis, bilateral
553
H1830
Unspecified corneal membrane change
Page 2114 of 6734

H18419 Arcus senilis, unspecified eye
553
H18421 Band keratopathy, right eye
553
H18422 Band keratopathy, left eye
553
H18423 Band keratopathy, bilateral
553
H18429 Band keratopathy, unspecified eye
553
553
H18441 Keratomalacia, right eye
553
H18442 Keratomalacia, left eye
553
H18443 Keratomalacia, bilateral
553
H18449 Keratomalacia, unspecified eye
553
H18451 Nodular corneal degeneration, right eye
553
H18452 Nodular corneal degeneration, left eye
553
H18453 Nodular corneal degeneration, bilateral
553
H18459 Nodular corneal degeneration, unspecified

H18461 eye
Peripheral corneal degeneration, right eye
553
553
H18462 Peripheral corneal degeneration, left eye
553
H18463 Peripheral corneal degeneration, bilateral
553
H18469 Peripheral corneal degeneration,

eye
H1849 unspecified
Other corneal
degeneration
553
553
H1843
Other calcerous corneal degeneration
H1850
Unspecified hereditary corneal dystrophies
553
H1851
Endothelial corneal dystrophy
553
H1852
Epithelial (juvenile) corneal dystrophy
553
H1853
Granular corneal dystrophy
553
H1854
Lattice corneal dystrophy
553
H1855
Macular corneal dystrophy
553
H1859
Other hereditary corneal dystrophies
553
H18601 Keratoconus, unspecified, right eye
553
H18602 Keratoconus, unspecified, left eye
553
H18603 Keratoconus, unspecified, bilateral
553
Page 2115 of 6734

H18609 Keratoconus, unspecified, unspecified eye
553
H18611 Keratoconus, stable, right eye
553
H18612 Keratoconus, stable, left eye
553
H18613 Keratoconus, stable, bilateral
553
H18619 Keratoconus, stable, unspecified eye
553
H18621 Keratoconus, unstable, right eye
553
H18622 Keratoconus, unstable, left eye
553
H18623 Keratoconus, unstable, bilateral
553
H18629 Keratoconus, unstable, unspecified eye
553
553
H18711 Corneal ectasia, right eye
553
H18712 Corneal ectasia, left eye
553
H18713 Corneal ectasia, bilateral
553
H18719 Corneal ectasia, unspecified eye
553
H18721 Corneal staphyloma, right eye
553
H18722 Corneal staphyloma, left eye
553
H18723 Corneal staphyloma, bilateral
553
H18729 Corneal staphyloma, unspecified eye
553
H18731 Descemetocele, right eye
553
H18732 Descemetocele, left eye
553
H18733 Descemetocele, bilateral
553
H18739 Descemetocele, unspecified eye
553
H18791 Other corneal deformities, right eye
553
H18792 Other corneal deformities, left eye
553
H18793 Other corneal deformities, bilateral
553
H18799 Other corneal deformities, unspecified eye
553
H18811 Anesthesia and hypoesthesia of cornea,

eye and hypoesthesia of cornea,
H18812 right
Anesthesia
eye
H18813 left
Anesthesia
and hypoesthesia of cornea,
bilateral
553
553
553
H1870
Unspecified corneal deformity
Page 2116 of 6734

H18819 Anesthesia and hypoesthesia of cornea,
eye due to contact lens, right
H18821 unspecified
Corneal disorder
553
553
H18822 eye
Corneal disorder due to contact lens, left
H18823 eye
Corneal disorder due to contact lens,
H18829 bilateral
Corneal disorder due to contact lens,
eye of cornea, right eye
H18831 unspecified
Recurrent erosion
553
553
553
553
H18832 Recurrent erosion of cornea, left eye
553
H18833 Recurrent erosion of cornea, bilateral
553
H18839 Recurrent erosion of cornea, unspecified

H18891 eye
Other specified disorders of cornea, right
553
553
H18892 eye
Other specified disorders of cornea, left
H18893 eye
Other specified disorders of cornea,
H18899 bilateral
Other specified disorders of cornea,
unspecified
H189
Unspecified eye
disorder of cornea
553
553
553
553
Unspecified acute and subacute

H20011 iridocyclitis
Primary iridocyclitis, right eye
553
554
H20012 Primary iridocyclitis, left eye
554
H20013 Primary iridocyclitis, bilateral
554
H20019 Primary iridocyclitis, unspecified eye
554
H20021 Recurrent acute iridocyclitis, right eye
554
H20022 Recurrent acute iridocyclitis, left eye
554
H20023 Recurrent acute iridocyclitis, bilateral
554
H20029 Recurrent acute iridocyclitis, unspecified

H20031 eye
Secondary infectious iridocyclitis, right eye
554
554
H20032 Secondary infectious iridocyclitis, left eye
554
H20033 Secondary infectious iridocyclitis, bilateral
554
H20039 Secondary infectious iridocyclitis,

eye
H20041 unspecified
Secondary noninfectious
iridocyclitis, right
eye
H20042 Secondary noninfectious iridocyclitis, left
554
554
554
H2000
eye
Page 2117 of 6734

H20043 Secondary noninfectious iridocyclitis,
H20049 bilateral
Secondary noninfectious iridocyclitis,
eye eye
H20051 unspecified
Hypopyon, right
554
554
554
H20052 Hypopyon, left eye
554
H20053 Hypopyon, bilateral
554
H20059 Hypopyon, unspecified eye
554
H2010
Chronic iridocyclitis, unspecified eye
553
H2011
Chronic iridocyclitis, right eye
553
H2012
Chronic iridocyclitis, left eye
553
H2013
Chronic iridocyclitis, bilateral
553
H2020
Lens-induced iridocyclitis, unspecified eye
553
H2021
Lens-induced iridocyclitis, right eye
553
H2022
Lens-induced iridocyclitis, left eye
553
H2023
Lens-induced iridocyclitis, bilateral
553
H20811 Fuchs' heterochromic cyclitis, right eye
553
H20812 Fuchs' heterochromic cyclitis, left eye
553
H20813 Fuchs' heterochromic cyclitis, bilateral
553
H20819 Fuchs' heterochromic cyclitis, unspecified

H20821 eye
Vogt-Koyanagi syndrome, right eye
553
553
H20822 Vogt-Koyanagi syndrome, left eye
553
H20823 Vogt-Koyanagi syndrome, bilateral
553
H20829 Vogt-Koyanagi syndrome, unspecified eye
553
Unspecified iridocyclitis
553
H2100
Hyphema, unspecified eye
553
H2101
Hyphema, right eye
553
H2102
Hyphema, left eye
553
H2103
Hyphema, bilateral
553
553
553
H209
H211X1 Other vascular disorders of iris and ciliary

eye disorders of iris and ciliary
H211X2 body,
Other right
vascular
body, left eye
Page 2118 of 6734

H211X3 Other vascular disorders of iris and ciliary
H211X9 body,
Other bilateral
vascular disorders of iris and ciliary
body,
unsp
eye
H21211 Degeneration
of chamber angle, right eye
553
553
553
H21212 Degeneration of chamber angle, left eye
553
H21213 Degeneration of chamber angle, bilateral
553
H21219 Degeneration of chamber angle,

eye
H21221 unspecified
Degeneration
of ciliary body, right eye
553
553
H21222 Degeneration of ciliary body, left eye
553
H21223 Degeneration of ciliary body, bilateral
553
H21229 Degeneration of ciliary body, unspecified

H21231 eye
Degeneration of iris (pigmentary), right
H21232 eye
Degeneration of iris (pigmentary), left eye
553
553
553
H21233 Degeneration of iris (pigmentary), bilateral
553
H21239 Degeneration of iris (pigmentary),

eye
H21241 unspecified
Degeneration
of pupillary margin, right
eye
H21242 Degeneration of pupillary margin, left eye
553
553
553
H21243 Degeneration of pupillary margin, bilateral
553
H21249 Degeneration of pupillary margin,

H21251 unspecified
Iridoschisis, eye
right eye
553
553
H21252 Iridoschisis, left eye
553
H21253 Iridoschisis, bilateral
553
H21259 Iridoschisis, unspecified eye
553
H21261 Iris atrophy (essential) (progressive), right

H21262 eye
Iris atrophy (essential) (progressive), left
H21263 eye
Iris atrophy (essential) (progressive),
553
553
553
H21269 bilateral
Iris atrophy (essential) (progressive),
eye cyst, right eye
H21271 unspecified
Miotic pupillary
553
553
H21272 Miotic pupillary cyst, left eye
553
H21273 Miotic pupillary cyst, bilateral
553
Page 2119 of 6734

H21279 Miotic pupillary cyst, unspecified eye
553
553
H21301 Idio cysts of iris, ciliary body or ant

right
H21302 chamber,
Idio cysts of
iris,eye
ciliary body or ant
chamber,
left
eye
H21303 Idio cysts of iris, ciliary body or ant
bilateral
H21309 chamber,
Idio cysts of
iris, ciliary body or ant
553
553
553
553
H21311 chamber,
Exudative unsp
cystseye
of iris or anterior
H21312 chamber,
Exudative right
cystseye
of iris or anterior
chamber,
left
eye
H21313 Exudative cysts of iris or anterior
553
553
553
H21319 chamber,
Exudative bilateral
cysts of iris or anterior
chamber,
unspecified
eye body or ant
H21321 Implant cysts of iris, ciliary
r eye
H21322 chamber,
Implant cysts
of iris, ciliary body or ant
553
553
553
left eye
H21323 chamber,
Implant cysts
of iris, ciliary body or ant
chamber,
bi
H21329 Implant cysts of iris, ciliary body or ant
unsp
eye ciliary body or ant
H21331 chamber,
Parastc cyst
of iris,
553
553
550
right
eye ciliary body or ant
H21332 chamber,
Parastc cyst
of iris,
left of
eye
H21333 chamber,
Parasitic cyst
iris, ciliary body or ant
chamber,
bi
H21339 Parastc cyst of iris, ciliary body or ant
550
550
550
unsp
H21341 chamber,
Primary cyst
of eye
pars plana, right eye
553
H21342 Primary cyst of pars plana, left eye
553
H21343 Primary cyst of pars plana, bilateral
553
H21349 Primary cyst of pars plana, unspecified eye
553
H21351 Exudative cyst of pars plana, right eye
553
H21352 Exudative cyst of pars plana, left eye
553
H21353 Exudative cyst of pars plana, bilateral
553
H21359 Exudative cyst of pars plana, unspecified

H2140 eye
Pupillary membranes, unspecified eye
553
553
H2129
Other iris atrophy
H2141
Pupillary membranes, right eye
553
H2142
Pupillary membranes, left eye
553
Page 2120 of 6734

H2143
Pupillary membranes, bilateral
553
H21501 Unspecified adhesions of iris, right eye
553
H21502 Unspecified adhesions of iris, left eye
553
H21503 Unspecified adhesions of iris, bilateral
553
H21509 Unsp adhesions of iris and ciliary body,

eye
H21511 unspecified
Anterior synechiae
(iris), right eye
553
553
H21512 Anterior synechiae (iris), left eye
553
H21513 Anterior synechiae (iris), bilateral
553
H21519 Anterior synechiae (iris), unspecified eye
553
H21521 Goniosynechiae, right eye
553
H21522 Goniosynechiae, left eye
553
H21523 Goniosynechiae, bilateral
553
H21529 Goniosynechiae, unspecified eye
553
H21531 Iridodialysis, right eye
553
H21532 Iridodialysis, left eye
553
H21533 Iridodialysis, bilateral
553
H21539 Iridodialysis, unspecified eye
553
H21541 Posterior synechiae (iris), right eye
553
H21542 Posterior synechiae (iris), left eye
553
H21543 Posterior synechiae (iris), bilateral
553
H21549 Posterior synechiae (iris), unspecified eye
553
H21551 Recession of chamber angle, right eye
553
H21552 Recession of chamber angle, left eye
553
H21553 Recession of chamber angle, bilateral
553
H21559 Recession of chamber angle, unspecified

H21561 eye
Pupillary abnormality, right eye
553
553
H21562 Pupillary abnormality, left eye
553
H21563 Pupillary abnormality, bilateral
553
H21569 Pupillary abnormality, unspecified eye
553
Page 2121 of 6734

H2181
Floppy iris syndrome
553
H2182
Plateau iris syndrome (post-iridectomy)

(postprocedural)
Other specified disorders of iris and ciliary
553
553
body
Unspecified disorder of iris and ciliary
body
H22
Disorders of iris and ciliary body in
classd elswhr
H25011 diseases
Cortical age-related
cataract, right eye
553
553
551
CATARACTS
H25012 Cortical age-related cataract, left eye
551
CATARACTS
H25013 Cortical age-related cataract, bilateral
551
CATARACTS
H25019 Cortical age-related cataract, unspecified

H25031 eye
Anterior subcapsular polar age-related
551
CATARACTS
551
CATARACTS
right eye polar age-related

H25032 cataract,
Anterior subcapsular
left eye
H25033 cataract,
Anterior subcapsular
polar age-related
cataract,
bilateral
H25039 Anterior subcapsular polar age-related
551
CATARACTS
551
CATARACTS
551
CATARACTS
unsp eye
H25041 cataract,
Posterior subcapsular
polar age-related
right eye
H25042 cataract,
polar age-related
cataract,
left
eye
H25043 Posterior subcapsular polar age-related
551
CATARACTS
551
CATARACTS
551
CATARACTS
bilateral
H25049 cataract,
polar age-related
cataract,
unsp
eye
H25091 Other age-related incipient cataract, right
H25092 eye
Other age-related incipient cataract, left
551
CATARACTS
551
CATARACTS
551
CATARACTS
H25093 eye
Other age-related incipient cataract,
H25099 bilateral
Other age-related incipient cataract,
H2510 unspecified
Age-related eye
nuclear cataract, unspecified
551
CATARACTS
551
CATARACTS
551
CATARACTS
H2189
H219
H2511
eye
Age-related nuclear cataract, right eye
551
CATARACTS
H2512
Age-related nuclear cataract, left eye
551
CATARACTS
H2513
Age-related nuclear cataract, bilateral
551
CATARACTS
H2520
Age-related cataract, morgagnian type,

unspecified
Age-related eye
cataract, morgagnian type,
right
eye
Age-related cataract, morgagnian type,
551
CATARACTS
551
CATARACTS
551
CATARACTS
left
eye
Age-related
cataract, morgagnian type,
bilateral
551
CATARACTS
H2521
H2522
H2523
Page 2122 of 6734

H25811 Combined forms of age-related cataract,
eye forms of age-related cataract,
H25812 right
Combined
eye
H25813 left
Combined
forms of age-related cataract,
H25819 bilateral
Combined forms of age-related cataract,
551
CATARACTS
551
CATARACTS
551
CATARACTS
551
CATARACTS
unspecified
eye cataract
Other age-related
551
CATARACTS
Unspecified age-related cataract
551
CATARACTS
H26001 Unspecified infantile and juvenile cataract,

eye
H26002 right
Unspecified
infantile and juvenile cataract,
left
eye
H26003 Unspecified infantile and juvenile cataract,
H26009 bilateral
Unspecified infantile and juvenile cataract,
551
CATARACTS
551
CATARACTS
551
CATARACTS
551
CATARACTS
H26011 unspecified
Infantile andeye
juv cortical/lamellar/zonular
r eye
H26012 cataract,
Infantile and
juv cortical/lamellar/zonular
cataract,
l
eye
H26013 Infantile and juv cortical/lamellar/zonular
551
CATARACTS
551
CATARACTS
551
CATARACTS
H26019 cataract,
Infantile &bijuv cortical/lamellar/zonular
unsp
eye
H26031 cataract,
Infantile and
juvenile
nuclear cataract,
right
eye
H26032 Infantile and juvenile nuclear cataract, left
551
CATARACTS
551
CATARACTS
551
CATARACTS
H26033 eye
Infantile and juvenile nuclear cataract,
H26039 bilateral
Infantile and juvenile nuclear cataract,
eye polar infantile and
H26041 unspecified
Ant subcapsular
551
CATARACTS
551
CATARACTS
551
CATARACTS
cataract,polar
r eyeinfantile and juv
H26042 juvenile
Ant subcapsular
left eyepolar infantile and
H26043 cataract,
Ant subcapsular
cataract,polar
bi infantile and juv
H26049 juvenile
Ant subcapsular
unsp eye
H26051 cataract,
Post subcapsular
polar infantile and juv
551
CATARACTS
551
CATARACTS
551
CATARACTS
551
CATARACTS
r eye polar infantile and juv

H26052 cataract,
Post subcapsular
left eye polar infantile and
H26053 cataract,
Post subcapsular
cataract, polar
bi
H26059 juvenile
Post subcapsular
infantile and juv
cataract,
unsp
eye
H26061 Combined forms of infantile and juvenile
551
CATARACTS
551
CATARACTS
551
CATARACTS
551
CATARACTS
eye
H26062 cataract,
Combinedright
forms
of infantile and juvenile
cataract,
left
eye
cataract, bilateral
551
CATARACTS
551
CATARACTS
H2589
H259
Page 2123 of 6734

unsp eye
H2609 cataract,
Other infantile
and juvenile cataract
551
CATARACTS
551
CATARACTS
H26101 Unspecified traumatic cataract, right eye
551
CATARACTS
H26102 Unspecified traumatic cataract, left eye
551
CATARACTS
H26103 Unspecified traumatic cataract, bilateral
551
CATARACTS
H26109 Unspecified traumatic cataract,

eye
H26111 unspecified
Localized traumatic
opacities, right eye
551
CATARACTS
551
CATARACTS
H26112 Localized traumatic opacities, left eye
551
CATARACTS
H26113 Localized traumatic opacities, bilateral
551
CATARACTS
H26119 Localized traumatic opacities, unspecified

H26121 eye
Partially resolved traumatic cataract, right
551
CATARACTS
551
CATARACTS
H26122 eye
Partially resolved traumatic cataract, left
H26123 eye
Partially resolved traumatic cataract,
H26129 bilateral
Partially resolved traumatic cataract,
eyecataract, right eye
H26131 unspecified
Total traumatic
551
CATARACTS
551
CATARACTS
551
CATARACTS
551
CATARACTS
H26132 Total traumatic cataract, left eye
551
CATARACTS
H26133 Total traumatic cataract, bilateral
551
CATARACTS
H26139 Total traumatic cataract, unspecified eye
551
CATARACTS
Unspecified complicated cataract
551
CATARACTS
H26211 Cataract with neovascularization, right eye
551
CATARACTS
H26212 Cataract with neovascularization, left eye
551
CATARACTS
H26213 Cataract with neovascularization, bilateral
551
CATARACTS
H26219 Cataract with neovascularization,

eye
H26221 unspecified
Cataract secondary
to ocular disorders,
551
CATARACTS
551
CATARACTS
eye secondary to ocular disorders,

H26222 right
Cataract
eye secondary to ocular disorders,
H26223 left
Cataract
H26229 bilateral
Cataract secondary to ocular disorders,
eye
H26231 unsp
Glaucomatous
flecks (subcapsular), right
551
CATARACTS
551
CATARACTS
551
CATARACTS
551
CATARACTS
H26232 eye
Glaucomatous flecks (subcapsular), left
eye
551
CATARACTS
H2620
Page 2124 of 6734

H26233 Glaucomatous flecks (subcapsular),
H26239 bilateral
Glaucomatous flecks (subcapsular),
eye
H2630 unspecified
Drug-induced
cataract, unspecified eye
551
CATARACTS
551
CATARACTS
551
CATARACTS
H2631
Drug-induced cataract, right eye
551
CATARACTS
H2632
Drug-induced cataract, left eye
551
CATARACTS
H2633
Drug-induced cataract, bilateral
551
CATARACTS
H2640
Unspecified secondary cataract
551
CATARACTS
H26411 Soemmering's ring, right eye
551
CATARACTS
H26412 Soemmering's ring, left eye
551
CATARACTS
H26413 Soemmering's ring, bilateral
551
CATARACTS
H26419 Soemmering's ring, unspecified eye
551
CATARACTS
H26491 Other secondary cataract, right eye
551
CATARACTS
H26492 Other secondary cataract, left eye
551
CATARACTS
H26493 Other secondary cataract, bilateral
551
CATARACTS
H26499 Other secondary cataract, unspecified eye
551
CATARACTS
H268
Other specified cataract
551
CATARACTS
H269
Unspecified cataract
551
CATARACTS
H2700
Aphakia, unspecified eye
553
H2701
Aphakia, right eye
553
H2702
Aphakia, left eye
553
H2703
Aphakia, bilateral
553
H2710
Unspecified dislocation of lens
553
H27111 Subluxation of lens, right eye
553
H27112 Subluxation of lens, left eye
553
H27113 Subluxation of lens, bilateral
553
H27119 Subluxation of lens, unspecified eye
553
H27121 Anterior dislocation of lens, right eye
553
H27122 Anterior dislocation of lens, left eye
553
H27123 Anterior dislocation of lens, bilateral
553
Page 2125 of 6734

H27129 Anterior dislocation of lens, unspecified
H27131 eye
Posterior dislocation of lens, right eye
553
553
H27132 Posterior dislocation of lens, left eye
553
H27133 Posterior dislocation of lens, bilateral
553
H27139 Posterior dislocation of lens, unspecified

eye
H278
Other specified disorders of lens
553
553
Unspecified disorder of lens
553
Cataract in diseases classified elsewhere
551
CATARACTS
H30001 Unspecified focal chorioretinal

right
eye
H30002 inflammation,
Unspecified focal
chorioretinal
554
554
leftchorioretinal
eye
Unspecified focal
bilateral inflammation,
Unsp focal chorioretinal
eye
H30011 unspecified
Focal chorioretinal
inflammation,
554
554
554
rightinflammation,
eye
H30012 juxtapapillary,
Focal chorioretinal
left eye
Focal chorioretinal
inflammation,
juxtapapillary,
bilateral
H30019 Focal chorioretinal inflammation,
554
554
554
unsp
eye
Focal chorioretin
inflammation
of posterior
pole,
right
eye
H30022 Focal chorioretinal inflammation of
pole, left
eye
H30023 posterior
Focal chorioretin
inflammation
of posterior
554
554
554
H30029 pole,
Focal bilateral
chorioretinal inflammation of
posterior
pole, unspinflammation,
eye
H30031 Focal chorioretinal
right eye
H30032 peripheral,
Focal chorioretinal
inflammation,
554
554
554
left eyeinflammation,
H30033 peripheral,
Focal chorioretinal
bilateralinflammation,
H30039 peripheral,
Focal chorioretinal
554
554
unsp eye
H30041 peripheral,
Focal chorioretin
inflam, macular or
right
eye macular or
H30042 paramacular,
Focal chorioretin
inflam,
leftinflam,
eye
H30043 paramacular,
Focal chorioretin
macular or
554
554
554
bilateral
H30049 paramacular,
Focal chorioretin
inflam, macular or
paramacular,
unsp
H30101 Unsp disseminated eye
chorioretinal
inflammation, right eye
554
550
H279
H28
Page 2126 of 6734

H30102 Unsp disseminated chorioretinal
left eye
Unsp disseminated
chorioretinal
550
550
bilateral
Unsp disseminated
chorioretinal
unspinflammation
eye
Dissem chorioretin
of
posterior
pole,
right
eye
H30112 Dissem chorioretin inflammation of
550
550
550
pole, left eye

H30113 posterior
Dissem chorioretin
inflammation of
posterior
pole,
bilateral
H30119 Dissem chorioretin inflammation of
pole,chorioretin
unsp eye inflammation,
H30121 posterior
Disseminated
550
550
550
right
eye
H30122 peripheral
Disseminated
chorioretin
inflammation,
peripheral,
left
eye
H30123 Disseminated chorioretin inflammation,
bilateral
H30129 peripheral,
Disseminated
chorioretin inflammation,
550
550
550
unsp eye
H30131 peripheral,
Dissem chorioretin
inflammation,
generalized,
right
eye
550
550
left eye
H30133 generalized,
Dissem chorioretin
inflammation, generalized
550

unsp eye
H30141 generalized,
Acute post multifoc
placoid pigment
550
554
r eyeplacoid pigment
H30142 epitheliopathy,
Acute post multifoc
eye placoid pigment epi
Acute posterior left
multifoc
554
554
H30149 Acute post multifoc placoid pigment

unsp
eye
Posterior cyclitis,
unspecified
eye
554
554
H3021
Posterior cyclitis, right eye
554
H3022
Posterior cyclitis, left eye
554
H3023
Posterior cyclitis, bilateral
554
H30811 Harada's disease, right eye
554
H30812 Harada's disease, left eye
554
H30813 Harada's disease, bilateral
554
H30819 Harada's disease, unspecified eye
554
H30891 Other chorioretinal inflammations, right

H30892 eye
Other chorioretinal inflammations, left eye
554
554
Page 2127 of 6734

H30893 Other chorioretinal inflammations,
H30899 bilateral
Other chorioretinal inflammations,
H3090 unspecified
Unspecified eye
chorioretinal inflammation,
554
554
554
unspecified
Unspecified eye
right
eye
Unspecified chorioretinal inflammation,
left
eye
Unspecified
554
554
H3091
H3092
H3093
554
H31001 bilateral
Unspecified chorioretinal scars, right eye
553
H31002 Unspecified chorioretinal scars, left eye
553
H31003 Unspecified chorioretinal scars, bilateral
553
H31009 Unspecified chorioretinal scars,

H31011 unspecified
Macula scarseye
of posterior pole (post-
553
553
right
eye
H31012 traumatic),
Macula scars
of posterior
pole (posttraumatic),
left
eye
H31013 Macula scars of posterior pole (postbilateral
H31019 traumatic),
Macula scars
of posterior pole (post-
553
553
553
unsp eye
H31021 traumatic),
Solar retinopathy,
right eye
553
H31022 Solar retinopathy, left eye
553
H31023 Solar retinopathy, bilateral
553
H31029 Solar retinopathy, unspecified eye
553
H31091 Other chorioretinal scars, right eye
553
H31092 Other chorioretinal scars, left eye
553
H31093 Other chorioretinal scars, bilateral
553
H31099 Other chorioretinal scars, unspecified eye
553
H31101 Choroidal degeneration, unspecified, right

H31102 eye
Choroidal degeneration, unspecified, left
H31103 eye
Choroidal degeneration, unspecified,
553
553
553
H31109 bilateral
Choroidal degeneration, unspecified,
H31111 unspecified
Age-related eye
choroidal atrophy, right eye
553
553
H31112 Age-related choroidal atrophy, left eye
553
H31113 Age-related choroidal atrophy, bilateral
553
Page 2128 of 6734

H31119 Age-related choroidal atrophy, unspecified
H31121 eye
Diffuse secondary atrophy of choroid, right
553
553
H31122 eye
Diffuse secondary atrophy of choroid, left
H31123 eye
Diffuse secondary atrophy of choroid,
H31129 bilateral
Diffuse secondary atrophy of choroid,
eye
H3120 unspecified
Hereditary choroidal
dystrophy,
553
553
553
553
H3121
unspecified
Choroideremia
553
H3122
553
H3123
Choroidal dystrophy (central areolar)

(peripapillary)
Gyrate atrophy, choroid
553
H3129
Other hereditary choroidal dystrophy
553
H31301 Unspecified choroidal hemorrhage, right

H31302 eye
Unspecified choroidal hemorrhage, left eye
553
553
H31303 Unspecified choroidal hemorrhage,

H31309 bilateral
Unspecified choroidal hemorrhage,
eye
H31311 unspecified
Expulsive choroidal
hemorrhage, right eye
553
553
553
H31312 Expulsive choroidal hemorrhage, left eye
553
H31313 Expulsive choroidal hemorrhage, bilateral
553
H31319 Expulsive choroidal hemorrhage,

eye
H31321 unspecified
Choroidal rupture,
right eye
553
554
H31322 Choroidal rupture, left eye
554
H31323 Choroidal rupture, bilateral
554
H31329 Choroidal rupture, unspecified eye
554
H31401 Unspecified choroidal detachment, right

H31402 eye
Unspecified choroidal detachment, left eye
553
553
H31403 Unspecified choroidal detachment,

H31409 bilateral
Unspecified choroidal detachment,
H31411 unspecified
Hemorrhagiceye
choroidal detachment, right
eye
H31412 Hemorrhagic choroidal detachment, left
553
553
554
554
H31413 eye
Hemorrhagic choroidal detachment,
bilateral
554
Page 2129 of 6734

H31419 Hemorrhagic choroidal detachment,
eye detachment, right eye
H31421 unspecified
Serous choroidal
554
553
H31422 Serous choroidal detachment, left eye
553
H31423 Serous choroidal detachment, bilateral
553
H31429 Serous choroidal detachment, unspecified

eye
H318
Other specified disorders of choroid
553
553
553
Chorioretinal disorders in diseases

elsewhere
H33001 classified
Unspecified
retinal detachment with
retinal
break,
right eye
H33002 Unspecified retinal
detachment with
553
553
553
break,retinal
left eye
H33003 retinal
Unspecified
detachment with
break,detachment
bilateral
H33009 retinal
Unsp retinal
with retinal
break,
unspecified
eye
H33011 Retinal detachment with single break,
553
553
554
eye
H33012 right
Retinal
detachment with single break, left
H33013 eye
Retinal detachment with single break,
H33019 bilateral
Retinal detachment with single break,
eye
H33021 unspecified
Retinal detachment
with multiple breaks,
554
554
554
554
eye
H33022 right
Retinal
detachment with multiple breaks,
eyedetachment with multiple breaks,
H33023 left
Retinal
H33029 bilateral
Retinal detachment with multiple breaks,
eye
H33031 unspecified
Retinal detachment
with giant retinal tear,
554
554
554
554
eye
H33032 right
Retinal
detachment with giant retinal tear,
eyedetachment with giant retinal tear,
H33033 left
Retinal
H33039 bilateral
Retinal detachment with giant retinal tear,
eye
H33041 unspecified
Retinal detachment
with retinal dialysis,
554
554
554
554
eye
H33042 right
Retinal
detachment with retinal dialysis,
left
eye
H33043 Retinal detachment with retinal dialysis,
H33049 bilateral
Retinal detachment with retinal dialysis,
H33051 unspecified
Total retinal eye
detachment, right eye
554
554
554
554
H319
Unspecified disorder of choroid
H32
Page 2130 of 6734

H33052 Total retinal detachment, left eye
554
H33053 Total retinal detachment, bilateral
554
H33059 Total retinal detachment, unspecified eye
554
H33101 Unspecified retinoschisis, right eye
553
H33102 Unspecified retinoschisis, left eye
553
H33103 Unspecified retinoschisis, bilateral
553
H33109 Unspecified retinoschisis, unspecified eye
553
H33111 Cyst of ora serrata, right eye
553
H33112 Cyst of ora serrata, left eye
553
H33113 Cyst of ora serrata, bilateral
553
H33119 Cyst of ora serrata, unspecified eye
553
H33121 Parasitic cyst of retina, right eye
550
H33122 Parasitic cyst of retina, left eye
550
H33123 Parasitic cyst of retina, bilateral
550
H33129 Parasitic cyst of retina, unspecified eye
550
H33191 Other retinoschisis and retinal cysts, right

H33192 eye
Other retinoschisis and retinal cysts, left
H33193 eye
Other retinoschisis and retinal cysts,
H33199 bilateral
Other retinoschisis and retinal cysts,
553
553
553
553
553
H3321
unspecified
eye
Serous retinal
detachment, unspecified
eye
Serous retinal detachment, right eye
553
H3322
Serous retinal detachment, left eye
553
H3323
Serous retinal detachment, bilateral
553
H33301 Unspecified retinal break, right eye
553
H33302 Unspecified retinal break, left eye
553
H33303 Unspecified retinal break, bilateral
553
H33309 Unspecified retinal break, unspecified eye
553
H33311 Horseshoe tear of retina without

right
eye without
H33312 detachment,
Horseshoe tear
of retina
detachment, left eye
553
553
H3320
Page 2131 of 6734

H33313 Horseshoe tear of retina without
bilateral
H33319 detachment,
Horseshoe tear
of retina without
detachment,
unspecified
eye
H33321 Round hole, right eye
553
553
553
H33322 Round hole, left eye
553
H33323 Round hole, bilateral
553
H33329 Round hole, unspecified eye
553
H33331 Multiple defects of retina without

right
H33332 detachment,
Multiple defects
of eye
retina without
detachment,
left
eye
H33333 Multiple defects of retina without
553
553
553
bilateral
H33339 detachment,
Multiple defects
of retina without
detachment,
unsp
eye
H3340 Traction detachment
of retina, unspecified
H3341 eye
Traction detachment of retina, right eye
553
553
553
H3342
Traction detachment of retina, left eye
553
H3343
Traction detachment of retina, bilateral
553
Other retinal detachments
553
554
H3401
Transient retinal artery occlusion,

unspecified
eye artery occlusion, right eye
Transient retinal
554
H3402
Transient retinal artery occlusion, left eye
554
H3403
Transient retinal artery occlusion, bilateral
554
H3410
554
H3411
Central retinal artery occlusion,

unspecified
eyeartery occlusion, right eye
Central retinal
554
H3412
Central retinal artery occlusion, left eye
554
H3413
Central retinal artery occlusion, bilateral
554
H34211 Partial retinal artery occlusion, right eye
554
H34212 Partial retinal artery occlusion, left eye
554
H34213 Partial retinal artery occlusion, bilateral
554
H34219 Partial retinal artery occlusion, unspecified

H34231 eye
Retinal artery branch occlusion, right eye
554
554
H34232 Retinal artery branch occlusion, left eye
554
H338
H3400
Page 2132 of 6734

H34233 Retinal artery branch occlusion, bilateral
554
H34239 Retinal artery branch occlusion,

eyevein occlusion, right eye
H34811 unspecified
Central retinal
554
554
H34812 Central retinal vein occlusion, left eye
554
H34813 Central retinal vein occlusion, bilateral
554
H34819 Central retinal vein occlusion, unspecified

H34821 eye
Venous engorgement, right eye
554
553
H34822 Venous engorgement, left eye
553
H34823 Venous engorgement, bilateral
553
H34829 Venous engorgement, unspecified eye
553
H34831 Tributary (branch) retinal vein occlusion,

eye (branch) retinal vein occlusion,
H34832 right
Tributary
eye (branch) retinal vein occlusion,
H34833 left
Tributary
H34839 bilateral
Tributary (branch) retinal vein occlusion,
553
553
553
553
unspecified
Unspecified eye
retinal vascular occlusion
553
Unspecified background retinopathy
553
H35011 Changes in retinal vascular appearance,

eye in retinal vascular appearance,
H35012 right
Changes
eye in retinal vascular appearance,
H35013 left
Changes
H35019 bilateral
Changes in retinal vascular appearance,
553
553
553
553
eye
H35021 unspecified
Exudative retinopathy,
right eye
553
H35022 Exudative retinopathy, left eye
553
H35023 Exudative retinopathy, bilateral
553
H35029 Exudative retinopathy, unspecified eye
553
H35031 Hypertensive retinopathy, right eye
553
H35032 Hypertensive retinopathy, left eye
553
H35033 Hypertensive retinopathy, bilateral
553
H35039 Hypertensive retinopathy, unspecified eye
553
H35041 Retinal micro-aneurysms, unspecified,

right eye
553
H349
H3500
Page 2133 of 6734

H35042 Retinal micro-aneurysms, unspecified, left
H35043 eye
Retinal micro-aneurysms, unspecified,
H35049 bilateral
Retinal micro-aneurysms, unspecified,
553
553
553
eye
H35051 unspecified
Retinal neovascularization,
unspecified,
right
eye
H35052 Retinal neovascularization, unspecified,
eyeneovascularization, unspecified,
H35053 left
Retinal
553
553
553
H35059 bilateral
Retinal neovascularization, unspecified,
eye right eye
H35061 unspecified
Retinal vasculitis,
553
554
H35062 Retinal vasculitis, left eye
554
H35063 Retinal vasculitis, bilateral
554
H35069 Retinal vasculitis, unspecified eye
554
H35071 Retinal telangiectasis, right eye
553
H35072 Retinal telangiectasis, left eye
553
H35073 Retinal telangiectasis, bilateral
553
H35079 Retinal telangiectasis, unspecified eye
553
Other intraretinal microvascular

H35101 abnormalities
Retinopathy of prematurity, unspecified,
eye
H35102 right
Retinopathy
of prematurity, unspecified,
553
553
553
eye
H35103 left
Retinopathy
of prematurity, unspecified,
bilateral
H35109 Retinopathy of prematurity, unspecified,
H35111 unspecified
Retinopathyeye
of prematurity, stage 0, right
eye
H35112 Retinopathy of prematurity, stage 0, left
553
553
553
553
H35113 eye
Retinopathy of prematurity, stage 0,
H35119 bilateral
H35121 unspecified
Retinopathyeye
H35122 eye
Retinopathy of prematurity, stage 1, left
553
553
554
554
H35123 eye
H35129 bilateral
H35131 unspecified
Retinopathyeye
eye
554
554
554
H3509
Page 2134 of 6734

H35133 eye
H35139 bilateral
H35141 unspecified
Retinopathyeye
eye
554
554
554
554
554
H35143 eye
H35149 bilateral
H35151 unspecified
Retinopathyeye
eye
554
554
554
554
H35153 eye
H35159 bilateral
H35161 unspecified
Retinopathyeye
eye
554
554
554
554
H35163 eye
H35169 bilateral
eye
H35171 unspecified
Retrolental fibroplasia,
right eye
554
554
553
H35172 Retrolental fibroplasia, left eye
553
H35173 Retrolental fibroplasia, bilateral
553
H35179 Retrolental fibroplasia, unspecified eye
553
Other non-diabetic proliferative

retinopathy,
unsp eye
Other non-diabetic
proliferative
553
553
553
H3523
retinopathy,
right eye
Other non-diabetic
proliferative
retinopathy,
left eyeproliferative
Other non-diabetic
553
H3530
retinopathy,
bilateraldegeneration
Unspecified macular
553
H3531
553
H3532
Nonexudative age-related macular

degeneration
Exudative age-related macular
553
H3533
degeneration
Angioid streaks of macula
553
553
553
H3520
H3521
H3522
H35341 Macular cyst, hole, or pseudohole, right

H35342 eye
Macular cyst, hole, or pseudohole, left eye
Page 2135 of 6734

H35343 Macular cyst, hole, or pseudohole, bilateral
553
H35349 Macular cyst, hole, or pseudohole,

eye degeneration, right eye
H35351 unspecified
Cystoid macular
553
553
H35352 Cystoid macular degeneration, left eye
553
H35353 Cystoid macular degeneration, bilateral
553
H35359 Cystoid macular degeneration, unspecified

H35361 eye
Drusen (degenerative) of macula, right
553
553
H35362 eye
Drusen (degenerative) of macula, left eye
553
H35363 Drusen (degenerative) of macula, bilateral
553
H35369 Drusen (degenerative) of macula,

H35371 unspecified
Puckering ofeye
macula, right eye
553
553
H35372 Puckering of macula, left eye
553
H35373 Puckering of macula, bilateral
553
H35379 Puckering of macula, unspecified eye
553
H35381 Toxic maculopathy, right eye
553
H35382 Toxic maculopathy, left eye
553
H35383 Toxic maculopathy, bilateral
553
H35389 Toxic maculopathy, unspecified eye
553
Unspecified peripheral retinal

H35411 degeneration
Lattice degeneration of retina, right eye
553
553
H35412 Lattice degeneration of retina, left eye
553
H35413 Lattice degeneration of retina, bilateral
553
H35419 Lattice degeneration of retina, unspecified

H35421 eye
Microcystoid degeneration of retina, right
553
553
H35422 eye
Microcystoid degeneration of retina, left
H35423 eye
Microcystoid degeneration of retina,
H35429 bilateral
Microcystoid degeneration of retina,
H35431 unspecified
Paving stoneeye
degeneration of retina, right
553
553
553
553
H35432 eye
Paving stone degeneration of retina, left
eye
553
H3540
Page 2136 of 6734

H35433 Paving stone degeneration of retina,
H35439 bilateral
Paving stone degeneration of retina,
H35441 unspecified
Age-related eye
reticular degeneration of
553
553
553
right reticular
eye
H35442 retina,
Age-related
degeneration of
retina,
left
eye
H35443 Age-related reticular degeneration of
bilateral
H35449 retina,
Age-related
reticular degeneration of
553
553
553
unsppigmentary
eye
H35451 retina,
Secondary
degeneration, right
H35452 eye
Secondary pigmentary degeneration, left
H35453 eye
Secondary pigmentary degeneration,
553
553
553
H35459 bilateral
Secondary pigmentary degeneration,
eye
H35461 unspecified
Secondary vitreoretinal
degeneration,
eye vitreoretinal degeneration, left
H35462 right
Secondary
H35463 eye
Secondary vitreoretinal degeneration,
553
553
553
553
H35469 bilateral
Secondary vitreoretinal degeneration,
H3550 unspecified
Unspecified eye
hereditary retinal dystrophy
553
553
H3551
Vitreoretinal dystrophy
553
H3552
Pigmentary retinal dystrophy
553
H3553
553
H3554
Other dystrophies primarily involving the

sensory
retina
Dystrophies
primarily w the retinal
553
H3560
pigment
epithelium unspecified eye
Retinal hemorrhage,
553
H3561
Retinal hemorrhage, right eye
553
H3562
Retinal hemorrhage, left eye
553
H3563
Retinal hemorrhage, bilateral
553
H3570
Unspecified separation of retinal layers
553
H35711 Central serous chorioretinopathy, right eye
553
H35712 Central serous chorioretinopathy, left eye
553
H35713 Central serous chorioretinopathy, bilateral
553
H35719 Central serous chorioretinopathy,

eye
H35721 unspecified
Serous detachment
of retinal pigment
553
553
epithelium, right eye

Page 2137 of 6734

H35722 Serous detachment of retinal pigment
left eye of retinal pigment
H35723 epithelium,
Serous detachment
bilateralof retinal pigment
H35729 epithelium,
Serous detachment
eyeof retinal pigment
H35731 epithelium,
Hemorrhagicunsp
detach
553
553
553
554
eye of retinal pigment

H35732 epithelium,
Hemorrhagicright
detach
eye of retinal pigment
H35733 epithelium,
Hemorrhagicleft
detach
H35739 epithelium,
Hemorrhagicbilateral
detach of retinal pigment
554
554
554
H3581
epithelium,
unsp eye
Retinal edema
553
H3582
Retinal ischemia
553
H3589
Other specified retinal disorders
553
Unspecified retinal disorder
553
Retinal disorders in diseases classified

H40001 elsewhere
Preglaucoma, unspecified, right eye
553
552
GLAUCOMA
H40002 Preglaucoma, unspecified, left eye
552
GLAUCOMA
H40003 Preglaucoma, unspecified, bilateral
552
GLAUCOMA
H40009 Preglaucoma, unspecified, unspecified eye
552
GLAUCOMA
H40011 Open angle with borderline findings, low

eye
H40012 risk,
Openright
angle
with borderline findings, low
eyewith borderline findings, low
H40013 risk,
Openleft
angle
H40019 risk,
Openbilateral
angle with borderline findings, low
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
eye
H40021 risk,
Openunsp
angle
with borderline findings, high
risk,
right
eye
H40022 Open angle with borderline findings, high
eyewith borderline findings, high
H40023 risk,
Openleft
angle
H40029 risk,
Openbilateral
angle with borderline findings, high
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
unsp eye
H40031 risk,
Anatomical
narrow angle, right eye
552
GLAUCOMA
H40032 Anatomical narrow angle, left eye
552
GLAUCOMA
H40033 Anatomical narrow angle, bilateral
552
GLAUCOMA
H40039 Anatomical narrow angle, unspecified eye
552
GLAUCOMA
H40041 Steroid responder, right eye
552
GLAUCOMA
H359
H36
Page 2138 of 6734

H40042 Steroid responder, left eye
552
GLAUCOMA
H40043 Steroid responder, bilateral
552
GLAUCOMA
H40049 Steroid responder, unspecified eye
552
GLAUCOMA
H40051 Ocular hypertension, right eye
552
GLAUCOMA
H40052 Ocular hypertension, left eye
552
GLAUCOMA
H40053 Ocular hypertension, bilateral
552
GLAUCOMA
H40059 Ocular hypertension, unspecified eye
552
GLAUCOMA
H40061 Primary angle closure without glaucoma

right closure
eye
H40062 damage,
Primary angle
without glaucoma
damage,
left
eye
H40063 Primary angle closure without glaucoma
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
bilateral
H40069 damage,
Primary angle
closure without glaucoma
unsp
eye
H4010X0 damage,
Unspecified
open-angle
glaucoma, stage
unspecified
H4010X1 Unspecified open-angle glaucoma, mild
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H4010X2 stage
Unspecified open-angle glaucoma,
stage
H4010X3 moderate
Unspecified
open-angle glaucoma, severe
stage
H4010X4 Unspecified open-angle glaucoma,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stageglaucoma, stage
H4011X0 indeterminate
Primary open-angle
H4011X1 unspecified
Primary open-angle glaucoma, mild stage
552
GLAUCOMA
552
GLAUCOMA
H4011X2 Primary open-angle glaucoma, moderate

H4011X3 stage
Primary open-angle glaucoma, severe
H4011X4 stage
Primary open-angle glaucoma,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
H401210 indeterminate
Low-tension glaucoma,
right eye, stage
H401211 unspecified
Low-tension glaucoma, right eye, mild
H401212 stage
Low-tension glaucoma, right eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
H401213 moderate
Low-tension
glaucoma, right eye, severe
H401214 stage
Low-tension glaucoma, right eye,
stage
left eye, stage
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H401221 unspecified
Low-tension glaucoma, left eye, mild stage
552
GLAUCOMA
H401222 Low-tension glaucoma, left eye, moderate

stage
552
GLAUCOMA
Page 2139 of 6734

H401223 Low-tension glaucoma, left eye, severe
H401224 stage
Low-tension glaucoma, left eye,
stage
bilateral, stage
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H401231 unspecified
Low-tension glaucoma, bilateral, mild
H401232 stage
Low-tension glaucoma, bilateral, moderate
H401233 stage
Low-tension glaucoma, bilateral, severe
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H401234 stage
Low-tension glaucoma, bilateral,
stage
unspecified eye,
stage
unspecified
H401291 Low-tension glaucoma, unspecified eye,
stage glaucoma, unspecified eye,
H401292 mild
Low-tension
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
H401293 moderate
Low-tension
glaucoma, unspecified eye,
stageglaucoma, unspecified eye,
H401294 severe
Low-tension
stage right eye, stage
Pigmentary glaucoma,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H401311 unspecified
Pigmentary glaucoma, right eye, mild
H401312 stage
Pigmentary glaucoma, right eye, moderate
H401313 stage
Pigmentary glaucoma, right eye, severe
H401314 stage
Pigmentary glaucoma, right eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage left eye, stage

H401321 unspecified
Pigmentary glaucoma, left eye, mild stage
552
GLAUCOMA
552
GLAUCOMA
H401322 Pigmentary glaucoma, left eye, moderate

H401323 stage
Pigmentary glaucoma, left eye, severe
H401324 stage
Pigmentary glaucoma, left eye,
stage bilateral, stage
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H401331 unspecified
Pigmentary glaucoma, bilateral, mild stage
552
GLAUCOMA
H401332 Pigmentary glaucoma, bilateral, moderate

H401333 stage
Pigmentary glaucoma, bilateral, severe
H401334 stage
Pigmentary glaucoma, bilateral,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage unspecified eye,

unspecified
H401391 stage
Pigmentary
mild stage
552
GLAUCOMA
552
GLAUCOMA
Page 2140 of 6734

H401392 Pigmentary glaucoma, unspecified eye,
stage
H401393 moderate
Pigmentary
severe
stage
H401394 Pigmentary glaucoma, unspecified eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
Capslr glaucoma
w/pseudxf lens, right
eye,
stage
unsp
H401411 Capslr glaucoma w/pseudxf lens, right
mild
stage w/pseudxf lens, right
H401412 eye,
Capslr
glaucoma
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
moderate
stage
H401413 eye,
Capslr
glaucoma
w/pseudxf lens, right
severe
stagew/pseudxf lens, r eye,
H401414 eye,
Capslr
glaucoma
stage
Capslr glaucoma
w/pseudxf lens, left eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H401421 stage
Capslrunsp
glaucoma w/pseudxf lens, left eye,
mild
stage
H401422 Capslr glaucoma w/pseudxf lens, left eye,
stage w/pseudxf lens, left eye,
H401423 moderate
Capslr glaucoma
stage
H401424 severe
Capslr glaucoma
w/pseudxf lens, l eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
Capslr glaucoma
w/pseudxf lens, bilateral,
H401431 stage
Capslrunsp
glaucoma w/pseudxf lens, bilateral,
mild
stage
H401432 Capslr glaucoma w/pseudxf lens, bilateral,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage w/pseudxf lens, bilateral,

H401433 moderate
Capslr glaucoma
stage
H401434 severe
Capslr glaucoma
w/pseudxf lens, bi,
stage
Capslr glaucoma
w/pseudxf lens, unsp
eye,
stage
unsp
H401491 Capslr glaucoma w/pseudxf lens, unsp
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
mild
stage w/pseudxf lens, unsp
H401492 eye,
Capslr
glaucoma
moderate
stage
H401493 eye,
Capslr
glaucoma
w/pseudxf lens, unsp eye,
552
GLAUCOMA
552
GLAUCOMA
H401494 Capslr glaucoma w/pseudxf lens, unsp eye,
552
GLAUCOMA
H40151 Residual stage of open-angle glaucoma, rig
552
GLAUCOMA
H40152 Residual stage of open-angle glaucoma, left
552
GLAUCOMA
H40153 Residual stage of open-angle glaucoma, bila
552
GLAUCOMA
H40159 Residual stage of open-angle glaucoma,

eye
H4020X0 unspecified
Unsp primary
angle-closure glaucoma,
552
GLAUCOMA
552
GLAUCOMA
unspecified
H4020X1 stage
Unspecified
primary angle-closure
glaucoma, mild stage
552
GLAUCOMA
Page 2141 of 6734

H4020X2 Unspecified primary angle-closure
stage
H4020X3 glaucoma,
Unspecifiedmoderate
primary angle-closure
552
GLAUCOMA
552
GLAUCOMA
severe
stage
H4020X4 glaucoma,
Unsp primary
angle-closure
glaucoma,
stage glaucoma, right eye
Acute angle-closure
552
GLAUCOMA
552
GLAUCOMA
H40212 Acute angle-closure glaucoma, left eye
552
GLAUCOMA
H40213 Acute angle-closure glaucoma, bilateral
552
GLAUCOMA
H40219 Acute angle-closure glaucoma, unspecified

H402210 eye
Chronic angle-closure glaucoma, right eye,
552
GLAUCOMA
552
GLAUCOMA
unspecified
H402211 stage
Chronic
angle-closure glaucoma, right eye,
mild
stage
H402212 Chronic angle-closure glaucoma, right eye,
stage
H402213 moderate
Chronic angle-closure
glaucoma, right eye,
H402214 severe
Chronicstage
angle-closure glaucoma, r eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage glaucoma, left eye,

unspecified
H402221 stage
Chronic
angle-closure glaucoma, left eye,
stage
H402222 mild
Chronic
angle-closure glaucoma, left eye,
moderate
stage
H402223 Chronic angle-closure
glaucoma, left eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H402224 severe
Chronicstage
angle-closure glaucoma, l eye,
indeterminate
stage glaucoma, bilateral,
unspecified
H402231 stage
Chronic
angle-closure glaucoma, bilateral,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
H402232 mild
Chronic
angle-closure glaucoma, bilateral,
moderate
stage
glaucoma, bilateral,
severe
stage
H402234 Chronic angle-closure glaucoma, bi,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage glaucoma, unsp eye,

unspecified
H402291 stage
Chronic
angle-closure glaucoma,
unspecified
eye, mild stage
glaucoma, unsp eye,
stage
H402293 moderate
glaucoma, unsp eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
H402294 severe
Chr angle-closure
glaucoma, unsp eye,
indeterminate
stage
H40231 Intermittent angle-closure glaucoma, right
H40232 eye
Intermittent angle-closure glaucoma, left
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
eye
Page 2142 of 6734

H40233 Intermittent angle-closure glaucoma,
H40239 bilateral
Intermittent angle-closure glaucoma,
eyeof angle-closure glaucoma,
H40241 unspecified
Residual stage
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
eye stage of angle-closure glaucoma,

H40242 right
Residual
eye stage of angle-closure glaucoma,
H40243 left
Residual
H40249 bilateral
Residual stage of angle-closure glaucoma,
eye
H4030X0 unspecified
Glaucoma secondary
to eye trauma, unsp
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage secondary
unsp
H4030X1 eye,
Glaucoma
to eye trauma, unsp ey
552
GLAUCOMA
H4030X2 Glaucoma secondary to eye trauma, unsp

moderate
stage to eye trauma, unsp
H4030X3 eye,
Glaucoma
secondary
severesec
stage
H4030X4 eye,
Glaucoma
to eye trauma, unsp eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage to eye trauma, right

Glaucoma secondary
stage secondary
unsp
H4031X1 eye,
Glaucoma
to eye trauma, right ey
552
GLAUCOMA
552
GLAUCOMA
H4031X2 Glaucoma secondary to eye trauma, right

moderate
stage to eye trauma, right e
H4031X3 eye,
Glaucoma
secondary
552
GLAUCOMA
552
GLAUCOMA
H4031X4 Glaucoma secondary to eye trauma, r eye,

stage to eye trauma, left
Glaucoma secondary
stage secondary
unsp
H4032X1 eye,
Glaucoma
to eye trauma, left
mild stage
H4032X2 eye,
Glaucoma
secondary to eye trauma, left
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
moderate
stage to eye trauma, left
H4032X3 eye,
Glaucoma
secondary
severesec
stage
H4032X4 eye,
Glaucoma
to eye trauma, left eye,
indeterminate
stage to eye trauma,
H4033X0 Glaucoma secondary
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
unsp to eye trauma,

H4033X1 bilateral,
Glaucomastage
secondary
stage to eye trauma,
H4033X2 bilateral,
Glaucomamild
secondary
stage
H4033X3 bilateral,
Glaucomamoderate
secondary
to eye trauma,
stageto eye trauma, bi, ind
H4033X4 bilateral,
Glaucomasevere
secondary
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H4040X0 Glaucoma secondary to eye inflammation, u
552
GLAUCOMA
H4040X1 Glaucoma secondary to eye inflammation,

eye, mild
stage to eye inflam, unsp
H4040X2 unsp
Glaucoma
secondary
eye, moderate stage
552
GLAUCOMA
552
GLAUCOMA
Page 2143 of 6734

H4040X3 Glaucoma secondary to eye inflam, unsp
severesec
stage
H4040X4 eye,
Glaucoma
to eye inflam, unsp eye,
552
GLAUCOMA
552
GLAUCOMA
stage to eye inflam, right

Glaucoma secondary
stage secondary
unsp
H4041X1 eye,
Glaucoma
to eye inflam, right
eye,
mild
stage
H4041X2 Glaucoma secondary to eye inflam, right
moderate
stage to eye inflam, right ey
H4041X3 eye,
Glaucoma
secondary
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H4041X4 Glaucoma secondary to eye inflam, r eye, i
552
GLAUCOMA
H4042X0 Glaucoma secondary to eye inflammation, le
552
GLAUCOMA
H4042X1 Glaucoma secondary to eye inflammation,

eye, mild
stage to eye inflam, left
H4042X2 left
Glaucoma
secondary
moderate
stage to eye inflam, left
H4042X3 eye,
Glaucoma
secondary
severesec
stage
H4042X4 eye,
Glaucoma
to eye inflam, left eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage to eye inflam,

Glaucoma secondary
unsp to eye inflam,
H4043X1 bilateral,
Glaucomastage
secondary
stage to eye inflam,
H4043X2 bilateral,
Glaucomamild
secondary
stage
H4043X3 bilateral,
Glaucomamoderate
secondary
to eye inflam,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stageto eye inflam, bi,

H4043X4 bilateral,
Glaucomasevere
secondary
stage to oth eye disord,
Glaucoma secondary
eye, stage
unsp to oth eye disord,
H4050X1 unsp
Glaucoma
secondary
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
eye, mild
stage
H4050X2 unsp
Glaucoma
sec to
oth eye disord, unsp eye,
552
GLAUCOMA
H4050X3 Glaucoma secondary to oth eye disord,

eye, severe
stage
H4050X4 unsp
Glaucoma
sec to oth
eye disord, unsp eye,
552
GLAUCOMA
552
GLAUCOMA
stg
Glaucoma secondary
to oth eye disord,
right
eye,
stage
unsp
H4051X1 Glaucoma secondary to oth eye disord,
eye, mild
stage to oth eye disord, r
H4051X2 right
Glaucoma
secondary
moderate
stage to oth eye disord, r
H4051X3 eye,
Glaucoma
secondary
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
severesec
stage
H4051X4 eye,
Glaucoma
to oth eye disord, r eye,
indeterminate
stage to oth eye disord, left
stage secondary
unsp
H4052X1 eye,
Glaucoma
to oth eye disord, left
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
eye, mild stage

Page 2144 of 6734

H4052X2 Glaucoma sec to oth eye disord, left eye,
H4052X3 moderate
Glaucoma stage
secondary to oth eye disord, left
552
GLAUCOMA
552
GLAUCOMA
severesec
stage
H4052X4 eye,
Glaucoma
to oth eye disord, l eye,
stage to oth eye disorders,
Glaucoma secondary
stage unsp
H4053X1 bi,
Glaucoma
secondary to oth eye disorders,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
mild stage
H4053X2 bi,
Glaucoma
secondary to oth eye disorders,
bi,
moderate
stage to oth eye disorders,
severe stage
H4053X4 bi,
Glaucoma
sec to oth eye disord, bi,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage to drugs, unsp eye,

Glaucoma secondary
unspecified
H4060X1 stage
Glaucoma
secondary to drugs, unspecified e
552
GLAUCOMA
552
GLAUCOMA
H4060X2 Glaucoma secondary to drugs, unspecified

moderate
stage to drugs, unspecified
H4060X3 eye,
Glaucoma
secondary
severesecondary
stage
H4060X4 eye,
Glaucoma
to drugs, unsp eye,
indeterminate
stage
H4061X0 Glaucoma secondary to drugs, right eye,
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
unspecified
H4061X1 stage
Glaucoma
secondary to drugs, right eye,
mild
stage
H4061X3 moderate
Glaucoma stage
secondary to drugs, right eye,
severe
stage
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage to drugs, left eye,

Glaucoma secondary
unspecified
H4062X1 stage
Glaucoma
secondary to drugs, left eye,
mild
stage
H4062X2 Glaucoma secondary to drugs, left eye,
H4062X3 moderate
Glaucoma stage
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
stage
H4062X4 severe
Glaucoma
indeterminate
stage to drugs, bilateral,
unspecified
H4063X1 stage
Glaucoma
secondary to drugs, bilateral,
stage secondary to drugs, bilateral,
H4063X2 mild
Glaucoma
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
H4063X3 moderate
Glaucoma stage
secondary to drugs, bilateral,
severe
stage
H4063X4 Glaucoma secondary to drugs, bilateral,
stage episcleral venous
Glaucoma w increased
552
GLAUCOMA
552
GLAUCOMA
552
GLAUCOMA
pressure, right eye

Page 2145 of 6734

H40812 Glaucoma with increased episcleral
pressure,
left eye
H40813 venous
Glaucoma
w increased
episcleral venous pres
552
GLAUCOMA
552
GLAUCOMA
H40819 Glaucoma with increased episcleral

pressure,
unsp eyeright eye
H40821 venous
Hypersecretion
glaucoma,
552
GLAUCOMA
552
GLAUCOMA
H40822 Hypersecretion glaucoma, left eye
552
GLAUCOMA
H40823 Hypersecretion glaucoma, bilateral
552
GLAUCOMA
H40829 Hypersecretion glaucoma, unspecified eye
552
GLAUCOMA
H40831 Aqueous misdirection, right eye
552
GLAUCOMA
H40832 Aqueous misdirection, left eye
552
GLAUCOMA
H40833 Aqueous misdirection, bilateral
552
GLAUCOMA
H40839 Aqueous misdirection, unspecified eye
552
GLAUCOMA
Other specified glaucoma
552
GLAUCOMA
Unspecified glaucoma
552
GLAUCOMA
Glaucoma in diseases classified elsewhere
552
GLAUCOMA
H4300
Vitreous prolapse, unspecified eye
554
H4301
Vitreous prolapse, right eye
554
H4302
Vitreous prolapse, left eye
554
H4303
Vitreous prolapse, bilateral
554
H4310
Vitreous hemorrhage, unspecified eye
554
H4311
Vitreous hemorrhage, right eye
554
H4312
Vitreous hemorrhage, left eye
554
H4313
Vitreous hemorrhage, bilateral
554
H4320
Crystalline deposits in vitreous body,

unspecified
eye
Crystalline deposits
in vitreous body, right
eye
Crystalline deposits in vitreous body, left
eye
Crystalline deposits in vitreous body,
553
553
553
553
H43311 bilateral
Vitreous membranes and strands, right
H43312 eye
Vitreous membranes and strands, left eye
553
553
H43313 Vitreous membranes and strands, bilateral
553
H4089
H409
H42
H4321
H4322
H4323
Page 2146 of 6734

H43319 Vitreous membranes and strands,
eyeopacities, right eye
H43391 unspecified
Other vitreous
553
553
H43392 Other vitreous opacities, left eye
553
H43393 Other vitreous opacities, bilateral
553
H43399 Other vitreous opacities, unspecified eye
553
H43811 Vitreous degeneration, right eye
553
H43812 Vitreous degeneration, left eye
553
H43813 Vitreous degeneration, bilateral
553
H43819 Vitreous degeneration, unspecified eye
553
H43821 Vitreomacular adhesion, right eye
554
H43822 Vitreomacular adhesion, left eye
554
H43823 Vitreomacular adhesion, bilateral
554
H43829 Vitreomacular adhesion, unspecified eye
554
Other disorders of vitreous body
553
Unspecified disorder of vitreous body
553
H44001 Unspecified purulent endophthalmitis,

eye
H44002 right
Unspecified
purulent endophthalmitis, left
eye
H44003 Unspecified purulent endophthalmitis,
550
550
550
H44009 bilateral
Unspecified purulent endophthalmitis,
eye (acute), right eye
H44011 unspecified
Panophthalmitis
550
550
H44012 Panophthalmitis (acute), left eye
550
H44013 Panophthalmitis (acute), bilateral
550
H44019 Panophthalmitis (acute), unspecified eye
550
H44021 Vitreous abscess (chronic), right eye
550
H44022 Vitreous abscess (chronic), left eye
550
H44023 Vitreous abscess (chronic), bilateral
550
H44029 Vitreous abscess (chronic), unspecified

H44111 eye
Panuveitis, right eye
550
553
H44112 Panuveitis, left eye
553
H4389
H439
Page 2147 of 6734

H44113 Panuveitis, bilateral
553
H44119 Panuveitis, unspecified eye
553
H44121 Parasitic endophthalmitis, unspecified,

eyeendophthalmitis, unspecified, left
H44122 right
Parasitic
H44123 eye
Parasitic endophthalmitis, unspecified,
550
550
550
H44129 bilateral
Parasitic endophthalmitis, unspecified,
H44131 unspecified
Sympatheticeye
uveitis, right eye
550
553
H44132 Sympathetic uveitis, left eye
553
H44133 Sympathetic uveitis, bilateral
553
H44139 Sympathetic uveitis, unspecified eye
553
H4419
Other endophthalmitis
550
H4420
Degenerative myopia, unspecified eye
553
H4421
Degenerative myopia, right eye
553
H4422
Degenerative myopia, left eye
553
H4423
Degenerative myopia, bilateral
553
H4430
Unspecified degenerative disorder of globe
553
H44311 Chalcosis, right eye
553
H44312 Chalcosis, left eye
553
H44313 Chalcosis, bilateral
553
H44319 Chalcosis, unspecified eye
553
H44321 Siderosis of eye, right eye
553
H44322 Siderosis of eye, left eye
553
H44323 Siderosis of eye, bilateral
553
H44329 Siderosis of eye, unspecified eye
553
H44391 Other degenerative disorders of globe,

H44392 right
Othereye
degenerative disorders of globe, left
eye
H44393 Other degenerative disorders of globe,
H44399 bilateral
Other degenerative disorders of globe,
553
553
553
553
553
H4440
unspecified
Unspecified eye
hypotony of eye
Page 2148 of 6734

H44411 Flat anterior chamber hypotony of right
H44412 eye
Flat anterior chamber hypotony of left eye
553
553
H44413 Flat anterior chamber hypotony of eye,

H44419 bilateral
Flat anterior chamber hypotony of
H44421 unspecified
Hypotony ofeye
right eye due to ocular fistula
553
553
553
H44422 Hypotony of left eye due to ocular fistula
553
H44423 Hypotony of eye due to ocular fistula,

H44429 bilateral
Hypotony of unspecified eye due to ocular
H44431 fistula
Hypotony of eye due to other ocular
553
553
553
right
H44432 disorders,
Hypotony of
eyeeye
due to other ocular
disorders,
left
eye
H44433 Hypotony of eye due to other ocular
bilateral
H44439 disorders,
Hypotony of
eye due to other ocular
disorders,
unsp
eye
H44441 Primary hypotony
of right eye
553
553
553
553
H44442 Primary hypotony of left eye
553
H44443 Primary hypotony of eye, bilateral
553
H44449 Primary hypotony of unspecified eye
553
Unspecified degenerated conditions of

H44511 globe
Absolute glaucoma, right eye
553
553
H44512 Absolute glaucoma, left eye
553
H44513 Absolute glaucoma, bilateral
553
H44519 Absolute glaucoma, unspecified eye
553
H44521 Atrophy of globe, right eye
553
H44522 Atrophy of globe, left eye
553
H44523 Atrophy of globe, bilateral
553
H44529 Atrophy of globe, unspecified eye
553
H44531 Leucocoria, right eye
553
H44532 Leucocoria, left eye
553
H44533 Leucocoria, bilateral
553
H44539 Leucocoria, unspecified eye
553
H4450
Page 2149 of 6734

H44601 Unsp retained (old) intraocular fb,
right(old)
eye intraocular fb,
H44602 magnetic,
Unsp retained
left eye
H44603 magnetic,
Unsp retained
(old) intraocular fb,
554
554
554
bilateral
H44609 magnetic,
Unsp retained
(old) intraocular fb,
magnetic,
unsp
eye
H44611 Retained (old) magnetic
fb in ant chamber,
554
554
eye (old) magnetic fb in ant chamber,

H44612 right
Retained
eye (old) magnetic fb in ant chamber,
H44613 left
Retained
H44619 bilateral
Retained (old) magnetic fb in ant chamber,
eye (old) magnetic fb in iris or ciliary
H44621 unsp
Retained
554
554
554
554
r eye
H44622 body,
Retained
(old) magnetic fb in iris or ciliary
body,
left
eye magnetic fb in iris or ciliary
H44623 Retained (old)
bi (old) magnetic fb in iris or ciliary
H44629 body,
Retained
unsp
eyemagnetic foreign body in
H44631 body,
Retained
(old)
554
554
554
554
right(old)
eye magnetic foreign body in
H44632 lens,
Retained
left eye
H44633 lens,
Retained
(old) magnetic foreign body in
lens,
bilateral
H44639 Retained (old) magnetic foreign body in
unsp(old)
eye magnetic fb in post wall of
H44641 lens,
Retained
554
554
554
554
right
eye
H44642 globe,
Retained
(old)
magnetic fb in post wall of
left(old)
eye magnetic fb in posterior
H44643 globe,
Retained
of globe,
H44649 wall
Retained
(old)bi
magnetic fb in post wall of
globe,
unsp
eye
H44651 Retained (old) magnetic fb in vitreous
554
554
554
554
right
eyemagnetic fb in vitreous
H44652 body,
Retained
(old)
left(old)
eye magnetic fb in vitreous
H44653 body,
Retained
bilateral
H44659 body,
Retained
(old) magnetic fb in vitreous
body,
unsp
H44691 Retain (old) eye
intraoc fb, magnet, in oth or
554
554
554
554
sites,
eye
H44692 mult
Retain
(old)r intraoc
fb, magnet, in oth or
mult
sites,
l
eye
H44693 Retained (old) intraoc fb, magnet, in oth or
554
554
sites,
bi fb, magnet, in oth or mult
H44699 mult
Retain
intraoc
unsp eye(old) intraocular fb,
H44701 sites,
Unsp retained
nonmagnetic, right eye
554
554
Page 2150 of 6734

H44703 nonmagnetic,
Unsp retained left
(old)eye
intraocular fb,
nonmagnetic,
bilateral
554
554
554
eye
H44711 nonmagnetic,
Retained (old) unsp
foreign
body in ant
chamber,
right
eye
H44712 Retained (old) foreign body in ant
left eye
H44713 chamber,
Retained (old)
foreign body in ant
554
554
554
bilateral
H44719 chamber,
Retained (old)
foreign body in ant
unspfb
eye
H44721 chamber,
Retained (old)
in iris or ciliary body,
right
eye
H44722 Retained (old) fb in iris or ciliary body, left
H44723 eye
Retained (old) fb in iris or ciliary body,
554
554
554
554
H44729 bilateral
Retained (old) fb in iris or ciliary body,
eye (nonmagnetic) (old) foreign body
H44731 unsp
Retained
lens, right
eye
H44732 in
Retained
(nonmagnetic)
(old) foreign body
554
554
554
lens, left
eye
H44733 in
Retained
(nonmagnetic)
(old) foreign body
lens, bilateral
H44739 in
Retained
(nonmagnetic) (old) foreign body
in
lens,
unsp
H44741 Retained (old)eye
fb in posterior wall of globe,
554
554
554
eye (old) fb in posterior wall of globe,

H44742 right
Retained
eye (old) fb in posterior wall of globe,
H44743 left
Retained
H44749 bilateral
Retained (old) fb in posterior wall of globe,
eye (old) foreign body in vitreous
H44751 unsp
Retained
554
554
554
554
right
eyeforeign body in vitreous
H44752 body,
Retained
(old)
left(old)
eye foreign body in vitreous
H44753 body,
Retained
bilateral
H44759 body,
Retained
(old) foreign body in vitreous
body,
unsp
H44791 Retain (old) eye
intraoc fb, nonmag, in oth or
554
554
554
554
sites,
eye
H44792 mult
Retain
(old)r intraoc
fb, nonmag, in oth or
sites,(old)
l eye
H44793 mult
Retained
intraoc fb, nonmag, in oth
or
mult
sites,
bi
H44799 Retain intraoc fb, nonmag, in oth or mult
554
554
554
unsp eye right eye

H44811 sites,
Hemophthalmos,
554
H44812 Hemophthalmos, left eye
554
Page 2151 of 6734

H44813 Hemophthalmos, bilateral
554
H44819 Hemophthalmos, unspecified eye
554
H44821 Luxation of globe, right eye
554
H44822 Luxation of globe, left eye
554
H44823 Luxation of globe, bilateral
554
H44829 Luxation of globe, unspecified eye
554
Other disorders of globe
553
Unspecified disorder of globe
553
H4600
Optic papillitis, unspecified eye
553
H4601
Optic papillitis, right eye
553
H4602
Optic papillitis, left eye
553
H4603
Optic papillitis, bilateral
553
H4610
Retrobulbar neuritis, unspecified eye
554
H4611
Retrobulbar neuritis, right eye
554
H4612
Retrobulbar neuritis, left eye
554
H4613
Retrobulbar neuritis, bilateral
554
H462
Nutritional optic neuropathy
554
H463
Toxic optic neuropathy
554
H468
Other optic neuritis
554
H469
Unspecified optic neuritis
554
H47011 Ischemic optic neuropathy, right eye
553
H47012 Ischemic optic neuropathy, left eye
553
H47013 Ischemic optic neuropathy, bilateral
553
H47019 Ischemic optic neuropathy, unspecified

H47021 eye
Hemorrhage in optic nerve sheath, right
553
553
H47022 eye
Hemorrhage in optic nerve sheath, left eye
553
H47023 Hemorrhage in optic nerve sheath,

H47029 bilateral
Hemorrhage in optic nerve sheath,
H47031 unspecified
Optic nerve eye
hypoplasia, right eye
553
553
553
H4489
H449
Page 2152 of 6734

H47032 Optic nerve hypoplasia, left eye
553
H47033 Optic nerve hypoplasia, bilateral
553
H47039 Optic nerve hypoplasia, unspecified eye
553
H47091 Oth disorders of optic nerve, NEC, right

H47092 eye
Oth disorders of optic nerve, NEC, left eye
553
553
H47093 Oth disorders of optic nerve, NEC, bilateral
553
H47099 Oth disorders of optic nerve, NEC, unsp

H4710 eye
Unspecified papilledema
553
525
524
554
554
H47141 disorder
Foster-Kennedy syndrome, right eye
524
H47142 Foster-Kennedy syndrome, left eye
524
H47143 Foster-Kennedy syndrome, bilateral
524
H47149 Foster-Kennedy syndrome, unspecified eye
524
554
H47211 Primary optic atrophy, right eye
554
H47212 Primary optic atrophy, left eye
554
H47213 Primary optic atrophy, bilateral
554
H47219 Primary optic atrophy, unspecified eye
554
553
H47231 Glaucomatous optic atrophy, right eye
553
H47232 Glaucomatous optic atrophy, left eye
553
H47233 Glaucomatous optic atrophy, bilateral
553
H47239 Glaucomatous optic atrophy, unspecified

H47291 eye
Other optic atrophy, right eye
553
553
H47292 Other optic atrophy, left eye
553
H47293 Other optic atrophy, bilateral
553
H47299 Other optic atrophy, unspecified eye
553
H4711
H4712
H4713
H4720
H4722
Papilledema associated with increased

intracranial
Papilledemapressure
associated with decreased
ocular
pressure
Papilledema associated with retinal
Unspecified optic atrophy
Hereditary optic atrophy
Page 2153 of 6734

H47311 Coloboma of optic disc, right eye
553
H47312 Coloboma of optic disc, left eye
553
H47313 Coloboma of optic disc, bilateral
553
H47319 Coloboma of optic disc, unspecified eye
553
H47321 Drusen of optic disc, right eye
553
H47322 Drusen of optic disc, left eye
553
H47323 Drusen of optic disc, bilateral
553
H47329 Drusen of optic disc, unspecified eye
553
H47331 Pseudopapilledema of optic disc, right eye
553
H47332 Pseudopapilledema of optic disc, left eye
553
H47333 Pseudopapilledema of optic disc, bilateral
553
H47339 Pseudopapilledema of optic disc,

eye of optic disc, right eye
H47391 unspecified
Other disorders
553
553
H47392 Other disorders of optic disc, left eye
553
H47393 Other disorders of optic disc, bilateral
553
H47399 Other disorders of optic disc, unspecified

H4741 eye
Disorders of optic chiasm in (due to)
553
524
disorders
H4742 inflammatory
Disorders of optic
chiasm in (due to)
H4743 neoplasm
Disorders of optic chiasm in (due to)
H4749 vascular
Disordersdisorders
of optic chiasm in (due to) other
disorders
H47511 Disord of visual pathways in inflam disord,
side
H47512 right
Disord
of visual pathways in inflam disord,
524
524
524
524
524
sideof visual pathways in inflam disord,

H47519 left
Disord
H47521 unsp
Disordside
of visual pathways in (due to)
neoplasm,
right
side
H47522 Disorders of
visual
pathways in (due to)
524
524
524
left
side pathways in (due to)
H47529 neoplasm,
Disorders of
visual
unsp pathways
side
H47531 neoplasm,
Disord of visual
in vascular
524
524
right
sidepathways in vascular
H47532 disord,
Disord of
visual
left
side pathways in vascular
H47539 disord,
Disord of
visual
disord, unsp side
524
524
Page 2154 of 6734

H47611 Cortical blindness, right side of brain
524
H47612 Cortical blindness, left side of brain
524
H47619 Cortical blindness, unspecified side of

H47621 brain
Disord of visual cortex in inflam disord, r
of of
brain
H47622 side
Disord
visual cortex in inflam disord, left
524
524
524
of of
brain
H47629 side
Disord
visual cortex in inflam disord,
unsp
side
of brain
H47631 Disord of visual
cortex in neoplasm, right
of of
brain
H47632 side
Disord
visual cortex in neoplasm, left
524
524
524
of of
brain
H47639 side
Disord
visual cortex in neoplasm, unsp
side
of
brain
H47641 Disord of visual cortex in vasc disord, right
of of
brain
H47642 side
Disord
visual cortex in vasc disord, left
of of
brain
H47649 side
Disord
visual cortex in vasc disord, unsp
524
524
524
524
side
of braindisorder of visual pathways
Unspecified
524
527
H4901
Third [oculomotor] nerve palsy,

unspecified
eye
Third [oculomotor]
nerve palsy, right eye
527
H4902
Third [oculomotor] nerve palsy, left eye
527
H4903
Third [oculomotor] nerve palsy, bilateral
527
H4910
527
H4911
Fourth [trochlear] nerve palsy, unspecified

eye
Fourth [trochlear] nerve palsy, right eye
527
H4912
Fourth [trochlear] nerve palsy, left eye
527
H4913
Fourth [trochlear] nerve palsy, bilateral
527
H4920
527
H4921
Sixth [abducent] nerve palsy, unspecified

eye
Sixth [abducent] nerve palsy, right eye
527
H4922
Sixth [abducent] nerve palsy, left eye
527
H4923
Sixth [abducent] nerve palsy, bilateral
527
H4930
554
H4931
Total (external) ophthalmoplegia,

unspecified
eyeophthalmoplegia, right eye
Total (external)
554
H4932
Total (external) ophthalmoplegia, left eye
554
H4933
Total (external) ophthalmoplegia, bilateral
554
H479
H4900
Page 2155 of 6734

H4940
H4941
H4942
H4943
Progressive external ophthalmoplegia,

unspecified
eye
Progressive external
ophthalmoplegia,
right
eye
Progressive external ophthalmoplegia, left
eye
Progressive external ophthalmoplegia,
553
553
553
553
H49811 bilateral
Kearns-Sayre syndrome, right eye
691
H49812 Kearns-Sayre syndrome, left eye
691
H49813 Kearns-Sayre syndrome, bilateral
691
H49819 Kearns-Sayre syndrome, unspecified eye
691
H49881 Other paralytic strabismus, right eye
553
H49882 Other paralytic strabismus, left eye
553
H49883 Other paralytic strabismus, bilateral
553
H49889 Other paralytic strabismus, unspecified

eye
H499
Unspecified paralytic strabismus
553
553
Unspecified esotropia
553
H50011 Monocular esotropia, right eye
553
H50012 Monocular esotropia, left eye
553
H50021 Monocular esotropia with A pattern, right

H50022 eye
Monocular esotropia with A pattern, left
H50031 eye
Monocular esotropia with V pattern, right
H50032 eye
Monocular esotropia with V pattern, left
553
553
553
553
H50041 eye
Monocular esotropia with other
rightwith
eyeother
H50042 noncomitancies,
Monocular esotropia
left eye
Alternating esotropia
553
553
553
H5000
H5006
Alternating esotropia with A pattern
553
H5007
Alternating esotropia with V pattern
553
H5008
Alternating esotropia with other

noncomitancies
Unspecified exotropia
553
553
H50111 Monocular exotropia, right eye
553
H50112 Monocular exotropia, left eye
553
H5010
Page 2156 of 6734

H50121 Monocular exotropia with A pattern, right
H50122 eye
Monocular exotropia with A pattern, left
H50131 eye
Monocular exotropia with V pattern, right
H50132 eye
Monocular exotropia with V pattern, left
553
553
553
553
H50141 eye
Monocular exotropia with other
rightwith
eyeother
Monocular exotropia
left eye
Alternating exotropia
553
553
553
H5016
Alternating exotropia with A pattern
553
H5017
Alternating exotropia with V pattern
553
H5018
553
H5021
Alternating exotropia with other

noncomitancies
Vertical strabismus, right eye
553
H5022
Vertical strabismus, left eye
553
H5030
Unspecified intermittent heterotropia
553
553
553
553
553
553
H50311 Intermittent monocular esotropia, right

H50312 eye
Intermittent monocular esotropia, left eye
H5032
Intermittent alternating esotropia
H50331 Intermittent monocular exotropia, right

H50332 eye
Intermittent monocular exotropia, left eye
H5034
Intermittent alternating exotropia
553
H5040
Unspecified heterotropia
553
H50411 Cyclotropia, right eye
553
H50412 Cyclotropia, left eye
553
H5042
Monofixation syndrome
553
H5043
Accommodative component in esotropia
553
H5050
Unspecified heterophoria
553
H5051
Esophoria
553
H5052
Exophoria
553
H5053
Vertical heterophoria
553
H5054
Cyclophoria
553
Page 2157 of 6734

H5055
Alternating heterophoria
553
H5060
Mechanical strabismus, unspecified
553
H50611 Brown's sheath syndrome, right eye
553
H50612 Brown's sheath syndrome, left eye
553
Other mechanical strabismus
553
H50811 Duane's syndrome, right eye
553
H50812 Duane's syndrome, left eye
553
Other specified strabismus
553
H509
Unspecified strabismus
553
H510
Palsy (spasm) of conjugate gaze
553
H5111
Convergence insufficiency
553
H5112
Convergence excess
553
H5120
524
H5121
Internuclear ophthalmoplegia, unspecified

eye
Internuclear ophthalmoplegia, right eye
524
H5122
Internuclear ophthalmoplegia, left eye
524
H5123
Internuclear ophthalmoplegia, bilateral
524
Other specified disorders of binocular

movement
Unspecified disorder of binocular
553
553
H5200
movement
Hypermetropia, unspecified eye
553
H5201
Hypermetropia, right eye
553
H5202
Hypermetropia, left eye
553
H5203
Hypermetropia, bilateral
553
H5210
Myopia, unspecified eye
553
H5211
Myopia, right eye
553
H5212
Myopia, left eye
553
H5213
Myopia, bilateral
553
H52201 Unspecified astigmatism, right eye
553
H52202 Unspecified astigmatism, left eye
553
H52203 Unspecified astigmatism, bilateral
553
H5069
H5089
H518
H519
Page 2158 of 6734

H52209 Unspecified astigmatism, unspecified eye
553
H52211 Irregular astigmatism, right eye
553
H52212 Irregular astigmatism, left eye
553
H52213 Irregular astigmatism, bilateral
553
H52219 Irregular astigmatism, unspecified eye
553
H52221 Regular astigmatism, right eye
553
H52222 Regular astigmatism, left eye
553
H52223 Regular astigmatism, bilateral
553
H52229 Regular astigmatism, unspecified eye
553
H5231
Anisometropia
553
H5232
Aniseikonia
553
H524
Presbyopia
553
H52511 Internal ophthalmoplegia (complete)

eye
H52512 (total),
Internalright
ophthalmoplegia
(complete)
eye
H52513 (total),
Internalleft
ophthalmoplegia
(complete)
553
553
553
H52519 (total),
Internalbilateral
ophthalmoplegia (complete)
(total),
unspecified
eye
H52521 Paresis of accommodation,
right eye
553
553
H52522 Paresis of accommodation, left eye
553
H52523 Paresis of accommodation, bilateral
553
H52529 Paresis of accommodation, unspecified

H52531 eye
Spasm of accommodation, right eye
553
553
H52532 Spasm of accommodation, left eye
553
H52533 Spasm of accommodation, bilateral
553
H52539 Spasm of accommodation, unspecified eye
553
H526
Other disorders of refraction
553
H527
Unspecified disorder of refraction
553
H53001 Unspecified amblyopia, right eye
553
H53002 Unspecified amblyopia, left eye
553
H53003 Unspecified amblyopia, bilateral
553
Page 2159 of 6734

H53009 Unspecified amblyopia, unspecified eye
553
H53011 Deprivation amblyopia, right eye
553
H53012 Deprivation amblyopia, left eye
553
H53013 Deprivation amblyopia, bilateral
553
H53019 Deprivation amblyopia, unspecified eye
553
H53021 Refractive amblyopia, right eye
553
H53022 Refractive amblyopia, left eye
553
H53023 Refractive amblyopia, bilateral
553
H53029 Refractive amblyopia, unspecified eye
553
H53031 Strabismic amblyopia, right eye
553
H53032 Strabismic amblyopia, left eye
553
H53033 Strabismic amblyopia, bilateral
553
H53039 Strabismic amblyopia, unspecified eye
553
H5310
Unspecified subjective visual disturbances
553
H5311
Day blindness
553
H53121 Transient visual loss, right eye
553
H53122 Transient visual loss, left eye
553
H53123 Transient visual loss, bilateral
553
H53129 Transient visual loss, unspecified eye
553
H53131 Sudden visual loss, right eye
554
H53132 Sudden visual loss, left eye
554
H53133 Sudden visual loss, bilateral
554
H53139 Sudden visual loss, unspecified eye
554
H53141 Visual discomfort, right eye
553
H53142 Visual discomfort, left eye
553
H53143 Visual discomfort, bilateral
553
H53149 Visual discomfort, unspecified
553
H5315
Visual distortions of shape and size
553
H5316
Psychophysical visual disturbances
553
Page 2160 of 6734

H5319
Other subjective visual disturbances
553
Diplopia
553
H5330
Unspecified disorder of binocular vision
553
H5331
Abnormal retinal correspondence
553
H5332
Fusion with defective stereopsis
553
H5333
553
H5334
Simultaneous visual perception without

fusion
Suppression of binocular vision
553
H5340
Unspecified visual field defects
553
H53411 Scotoma involving central area, right eye
553
H53412 Scotoma involving central area, left eye
553
H53413 Scotoma involving central area, bilateral
553
H53419 Scotoma involving central area,

eye spot area, right eye
H53421 unspecified
Scotoma of blind
553
553
H53422 Scotoma of blind spot area, left eye
553
H53423 Scotoma of blind spot area, bilateral
553
H53429 Scotoma of blind spot area, unspecified

H53431 eye
Sector or arcuate defects, right eye
553
553
H53432 Sector or arcuate defects, left eye
553
H53433 Sector or arcuate defects, bilateral
553
H53439 Sector or arcuate defects, unspecified eye
553
H53451 Other localized visual field defect, right

H53452 eye
Other localized visual field defect, left eye
553
553
H53453 Other localized visual field defect, bilateral
553
H53459 Other localized visual field defect,

eye
H53461 unspecified
Homonymous
bilateral field defects, right
H53462 side
Homonymous bilateral field defects, left
553
553
553
H53469 side
Homonymous bilateral field defects,
sidebilateral field defects
H5347 unspecified
Heteronymous
553
553
H53481 Generalized contraction of visual field,

right eye
553
H532
Page 2161 of 6734

H53482 Generalized contraction of visual field, left
H53483 eye
Generalized contraction of visual field,
H53489 bilateral
Generalized contraction of visual field,
H5350 unspecified
Unspecified eye
color vision deficiencies
553
553
553
553
H5351
Achromatopsia
553
H5352
Acquired color vision deficiency
553
H5353
Deuteranomaly
553
H5354
Protanomaly
553
H5355
Tritanomaly
553
H5359
Other color vision deficiencies
553
H5360
Unspecified night blindness
553
H5361
Abnormal dark adaptation curve
553
H5362
Acquired night blindness
553
H5363
Congenital night blindness
553
H5369
Other night blindness
553
H5371
Glare sensitivity
553
H5372
Impaired contrast sensitivity
553
H538
Other visual disturbances
553
H539
Unspecified visual disturbance
553
H540
Blindness, both eyes
553
553
H5411
Blindness, one eye, low vision other eye,

unspecified
eyeseye, low vision left eye
Blindness, right
553
H5412
Blindness, left eye, low vision right eye
553
H542
Low vision, both eyes
553
H543
Unqualified visual loss, both eyes
553
H5440
Blindness, one eye, unspecified eye
553
H5441
Blindness, right eye, normal vision left eye
553
H5442
Blindness, left eye, normal vision right eye
553
H5450
Low vision, one eye, unspecified eye
553
H5410
Page 2162 of 6734

H5451
Low vision, right eye, normal vision left

eye
Low vision, left eye, normal vision right
eye
Unqualified visual loss, one eye,
553
553
553
553
553
H547
unspecified
Unqualified visual loss, right eye, normal
vision
left eye
Unqualified
visual loss, left eye, normal
vision
right
eye
Unspecified visual loss
553
H548
Legal blindness, as defined in USA
553
H5500
Unspecified nystagmus
525
H5501
Congenital nystagmus
525
H5502
Latent nystagmus
525
H5503
Visual deprivation nystagmus
553
H5504
Dissociated nystagmus
525
H5509
Other forms of nystagmus
525
H5581
Saccadic eye movements
525
H5589
Other irregular eye movements
525
H5700
Unspecified anomaly of pupillary function
553
H5701
Argyll Robertson pupil, atypical
522
H5702
Anisocoria
553
H5703
Miosis
553
H5704
Mydriasis
553
H57051 Tonic pupil, right eye
553
H57052 Tonic pupil, left eye
553
H57053 Tonic pupil, bilateral
553
H57059 Tonic pupil, unspecified eye
553
H5452
H5460
H5461
H5462
H5709
Other anomalies of pupillary function
553
H5710
Ocular pain, unspecified eye
553
H5711
Ocular pain, right eye
553
H5712
Ocular pain, left eye
553
H5713
Ocular pain, bilateral
553
Page 2163 of 6734

H578
553
553
H59011 Keratopathy (bullous aphakic) fol cataract

r eye
H59012 surgery,
Keratopathy
(bullous aphakic) fol cataract
surgery,
left
eye
H59013 Keratopathy (bullous aphakic) following
852
852
852
surgery,
bi aphakic) fol cataract
H59019 cataract
Keratopathy
(bullous
H59021 surgery,
Cataract unsp
(lens)eye
fragmt in eye fol cataract
eye fragmt in eye fol cataract
H59022 surgery,
Cataract r(lens)
852
553
553
eyefragments in eye fol

H59023 surgery,
Cataract left
(lens)
bi
H59029 cataract
Cataract surgery,
(lens) fragmt
in eye fol cataract
surgery,
unsp
eye
H59031 Cystoid macular edema following cataract
553
553
852
right eye
H59032 surgery,
Cystoid macular
edema following cataract
surgery,
left
eye
H59033 Cystoid macular edema following cataract
bilateraledema following cataract
H59039 surgery,
Cystoid macular
852
852
852
unsp eye
H59091 surgery,
Other disorders
of the right eye following
cataract
surgery
H59092 Other disorders of the left eye following
surgery
H59093 cataract
Oth disorders
of the eye following cataract
852
852
852
bi
H59099 surgery,
Other disorders
of unsp eye following catar
852
H59111 Intraop hemor/hemtom of r eye and adnexa
852
H59112 Intraop hemor/hemtom of l eye and

comp an opth proc
H59113 adnexa
of eye and adnexa
852
852
opth proc, bi of unsp eye and adn

H59119 comp
Intraopanhemor/hemtom
852
H59121 Intraop hemor/hemtom of right eye and ad
852
H59122 Intraop hemor/hemtom of left eye and

comp oth proc of eye and adnexa c
H59123 adnexa
852
852
H59129 Intraop hemor/hemtom of unsp eye and

comp
H59211 adnexa
Acc pnctr
& lacoth
of proc
right eye and adnexa
852
852
an &
opth
H59212 during
Acc pnctr
lac proc
of left eye and adnexa
during
an
opth
proc
H59213 Acc pnctr & lac of eye and adnexa during
an opth proc, bi
852
852
H579
Other specified disorders of eye and

adnexa
Unspecified disorder of eye and adnexa
Page 2164 of 6734

H59219 Acc pnctr & lac of unsp eye and adnexa
an &
opth
H59221 during
Acc pnctr
lac proc
of right eye and adnexa
852
852
oth&procedure
H59222 during
Acc pnctr
lac of left eye and adnexa
oth&procedure
H59223 during
Acc pnctr
lac of eye and adnexa during
oth
procedure,
H59229 Acc pnctr & lac bi
of unsp eye and adnexa dur
852
852
852
H59311 Postproc hemor/hemtom of r eye and adnexa
852
H59312 Postproc hemor/hemtom of l eye and adnexa
852
H59313 Postproc hemor/hemtom of eye and adnexa f
852
H59319 Postproc hemor/hemtom of unsp eye and

fol an
opth proc
H59321 adnx
Postproc
hemor/hemtom
of right eye and
adnexa
fol
oth
proc
H59322 Postproc hemor/hemtom of left eye and
852
852
852
oth proc
H59323 adnexa
Postprocfol
hemor/hemtom
of eye and adnexa fo
852
H59329 Postproc hemor/hemtom of unsp eye and

fol oth(infection)
proc
H5940 adnexa
Inflammation
of postprocedural
852
675
bleb,
unspecified
Inflammation
(infection) of postprocedural
bleb,
stage
1
Inflammation (infection) of postprocedural
bleb,
stage 2 (infection) of postprocedural
Inflammation
675
675
H5941
H5942
H5943
675
stage 3 scars after surgery for

H59811 bleb,
Chorioretinal
H59812 detachment,
Chorioretinal right
scarseye
after surgery for
detachment,
left
eye
H59813 Chorioretinal scars after surgery for
852
852
852
H59819 detachment,
Chorioretinal bilateral
scars after surgery for
detachment,
unsp
H5988 Oth intraoperative eye
complications of eye
adnexa, NEC
H5989 and
Oth postproc
comp and disorders of eye
852
852
852
H6000
and
adnexa,
NEC ear, unspecified ear
Abscess
of external
564
H6001
Abscess of right external ear
564
H6002
Abscess of left external ear
564
H6003
Abscess of external ear, bilateral
564
H6010
Cellulitis of external ear, unspecified ear
564
H6011
Cellulitis of right external ear
564
Page 2165 of 6734

H6012
Cellulitis of left external ear
564
H6013
Cellulitis of external ear, bilateral
564
H6020
Malignant otitis externa, unspecified ear
565
H6021
Malignant otitis externa, right ear
565
H6022
Malignant otitis externa, left ear
565
H6023
Malignant otitis externa, bilateral
565
H60311 Diffuse otitis externa, right ear
564
H60312 Diffuse otitis externa, left ear
564
H60313 Diffuse otitis externa, bilateral
564
H60319 Diffuse otitis externa, unspecified ear
564
H60321 Hemorrhagic otitis externa, right ear
564
H60322 Hemorrhagic otitis externa, left ear
564
H60323 Hemorrhagic otitis externa, bilateral
564
H60329 Hemorrhagic otitis externa, unspecified

H60331 ear
Swimmer's ear, right ear
564
564
H60332 Swimmer's ear, left ear
564
H60333 Swimmer's ear, bilateral
564
H60339 Swimmer's ear, unspecified ear
564
H60391 Other infective otitis externa, right ear
564
H60392 Other infective otitis externa, left ear
564
H60393 Other infective otitis externa, bilateral
564
H60399 Other infective otitis externa, unspecified

H6040 ear
Cholesteatoma of external ear, unspecified
564
564
H6041
ear
Cholesteatoma of right external ear
564
H6042
Cholesteatoma of left external ear
564
H6043
Cholesteatoma of external ear, bilateral
564
564
564
564
H60501 Unspecified acute noninfective otitis

right
ear noninfective otitis
H60502 externa,
Unspecified
acute
left acute
ear noninfective otitis
H60503 externa,
Unspecified
externa, bilateral
Page 2166 of 6734

H60509 Unsp acute noninfective otitis externa,
H60511 unspecified
Acute actinicear
otitis externa, right ear
564
564
H60512 Acute actinic otitis externa, left ear
564
H60513 Acute actinic otitis externa, bilateral
564
H60519 Acute actinic otitis externa, unspecified

H60521 ear
Acute chemical otitis externa, right ear
564
564
H60522 Acute chemical otitis externa, left ear
564
H60523 Acute chemical otitis externa, bilateral
564
H60529 Acute chemical otitis externa, unspecified

H60531 ear
Acute contact otitis externa, right ear
564
564
H60532 Acute contact otitis externa, left ear
564
H60533 Acute contact otitis externa, bilateral
564
H60539 Acute contact otitis externa, unspecified

H60541 ear
Acute eczematoid otitis externa, right ear
564
564
H60542 Acute eczematoid otitis externa, left ear
564
H60543 Acute eczematoid otitis externa, bilateral
564
H60549 Acute eczematoid otitis externa,

earotitis externa, right ear
H60551 unspecified
Acute reactive
564
564
H60552 Acute reactive otitis externa, left ear
564
H60553 Acute reactive otitis externa, bilateral
564
H60559 Acute reactive otitis externa, unspecified

H60591 ear
Other noninfective acute otitis externa,
H60592 right
Otherear
noninfective acute otitis externa,
564
564
564
earnoninfective acute otitis externa,

H60593 left
Other
H60599 bilateral
Other noninfective acute otitis externa,
H6060 unspecified
Unspecified ear
chronic otitis externa,
564
564
564
564
H6062
unspecified
Unspecified ear
chronic otitis externa, right
ear
Unspecified chronic otitis externa, left ear
564
H6063
Unspecified chronic otitis externa, bilateral
564
H6061
Page 2167 of 6734

H608X1 Other otitis externa, right ear
564
H608X2 Other otitis externa, left ear
564
H608X3 Other otitis externa, bilateral
564
H608X9 Other otitis externa, unspecified ear
564
H6090
Unspecified otitis externa, unspecified ear
564
H6091
Unspecified otitis externa, right ear
564
H6092
Unspecified otitis externa, left ear
564
H6093
Unspecified otitis externa, bilateral
564
H61001 Unspecified perichondritis of right external

H61002 ear
Unspecified perichondritis of left external
H61003 ear
Unspecified perichondritis of external ear,
H61009 bilateral
Unspecified perichondritis of external ear,
564
564
564
564
ear
H61011 unspecified
Acute perichondritis
of right external ear
661
H61012 Acute perichondritis of left external ear
661
H61013 Acute perichondritis of external ear,

H61019 bilateral
Acute perichondritis of external ear,
ear
H61021 unspecified
Chronic perichondritis
of right external ear
661
661
661
H61022 Chronic perichondritis of left external ear
661
H61023 Chronic perichondritis of external ear,

H61029 bilateral
Chronic perichondritis of external ear,
H61031 unspecified
Chondritis ofear
right external ear
661
661
564
H61032 Chondritis of left external ear
564
H61033 Chondritis of external ear, bilateral
564
H61039 Chondritis of external ear, unspecified ear
564
H61101 Unspecified noninfective disorders of

right ear
H61102 pinna,
Unspecified
noninfective disorders of
pinna,
left
ear
H61103 Unspecified noninfective disorders of
564
564
564
bilateral
H61109 pinna,
Unspecified
noninfective disorders of
pinna,
unspecified
H61111 Acquired deformityear
of pinna, right ear
564
564
Page 2168 of 6734

H61112 Acquired deformity of pinna, left ear
564
H61113 Acquired deformity of pinna, bilateral
564
H61119 Acquired deformity of pinna, unspecified

H61121 ear
Hematoma of pinna, right ear
564
564
H61122 Hematoma of pinna, left ear
564
H61123 Hematoma of pinna, bilateral
564
H61129 Hematoma of pinna, unspecified ear
564
H61191 Noninfective disorders of pinna, right ear
564
H61192 Noninfective disorders of pinna, left ear
564
H61193 Noninfective disorders of pinna, bilateral
564
H61199 Noninfective disorders of pinna,

ear
H6120 unspecified
Impacted cerumen,
unspecified ear
564
564
H6121
Impacted cerumen, right ear
564
H6122
Impacted cerumen, left ear
564
H6123
Impacted cerumen, bilateral
564
H61301 Acquired stenosis of right external ear

unspecified
H61302 canal,
Acquired
stenosis of left external ear
canal,
unspecified
H61303 Acquired stenosis of external ear canal,
564
564
564
bilateral
H61309 unsp,
Acquired
stenosis of external ear canal,
unsp,
unsp
ear
H61311 Acquired stenosis
of r ext ear canal
secondary
to
trauma
H61312 Acquired stenosis of l ext ear canal
564
564
564
to trauma
H61313 secondary
Acquired stenosis
of ext ear canal
to trauma,
bi ear canal sec to
H61319 secondary
Acquired stenosis
of ext
ear of r ext ear canal sec to
H61321 trauma,
Acquiredunsp
stenosis
564
564
564
and
infct of l ext ear canal sec to
H61322 inflam
Acquired
stenosis
and infct
H61323 inflam
Acq stenosis
of ext ear canal sec to inflam
and
infct,
bi
H61329 Acq stenos of ext ear canal sec to inflam &
564
564
564
ear stenosis of right external

H61391 infct,
Otherunsp
acquired
canal
H61392 ear
Other
acquired stenosis of left external ear
canal
564
564
Page 2169 of 6734

H61393 Other acquired stenosis of external ear
bilateral stenosis of external ear
H61399 canal,
Other acquired
unsp
H61811 canal,
Exostosis
of ear
right external canal
564
564
564
H61812 Exostosis of left external canal
564
H61813 Exostosis of external canal, bilateral
564
H61819 Exostosis of external canal, unspecified

H61891 ear
Other specified disorders of right external
564
564
H61892 ear
Other specified disorders of left external
H61893 ear
Other specified disorders of external ear,
H61899 bilateral
Other specified disorders of external ear,
ear
H6190 unspecified
Disorder of external
ear, unspecified,
564
564
564
564
H6191
unspecified
ear external ear, unspecified
Disorder of right
564
H6192
Disorder of left external ear, unspecified
564
H6193
Disorder of external ear, unspecified,

bilateral
Otitis externa in oth diseases classd
564
564
elswhr,
unsp ear
Otitis externa
in oth diseases classd
elswhr,
right
ear
Otitis externa in oth diseases classd
elswhr,
left earin oth diseases classd
Otitis externa
564
564
564
bilateral
H628X1 elswhr,
Oth disorders
of r ext ear in diseases
classd
elswhr
H628X2 Oth disorders of left external ear in
classd
H628X3 diseases
Oth disorders
ofelswhr
ext ear in diseases classd
564
564
564
bi
H628X9 elswhr,
Oth disorders
of ext ear in diseases classd
unsp ear
H6500 elswhr,
Acute serous
otitis media, unspecified ear
564
562
H6240
H6241
H6242
H6243
H6501
Acute serous otitis media, right ear
562
H6502
Acute serous otitis media, left ear
562
H6503
Acute serous otitis media, bilateral
562
H6504
Acute serous otitis media, recurrent, right

ear
Acute serous otitis media, recurrent, left
ear
Acute serous otitis media, recurrent,
bilateral
562
562
562
H6505
H6506
Page 2170 of 6734

H6507
Acute serous otitis media, recurrent,

ear
H65111 unspecified
Acute and subacute
allergic otitis media
(serous),
r
ear
H65112 Acute and subacute allergic otitis media
562
562
562
ear
H65113 (serous),
Acute andleft
subacute
(serous),
bi
H65114 Acute and subacute allergic otitis media,
r earsubacute allergic otitis media,
H65115 recur,
Acute and
left ear
H65116 recur,
Acute and
subacute allergic otitis media
562
562
562
562
bi allergic otitis media,

H65117 (serous),
Acute andrecur,
subacute
unspsubacute
ear
H65119 recur,
Acute and
(serous),
unsp
ear
H65191 Other acute nonsuppurative otitis media,
562
562
562
H65192 right
Otherear
acute nonsuppurative otitis media,
earacute nonsuppurative otitis media,
H65193 left
Other
H65194 bilateral
Oth acute nonsuppurative otitis media,
562
562
562
right
ear
H65195 recurrent,
Other acute
nonsuppurative
otitis media,
ear
H65196 recurrent,
Oth acute left
nonsuppurative
otitis media,
recurrent,
bilateral
H65197 Other acute nonsuppurative otitis media
562
562
562
unsp
ear
H65199 recurrent,
Other acute
nonsuppurative
otitis media,
unspecified
ear
H6520 Chronic serous otitis media, unspecified
H6521 ear
Chronic serous otitis media, right ear
562
562
562
H6522
Chronic serous otitis media, left ear
562
H6523
Chronic serous otitis media, bilateral
562
H6530
562
H6531
Chronic mucoid otitis media, unspecified

ear
Chronic mucoid otitis media, right ear
562
H6532
Chronic mucoid otitis media, left ear
562
H6533
Chronic mucoid otitis media, bilateral
562
H65411 Chronic allergic otitis media, right ear
562
H65412 Chronic allergic otitis media, left ear
562
H65413 Chronic allergic otitis media, bilateral
562
H65419 Chronic allergic otitis media, unspecified

ear
562
Page 2171 of 6734

H65491 Other chronic nonsuppurative otitis media,
H65492 right
Otherear
chronic nonsuppurative otitis media,
left
ear
H65493 Other chronic nonsuppurative otitis media,
H65499 bilateral
Other chronic nonsuppurative otitis media,
562
562
562
562
562
562
562
left
ear
Unspecified
nonsuppurative otitis media,
bilateral
H66001 Acute suppr otitis media w/o spon rupt ear
right ear
H66002 drum,
Acute suppr
otitis media w/o spon rupt ear
562
562
562
left ear
H66003 drum,
Acute suppr
bilateral
H66004 drum,
Ac suppr
drum,
recur,
r ear
H66005 Ac suppr otitis
media w/o spon rupt ear
562
562
562
recur, otitis
l ear media w/o spon rupt ear
H66006 drum,
Acute suppr
recur,
bi media w/o spon rupt ear
H66007 drum,
Ac suppr
otitis
H66009 drum,recur,
Acute suppr unsp
otitis ear
media w/o spon rupt ear
562
562
562
unsp ear
H66011 drum,
Acute suppr
otitis media w spon rupt ear
drum,
right
ear
H66012 Acute suppr otitis media w spon rupt ear
left ear
H66013 drum,
Acute suppr
otitis media w spon rupt ear
drum,
bilateral
H66014 Acute suppr otitis media w spon rupt ear
562
562
562
562
recur, otitis
r ear media w spon rupt ear
H66015 drum,
Acute suppr
recur, otitis
l ear media w spon rupt ear
H66016 drum,
Acute suppr
recurrent,
bi w spon rupt ear
H66017 drum,
Ac suppr
otitis media
562
562
562
recur, otitis
unsp media
ear
H66019 drum,
Acute suppr
w spon rupt ear
drum,
unsp
ear
H6610 Chronic tubotympanic suppurative otitis
H6611 media,
Chronicunspecified
tubotympanic suppurative otitis
562
562
562
562
562
562
H6590
H6591
H6592
unspecified
Unspecified ear
unspecified
ear
Unspecified nonsuppurative otitis media,
right
ear
Unspecified
H6593
H6612
H6613
H6620
media,
ear
Chronicright
tubotympanic
suppurative otitis
media,
left
ear
Chronic tubotympanic suppurative otitis
media,
Chronicbilateral
atticoantral suppurative otitis
media, unsp ear
Page 2172 of 6734

H6621
562
562
562
bilateral
H663X1 media,
Other chronic
suppurative otitis media,
right
ear
H663X2 Other chronic suppurative otitis media, left
H663X3 ear
Other chronic suppurative otitis media,
562
562
562
H663X9 bilateral
Other chronic suppurative otitis media,
H6640 unspecified
Suppurativeear
otitis media, unspecified,
unspecified
ear
H6641 Suppurative otitis media, unspecified,
562
562
H6622
H6623
Chronic atticoantral suppurative otitis

media,
ear
Chronicright
atticoantral
suppurative otitis
media,
left
ear
Chronic atticoantral suppurative otitis
562
562
562
H6690
right
ear
Suppurative
otitis media, unspecified, left
ear
Suppurative otitis media, unspecified,
bilateral
Otitis media, unspecified, unspecified ear
562
H6691
Otitis media, unspecified, right ear
562
H6692
Otitis media, unspecified, left ear
562
H6693
Otitis media, unspecified, bilateral
562
H671
Otitis media in diseases classified

elsewhere,
ear
Otitis mediaright
in diseases
classified
elsewhere,
left
ear
Otitis media in diseases classified
562
562
562
elsewhere,
Otitis mediabilateral
elsewhere,
unsp
ear
H68001 Unspecified Eustachian
salpingitis, right
ear
H68002 Unspecified Eustachian salpingitis, left ear
562
565
565
H68003 Unspecified Eustachian salpingitis,

H68009 bilateral
Unspecified Eustachian salpingitis,
ear salpingitis, right ear
H68011 unspecified
Acute Eustachian
565
565
565
H68012 Acute Eustachian salpingitis, left ear
565
H68013 Acute Eustachian salpingitis, bilateral
565
H68019 Acute Eustachian salpingitis, unspecified

H68021 ear
Chronic Eustachian salpingitis, right ear
565
565
H68022 Chronic Eustachian salpingitis, left ear
565
H6642
H6643
H672
H673
H679
Page 2173 of 6734

H68023 Chronic Eustachian salpingitis, bilateral
565
H68029 Chronic Eustachian salpingitis, unspecified

H68101 ear
Unspecified obstruction of Eustachian
565
564
right ear
H68102 tube,
Unspecified
obstruction of Eustachian
tube,
left
ear
H68103 Unspecified obstruction of Eustachian
bilateral
H68109 tube,
Unspecified
obstruction of Eustachian
564
564
564
unspecified
earof Eustachian tube,
H68111 tube,
Osseous
obstruction
ear obstruction of Eustachian tube,
H68112 right
Osseous
ear obstruction of Eustachian tube,
H68113 left
Osseous
564
564
564
H68119 bilateral
Osseous obstruction of Eustachian tube,
ear
H68121 unspecified
Intrinsic cartilagenous
obst of eustach
right
ear
H68122 tube,
Intrinsic
cartilagenous
obst of eustach
564
564
564
leftcartilagenous
ear
H68123 tube,
Intrinsic
obst of eustach
tube,
bilateral
H68129 Intrinsic cartilagenous obst of eustach
unsp
ear
H68131 tube,
Extrinsic
cartilagenous
obst of eustach
564
564
564
right
ear
H68132 tube,
Extrinsic
cartilagenous
obst of eustach
tube,
left
ear
H68133 Extrinsic cartilagenous obst of eustach
bilateral
H68139 tube,
Extrinsic
cartilagenous obst of eustach
unsp
ear
H6900 tube,
Patulous
Eustachian
tube, unspecified ear
564
564
564
564
H6901
Patulous Eustachian tube, right ear
564
H6902
Patulous Eustachian tube, left ear
564
H6903
Patulous Eustachian tube, bilateral
564
H6980
Oth disrd of Eustachian tube, unspecified

ear
Other specified disorders of Eustachian
564
564
tube,
ear disorders of Eustachian
Other right
specified
tube,
ear disorders of Eustachian
Other left
specified
tube,
bilateral
Unspecified
Eustachian tube disorder,
564
564
564
unspecified
Unspecified ear
Eustachian tube disorder,
right
ear
Unspecified Eustachian tube disorder, left
ear
564
564
H6981
H6982
H6983
H6990
H6991
H6992
Page 2174 of 6734

H6993
Unspecified Eustachian tube disorder,

H70001 bilateral
Acute mastoiditis without complications,
H70002 right
Acuteear
mastoiditis without complications,
564
564
564
earmastoiditis without complications,

H70003 left
Acute
H70009 bilateral
Acute mastoiditis without complications,
ear
H70011 unspecified
Subperiosteal
abscess of mastoid, right
564
564
565
H70012 ear
Subperiosteal abscess of mastoid, left ear
565
H70013 Subperiosteal abscess of mastoid, bilateral
565
H70019 Subperiosteal abscess of mastoid,

ear with other
H70091 unspecified
Acute mastoiditis
565
565
right
earother
H70092 complications,
Acute mastoiditis
with
leftwith
ear other
Acute mastoiditis
bilateral
Acute mastoiditis
with other
565
565
565
H7010
complications,
unspecified
ear ear
Chronic mastoiditis,
unspecified
564
H7011
Chronic mastoiditis, right ear
564
H7012
Chronic mastoiditis, left ear
564
H7013
Chronic mastoiditis, bilateral
564
H70201 Unspecified petrositis, right ear
564
H70202 Unspecified petrositis, left ear
564
H70203 Unspecified petrositis, bilateral
564
H70209 Unspecified petrositis, unspecified ear
564
H70211 Acute petrositis, right ear
565
H70212 Acute petrositis, left ear
565
H70213 Acute petrositis, bilateral
565
H70219 Acute petrositis, unspecified ear
565
H70221 Chronic petrositis, right ear
564
H70222 Chronic petrositis, left ear
564
H70223 Chronic petrositis, bilateral
564
H70229 Chronic petrositis, unspecified ear
564
Page 2175 of 6734

H70811 Postauricular fistula, right ear
564
H70812 Postauricular fistula, left ear
564
H70813 Postauricular fistula, bilateral
564
H70819 Postauricular fistula, unspecified ear
564
H70891 Other mastoiditis and related conditions,

H70892 right
Otherear
mastoiditis and related conditions,
left
ear
H70893 Other mastoiditis and related conditions,
H70899 bilateral
Other mastoiditis and related conditions,
564
564
564
564
H7090
unspecified
Unspecified ear
mastoiditis, unspecified ear
564
H7091
Unspecified mastoiditis, right ear
564
H7092
Unspecified mastoiditis, left ear
564
H7093
Unspecified mastoiditis, bilateral
564
H7100
Cholesteatoma of attic, unspecified ear
564
H7101
Cholesteatoma of attic, right ear
564
H7102
Cholesteatoma of attic, left ear
564
H7103
Cholesteatoma of attic, bilateral
564
H7110
564
H7111
Cholesteatoma of tympanum, unspecified

ear
Cholesteatoma of tympanum, right ear
564
H7112
Cholesteatoma of tympanum, left ear
564
H7113
Cholesteatoma of tympanum, bilateral
564
H7120
Cholesteatoma of mastoid, unspecified ear
564
H7121
Cholesteatoma of mastoid, right ear
564
H7122
Cholesteatoma of mastoid, left ear
564
H7123
Cholesteatoma of mastoid, bilateral
564
H7130
Diffuse cholesteatosis, unspecified ear
564
H7131
Diffuse cholesteatosis, right ear
564
H7132
Diffuse cholesteatosis, left ear
564
H7133
Diffuse cholesteatosis, bilateral
564
H7190
Unspecified cholesteatoma, unspecified

ear
564
Page 2176 of 6734

H7191
Unspecified cholesteatoma, right ear
564
H7192
Unspecified cholesteatoma, left ear
564
H7193
Unspecified cholesteatoma, bilateral
564
H7200
Central perforation of tympanic

membrane,
unspecified
ear
Central perforation
of tympanic
564
564
membrane,
right ear
Central perforation
of tympanic
membrane,
left
ear
Central perforation of tympanic
membrane,
bilateral
Attic perforation
of tympanic membrane,
564
564
564
ear of tympanic membrane,

H7211 unspecified
Attic perforation
ear
H7212 right
Attic perforation
left
ear
H7213 Attic perforation of tympanic membrane,
H722X1 bilateral
Other marginal perforations of tympanic
right
ear
H722X2 membrane,
Other marginal
perforations
of tympanic
564
564
564
564
564
left perforations
ear
H722X3 membrane,
Other marginal
of tympanic
bilateral
H722X9 membrane,
Other marginal
perforations of tympanic
membrane,
unsp
ear of tympanic
H72811 Multiple perforations
564
564
564
right ear of tympanic

H72812 membrane,
Multiple perforations
left ear of tympanic
H72813 membrane,
bilateral of tympanic
H72819 membrane,
564
564
564
unspecified
ear membrane,
H72821 membrane,
Total perforations
of tympanic
ear
H72822 right
Total perforations
left
ear
H72823 Total perforations of tympanic membrane,
564
564
564
H72829 bilateral
Total perforations of tympanic membrane,
ear of tympanic membrane,
H7290 unspecified
Unsp perforation
564
564
564
564
H7201
H7202
H7203
H7210
H7291
H7292
H7293
unspecified
Unspecified ear
perforation of tympanic
membrane,
ear
Unspecified right
perforation
of tympanic
membrane,
left
ear
Unspecified perforation of tympanic
564
bilateral
H73001 membrane,
Acute myringitis,
right ear
564
H73002 Acute myringitis, left ear
564
Page 2177 of 6734

H73003 Acute myringitis, bilateral
564
H73009 Acute myringitis, unspecified ear
564
H73011 Bullous myringitis, right ear
564
H73012 Bullous myringitis, left ear
564
H73013 Bullous myringitis, bilateral
564
H73019 Bullous myringitis, unspecified ear
564
H73091 Other acute myringitis, right ear
564
H73092 Other acute myringitis, left ear
564
H73093 Other acute myringitis, bilateral
564
H73099 Other acute myringitis, unspecified ear
564
H7310
Chronic myringitis, unspecified ear
564
H7311
Chronic myringitis, right ear
564
H7312
Chronic myringitis, left ear
564
H7313
Chronic myringitis, bilateral
564
H7320
Unspecified myringitis, unspecified ear
564
H7321
Unspecified myringitis, right ear
564
H7322
Unspecified myringitis, left ear
564
H7323
Unspecified myringitis, bilateral
564
H73811 Atrophic flaccid tympanic membrane, right

H73812 ear
Atrophic flaccid tympanic membrane, left
H73813 ear
Atrophic flaccid tympanic membrane,
H73819 bilateral
Atrophic flaccid tympanic membrane,
564
564
564
564
ear
H73821 unspecified
Atrophic nonflaccid
tympanic membrane,
right
ear
H73822 Atrophic nonflaccid tympanic membrane,
ear nonflaccid tympanic membrane,
H73823 left
Atrophic
564
564
564
H73829 bilateral
Atrophic nonflaccid tympanic membrane,
ear disorders of tympanic
H73891 unspecified
Other specified
564
564
right
ear
H73892 membrane,
Other specified
disorders
of tympanic
membrane,
left
ear
H73893 Other specified disorders of tympanic
membrane, bilateral
564
564
Page 2178 of 6734

H73899 Oth disrd of tympanic membrane,
H7390 unspecified
Unspecified ear
disorder of tympanic
564
564
membrane,
ear
Unspecified unspecified
disorder of tympanic
membrane,
ear of tympanic
Unspecified right
disorder
564
564
564
H7401
membrane,
ear of tympanic
Unspecified left
disorder
membrane,
bilateral
Tympanosclerosis,
right ear
564
H7402
Tympanosclerosis, left ear
564
H7403
Tympanosclerosis, bilateral
564
H7409
Tympanosclerosis, unspecified ear
564
H7411
Adhesive right middle ear disease
564
H7412
Adhesive left middle ear disease
564
H7413
Adhesive middle ear disease, bilateral
564
H7419
Adhesive middle ear disease, unspecified

ear
Discontinuity and dislocation of ear
564
564
ossicles,
unspand
ear dislocation of right ear
Discontinuity
ossicles
Discontinuity and dislocation of left ear
ossicles
Discontinuity and dislocation of ear
564
564
H7391
H7392
H7393
H7420
H7421
H7422
H7423
564
H74311 ossicles,
Ankylosisbilateral
of ear ossicles, right ear
564
H74312 Ankylosis of ear ossicles, left ear
564
H74313 Ankylosis of ear ossicles, bilateral
564
H74319 Ankylosis of ear ossicles, unspecified ear
564
H74321 Partial loss of ear ossicles, right ear
564
H74322 Partial loss of ear ossicles, left ear
564
H74323 Partial loss of ear ossicles, bilateral
564
H74329 Partial loss of ear ossicles, unspecified ear
564
H74391 Other acquired abnormalities of right ear

H74392 ossicles
Other acquired abnormalities of left ear
H74393 ossicles
Other acquired abnormalities of ear
bilateral
H74399 ossicles,
Other acquired
abnormalities of ear
564
564
564
564
ossicles, unsp ear

Page 2179 of 6734

H7440
Polyp of middle ear, unspecified ear
564
H7441
Polyp of right middle ear
564
H7442
Polyp of left middle ear
564
H7443
Polyp of middle ear, bilateral
564
H748X1 Other specified disorders of right middle

and
mastoiddisorders of left middle ear
H748X2 ear
Other
specified
mastoid
H748X3 and
Oth disrd
of middle ear and mastoid,
564
564
564
H748X9 bilateral
Oth disrd of middle ear and mastoid,
earof middle ear and mastoid,
H7490 unspecified
Unsp disorder
564
H7491
H7492
H7493
H7500
H7501
H7502
H7503
H7580
H7581
H7582
H7583
H8000
H8001
H8002
H8003
H8010
H8011
H8012
H8013
H8020
564
unspecified
Unspecified ear
disorder of right middle ear
and
mastoid
Unspecified disorder of left middle ear and
mastoid
Unspecified disorder of middle ear and
564
564
564
mastoid,
bilateral
Mastoiditis
in infec/parastc dis classd
elswhr,
unsp
Mastoiditis in ear
infec/parastc diseases classd
elswhr,
r ear
Mastoiditis
564
564
564
elswhr,
left in
ear
Mastoiditis
infec/parastc diseases classd
elswhr,
bi
Oth disrd of mid ear and mast in dis classd
564
564
elswhr,
unsp
Oth disrd
of r ear
mid ear and mastoid in
diseases
elswhr
Oth disrd classd
of l mid
ear and mastoid in
564
564
diseases
Oth disrd classd
of midelswhr
ear and mastoid in dis
classd
elswhr,
bi
Otosclerosis w oval window,
564
564
nonobliterative,
unsp
ear
Otosclerosis w oval
window,
nonobliterative,
right
ear
Otosclerosis w oval
window,
564
564
nonobliterative,
left ear
Otosclerosis involving
oval window,
nonobliterative,
bi
Otosclerosis involving oval window,
obliterative,
ear oval window,
Otosclerosis unsp
involving
564
564
564
obliterative,
ear oval window,
Otosclerosis right
involving
obliterative,
ear oval window,
Otosclerosis left
involving
obliterative,
bilateral unspecified ear
Cochlear otosclerosis,
564
564
564
Page 2180 of 6734

H8021
Cochlear otosclerosis, right ear
564
H8022
Cochlear otosclerosis, left ear
564
H8023
Cochlear otosclerosis, bilateral
564
H8080
Other otosclerosis, unspecified ear
564
H8081
Other otosclerosis, right ear
564
H8082
Other otosclerosis, left ear
564
H8083
Other otosclerosis, bilateral
564
H8090
Unspecified otosclerosis, unspecified ear
564
H8091
Unspecified otosclerosis, right ear
564
H8092
Unspecified otosclerosis, left ear
564
H8093
Unspecified otosclerosis, bilateral
564
H8101
Meniere's disease, right ear
561
VERTIGINOUS DIAGNOSES EXCEPT FOR BE
H8102
Meniere's disease, left ear
561
H8103
Meniere's disease, bilateral
561
H8109
Meniere's disease, unspecified ear
561
H8110
561
H8111
Benign paroxysmal vertigo, unspecified

ear
Benign paroxysmal vertigo, right ear
561
H8112
Benign paroxysmal vertigo, left ear
561
H8113
Benign paroxysmal vertigo, bilateral
561
H8120
Vestibular neuronitis, unspecified ear
561
H8121
Vestibular neuronitis, right ear
561
H8122
Vestibular neuronitis, left ear
561
H8123
Vestibular neuronitis, bilateral
561
H81311 Aural vertigo, right ear
561
H81312 Aural vertigo, left ear
561
H81313 Aural vertigo, bilateral
561
H81319 Aural vertigo, unspecified ear
561
H81391 Other peripheral vertigo, right ear
561
H81392 Other peripheral vertigo, left ear
561
Page 2181 of 6734

H81393 Other peripheral vertigo, bilateral
561
H81399 Other peripheral vertigo, unspecified ear
561
H8141
Vertigo of central origin, right ear
561
H8142
Vertigo of central origin, left ear
561
H8143
Vertigo of central origin, bilateral
561
H8149
Vertigo of central origin, unspecified ear
561
561
561
561
H818X1 Other disorders of vestibular function,

H818X2 right
Otherear
disorders of vestibular function, left
ear
H818X3 Other disorders of vestibular function,
H818X9 bilateral
Other disorders of vestibular function,
561
unspecified
Unspecified ear
disorder of vestibular function,
unspecified
Unspecified ear
right
ear
Unspecified disorder of vestibular function,
left
ear
Unspecified
561
561
561
561
bilateral
Vertiginous syndromes in diseases classd
elswhr,
rightsyndromes
ear
Vertiginous
in diseases classd
elswhr,
left
ear
Vertiginous syndromes in diseases classd
elswhr,
bilateral
Vertiginous
syndromes in diseases classd
561
561
561
561
H8301
elswhr,
unsp ear
Labyrinthitis,
right ear
561
H8302
Labyrinthitis, left ear
561
H8303
Labyrinthitis, bilateral
561
H8309
Labyrinthitis, unspecified ear
561
H8311
Labyrinthine fistula, right ear
564
H8312
Labyrinthine fistula, left ear
564
H8313
Labyrinthine fistula, bilateral
564
H8319
Labyrinthine fistula, unspecified ear
564
H832X1 Labyrinthine dysfunction, right ear
561
H832X2 Labyrinthine dysfunction, left ear
561
H832X3 Labyrinthine dysfunction, bilateral
561
H8190
H8191
H8192
H8193
H821
H822
H823
H829
Page 2182 of 6734

H832X9 Labyrinthine dysfunction, unspecified ear
561
H833X1 Noise effects on right inner ear
564
H833X2 Noise effects on left inner ear
564
H833X3 Noise effects on inner ear, bilateral
564
H833X9 Noise effects on inner ear, unspecified ear
564
H838X1 Other specified diseases of right inner ear
561
H838X2 Other specified diseases of left inner ear
561
H838X3 Other specified diseases of inner ear,

H838X9 bilateral
Other specified diseases of inner ear,
H8390 unspecified
Unspecified ear
disease of inner ear,
561
561
561
H8391
unspecified
Unspecified ear
disease of right inner ear
561
H8392
Unspecified disease of left inner ear
561
H8393
Unspecified disease of inner ear, bilateral
561
Conductive hearing loss, bilateral
564
564
564
H902
Condctv hear loss, uni, right ear, w unrestr

hear
cntra
side
Condctv
hear
loss, uni, left ear, w unrestr
hear
cntra
side
Conductive hearing loss, unspecified
564
H903
Sensorineural hearing loss, bilateral
564
Snsrnrl hear loss, uni, right ear, w unrestr

hear
cntra
side
Snsrnrl
hear
loss, uni, left ear, w unrestr
hear
cntra
side
Unspecified sensorineural hearing loss
564
564
564
Mixed conductive and sensorineural

hearing
loss, bilateral
Mix cndct/snrl
hear loss,uni,r ear,w unrestr
564
564
hear
cntra sidehear loss,uni,l ear,w unrestr
Mix cndct/snrl
hear
side
Mixedcntra
conductive
and sensorineural
564
564
H9101
hearing
unspecified
Ototoxicloss,
hearing
loss, right ear
564
H9102
Ototoxic hearing loss, left ear
564
H9103
Ototoxic hearing loss, bilateral
564
H9109
Ototoxic hearing loss, unspecified ear
564
H900
H9011
H9012
H9041
H9042
H905
H906
H9071
H9072
H908
Page 2183 of 6734

H9110
Presbycusis, unspecified ear
564
H9111
Presbycusis, right ear
564
H9112
Presbycusis, left ear
564
H9113
Presbycusis, bilateral
564
H9120
564
H9121
Sudden idiopathic hearing loss,

unspecified
ear
Sudden idiopathic
hearing loss, right ear
564
H9122
Sudden idiopathic hearing loss, left ear
564
H9123
Sudden idiopathic hearing loss, bilateral
564
Deaf nonspeaking, not elsewhere

H918X1 classified
Other specified hearing loss, right ear
564
564
H918X2 Other specified hearing loss, left ear
564
H918X3 Other specified hearing loss, bilateral
564
H918X9 Other specified hearing loss, unspecified

H9190 ear
Unspecified hearing loss, unspecified ear
564
564
H913
H9191
Unspecified hearing loss, right ear
564
H9192
Unspecified hearing loss, left ear
564
H9193
Unspecified hearing loss, bilateral
564
H9201
Otalgia, right ear
564
H9202
Otalgia, left ear
564
H9203
Otalgia, bilateral
564
H9209
Otalgia, unspecified ear
564
H9210
Otorrhea, unspecified ear
564
H9211
Otorrhea, right ear
564
H9212
Otorrhea, left ear
564
H9213
Otorrhea, bilateral
564
H9220
Otorrhagia, unspecified ear
564
H9221
Otorrhagia, right ear
564
H9222
Otorrhagia, left ear
564
H9223
Otorrhagia, bilateral
564
Page 2184 of 6734

H93011 Transient ischemic deafness, right ear
564
H93012 Transient ischemic deafness, left ear
564
H93013 Transient ischemic deafness, bilateral
564
H93019 Transient ischemic deafness, unspecified

H93091 ear
Unspecified degenerative and vascular
564
564
of degenerative
right ear
H93092 disorders
Unspecified
and vascular
disorders
of
left
ear
H93093 Unsp degenerative and vascular disorders
ear,degenerative
bilateral
H93099 of
Unsp
and vascular disorders
564
564
564
H9311
of
unspecified
ear
Tinnitus,
right ear
564
H9312
Tinnitus, left ear
564
H9313
Tinnitus, bilateral
564
H9319
Tinnitus, unspecified ear
564
H93211 Auditory recruitment, right ear
564
H93212 Auditory recruitment, left ear
564
H93213 Auditory recruitment, bilateral
564
H93219 Auditory recruitment, unspecified ear
564
H93221 Diplacusis, right ear
564
H93222 Diplacusis, left ear
564
H93223 Diplacusis, bilateral
564
H93229 Diplacusis, unspecified ear
564
H93231 Hyperacusis, right ear
564
H93232 Hyperacusis, left ear
564
H93233 Hyperacusis, bilateral
564
H93239 Hyperacusis, unspecified ear
564
H93241 Temporary auditory threshold shift, right

H93242 ear
Temporary auditory threshold shift, left ear
564
564
H93243 Temporary auditory threshold shift,

H93249 bilateral
Temporary auditory threshold shift,
ear processing disorder
H9325 unspecified
Central auditory
564
564
831
Page 2185 of 6734

H93291 Other abnormal auditory perceptions, right
H93292 ear
Other abnormal auditory perceptions, left
H93293 ear
Other abnormal auditory perceptions,
H93299 bilateral
Other abnormal auditory perceptions,
564
564
564
564
H933X1 unspecified
Disorders of ear
right acoustic nerve
564
H933X2 Disorders of left acoustic nerve
564
H933X3 Disorders of bilateral acoustic nerves
564
H933X9 Disorders of unspecified acoustic nerve
564
H938X1 Other specified disorders of right ear
564
H938X2 Other specified disorders of left ear
564
H938X3 Other specified disorders of ear, bilateral
564
H938X9 Other specified disorders of ear,

H9390 unspecified
Unspecified ear
disorder of ear, unspecified
564
564
H9391
ear
Unspecified disorder of right ear
564
H9392
Unspecified disorder of left ear
564
H9393
Unspecified disorder of ear, bilateral
564
H9400
Acustc neuritis in infec/parastc dis classd

elswhr,
unsp ear
Acustc neuritis
elswhr,
r ear in infec/parastc dis classd
Acustc neuritis
elswhr,
left ear in infec/parastc diseases
Acustc neuritis
564
564
564
564
classd
elswhr,
Oth disrd
of earbiin diseases classified
elsewhere,
Oth disrd ofunsp
rightear
ear in diseases classified
564
564
elsewhere
Oth disrd of left ear in diseases classified
elsewhere
Oth disrd of ear in diseases classified
elsewhere,
bilateral of
Recur cholesteatoma
564
564
564
postmastoidectomy
unsp ear
Recur cholesteatomacavity,
of
postmastoidectomy
right ear
Recur cholesteatomacavity,
of
564
564
cavity,
H9503 postmastoidectomy
Recurrent cholesteatoma
ofleft ear
cavity,
bi ears
Chronic inflammation
of
postmastoidectomy cavity, right ear
564
564
H9401
H9402
H9403
H9480
H9481
H9482
H9483
H9500
H9501
H9502
Page 2186 of 6734

H95112 Chronic inflammation of
cavity, left ear
Chronic inflam of postmastoidectomy
564
564
ears of
H95119 cavity,
Chronicbilateral
inflammation
cavity, unsp ear
Granulation of postmastoidectomy
cavity,
right
ear
H95122 Granulation of postmastoidectomy cavity,
564
564
564
ear
H95123 left
Granulation
of postmastoidectomy cavity,
bilateral
ears
H95129 Granulation of postmastoidectomy cavity,
H95131 unspecified
Mucosal cystear
of postmastoidectomy cavity,
564
564
564
ear cyst of postmastoidectomy cavity,

H95132 right
Mucosal
ear cyst of postmastoidectomy cavity,
H95133 left
Mucosal
ears of postmastoidectomy cavity,
H95139 bilateral
Mucosal cyst
ear following mastoidectomy,
H95191 unspecified
Other disorders
564
564
564
564
H95192 right
Otherear
disorders following mastoidectomy,
left
ear
H95193 Other disorders following mastoidectomy,
ears
H95199 bilateral
Other disorders
following mastoidectomy,
564
564
H9521
H9522
H9531
H9532
H9541
564
unspecified
ear
of ear/mastd comp
a
proc
on
ear/mastd
Intraop hemor/hemtom of ear/mastd
complicating
oth
Acc pnctr & lac
ofprocedure
the ear/mastd dur proc
852
852
852
on
the ear/mastd
Accidental
pnctr & lac of the ear/mastd
during
oth
procedure
Postproc hemor/hemtom of ear/mastd fol
852
852
on ear/mastd
H9542 proc
Postproc
hemor/hemtom of ear/mastd
following
oth procedure
H95811 Postprocedural
stenosis of right external
canal
H95812 ear
Postprocedural
stenosis of left external ear
852
852
852
H95813 canal
Postprocedural stenosis of external ear
bilateral stenosis of unspecified
H95819 canal,
Postprocedural
earcomp
canal and disorders of the
H9588 external
Oth intraop
852
852
H9589
I00
I010
852
ear/mastd,
NEC
Oth postproc
comp and disorders of the
ear/mastd,
NEC
Rheumatic fever without heart
852
655
involvement
Acute rheumatic pericarditis
593
Page 2187 of 6734

I011
Acute rheumatic endocarditis
600
I012
Acute rheumatic myocarditis
593
I018
Other acute rheumatic heart disease
593
I019
Acute rheumatic heart disease,

unspecified
Rheumatic chorea with heart involvement
593
593
593
I050
Rheumatic chorea without heart

involvement
Rheumatic mitral stenosis
600
I051
Rheumatic mitral insufficiency
600
I052
Rheumatic mitral stenosis with

insufficiency
Other rheumatic mitral valve diseases
600
600
600
I060
Rheumatic mitral valve disease,

unspecified
Rheumatic aortic stenosis
600
I061
Rheumatic aortic insufficiency
600
I062
Rheumatic aortic stenosis with

insufficiency
Other rheumatic aortic valve diseases
600
600
600
I070
Rheumatic aortic valve disease,

unspecified
Rheumatic tricuspid stenosis
600
I071
Rheumatic tricuspid insufficiency
600
I072
Rheumatic tricuspid stenosis and

insufficiency
Other rheumatic tricuspid valve diseases
600
600
Rheumatic tricuspid valve disease,

unspecified
Rheumatic disorders of both mitral and
600
600
600
600
I083
aortic
valves
Rheumatic
disorders of both mitral and
tricuspid
valves
Rheumatic disorders of both aortic and
tricuspid
valves disord of mitral, aortic
Comb rheumatic
600
I088
and
tricuspid
valves
Other
rheumatic
multiple valve diseases
600
I089
Rheumatic multiple valve disease,

unspecified
Rheumatic myocarditis
600
593
Rheumatic diseases of endocardium, valve

unspecified
600
I020
I029
I058
I059
I068
I069
I078
I079
I080
I081
I082
I090
I091
Page 2188 of 6734

I092
Chronic rheumatic pericarditis
593
I0981
Rheumatic heart failure
594
HEART FAILURE
I0989
Other specified rheumatic heart diseases
593
Rheumatic heart disease, unspecified
593
Essential (primary) hypertension
599
HYPERTENSION
Hypertensive heart disease with heart

failure
Hypertensive heart disease without heart
failure
Hyp chr kidney disease w stage 5 chr
594
HEART FAILURE
599
HYPERTENSION
720
RENAL FAILURE
kidney
diseasechronic
or ESRD
Hypertensive
kidney disease w stg
1-4/unsp
chr
kdny
Hyp hrt & chr kdny dis w hrt fail and stg 1-
720
RENAL FAILURE
594
HEART FAILURE
4/unsp
kdny
Hyp hrtchr
& chr
kdny dis w/o hrt fail, w stg 14/unsp
Hyp hrtchr
andkdny
chr kdny dis w/o hrt fail, w stg
599
HYPERTENSION
720
RENAL FAILURE
5
chrhrt
kdny/ESRD
Hyp
& chr kdny dis w hrt fail and w stg
5
chr
kdny/ESRD
Renovascular hypertension
594
HEART FAILURE
599
HYPERTENSION
599
HYPERTENSION
599
HYPERTENSION
I158
Hypertension secondary to other renal

disorders
Hypertension secondary to endocrine
disorders
Other secondary hypertension
599
HYPERTENSION
I159
Secondary hypertension, unspecified
599
HYPERTENSION
I200
Unstable angina
598
ANGINA PECTORIS & CORONARY ATHEROS
I201
Angina pectoris with documented spasm
598
I208
Other forms of angina pectoris
598
I209
Angina pectoris, unspecified
598
I2101
STEMI involving left main coronary artery
591
I2102
STEMI involving left anterior descending

coronary
artery oth coronary artery of
STEMI involving
anterior
wall
STEMI involving
right coronary artery
591
591
591
STEMI involving oth coronary artery of

inferior
wall
STEMI involving
left circumflex coronary
artery
STEMI involving oth sites
591
591
591
I099
I10
I110
I119
I120
I129
I130
I1310
I1311
I132
I150
I151
I152
I2109
I2111
I2119
I2121
I2129
Page 2189 of 6734

I213
591
I214
ST elevation (STEMI) myocardial infarction

of
unsp elevation
site
Non-ST
(NSTEMI) myocardial
591
I220
infarction
Subsequent STEMI of anterior wall
591
I221
Subsequent STEMI of inferior wall
591
I222
591
I228
Subsequent non-ST elevation (NSTEMI)

myocardial
Subsequentinfarction
STEMI of sites
591
I229
Subsequent STEMI of unsp site
591
I230
Hemopericardium as current complication

following
AMIdefect as current complication
Atrial septal
592
592
following
AMI
Ventricular
septal defect as current comp
following
AMI
Rupture of card wall w/o hemoperic as
592
592
current
fol AMI
Rupturecomp
of chord
tendne as current comp
following
AMI
Rupture of papillary muscle as current
600
600
592
I237
comp
following
AMI
Thombos
of atrium/auric
append/ventr as
current
comp fol
AMI
Postinfarction
angina
592
I238
Oth current complications following AMI
592
I240
Acute coronary thrombosis not resulting in

myocardial
infrc
Dressler's syndrome
598
598
Other forms of acute ischemic heart

disease
Acute ischemic heart disease, unspecified
598
598
Athscl heart disease of native coronary

artery
ang
pctrs of native cor art w
Athscl w/o
heart
disease
unstable
angdisease
pctrs of native cor art w
Athscl heart
ang
pctrs
w spasm
Athscl
heart
disease of native cor art w oth
ang
pctrs
Athscl heart disease of native cor art w
598
598
598
598
598
I252
unsp
ang pctrs infarction
Old myocardial
598
I253
Aneurysm of heart
593
I2541
Coronary artery aneurysm
593
I2542
Coronary artery dissection
593
I231
I232
I233
I234
I235
I236
I241
I248
I249
I2510
I25110
I25111
I25118
I25119
Page 2190 of 6734

I255
Ischemic cardiomyopathy
598
I256
Silent myocardial ischemia
598
Atherosclerosis of CABG, unsp, w unstable

angina
pectoris
Athscl CABG,
unsp, w angina pectoris w
598
598
documented
spasm
Atherosclerosis
of CABG, unsp, w oth
angina
pectoris
Atherosclerosis of CABG, unsp, w unsp
angina
pectoris vein CABG w unstable
Athscl autologous
598
598
598
angina
pectoris vein CABG w ang pctrs
Athscl autologous
w
documented
spasm
Athscl
autologous
vein CABG w oth angina
pectoris
Athscl autologous vein CABG w unsp
angina
pectoris artery CABG w unstable
Athscl autologous
598
598
598
598
angina
pectoris artery CABG w ang pctrs
Athscl autologous
w
documented
spasm
Athscl
autologous
artery CABG w oth
angina
pectoris
Athscl autologous artery CABG w unsp
angina
pectoris
Athscl nonautologous
biological CABG w
598
598
598
598
unstable
ang pctrs
Athscl nonaut
biological CABG w ang pctrs
w
documented
spasm biological CABG w
Athscl nonautologous
598
598
oth
angina
pectoris biological CABG w
Athscl
nonautologous
unsp
Athsclangina
nativepectoris
cor art of txplt heart w
598
598
unstable
angina
Athscl native
cor art of txplt heart w ang
pctrs
w
spasm
Athscl native cor art of transplanted heart
w
oth ang
pctrs
Athscl
native
cor art of transplanted heart
w
unspbypass
ang pctrs
Athscl
of cor art of txplt heart w
598
598
598
598
unstable
angina
Athscl bypass
of cor art of txplt heart w
ang
pctrs
w
spasm
Athscl bypass of cor art of txplt heart w
oth
angbypass
pctrs of cor art of txplt heart w
Athscl
unsp
ang pctrs of CABG w unstable angina
Atherosclerosis
598
598
598
598
pectoris
Atherosclerosis of CABG w angina pectoris
w
documented spasm
Atherosclerosis
of CABG w oth angina
pectoris
598
598
I25700
I25701
I25708
I25709
I25710
I25711
I25718
I25719
I25720
I25721
I25728
I25729
I25730
I25731
I25738
I25739
I25750
I25751
I25758
I25759
I25760
I25761
I25768
I25769
I25790
I25791
I25798
Page 2191 of 6734

I25799
Atherosclerosis of CABG w unsp angina

pectoris
Atherosclerosis of CABG w/o angina
pectoris
Athscl native cor art of transplanted heart
598
598
598
w/o
ang
pctrs of cor art of transplanted
Athscl
bypass
heart
w/o
angocclusion
pctrs
Chronic
total
of coronary artery
598
598
Coronary atherosclerosis due to lipid rich

plaque
Coronary atherosclerosis due to calcified
coronary
lesion
Other forms
of chronic ischemic heart
598
598
598
disease
Chronic ischemic heart disease,
unspecified
Septic pulmonary embolism with acute cor
pulmonale
Saddle embolus of pulmonary artery with
598
510
510
acute
pulmonale
Other cor
pulmonary
embolism with acute cor
pulmonale
Septic pulmonary embolism without acute
510
510
cor
pulmonale
Saddle
embolus of pulmonary artery w/o
acute
pulmonale
Other cor
pulmonary
embolism without acute
510
510
I270
cor
pulmonale
Primary
pulmonary hypertension
593
I271
Kyphoscoliotic heart disease
593
I272
Other secondary pulmonary hypertension
593
I2781
Cor pulmonale (chronic)
593
I2782
Chronic pulmonary embolism
577
I2789
Other specified pulmonary heart diseases
593
I279
Pulmonary heart disease, unspecified
593
I280
Arteriovenous fistula of pulmonary vessels
593
I281
Aneurysm of pulmonary artery
593
I288
Other diseases of pulmonary vessels
593
I289
Disease of pulmonary vessels, unspecified
593
I300
Acute nonspecific idiopathic pericarditis
593
I301
Infective pericarditis
593
I308
Other forms of acute pericarditis
593
I25810
I25811
I25812
I2582
I2583
I2584
I2589
I259
I2601
I2602
I2609
I2690
I2692
I2699
Page 2192 of 6734

I309
Acute pericarditis, unspecified
593
I310
Chronic adhesive pericarditis
593
I311
Chronic constrictive pericarditis
593
I312
Hemopericardium, not elsewhere classified
510
I313
Pericardial effusion (noninflammatory)
592
I314
Cardiac tamponade
510
I318
Other specified diseases of pericardium
592
I319
Disease of pericardium, unspecified
592
Pericarditis in diseases classified

elsewhere
Acute and subacute infective endocarditis
593
593
593
I340
Acute and subacute endocarditis,

unspecified
Nonrheumatic mitral (valve) insufficiency
600
I341
Nonrheumatic mitral (valve) prolapse
600
I342
Nonrheumatic mitral (valve) stenosis
600
I348
Other nonrheumatic mitral valve disorders
600
I349
600
I350
Nonrheumatic mitral valve disorder,

unspecified
Nonrheumatic aortic (valve) stenosis
600
I351
Nonrheumatic aortic (valve) insufficiency
600
I352
Nonrheumatic aortic (valve) stenosis with

insufficiency
Other nonrheumatic aortic valve disorders
600
600
Nonrheumatic aortic valve disorder,

unspecified
Nonrheumatic tricuspid (valve) stenosis
600
600
Nonrheumatic tricuspid (valve)

insufficiency
Nonrheumatic tricuspid (valve) stenosis
with
Otherinsufficiency
nonrheumatic tricuspid valve
600
600
600
disorders
Nonrheumatic tricuspid valve disorder,
unspecified
Nonrheumatic pulmonary valve stenosis
600
600
Nonrheumatic pulmonary valve

insufficiency
Nonrheumatic pulmonary valve stenosis
with insufficiency
600
600
I32
I330
I339
I358
I359
I360
I361
I362
I368
I369
I370
I371
I372
Page 2193 of 6734

I378
Other nonrheumatic pulmonary valve

disorders
Nonrheumatic pulmonary valve disorder,
600
600
I38
unspecified
Endocarditis, valve unspecified
600
I39
600
I400
Endocarditis and heart valve disord in dis

classd
elswhr
Infective
myocarditis
593
I401
Isolated myocarditis
593
I408
Other acute myocarditis
593
I409
Acute myocarditis, unspecified
593
593
I420
Myocarditis in diseases classified

elsewhere
Dilated cardiomyopathy
593
I421
Obstructive hypertrophic cardiomyopathy
593
I422
Other hypertrophic cardiomyopathy
593
I423
Endomyocardial (eosinophilic) disease
592
I424
Endocardial fibroelastosis
593
I425
Other restrictive cardiomyopathy
593
I426
Alcoholic cardiomyopathy
593
I427
593
I428
Cardiomyopathy due to drug and external

agent
Other cardiomyopathies
593
I429
Cardiomyopathy, unspecified
593
593
I440
Cardiomyopathy in diseases classified

elsewhere
Atrioventricular block, first degree
601
LEVEL I CARDIAC ARRHYTHMIA & CONDUC
I441
Atrioventricular block, second degree
601
I442
Atrioventricular block, complete
603
LEVEL II CARDIAC ARRHYTHMIA & CONDU
I4430
Unspecified atrioventricular block
601
I4439
Other atrioventricular block
601
I444
Left anterior fascicular block
601
I445
Left posterior fascicular block
601
I4460
Unspecified fascicular block
601
I4469
Other fascicular block
601
I379
I41
I43
Page 2194 of 6734

I447
Left bundle-branch block, unspecified
601
I450
Right fascicular block
601
I4510
Unspecified right bundle-branch block
601
I4519
Other right bundle-branch block
601
I452
Bifascicular block
601
I453
Trifascicular block
603
I454
Nonspecific intraventricular block
601
I455
Other specified heart block
601
I456
Pre-excitation syndrome
603
I4581
Long QT syndrome
603
I4589
Other specified conduction disorders
601
I459
Conduction disorder, unspecified
601
I462
595
CARDIAC ARREST OR OTHER CAUSES OF M
595
I469
Cardiac arrest due to underlying cardiac

condition
Cardiac arrest due to other underlying
condition
Cardiac arrest, cause unspecified
595
I470
Re-entry ventricular arrhythmia
603
I471
Supraventricular tachycardia
601
I472
Ventricular tachycardia
603
I479
Paroxysmal tachycardia, unspecified
601
I480
Paroxysmal atrial fibrillation
602
ATRIAL FIBRILLATION
I481
Persistent atrial fibrillation
602
ATRIAL FIBRILLATION
I482
Chronic atrial fibrillation
602
ATRIAL FIBRILLATION
I483
Typical atrial flutter
603
I484
Atypical atrial flutter
603
I4891
Unspecified atrial fibrillation
602
ATRIAL FIBRILLATION
I4892
Unspecified atrial flutter
603
I4901
Ventricular fibrillation
595
I4902
Ventricular flutter
595
Atrial premature depolarization
601
I468
I491
Page 2195 of 6734

I492
Junctional premature depolarization
601
I493
Ventricular premature depolarization
601
I4940
Unspecified premature depolarization
601
I4949
Other premature depolarization
601
I495
Sick sinus syndrome
601
I498
Other specified cardiac arrhythmias
601
I499
Cardiac arrhythmia, unspecified
601
I501
Left ventricular failure
594
HEART FAILURE
594
HEART FAILURE
I5021
Unspecified systolic (congestive) heart

failure
Acute systolic (congestive) heart failure
594
HEART FAILURE
I5022
Chronic systolic (congestive) heart failure
594
HEART FAILURE
I5023
594
HEART FAILURE
I5030
Acute on chronic systolic (congestive)

heart
failurediastolic (congestive) heart
Unspecified
594
HEART FAILURE
I5031
failure
Acute diastolic (congestive) heart failure
594
HEART FAILURE
I5032
Chronic diastolic (congestive) heart failure
594
HEART FAILURE
I5033
Acute on chronic diastolic (congestive)

heart
failure
Unsp combined
systolic and diastolic
594
HEART FAILURE
594
HEART FAILURE
(congestive)
hrt fail
Acute combined
systolic and diastolic
(congestive)
hrt failsystolic and diastolic hrt
Chronic combined
fail
Acute on chronic combined systolic and
594
HEART FAILURE
594
HEART FAILURE
594
HEART FAILURE
I509
diastolic
hrt fail
Heart failure,
unspecified
594
HEART FAILURE
I510
Cardiac septal defect, acquired
592
I511
Rupture of chordae tendineae, not

elsewhere
Rupture of classified
papillary muscle, not elsewhere
600
600
592
I514
classified
Intracardiac thrombosis, not elsewhere
classified
Myocarditis, unspecified
592
I515
Myocardial degeneration
592
I517
Cardiomegaly
592
Takotsubo syndrome
510
I5020
I5040
I5041
I5042
I5043
I512
I513
I5181
Page 2196 of 6734

I5189
I519
I52
I6000
I6001
I6002
I6010
I6011
I6012
I6020
I6021
I6022
I6030
I6031
I6032
I604
I6050
I6051
I6052
I606
I607
I608
I609
I610
I611
I612
I613
I614
I615
Other ill-defined heart diseases
592
Heart disease, unspecified
592
Other heart disorders in diseases classified

elsewhere
Ntrm subarach hemorrhage from unsp
592
510
carotid
siphon and
bifurc
Ntrm subarach
hemor
from right carotid
siphon
and
bifurc
Ntrm subarach hemorrhage from left
510
510
carotid
siphon and
bifurc
Ntrm subarach
hemorrhage
from unsp
middle
cerebralhemorrhage
artery
Ntrm subarach
from right
middle
cerebral
artery
Ntrm subarach hemorrhage from left
510
510
510
middle
cerebralhemor
artery from unsp anterior
Ntrm subarach
communicating
artery from right anterior
Ntrm subarach hemor
communicating
artery from left anterior
Ntrm subarach hemor
510
510
510
communicating
artery from unsp posterior
Ntrm subarach hemor
communicating
artery from right post
Ntrm subarach hemor
communicating
artery from left posterior
Ntrm subarach hemor
510
510
510
communicating
artery
Nontraumatic subarachnoid
hemorrhage
from
basilar
artery
Nontraumatic subarachnoid hemorrhage
from
unsp verteb
art
Nontraumatic
subarachnoid
hemorrhage
510
510
510
from
r verteb art
Nontraumatic
subarachnoid hemorrhage
from
l
verteb
art
Nontraumatic subarachnoid hemorrhage
from
oth intracran
art
Nontraumatic
subarachnoid
hemorrhage
510
510
510
from
intracran subarachnoid
art
Otherunsp
nontraumatic
hemorrhage
Nontraumatic subarachnoid hemorrhage,
510
510
unspecified
Nontraumatic intcrbl hemorrhage in
hemisphere,
Nontraumaticsubcortical
intcrbl hemorrhage in
hemisphere,
Nontraumaticcortical
intracerebral hemorrhage in
hemisphere,
unsp
Nontraumatic intracerebral hemorrhage in
510
510
510
510
brain
stem
Nontraumatic
intracerebral hemorrhage in
cerebellum
Nontraumatic intracerebral hemorrhage,
intraventricular
510
510
Page 2197 of 6734

I616
I618
I619
I6200
I6201
I6202
I6203
I621
I629
I6300
I63011
I63012
I63019
I6302
I63031
I63032
I63039
I6309
I6310
I63111
I63112
I63119
I6312
I63131
I63132
I63139
I6319
I6320
I63211

multiple
localized intracerebral
Other nontraumatic
510
510
hemorrhage
unspecified
Nontraumatic subdural hemorrhage,
unspecified
Nontraumatic acute subdural hemorrhage
510
510
510
Nontraumatic subacute subdural

hemorrhage
Nontraumatic chronic subdural
hemorrhage
Nontraumatic extradural hemorrhage
510
510
510
Nontraumatic intracranial hemorrhage,

unspecified
Cerebral infarction due to thombos unsp
510
535
CVA & PRECEREBRAL OCCLUSION W INFAR
precerebral
artery due to thrombosis of r
Cerebral infarction
verteb
artinfarction due to thrombosis of l
Cerebral
verteb
artinfarction due to thombos unsp
Cerebral
vertebral
artery
Cerebral infarction
due to thrombosis of
535
535
535
535
basilar
artery
Cerebral
infrc due to thrombosis of right
carotid
artery
Cerebral infarction due to thrombosis of
535
535
left
carotid
artery due to thrombosis of
Cerebral
infarction
unsp
carotid
Cerebral
infarction
precerebral
artery due to embolism of
Cerebral infarction
535
535
535
unsp
precerb
arterydue to embolism of r
Cerebral
infarction
verteb
artinfarction due to embolism of left
Cerebral
vertebral
artery
Cerebral infarction
due to embolism of
unsp
vertebral
artery
Cerebral
infarction
due to embolism of
535
535
535
535
basilar
artery
Cerebral
infarction due to embolism of
right
carotid
artery due to embolism of left
Cerebral infarction
carotid
Cerebralartery
unsp
carotid
Cerebral infarction
535
535
535
535
precerebral
artery
Cereb infrc due
to unsp occls or stenos of
unsp
precerb
art
Cereb infrc due to unsp occls or stenos of
right verteb art
535
535
Page 2198 of 6734

I63212
I63219
I6322
I63231
I63232
I63239
I6329
I6330
I63311
I63312
I63319
I63321
I63322
I63329
I63331
I63332
I63339
I63341
I63342
I63349
I6339
I6340
I63411
I63412
I63419
I63421
I63422
I63429
I63431
Cereb infrc due to unsp occls or stenosis of

left
verteb
Cereb
infrc art
due to unsp occls or stenosis of
unsp
verteb
Cerebral infrcart
due to unsp occls or stenosis
535
535
535
of
basilar
art
Cereb
infrc
due to unsp occls or stenos of
right
carotid
art to unsp occls or stenos of
Cereb infrc due
left
carotid
Cereb
infrc art
unsp
carotid
Cerebral infrcart
due to unsp occls or stenosis
535
535
535
535
of
precerb
art
Cerebral
infarction
due to thombos unsp
cerebral
artery
Cereb infrc due to thombos of right middle
535
535
cerebral
Cerebral artery
infrc due to thombos of left
middle
cerebral
artery
Cerebral infrc due
to thombos unsp middle
cerebral
Cerebral artery
infrc due to thombos of right ant
535
535
535
cerebral
Cerebral artery
infrc due to thombos of left ant
cerebral
artery
Cerebral infrc due to thombos unsp
anterior
Cerebral cerebral
infrc dueartery
to thombos of right post
cerebral
artery
Cerebral infrc due to thombos of left post
535
535
535
535
cerebral
Cerebral artery
infrc due to thombos unsp
posterior
cerebral
Cerebral infrc
due artery
to thrombosis of right
535
535
cereblr
Cerebralartery
infarction due to thrombosis of
left
cereblr
artery due to thombos unsp
Cerebral infarction
cerebellar
Cerebral infarction
oth
cerebral
Cerebral
infarction
535
535
535
535
unsp
artery
Cerebcerebral
infrc due
to embolism of right
middle
cerebral
artery
Cereb infrc due to
embolism of left middle
cerebral
artery
Cereb infrc due to embolism of unsp
535
535
535
middle
cerebral
artery
Cerebral
infrc due
to embolism of right ant
cerebral
artery
Cerebral infrc due to embolism of left ant
cerebral
Cerebral artery
infrc due to embolism of unsp ant
535
535
535
cerebral
Cerebral artery
infrc due to embolism of right
post cerebral artery
535
Page 2199 of 6734

I63432
Cerebral infrc due to embolism of left post

cerebral
Cerebral artery
infrc due to embolism of unsp
post
cerebral
arterydue to embolism of
Cerebral infarction
535
535
535
right
cereblr
artery due to embolism of left
Cerebral
infarction
cereblr
Cerebralartery
unsp
cereblr
Cerebral infarction
other
Cerebcerebral
infrc dueartery
to unsp occls or stenos of
535
535
535
535
unsp
artery
Cerebcereb
infrc d/t
unsp occls or stenos of right
mid
cereb
art
Cereb infrc d/t unsp occls or stenos of left
mid
cereb
Cereb
infrcart
d/t unsp occls or stenos of
unsp
mid
cereb
art occls or stenos of right
Cereb infrc d/t unsp
ant
cereb
Cereb
infrcart
d/t unsp occls or stenos of left
535
535
535
535
535
ant
cereb
Cereb
infrcart
d/t unsp occls or stenos of
unsp
ant
cereb
art occls or stenos of right
Cereb infrc d/t unsp
post
Cerebcereb
infrc art
d/t unsp occls or stenos of left
post
cereb
art
Cereb infrc d/t unsp occls or stenos of
535
535
535
535
unsp
artunsp occls or stenos of
Cerebpost
infrccereb
due to
right
art to unsp occls or stenos of
Cerebcereblr
infrc due
left
cereblr
Cereb
infrc art
unsp
cereblr
art to unsp occls or stenosis of
Cereb infrc due
535
535
535
535
535
I638
cerebral
Cerebral artery
infrc due to cerebral venous
thombos,
nonpyogenic
Other cerebral
infarction
535
I639
Cerebral infarction, unspecified
535
534
NONSPECIFIC CVA & PRECEREBRAL OCCLUS
534
534
I6509
Occlusion and stenosis of right vertebral

artery
Occlusion and stenosis of left vertebral
artery
Occlusion and stenosis of bilateral
vertebral
Occlusion arteries
and stenosis of unspecified
534
I651
vertebral
Occlusion artery
and stenosis of basilar artery
534
I6521
Occlusion and stenosis of right carotid

artery
534
I63439
I63441
I63442
I63449
I6349
I6350
I63511
I63512
I63519
I63521
I63522
I63529
I63531
I63532
I63539
I63541
I63542
I63549
I6359
I636
I6501
I6502
I6503
Page 2200 of 6734

I6522
Occlusion and stenosis of left carotid

artery
Occlusion and stenosis of bilateral carotid
arteries
Occlusion and stenosis of unspecified
carotid
artery
Occlusion
and stenosis of other
534
534
534
534
precerebral
arteries
Occlusion and
stenosis of unspecified
precerebral
artery
Occlusion and stenosis of right middle
cerebral
Occlusionartery
and stenosis of left middle
534
534
534
cerebral
Occlusionartery
and stenosis of bilateral middle
cerebral
arteries
middle
cerebral
artery of right anterior
Occlusion
and stenosis
534
534
534
cerebral
Occlusionartery
and stenosis of left anterior
cerebral
Occlusionartery
and stenosis of bi anterior
cerebral
arteries
Occlusion and stenosis of unsp anterior
534
534
534
cerebral
Occlusionartery
and stenosis of right posterior
cerebral
Occlusionartery
and stenosis of left posterior
cerebral
artery
Occlusion and stenosis of bi posterior
534
534
534
cerebral
Occlusionarteries
and stenosis of unsp posterior
cerebral
artery
Occlusion and stenosis of cerebellar
arteries
Occlusion and stenosis of other cerebral
534
534
534
534
I670
arteries
cerebral
artery
Dissection
of cerebral arteries,
510
I671
nonruptured
Cerebral aneurysm, nonruptured
524
I672
Cerebral atherosclerosis
524
I673
Progressive vascular leukoencephalopathy
522
I674
Hypertensive encephalopathy
528
I675
Moyamoya disease
524
I676
Nonpyogenic thrombosis of intracranial

venous
Cerebralsystem
arteritis, not elsewhere classified
524
524
Acute cerebrovascular insufficiency
534
I6523
I6529
I658
I659
I6601
I6602
I6603
I6609
I6611
I6612
I6613
I6619
I6621
I6622
I6623
I6629
I663
I668
I669
I677
I6781
Page 2201 of 6734

I6782
Cerebral ischemia
534
I6783
Posterior reversible encephalopathy

syndrome
Reversible cerebrovascular
528
526
TRANSIENT ISCHEMIA
vasoconstriction
syndrome
Other cerebrovascular
vasospasm and
vasoconstriction
Other cerebrovascular disease
526
TRANSIENT ISCHEMIA
534
I679
Cerebrovascular disease, unspecified
524
I680
Cerebral amyloid angiopathy
524
I682
Cerebral arteritis in other diseases

classified
elsewhere disorders in diseases
Oth cerebrovascular
524
524
classd
elswhr
Unspecified
sequelae of nontraumatic
subarachnoid
hemorrhage
Cognitive deficits
following ntrm
524
524
subarachnoid
hemorrhage
Aphasia following
nontraumatic
subarachnoid
hemorrhage
Dysphasia following nontraumatic
524
524
subarachnoid
hemorrhage
Dysarthria following
nontraumatic
subarachnoid
hemorrhage
Fluency disorder
following ntrm
533
533
subarachnoid
hemorrhage
Oth speech/lang
deficits following ntrm
subarach
hemorrhage
Monoplg upr lmb fol ntrm subarach hemor
524
533
aff
right dom
sidefol ntrm subarach hemor
Monoplg
upr lmb
aff
left dom
Monoplg
uprside
lmb fol ntrm subarach hemor
aff
r
nondom
Monoplg upr lmb
aff
left nondom
Monoplg
upr lmbside
following ntrm subarach
533
533
533
533
hemor
afflow
unsp
side
Monoplg
lmb
fol ntrm subarach hemor
aff
right dom
Monoplg
low lmb
aff
left dom
Monoplg
lowside
lmb fol ntrm subarach hemor
aff
r
nondom
Monoplg low lmb
533
533
533
533
aff
left nondom
side
Monoplg
low lmb
following ntrm subarach
hemor
aff
unsp
side
Hemiplga fol ntrm subarach hemor aff
533
533
right
dominant
sidesubarach hemor aff left
Hemiplga
fol ntrm
dominant
Hemiplga side
following ntrm subarach hemor
533
533
I67841
I67848
I6789
I688
I6900
I6901
I69020
I69021
I69022
I69023
I69028
I69031
I69032
I69033
I69034
I69039
I69041
I69042
I69043
I69044
I69049
I69051
I69052
I69053
aff right nondom side

Page 2202 of 6734

I69054
I69059
I69061
I69062
I69063
I69064
I69065
I69069
I69090
I69091
I69092
I69093
I69098
I6910
I6911
I69120
I69121
I69122
I69123
I69128
I69131
I69132
I69133
I69134
I69139
I69141
I69142
I69143
I69144
Hemiplga following ntrm subarach hemor

aff
left nondom
sidentrm subarach hemor
Hemiplga
following
affecting
Oth parlytunsp
syndside
533
533
533
aff
dom
side
Othright
parlyt
synd
aff
left
dom
side
Oth parlyt synd fol ntrm subarach hemor
aff
nondom
side
Othr parlyt
synd
aff
left
nondom
side
Oth paralytic syndrome following ntrm
533
533
533
533
subarach
hemor,
bi
Oth paralytic
syndrome
fol ntrm subarach
hemor
aff
unsp
side
Apraxia following nontraumatic
533
533
subarachnoid
hemorrhage
Dysphagia following
nontraumatic
subarachnoid
hemorrhage
Facial weakness following ntrm
624
533
subarachnoid
hemorrhage
Ataxia following
nontraumatic
subarachnoid
hemorrhage
Oth sequelae following nontraumatic
533
533
subarachnoid
Unsp sequelaehemorrhage
of nontraumatic
intracerebral
hemorrhage
Cognitive deficits
following nontraumatic
524
524
intcrbl
Aphasiahemorrhage
intracerebral
hemorrhage
Dysphasia following
nontraumatic
524
524
intracerebral
hemorrhage
nontraumatic
intracerebral
hemorrhage
Fluency disorder
533
533
intcrbl
hemorrhage
Oth speech/lang
deficits following ntrm
intcrbl
hemorrhage
Monoplg upr lmb fol ntrm intcrbl hemor aff
right
domupr
side
Monoplg
lmb fol ntrm intcrbl hemor aff
524
533
533
left
dom side
Monoplg
upr lmb fol ntrm intcrbl hemor aff
right
nondom
sidefol ntrm intcrbl hemor aff
Monoplg upr lmb
left
nondom
Monoplg
upr side
lmb following ntrm intcrbl
533
533
533
hemor
afflow
unsp
side
Monoplg
lmb
fol ntrm intcrbl hemor aff
right
dom
side
Monoplg low lmb fol ntrm intcrbl hemor aff
left
dom side
Monoplg
low lmb fol ntrm intcrbl hemor aff
right
nondom
sidefol ntrm intcrbl hemor aff
Monoplg low lmb
533
533
533
533
left nondom side

Page 2203 of 6734

I69149
I69151
I69152
I69153
I69154
I69159
I69161
I69162
I69163
I69164
I69165
I69169
I69190
I69191
I69192
I69193
I69198
I6920
I6921
I69220
I69221
I69222
I69223
I69228
I69231
I69232
I69233
I69234
I69239
Monoplg low lmb following ntrm intcrbl

hemor
aff fol
unsp
side
Hemiplga
ntrm
intcrbl hemor aff right
533
533
dominant
Hemiplga side
following ntrm intcrbl hemor aff
left
dominant
side ntrm intcrbl hemor aff
Hemiplga
following
right
nondom
side ntrm intcrbl hemor aff
Hemiplga
following
left
nondom
side
Hemiplga
following
ntrm intcrbl hemor
533
533
533
533
affecting
Oth parlytunsp
syndside
right
dom side
Oth parlyt
syndrome fol ntrm intcrbl
533
533
hemor
aff left
dom
side intcrbl hemor aff
Oth parlyt
synd
fol ntrm
right
nondom
side
Oth parlyt
synd
left
nondom
side
Oth paralytic syndrome following ntrm
533
533
533
intcrbl
hemor,syndrome
bi
Oth paralytic
fol ntrm intcrbl
hemor
aff
unsp
side
Apraxia following nontraumatic
533
533
intracerebral
hemorrhage
Dysphagia following
nontraumatic
intracerebral
hemorrhage
Facial weakness
624
533
intcrbl
hemorrhage
Ataxia following
nontraumatic
intracerebral
hemorrhage
Other sequelae of nontraumatic
533
533
intracerebral
hemorrhage
Unsp sequelae
of other nontraumatic
intracranial
hemorrhage
Cognitive deficits
following oth ntrm intcrn
524
524
hemorrhage
Aphasia following other nontraumatic
intracranial
hemorrhage
Dysphasia following
oth nontraumatic
524
524
intracranial
hemorrhage
oth nontraumatic
intcrn
hemorrhage
Fluency
disorder following oth ntrm intcrn
533
533
hemorrhage
Oth speech/lang deficits following oth ntrm
intcrn
hemor
Monoplg
upr lmb fol oth ntrm intcrn hemor
524
533
aff
right dom
sidefol oth ntrm intcrn hemor
Monoplg
upr lmb
aff
left dom
Monoplg
uprside
lmb fol oth ntrm intcrn hemor
aff
r
nondom
Monoplg upr lmb
aff
l nondom
side fol oth ntrm intcrn hemor
Monoplg
upr lmb
533
533
533
533
aff unsp side

Page 2204 of 6734

I69241
Monoplg low lmb fol oth ntrm intcrn hemor

aff
right dom
Monoplg
low lmb
aff
left dom
Monoplg
lowside
lmb fol oth ntrm intcrn hemor
aff
r nondom
Monoplg
low lmb
533
533
533
533
aff
l nondom
side fol oth ntrm intcrn hemor
Monoplg
low lmb
aff
unsp side
Hemiplga
fol oth ntrm intcrn hemor aff
533
533
right
dominant
side
Hemiplga
fol oth
ntrm intcrn hemor aff left
dominant
Hemiplga side
fol oth ntrm intcrn hemor aff
right
nondom
side
Hemiplga fol oth
ntrm intcrn hemor aff left
nondom
side
Hemiplga following oth ntrm intcrn hemor
533
533
533
533
affecting
Oth parlytunsp
syndside
fol oth ntrm intcrn hemor
aff
dom
side
Othright
parlyt
synd
aff
left
dom
side
Oth parlyt synd fol oth ntrm intcrn hemor
aff
nondom
side
Othr parlyt
synd
533
533
533
533
aff
nondom side
Othl paralytic
syndrome following oth ntrm
intcrn
hemor,
bi
Oth parlyt syndrome
fol oth ntrm intcrn
533
533
hemor
unsp side
Apraxiaaff
following
other nontraumatic
intracranial
hemorrhage
Dysphagia following oth nontraumatic
533
624
intracranial
hemorrhage
Facial weakness
following oth
nontraumatic
intcrn
hemorrhage
Ataxia following other
nontraumatic
533
533
intracranial
hemorrhage
Other sequelae
of other nontraumatic
intracranial
hemorrhage
Unspecified sequelae of cerebral infarction
533
524
524
I69320
Cognitive deficits following cerebral

infarction
Aphasia following cerebral infarction
524
I69321
Dysphasia following cerebral infarction
524
I69322
Dysarthria following cerebral infarction
533
I69323
Fluency disorder following cerebral

infarction
Oth speech/lang deficits following cerebral
533
524
infarction
Monoplg upr lmb fol cerebral infrc aff right
dominant side
533
I69242
I69243
I69244
I69249
I69251
I69252
I69253
I69254
I69259
I69261
I69262
I69263
I69264
I69265
I69269
I69290
I69291
I69292
I69293
I69298
I6930
I6931
I69328
I69331
Page 2205 of 6734

I69332
Monoplg upr lmb fol cerebral infrc aff left

dominant
side
Monoplg upr
lmb fol cerebral infrc aff right
nondom
side
Monoplg upr lmb fol cerebral infrc aff left
nondom
Monoplg side
upr lmb following cerebral infrc
533
533
533
533
affecting
unsp
side
Monoplg low
lmb
fol cerebral infrc aff right
dominant
side
Monoplg low lmb fol cerebral infrc aff left
dominant
side
Monoplg low
lmb fol cerebral infrc aff right
nondom
Monoplg side
low lmb fol cerebral infrc aff left
533
533
533
533
nondom
Monoplg side
low lmb following cerebral infrc
affecting
side cerebral infrc aff right
Hemiplgaunsp
following
533
533
dominant
Hemiplga side
following cerebral infrc aff left
dominant
Hemiplga side
following cerebral infrc aff right
nondom
side
Hemiplga following cerebral infrc affecting
left
nondom
side
Hemiplga
following
cerebral infarction
533
533
533
533
affecting
side fol cereb infrc aff
Oth parlytunsp
syndrome
right
dominant
side fol cereb infrc aff left
Oth parlyt
syndrome
dominant
Oth parlyt side
syndrome fol cerebral infrc aff
533
533
533
right
nondom
side
Oth parlyt
syndrome
fol cerebral infrc aff
left
Oth nondom
paralyticside
syndrome following cerebral
533
533
533
I69390
infrc,
bilateralsyndrome fol cerebral infrc
Oth paralytic
aff
unsp following
side
Apraxia
cerebral infarction
533
I69391
Dysphagia following cerebral infarction
624
I69392
533
I69393
Facial weakness following cerebral

infarction
Ataxia following cerebral infarction
533
I69398
Other sequelae of cerebral infarction
533
Unspecified sequelae of other

cerebrovascular
Cognitive deficitsdisease
following other
524
524
cerebrovascular
Aphasia followingdisease
other cerebrovascular
disease
Dysphasia following other cerebrovascular
524
524
I69333
I69334
I69339
I69341
I69342
I69343
I69344
I69349
I69351
I69352
I69353
I69354
I69359
I69361
I69362
I69363
I69364
I69365
I69369
I6980
I6981
I69820
I69821
disease
Page 2206 of 6734

I69822
I69823
I69828
I69831
I69832
I69833
I69834
I69839
I69841
I69842
I69843
I69844
I69849
I69851
I69852
I69853
I69854
I69859
I69861
I69862
I69863
I69864
I69865
I69869
I69890
I69891
I69892
I69893
I69898
Dysarthria following other cerebrovascular

disease
Fluency disorder following other
533
533
cerebrovascular
Oth speech/lang disease
deficits following oth
cerebvasc
disease
Monoplg upr
lmb fol oth cerebvasc disease
524
533
aff
right dom
sidefol oth cerebvasc disease
Monoplg
upr lmb
aff
left dom
Monoplg
uprside
lmb fol oth cerebvasc dis aff
right
nondom
sidefol oth cerebvasc dis aff
Monoplg upr lmb
left
nondom
Monoplg
upr side
533
533
533
533
aff
unsp side
Monoplg
low lmb fol oth cerebvasc disease
aff
right
dom
sidefol oth cerebvasc disease
Monoplg low lmb
aff
left dom
Monoplg
lowside
lmb fol oth cerebvasc dis aff
right
nondom
Monoplg
low lmb
533
533
533
533
left
nondom
Monoplg
low side
aff
unsp
side
Hemiplga fol oth cerebvasc disease aff
533
533
right
dominant
side
Hemiplga
fol oth
cerebvasc disease aff left
dominant
side
Hemiplga fol oth cerebvasc disease aff
right
nondom
side
Hemiplga
fol oth
cerebvasc disease aff left
nondom
side
Hemiplga following oth cerebvasc disease
533
533
533
533
affecting
Oth parlytunsp
syndside
fol oth cerebvasc disease
aff
right
dom
side
Oth parlyt synd fol oth cerebvasc disease
aff
domsynd
Othleft
parlyt
533
533
533
right
nondom
side
Oth parlyt
synd
fol oth cerebvasc dis aff
left
Oth nondom
paralyticside
syndrome following oth
533
533
cerebvasc
disease, bifol oth cerebvasc
Oth parlyt syndrome
disease
unsp side
Apraxia aff
following
other cerebrovascular
533
533
disease
Dysphagia following other cerebrovascular
disease
Facial weakness following other
624
533
cerebrovascular
disease
Ataxia following other
cerebrovascular
disease
Other sequelae of other cerebrovascular
533
533
disease
Page 2207 of 6734

I6990
I6991
I69920
I69921
I69922
I69923
I69928
I69931
I69932
I69933
I69934
I69939
I69941
I69942
I69943
I69944
I69949
I69951
I69952
I69953
I69954
I69959
I69961
I69962
I69963
I69964
I69965
I69969
I69990
Unspecified sequelae of unspecified

cerebrovascular
Cognitive deficitsdisease
following unsp
524
524
cerebrovascular
Aphasia followingdisease
unspecified
cerebrovascular
disease
Dysphasia following
unspecified
524
524
cerebrovascular
disease
unspecified
cerebrovascular
disease
Fluency disorder following unsp
533
533
cerebrovascular
Oth speech/lang disease
deficits following unsp
cerebvasc
disease
Monoplg upr
lmb fol unsp cerebvasc dis aff
right
dom
side
Monoplg upr lmb fol unsp cerebvasc
524
533
533
disease
left
dom
Monoplgaff
upr
lmb
fol side
unsp cerebvasc dis aff
right
nondom
side
Monoplg upr lmb fol unsp cerebvasc dis aff
left
nondom
Monoplg
upr side
lmb fol unsp cerebvasc
533
533
533
disease
unsp
Monoplgaff
low
lmbside
fol unsp cerebvasc dis aff
right
dom
side
Monoplg low lmb fol unsp cerebvasc
disease
left
dom
Monoplgaff
low
lmb
fol side
right
nondom
side
Monoplg low lmb fol unsp cerebvasc dis aff
533
533
533
533
left
nondom
Monoplg
low side
lmb fol unsp cerebvasc
disease
aff
unsp
side
Hemiplga fol unsp
cerebvasc disease aff
right
dominant
sidecerebvasc disease aff
Hemiplga
fol unsp
533
533
533
left
dominant
side cerebvasc disease aff
Hemiplga
fol unsp
right
nondom
side cerebvasc disease aff
Hemiplga
fol unsp
left
nondom
side
Hemiplga
following
unsp cerebvasc
533
533
533
disease
affsynd
unspfol
side
Oth parlyt
right
dom
side
Oth parlyt synd fol unsp cerebvasc disease
aff
domsynd
sidefol unsp cerebvasc dis aff
Othleft
parlyt
533
533
533
right
nondom
side
Oth parlyt
synd
fol unsp cerebvasc dis aff
left
nondom
side
Oth paralytic syndrome following unsp
533
533
cerebvasc
disease, bifol unsp cerebvasc
Oth parlyt syndrome
disease
unsp side
Apraxia aff
following
unspecified
533
533
cerebrovascular disease
Page 2208 of 6734

I69991
Dysphagia following unspecified

cerebrovascular
Facial weakness disease
following unsp
624
533
cerebrovascular
disease
Ataxia following unspecified
cerebrovascular
disease unspecified
Other sequelae following
533
533
I700
cerebrovascular
disease
Atherosclerosis of
aorta
596
PERIPHERAL & OTHER VASCULAR DIAGNOS
I701
Atherosclerosis of renal artery
726
Unsp athscl native arteries of extremities,

right
Unsp leg
athscl native arteries of extremities,
left
leg
Unsp athscl native arteries of extremities,
bilateral
legsnative arteries of extremities,
Unsp athscl
596
596
596
596
oth
extremity
Unsp
unsp
Athsclextremity
native arteries of extrm w intrmt
596
596
claud,
Athscl
claud,
Athscl
right
nativeleg
arteries of extrm w intrmt
left
leg
native arteries of extrm w intrmt
claud,
legs arteries of extrm w intrmt
Athscl bi
native
claud,
extrm
Athscl oth
native
arteries of extrm w intrmt
596
596
596
596
claud,
Athscl unsp
nativeextrm
arteries of extremities w rest
pain,
right
leg
Athscl native arteries of extremities w rest
pain,
leg arteries of extrm w rest pain,
Athsclleft
native
596
596
596
bilateral
legs arteries of extrm w rest pain,
Athscl native
oth
extremity
Athscl
native arteries of extrm w rest pain,
unsp
extremity
Athscl native arteries of right leg w
596
596
596
ulceration
of thigh
Athscl native
arteries of right leg w
ulceration
of
calf
Athscl native arteries of right leg w
ulceration
of ankle
Athscl native
art of right leg w ulcer of
heel
and
midfoot
Athscl
native
arteries of right leg w ulcer
596
596
596
596
oth
prtnatv
foot art of right leg w ulcer oth prt
Athscl
lower
legarteries of right leg w ulcer
Athsclright
native
596
596
of
unspnative
site arteries of left leg w
Athscl
ulceration of thigh
596
I69992
I69993
I69998
I70201
I70202
I70203
I70208
I70209
I70211
I70212
I70213
I70218
I70219
I70221
I70222
I70223
I70228
I70229
I70231
I70232
I70233
I70234
I70235
I70238
I70239
I70241
Page 2209 of 6734

I70242
I70243
I70244
I70245
I70248
I70249
I7025
I70261
I70262
I70263
I70268
I70269
I70291
I70292
I70293
I70298
I70299
I70301
I70302
I70303
I70308
I70309
I70311
I70312
I70313
I70318
I70319
I70321
I70322
Athscl native arteries of left leg w

ulceration
of calf
Athscl native
arteries of left leg w
ulceration
of
ankle
Athscl native art of left leg w ulcer of heel
and
midfoot
Athscl
native arteries of left leg w
596
596
596
596
ulceration
othart
prtoffoot
Athscl native
left leg w ulcer oth prt
lower
left
leg
Athscl native arteries of left leg w
596
596
ulceration
of unsp
siteof extremities w
Athscl native
arteries
ulceration
Athscl native arteries of extremities w
gangrene,
right
leg of extremities w
Athscl native
arteries
596
596
596
gangrene,
leftarteries
leg
Athscl native
of extrm w
gangrene,
bilateral
legs
Athscl native arteries of extrm w
gangrene,
otharteries
extremity
Athscl native
of extrm w
596
596
596
gangrene,
Oth athscl unsp
nativeextremity
arteries of extremities,
right
leg
Oth athscl native arteries of extremities,
left
Oth leg
596
596
596
bilateral
legs
Oth athscl
native arteries of extremities,
oth
extremity
Oth athscl native arteries of extremities,
unsp
Unsp extremity
athscl unsp type bypass of the
596
596
596
extremities,
right type
leg bypass of the
Unsp athscl unsp
extremities,
left leg
Unsp athscl unsp
type bypass of the
extrm,
bilateral
legs
Unsp athscl unsp type bypass of the
extrm,
oth extremity
Unsp athscl
unsp type bypass of the
596
596
596
596
extrm,
unsp type
extremity
Athscl unsp
bypass of extrm w intrmt
claud,
right
leg
Athscl unsp type bypass of extrm w intrmt
claud,
Athscl left
unspleg
type bypass of the extrm w
596
596
596
intrmt
claud,type
bi legs
Athscl unsp
claud,
oth
extrm
Athscl unsp type bypass of extrm w intrmt
claud,
Athscl unsp
unsp extrm
type bypass of the extrm w
596
596
596
rest
pain,
right
leg
Athscl
unsp
type
bypass of the extrm w
rest pain, left leg
596
Page 2210 of 6734

I70323
I70328
I70329
I70331
I70332
I70333
I70334
I70335
I70338
I70339
I70341
I70342
I70343
I70344
I70345
I70348
I70349
I7035
I70361
I70362
I70363
I70368
I70369
I70391
I70392
I70393
I70398
I70399
I70401
Athscl unsp type bypass of the extrm w

rest
pain,
bi type
legs bypass of the extrm w
Athscl
unsp
rest
pain,
oth
extrm
Athscl
unsp
type
rest
pain,
unsp
extrm
Athscl
unsp
type
bypass of the right leg w
ulcer
of
thigh
Athscl unsp type bypass of the right leg w
596
596
596
596
596
ulcer
calf type bypass of the right leg w
Athsclofunsp
ulcer
ankle
Athsclofunsp
type bypass of r leg w ulcer of
heel
and
midft
Athscl
unsp
type bypass of right leg w
ulcer
oth
prt
foot bypass of right leg w
Athscl unsp type
596
596
596
596
ulcer
prttype
low leg
Athscloth
unsp
bypass of right leg w
ulcer
of
unsp
site
Athscl unsp type bypass of the left leg w
ulcer
thigh
Athsclofunsp
type bypass of the left leg w
ulceration
of
calf bypass of the left leg w
Athscl unsp type
596
596
596
596
ulcer
ankle
Athsclofunsp
type bypass of left leg w ulc of
heel
and
midft
Athscl
unsp
ulcer
oth
prt
foot bypass of left leg w ulcer
Athscl unsp type
oth
prtunsp
low leg
Athscl
596
596
596
596
ulcer
unsptype
sitebypass graft(s) of
Athsclofunsp
extremity
w type
ulceration
Athscl unsp
gangrene,
right
leg
Athscl unsp type bypass of the extrm w
gangrene,
legbypass of the extrm w
Athscl unspleft
type
596
596
596
596
gangrene,
legsbypass of the extrm w
Athscl unspbitype
gangrene,
extrm
Athscl unspoth
type
gangrene,
unsp
extrm
Oth athscl unsp type bypass of the
596
596
596
extremities,
righttype
leg bypass of the
Oth athscl unsp
extremities,
left type
leg bypass of the extrm,
Oth athscl unsp
bilateral
legs
Oth athscl
unsp type bypass of the extrm,
oth
extremity
Oth athscl unsp type bypass of the extrm,
596
596
596
596
unsp
Unsp extremity
athscl autologous vein bypass of the
extrm, right leg
596
Page 2211 of 6734

I70402
I70403
I70408
I70409
I70411
I70412
I70413
I70418
I70419
I70421
I70422
I70423
I70428
I70429
I70431
I70432
I70433
I70434
I70435
I70438
I70439
I70441
I70442
I70443
I70444
I70445
I70448
I70449
I7045
Unsp athscl autologous vein bypass of the

extrm,
left leg
Unsp athscl
autol vein bypass of the
596
596
extrm,
bilateral
legs
Unsp athscl
autol
vein bypass of the
extrm,
oth extremity
Unsp athscl
autol vein bypass of the
extrm,
unsp
extremity
Athscl autol vein
596
596
596
claud,
Athscl
claud,
Athscl
right
autol leg
vein bypass of extrm w intrmt
left
leg
autol vein bypass of extrm w intrmt
claud,
legsvein bypass of extrm w intrmt
Athscl bi
autol
claud,
extrm
Athscl oth
autol
vein bypass of extrm w intrmt
596
596
596
596
claud,
Athscl unsp
autol extrm
vein bypass of the extrm w
rest
pain,
right
leg
Athscl autol vein
rest
pain,
leftvein
leg bypass of the extrm w
Athscl
autol
rest
pain,
bi vein
Athscl
autol
596
596
596
596
rest
pain,
othvein
extrm
Athscl
autol
bypass of extrm w rest
pain,
Athsclunsp
autolextrm
vein bypass of the right leg w
ulcer
of
thigh
Athscl autol vein bypass of the right leg w
596
596
596
ulcer
calf vein bypass of the right leg w
Athsclofautol
ulcer
ankle
Athsclofautol
vein bypass of r leg w ulcer of
heel
and
midft
Athscl
autol
vein bypass of right leg w
ulcer
oth
prt
foot bypass of r leg w ulcer
Athscl autol vein
596
596
596
596
oth
prtautol
low leg
Athscl
vein bypass of right leg w
ulcer
of
unsp
sitebypass of the left leg w
Athscl autol vein
ulcer
thighvein bypass of the left leg w
Athsclofautol
ulcer
calf vein bypass of the left leg w
Athsclofautol
596
596
596
596
ulcer
ankle
Athsclofautol
vein bypass of left leg w
heel
and
midft
Athscl
autol
oth
prt
foot
Athscl autol vein bypass of left leg w
oth
prtautol
low leg
Athscl
ulc of
596
ulcer
596
ulcer
596
596
596
ulcer
of
unsp
site
Athscl autologous vein bypass of extremity
w ulceration
Page 2212 of 6734

I70461
I70462
I70463
I70468
I70469
I70491
I70492
I70493
I70498
I70499
I70501
I70502
I70503
I70508
I70509
I70511
I70512
I70513
I70518
I70519
I70521
I70522
I70523
I70528
I70529
I70531
I70532
I70533
I70534
Athscl autol vein bypass of the extrm w

gangrene,
Athscl autolright
veinleg
gangrene,
left
leg
Athscl autol vein bypass of the extrm w
gangrene,
legsbypass of the extrm w
Athscl autolbivein
596
596
596
596
gangrene,
extrm
Athscl autoloth
vein
gangrene,
unsp
extrm
Oth athscl autologous vein bypass of the
extrm,
right
leg
Oth athscl
autologous
vein bypass of the
596
596
596
extrm,
left autol
leg vein bypass of the extrm,
Oth athscl
bilateral
legs
Oth athscl
autol vein bypass of the extrm,
oth
extremity
Oth athscl autol vein bypass of the extrm,
unsp
Unsp extremity
athscl nonaut bio bypass of the
596
596
596
596
extremities,
right leg
Unsp athscl nonaut
bio bypass of the
extremities,
left
leg
Unsp athscl nonaut bio bypass of the
extrm,
bilateral
legsbio bypass of the
Unsp athscl
nonaut
extrm,
oth extremity
Unsp athscl
nonaut bio bypass of the
596
596
596
596
extrm,
unsp extremity
Athscl nonaut
bio bypass of extrm w intrmt
claud,
right
leg
Athscl nonaut bio bypass of extrm w intrmt
claud,
leg bio bypass of extrm w intrmt
Athscl left
nonaut
claud,
legs bio bypass of extrm w intrmt
Athscl bi
nonaut
596
596
596
596
claud,
Athscl
claud,
Athscl
oth
extrm
nonaut
bio bypass of extrm w intrmt
unsp
extrm
nonaut bio bypass of the extrm w
rest
pain,
rightbio
legbypass of the extrm w
Athscl nonaut
596
596
596
rest
pain,
left leg
Athscl
nonaut
bio bypass of the extrm w
rest
pain,
bi
legs
Athscl nonaut bio bypass of the extrm w
rest
pain,
oth extrm
Athscl
nonaut
bio bypass of extrm w rest
pain,
extrm
Athsclunsp
nonaut
bio bypass of the right leg w
596
596
596
596
ulcer
thigh bio bypass of the right leg w
Athsclofnonaut
ulcer
calf bio bypass of the right leg w
Athsclofnonaut
ulcer
ankle bio bypass of r leg w ulcer of
Athsclofnonaut
heel and midft
596
596
596
Page 2213 of 6734

I70535
I70538
I70539
I70541
I70542
I70543
I70544
I70545
I70548
I70549
I7055
I70561
I70562
I70563
I70568
I70569
I70591
I70592
I70593
I70598
I70599
I70601
I70602
I70603
I70608
I70609
I70611
I70612
I70613
Athscl nonaut bio bypass of right leg w

ulcer
prt foot
Athscloth
nonaut
bio bypass of r leg w ulcer
oth
prt
low
leg
Athscl nonaut bio bypass of right leg w
ulcer
unsp site
Athsclofnonaut
bio bypass of the left leg w
596
596
596
596
ulcer
thigh bio bypass of the left leg w
Athsclofnonaut
ulcer
calf bio bypass of the left leg w
Athsclofnonaut
ulcer
ankle bio bypass of left leg w ulc
Athsclofnonaut
of
heelnonaut
and midft
Athscl
bio bypass of left leg w ulcer
596
596
596
596
oth
prtnonaut
foot
Athscl
bio bypass of left leg w ulcer
oth
prt
low
leg
Athscl nonaut bio bypass of left leg w ulcer
of
unspnonautologous
site
Athscl
bio bypass of
596
596
596
extremity
w ulceration
Athscl nonaut
gangrene,
right
leg
Athscl nonaut bio
gangrene,
left
leg
Athscl nonaut bio bypass of the extrm w
gangrene,
bi legs
Athscl nonaut
596
596
596
596
gangrene,
oth bio
extrm
Athscl nonaut
gangrene,
unsp
extrm
Oth athscl nonaut bio bypass of the
596
596
extremities,
right leg
Oth athscl nonaut
bio bypass of the
extremities,
left legbio bypass of the extrm,
Oth athscl nonaut
bilateral
legs
Oth athscl
nonaut bio bypass of the extrm,
oth
extremity
Oth athscl nonaut bio bypass of the extrm,
596
596
596
596
unsp
Unsp extremity
athscl nonbiol bypass of the
extremities,
right legbypass of the
Unsp athscl nonbiol
extremities,
left leg bypass of the extrm,
Unsp athscl nonbiol
bilateral
legsnonbiol bypass of the
Unsp athscl
596
596
596
596
extremities,
oth extremity
Unsp athscl nonbiol
bypass of the extrm,
unsp
extremity
Athscl nonbiol bypass of the extrm w
596
596
intrmt
claud, right
leg of the extrm w
Athscl nonbiol
bypass
intrmt
claud, left
leg of the extrm w
Athscl nonbiol
bypass
intrmt claud, bi legs
596
596
Page 2214 of 6734

I70618
I70619
I70621
I70622
I70623
I70628
I70629
I70631
I70632
I70633
I70634
I70635
I70638
I70639
I70641
I70642
I70643
I70644
I70645
I70648
I70649
I7065
I70661
I70662
I70663
I70668
I70669
I70691
I70692

intrmt
claud, oth
extrmof extrm w intrmt
Athscl nonbiol
bypass
claud,
extrm
Athscl unsp
nonbiol
bypass of the extrm w rest
596
596
596
pain,
Athsclright
nonbiol
pain,
Athsclleft
nonbiol
pain,
Athsclbinonbiol
pain,
extrmbypass of the extrm w
Athscloth
nonbiol
rest
596
rest
596
rest
596
rest
596
pain,
extrm
Athsclunsp
nonbiol
ulceration
of
thigh
Athscl nonbiol bypass of the right leg w
ulceration
of calf
Athscl nonbiol
ulceration
of
ankle
Athscl nonbiol bypass of right leg w ulcer
596
596
596
596
of
heelnonbiol
and midft
Athscl
ulcer
oth
prt
foot
Athscl nonbiol bypass of right leg w ulcer
oth
prtnonbiol
low leg bypass of the right leg w
Athscl
596
596
596
ulcer
unsp site
Athsclofnonbiol
bypass of the left leg w
ulceration
of
thigh
Athscl nonbiol bypass of the left leg w
ulceration
of calf
Athscl nonbiol
ulceration
of
ankle
Athscl nonbiol bypass of left leg w ulcer of
heel
and
midft bypass of the left leg w
Athscl
nonbiol
596
596
596
596
596
ulcer
prt foot
Athscloth
nonbiol
bypass of left leg w ulcer
oth
prt
low
leg
Athscl nonbiol bypass of the left leg w
ulcer
unsp site
Athsclofnonbiological
bypass of extremity w
ulceration
596
596
596
596
gangrene,
rightbypass
leg
Athscl nonbiol
of the extrm w
gangrene,
left
leg
gangrene,
bi legs
Athscl nonbiol
gangrene,
oth
extremity
596
596
596
596
gangrene,
extrm
Oth athscl unsp
nonbiol
bypass of the
extremities,
right
leg
Oth athscl nonbiological bypass of the
extremities, left leg
596
596
Page 2215 of 6734

I70693
I70698
I70699
I70701
I70702
I70703
I70708
I70709
I70711
I70712
I70713
I70718
I70719
I70721
I70722
I70723
I70728
I70729
I70731
I70732
I70733
I70734
I70735
I70738
I70739
I70741
I70742
I70743
I70744
Oth athscl nonbiol bypass of the

extremities,
bilateral
legs of the
Oth athscl nonbiol
bypass
extremities,
oth extremity
Oth athscl nonbiol
bypass of the
596
596
596
extremities,
unspof
extremity
Unsp athscl type
bypass of the
extremities,
right
leg
Unsp athscl type of bypass of the
extremities,
left leg
Unsp athscl type
of bypass of the extrm,
bilateral
legs
Unsp athscl type of bypass of the
596
596
596
596
extremities,
oth extremity
Unsp athscl type
of bypass of the extrm,
unsp
extremity
Athscl type of bypass of the extrm w
596
596
intrmt
claud,ofright
leg of the extrm w
Athscl type
bypass
intrmt
claud,ofleft
leg of the extrm w
Athscl type
bypass
intrmt
claud,ofbibypass
legs of the extrm w
Athscl type
intrmt
claud,ofoth
extrm
Athscl type
bypass
of extrm w intrmt
596
596
596
596
claud,
extrm
Athscl unsp
type of
bypass of the extrm w rest
pain,
Athsclright
typeleg
of bypass of the extrm w rest
pain,
left
leg
Athscl type of bypass of the extrm w rest
pain,
legsof bypass of the extrm w rest
Athsclbitype
596
596
596
596
pain,
extrm
Athscloth
type
of bypass of the extrm w rest
pain,
Athsclunsp
typeextrm
of bypass of the right leg w
ulceration
of
Athscl type ofthigh
ulceration
of
calf
Athscl type of bypass of the right leg w
596
596
596
596
ulceration
Athscl typeofofankle
bypass of right leg w ulcer
of
heeltype
and of
midft
Athscl
ulcer
oth
prt
foot
Athscl type of bypass of right leg w ulcer
596
596
596
oth
prttype
low leg
Athscl
of bypass of the right leg w
ulcer
unsp
Athscloftype
ofsite
ulceration
of
thigh
Athscl type of bypass of the left leg w
ulceration
Athscl typeofofcalf
596
596
596
596
ulceration
Athscl typeofofankle
bypass of left leg w ulcer of
heel and midft
596
Page 2216 of 6734

I70745

ulcer
prtoffoot
Athscloth
type
bypass of left leg w ulcer
oth
prt
low
leg
ulcer
unsp
Athscloftype
ofsite
bypass graft(s) of extremity
596
596
596
596
w
ulceration
Athscl
type of bypass of the extrm w
gangrene,
leg of the extrm w
Athscl typeright
of bypass
gangrene,
leg
Athscl typeleft
of bypass
of the extrm w
gangrene,
Athscl typebioflegs
596
596
596
596
gangrene,
extremity
Athscl typeoth
of bypass
of the extrm w
gangrene,
unsp
extrm
Oth athscl type of bypass of the
596
596
extremities,
right
Oth athscl type
ofleg
bypass of the
extremities,
left of
legbypass of the
Oth athscl type
extremities,
bilateral
legs of the
Oth athscl type
of bypass
596
596
596
extremities,
oth of
extremity
Oth athscl type
bypass of the
extremities,
unsp
Atherosclerosis
of extremity
other arteries
596
596
I7090
Unspecified atherosclerosis
596
I7091
Generalized atherosclerosis
596
I7092
592
I7100
Chronic total occlusion of artery of the

extremities
Dissection of unspecified site of aorta
510
I7101
Dissection of thoracic aorta
510
I7102
Dissection of abdominal aorta
510
I7103
Dissection of thoracoabdominal aorta
510
I711
Thoracic aortic aneurysm, ruptured
510
I712
Thoracic aortic aneurysm, without rupture
596
I713
Abdominal aortic aneurysm, ruptured
510
I714
Abdominal aortic aneurysm, without

rupture
Thoracoabdominal aortic aneurysm,
596
510
ruptured
Thoracoabdominal aortic aneurysm,
without
rupture of unspecified site,
Aortic aneurysm
596
510
I70748
I70749
I7075
I70761
I70762
I70763
I70768
I70769
I70791
I70792
I70793
I70798
I70799
I708
I715
I716
I718
ruptured
Page 2217 of 6734

I719
596
I720
Aortic aneurysm of unspecified site,

without
rupture
Aneurysm
of carotid artery
596
I721
Aneurysm of artery of upper extremity
596
I722
Aneurysm of renal artery
726
I723
Aneurysm of iliac artery
596
I724
Aneurysm of artery of lower extremity
596
I728
Aneurysm of other specified arteries
596
I729
Aneurysm of unspecified site
596
I7300
Raynaud's syndrome without gangrene
655
I7301
Raynaud's syndrome with gangrene
596
Thromboangiitis obliterans [Buerger's

disease]
Erythromelalgia
596
596
Other specified peripheral vascular

diseases
Peripheral vascular disease, unspecified
596
596
I7401
Saddle embolus of abdominal aorta
510
I7409
510
I7410
Other arterial embolism and thrombosis of

abdominal
aorta
Embolism and
thrombosis of unspecified
510
I7411
parts
of aorta
Embolism
and thrombosis of thoracic aorta
510
I7419
510
510
510
I744
Embolism and thrombosis of other parts of

aorta
Embolism and thrombosis of arteries of
the
upper extremities
Embolism
and thrombosis of arteries of
the
lower
extremities
Embolism and thrombosis of arteries of
510
I745
extremities,
unsp
Embolism and
thrombosis of iliac artery
510
I748
Embolism and thrombosis of other arteries
510
I749
510
I75011
Embolism and thrombosis of unspecified

artery
Atheroembolism of right upper extremity
510
I75012
Atheroembolism of left upper extremity
510
I75013
Atheroembolism of bilateral upper

extremities
Atheroembolism of unspecified upper
extremity
510
510
I731
I7381
I7389
I739
I742
I743
I75019
Page 2218 of 6734

I75021
Atheroembolism of right lower extremity
510
I75022
Atheroembolism of left lower extremity
510
I75023
510
510
I7581
Atheroembolism of bilateral lower

extremities
Atheroembolism of unspecified lower
extremity
Atheroembolism of kidney
510
I7589
Atheroembolism of other site
510
Septic arterial embolism
510
I770
Arteriovenous fistula, acquired
596
I771
Stricture of artery
510
I772
Rupture of artery
510
I773
Arterial fibromuscular dysplasia
596
I774
Celiac artery compression syndrome
625
I775
Necrosis of artery
510
I776
Arteritis, unspecified
655
I7771
Dissection of carotid artery
534
I7772
Dissection of iliac artery
510
I7773
Dissection of renal artery
726
I7774
Dissection of vertebral artery
534
I7779
Dissection of other artery
510
I77810
Thoracic aortic ectasia
596
I77811
Abdominal aortic ectasia
596
I77812
Thoracoabdominal aortic ectasia
596
I77819
Aortic ectasia, unspecified site
596
596
I779
Other specified disorders of arteries and

arterioles
Disorder of arteries and arterioles,
596
I780
unspecified
Hereditary hemorrhagic telangiectasia
596
I781
Nevus, non-neoplastic
675
I788
Other diseases of capillaries
596
I789
Disease of capillaries, unspecified
596
I75029
I76
I7789
Page 2219 of 6734

I790
I791
I798
I8000
I8001
I8002
I8003
I8010
I8011
I8012
I8013
I80201
I80202
I80203
I80209
I80211
I80212
I80213
I80219
I80221
I80222
I80223
I80229
I80231
I80232
I80233
I80239
I80291
I80292
Aneurysm of aorta in diseases classified

elsewhere
Aortitis in diseases classified elsewhere
596
596
Oth disord of art,arterioles & capilare in

dis
classd
Phlbts
andelswhr
thombophlb of superfic vessels
596
597
PHLEBITIS
of
unsp low
Phlebitis
andextrm
thombophlb of superfic
vessels
of
r
low
extrem
Phlebitis and thombophlb
of superfic
vessels
of
l
low
extrem
Phlbts and thombophlb of superfic vessels
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
of
low extrm,
bi
Phlebitis
and thrombophlebitis
of
unspecified
femoral
vein
Phlebitis and thrombophlebitis of right
femoral
Phlebitisvein
and thrombophlebitis of left
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
femoral
Phlebitisvein
and thrombophlebitis of femoral
vein,
Phlbtsbilateral
and thombophlb of unsp deep
597
PHLEBITIS
597
PHLEBITIS
vessels
of rthombophlb
low extrem of unsp deep
Phlbts and
vessels
of l thombophlb
low extrem of unsp deep
Phlbts and
vessels
of low
extrm, bi of unsp deep
Phlbts and
thombophlb
vessels
unsp
low extrm
Phlebitisofand
thrombophlebitis
of right iliac
vein
Phlebitis and thrombophlebitis of left iliac
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
vein
Phlebitis and thrombophlebitis of iliac
vein,
bilateral
Phlebitis
and thrombophlebitis of
unspecified
vein
Phlebitis andiliac
thrombophlebitis
of right
popliteal
vein
Phlebitis and thrombophlebitis of left
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
popliteal
veinthrombophlebitis of popliteal
Phlebitis and
vein,
bilateral
Phlebitis
unspecified
vein
Phlebitis andpopliteal
thrombophlebitis
of right
tibial
vein
Phlebitis and thrombophlebitis of left tibial
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
vein
Phlebitis and thrombophlebitis of tibial
vein,
bilateral
Phlebitis
unspecified
vein
Phlebitis andtibial
thombophlb
of deep vessels
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
of
r low extrem
Phlebitis
and thombophlb of deep vessels
of l low extrem
597
PHLEBITIS
Page 2220 of 6734

I80293
Phlebitis and thombophlb of deep vessels

of
low extrm,
bi
Phlebitis
and thombophlb
of deep vessels
of
unsp
low
extrm
Phlebitis and thrombophlebitis of lower
597
PHLEBITIS
597
PHLEBITIS
597
PHLEBITIS
extremities,
Phlebitis andunsp
thrombophlebitis of other
sites
Phlebitis and thrombophlebitis of
unspecified
site
Portal vein thrombosis
597
PHLEBITIS
597
PHLEBITIS
510
I820
Budd-Chiari syndrome
510
I821
Thrombophlebitis migrans
596
Acute embolism and thrombosis of

superior
vena cavaand thrombosis of
Chronic embolism
596
596
superior
vena cava
Acute embolism
and thrombosis of inferior
vena
cava
Chronic
embolism and thrombosis of
596
596
inferior
vena cava
Acute embolism
and thrombosis of other
thoracic
veins
Chronic embolism and thrombosis of other
596
596
thoracic
veins
Embolism
and thrombosis of renal vein
726
Acute embolism and thombos unsp deep

veins
r low extrem
Acute of
embolism
and thombos unsp deep
veins
of
l
low
extrem
Acute embolism and thombos unsp deep
596
596
596
veins
low extrm,
Acute of
embolism
andbithombos unsp deep
vn
unsp
lower extremity
Acute
embolism
and thrombosis of right
596
596
femoral
vein
Acute embolism
and thrombosis of left
femoral
vein
Acute embolism and thrombosis of femoral
vein,
Acutebilateral
unspecified
femoral
Acute embolism
andvein
thrombosis of right
596
596
596
596
iliac
vein
Acute
embolism and thrombosis of left
iliac
vein
Acute
embolism and thrombosis of iliac
vein,
bilateral
unspecified
iliac and
vein thrombosis of right
Acute embolism
596
596
596
596
popliteal
vein
Acute embolism
popliteal vein
596
I80299
I803
I808
I809
I81
I82210
I82211
I82220
I82221
I82290
I82291
I823
I82401
I82402
I82403
I82409
I82411
I82412
I82413
I82419
I82421
I82422
I82423
I82429
I82431
I82432
Page 2221 of 6734

I82433
I82439
I82441
I82442
I82443
I82449
I82491
I82492
I82493
I82499
I824Y1
I824Y2
I824Y3
I824Y9
I824Z1
I824Z2
I824Z3
I824Z9
I82501
I82502
I82503
I82509
I82511
I82512
I82513
I82519
I82521
I82522
I82523

popliteal
vein, bilateral
Acute embolism
and thrombosis of
unspecified
popliteal
vein
Acute embolism and thrombosis
of right
tibial
Acutevein
596
596
596
596
tibial
Acutevein
embolism and thrombosis of tibial
vein,
bilateral
unspecified
tibialand
veinthrombosis of deep
Acute embolism
vein
r low extrem
Acuteofembolism
and thrombosis of deep
596
596
596
596
vein
l low extrem
Acuteofembolism
and thombos of deep vein
of
low
extrm,
bi
Acute embolism and thrombosis of deep
vein
of unspand
lowthombos
extrm unsp deep veins
Ac emblsm
596
596
596
of
prox lowand
extrm
Ac remblsm
thombos unsp deep veins
of
left
prox
low
extrm
Ac emblsm and thombos unsp deep veins
of
proxemblsm
low extrm,
Acute
andbi
thombos unsp deep vn
596
596
596
unsp
prox low
Ac emblsm
andextrm
of
r
dist
low
extrm
Ac emblsm and thombos unsp deep veins
of
dist low
Ac left
emblsm
andextrm
of
dist
low
extrm,
Acute emblsm andbithombos unsp deep vn
596
596
596
596
unsp
distal
low extrm
Chronic
embolism
veins
of
r
low
extrem
Chronic embolism and thombos unsp deep
veins
of emblsm
l low extrem
Chronic
596
596
596
veins
of embolism
low extrm,and
bi thombos unsp deep
Chronic
vn
unsp embolism
low extrm and thrombosis of right
Chronic
femoral
vein
Chronic embolism
596
596
596
femoral
vein
Chronic embolism
and thrombosis of
femoral
vein, bilateral
Chronic embolism
and thrombosis of
unspecified
femoral
vein
Chronic embolism and
thrombosis of right
iliac
vein
Chronic embolism and thrombosis of left
596
596
596
596
iliac
veinembolism and thrombosis of iliac
Chronic
vein, bilateral
596
Page 2222 of 6734

I82529
I82531
I82532
I82533
I82539
I82541
I82542
I82543
I82549
I82591
I82592
I82593
I82599
I825Y1
I825Y2
I825Y3
I825Y9
I825Z1
I825Z2
I825Z3
I825Z9
I82601
I82602
I82603
I82609
I82611
I82612
I82613
I82619
Chronic embolism and thrombosis of

unspecified
iliac vein
Chronic embolism
and thrombosis of right
popliteal
vein
popliteal
vein
Chronic embolism
and thrombosis of
596
596
596
596
popliteal
vein, bilateral
Chronic embolism
and thrombosis of unsp
popliteal
vein
Chronic embolism and thrombosis of right
tibial
vein
Chronic
596
596
596
tibial
vein
Chronic
embolism and thrombosis of tibial
vein,
bilateral
unspecified
tibial vein
Chronic embolism
vein
of
r
low
extrem
Chronic embolism and thrombosis of deep
596
596
596
596
vein
of l embolism
low extrem
Chronic
and thombos of deep
vein
of
low
extrm,
bi thombos of deep
vein
of unsp and
low extrm
Chr emblsm
596
596
596
of
low and
extrm
Chrr prox
emblsm
thombos unsp deep vn of
left
prox
low
extrm
Chr emblsm and thombos unsp deep veins
of
prox low
extrm,
bi thombos unsp deep
Chronic
emblsm
and
596
596
596
vn
proxand
low thombos
extrm
Chrunsp
emblsm
unsp deep veins
of
low extrm
Chrr dist
emblsm
and thombos unsp deep vn of
left
dist
low
extrm
Chr emblsm and thombos unsp deep veins
of
low extrm,
bi
Chrdist
emblsm
and thombos
unsp deep vn
596
596
596
596
unsp
low extrm
Acutedistal
embolism
and thombos unsp veins
of
r upembolism
extrem and thombos unsp veins
Acute
of
l upembolism
extrem and thombos unsp veins
Acute
596
596
596
of
up extrem,
bi and thombos unsp vn
Acute
embolism
unsp
extremity
Acuteupper
embolism
and thombos of superfic
veins
of
r
up
extrem
Acute embolism and thombos of superfic
596
596
596
veins
l up extrem
Acute of
emblsm
veins
of
up
extrem,
Acute embolism andbithrombosis of
596
596
superfic vn unsp up extrem

Page 2223 of 6734

I82621
I82622
I82623
I82629
I82701
I82702
I82703
I82709
I82711
I82712
I82713
I82719
I82721
I82722
I82723
I82729
I82811
I82812
I82813
I82819
I82890
I82891
I8290
I8291
I82A11
I82A12
I82A13
I82A19
I82A21
Acute embolism and thrombosis of deep

veins
r up extrem
Acute of
embolism
veins
of
l
up
extrem
Acute embolism and thombos of deep
596
596
596
veins
up extrem,
Acute of
embolism
andbithrombosis of deep
vn
unsp embolism
up extremand thombos unsp veins
Chronic
596
596
of
r up extrem
Chronic
embolism and thombos unsp veins
of
l
up
extrem
Chronic embolism and thombos unsp veins
of
up extrem,
bi and thombos unsp vn
Chronic
embolism
unsp
upper
extremity
Chronic
emblsm
596
596
596
596
veins
of emblsm
r up extrem
Chronic
veins
of
l
up
extrem
Chr emblsm and thombos of superfic veins
596
596
of
up extrem,
bi and thombos of superfic
Chronic
embolism
vn
unsp embolism
up extremand thrombosis of deep
Chronic
veins
of embolism
r up extrem
Chronic
596
596
596
veins
of embolism
l up extrem
Chronic
and thombos of deep
veins
of
up
extrem,
bi thrombosis of deep
vn
unsp upand
extrem
Embolism
thrombosis of superfic veins
596
596
596
of
right lowand
extrm
Embolism
thrombosis of superfic veins
of
left low and
extrm
Embolism
thombos of superfic veins of
596
596
low
extrm,and
bi thrombosis of superficial vn
Embolism
unsp
extrm and thrombosis of other
Acutelow
embolism
596
596
specified
veins
Chronic embolism
and thrombosis of other
specified
veins and thrombosis of
Acute embolism
596
596
unspecified
vein and thrombosis of
Chronic embolism
unspecified
vein and thrombosis of right
Acute embolism
596
596
axillary
vein
Acute embolism
axillary
vein
Acute embolism and thrombosis of axillary
vein,
Acutebilateral
unspecified
axillaryand
vein
Chronic embolism
thrombosis of right
596
596
596
596
axillary vein
Page 2224 of 6734

I82A22
I82A23
I82A29
I82B11
I82B12
I82B13
I82B19
I82B21
I82B22
I82B23
I82B29
I82C11
I82C12
I82C13
I82C19
I82C21
I82C22
I82C23
I82C29
I83001
I83002
I83003
I83004
I83005
I83008
I83009
I83011
I83012
I83013

axillary
Chronic vein
axillary
vein,
bilateral
Chronic embolism
and thrombosis of
unspecified
axillary
Acute embolism
andvein
thrombosis of right
596
596
596
596
subclavian
vein and thrombosis of left
Acute embolism
subclavian
vein and thrombosis of
Acute embolism
subclavian
vein, and
bilateral
Acute embolism
thrombosis of
unspecified
subclavian
vein
Chronic embolism
and thrombosis
of right
596
596
596
596
subclavian
vein
Chronic embolism
subclavian
vein
subclav
vein, bilateral
Chronic embolism
subclavian
vein and thrombosis of right
Acute embolism
596
596
596
596
internal
jugular vein
Acute embolism
internal
jugular
vein
Acute embolism and thrombosis of int
jugular
vein, bilateral
Acute embolism
internal
jugular
vein
Chronic embolism and thrombosis of r int
596
596
596
596
jugular
Chronicvein
embolism and thrombosis of l int
jugular
vein
Chronic embolism and thombos of int
jugular
bilateral
Chronicvein,
embolism
and thombos unsp
596
596
596
internal
Varicosejugular
veins ofvein
unsp lower extremity
with
ulcer
of
thigh
Varicose veins of unsp lower extremity
with
ulcerveins
of calf
Varicose
of unsp lower extremity
596
596
596
with
ulcer
ankle
Varicos
vn of
unsp
lower extremity w ulcer of
heel
and
midfoot
Varicos vn unsp lower extremity w ulcer
oth
partvn
of unsp
foot low extrm w ulcer oth part
Varicos
596
596
596
of
lower leg
Varicose
veins of unsp lower extremity w
ulcer
of
unsp
Varicose veinssite
of right lower extremity
596
596
with
ulcerveins
of thigh
Varicose
of right lower extremity
with
ulcer
of
calf
Varicose veins of right lower extremity
with ulcer of ankle
596
596
Page 2225 of 6734

I83014
I83015
I83018
I83019
I83021
I83022
I83023
I83024
I83025
I83028
I83029
I8310
I8311
I8312
I83201
I83202
I83203
I83204
I83205
I83208
I83209
I83211
I83212
I83213
I83214
I83215
I83218
I83219
I83221
Varicose veins of r low extrem w ulcer of

heel
and veins
midfoot
Varicose
of r low extrem w ulcer oth
part
of
foot
Varicose veins of r low extrem w ulcer oth
part
of lower
Varicose
veinsleg
of right lower extremity w
596
596
596
596
ulcer
of unsp
Varicose
veinssite
of left lower extremity with
ulcer
of
thigh
Varicose veins of left lower extremity with
ulcer
of calf
Varicose
veins of left lower extremity with
ulcer
of ankle
Varicose
veins of l low extrem w ulcer of
596
596
596
596
heel
and veins
midfoot
Varicose
of l low extrem w ulcer oth
part
of
foot
Varicose veins of l low extrem w ulcer oth
part
of lower
Varicose
veinsleg
of left lower extremity w
596
596
596
ulcer
of unsp
Varicose
veinssite
of unsp lower extremity
with
inflammation
Varicose veins of right lower extremity
596
596
with
inflammation
Varicose
veins of left lower extremity with
inflammation
Varicos vn unsp low extrm w ulc of thigh
596
596
and
inflammation
Varicos
vn unsp low extrm w ulc of calf
and
inflammation
Varicos vn unsp low extrm w ulc of ankle
and
inflammation
Varicos
vn unsp low extrm w ulc of heel
and
midft
inflam
Varicos
vnand
unsp
low extrm w ulc oth part
596
596
596
596
of
foot and
inflam
Varicos
vn unsp
low extrm w ulc oth prt
low
extrm
and
inflam
Varicos vn unsp low extrm w ulc of unsp
site
andvn
inflam
Varicos
of r low extrem w ulc of thigh
596
596
596
and
inflammation
Varicos
vn of r low extrem w ulc of calf and
inflammation
Varicos vn of r low extrem w ulc of ankle
and
inflammation
Varicos
vn of r low extrem w ulc of heel &
midft
and
Varicos
vninflam
of r low extrem w ulc oth part of
596
596
596
596
foot
andvn
inflam
Varicos
of r low extrem w ulc oth prt
low
extrm
&
Varicos vn ofinflam
r low extrem w ulc of unsp
site
and
inflam
Varicos vn of l low extrem w ulc of thigh
596
596
596
and inflammation
Page 2226 of 6734

I83222
Varicos vn of l low extrem w ulc of calf and

inflammation
Varicos vn of l low extrem w ulc of ankle
and
inflammation
Varicos
vn of l low extrem w ulc of heel &
midft
and
Varicos
vninflam
of l low extrem w ulc oth part of
596
596
596
596
foot
andvn
inflam
Varicos
of l low extrem w ulc oth prt low
extrm
&
inflam
Varicos vn of l low extrem w ulc of unsp
site
and inflam
Varicose
veins of right lower extremities
596
596
596
with
painveins of left lower extremities
Varicose
with
painveins of bilateral lower
Varicose
extremities
with
Varicose veins
ofpain
unspecified lower
596
596
596
extremities
with
Varicose veins
ofpain
right low extrm w oth
complications
Varicose veins of left lower extremities w
596
596
oth
complications
Varicose
veins of bi low extrem w oth
complications
Varicose veins of unsp lower extremities w
oth
complications
Asymptomatic
varicose veins of
596
596
596
596
596
I8393
unspecified
lower
extremity
Asymptomatic
varicose
veins of right
lower
extremity
Asymptomatic varicose veins of left lower
extremity
Asymptomatic varicose veins of bilateral
596
I8500
lower
extremities
Esophageal
varices without bleeding
625
I8501
Esophageal varices with bleeding
510
I8510
624
625
I860
Secondary esophageal varices without

bleeding
Secondary esophageal varices with
bleeding
Sublingual varices
596
I861
Scrotal varices
741
I862
Pelvic varices
752
I863
Vulval varices
752
I864
Gastric varices
596
I868
Varicose veins of other specified sites
596
Postthrombotic syndrome w/o

complications of r low extrem
596
I83223
I83224
I83225
I83228
I83229
I83811
I83812
I83813
I83819
I83891
I83892
I83893
I83899
I8390
I8391
I8392
I8511
I87001
Page 2227 of 6734

I87002

complications
of l loww/o
extrem
Postthrom syndrome
complications of
bilateral
low
extrm
596
596
596
complications
unsp extremity
Postthromboticofsyndrome
with ulcer of
right
lower
extremity
Postthrombotic syndrome with ulcer of left
lower
extremitysyndrome w ulcer of
Postthrombotic
596
596
596
bilateral
lower extremity
Postthrombotic
syndrome with ulcer of
unsp
lower extremity
Postthrombotic
syndrome w inflammation
of
r
low
extrem
Postthrombotic syndrome w inflammation
596
596
596
of
l low extrem
Postthrom
syndrome w inflammation of
bilateral
low
extrm
Postthrombotic
syndrome w inflammation
596
596
of
unsp lowsyndrome
extrm
Postthrom
w ulcer and
inflammation
of
r
low
extrem
Postthrom syndrome w
ulcer and
596
596
inflammation
of l low w
extrem
Postthrom syndrome
ulcer and inflam of
bilateral
low
extrm w ulcer and inflam of
Postthrom
syndrome
unsp
low extrm syndrome w oth
Postthrombotic
596
596
596
complications
r low extrem
Postthromboticofsyndrome
w oth
complications
of
l
low
extrem
Postthrom syndrome w oth comp of
bilateral
low
extrm w oth complications
Postthrom
syndrome
596
596
596
I871
of
unsp low extrm
Compression
of vein
596
I872
Venous insufficiency (chronic) (peripheral)
596
I87301
Chronic venous hypertension w/o comp of

rChronic
low extrem
venous hypertension w/o comp of
lChronic
low extrem
venous hypertension w/o comp of
bilateral
low extrm
Chronic venous
hypertension w/o comp of
596
596
596
596
unsp
lowvenous
extrm hypertension w ulcer of r
Chronic
low
extrem
Chronic
venous hypertension w ulcer of l
low
extrem
Chronic venous hypertension w ulcer of
bilateral
low extrm
Chronic venous
hypertension w ulcer of
596
596
596
596
I87003
I87009
I87011
I87012
I87013
I87019
I87021
I87022
I87023
I87029
I87031
I87032
I87033
I87039
I87091
I87092
I87093
I87099
I87302
I87303
I87309
I87311
I87312
I87313
I87319
unsp low extrm

Page 2228 of 6734

I87321
Chronic venous hypertension w

inflammation
of hypertension
r low extrem w
Chronic venous
inflammation
of htn
l low
Chronic venous
wextrem
inflammation of
bilateral
low extrm
Chronic venous
hypertension w
596
596
596
596
inflammation
of htn
unsp
extrm
Chronic venous
w low
ulcer
and
inflammation
of
r
low
extrem
Chronic venous htn w ulcer and
596
596
inflammation
of htn
l low
Chronic venous
wextrem
ulcer and inflam of
bilateral
low extrm
Chronic venous
htn w ulcer and inflam of
unsp
low
extrm
Chronic venous hypertension w oth comp
596
596
596
of
r low extrem
Chronic
venous hypertension w oth comp
of
l
low
extrem
Chronic venous htn w oth comp of bilateral
low
extrm
Chronic
venous hypertension w oth comp
596
596
596
I878
of
unsp
low extrm
Other
specified
disorders of veins
592
I879
Disorder of vein, unspecified
596
I880
Nonspecific mesenteric lymphadenitis
624
I881
Chronic lymphadenitis, except mesenteric
785
I888
Other nonspecific lymphadenitis
785
I889
Nonspecific lymphadenitis, unspecified
785
I890
Lymphedema, not elsewhere classified
675
I891
Lymphangitis
673
I898
785
I899
Oth noninfective disorders of lymphatic

vessels
and nodes
Noninfective
disorder of lymphatic vessels
785
I950
and
nodes,hypotension
unsp
Idiopathic
592
I951
Orthostatic hypotension
605
SYNCOPE & COLLAPSE
I952
Hypotension due to drugs
592
I953
Hypotension of hemodialysis
592
I9581
Postprocedural hypotension
592
I9589
Other hypotension
592
Hypotension, unspecified
592
I87322
I87323
I87329
I87331
I87332
I87333
I87339
I87391
I87392
I87393
I87399
I959
Page 2229 of 6734

I96
Gangrene, not elsewhere classified
510
Postcardiotomy syndrome
592
Postproc cardiac insufficiency following

cardiac
surgerycardiac insufficiency
Postprocedural
593
593
following
other cardiac
surgery arrest following
Postprocedural
cardiac
surgerycardiac arrest following
Postprocedural
other
surgery heart failure following
Postprocedural
593
593
593
cardiac
surgeryheart failure following
Postprocedural
other
surgerycardiac functn disturb fol
Oth postproc
cardiac
surgery
Oth postproc
cardiac functn disturb
593
593
593
I972
following
oth surgery
Postmastectomy
lymphedema syndrome
675
I973
Postprocedural hypertension
852
Intraoperative hemor/hemtom of a circ sys

org
comp
card cath
Intraop
hemor/hemtom
of a circ sys org
852
852
comp
bypass
Intraopcard
hemor/hemtom
of circ sys org
comp
oth
circ
sys
proc
Intraop hemor/hemtom of a circ sys org
comp
oth &
procedure
Acc pnctr
lac of a circ sys org during a
852
852
852
circ
proc
Acc sys
pnctr
& lac of a circ sys org during oth
procedure
Postproc hemor/hemtom of a circ sys org
852
852
fol
a cardiac
cath
Postproc
hemor/hemtom
of a circ sys org
fol
cardiac
bypass
Postproc hemor/hemtom of circ sys org fol
oth
circ sys
proc
Postproc
hemor/hemtom
of a circ sys org
852
852
852
fol
oth procedure
Intraoperative
cardiac arrest during
cardiac
surgery
Intraoperative cardiac arrest during other
surgery
Oth intraop cardiac functn disturb during
593
593
593
cardiac
surgery
Oth intraop
cardiac functional disturb
during
oth
surgery
Intraoperative cerebvasc infarction during
593
535
cardiac
surgerycerebrovascular infarction
Intraoperative
during
oth surgery
Postprocedural
cerebvasc infarction during
535
535
I970
I97110
I97111
I97120
I97121
I97130
I97131
I97190
I97191
I97410
I97411
I97418
I9742
I9751
I9752
I97610
I97611
I97618
I9762
I97710
I97711
I97790
I97791
I97810
I97811
I97820
cardiac surgery
Page 2230 of 6734

I97821
Postprocedural cerebrovascular infarction

during
oth surgery complications of the
Oth intraoperative
535
593
593
I998
circ
NEC comp and disorders of the
Oth sys,
postproc
circ
sys,
NEC of circulatory system
Other
disorder
592
I999
Unspecified disorder of circulatory system
592
J00
Acute nasopharyngitis [common cold]
562
J0100
Acute maxillary sinusitis, unspecified
562
J0101
Acute recurrent maxillary sinusitis
562
J0110
Acute frontal sinusitis, unspecified
562
J0111
Acute recurrent frontal sinusitis
562
J0120
Acute ethmoidal sinusitis, unspecified
562
J0121
Acute recurrent ethmoidal sinusitis
562
J0130
Acute sphenoidal sinusitis, unspecified
562
J0131
Acute recurrent sphenoidal sinusitis
562
J0140
Acute pansinusitis, unspecified
562
J0141
Acute recurrent pansinusitis
562
J0180
Other acute sinusitis
562
J0181
Other acute recurrent sinusitis
562
J0190
Acute sinusitis, unspecified
562
J0191
Acute recurrent sinusitis, unspecified
562
J020
Streptococcal pharyngitis
562
J028
Acute pharyngitis due to other specified

organisms
Acute pharyngitis, unspecified
562
562
J0300
Acute streptococcal tonsillitis, unspecified
562
J0301
Acute recurrent streptococcal tonsillitis
562
J0380
562
J0381
Acute tonsillitis due to other specified

organisms
Acute recurrent tonsillitis due to other
562
J0390
specified
organisms
Acute tonsillitis,
unspecified
562
J0391
Acute recurrent tonsillitis, unspecified
562
I9788
I9789
J029
Page 2231 of 6734

J040
Acute laryngitis
562
J0410
Acute tracheitis without obstruction
562
J0411
Acute tracheitis with obstruction
577
Acute laryngotracheitis
562
Supraglottitis, unspecified, without

obstruction
Supraglottitis, unspecified, with
obstruction
Acute obstructive laryngitis [croup]
562
510
510
J0510
Acute epiglottitis without obstruction
565
J0511
Acute epiglottitis with obstruction
510
J060
Acute laryngopharyngitis
562
J069
Acute upper respiratory infection,

unspecified
Influenza due to ident novel influenza A
virus
w pneumonia
Flu due
to ident novel influenza A virus w
562
808
VIRAL ILLNESS
808
VIRAL ILLNESS
oth
resp manifest
Influenza
due to ident novel influenza A
virus
w GI
Flu due
to manifest
ident novel influenza A virus w
808
VIRAL ILLNESS
808
VIRAL ILLNESS
oth
manifest
Flu due
to oth ident flu virus w unsp type
of
pneumonia
Flu due to oth ident flu virus w same oth
ident
flu virus
pnoth ident influenza virus
Influenza
due to
573
564
573
w
pneumonia
Fluoth
due
to oth ident influenza virus w oth
resp
manifest
Influenza due to oth ident influenza virus
564
808
VIRAL ILLNESS
w
GI manifest
Influenza
due to oth ident influenza virus
w
encephalopathy
w
myocarditis
Influenza
due to oth ident influenza virus
w
otitis
media
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
w
manifest
Fluoth
due
to unidentified flu virus w unsp
type
of pneumonia
Flu due
to unidentified flu virus w specified
pneumonia
Flu due to unidentified influenza virus w
573
573
564
oth
resp manifest
Influenza
due to unidentified influenza
virus
w
GI
Flu due to manifest
unidentified influenza virus w
808
VIRAL ILLNESS
808
VIRAL ILLNESS
J042
J0430
J0431
J050
J09X1
J09X2
J09X3
J09X9
J1000
J1001
J1008
J101
J102
J1081
J1082
J1083
J1089
J1100
J1108
J111
J112
J1181
encephalopathy
Page 2232 of 6734

J1182
Influenza due to unidentified influenza

virus
w myocarditis
Influenza
due to unidentified influenza
virus
w
otitis
Influenza duemedia
to unidentified influenza
808
VIRAL ILLNESS
808
VIRAL ILLNESS
808
VIRAL ILLNESS
J120
virus
w oth pneumonia
manifest
Adenoviral
573
J121
Respiratory syncytial virus pneumonia
572
J122
Parainfluenza virus pneumonia
573
J123
Human metapneumovirus pneumonia
573
Pneumonia due to SARS-associated

coronavirus
Other viral pneumonia
578
573
Viral pneumonia, unspecified
573
573
J14
Pneumonia due to Streptococcus

pneumoniae
Pneumonia due to Hemophilus influenzae
578
J150
Pneumonia due to Klebsiella pneumoniae
578
J151
Pneumonia due to Pseudomonas
578
Pneumonia due to staphylococcus,

unspecified
Pneumonia due to methicillin suscep staph
578
578
Pneumonia due to Methicillin resistant

Staphylococcus
aureus
Pneumonia due to
other staphylococcus
578
578
J153
Pneumonia due to streptococcus, group B
573
J154
Pneumonia due to other streptococci
573
J155
Pneumonia due to Escherichia coli
578
J156
578
573
J158
Pneumonia due to other aerobic Gramnegative

bacteria
Pneumonia
due to Mycoplasma
pneumoniae
Pneumonia due to other specified bacteria
578
J159
Unspecified bacterial pneumonia
573
J160
Chlamydial pneumonia
573
J168
Pneumonia due to other specified

infectious
Pneumoniaorganisms
573
578
elsewhere
Bronchopneumonia, unspecified organism
573
J1183
J1189
J1281
J1289
J129
J13
J1520
J15211
J15212
J1529
J157
J17
J180
Page 2233 of 6734

J181
Lobar pneumonia, unspecified organism
573
J182
577
J188
Hypostatic pneumonia, unspecified

organism
Other pneumonia, unspecified organism
573
J189
Pneumonia, unspecified organism
573
J200
576
576
J202
Acute bronchitis due to Mycoplasma

pneumoniae
Acute bronchitis due to Hemophilus
influenzae
Acute bronchitis due to streptococcus
576
J203
Acute bronchitis due to coxsackievirus
576
J204
Acute bronchitis due to parainfluenza virus
576
J205
572
J206
Acute bronchitis due to respiratory

syncytial
virus due to rhinovirus
Acute bronchitis
576
J207
Acute bronchitis due to echovirus
576
J208
Acute bronchitis due to other specified

organisms
Acute bronchitis, unspecified
576
576
Acute bronchiolitis due to respiratory

syncytial
virus
Acute bronchiolitis
due to human
metapneumovirus
Acute bronchiolitis due to other specified
organisms
Acute bronchiolitis, unspecified
572
572
572
572
576
J300
Unspecified acute lower respiratory

infection
Vasomotor rhinitis
562
J301
Allergic rhinitis due to pollen
562
J302
Other seasonal allergic rhinitis
562
J305
Allergic rhinitis due to food
562
Allergic rhinitis due to animal (cat) (dog)

hair
and
dander
Other
allergic
rhinitis
562
562
J309
Allergic rhinitis, unspecified
562
J310
Chronic rhinitis
562
J311
Chronic nasopharyngitis
562
J312
Chronic pharyngitis
562
J201
J209
J210
J211
J218
J219
J22
J3081
J3089
Page 2234 of 6734

J320
Chronic maxillary sinusitis
562
J321
Chronic frontal sinusitis
562
J322
Chronic ethmoidal sinusitis
562
J323
Chronic sphenoidal sinusitis
562
J324
Chronic pansinusitis
562
J328
Other chronic sinusitis
562
J329
Chronic sinusitis, unspecified
562
J330
Polyp of nasal cavity
564
J331
Polypoid sinus degeneration
564
J338
Other polyp of sinus
564
J339
Nasal polyp, unspecified
564
J340
Abscess, furuncle and carbuncle of nose
564
J341
Cyst and mucocele of nose and nasal sinus
564
J342
Deviated nasal septum
564
J343
Hypertrophy of nasal turbinates
564
J3481
Nasal mucositis (ulcerative)
562
J3489
Other specified disorders of nose and

nasal
sinuses
Unspecified
disorder of nose and nasal
564
564
J3501
sinuses
Chronic tonsillitis
562
J3502
Chronic adenoiditis
562
J3503
Chronic tonsillitis and adenoiditis
562
J351
Hypertrophy of tonsils
564
J352
Hypertrophy of adenoids
564
J353
Hypertrophy of tonsils with hypertrophy of

adenoids
Other chronic diseases of tonsils and
564
564
adenoids
Chronic disease of tonsils and adenoids,
unspecified
Peritonsillar abscess
564
510
J370
Chronic laryngitis
562
J371
Chronic laryngotracheitis
562
J349
J358
J359
J36
Page 2235 of 6734

J3800
564
564
564
J381
Paralysis of vocal cords and larynx,

unspecified
unilateral
bilateral
Polyp of vocal cord and larynx
564
J382
Nodules of vocal cords
564
J383
Other diseases of vocal cords
564
J384
Edema of larynx
564
J385
Laryngeal spasm
564
J386
Stenosis of larynx
564
J387
Other diseases of larynx
564
J390
562
J391
Retropharyngeal and parapharyngeal

abscess
Other abscess of pharynx
562
J392
Other diseases of pharynx
564
J393
Upper respiratory tract hypersensitivity

reaction,
site unsp
Other specified
diseases of upper
562
562
respiratory
tract respiratory tract,
Disease of upper
unspecified
Bronchitis, not specified as acute or
562
576
J410
chronic
Simple chronic bronchitis
577
J411
Mucopurulent chronic bronchitis
574
CHRONIC OBSTRUCTIVE PULMONARY DISE
J418
Mixed simple and mucopurulent chronic

bronchitis
Unspecified chronic bronchitis
574
574
574
J431
Unilateral pulmonary emphysema

[MacLeod's
syndrome]
Panlobular emphysema
574
J432
Centrilobular emphysema
574
J438
Other emphysema
574
J439
Emphysema, unspecified
574
J440
Chronic obstructive pulmon disease w

acute
lower
resp infct
Chronic
obstructive
pulmonary disease w
(acute)
exacerbation
Chronic obstructive pulmonary disease,
574
574
574
J3801
J3802
J398
J399
J40
J42
J430
J441
J449
unspecified
Page 2236 of 6734

J4520
Mild intermittent asthma, uncomplicated
575
ASTHMA
J4521
Mild intermittent asthma with (acute)

exacerbation
Mild intermittent asthma with status
asthmaticus
Mild persistent asthma, uncomplicated
575
ASTHMA
579
STATUS ASTHMATICUS
575
ASTHMA
Mild persistent asthma with (acute)

exacerbation
Mild persistent asthma with status
asthmaticus
Moderate persistent asthma,
575
ASTHMA
579
STATUS ASTHMATICUS
575
ASTHMA
uncomplicated
Moderate persistent asthma with (acute)
exacerbation
Moderate persistent asthma with status
asthmaticus
Severe persistent asthma, uncomplicated
575
ASTHMA
579
STATUS ASTHMATICUS
575
ASTHMA
Severe persistent asthma with (acute)

exacerbation
Severe persistent asthma with status
asthmaticus
Unspecified asthma with (acute)
575
ASTHMA
579
STATUS ASTHMATICUS
575
ASTHMA
579
STATUS ASTHMATICUS
J45909
exacerbation
Unspecified asthma with status
asthmaticus
Unspecified asthma, uncomplicated
575
ASTHMA
J45990
Exercise induced bronchospasm
576
J45991
Cough variant asthma
575
ASTHMA
J45998
Other asthma
575
ASTHMA
574
J471
Bronchiectasis with acute lower

respiratory
infection
Bronchiectasis
with (acute) exacerbation
574
J479
Bronchiectasis, uncomplicated
574
J60
Coalworker's pneumoconiosis
577
J61
Pneumoconiosis due to asbestos and other

mineral
fibers due to talc dust
Pneumoconiosis
577
577
577
J630
Pneumoconiosis due to other dust

containing
Aluminosis silica
(of lung)
577
J631
Bauxite fibrosis (of lung)
577
J632
Berylliosis
577
J633
Graphite fibrosis (of lung)
577
J4522
J4530
J4531
J4532
J4540
J4541
J4542
J4550
J4551
J4552
J45901
J45902
J470
J620
J628
Page 2237 of 6734

J634
Siderosis
577
J635
Stannosis
577
J636
Pneumoconiosis due to other specified

inorganic
dusts
Unspecified
pneumoconiosis
577
577
577
J660
Pneumoconiosis associated with

tuberculosis
Byssinosis
577
J661
Flax-dressers' disease
577
J662
Cannabinosis
577
J668
577
J670
Airway disease due to other specific

organic
Farmer'sdusts
lung
577
J671
Bagassosis
577
J672
Bird fancier's lung
577
J673
Suberosis
577
J674
Maltworker's lung
577
J675
Mushroom-worker's lung
577
J676
Maple-bark-stripper's lung
577
J677
Air conditioner and humidifier lung
577
J678
Hypersensitivity pneumonitis due to other

organic
dusts
Hypersensitivity
pneumonitis due to
unspecified
organic
dust d/t chemicals,
Bronchitis & pneumonitis
577
577
577
gas,
fumes edema
& vapors
Pulmonary
due to chemicals,
gases,
fumes
and
vapors
Upper resp inflam d/t chemicals, gas,
577
577
fumes
vapors,
Oth ac and
& subac
respNEC
cond d/t chemicals,
gas,
fumes
&
vapors
Chronic resp cond due to chemicals,
576
574
gases,
fumes
Oth resp
condand
duevapors
to chemicals, gases,
fumes
andcond
vapors
Unsp resp
due to chemicals, gases,
574
574
fumes
and vapors
Pneumonitis
due to inhalation of food and
vomit
Pneumonitis due to inhalation of oils and
essences
Pneumonitis due to inhalation of other
solids and liquids
577
577
577
J64
J65
J679
J680
J681
J682
J683
J684
J688
J689
J690
J691
J698
Page 2238 of 6734

J700
Acute pulmonary manifestations due to

radiation
Chronic and other pulmonary
577
577
manifestations
due to
radiationlung
Acute drug-induced
interstitial
disorders
Chronic drug-induced interstitial lung
576
576
disorders
Drug-induced interstitial lung disorders,
unspecified
Respiratory conditions due to smoke
inhalation
Respiratory conditions due to oth external
576
576
576
agents
Respiratory conditions due to unspecified
external
agent
Acute respiratory
distress syndrome
576
577
J810
Acute pulmonary edema
577
J811
Chronic pulmonary edema
577
577
J8401
Pulmonary eosinophilia, not elsewhere

classified
Alveolar proteinosis
577
J8402
Pulmonary alveolar microlithiasis
577
J8403
Idiopathic pulmonary hemosiderosis
577
J8409
Other alveolar and parieto-alveolar

conditions
Pulmonary fibrosis, unspecified
577
577
Idiopathic interstitial pneumonia, not

otherwise
Idiopathic specified
pulmonary fibrosis
577
577
Idiopathic non-specific interstitial

pneumonitis
Acute interstitial pneumonitis
577
577
577
J84116
Respiratory bronchiolitis interstitial lung

disease
Cryptogenic organizing pneumonia
578
J84117
Desquamative interstitial pneumonia
578
Oth interstit pulmon dis w fibrosis in dis

classd
elswhr
Lymphoid
interstitial pneumonia
577
577
J8481
Lymphangioleiomyomatosis
661
J8482
Adult pulmonary Langerhans cell

histiocytosis
Surfactant mutations of the lung
577
577
J701
J702
J703
J704
J705
J708
J709
J80
J82
J8410
J84111
J84112
J84113
J84114
J84115
J8417
J842
J8483
Page 2239 of 6734

J84841
Neuroendocrine cell hyperplasia of infancy
577
J84842
Pulmonary interstitial glycogenosis
577
J84843
Alveolar capillary dysplasia with vein

misalignment
Other interstitial lung diseases of
577
577
577
J849
childhood
Other specified interstitial pulmonary
diseases
Interstitial pulmonary disease, unspecified
577
J850
Gangrene and necrosis of lung
577
J851
Abscess of lung with pneumonia
577
J852
Abscess of lung without pneumonia
577
J853
Abscess of mediastinum
577
J860
Pyothorax with fistula
577
J869
Pyothorax without fistula
577
Pleural effusion, not elsewhere classified
577
J910
Malignant pleural effusion
577
J918
577
J920
Pleural effusion in other conditions

classified
elsewhere
Pleural plaque
with presence of asbestos
576
J929
Pleural plaque without asbestos
576
J930
Spontaneous tension pneumothorax
577
J9311
Primary spontaneous pneumothorax
577
J9312
Secondary spontaneous pneumothorax
577
J9381
Chronic pneumothorax
577
J9382
Other air leak
577
J9383
Other pneumothorax
577
J939
Pneumothorax, unspecified
577
J940
Chylous effusion
577
J941
Fibrothorax
576
J942
Hemothorax
577
J948
Other specified pleural conditions
577
J949
Pleural condition, unspecified
576
J84848
J8489
J90
Page 2240 of 6734

J9500
Unspecified tracheostomy complication
577
J9501
Hemorrhage from tracheostomy stoma
577
J9502
Infection of tracheostomy stoma
577
J9503
Malfunction of tracheostomy stoma
577
J9504
Tracheo-esophageal fistula following

tracheostomy
Other tracheostomy complication
577
577
510
510
J953
Acute pulmonary insufficiency following

thoracic
surgery insufficiency following
Acute pulmonary
nonthoracic
surgeryinsufficiency following
Chronic pulmonary
510
J954
surgery
Chemical pneumonitis due to anesthesia
576
J955
Postprocedural subglottic stenosis
576
Intraop hemor/hemtom of a resp sys org

comp
sys proc
Intraopresp
hemor/hemtom
of a resp sys org
comp
oth
procedure
Accidental pnctr & lac of a resp sys org dur
852
852
852
852
J95811
resp
sys proc
Acc pnctr
& lac of a resp sys org during oth
procedure
Postprocedural pneumothorax
577
J95812
Postprocedural air leak
577
J95821
Acute postprocedural respiratory failure
510
J95822
Acute and chronic postprocedural

respiratory
failure
Postproc hemor/hemtom
of a resp sys org
fol
a
resp
sys
proc
Postproc hemor/hemtom of a resp sys org
fol
oth procedure acute lung injury
Transfusion-related
510
852
852
577
J95850
(TRALI)
Mechanical complication of respirator
872
J95851
Ventilator associated pneumonia
578
J95859
Other complication of respirator

[ventilator]
Oth intraoperative complications of
respiratory
system,
NEC
Oth postproc
complications
and disorders
576
576
576
of
resprespiratory
sys, NEC failure, unsp w hypoxia
Acute
or
hypercapnia
Acute
respiratory failure with hypoxia
577
577
J9509
J951
J952
J9561
J9562
J9571
J9572
J95830
J95831
J9584
J9588
J9589
J9600
J9601
Page 2241 of 6734

J9602
Acute respiratory failure with hypercapnia
577
J9610
Chronic respiratory failure, unsp w hypoxia

or
hypercapnia
Chronic
respiratory failure with hypoxia
577
577
Chronic respiratory failure with

hypercapnia
Acute and chr resp failure, unsp w hypoxia
or
hypercapnia
Acute
and chronic respiratory failure with
577
577
577
hypoxia
Acute and chronic respiratory failure with
hypercapnia
Respiratory failure, unsp, unsp w hypoxia
577
577
or
hypercapnia
Respiratory
failure, unspecified with
hypoxia
Respiratory failure, unspecified with
hypercapnia
Acute bronchospasm
577
577
576
576
J9811
Other diseases of bronchus, not elsewhere

classified
Atelectasis
577
J9819
Other pulmonary collapse
577
J982
Interstitial emphysema
577
J983
Compensatory emphysema
577
J984
Other disorders of lung
576
J985
576
J986
Diseases of mediastinum, not elsewhere

classified
Disorders of diaphragm
576
J988
Other specified respiratory disorders
576
J989
Respiratory disorder, unspecified
576
577
K000
Respiratory disorders in diseases classified

elsewhere
Anodontia
563
K001
Supernumerary teeth
563
K002
Abnormalities of size and form of teeth
563
K003
Mottled teeth
563
K004
Disturbances in tooth formation
563
K005
Hereditary disturbances in tooth structure,

NEC
Disturbances in tooth eruption
563
563
J9611
J9612
J9620
J9621
J9622
J9690
J9691
J9692
J9801
J9809
J99
K006
Page 2242 of 6734

K007
Teething syndrome
563
K008
Other disorders of tooth development
563
K009
563
K010
Disorder of tooth development,

unspecified
Embedded teeth
563
K011
Impacted teeth
563
K023
Arrested dental caries
563
Dental caries on pit and fissure surface

limited
to enamel
Dental caries
on pit and fissure surfc
penetrat
into
dentin
Dental caries on pit and fissure surface
penetrat
into pulp
Dental caries
on smooth surface limited to
enamel
Dental caries on smooth surface
563
563
563
563
563
563
K027
penetrating
Dental cariesinto
on dentin
smooth surface
penetrating
into
pulp
Dental root caries
563
K029
Dental caries, unspecified
563
K030
Excessive attrition of teeth
563
K031
Abrasion of teeth
563
K032
Erosion of teeth
563
K033
Pathological resorption of teeth
563
K034
Hypercementosis
563
K035
Ankylosis of teeth
563
K036
Deposits [accretions] on teeth
563
K037
Posteruptive color changes of dental hard

tissues
Cracked tooth
563
563
563
K039
Other specified diseases of hard tissues of

teeth
Disease of hard tissues of teeth,
563
K040
unspecified
Pulpitis
563
K041
Necrosis of pulp
563
K042
Pulp degeneration
563
K043
Abnormal hard tissue formation in pulp
563
K0251
K0252
K0253
K0261
K0262
K0263
K0381
K0389
Page 2243 of 6734

K044
Acute apical periodontitis of pulpal origin
563
K045
Chronic apical periodontitis
563
K046
Periapical abscess with sinus
563
K047
Periapical abscess without sinus
563
K048
Radicular cyst
563
563
K0499
Unspecified diseases of pulp and

periapical
tissues
Other diseases
of pulp and periapical
563
K0500
tissues
Acute gingivitis, plaque induced
563
K0501
Acute gingivitis, non-plaque induced
563
K0510
Chronic gingivitis, plaque induced
563
K0511
Chronic gingivitis, non-plaque induced
563
K0520
Aggressive periodontitis, unspecified
563
K0521
Aggressive periodontitis, localized
563
K0522
Aggressive periodontitis, generalized
563
K0530
Chronic periodontitis, unspecified
563
K0531
Chronic periodontitis, localized
563
K0532
Chronic periodontitis, generalized
563
K054
Periodontosis
563
K055
Other periodontal diseases
563
K056
Periodontal disease, unspecified
563
K060
Gingival recession
563
K061
Gingival enlargement
563
K062
Gingival & edentulous alveolar ridge

lesions
assoc
w trauma
Oth disrd
of gingiva
and edentulous
563
563
alveolar
Disorder ridge
of gingiva and edentulous
alveolar
ridge,
unspdue to systemic causes
Exfoliation
of teeth
563
563
Complete loss of teeth, unspecified cause,

class
I
Complete
loss of teeth, unspecified cause,
class
II
class III
563
563
563
K0490
K068
K069
K080
K08101
K08102
K08103
Page 2244 of 6734

K08104

class
IV loss of teeth, unspecified cause,
Complete
unspecified
class
Complete loss
of teeth due to trauma,
563
563
563
class
I
Complete
loss of teeth due to
class
II
Complete loss of teeth due to
class
III loss of teeth due to
Complete
class
IV loss of teeth due to
Complete
trauma,
563
trauma,
563
trauma,
563
trauma,
563
unspecified
class
Complete loss
of teeth due to periodontal
diseases,
class
I teeth due to periodontal
Complete loss of
diseases,
II teeth due to periodontal
Complete class
loss of
dis,
class III
Complete
loss of teeth due to periodontal
563
563
563
563
diseases,
IVteeth due to periodontal
Complete class
loss of
dis,
unsp class
Complete
loss of teeth due to caries, class
IComplete loss of teeth due to caries, class
II
Complete loss of teeth due to caries, class
563
563
563
563
III
Complete loss of teeth due to caries, class
IV
Complete loss of teeth due to caries,
unspecified
class
Complete loss
of teeth due to other
specified
Completecause,
loss ofclass
teethI due to oth cause,
563
563
563
563
563
563
563
K0820
class
II
Complete
loss of teeth due to oth cause,
class
III
Complete loss of teeth due to oth cause,
class
IV loss of teeth due to oth cause,
Complete
unspecified
Unspecified class
atrophy of edentulous alveolar
563
K0821
ridge
Minimal atrophy of the mandible
563
K0822
Moderate atrophy of the mandible
563
K0823
Severe atrophy of the mandible
563
K0824
Minimal atrophy of maxilla
563
K0825
Moderate atrophy of the maxilla
563
K0826
Severe atrophy of the maxilla
563
K08109
K08111
K08112
K08113
K08114
K08119
K08121
K08122
K08123
K08124
K08129
K08131
K08132
K08133
K08134
K08139
K08191
K08192
K08193
K08194
K08199
Page 2245 of 6734

K083
Retained dental root
563
Partial loss of teeth, unspecified cause,

class
PartialI loss of teeth, unspecified cause,
class
PartialII loss of teeth, unspecified cause,
class
PartialIIIloss of teeth, unspecified cause,
563
563
563
563
563
K08411
class
PartialIVloss of teeth, unspecified cause,
unspecified
class
Partial loss of
teeth due to trauma, class I
563
K08412
Partial loss of teeth due to trauma, class II
563
K08413
Partial loss of teeth due to trauma, class III
563
K08414
Partial loss of teeth due to trauma, class IV
563
K08419
Partial loss of teeth due to trauma,

unspecified
class
Partial loss of
teeth due to periodontal
diseases,
class
I
Partial loss of teeth
due to periodontal
diseases,
class
II
Partial loss of teeth due to periodontal
563
563
563
563
563
563
K08431
diseases,
III due to periodontal
Partial lossclass
of teeth
diseases,
IV due to periodontal dis,
Partial lossclass
of teeth
unsp
Partialclass
loss of teeth due to caries, class I
563
K08432
Partial loss of teeth due to caries, class II
563
K08433
Partial loss of teeth due to caries, class III
563
K08434
Partial loss of teeth due to caries, class IV
563
K08439
Partial loss of teeth due to caries,

unspecified
class
Partial loss of
teeth due to other specified
cause,
classofI teeth due to other specified
Partial loss
cause,
classofII teeth due to oth cause, class
Partial loss
563
563
563
563
563
563
K0850
III
Partial loss of teeth due to other specified
cause,
classofIVteeth due to oth cause,
Partial loss
unspecified
class
Unsatisfactory
restoration of tooth,
563
K0851
unspecified
Open restoration margins of tooth
563
K0852
Unrepairable overhanging of dental

restorative materials
563
K08401
K08402
K08403
K08404
K08409
K08421
K08422
K08423
K08424
K08429
K08491
K08492
K08493
K08494
K08499
Page 2246 of 6734

K08530
Fractured dental restorative material w/o

loss
of material
Fractured
dental restorative material with
loss
of
material
Fractured dental restorative material,
563
563
563
unspecified
Contour of exist restor of tooth biolog
incompat
oral hlth
Allergy to w
existing
dental restorative
563
563
material
Poor aesthetic of existing restoration of
tooth
Other unsatisfactory restoration of tooth
563
563
563
K089
Other specified disorders of teeth and

supporting
Disorder of structures
teeth and supporting
563
K090
structures,
unspecified
Developmental
odontogenic cysts
563
K091
563
K098
Developmental (nonodontogenic) cysts of

oral
region
Other
cysts of oral region, not elsewhere
563
K099
classified
Cyst of oral region, unspecified
563
K110
Atrophy of salivary gland
564
K111
Hypertrophy of salivary gland
564
K1120
Sialoadenitis, unspecified
564
K1121
Acute sialoadenitis
564
K1122
Acute recurrent sialoadenitis
564
K1123
Chronic sialoadenitis
564
K113
Abscess of salivary gland
577
K114
Fistula of salivary gland
564
K115
Sialolithiasis
564
K116
Mucocele of salivary gland
564
K117
Disturbances of salivary secretion
564
K118
Other diseases of salivary glands
564
K119
Disease of salivary gland, unspecified
564
K120
Recurrent oral aphthae
563
K121
Other forms of stomatitis
563
K122
Cellulitis and abscess of mouth
563
K08531
K08539
K0854
K0855
K0856
K0859
K088
Page 2247 of 6734

K1230
Oral mucositis (ulcerative), unspecified
563
K1231
563
563
K1233
Oral mucositis (ulcerative) due to

antineoplastic
Oral mucositis therapy
(ulcerative) due to other
drugs
Oral mucositis (ulcerative) due to radiation
563
K1239
Other oral mucositis (ulcerative)
563
K130
Diseases of lips
563
K131
Cheek and lip biting
563
Leukoplakia of oral mucosa, including

tongue
Minimal keratinized residual ridge mucosa
563
563
Excessive keratinized residual ridge

mucosa
Leukokeratosis nicotina palati
563
563
Other disturbances of oral epithelium,

including
tongue
Hairy leukoplakia
563
563
563
K135
Granuloma and granuloma-like lesions of

oral
Oral mucosa
submucous fibrosis
563
K136
Irritative hyperplasia of oral mucosa
563
K1370
Unspecified lesions of oral mucosa
563
K1379
Other lesions of oral mucosa
563
K140
Glossitis
563
K141
Geographic tongue
563
K142
Median rhomboid glossitis
563
K143
Hypertrophy of tongue papillae
563
K144
Atrophy of tongue papillae
563
K145
Plicated tongue
563
K146
Glossodynia
563
K148
Other diseases of tongue
563
K149
Disease of tongue, unspecified
563
K200
Eosinophilic esophagitis
625
K208
Other esophagitis
623
ESOPHAGITIS
K1232
K1321
K1322
K1323
K1324
K1329
K133
K134
Page 2248 of 6734

K209
Esophagitis, unspecified
623
ESOPHAGITIS
K210
Gastro-esophageal reflux disease with

esophagitis
Gastro-esophageal reflux disease without
esophagitis
Achalasia of cardia
623
ESOPHAGITIS
625
625
K2210
Ulcer of esophagus without bleeding
625
K2211
Ulcer of esophagus with bleeding
625
K222
Esophageal obstruction
625
K223
Perforation of esophagus
510
K224
Dyskinesia of esophagus
625
K225
Diverticulum of esophagus, acquired
625
K226
Gastro-esophageal laceration-hemorrhage
syndrome
Barrett's esophagus without dysplasia
625
625
Barrett's esophagus with low grade

dysplasia
Barrett's esophagus with high grade
dysplasia
Barrett's esophagus with dysplasia,
625
625
625
K228
unspecified
Other specified diseases of esophagus
625
K229
Disease of esophagus, unspecified
625
625
K250
Disorders of esophagus in diseases

classified
elsewhere
Acute gastric
ulcer with hemorrhage
621
K251
Acute gastric ulcer with perforation
621
K252
Acute gastric ulcer with both hemorrhage

and
perforation
Acute
gastric ulcer without hemorrhage or
perforation
Chronic or unspecified gastric ulcer with
510
621
621
hemorrhage
Chronic or unspecified gastric ulcer with
perforation
Chronic or unsp gastric ulcer w both
510
621
621
K259
hemorrhage
andulcer
perfwithout hemorrhage
Chronic gastric
or
perforation
Gastric
ulcer, unsp as acute or chronic,
621
K260
w/o
hemor
or perf
Acute
duodenal
621
K261
Acute duodenal ulcer with perforation
621
K219
K220
K2270
K22710
K22711
K22719
K23
K253
K254
K255
K256
K257
Page 2249 of 6734

K262
Acute duodenal ulcer with both

hemorrhage
andulcer
perforation
Acute duodenal
without hemorrhage
510
621
or
perforation
Chronic
or unspecified duodenal ulcer with
hemorrhage
Chronic or unspecified duodenal ulcer with
perforation
Chronic or unsp duodenal ulcer w both
621
621
621
hemorrhage
and perf
Chronic duodenal
ulcer without
hemorrhage
or
perforation
Duodenal ulcer, unsp as acute or chronic,
w/o
hemor
orulcer,
perf site unspecified, with
Acute
peptic
621
621
621
hemorrhage
Acute peptic ulcer, site unspecified, with
perforation
Acute peptic ulcer, site unsp, w both
hemorrhage
perf
Acute peptic and
ulcer,
site unsp, w/o
hemorrhage
or perforation
Chronic or unsp
peptic ulcer, site unsp,
510
510
621
621
with
hemorrhage
Chronic
or unsp peptic ulcer, site unsp,
with
perforation
Chr or unsp peptic ulcer, site unsp, w both
621
621
621
621
K280
hemor
perfulcer, site unsp, w/o
Chronicand
peptic
hemorrhage
or unsp,
perf unsp as ac or chr, w/o
Peptic ulc, site
hemor
or perf
Acute gastrojejunal
621
K281
Acute gastrojejunal ulcer with perforation
621
K282
Acute gastrojejunal ulcer w both

hemorrhage
and perforation
Acute gastrojejunal
ulcer without
510
621
hemorrhage
or perforation
Chronic or unspecified
gastrojejunal ulcer
with
hemorrhage
Chronic or unspecified gastrojejunal ulcer
with
perforation
Chronic
or unsp gastrojejunal ulcer w both
621
510
510
621
621
K2900
hemor
perf
Chronicand
gastrojejunal
ulcer w/o
hemorrhage
or
perforation
Gastrojejunal ulcer, unsp as acute or chr,
w/o
hemor
or perf
Acute
gastritis
without bleeding
621
K2901
Acute gastritis with bleeding
621
K2920
Alcoholic gastritis without bleeding
621
K2921
Alcoholic gastritis with bleeding
621
K263
K264
K265
K266
K267
K269
K270
K271
K272
K273
K274
K275
K276
K277
K279
K283
K284
K285
K286
K287
K289
Page 2250 of 6734

K2930
621
K2931
Chronic superficial gastritis without

bleeding
Chronic superficial gastritis with bleeding
621
K2940
Chronic atrophic gastritis without bleeding
621
K2941
Chronic atrophic gastritis with bleeding
621
K2950
621
K2951
Unspecified chronic gastritis without

bleeding
Unspecified chronic gastritis with bleeding
621
K2960
Other gastritis without bleeding
621
K2961
Other gastritis with bleeding
621
K2970
Gastritis, unspecified, without bleeding
621
K2971
Gastritis, unspecified, with bleeding
621
K2980
Duodenitis without bleeding
621
K2981
Duodenitis with bleeding
621
K2990
Gastroduodenitis, unspecified, without

bleeding
Gastroduodenitis, unspecified, with
bleeding
Functional dyspepsia
621
621
624
K310
Acute dilatation of stomach
624
K311
Adult hypertrophic pyloric stenosis
625
K312
625
K313
Hourglass stricture and stenosis of

stomach
Pylorospasm, not elsewhere classified
624
K314
Gastric diverticulum
624
K315
Obstruction of duodenum
625
K316
Fistula of stomach and duodenum
624
K317
Polyp of stomach and duodenum
624
625
624
K3182
Angiodysplasia of stomach and duodenum

with
bleeding of stomach and duodenum
Angiodysplasia
without
bleeding
Dieulafoy
lesion (hemorrhagic) of stomach
621
K3183
and
duodenum
Achlorhydria
624
K3184
Gastroparesis
624
K3189
Other diseases of stomach and duodenum
624
K2991
K30
K31811
K31819
Page 2251 of 6734

K319
Disease of stomach and duodenum,

unspecified
Acute appendicitis with generalized
624
510
510
K3580
peritonitis
Acute appendicitis with localized
peritonitis
Unspecified acute appendicitis
510
K3589
Other acute appendicitis
510
K36
Other appendicitis
625
K37
Unspecified appendicitis
510
K380
Hyperplasia of appendix
624
K381
Appendicular concretions
624
K382
Diverticulum of appendix
624
K383
Fistula of appendix
624
K388
Other specified diseases of appendix
624
K389
Disease of appendix, unspecified
624
Bi inguinal hernia, w obst, w/o gangrene,

not
spcf as
recur hernia, w obst, w/o
Bilateral
inguinal
631
HERNIA
631
HERNIA
gangrene,
Bi inguinal recurrent
hernia, w gangrene, not
specified
as
recurrent
Bilateral inguinal
hernia, with gangrene,
631
HERNIA
631
HERNIA
recurrent
Bi inguinal hernia, w/o obst or gangrene,
not
spcf as
recur hernia, w/o obst or
Bilateral
inguinal
631
HERNIA
631
HERNIA
gangrene,
recurrent
Unil inguinal
hernia, w obst, w/o gangr, not
spcf
as
recur
Unilateral inguinal hernia, w obst, w/o
631
HERNIA
631
HERNIA
gangrene,
recurrent
Unil inguinal
specified
recurrent
Unilateralas
inguinal
631
HERNIA
631
HERNIA
recurrent
Unil inguinal hernia, w/o obst or gangr, not
spcf
as recur
Unilateral
inguinal hernia, w/o obst or
631
HERNIA
631
HERNIA
gangrene,
Bi femoral recurrent
hernia, w obst, w/o gangrene,
not
spcf
as
Bilateral femoral
631
HERNIA
631
HERNIA
gangrene,
Bi femoral recurrent
specified
as
recurrent
Bilateral femoral
631
HERNIA
631
HERNIA
K352
K353
K4000
K4001
K4010
K4011
K4020
K4021
K4030
K4031
K4040
K4041
K4090
K4091
K4100
K4101
K4110
K4111
recurrent
Page 2252 of 6734

K4120
Bi femoral hernia, w/o obst or gangrene,

not
spcf as
Bilateral
femoral
631
HERNIA
631
HERNIA
gangrene,
recurrent
Unil femoral
hernia, w obst, w/o gangrene,
not
spcf asfemoral
Unilateral
631
HERNIA
631
HERNIA
gangrene,
recurrent
Unil femoral
specified
as
recurrent
Unilateral femoral hernia, with gangrene,
631
HERNIA
631
HERNIA
recurrent
Unil femoral hernia, w/o obst or gangrene,
not
spcf asfemoral
Unilateral
631
HERNIA
631
HERNIA
gangrene,
recurrent
Umbilical hernia
with obstruction, without
gangrene
Umbilical hernia with gangrene
631
HERNIA
631
HERNIA
631
HERNIA
K430
Umbilical hernia without obstruction or

gangrene
Incisional hernia with obstruction, without
631
HERNIA
K431
gangrene
Incisional hernia with gangrene
631
HERNIA
K432
631
HERNIA
K433
Incisional hernia without obstruction or

gangrene
Parastomal hernia with obstruction,
631
HERNIA
K434
without
gangrene
Parastomal
hernia with gangrene
631
HERNIA
K435
Parastomal hernia without obstruction or

gangrene
Other and unsp ventral hernia with
631
HERNIA
631
HERNIA
obstruction,
w/o gangrene
Other and unspecified
ventral hernia with
gangrene
Ventral hernia without obstruction or
631
HERNIA
631
HERNIA
gangrene
Diaphragmatic hernia with obstruction,
without
gangrene
Diaphragmatic
hernia with gangrene
631
HERNIA
631
HERNIA
Diaphragmatic hernia without obstruction

or
Othgangrene
abdominal hernia with obstruction,
without
gangrene
Other specified
abdominal hernia with
631
HERNIA
631
HERNIA
631
HERNIA
gangrene
Oth abdominal hernia without obstruction
or
gangrene
Unsp
abdominal hernia with obstruction,
631
HERNIA
631
HERNIA
without
gangrene
Unspecified
abdominal hernia with
gangrene
Unspecified abdominal hernia without
obstruction or gangrene
631
HERNIA
631
HERNIA
K4121
K4130
K4131
K4140
K4141
K4190
K4191
K420
K421
K429
K436
K437
K439
K440
K441
K449
K450
K451
K458
K460
K461
K469
Page 2253 of 6734

K5000
Crohn's disease of small intestine without

complications
Crohn's disease of small intestine with
rectal
bleeding
Crohn's
disease of small intestine w
intestinal
obstruction
Crohn's disease
of small intestine with
626
626
626
626
fistula
abscess
other
complication
Crohn's
disease of small intestine with
unsp
complications
Crohn's
disease of large intestine without
626
626
626
626
complications
Crohn's disease of large intestine with
rectal
bleeding
Crohn's
disease of large intestine w
intestinal
obstruction
Crohn's disease
of large intestine with
fistula
626
626
626
626
abscess
other
complication
Crohn's
disease of large intestine with
unsp
complications
Crohn's
disease of both small and lg int
626
626
626
w/o
complications
Crohn's
disease of both small and lg int w
rectal
bleeding
Crohn's disease of both small and lg int w
intestinal
obst of both small and large
Crohn's disease
intestine
w fistula
Crohn's disease
of both small and large
626
626
626
626
intestine
w abscess
Crohn's disease
of both small and lg int w
oth
complication
Crohn's disease of both small and lg int w
unsp
comp
Crohn's
disease, unspecified, without
626
626
626
626
626
K50913
complications
Crohn's disease, unspecified, with rectal
bleeding
Crohn's disease, unspecified, with
intestinal
obstruction
Crohn's disease,
unspecified, with fistula
626
K50914
Crohn's disease, unspecified, with abscess
626
K50918
Crohn's disease, unspecified, with other

complication
Crohn's disease, unspecified, with
unspecified
complications
Ulcerative (chronic)
pancolitis without
626
626
626
K50011
K50012
K50013
K50014
K50018
K50019
K5010
K50111
K50112
K50113
K50114
K50118
K50119
K5080
K50811
K50812
K50813
K50814
K50818
K50819
K5090
K50911
K50912
K50919
K5100
complications
Page 2254 of 6734

K51011
Ulcerative (chronic) pancolitis with rectal

bleeding
Ulcerative (chronic) pancolitis with
intestinal
Ulcerativeobstruction
(chronic) pancolitis with fistula
626
626
626
Ulcerative (chronic) pancolitis with

abscess
Ulcerative (chronic) pancolitis with other
complication
Ulcerative (chronic) pancolitis with unsp
complications
Ulcerative (chronic) proctitis without
626
626
626
626
626
626
K51213
complications
Ulcerative (chronic) proctitis with rectal
bleeding
Ulcerative (chronic) proctitis with intestinal
obstruction
Ulcerative (chronic) proctitis with fistula
626
K51214
Ulcerative (chronic) proctitis with abscess
626
K51218
Ulcerative (chronic) proctitis with other

complication
Ulcerative (chronic) proctitis with unsp
complications
Ulcerative (chronic) rectosigmoiditis
626
626
626
without
complications
Ulcerative
(chronic) rectosigmoiditis with
rectal
bleeding
Ulcerative (chronic) rectosigmoiditis w
intestinal
Ulcerativeobst
(chronic) rectosigmoiditis with
626
626
626
fistula
Ulcerative (chronic) rectosigmoiditis with
abscess
Ulcerative (chronic) rectosigmoiditis with
oth
complication
Ulcerative
(chronic) rectosigmoiditis w
unsp
complications
Inflammatory polyps of colon without
626
626
626
626
626
626
K51413
complications
Inflammatory polyps of colon with rectal
bleeding
Inflammatory polyps of colon with
intestinal
obstruction
Inflammatory
polyps of colon with fistula
626
K51414
Inflammatory polyps of colon with abscess
626
K51418
Inflammatory polyps of colon with other

complication
Inflammatory polyps of colon with
unspecified
complications
Left sided colitis
without complications
626
626
626
Left sided colitis with rectal bleeding
626
K51012
K51013
K51014
K51018
K51019
K5120
K51211
K51212
K51219
K5130
K51311
K51312
K51313
K51314
K51318
K51319
K5140
K51411
K51412
K51419
K5150
K51511
Page 2255 of 6734

K51512
Left sided colitis with intestinal obstruction
626
K51513
Left sided colitis with fistula
626
K51514
Left sided colitis with abscess
626
K51518
Left sided colitis with other complication
626
K51519
Left sided colitis with unspecified

complications
Other ulcerative colitis without
626
626
K51811
complications
Other ulcerative colitis with rectal bleeding
626
K51812
626
K51813
Other ulcerative colitis with intestinal

obstruction
Other ulcerative colitis with fistula
626
K51814
Other ulcerative colitis with abscess
626
K51818
Other ulcerative colitis with other

complication
Other ulcerative colitis with unspecified
complications
Ulcerative colitis, unspecified, without
626
626
626
626
626
K51913
complications
Ulcerative colitis, unspecified with rectal
bleeding
Ulcerative colitis, unspecified with
intestinal
Ulcerativeobstruction
colitis, unspecified with fistula
626
K51914
Ulcerative colitis, unspecified with abscess
626
K51918
626
626
K520
Ulcerative colitis, unspecified with other

complication
Ulcerative colitis, unsp with unspecified
complications
Gastroenteritis and colitis due to radiation
625
K521
Toxic gastroenteritis and colitis
625
K522
627
K5281
Allergic and dietetic gastroenteritis and

colitis
Eosinophilic gastritis or gastroenteritis
625
K5282
Eosinophilic colitis
625
K5289
627
627
K550
Other specified noninfective

gastroenteritis
and colitis
Noninfective gastroenteritis
and colitis,
unspecified
Acute vascular disorders of intestine
510
K551
Chronic vascular disorders of intestine
625
Angiodysplasia of colon without

hemorrhage
624
K5180
K51819
K5190
K51911
K51912
K51919
K529
K5520
Page 2256 of 6734

K5521
Angiodysplasia of colon with hemorrhage
625
K558
Other vascular disorders of intestine
625
K559
Vascular disorder of intestine, unspecified
625
K560
Paralytic ileus
625
K561
Intussusception
510
K562
Volvulus
625
K563
Gallstone ileus
625
K5641
Fecal impaction
625
K5649
Other impaction of intestine
625
625
K5660
Intestinal adhesions w obst

(postprocedural)
(postinfection)
Unspecified intestinal
obstruction
625
K5669
Other intestinal obstruction
625
Ileus, unspecified
625
Dvtrcli of sm int w perforation and abscess

w/o
bleeding
Dvtrcli
of sm int w perforation and abscess
w
bleeding
Dvrtclos of sm int w/o perforation or
624
624
624
abscess
bleeding
Dvrtclos w/o
of sm
int w/o perforation or
abscess
w
bleeding
Dvtrcli of sm int w/o perforation or abscess
624
624
w/o
bleeding
Dvtrcli
of sm int w/o perforation or abscess
w
bleeding
Dvtrcli of lg int w perforation and abscess
624
624
w/o
bleeding
Dvtrcli
of lg int w perforation and abscess
w
bleeding
Dvrtclos of lg int w/o perforation or
624
624
abscess
Dvrtclos w/o
of lgbleeding
int w/o perforation or
abscess
w
bleeding
Dvtrcli of lg int w/o perforation or abscess
624
624
w/o
bleeding
Dvtrcli
of lg int w/o perforation or abscess
w
bleeding
Dvtrcli
of both small and lg int w perf and
624
624
abscs
bleed
Dvtrcliw/o
of both
small and lg int w perf and
abscess
w
bleed
Dvrtclos of both sm and lg int w/o perf or
624
624
abscs
w/oofbleed
Dvrtclos
both small and lg int w/o perf
or abscs w bleed
624
K565
K567
K5700
K5701
K5710
K5711
K5712
K5713
K5720
K5721
K5730
K5731
K5732
K5733
K5740
K5741
K5750
K5751
Page 2257 of 6734

K5752
Dvtrcli of both small and lg int w/o perf or

abscs
bleed
Dvtrcliw/o
of both
small and lg int w/o perf or
abscess
w
bleed
Dvtrcli of intest, part unsp, w perf and
624
624
624
abscess
bleed
Dvtrcli ofw/o
intest,
part unsp, w perf and
abscess
w
bleeding
Dvrtclos of intest, part unsp, w/o perf or
624
624
abscess
bleed part unsp, w/o perf or
Dvrtclos w/o
of intest,
abscess
bleed part unsp, w/o perf or
Dvtrcli ofwintest,
624
624
624
K580
abscess
bleed
Dvtrcli ofw/o
intest,
part unsp, w/o perf or
abscess
w
bleeding
Irritable bowel syndrome with diarrhea
632
K589
Irritable bowel syndrome without diarrhea
632
K5900
Constipation, unspecified
630
CONSTIPATION
K5901
Slow transit constipation
630
CONSTIPATION
K5902
Outlet dysfunction constipation
630
CONSTIPATION
K5909
Other constipation
630
CONSTIPATION
K591
Functional diarrhea
624
K592
624
K593
Neurogenic bowel, not elsewhere

classified
Megacolon, not elsewhere classified
625
K594
Anal spasm
624
K598
624
K599
Other specified functional intestinal

disorders
Functional intestinal disorder, unspecified
624
K600
Acute anal fissure
624
K601
Chronic anal fissure
624
K602
Anal fissure, unspecified
624
K603
Anal fistula
624
K604
Rectal fistula
624
K605
Anorectal fistula
624
K610
Anal abscess
624
K611
Rectal abscess
624
K612
Anorectal abscess
624
K5753
K5780
K5781
K5790
K5791
K5792
K5793
Page 2258 of 6734

K613
Ischiorectal abscess
624
K614
Intrasphincteric abscess
624
K620
Anal polyp
624
K621
Rectal polyp
624
K622
Anal prolapse
624
K623
Rectal prolapse
624
K624
Stenosis of anus and rectum
624
K625
Hemorrhage of anus and rectum
625
K626
Ulcer of anus and rectum
624
K627
Radiation proctitis
624
Anal sphincter tear (healed)

(nontraumatic)
(old)
Dysplasia of anus
624
624
624
K629
Other specified diseases of anus and

rectum
Disease of anus and rectum, unspecified
624
K630
Abscess of intestine
510
K631
Perforation of intestine (nontraumatic)
510
K632
Fistula of intestine
625
K633
Ulcer of intestine
625
K634
Enteroptosis
624
K635
Polyp of colon
624
K6381
Dieulafoy lesion of intestine
624
K6389
Other specified diseases of intestine
624
K639
Disease of intestine, unspecified
624
K640
First degree hemorrhoids
624
K641
Second degree hemorrhoids
624
K642
Third degree hemorrhoids
624
K643
Fourth degree hemorrhoids
624
K644
Residual hemorrhoidal skin tags
624
K645
Perianal venous thrombosis
624
K6281
K6282
K6289
Page 2259 of 6734

K648
Other hemorrhoids
624
K649
Unspecified hemorrhoids
624
K650
Generalized (acute) peritonitis
625
K651
Peritoneal abscess
625
K652
Spontaneous bacterial peritonitis
625
K653
Choleperitonitis
510
K654
Sclerosing mesenteritis
625
K658
Other peritonitis
510
K659
Peritonitis, unspecified
510
K660
629
MALFUNCTION, REACTION & COMPLICATIO
K661
Peritoneal adhesions (postprocedural)

(postinfection)
Hemoperitoneum
625
K668
Other specified disorders of peritoneum
624
K669
Disorder of peritoneum, unspecified
624
625
K6811
Disorders of peritoneum in infectious

diseases
classdretroperitoneal
elswhr
Postprocedural
abscess
806
POST-OPERATIVE, POST-TRAUMATIC, OTHER
K6812
Psoas muscle abscess
625
K6819
Other retroperitoneal abscess
625
K689
Other disorders of retroperitoneum
624
K700
Alcoholic fatty liver
633
K7010
Alcoholic hepatitis without ascites
633
K7011
Alcoholic hepatitis with ascites
633
Alcoholic fibrosis and sclerosis of liver
633
K7030
Alcoholic cirrhosis of liver without ascites
633
K7031
Alcoholic cirrhosis of liver with ascites
633
K7040
Alcoholic hepatic failure without coma
633
K7041
Alcoholic hepatic failure with coma
633
K709
Alcoholic liver disease, unspecified
633
K710
Toxic liver disease with cholestasis
640
Toxic liver disease with hepatic necrosis,

without coma
640
K67
K702
K7110
Page 2260 of 6734

K7111
Toxic liver disease with hepatic necrosis,

with
Toxiccoma
liver disease with acute hepatitis
640
636
Toxic liver disease with chronic persistent

hepatitis
Toxic liver disease with chronic lobular
hepatitis
Toxic liver disease w chronic active
636
636
636
hepatitis
ascites
Toxic liverw/o
disease
w chronic active
hepatitis
with
ascites
Toxic liver disease with hepatitis, not
636
636
elsewhere
classified
Toxic liver disease
with fibrosis and
cirrhosis
of
liver
Toxic liver disease with other disorders of
liver
Toxic liver disease, unspecified
640
640
640
510
640
K7210
Acute and subacute hepatic failure without

coma
Acute and subacute hepatic failure with
coma
Chronic hepatic failure without coma
640
K7211
Chronic hepatic failure with coma
640
K7290
Hepatic failure, unspecified without coma
640
K7291
Hepatic failure, unspecified with coma
510
Chronic persistent hepatitis, not elsewhere

classified
Chronic lobular hepatitis, not elsewhere
636
636
636
K738
classified
Chronic active hepatitis, not elsewhere
classified
Other chronic hepatitis, not elsewhere
636
K739
classified
Chronic hepatitis, unspecified
636
K740
Hepatic fibrosis
640
K741
Hepatic sclerosis
640
K742
Hepatic fibrosis with hepatic sclerosis
640
K743
Primary biliary cirrhosis
640
K744
Secondary biliary cirrhosis
640
K745
Biliary cirrhosis, unspecified
640
K7460
Unspecified cirrhosis of liver
640
K7469
Other cirrhosis of liver
640
K712
K713
K714
K7150
K7151
K716
K717
K718
K719
K7200
K7201
K730
K731
K732
Page 2261 of 6734

K750
Abscess of liver
510
K751
Phlebitis of portal vein
510
K752
Nonspecific reactive hepatitis
636
K753
Granulomatous hepatitis, not elsewhere

classified
Autoimmune hepatitis
636
636
K7581
Nonalcoholic steatohepatitis (NASH)
640
K7589
Other specified inflammatory liver

diseases
Inflammatory liver disease, unspecified
636
636
640
K761
Fatty (change of) liver, not elsewhere

classified
Chronic passive congestion of liver
640
K762
Central hemorrhagic necrosis of liver
510
K763
Infarction of liver
510
K764
Peliosis hepatis
636
K765
Hepatic veno-occlusive disease
639
K766
Portal hypertension
640
K767
Hepatorenal syndrome
510
K7681
Hepatopulmonary syndrome
640
K7689
Other specified diseases of liver
639
Liver disease, unspecified
639
Liver disorders in diseases classified

elsewhere
Calculus of gallbladder w acute cholecyst
639
638
CHOLECYSTITIS
w/o
obstruction
Calculus
of gallbladder w acute
cholecystitis
w obstruction
Calculus of gallbladder
w chronic cholecyst
w/o
obstruction
Calculus of gallbladder w chronic cholecyst
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
w
obstruction
Calculus
of GB w acute and chronic
cholecyst
Calculus ofw/o
GBobstruction
w acute and chronic
cholecyst
w
obstruction
Calculus of gallbladder w oth cholecystitis
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
w/o
obstruction
Calculus
of gallbladder w oth cholecystitis
with
obstruction
Calculus of gallbladder w/o cholecystitis
w/o obstruction
638
CHOLECYSTITIS
638
CHOLECYSTITIS
K754
K759
K760
K769
K77
K8000
K8001
K8010
K8011
K8012
K8013
K8018
K8019
K8020
Page 2262 of 6734

K8021
K8030
K8031
K8032
K8033
K8034
K8035
K8036
K8037
K8040
K8041
K8042
K8043
K8044
K8045
K8046
K8047
K8050
K8051
K8060
K8061
K8062
K8063
K8064
K8065
K8066
K8067
K8070
K8071
Calculus of gallbladder w/o cholecystitis

with
obstruction
Calculus
of bile duct w cholangitis, unsp,
638
CHOLECYSTITIS
638
CHOLECYSTITIS
w/o
obstruction
Calculus
of bile duct w cholangitis, unsp,
with
obstruction
Calculus
of bile duct with acute cholangitis
w/o
obstruction
Calculus of bile duct w acute cholangitis
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
with
obstruction
Calculus
of bile duct w chronic cholangitis
w/o
obstruction
Calculus of bile duct w chronic cholangitis
with
obstruction
Calculus
of bile duct w acute and chr
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
cholangitis
Calculus of w/o
bile obst
duct w acute and chronic
cholangitis
w
obst
Calculus of bile duct w cholecystitis, unsp,
w/o
obstruction
Calculus
of bile duct w cholecystitis, unsp,
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
w
obstruction
Calculus
of bile duct w acute cholecystitis
w/o
obstruction
Calculus of bile duct w acute cholecystitis
with
obstruction
Calculus
of bile duct w chronic cholecyst
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
w/o
obstruction
Calculus
of bile duct w chronic
cholecystitis
w obstruction
Calculus of bile
duct w acute and chronic
cholecyst
w/o
obst
Calculus of bile duct w acute and chronic
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
cholecyst
obstduct w/o cholangitis or
Calculus ofwbile
cholecyst
Calculus ofw/o
bileobst
duct w/o cholangitis or
cholecyst
w
obst
Calculus of GB and bile duct w cholecyst,
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
unsp,
w/oofobst
Calculus
GB and bile duct w cholecyst,
unsp,
w
obst
Calculus of GB and bile duct w acute
cholecyst
Calculus ofw/o
GBobst
and bile duct w acute
cholecyst
w
obstruction
Calculus of GB and bile duct w chronic
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
cholecyst
Calculus ofw/o
GBobst
and bile duct w chronic
cholecyst
obst
Calculus ofwGB
and bile duct w ac and chr
cholecyst
w/o
obst
Calculus of GB and bile duct w ac and chr
cholecyst
obst
Calculus ofwGB
and bile duct w/o cholecyst
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
638
CHOLECYSTITIS
w/o
obstruction
Calculus
of GB and bile duct w/o cholecyst
w obstruction
638
CHOLECYSTITIS
Page 2263 of 6734

K8080
Other cholelithiasis without obstruction
638
CHOLECYSTITIS
K8081
Other cholelithiasis with obstruction
638
CHOLECYSTITIS
K810
Acute cholecystitis
638
CHOLECYSTITIS
K811
Chronic cholecystitis
638
CHOLECYSTITIS
K812
638
CHOLECYSTITIS
K819
Acute cholecystitis with chronic

cholecystitis
Cholecystitis, unspecified
638
CHOLECYSTITIS
K820
Obstruction of gallbladder
637
GALLBLADDER & BILIARY TRACT DIAGNOS
K821
Hydrops of gallbladder
637
K822
Perforation of gallbladder
510
K823
Fistula of gallbladder
510
K824
Cholesterolosis of gallbladder
637
K828
Other specified diseases of gallbladder
637
K829
Disease of gallbladder, unspecified
637
K830
Cholangitis
510
K831
Obstruction of bile duct
637
K832
Perforation of bile duct
510
K833
Fistula of bile duct
510
K834
Spasm of sphincter of Oddi
637
K835
Biliary cyst
637
K838
Other specified diseases of biliary tract
637
K839
Disease of biliary tract, unspecified
637
K850
Idiopathic acute pancreatitis
635
K851
Biliary acute pancreatitis
635
K852
Alcohol induced acute pancreatitis
635
K853
Drug induced acute pancreatitis
635
K858
Other acute pancreatitis
635
K859
Acute pancreatitis, unspecified
635
K860
Alcohol-induced chronic pancreatitis
635
K861
Other chronic pancreatitis
635
Page 2264 of 6734

K862
Cyst of pancreas
635
K863
Pseudocyst of pancreas
635
K868
Other specified diseases of pancreas
635
K869
Disease of pancreas, unspecified
635
635
K900
Disord of GB, biliary trac and pancreas in

dis
classd
elswhr
Celiac
disease
625
K901
Tropical sprue
625
K902
Blind loop syndrome, not elsewhere

classified
Pancreatic steatorrhea
625
625
625
K9081
Malabsorption due to intolerance, not

elsewhere
classified
Whipple's disease
625
K9089
Other intestinal malabsorption
625
K909
Intestinal malabsorption, unspecified
625
K910
Vomiting following gastrointestinal surgery
629
K911
Postgastric surgery syndromes
624
K912
625
K913
Postsurgical malabsorption, not elsewhere

classified
Postprocedural intestinal obstruction
629
K915
Postcholecystectomy syndrome
637
Intraop hemor/hemtom of dgstv sys org

comp
dgstv sys proc of a dgstv sys org
Intraopa hemor/hemtom
comp
oth procedure
Accidental
pnctr & lac of a dgstv sys org
852
852
852
852
K9181
dur
sys
proc
Acc dgstv
pnctr &
lac
of a dgstv sys org during
oth
procedure
Other
intraoperative complications of
629
K9182
digestive
system
Postprocedural
hepatic failure
629
K9183
Postprocedural hepatorenal syndrome
629
852
852
K91850
Postproc hemor/hemtom of dgstv sys org

fol
a dgstv
sys proc
Postproc
hemor/hemtom
of a dgstv sys org
fol
oth
procedure
Pouchitis
629
K91858
Other complications of intestinal pouch
629
K87
K903
K904
K9161
K9162
K9171
K9172
K91840
K91841
Page 2265 of 6734

K9186
629
624
K920
Retained cholelithiasis following

cholecystectomy
Oth postprocedural complications and
disorders
of dgstv sys
Hematemesis
625
K921
Melena
624
K922
Gastrointestinal hemorrhage, unspecified
625
K9281
Gastrointestinal mucositis (ulcerative)
621
K9289
Other specified diseases of the digestive

system
Disease of digestive system, unspecified
624
624
K9400
Colostomy complication, unspecified
629
K9401
Colostomy hemorrhage
629
K9402
Colostomy infection
629
K9403
Colostomy malfunction
629
K9409
Other complications of colostomy
629
K9410
Enterostomy complication, unspecified
629
K9411
Enterostomy hemorrhage
629
K9412
Enterostomy infection
629
K9413
Enterostomy malfunction
629
K9419
Other complications of enterostomy
629
K9420
Gastrostomy complication, unspecified
629
K9421
Gastrostomy hemorrhage
629
K9422
Gastrostomy infection
629
K9423
Gastrostomy malfunction
629
K9429
Other complications of gastrostomy
629
K9430
Esophagostomy complications, unspecified
629
K9431
Esophagostomy hemorrhage
629
K9432
Esophagostomy infection
629
K9433
Esophagostomy malfunction
629
K9439
Other complications of esophagostomy
629
K9501
Infection due to gastric band procedure
629
K9189
K929
Page 2266 of 6734

K9509
Other complications of gastric band

procedure
Infection due to other bariatric procedure
629
629
Other complications of other bariatric

procedure
Staphylococcal scalded skin syndrome
629
671
L0100
Impetigo, unspecified
673
L0101
Non-bullous impetigo
673
L0102
Bockhart's impetigo
673
L0103
Bullous impetigo
673
L0109
Other impetigo
673
Impetiginization of other dermatoses
673
L0201
Cutaneous abscess of face
673
L0202
Furuncle of face
673
L0203
Carbuncle of face
673
L0211
Cutaneous abscess of neck
673
L0212
Furuncle of neck
673
L0213
Carbuncle of neck
673
L02211
Cutaneous abscess of abdominal wall
673
L02212
673
L02213
Cutaneous abscess of back [any part,

except
buttock]
Cutaneous
abscess of chest wall
673
L02214
Cutaneous abscess of groin
673
L02215
Cutaneous abscess of perineum
673
L02216
Cutaneous abscess of umbilicus
673
L02219
Cutaneous abscess of trunk, unspecified
673
L02221
Furuncle of abdominal wall
673
L02222
673
L02223
Furuncle of back [any part, except

buttock]
Furuncle of chest wall
673
L02224
Furuncle of groin
673
L02225
Furuncle of perineum
673
L02226
Furuncle of umbilicus
673
K9581
K9589
L00
L011
Page 2267 of 6734

L02229
Furuncle of trunk, unspecified
673
L02231
Carbuncle of abdominal wall
673
L02232
673
L02233
Carbuncle of back [any part, except

buttock]
Carbuncle of chest wall
673
L02234
Carbuncle of groin
673
L02235
Carbuncle of perineum
673
L02236
Carbuncle of umbilicus
673
L02239
Carbuncle of trunk, unspecified
673
L0231
Cutaneous abscess of buttock
673
L0232
Furuncle of buttock
673
L0233
Carbuncle of buttock
673
L02411
Cutaneous abscess of right axilla
673
L02412
Cutaneous abscess of left axilla
673
L02413
Cutaneous abscess of right upper limb
673
L02414
Cutaneous abscess of left upper limb
673
L02415
Cutaneous abscess of right lower limb
673
L02416
Cutaneous abscess of left lower limb
673
L02419
Cutaneous abscess of limb, unspecified
673
L02421
Furuncle of right axilla
673
L02422
Furuncle of left axilla
673
L02423
Furuncle of right upper limb
673
L02424
Furuncle of left upper limb
673
L02425
Furuncle of right lower limb
673
L02426
Furuncle of left lower limb
673
L02429
Furuncle of limb, unspecified
673
L02431
Carbuncle of right axilla
673
L02432
Carbuncle of left axilla
673
L02433
Carbuncle of right upper limb
673
L02434
Carbuncle of left upper limb
673
Page 2268 of 6734

L02435
Carbuncle of right lower limb
673
L02436
Carbuncle of left lower limb
673
L02439
Carbuncle of limb, unspecified
673
L02511
Cutaneous abscess of right hand
673
L02512
Cutaneous abscess of left hand
673
L02519
Cutaneous abscess of unspecified hand
673
L02521
Furuncle right hand
673
L02522
Furuncle left hand
673
L02529
Furuncle unspecified hand
673
L02531
Carbuncle of right hand
673
L02532
Carbuncle of left hand
673
L02539
Carbuncle of unspecified hand
673
L02611
Cutaneous abscess of right foot
673
L02612
Cutaneous abscess of left foot
673
L02619
Cutaneous abscess of unspecified foot
673
L02621
Furuncle of right foot
673
L02622
Furuncle of left foot
673
L02629
Furuncle of unspecified foot
673
L02631
Carbuncle of right foot
673
L02632
Carbuncle of left foot
673
L02639
Carbuncle of unspecified foot
673
L02811
673
L02818
Cutaneous abscess of head [any part,

except
face]
Cutaneous
abscess of other sites
673
L02821
Furuncle of head [any part, except face]
673
L02828
Furuncle of other sites
673
L02831
Carbuncle of head [any part, except face]
673
L02838
Carbuncle of other sites
673
L0291
Cutaneous abscess, unspecified
673
L0292
Furuncle, unspecified
673
Page 2269 of 6734

L0293
Carbuncle, unspecified
673
L03011
Cellulitis of right finger
673
L03012
Cellulitis of left finger
673
L03019
Cellulitis of unspecified finger
673
L03021
Acute lymphangitis of right finger
673
L03022
Acute lymphangitis of left finger
673
L03029
Acute lymphangitis of unspecified finger
673
L03031
Cellulitis of right toe
673
L03032
Cellulitis of left toe
673
L03039
Cellulitis of unspecified toe
673
L03041
Acute lymphangitis of right toe
673
L03042
Acute lymphangitis of left toe
673
L03049
Acute lymphangitis of unspecified toe
673
L03111
Cellulitis of right axilla
673
L03112
Cellulitis of left axilla
673
L03113
Cellulitis of right upper limb
673
L03114
Cellulitis of left upper limb
673
L03115
Cellulitis of right lower limb
673
L03116
Cellulitis of left lower limb
673
L03119
Cellulitis of unspecified part of limb
673
L03121
Acute lymphangitis of right axilla
673
L03122
Acute lymphangitis of left axilla
673
L03123
Acute lymphangitis of right upper limb
673
L03124
Acute lymphangitis of left upper limb
673
L03125
Acute lymphangitis of right lower limb
673
L03126
Acute lymphangitis of left lower limb
673
L03129
673
L03211
Acute lymphangitis of unspecified part of

limb
Cellulitis of face
673
L03212
Acute lymphangitis of face
673
Page 2270 of 6734

L03221
Cellulitis of neck
673
L03222
Acute lymphangitis of neck
673
L03311
Cellulitis of abdominal wall
673
L03312
Cellulitis of back [any part except buttock]
673
L03313
Cellulitis of chest wall
673
L03314
Cellulitis of groin
673
L03315
Cellulitis of perineum
673
L03316
Cellulitis of umbilicus
673
L03317
Cellulitis of buttock
673
L03319
Cellulitis of trunk, unspecified
673
L03321
Acute lymphangitis of abdominal wall
673
L03322
673
L03323
Acute lymphangitis of back [any part

except
buttock]
Acute lymphangitis
of chest wall
673
L03324
Acute lymphangitis of groin
673
L03325
Acute lymphangitis of perineum
673
L03326
Acute lymphangitis of umbilicus
673
L03327
Acute lymphangitis of buttock
673
L03329
Acute lymphangitis of trunk, unspecified
673
L03811
Cellulitis of head [any part, except face]
673
L03818
Cellulitis of other sites
673
L03891
Acute lymphangitis of head [any part,

except
face]
Acute lymphangitis
of other sites
673
673
L0390
Cellulitis, unspecified
673
L0391
Acute lymphangitis, unspecified
673
785
L041
Acute lymphadenitis of face, head and

neck
Acute lymphadenitis of trunk
785
L042
Acute lymphadenitis of upper limb
785
L043
Acute lymphadenitis of lower limb
785
L048
Acute lymphadenitis of other sites
785
L03898
L040
Page 2271 of 6734

L049
Acute lymphadenitis, unspecified
785
L0501
Pilonidal cyst with abscess
673
L0502
Pilonidal sinus with abscess
673
L0591
Pilonidal cyst without abscess
673
L0592
Pilonidal sinus without abscess
673
L080
Pyoderma
673
L081
Erythrasma
673
L0881
Pyoderma vegetans
673
L0882
Omphalitis not of newborn
673
L0889
673
L089
Oth local infections of the skin and

subcutaneous
Local infection tissue
of the skin and
673
L100
subcutaneous
tissue, unsp
Pemphigus vulgaris
671
L101
Pemphigus vegetans
671
L102
Pemphigus foliaceous
671
L103
Brazilian pemphigus [fogo selvagem]
671
L104
Pemphigus erythematosus
671
L105
Drug-induced pemphigus
671
L1081
Paraneoplastic pemphigus
671
L1089
Other pemphigus
671
L109
Pemphigus, unspecified
671
L110
Acquired keratosis follicularis
675
L111
Transient acantholytic dermatosis [Grover]
675
L118
Other specified acantholytic disorders
675
L119
Acantholytic disorder, unspecified
675
L120
Bullous pemphigoid
671
L121
Cicatricial pemphigoid
671
L122
Chronic bullous disease of childhood
675
Acquired epidermolysis bullosa,

unspecified
Epidermolysis bullosa due to drug
671
671
L1230
L1231
Page 2272 of 6734

L1235
Other acquired epidermolysis bullosa
671
L128
Other pemphigoid
671
L129
Pemphigoid, unspecified
671
L130
Dermatitis herpetiformis
675
L131
Subcorneal pustular dermatitis
675
L138
Other specified bullous disorders
671
L139
Bullous disorder, unspecified
671
Bullous disorders in diseases classified

elsewhere
Besnier's prurigo
671
675
L2081
Atopic neurodermatitis
675
L2082
Flexural eczema
675
L2083
Infantile (acute) (chronic) eczema
675
L2084
Intrinsic (allergic) eczema
675
L2089
Other atopic dermatitis
675
L209
Atopic dermatitis, unspecified
675
L210
Seborrhea capitis
675
L211
Seborrheic infantile dermatitis
675
L218
Other seborrheic dermatitis
675
L219
Seborrheic dermatitis, unspecified
675
Diaper dermatitis
675
L230
Allergic contact dermatitis due to metals
675
L231
Allergic contact dermatitis due to

adhesives
Allergic contact dermatitis due to
cosmetics
Allergic contact dermatitis due to drugs in
contact
w skin dermatitis due to dyes
Allergic contact
675
675
675
675
Allergic contact dermatitis due to other

chemical
products
Allergic contact
dermatitis due to food in
contact
w
skin
Allergic contact dermatitis due to plants,
except
Allergicfood
contact dermatitis due to animal
675
675
675
675
L14
L200
L22
L232
L233
L234
L235
L236
L237
L2381
(cat) (dog) dander

Page 2273 of 6734

L2389
Allergic contact dermatitis due to other

agents
Allergic contact dermatitis, unspecified
cause
Irritant contact dermatitis due to
675
675
675
detergents
Irritant contact dermatitis due to oils and
greases
Irritant contact dermatitis due to solvents
675
675
Irritant contact dermatitis due to

cosmetics
Irritant contact dermatitis due to drugs in
contact
w skin dermatitis due to other
Irritant contact
chemical
products
Irritant contact
675
675
675
675
contact
with skin
Irritant contact
dermatitis due to plants,
except
food
Irritant contact dermatitis due to metals
675
675
Irritant contact dermatitis due to other

agents
Irritant contact dermatitis, unspecified
cause
Unspecified contact dermatitis due to
675
675
675
cosmetics
Unsp contact dermatitis due to drugs in
contact
withcontact
skin
Unspecified
dermatitis due to dyes
675
675
Unsp contact dermatitis due to other

chemical
products
Unsp contact
contact
withcontact
skin
Unspecified
dermatitis due to
675
675
675
plants,
except
food dermatitis due to
Unspecified
contact
other
agentscontact dermatitis,
Unspecified
unspecified
cause
Exfoliative dermatitis
675
675
675
675
L271
Gen skin eruption due to drugs and meds

taken
internally
Loc skin
eruption due to drugs and meds
675
L272
taken
internally
Dermatitis
due to ingested food
675
L278
675
675
L280
Dermatitis due to other substances taken

internally
Dermatitis due to unspecified substance
taken
Licheninternally
simplex chronicus
675
L281
Prurigo nodularis
675
L239
L240
L241
L242
L243
L244
L245
L246
L247
L2481
L2489
L249
L250
L251
L252
L253
L254
L255
L258
L259
L26
L270
L279
Page 2274 of 6734

L282
Other prurigo
675
L290
Pruritus ani
675
L291
Pruritus scroti
741
L292
Pruritus vulvae
752
L293
Anogenital pruritus, unspecified
744
L293
Anogenital pruritus, unspecified
751
L298
Other pruritus
675
L299
Pruritus, unspecified
675
L300
Nummular dermatitis
675
L301
Dyshidrosis [pompholyx]
675
L302
Cutaneous autosensitization
675
L303
Infective dermatitis
675
L304
Erythema intertrigo
675
L305
Pityriasis alba
675
L308
Other specified dermatitis
675
L309
Dermatitis, unspecified
675
L400
Psoriasis vulgaris
671
L401
Generalized pustular psoriasis
675
L402
Acrodermatitis continua
671
L403
Pustulosis palmaris et plantaris
671
L404
Guttate psoriasis
671
L4050
Arthropathic psoriasis, unspecified
655
L4051
655
L4052
Distal interphalangeal psoriatic

arthropathy
Psoriatic arthritis mutilans
655
L4053
Psoriatic spondylitis
655
L4054
Psoriatic juvenile arthropathy
655
L4059
Other psoriatic arthropathy
655
L408
Other psoriasis
671
L409
Psoriasis, unspecified
671
Page 2275 of 6734

L410
Pityriasis lichenoides et varioliformis acuta
671
L411
Pityriasis lichenoides chronica
671
L413
Small plaque parapsoriasis
671
L414
Large plaque parapsoriasis
671
L415
Retiform parapsoriasis
671
L418
Other parapsoriasis
671
L419
Parapsoriasis, unspecified
671
Pityriasis rosea
675
L430
Hypertrophic lichen planus
675
L431
Bullous lichen planus
675
L432
Lichenoid drug reaction
675
L433
Subacute (active) lichen planus
675
L438
Other lichen planus
675
L439
Lichen planus, unspecified
675
L440
Pityriasis rubra pilaris
675
L441
Lichen nitidus
675
L442
Lichen striatus
675
L443
Lichen ruber moniliformis
675
L444
808
VIRAL ILLNESS
L448
Infantile papular acrodermatitis [GianottiCrosti]

Other specified papulosquamous disorders
675
L449
Papulosquamous disorder, unspecified
675
Papulosquamous disorders in diseases

classified
elsewhere
Exfoliatn due
to erythemat cond w < 10
675
675
pct
of body
surface
Exfoliatn
due
to erythemat cond w 10-19
pct
of
body
surface
Exfoliatn due to erythemat cond w 20-29
pct
of body
surface
Exfoliatn
due
pct
of
body
surface
675
671
671
671
pct
of body
surface
Exfoliatn
due
pct
of
body
surface
pct of body surface
671
671
L42
L45
L490
L491
L492
L493
L494
L495
L496
Page 2276 of 6734

L497
671
671
L499

pct
of body
surface
Exfoliatn
due
pct
of
body
surface
Exfoliatn d/t erythemat cond w 90 or more
671
L500
pct
of body
surfc
Allergic
urticaria
675
L501
Idiopathic urticaria
675
L502
Urticaria due to cold and heat
675
L503
Dermatographic urticaria
675
L504
Vibratory urticaria
675
L505
Cholinergic urticaria
675
L506
Contact urticaria
675
L508
Other urticaria
675
L509
Urticaria, unspecified
675
L510
Nonbullous erythema multiforme
671
L511
Stevens-Johnson syndrome
671
L512
Toxic epidermal necrolysis [Lyell]
671
L513
671
L518
Stevens-Johnson synd-tox epdrml

necrolysis
overlap
syndrome
Other erythema
multiforme
671
L519
Erythema multiforme, unspecified
671
Erythema nodosum
675
L530
Toxic erythema
671
L531
Erythema annulare centrifugum
671
L532
Erythema marginatum
671
L533
Other chronic figurate erythema
671
L538
Other specified erythematous conditions
675
L539
Erythematous condition, unspecified
675
Erythema in diseases classified elsewhere
675
L550
Sunburn of first degree
675
L551
Sunburn of second degree
675
L552
Sunburn of third degree
675
L498
L52
L54
Page 2277 of 6734

L559
Sunburn, unspecified
675
L560
Drug phototoxic response
675
L561
Drug photoallergic response
675
L562
675
L563
Photocontact dermatitis [berloque

dermatitis]
Solar urticaria
675
L564
Polymorphous light eruption
675
L565
Disseminated superficial actinic

porokeratosis
Oth acute skin(DSAP)
changes due to ultraviolet
675
675
675
L570
radiation
Acute skin change due to ultraviolet
radiation,
unspecified
Actinic keratosis
675
L571
Actinic reticuloid
675
L572
Cutis rhomboidalis nuchae
675
L573
Poikiloderma of Civatte
675
L574
Cutis laxa senilis
675
L575
Actinic granuloma
675
L578
675
L579
Oth skin changes due to chr expsr to

nonionizing
radiation
Skin changes
due to chr expsr to
675
L580
nonionizing
radiation, unsp
Acute radiodermatitis
675
L581
Chronic radiodermatitis
675
L589
Radiodermatitis, unspecified
675
L590
Erythema ab igne [dermatitis ab igne]
675
L598
675
L599
Oth disrd of the skin, subcu related to

radiation
Disorder of the skin, subcu related to
675
L600
radiation,
Ingrowing unsp
nail
675
L601
Onycholysis
675
L602
Onychogryphosis
675
L603
Nail dystrophy
675
L604
Beau's lines
675
L605
Yellow nail syndrome
675
L568
L569
Page 2278 of 6734

L608
Other nail disorders
675
L609
Nail disorder, unspecified
675
675
L630
Nail disorders in diseases classified

elsewhere
Alopecia (capitis) totalis
675
L631
Alopecia universalis
675
L632
Ophiasis
675
L638
Other alopecia areata
675
L639
Alopecia areata, unspecified
675
L640
Drug-induced androgenic alopecia
675
L648
Other androgenic alopecia
675
L649
Androgenic alopecia, unspecified
675
L650
Telogen effluvium
675
L651
Anagen effluvium
675
L652
Alopecia mucinosa
675
L658
Other specified nonscarring hair loss
675
L659
Nonscarring hair loss, unspecified
675
L660
Pseudopelade
675
L661
Lichen planopilaris
675
L662
Folliculitis decalvans
675
L663
Perifolliculitis capitis abscedens
675
L664
Folliculitis ulerythematosa reticulata
675
L668
Other cicatricial alopecia
675
L669
Cicatricial alopecia, unspecified
675
L670
Trichorrhexis nodosa
675
L671
Variations in hair color
675
L678
675
L679
Other hair color and hair shaft

abnormalities
Hair color and hair shaft abnormality,
675
L680
unspecified
Hirsutism
675
L681
Acquired hypertrichosis lanuginosa
675
L62
Page 2279 of 6734

L682
Localized hypertrichosis
675
L683
Polytrichia
675
L688
Other hypertrichosis
675
L689
Hypertrichosis, unspecified
675
L700
Acne vulgaris
675
L701
Acne conglobata
675
L702
Acne varioliformis
675
L703
Acne tropica
675
L704
Infantile acne
675
L705
Acne excoriee des jeunes filles
675
L708
Other acne
675
L709
Acne, unspecified
675
L710
Perioral dermatitis
675
L711
Rhinophyma
675
L718
Other rosacea
675
L719
Rosacea, unspecified
675
L720
Epidermal cyst
675
L7211
Pilar cyst
675
L7212
Trichodermal cyst
675
L722
Steatocystoma multiplex
675
L723
Sebaceous cyst
675
L728
675
L729
Other follicular cysts of the skin and

subcutaneous
tissue
Follicular cyst of
the skin and
675
L730
subcutaneous
tissue, unsp
Acne keloid
675
L731
Pseudofolliculitis barbae
675
L732
Hidradenitis suppurativa
675
L738
Other specified follicular disorders
675
L739
Follicular disorder, unspecified
675
L740
Miliaria rubra
675
Page 2280 of 6734

L741
Miliaria crystallina
675
L742
Miliaria profunda
675
L743
Miliaria, unspecified
675
L744
Anhidrosis
675
L74510
Primary focal hyperhidrosis, axilla
675
L74511
Primary focal hyperhidrosis, face
675
L74512
Primary focal hyperhidrosis, palms
675
L74513
Primary focal hyperhidrosis, soles
675
L74519
Primary focal hyperhidrosis, unspecified
675
L7452
Secondary focal hyperhidrosis
675
L748
Other eccrine sweat disorders
675
L749
Eccrine sweat disorder, unspecified
675
L750
Bromhidrosis
675
L751
Chromhidrosis
675
L752
Apocrine miliaria
675
L758
Other apocrine sweat disorders
675
L759
Apocrine sweat disorder, unspecified
675
Intraop hemor/hemtom of skin, subcu

comp
dermatologic proc
of skin, subcu
comp
oth
procedure
Acc pnctr & lac of skin, subcu during a
852
852
852
dermatologic
proc
Accidental pnctr
& lac of skin, subcu
during
oth
procedure
Postproc hemor/hemtom of skin, subcu fol
a
dermatologic
proc
Postproc
hemor/hemtom
of skin, subcu
852
852
852
following
oth procedure
Oth intraoperative
complications of skin,
subcu
Oth postprocedural complications of skin,
852
852
subcu
Vitiligo
675
L810
Postinflammatory hyperpigmentation
675
L811
Chloasma
675
L812
Freckles
675
L7601
L7602
L7611
L7612
L7621
L7622
L7681
L7682
L80
Page 2281 of 6734

L813
Cafe au lait spots
675
L814
Other melanin hyperpigmentation
675
L815
Leukoderma, not elsewhere classified
675
L816
675
L817
Other disorders of diminished melanin

formation
Pigmented purpuric dermatosis
675
L818
Other specified disorders of pigmentation
675
L819
Disorder of pigmentation, unspecified
675
L820
Inflamed seborrheic keratosis
675
L821
Other seborrheic keratosis
675
L83
Acanthosis nigricans
675
L84
Corns and callosities
675
L850
Acquired ichthyosis
675
L851
675
L852
Acquired keratosis [keratoderma] palmaris

et
plantaris
Keratosis
punctata (palmaris et plantaris)
675
L853
Xerosis cutis
675
L858
Other specified epidermal thickening
675
L859
Epidermal thickening, unspecified
675
675
675
L871
Keratoderma in diseases classified

elsewhere
Keratos follicularis et parafollicularis in
cutem
penetrans
Reactive
perforating collagenosis
675
L872
Elastosis perforans serpiginosa
675
L878
Other transepidermal elimination disorders
675
L879
Transepidermal elimination disorder,

unspecified
Pyoderma gangrenosum
675
673
Pressure ulcer of unspecified elbow,

unstageable
Pressure ulcer of unspecified elbow, stage
1
2
676
DECUBITUS ULCER
670
SKIN ULCERS
670
SKIN ULCERS
676
DECUBITUS ULCER
3
4
676
DECUBITUS ULCER
L86
L870
L88
L89000
L89001
L89002
L89003
L89004
Page 2282 of 6734

L89009
670
SKIN ULCERS
L89010
Pressure ulcer of unspecified elbow,

unspecified
stage
Pressure ulcer
of right elbow, unstageable
676
DECUBITUS ULCER
L89011
Pressure ulcer of right elbow, stage 1
670
SKIN ULCERS
L89012
670
SKIN ULCERS
L89013
676
DECUBITUS ULCER
L89014
676
DECUBITUS ULCER
L89019
670
SKIN ULCERS
L89020
Pressure ulcer of right elbow, unspecified

stage
Pressure ulcer of left elbow, unstageable
676
DECUBITUS ULCER
L89021
Pressure ulcer of left elbow, stage 1
670
SKIN ULCERS
L89022
670
SKIN ULCERS
L89023
676
DECUBITUS ULCER
L89024
676
DECUBITUS ULCER
L89029
Pressure ulcer of left elbow, unspecified

stage
Pressure ulcer of unspecified part of back,
unstageable
Pressure ulcer of unspecified part of back,
stage
1 ulcer of unspecified part of back,
Pressure
670
SKIN ULCERS
676
DECUBITUS ULCER
670
SKIN ULCERS
670
SKIN ULCERS
676
DECUBITUS ULCER
676
DECUBITUS ULCER
670
SKIN ULCERS
L89110
stage
Pressure
stage
Pressure
stage
4 ulcer of unsp part of back,
Pressure
unspecified
stage
Pressure ulcer
of right upper back,
676
DECUBITUS ULCER
L89111
unstageable
Pressure ulcer of right upper back, stage 1
670
SKIN ULCERS
L89112
670
SKIN ULCERS
L89113
676
DECUBITUS ULCER
L89114
676
DECUBITUS ULCER
L89119
670
SKIN ULCERS
L89120
Pressure ulcer of right upper back,

unspecified
stage
Pressure ulcer
of left upper back,
676
DECUBITUS ULCER
L89121
unstageable
Pressure ulcer of left upper back, stage 1
670
SKIN ULCERS
L89122
670
SKIN ULCERS
L89123
676
DECUBITUS ULCER
L89100
L89101
L89102
L89103
L89104
L89109
Page 2283 of 6734

L89124
676
DECUBITUS ULCER
L89129
670
SKIN ULCERS
L89130
Pressure ulcer of left upper back,

unspecified
stage
Pressure ulcer
of right lower back,
676
DECUBITUS ULCER
L89131
unstageable
Pressure ulcer of right lower back, stage 1
670
SKIN ULCERS
L89132
670
SKIN ULCERS
L89133
676
DECUBITUS ULCER
L89134
676
DECUBITUS ULCER
L89139
670
SKIN ULCERS
L89140
Pressure ulcer of right lower back,

unspecified
stage
Pressure ulcer
of left lower back,
676
DECUBITUS ULCER
L89141
unstageable
Pressure ulcer of left lower back, stage 1
670
SKIN ULCERS
L89142
670
SKIN ULCERS
L89143
676
DECUBITUS ULCER
L89144
676
DECUBITUS ULCER
L89149
670
SKIN ULCERS
L89150
Pressure ulcer of left lower back,

unspecified
stage
Pressure ulcer
of sacral region,
676
DECUBITUS ULCER
L89151
unstageable
Pressure ulcer of sacral region, stage 1
670
SKIN ULCERS
L89152
670
SKIN ULCERS
L89153
676
DECUBITUS ULCER
L89154
676
DECUBITUS ULCER
L89159
670
SKIN ULCERS
676
DECUBITUS ULCER
L89201
Pressure ulcer of sacral region, unspecified

stage
Pressure ulcer of unspecified hip,
unstageable
Pressure ulcer of unspecified hip, stage 1
670
SKIN ULCERS
L89202
670
SKIN ULCERS
L89203
676
DECUBITUS ULCER
L89204
676
DECUBITUS ULCER
L89209
670
SKIN ULCERS
L89210
Pressure ulcer of unspecified hip,

unspecified
stage
Pressure ulcer
of right hip, unstageable
676
DECUBITUS ULCER
L89211
Pressure ulcer of right hip, stage 1
670
SKIN ULCERS
L89212
670
SKIN ULCERS
L89200
Page 2284 of 6734

L89213
676
DECUBITUS ULCER
L89214
676
DECUBITUS ULCER
L89219
670
SKIN ULCERS
L89220
Pressure ulcer of right hip, unspecified

stage
Pressure ulcer of left hip, unstageable
676
DECUBITUS ULCER
L89221
Pressure ulcer of left hip, stage 1
670
SKIN ULCERS
L89222
670
SKIN ULCERS
L89223
676
DECUBITUS ULCER
L89224
676
DECUBITUS ULCER
L89229
Pressure ulcer of left hip, unspecified

stage
Pressure ulcer of unspecified buttock,
unstageable
Pressure ulcer of unspecified buttock,
stage
1 ulcer of unspecified buttock,
Pressure
670
SKIN ULCERS
676
DECUBITUS ULCER
670
SKIN ULCERS
670
SKIN ULCERS
676
DECUBITUS ULCER
676
DECUBITUS ULCER
670
SKIN ULCERS
L89310
stage
Pressure
stage
Pressure
stage
Pressure
unspecified
stage
Pressure ulcer
of right buttock,
676
DECUBITUS ULCER
L89311
unstageable
Pressure ulcer of right buttock, stage 1
670
SKIN ULCERS
L89312
670
SKIN ULCERS
L89313
676
DECUBITUS ULCER
L89314
676
DECUBITUS ULCER
L89319
670
SKIN ULCERS
L89320
Pressure ulcer of right buttock, unspecified

stage
Pressure ulcer of left buttock, unstageable
676
DECUBITUS ULCER
L89321
Pressure ulcer of left buttock, stage 1
670
SKIN ULCERS
L89322
670
SKIN ULCERS
L89323
676
DECUBITUS ULCER
L89324
676
DECUBITUS ULCER
L89329
Pressure ulcer of left buttock, unspecified

stage
Pressr ulc of contig site of back, buttock
670
SKIN ULCERS
670
SKIN ULCERS
and
hip,
unsp
Pressr
ulcer
ofstg
contig site of back, buttock
and hip, stg 1
670
SKIN ULCERS
L89300
L89301
L89302
L89303
L89304
L89309
L8940
L8941
Page 2285 of 6734

L8942
Pressr ulcer of contig site of back, buttock

and
hip,
stg of
2 contig site of back, buttock
Pressr
ulcer
and
hip,
stg of
3 contig site of back, buttock
Pressr
ulcer
and
hip,
Pressr
ulcstg
of 4contig site of back,buttock &
670
SKIN ULCERS
676
DECUBITUS ULCER
676
DECUBITUS ULCER
676
DECUBITUS ULCER
hip,
unstageable
Pressure
ulcer of unspecified ankle,
unstageable
Pressure ulcer of unspecified ankle, stage
1
676
DECUBITUS ULCER
670
SKIN ULCERS
670
SKIN ULCERS
676
DECUBITUS ULCER
676
DECUBITUS ULCER
670
SKIN ULCERS
L89510
2
3
4
Pressure ulcer of unspecified ankle,
unspecified
stage
Pressure ulcer
of right ankle, unstageable
676
DECUBITUS ULCER
L89511
Pressure ulcer of right ankle, stage 1
670
SKIN ULCERS
L89512
670
SKIN ULCERS
L89513
676
DECUBITUS ULCER
L89514
676
DECUBITUS ULCER
L89519
670
SKIN ULCERS
L89520
Pressure ulcer of right ankle, unspecified

stage
Pressure ulcer of left ankle, unstageable
676
DECUBITUS ULCER
L89521
Pressure ulcer of left ankle, stage 1
670
SKIN ULCERS
L89522
670
SKIN ULCERS
L89523
676
DECUBITUS ULCER
L89524
676
DECUBITUS ULCER
L89529
670
SKIN ULCERS
676
DECUBITUS ULCER
L89601
Pressure ulcer of left ankle, unspecified

stage
Pressure ulcer of unspecified heel,
unstageable
Pressure ulcer of unspecified heel, stage 1
670
SKIN ULCERS
L89602
670
SKIN ULCERS
L89603
676
DECUBITUS ULCER
L89604
676
DECUBITUS ULCER
L89609
Pressure ulcer of unspecified heel,

unspecified
stage
Pressure ulcer
of right heel, unstageable
670
SKIN ULCERS
676
DECUBITUS ULCER
L8943
L8944
L8945
L89500
L89501
L89502
L89503
L89504
L89509
L89600
L89610
Page 2286 of 6734

L89611
Pressure ulcer of right heel, stage 1
670
SKIN ULCERS
L89612
670
SKIN ULCERS
L89613
676
DECUBITUS ULCER
L89614
676
DECUBITUS ULCER
L89619
670
SKIN ULCERS
L89620
Pressure ulcer of right heel, unspecified

stage
Pressure ulcer of left heel, unstageable
676
DECUBITUS ULCER
L89621
Pressure ulcer of left heel, stage 1
670
SKIN ULCERS
L89622
670
SKIN ULCERS
L89623
676
DECUBITUS ULCER
L89624
676
DECUBITUS ULCER
L89629
670
SKIN ULCERS
L89810
Pressure ulcer of left heel, unspecified

stage
Pressure ulcer of head, unstageable
676
DECUBITUS ULCER
L89811
Pressure ulcer of head, stage 1
670
SKIN ULCERS
L89812
670
SKIN ULCERS
L89813
676
DECUBITUS ULCER
L89814
676
DECUBITUS ULCER
L89819
Pressure ulcer of head, unspecified stage
670
SKIN ULCERS
L89890
Pressure ulcer of other site, unstageable
676
DECUBITUS ULCER
L89891
Pressure ulcer of other site, stage 1
670
SKIN ULCERS
L89892
670
SKIN ULCERS
L89893
676
DECUBITUS ULCER
L89894
676
DECUBITUS ULCER
L89899
670
SKIN ULCERS
670
SKIN ULCERS
L8991
Pressure ulcer of other site, unspecified

stage
Pressure ulcer of unspecified site,
unspecified
stage
Pressure ulcer
of unspecified site, stage 1
670
SKIN ULCERS
L8992
Pressure ulcer of unspecified site, stage 2
670
SKIN ULCERS
L8993
676
DECUBITUS ULCER
L8994
676
DECUBITUS ULCER
L8995
Pressure ulcer of unspecified site,

unstageable
676
DECUBITUS ULCER
L8990
Page 2287 of 6734

L900
Lichen sclerosus et atrophicus
675
L901
Anetoderma of Schweninger-Buzzi
675
L902
Anetoderma of Jadassohn-Pellizzari
675
L903
Atrophoderma of Pasini and Pierini
675
L904
Acrodermatitis chronica atrophicans
675
L905
Scar conditions and fibrosis of skin
675
L906
Striae atrophicae
675
L908
Other atrophic disorders of skin
675
L909
Atrophic disorder of skin, unspecified
675
L910
Hypertrophic scar
675
L918
Other hypertrophic disorders of the skin
675
L919
Hypertrophic disorder of the skin,

unspecified
Granuloma annulare
675
675
Necrobiosis lipoidica, not elsewhere

classified
Granuloma faciale [eosinophilic granuloma
675
675
of
skin] body granuloma of the skin and
Foreign
subcutaneous
tissuedisorders of the skin,
Oth granulomatous
675
673
675
L930
subcu
Granulomatous disorder of the skin, subcu,
unsp
Discoid lupus erythematosus
671
L931
Subacute cutaneous lupus erythematosus
671
L932
Other local lupus erythematosus
671
L940
Localized scleroderma [morphea]
675
L941
Linear scleroderma
675
L942
Calcinosis cutis
675
L943
Sclerodactyly
675
L944
Gottron's papules
675
L945
Poikiloderma vasculare atrophicans
671
L946
Ainhum
809
L948
Other specified localized connective tissue

disorders
675
L920
L921
L922
L923
L928
L929
Page 2288 of 6734

L949
675
L950
Localized connective tissue disorder,

unspecified
Livedoid vasculitis
675
L951
Erythema elevatum diutinum
675
L958
Other vasculitis limited to the skin
675
L959
Vasculitis limited to the skin, unspecified
675
Non-prs chronic ulcer of unsp thigh limited

to
brkdwn skinchronic ulcer of unsp thigh w
Non-pressure
fat
layer chronic
exposed
Non-prs
ulcer of unsp thigh w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of muscle
Non-pressure
chronic ulcer of unsp thigh w
necrosis
of
bone
Non-pressure chronic ulcer of unsp thigh
with
unsp
severity
Non-prs
chronic
ulcer of right thigh limited
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn
skin ulcer of right thigh w fat
Non-prs
chronic
layer
exposed
Non-prs
chronic ulcer of right thigh w
necrosis
of muscle
Non-pressure
chronic ulcer of right thigh w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of bone
Non-pressure
chronic ulcer of right thigh
with
unsp
severity
Non-prs chronic ulcer of left thigh limited
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn skinchronic ulcer of left thigh w
Non-pressure
fat
layer chronic
exposed
Non-prs
ulcer of left thigh w
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of muscle
Non-pressure
chronic ulcer of left thigh w
necrosis
of
bone
Non-pressure chronic ulcer of left thigh
with
unsp
severity
Non-prs
chronic
ulcer of unsp calf limited
to
brkdwn
skin
Non-pressure chronic ulcer of unsp calf w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
fat
layer exposed
Non-pressure
chronic ulcer of unsp calf w
necrosis
of
muscle
Non-pressure chronic ulcer of unsp calf w
necrosis
of bone
Non-pressure
chronic ulcer of unsp calf
with
unsp
severity
Non-prs
chronic
ulcer of right calf limited
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn skinchronic ulcer of right calf w
Non-pressure
fat
layer chronic
exposed
Non-prs
ulcer of right calf w
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of muscle
Non-pressure
chronic ulcer of right calf w
necrosis of bone
670
SKIN ULCERS
L97101
L97102
L97103
L97104
L97109
L97111
L97112
L97113
L97114
L97119
L97121
L97122
L97123
L97124
L97129
L97201
L97202
L97203
L97204
L97209
L97211
L97212
L97213
L97214
Page 2289 of 6734

L97219
L97221
L97222
L97223
L97224
L97229
L97301
L97302
L97303
L97304
L97309
L97311
L97312
L97313
L97314
L97319
L97321
L97322
L97323
L97324
L97329
L97401
L97402
L97403
L97404
L97409
L97411
L97412
L97413
Non-pressure chronic ulcer of right calf

with
unsp
severity
Non-prs
chronic
ulcer of left calf limited to
brkdwn
skin
Non-pressure chronic ulcer of left calf w fat
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
layer
exposedchronic ulcer of left calf w
Non-pressure
necrosis
of muscle
Non-pressure
chronic ulcer of left calf w
necrosis
of
bone
Non-pressure chronic ulcer of left calf with
unsp
severity
Non-prs
chronic ulcer of unsp ankle limited
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn skinchronic ulcer of unsp ankle w
Non-pressure
fat
layer chronic
exposed
Non-prs
ulcer of unsp ankle w
necrosis
of
muscle
Non-pressure chronic ulcer of unsp ankle w
necrosis
of bone
Non-pressure
chronic ulcer of unsp ankle
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
with
unsp
severity
Non-prs
chronic
ulcer of right ankle limited
to
brkdwn
skin
Non-prs chronic ulcer of right ankle w fat
layer
exposed
Non-prs
chronic ulcer of right ankle w
necrosis
of muscle
Non-pressure
chronic ulcer of right ankle w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of bone
Non-pressure
chronic ulcer of right ankle
with
unsp
severity
Non-prs chronic ulcer of left ankle limited
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn skinchronic ulcer of left ankle w
Non-pressure
fat
layer chronic
exposed
Non-prs
ulcer of left ankle w
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of muscle
Non-pressure
chronic ulcer of left ankle w
necrosis
of
bone
Non-pressure chronic ulcer of left ankle
with
unsp
severity
Non-prs
chr
ulcer of unsp heel and midft
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
lmt
to brkdwn
skinof unsp heel and midfoot
Non-prs
chr ulcer
w
fat layer
Non-prs
chrexpos
ulcer of unsp heel and midfoot
w
necros
muscle
Non-prs chronic ulcer of unsp heel and
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
midfoot
necrosulcer
boneof unsp heel and
Non-prs w
chronic
midfoot
unsp
severt
Non-prs w
chr
ulcer
of right heel and midft
670
SKIN ULCERS
670
SKIN ULCERS
lmt
to brkdwn
skinof right heel and midft w
Non-prs
chr ulcer
fat
layer chr
expos
Non-prs
ulcer of right heel and midfoot
w necros muscle
670
SKIN ULCERS
670
SKIN ULCERS
Page 2290 of 6734

L97414
L97419
L97421
L97422
L97423
L97424
L97429
L97501
L97502
L97503
L97504
L97509
L97511
L97512
L97513
L97514
L97519
L97521
L97522
L97523
L97524
L97529
L97801
L97802
L97803
L97804
L97809
L97811
L97812
Non-prs chr ulcer of right heel and midfoot

w
necroschr
bone
Non-prs
ulcer of right heel and midfoot
w
unsp
severt
Non-prs chr ulcer of left heel and midft lmt
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn
Non-prs
chrskin
ulcer of left heel and midfoot
w
fat
layer
expos
Non-prs chr ulcer of left heel and midfoot
w
necroschronic
muscleulcer of left heel and
Non-prs
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
midfoot
necrosulcer
boneof left heel and
Non-prs w
chronic
midfoot
unsp
severt
Non-prs w
chr
ulcer
oth prt unsp foot limited
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn
skin ulcer oth prt unsp foot w
Non-prs
chronic
fat
layer chronic
exposed
Non-prs
ulcer oth prt unsp foot w
necrosis
of
muscle
Non-prs chronic ulcer oth prt unsp foot w
necrosis
of bone
Non-pressure
chronic ulcer oth prt unsp
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
foot
w unsp
severity
Non-prs
chronic
ulcer oth prt r foot limited
to
brkdwn
skin
Non-prs chronic ulcer oth prt right foot w
fat
layer chronic
exposed
Non-prs
ulcer oth prt right foot w
necros
muscle
Non-prs chronic ulcer oth prt right foot w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of boneulcer oth prt right foot w
Non-prs chronic
unsp
severity
Non-prs
chronic ulcer oth prt l foot limited
to
brkdwn
skin ulcer oth prt left foot w fat
Non-prs
chronic
layer
exposed
Non-prs
chronic ulcer oth prt left foot w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of muscle
Non-prs chronic
ulcer oth prt left foot w
necrosis
of
bone
Non-pressure chronic ulcer oth prt left foot
670
SKIN ULCERS
670
SKIN ULCERS
w
unsp severity
Non-prs
chr ulcer oth prt unsp low leg lmt
to
brkdwn
Non-prs chrskin
ulcer oth prt unsp low leg w
fat
layer
exposed
Non-prs chronic ulcer oth prt unsp lower
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
leg
w necros
muscle
Non-prs
chronic
ulcer oth prt unsp lower
leg
w
necros
bone
Non-prs chronic ulcer oth prt unsp lower
leg
w unsp
Non-prs
chrseverity
ulcer oth prt r low leg limited
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn
skin ulcer oth prt r low leg w
Non-prs
chronic
fat layer exposed
670
SKIN ULCERS
Page 2291 of 6734

L97813
Non-prs chronic ulcer oth prt r low leg w

necrosis
of muscle
Non-prs chronic
ulcer oth prt r low leg w
necrosis
of
bone
Non-pressure chronic ulcer oth prt r low
leg
w unsp
Non-prs
chrseverity
ulcer oth prt l low leg limited
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn
skin ulcer oth prt l low leg w
Non-prs
chronic
fat
layer chronic
exposed
Non-prs
ulcer oth prt l low leg w
necrosis
of
muscle
Non-prs chronic ulcer oth prt l low leg w
necrosis
of bone
Non-pressure
chronic ulcer oth prt l low leg
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
w
unsp severity
Non-prs
chr ulc unsp prt of unsp low leg
lmt
to
brkdwn
Non-prs chr ulcskin
unsp prt of unsp low leg w
fat
layer
exposed
Non-prs chronic ulc unsp prt of unsp low
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
leg
w necros
muscle
Non-prs
chronic
ulc unsp prt of unsp lower
leg
w
necros
bone
Non-prs chronic ulc unsp prt of unsp low
leg
w unsp
Non-prs
chrseverity
ulc unsp prt of r low leg
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
limited
brkdwn
skinprt of r low leg w fat
Non-prsto
chr
ulc unsp
layer
exposed
Non-prs
chronic ulc unsp prt of r low leg w
670
SKIN ULCERS
670
SKIN ULCERS
necros
Non-prsmuscle
chronic ulc unsp prt of r low leg w
necrosis
of boneulc unsp prt of r low leg w
Non-prs chronic
unsp
severity
Non-prs
chr ulc unsp prt of l low leg
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
limited
brkdwn
skinprt of l low leg w fat
Non-prsto
chr
ulc unsp
layer
exposed
Non-prs
chronic ulc unsp prt of l low leg w
necros
muscle
Non-prs chronic ulc unsp prt of l low leg w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
L980
necrosis
of boneulc unsp prt of l low leg w
Non-prs chronic
unsp
severity
Pyogenic
granuloma
673
L981
Factitial dermatitis
675
L982
Febrile neutrophilic dermatosis [Sweet]
675
L983
Eosinophilic cellulitis [Wells]
673
Non-pressure chronic ulcer of buttock

limited
to brkdwn
skinulcer of buttock with
Non-pressure
chronic
fat layer exposed
670
SKIN ULCERS
670
SKIN ULCERS
L97814
L97819
L97821
L97822
L97823
L97824
L97829
L97901
L97902
L97903
L97904
L97909
L97911
L97912
L97913
L97914
L97919
L97921
L97922
L97923
L97924
L97929
L98411
L98412
Page 2292 of 6734

L98413
Non-pressure chronic ulcer of buttock w

necrosis
of muscle
Non-pressure
chronic ulcer of buttock with
necrosis
of
bone
Non-pressure chronic ulcer of buttock with
unsp
severity chronic ulcer of back limited
Non-pressure
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
to
brkdwn skinchronic ulcer of back with fat
Non-pressure
layer
exposedchronic ulcer of back with
Non-pressure
necrosis
of muscle
Non-pressure
chronic ulcer of back with
necrosis
of bone
Non-pressure
chronic ulcer of back with
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
unspecified
severity
Non-prs chronic
ulcer skin/ sites limited to
brkdwn
skin
Non-prs chronic ulcer of skin of sites w fat
layer
exposed
Non-prs
chronic ulcer of skin of sites w
670
SKIN ULCERS
670
SKIN ULCERS
670
SKIN ULCERS
necrosis
of muscle
Non-prs chronic
ulcer of skin of sites w
necrosis
of
bone
Non-pressure chronic ulcer of skin of sites
670
SKIN ULCERS
670
SKIN ULCERS
L985
w
unsp severity
Mucinosis
of the skin
675
L986
Oth infiltrative disorders of the skin, subcu
675
L988
Oth disrd of the skin and subcutaneous

tissue
Disorder of the skin and subcutaneous
675
675
tissue,
unspecified
Oth disorders
of skin, subcu in diseases
classd
elswhr arthritis, unspecified joint
Staphylococcal
675
654
M00011 Staphylococcal arthritis, right shoulder
654
M00012 Staphylococcal arthritis, left shoulder
654
M00019 Staphylococcal arthritis, unspecified

M00021 shoulder
Staphylococcal arthritis, right elbow
654
654
M00022 Staphylococcal arthritis, left elbow
654
M00029 Staphylococcal arthritis, unspecified elbow
654
M00031 Staphylococcal arthritis, right wrist
654
M00032 Staphylococcal arthritis, left wrist
654
M00039 Staphylococcal arthritis, unspecified wrist
654
M00041 Staphylococcal arthritis, right hand
654
L98414
L98419
L98421
L98422
L98423
L98424
L98429
L98491
L98492
L98493
L98494
L98499
L989
L99
M0000
Page 2293 of 6734

M00042 Staphylococcal arthritis, left hand
654
M00049 Staphylococcal arthritis, unspecified hand
654
M00051 Staphylococcal arthritis, right hip
654
M00052 Staphylococcal arthritis, left hip
654
M00059 Staphylococcal arthritis, unspecified hip
654
M00061 Staphylococcal arthritis, right knee
654
M00062 Staphylococcal arthritis, left knee
654
M00069 Staphylococcal arthritis, unspecified knee
654
M00071 Staphylococcal arthritis, right ankle and

M00072 foot
Staphylococcal arthritis, left ankle and foot
654
654
M00079 Staphylococcal arthritis, unspecified ankle

foot
M0008 and
Staphylococcal
arthritis, vertebrae
654
654
M0009
Staphylococcal polyarthritis
654
M0010
Pneumococcal arthritis, unspecified joint
654
M00111 Pneumococcal arthritis, right shoulder
654
M00112 Pneumococcal arthritis, left shoulder
654
M00119 Pneumococcal arthritis, unspecified

M00121 shoulder
Pneumococcal arthritis, right elbow
654
654
M00122 Pneumococcal arthritis, left elbow
654
M00129 Pneumococcal arthritis, unspecified elbow
654
M00131 Pneumococcal arthritis, right wrist
654
M00132 Pneumococcal arthritis, left wrist
654
M00139 Pneumococcal arthritis, unspecified wrist
654
M00141 Pneumococcal arthritis, right hand
654
M00142 Pneumococcal arthritis, left hand
654
M00149 Pneumococcal arthritis, unspecified hand
654
M00151 Pneumococcal arthritis, right hip
654
M00152 Pneumococcal arthritis, left hip
654
M00159 Pneumococcal arthritis, unspecified hip
654
Page 2294 of 6734

M00161 Pneumococcal arthritis, right knee
654
M00162 Pneumococcal arthritis, left knee
654
M00169 Pneumococcal arthritis, unspecified knee
654
M00171 Pneumococcal arthritis, right ankle and

M00172 foot
Pneumococcal arthritis, left ankle and foot
654
654
M00179 Pneumococcal arthritis, unspecified ankle

foot
M0018 and
Pneumococcal
654
654
654
Other streptococcal arthritis, unspecified

M00211 joint
Other streptococcal arthritis, right
M00212 shoulder
Other streptococcal arthritis, left shoulder
654
654
654
M00219 Other streptococcal arthritis, unspecified

M00221 shoulder
Other streptococcal arthritis, right elbow
654
654
M00222 Other streptococcal arthritis, left elbow
654

M00231 elbow
Other streptococcal arthritis, right wrist
654
654
M00232 Other streptococcal arthritis, left wrist
654

M00241 wrist
Other streptococcal arthritis, right hand
654
654
M00242 Other streptococcal arthritis, left hand
654

M00251 hand
Other streptococcal arthritis, right hip
654
654
M00252 Other streptococcal arthritis, left hip
654

M00261 hip
Other streptococcal arthritis, right knee
654
654
M00262 Other streptococcal arthritis, left knee
654

M00271 knee
Other streptococcal arthritis, right ankle
foot
M00272 and
Other
streptococcal arthritis, left ankle and
foot
654
654
654
M0019
Pneumococcal polyarthritis
M0020
Page 2295 of 6734

foot
M0028 ankle
Other and
streptococcal
654
654
Other streptococcal polyarthritis
654
Arthritis due to other bacteria, unspecified

M00811 joint
Arthritis due to other bacteria, right
M00812 shoulder
Arthritis due to other bacteria, left
M00819 shoulder
Arthritis due to other bacteria, unspecified
654
654
654
654
M00821 shoulder
Arthritis due to other bacteria, right elbow
654
M00822 Arthritis due to other bacteria, left elbow
654
M00829 Arthritis due to other bacteria, unspecified

M00831 elbow
Arthritis due to other bacteria, right wrist
654
654
M00832 Arthritis due to other bacteria, left wrist
654

M00841 wrist
Arthritis due to other bacteria, right hand
654
654
M00842 Arthritis due to other bacteria, left hand
654

M00851 hand
Arthritis due to other bacteria, right hip
654
654
M00852 Arthritis due to other bacteria, left hip
654

M00861 hip
Arthritis due to other bacteria, right knee
654
654
M00862 Arthritis due to other bacteria, left knee
654

M00871 knee
Arthritis due to other bacteria, right ankle
foot due to other bacteria, left ankle
M00872 and
Arthritis
foot due to other bacteria, unspecified
M00879 and
Arthritis
654
654
654
654
M0029
M0080
M0088
ankle
and
foot
Arthritis
due
to other bacteria, vertebrae
654
M0089
Polyarthritis due to other bacteria
654
Pyogenic arthritis, unspecified
654
Dir infct of unsp joint in infec/parastc dis

classd elswhr
654
M009
M01X0
Page 2296 of 6734

M01X11 Direct infct of r shldr in infec/parastc dis
elswhr
M01X12 classd
Direct infct
of l shldr in infec/parastc dis
classd
elswhr
M01X19 Dir infct of unsp shldr in infec/parastc dis
654
654
654
elswhr
M01X21 classd
Direct infct
of r elbow in infec/parastc dis
classd
elswhr
M01X22 Direct infct of l elbow in infec/parastc dis
elswhr
M01X29 classd
Dir infct
of unsp elbow in infec/parastc dis
654
654
654
elswhr
M01X31 classd
Direct infct
of r wrist in infec/parastc dis
elswhr
M01X32 classd
Direct infct
of l wrist in infec/parastc dis
classd
elswhr
M01X39 Dir infct of unsp wrist in infec/parastc dis
654
654
654
elswhr
M01X41 classd
Direct infct
of r hand in infec/parastc dis
classd
elswhr
M01X42 Direct infct of l hand in infec/parastc dis
elswhr
M01X49 classd
Direct infct
of unsp hand in infec/parastc
654
654
654
classd
M01X51 dis
Direct
infctelswhr
of r hip in infec/parastc dis
classd
elswhr
M01X52 Direct infct of left hip in infec/parastc dis
elswhr
M01X59 classd
Direct infct
of unsp hip in infec/parastc dis
654
654
654
elswhr
M01X61 classd
Direct infct
of r knee in infec/parastc dis
classd
elswhr
M01X62 Direct infct of l knee in infec/parastc dis
elswhr
M01X69 classd
Direct infct
of unsp knee in infec/parastc
654
654
654
M01X71 dis
Dir classd
infct ofelswhr
right ank/ft in infec/parastc dis
classd
elswhr
M01X72 Dir infct of left ank/ft in infec/parastc dis
654
654
elswhr
M01X79 classd
Dir infct
of unsp ank/ft in infec/parastc dis
classd
elswhr
M01X8 Direct infct of verteb in infec/parastc dis
elswhr
M01X9 classd
Dir infct
of mult joints in infec/parastc dis
654
654
654
elswhrfollowing intestinal bypass,

M0200 classd
Arthropathy
M02011 unspecified
Arthropathy site
following intestinal bypass,
shoulder
M02012 right
Arthropathy
661
661
661
shoulderfollowing intestinal bypass,

M02019 left
Arthropathy
shoulder
M02021 unsp
Arthropathy
right
elbow
M02022 Arthropathy following intestinal bypass,
661
661
661
left elbow
Page 2297 of 6734

M02031 unspecified
Arthropathy elbow
right
wrist
661
661
661
wrist
M02039 left
Arthropathy
unspecified
wrist
hand following intestinal bypass,
M02042 right
Arthropathy
661
661
661
hand
M02049 left
Arthropathy
M02051 unspecified
Arthropathy hand
right
hip
661
661
661
hip
M02059 left
Arthropathy
unspecified
hip
knee following intestinal bypass,
M02062 right
Arthropathy
661
661
661
knee
M02069 left
Arthropathy
unspecified
knee
ank/ft following intestinal bypass,
M02072 right
Arthropathy
661
661
661
ankle and
foot
M02079 left
Arthropathy
following
intestinal bypass,
unsp
ankle
and
foot
M0209 vertebrae
Arthropathy following intestinal bypass,
661
661
661
multiple
sites arthropathy, unspecified
Postdysenteric
M02111 site
Postdysenteric arthropathy, right shoulder
661
661
M02112 Postdysenteric arthropathy, left shoulder
661
M02119 Postdysenteric arthropathy, unspecified

M02121 shoulder
Postdysenteric arthropathy, right elbow
661
661
M02122 Postdysenteric arthropathy, left elbow
661

M02131 elbow
Postdysenteric arthropathy, right wrist
661
661
M02132 Postdysenteric arthropathy, left wrist
661

M02141 wrist
Postdysenteric arthropathy, right hand
661
661
M0210
Page 2298 of 6734

M02142 Postdysenteric arthropathy, left hand
661

M02151 hand
Postdysenteric arthropathy, right hip
661
661
M02152 Postdysenteric arthropathy, left hip
661

M02161 hip
Postdysenteric arthropathy, right knee
661
661
M02162 Postdysenteric arthropathy, left knee
661

M02171 knee
Postdysenteric arthropathy, right ankle
foot
M02172 and
Postdysenteric
arthropathy, left ankle and
661
661
661
M02179 foot
Postdysenteric arthropathy, unspecified
and foot arthropathy, vertebrae
M0218 ankle
Postdysenteric
661
661
661
Postimmunization arthropathy, unspecified

M02211 site
Postimmunization arthropathy, right
M02212 shoulder
Postimmunization arthropathy, left
661
661
661
M02219 shoulder
Postimmunization arthropathy, unspecified
M02221 shoulder
Postimmunization arthropathy, right elbow
661
661
M02222 Postimmunization arthropathy, left elbow
661
M02229 Postimmunization arthropathy, unspecified

M02231 elbow
Postimmunization arthropathy, right wrist
661
661
M02232 Postimmunization arthropathy, left wrist
661

M02241 wrist
Postimmunization arthropathy, right hand
661
661
M02242 Postimmunization arthropathy, left hand
661

M02251 hand
Postimmunization arthropathy, right hip
661
661
M02252 Postimmunization arthropathy, left hip
661

hip
661
M0219
Postdysenteric arthropathy, multiple sites
M0220
Page 2299 of 6734

M02261 Postimmunization arthropathy, right knee
661
M02262 Postimmunization arthropathy, left knee
661

M02271 knee
Postimmunization arthropathy, right ankle
foot
M02272 and
Postimmunization
arthropathy, left ankle
661
661
661
foot
M02279 and
Postimmunization
arthropathy, unspecified
ankle
and
foot
M0228 Postimmunization arthropathy, vertebrae
661
661
661
655
M02311 Reiter's disease, right shoulder
655
M02312 Reiter's disease, left shoulder
655
M02319 Reiter's disease, unspecified shoulder
655
M02321 Reiter's disease, right elbow
655
M02322 Reiter's disease, left elbow
655
M02329 Reiter's disease, unspecified elbow
655
M02331 Reiter's disease, right wrist
655
M02332 Reiter's disease, left wrist
655
M02339 Reiter's disease, unspecified wrist
655
M02341 Reiter's disease, right hand
655
M02342 Reiter's disease, left hand
655
M02349 Reiter's disease, unspecified hand
655
M02351 Reiter's disease, right hip
655
M02352 Reiter's disease, left hip
655
M02359 Reiter's disease, unspecified hip
655
M02361 Reiter's disease, right knee
655
M02362 Reiter's disease, left knee
655
M02369 Reiter's disease, unspecified knee
655
M02371 Reiter's disease, right ankle and foot
655
M02372 Reiter's disease, left ankle and foot
655
M0229
M0230
Postimmunization arthropathy, multiple

sites
Reiter's disease, unspecified site
Page 2300 of 6734

M02379 Reiter's disease, unspecified ankle and
M0238 foot
Reiter's disease, vertebrae
655
655
655
Other reactive arthropathies, unspecified

M02811 site
Other reactive arthropathies, right
M02812 shoulder
Other reactive arthropathies, left shoulder
654
654
654
M02819 Other reactive arthropathies, unspecified

M02821 shoulder
Other reactive arthropathies, right elbow
654
654
M02822 Other reactive arthropathies, left elbow
654

M02831 elbow
Other reactive arthropathies, right wrist
654
654
M02832 Other reactive arthropathies, left wrist
654

M02841 wrist
Other reactive arthropathies, right hand
654
654
M02842 Other reactive arthropathies, left hand
654

M02851 hand
Other reactive arthropathies, right hip
654
654
M02852 Other reactive arthropathies, left hip
654

M02861 hip
Other reactive arthropathies, right knee
654
654
M02862 Other reactive arthropathies, left knee
654

M02871 knee
Other reactive arthropathies, right ankle
foot
M02872 and
Other
reactive arthropathies, left ankle
and
foot
654
654
654
654
M0239
Reiter's disease, multiple sites
M0280
M0288
ankle
foot arthropathies, vertebrae
Other and
reactive
654
M0289
Other reactive arthropathies, multiple sites
654
M029
Reactive arthropathy, unspecified
661
M0500
Felty's syndrome, unspecified site
655
Page 2301 of 6734

M05011 Felty's syndrome, right shoulder
655
M05012 Felty's syndrome, left shoulder
655
M05019 Felty's syndrome, unspecified shoulder
655
M05021 Felty's syndrome, right elbow
655
M05022 Felty's syndrome, left elbow
655
M05029 Felty's syndrome, unspecified elbow
655
M05031 Felty's syndrome, right wrist
655
M05032 Felty's syndrome, left wrist
655
M05039 Felty's syndrome, unspecified wrist
655
M05041 Felty's syndrome, right hand
655
M05042 Felty's syndrome, left hand
655
M05049 Felty's syndrome, unspecified hand
655
M05051 Felty's syndrome, right hip
655
M05052 Felty's syndrome, left hip
655
M05059 Felty's syndrome, unspecified hip
655
M05061 Felty's syndrome, right knee
655
M05062 Felty's syndrome, left knee
655
M05069 Felty's syndrome, unspecified knee
655
M05071 Felty's syndrome, right ankle and foot
655
M05072 Felty's syndrome, left ankle and foot
655
M05079 Felty's syndrome, unspecified ankle and

M0509 foot
Felty's syndrome, multiple sites
655
655
Rheumatoid lung disease w rheumatoid

of unsp
M05111 arthritis
Rheumatoid
lungsite
disease w rheumatoid
arthritis
of
r
shoulder
M05112 Rheumatoid lung disease w rheumatoid
577
577
577
of disease
l shoulder
M05119 arthritis
Rheu lung
w rheumatoid arthritis
of
unsp
shoulder
577
577
of r elbow
M05122 arthritis
Rheumatoid
lung disease w rheumatoid
arthritis
of
left
elbow
M05129 Rheumatoid lung
arthritis of unsp elbow
577
577
M0510
Page 2302 of 6734

of r wrist
M05132 arthritis
Rheumatoid
arthritis
of
left
wrist
M05139 Rheumatoid lung
577
577
577
of unsp
M05141 arthritis
Rheumatoid
lungwrist
arthritis
of
right
hand
of left
hand
M05149 arthritis
Rheumatoid
lung
577
577
577
of unsp
M05151 arthritis
Rheumatoid
lunghand
of right
M05152 arthritis
Rheumatoid
lunghip
arthritis
of
left
hip
577
577
577
of unsp
M05161 arthritis
Rheumatoid
lunghip
arthritis
of
right
knee
of left
knee
M05169 arthritis
Rheumatoid
lung
577
577
577
of disease
unsp knee
M05171 arthritis
Rheu lung
w rheumatoid arthritis
of
right
ank/ft
M05172 Rheu lung disease w rheumatoid arthritis
leftlung
ank/ft
M05179 of
Rheu
disease w rheumatoid arthritis
577
577
577
577
M0519
M0520
of
unsp ank/ft
Rheumatoid
arthritis
mult
site
Rheumatoid vasculitis
with rheumatoid
655
of unsp
site w rheumatoid
M05211 arthritis
Rheumatoid
vasculitis
of r shoulder
M05212 arthritis
Rheumatoid
vasculitis w rheumatoid
arthritis
of
l
shoulder
M05219 Rheu vasculitis w rheumatoid arthritis of
shoulder
M05221 unsp
Rheumatoid
vasculitis w rheumatoid
655
655
655
655
of right
elbow w rheumatoid
M05222 arthritis
Rheumatoid
vasculitis
of left
elbow w rheumatoid
M05229 arthritis
Rheumatoid
vasculitis
of unsp
elbow w rheumatoid
M05231 arthritis
Rheumatoid
vasculitis
655
655
655
of right
wrist w rheumatoid
M05232 arthritis
Rheumatoid
vasculitis
of left
wrist w rheumatoid
M05239 arthritis
Rheumatoid
vasculitis
of unsp
wrist w rheumatoid
M05241 arthritis
Rheumatoid
vasculitis
655
655
655
of right
hand with rheumatoid
M05242 arthritis
Rheumatoid
vasculitis
of left
M05249 arthritis
Rheumatoid
vasculitis
arthritis of unsp hand
655
655
Page 2303 of 6734

M05251 Rheumatoid vasculitis with rheumatoid
of right
hip
M05252 arthritis
Rheumatoid
vasculitis
with rheumatoid
arthritis
of
left
hip
655
655
655
of unsp
hip
M05261 arthritis
Rheumatoid
vasculitis
w rheumatoid
arthritis
of
right
knee
of left
knee with rheumatoid
M05269 arthritis
Rheumatoid
vasculitis
655
655
655
of unsp
knee w rheumatoid
M05271 arthritis
Rheumatoid
vasculitis
of right
ank/ft w rheumatoid
M05272 arthritis
Rheumatoid
vasculitis
of left
ank/ft w rheumatoid
M05279 arthritis
Rheumatoid
vasculitis
655
655
655
655
655
of unsp
sitew rheumatoid arthritis
M05311 arthritis
Rheu heart
disease
r shoulder
M05312 of
Rheu
heart disease w rheumatoid arthritis
of
l
shoulder
M05319 Rheu heart disease w rheumatoid arthritis
655
655
655
unsp shoulder
M05321 of
Rheumatoid
heart disease w rheumatoid
arthritis
of
r
elbow
M05322 Rheumatoid heart disease w rheumatoid
of l disease
elbow w rheumatoid arthritis
M05329 arthritis
Rheu heart
655
655
655
unsp elbow
M05331 of
Rheumatoid
of r wrist
M05332 arthritis
Rheumatoid
arthritis
of
l
wrist
655
655
655
unsp
wrist
M05341 of
Rheu
heart
of
right
hand
of left
hand
M05349 arthritis
Rheumatoid
heart
655
655
655
of unsp
hand
M05351 arthritis
Rheumatoid
heart
arthritis
of
right
hip
of left
hip disease w rheumatoid
M05359 arthritis
Rheumatoid
heart
655
655
655
of unsp
hip w rheumatoid arthritis
M05361 arthritis
Rheu heart
disease
right kneeheart disease w rheumatoid
M05362 of
Rheumatoid
of left
knee
M05369 arthritis
Rheumatoid
heart
655
655
655
M0529
M0530
arthritis
of unsp
ank/ft w rheumatoid
Rheumatoid
vasculitis
arthritis
multheart
site disease w rheumatoid
Rheumatoid
arthritis of unsp knee

Page 2304 of 6734

right
ank/ft
M05372 of
Rheu
heart
of
left
ank/ft
unsp ank/ft
M0539 of
Rheumatoid
655
655
655
655
multmyopathy
site
M0540 arthritis
Rheumatoid
with rheumatoid
arthritis
of
unsp
site
M05411 Rheumatoid myopathy w rheumatoid
of right
shoulder
M05412 arthritis
Rheumatoid
myopathy
w rheumatoid
655
655
655
of left
shoulderw rheumatoid
M05419 arthritis
Rheumatoid
myopathy
of unsp
shoulder
M05421 arthritis
Rheumatoid
myopathy
with rheumatoid
655
655
of right
elbow with rheumatoid
M05422 arthritis
Rheumatoid
myopathy
of left
M05429 arthritis
Rheumatoid
myopathy
of unsp
M05431 arthritis
Rheumatoid
myopathy
655
655
655
of right
wrist with rheumatoid
M05432 arthritis
Rheumatoid
myopathy
of left
wrist
M05439 arthritis
Rheumatoid
myopathy
with rheumatoid
of unsp
wrist with rheumatoid
M05441 arthritis
Rheumatoid
myopathy
655
655
655
of right
M05442 arthritis
Rheumatoid
myopathy
of left
hand
M05449 arthritis
Rheumatoid
myopathy
with rheumatoid
arthritis
of
unsp
hand
M05451 Rheumatoid myopathy with rheumatoid
655
655
655
of right
hip
M05452 arthritis
Rheumatoid
myopathy
with rheumatoid
arthritis
of
left
hip
M05459 Rheumatoid myopathy with rheumatoid
of unsp
hip
M05461 arthritis
Rheumatoid
myopathy
with rheumatoid
655
655
655
of right
knee with rheumatoid
M05462 arthritis
Rheumatoid
myopathy
of left
knee
M05469 arthritis
Rheumatoid
myopathy
with rheumatoid
arthritis
of
unsp
knee
M05471 Rheumatoid myopathy w rheumatoid
655
655
655
of right
ank/ft w rheumatoid
M05472 arthritis
Rheumatoid
myopathy
of left
ank/ft w rheumatoid
M05479 arthritis
Rheumatoid
myopathy
of unsp
ank/ft w rheumatoid
M0549 arthritis
Rheumatoid
myopathy
655
655
655
of multiple
sites w rheumatoid
M0550 arthritis
Rheumatoid
polyneurop
of unsp
site
M05511 arthritis
Rheumatoid
polyneurop
w rheumatoid
arthritis of r shoulder
655
655
Page 2305 of 6734

M05512 Rheumatoid polyneurop w rheumatoid
of l shoulder
M05519 arthritis
Rheu polyneurop
w rheumatoid arthritis of
unsp
shoulder
655
655
655
of right
elbow w rheumatoid
M05522 arthritis
Rheumatoid
polyneurop
of left
elbow
M05529 arthritis
Rheumatoid
polyneurop
w rheumatoid
arthritis
of
unsp
elbow
655
655
655
of right
wrist
M05532 arthritis
Rheumatoid
polyneurop
w rheumatoid
of left
wrist
M05539 arthritis
Rheumatoid
polyneurop
w rheumatoid
arthritis
of
unsp
wrist
655
655
655
of right
hand
M05542 arthritis
Rheumatoid
polyneurop
w rheumatoid
arthritis
of
left
hand
of unsp
hand
M05551 arthritis
Rheumatoid
polyneurop
w rheumatoid
655
655
655
of right
hip
M05552 arthritis
Rheumatoid
polyneuropathy
w rheumatoid
arthritis
of
left
hip
M05559 Rheumatoid polyneuropathy w rheumatoid
of unsp
hip
M05561 arthritis
Rheumatoid
polyneurop
w rheumatoid
655
655
655
of right
knee
M05562 arthritis
Rheumatoid
polyneurop
w rheumatoid
arthritis
of
left
knee
of unsp
knee
M05571 arthritis
Rheumatoid
polyneurop
w rheumatoid
655
655
655
of right
ank/ft w rheumatoid
M05572 arthritis
Rheumatoid
polyneurop
of left
ank/ft
M05579 arthritis
Rheumatoid
polyneurop
w rheumatoid
arthritis
of
unsp
ank/ft
M0559 Rheumatoid polyneuropathy w rheumatoid
655
655
655
mult site
M0560 arthritis
Rheu arthritis
of unsp site w involv of
and systems
M05611 organs
Rheu arthritis
of r shoulder w involv of
organs
and
systems
M05612 Rheu arthritis of l shoulder w involv of
655
655
655
and systems
M05619 organs
Rheu arthrit
of unsp shoulder w involv of
and systems
M05621 organs
Rheu arthritis
of r elbow w involv of organs
and
systems
M05622 Rheu arthritis of l elbow w involv of organs
655
655
655
M05629 and
Rheusystems
arthritis of unsp elbow w involv of
organs
and systems
M05631 Rheu arthritis
of r wrist w involv of organs
and systems
655
655
Page 2306 of 6734

M05632 Rheu arthritis of l wrist w involv of organs
M05639 and
Rheusystems
arthritis of unsp wrist w involv of
organs
and systems
M05641 Rheu arthritis
of right hand w involv of
655
655
655
and systems
M05642 organs
Rheu arthritis
of left hand w involv of
organs
and
systems
M05649 Rheu arthritis of unsp hand w involv of
655
655
and systems
M05651 organs
Rheu arthritis
of right hip w involv of
organs
and
systems
M05652 Rheu arthritis of left hip w involv of organs
M05659 and
Rheusystems
arthritis of unsp hip w involv of
655
655
655
and systems
M05661 organs
Rheu arthritis
of right knee w involv of
organs
and
systems
M05662 Rheu arthritis of left knee w involv of
and systems
M05669 organs
Rheu arthritis
of unsp knee w involv of
655
655
655
and systems
M05671 organs
Rheu arthrit
of right ank/ft w involv of
organs
and
systems
M05672 Rheu arthritis of left ank/ft w involv of
655
655
and systems
M05679 organs
Rheu arthritis
of unsp ank/ft w involv of
and systems
M0569 organs
Rheu arthritis
mult site w involv of organs
and
systems
M0570 Rheu arthritis w rheu factor of unsp site
655
655
655
M05711 w/o
Rheuorg/sys
arthritinvolv
w rheu factor of r shoulder
w/o
org/sys
involv
M05712 Rheu arthrit w rheu factor of l shoulder w/o
involv
M05719 org/sys
Rheu arthrit
w rheu factor of unsp shldr
w/o
org/sys
involv
M05721 Rheu arthritis w rheu factor of r elbow w/o
655
655
655
655
involv w rheu factor of l elbow w/o

M05722 org/sys
Rheu arthritis
involv
M05729 org/sys
Rheu arthrit
w rheu factor of unsp elbow
involv
M05731 w/o
Rheuorg/sys
arthritis
w rheu factor of r wrist w/o
655
655
655
involv w rheu factor of l wrist w/o

M05732 org/sys
Rheu arthritis
involv
M05739 org/sys
Rheu arthrit
w rheu factor of unsp wrist
involv
M05741 w/o
Rheuorg/sys
arthritis
w rheu factor of r hand w/o
655
655
655
involv w rheu factor of left hand

M05742 org/sys
Rheu arthritis
involv
M05749 w/o
Rheuorg/sys
arthritis
w rheu factor of unsp hand
w/o
org/sys
involv
M05751 Rheu arthritis w rheu factor of right hip
w/o org/sys involv
655
655
655
Page 2307 of 6734

M05752 Rheu arthritis w rheu factor of left hip w/o
involv w rheu factor of unsp hip
M05759 org/sys
Rheu arthritis
involv
M05761 w/o
Rheuorg/sys
arthritis
w rheu factor of r knee w/o
involv w rheu factor of left knee
M05762 org/sys
Rheu arthritis
655
655
655
655
involv
M05769 w/o
Rheuorg/sys
arthritis
w rheu factor of unsp knee
w/o
org/sys
involv
M05771 Rheu arthrit w rheu fctr of right ank/ft w/o
involv
M05772 org/sys
Rheu arthrit
w rheu factor of left ank/ft w/o
655
655
655
involv
M05779 org/sys
Rheu arthrit
w rheu factor of unsp ank/ft
w/o
org/sys
involv
M0579 Rheu arthritis w rheu factor mult site w/o
655
655
involv arthritis with rheumatoid

M0580 org/sys
Oth rheumatoid
of unsp site
M05811 factor
Oth rheumatoid
arthritis w rheumatoid
of r shoulder
M05812 factor
Oth rheumatoid
655
655
655
of larthritis
shoulderw rheumatoid factor of
M05819 factor
Oth rheu
shoulder arthritis w rheumatoid
M05821 unsp
Oth rheumatoid
of right elbow
M05822 factor
Oth rheumatoid
655
655
655
of left elbow
M05829 factor
Oth rheumatoid
factor
of
unsp
elbow
M05831 Oth rheumatoid arthritis w rheumatoid
of right wrist
M05832 factor
Oth rheumatoid
655
655
655
of left wrist
M05839 factor
Oth rheumatoid
factor
of
unsp
wrist
of right hand
M05842 factor
Oth rheumatoid
arthritis with rheumatoid
655
655
655
of left hand
M05849 factor
Oth rheumatoid
of unsp hand
M05851 factor
Oth rheumatoid
factor
of
right
hip
M05852 Oth rheumatoid arthritis with rheumatoid
655
655
655
of left hip arthritis with rheumatoid

M05859 factor
Oth rheumatoid
of unsp hip
M05861 factor
Oth rheumatoid
factor
of
right
knee
M05862 Oth rheumatoid arthritis with rheumatoid
655
655
655
of left knee
M05869 factor
Oth rheumatoid
factor
of
unsp
knee
factor of right ank/ft
655
655
Page 2308 of 6734

of left ank/ft
M05879 factor
Oth rheumatoid
factor
of
unsp
ank/ft
655
655
655
factor
mult site
Rheumatoid
factor,
unspecified
M0600 Rheumatoid arthritis without rheumatoid
unsp site
M06011 factor,
Rheumatoid
arthritis w/o rheumatoid
factor,
right
shoulder
M06012 Rheumatoid arthritis w/o rheumatoid
655
655
655
655
left shoulder
M06019 factor,
Rheumatoid
factor,
unsp
shoulder
655
655
right elbow
M06022 factor,
Rheumatoid
arthritis without rheumatoid
factor,
left
elbow
unsp elbow
M06031 factor,
Rheumatoid
655
655
655
right wrist
M06032 factor,
Rheumatoid
factor,
left
wrist
unsp wrist
M06041 factor,
Rheumatoid
655
655
655
right hand
M06042 factor,
Rheumatoid
factor,
left
hand
unsp hand
M06051 factor,
Rheumatoid
655
655
655
right hip
M06052 factor,
Rheumatoid
factor,
left
hip
unsp hip
M06061 factor,
Rheumatoid
655
655
655
right knee
M06062 factor,
Rheumatoid
left knee
M06069 factor,
Rheumatoid
factor,
unsp
knee
M06071 Rheumatoid arthritis w/o rheumatoid
655
655
655
right ank/ft
M06072 factor,
Rheumatoid
left ank/ft
M06079 factor,
Rheumatoid
factor,
unsp
ank/ft
655
655
655
655
655
M059
M0609
M061
factor,
vertebrae
Rheumatoid
factor,
multiple
sites
Adult-onset Still's
disease
Page 2309 of 6734

M0620
Rheumatoid bursitis, unspecified site
655
M06211 Rheumatoid bursitis, right shoulder
655
M06212 Rheumatoid bursitis, left shoulder
655
M06219 Rheumatoid bursitis, unspecified shoulder
655
M06221 Rheumatoid bursitis, right elbow
655
M06222 Rheumatoid bursitis, left elbow
655
M06229 Rheumatoid bursitis, unspecified elbow
655
M06231 Rheumatoid bursitis, right wrist
655
M06232 Rheumatoid bursitis, left wrist
655
M06239 Rheumatoid bursitis, unspecified wrist
655
M06241 Rheumatoid bursitis, right hand
655
M06242 Rheumatoid bursitis, left hand
655
M06249 Rheumatoid bursitis, unspecified hand
655
M06251 Rheumatoid bursitis, right hip
655
M06252 Rheumatoid bursitis, left hip
655
M06259 Rheumatoid bursitis, unspecified hip
655
M06261 Rheumatoid bursitis, right knee
655
M06262 Rheumatoid bursitis, left knee
655
M06269 Rheumatoid bursitis, unspecified knee
655
M06271 Rheumatoid bursitis, right ankle and foot
655
M06272 Rheumatoid bursitis, left ankle and foot
655
M06279 Rheumatoid bursitis, unspecified ankle

foot
M0628 and
Rheumatoid
bursitis, vertebrae
655
655
M0629
Rheumatoid bursitis, multiple sites
655
M0630
Rheumatoid nodule, unspecified site
655
M06311 Rheumatoid nodule, right shoulder
655
M06312 Rheumatoid nodule, left shoulder
655
M06319 Rheumatoid nodule, unspecified shoulder
655
M06321 Rheumatoid nodule, right elbow
655
Page 2310 of 6734

M06322 Rheumatoid nodule, left elbow
655
M06329 Rheumatoid nodule, unspecified elbow
655
M06331 Rheumatoid nodule, right wrist
655
M06332 Rheumatoid nodule, left wrist
655
M06339 Rheumatoid nodule, unspecified wrist
655
M06341 Rheumatoid nodule, right hand
655
M06342 Rheumatoid nodule, left hand
655
M06349 Rheumatoid nodule, unspecified hand
655
M06351 Rheumatoid nodule, right hip
655
M06352 Rheumatoid nodule, left hip
655
M06359 Rheumatoid nodule, unspecified hip
655
M06361 Rheumatoid nodule, right knee
655
M06362 Rheumatoid nodule, left knee
655
M06369 Rheumatoid nodule, unspecified knee
655
M06371 Rheumatoid nodule, right ankle and foot
655
M06372 Rheumatoid nodule, left ankle and foot
655
M06379 Rheumatoid nodule, unspecified ankle and

M0638 foot
Rheumatoid nodule, vertebrae
655
655
Rheumatoid nodule, multiple sites
655
Inflammatory polyarthropathy
661
Other specified rheumatoid arthritis,

site rheumatoid arthritis, right
M06811 unspecified
Other specified
M06812 shoulder
Other specified rheumatoid arthritis, left
655
655
655
M06819 shoulder
shoulder
M06821 unspecified
Other specified
rheumatoid arthritis, right
M06822 elbow
655
655
655
M06829 elbow
elbow
M06831 unspecified
Other specified
wrist
M06832 Other specified rheumatoid arthritis, left
655
655
655
M0639
M064
M0680
wrist
Page 2311 of 6734

M06839 Other specified rheumatoid arthritis,
wrist
M06841 unspecified
Other specified
hand
655
655
655
M06849 hand
hand
M06851 unspecified
Other specified
hip
655
655
655
M06859 hip
hip rheumatoid arthritis, right
M06861 unspecified
Other specified
M06862 knee
M06869 knee
655
655
655
655
knee
M06871 unspecified
Other specified
foot rheumatoid arthritis, left
M06872 ankle
Other and
specified
and foot arthritis, unspecified ankle
M06879 ankle
Oth rheumatoid
655
655
655
655
655
655
Enteropathic arthropathies, unspecified

M07611 site
Enteropathic arthropathies, right shoulder
661
661
M07612 Enteropathic arthropathies, left shoulder
661
M07619 Enteropathic arthropathies, unspecified

M07621 shoulder
Enteropathic arthropathies, right elbow
661
661
M07622 Enteropathic arthropathies, left elbow
661

M07631 elbow
Enteropathic arthropathies, right wrist
661
661
M07632 Enteropathic arthropathies, left wrist
661

M07641 wrist
Enteropathic arthropathies, right hand
661
661
M07642 Enteropathic arthropathies, left hand
661

hand
661
M0688
M0689
M069
and
foot
Other
specified rheumatoid arthritis,
vertebrae
multiple
sitesarthritis, unspecified
Rheumatoid
M0760
Page 2312 of 6734

M07651 Enteropathic arthropathies, right hip
661
M07652 Enteropathic arthropathies, left hip
661

M07661 hip
Enteropathic arthropathies, right knee
661
661
M07662 Enteropathic arthropathies, left knee
661

M07671 knee
Enteropathic arthropathies, right ankle
foot
M07672 and
Enteropathic
arthropathies, left ankle and
661
661
661
M07679 foot
Enteropathic arthropathies, unspecified
and foot
M0768 ankle
Enteropathic
arthropathies, vertebrae
661
661
Enteropathic arthropathies, multiple sites
661
Unsp juvenile rheumatoid arthritis of

M08011 unspecified
Unspecified site
juvenile rheumatoid arthritis,
right
shoulder
M08012 Unspecified juvenile rheumatoid arthritis,
655
655
655
shoulder
M08019 left
Unsp
unspecified
M08021 Unspecified shoulder
655
655
elbow juvenile rheumatoid arthritis,

M08022 right
Unspecified
elbow juvenile rheumatoid arthritis,
M08029 left
Unspecified
M08031 unspecified
Unspecified elbow
right
wrist
655
655
655
655
wrist
M08039 left
Unspecified
unspecified
wrist
hand juvenile rheumatoid arthritis,
M08042 right
Unspecified
655
655
655
hand
M08049 left
Unspecified
unspecified
hand
hip
M08052 right
Unspecified
655
655
655
hip
M08059 left
Unspecified
unspecified
hip
knee juvenile rheumatoid arthritis,
M08062 right
Unspecified
655
655
655
M0769
M0800
left knee
Page 2313 of 6734

knee
M08071 unspecified
Unsp juvenile
655
655
and footrheumatoid arthritis, left

M08072 ankle
Unsp juvenile
and footrheumatoid arthritis, unsp
M08079 ankle
Unsp juvenile
and foot
M0808 ankle
Unspecified
655
655
655
vertebrae
Unspecified juvenile rheumatoid arthritis,
multiple
sites
Juvenile ankylosing
spondylitis
655
655
Juvenile rheumatoid arthritis with systemic

unsp
site
M08211 onset,
Juvenile
rheumatoid
arthritis w systemic
onset,
r
shoulder
M08212 Juvenile rheumatoid arthritis w systemic
655
655
655
l shoulder
M08219 onset,
Juvenile
rheu arthritis w systemic onset,
shoulder
M08221 unsp
Juvenile
rheumatoid arthritis w systemic
onset,
right
elbow arthritis w systemic
M08222 Juvenile rheumatoid
655
655
655
left
elbow
M08229 onset,
Juvenile
rheumatoid
unsp
elbow arthritis w systemic
M08231 onset,
Juvenile
rheumatoid
right
wrist
M08232 onset,
Juvenile
rheumatoid
onset,
left
wrist
655
655
655
655
unsp
wrist
M08241 onset,
Juvenile
rheumatoid
right
hand
M08242 onset,
Juvenile
rheumatoid
arthritis with systemic
onset,
left
hand
M08249 Juvenile rheumatoid arthritis with systemic
655
655
655
unsp
hand
M08251 onset,
Juvenile
rheumatoid
onset,
right
hip
M08252 Juvenile rheumatoid arthritis with systemic
left
hip
M08259 onset,
Juvenile
rheumatoid
onset,
unsp
hip
655
655
655
655
right
knee
M08262 onset,
Juvenile
rheumatoid
left
knee
M08269 onset,
Juvenile
rheumatoid
onset,
unsp
knee
655
655
655
right
ank/ft arthritis w systemic
M08272 onset,
Juvenile
rheumatoid
left
ank/ft
M08279 onset,
Juvenile
rheumatoid
onset, unsp ank/ft
655
655
M0809
M081
M0820
Page 2314 of 6734

M0828
Juvenile rheumatoid arthritis with systemic

onset,
vertebrae
Juvenile
rheu arthritis w systemic onset,
655
655
multiple
sites
Juvenile rheumatoid
polyarthritis
(seronegative)
Pauciarticular juvenile rheumatoid
655
655
unsp juvenile
site
M08411 arthritis,
Pauciarticular
rheumatoid
arthritis,
right
shoulder
M08412 Pauciarticular juvenile rheumatoid
left shoulder
M08419 arthritis,
Pauciarticular
juvenile rheumatoid
655
655
655
unsp juvenile
shoulderrheumatoid
M08421 arthritis,
Pauciarticular
right juvenile
elbow rheumatoid
M08422 arthritis,
Pauciarticular
655
655
left elbow
M08429 arthritis,
Pauciarticular
juvenile rheumatoid
arthritis,
unsp
elbow rheumatoid
M08431 Pauciarticular juvenile
right juvenile
wrist
M08432 arthritis,
Pauciarticular
rheumatoid
655
655
655
left wrist
M08439 arthritis,
Pauciarticular
juvenile rheumatoid
arthritis,
unsp
wrist
rheumatoid
right juvenile
hand
M08442 arthritis,
Pauciarticular
rheumatoid
655
655
655
left hand
M08449 arthritis,
Pauciarticular
juvenile rheumatoid
arthritis,
unsp
hand
rheumatoid
arthritis,
right
hip
655
655
655
left hip
M08459 arthritis,
Pauciarticular
juvenile rheumatoid
arthritis,
unsp
hip
rheumatoid
arthritis,
right
knee
655
655
655
left knee
M08469 arthritis,
Pauciarticular
juvenile rheumatoid
unsp juvenile
knee
M08471 arthritis,
Pauciarticular
rheumatoid
arthritis,
right
ank/ft
655
655
655
left ank/ft
M08479 arthritis,
Pauciarticular
juvenile rheumatoid
unsp juvenile
ank/ft rheumatoid
M0848 arthritis,
Pauciarticular
vertebrae
M0880 arthritis,
Other juvenile
arthritis, unspecified site
655
655
655
M08811 Other juvenile arthritis, right shoulder
655
M08812 Other juvenile arthritis, left shoulder
655
M0829
M083
M0840
Page 2315 of 6734

M08819 Other juvenile arthritis, unspecified
M08821 shoulder
Other juvenile arthritis, right elbow
655
655
M08822 Other juvenile arthritis, left elbow
655
M08829 Other juvenile arthritis, unspecified elbow
655
M08831 Other juvenile arthritis, right wrist
655
M08832 Other juvenile arthritis, left wrist
655
M08839 Other juvenile arthritis, unspecified wrist
655
M08841 Other juvenile arthritis, right hand
655
M08842 Other juvenile arthritis, left hand
655
M08849 Other juvenile arthritis, unspecified hand
655
M08851 Other juvenile arthritis, right hip
655
M08852 Other juvenile arthritis, left hip
655
M08859 Other juvenile arthritis, unspecified hip
655
M08861 Other juvenile arthritis, right knee
655
M08862 Other juvenile arthritis, left knee
655
M08869 Other juvenile arthritis, unspecified knee
655
M08871 Other juvenile arthritis, right ankle and

M08872 foot
Other juvenile arthritis, left ankle and foot
655
655
M08879 Other juvenile arthritis, unspecified ankle

foot
M0888 and
Other
juvenile arthritis, other specified site
655
655
655
Juvenile arthritis, unspecified, unspecified

M08911 site
Juvenile arthritis, unspecified, right
M08912 shoulder
Juvenile arthritis, unspecified, left shoulder
655
655
655
M08919 Juvenile arthritis, unspecified, unspecified

M08921 shoulder
Juvenile arthritis, unspecified, right elbow
655
655
M08922 Juvenile arthritis, unspecified, left elbow
655

M08931 elbow
Juvenile arthritis, unspecified, right wrist
655
655
M0889
Other juvenile arthritis, multiple sites
M0890
Page 2316 of 6734

M08932 Juvenile arthritis, unspecified, left wrist
655

M08941 wrist
Juvenile arthritis, unspecified, right hand
655
655
M08942 Juvenile arthritis, unspecified, left hand
655

M08951 hand
Juvenile arthritis, unspecified, right hip
655
655
M08952 Juvenile arthritis, unspecified, left hip
655

M08961 hip
Juvenile arthritis, unspecified, right knee
655
655
M08962 Juvenile arthritis, unspecified, left knee
655

M08971 knee
Juvenile arthritis, unspecified, right ankle
foot arthritis, unspecified, left ankle
M08972 and
Juvenile
foot arthritis, unspecified, unspecified
M08979 and
Juvenile
655
655
655
655
M0898
ankle
and
foot
Juvenile
arthritis,
unspecified, vertebrae
655
M0899
Juvenile arthritis, unspecified, multiple

sites
Idiopathic gout, unspecified site
655
661
M10011 Idiopathic gout, right shoulder
661
M10012 Idiopathic gout, left shoulder
661
M10019 Idiopathic gout, unspecified shoulder
661
M10021 Idiopathic gout, right elbow
661
M10022 Idiopathic gout, left elbow
661
M10029 Idiopathic gout, unspecified elbow
661
M10031 Idiopathic gout, right wrist
661
M10032 Idiopathic gout, left wrist
661
M10039 Idiopathic gout, unspecified wrist
661
M10041 Idiopathic gout, right hand
661
M10042 Idiopathic gout, left hand
661
M10049 Idiopathic gout, unspecified hand
661
M1000
Page 2317 of 6734

M10051 Idiopathic gout, right hip
661
M10052 Idiopathic gout, left hip
661
M10059 Idiopathic gout, unspecified hip
661
M10061 Idiopathic gout, right knee
661
M10062 Idiopathic gout, left knee
661
M10069 Idiopathic gout, unspecified knee
661
M10071 Idiopathic gout, right ankle and foot
661
M10072 Idiopathic gout, left ankle and foot
661
M10079 Idiopathic gout, unspecified ankle and foot
661
M1008
Idiopathic gout, vertebrae
661
M1009
Idiopathic gout, multiple sites
661
M1010
Lead-induced gout, unspecified site
661
M10111 Lead-induced gout, right shoulder
661
M10112 Lead-induced gout, left shoulder
661
M10119 Lead-induced gout, unspecified shoulder
661
M10121 Lead-induced gout, right elbow
661
M10122 Lead-induced gout, left elbow
661
M10129 Lead-induced gout, unspecified elbow
661
M10131 Lead-induced gout, right wrist
661
M10132 Lead-induced gout, left wrist
661
M10139 Lead-induced gout, unspecified wrist
661
M10141 Lead-induced gout, right hand
661
M10142 Lead-induced gout, left hand
661
M10149 Lead-induced gout, unspecified hand
661
M10151 Lead-induced gout, right hip
661
M10152 Lead-induced gout, left hip
661
M10159 Lead-induced gout, unspecified hip
661
M10161 Lead-induced gout, right knee
661
M10162 Lead-induced gout, left knee
661
Page 2318 of 6734

M10169 Lead-induced gout, unspecified knee
661
M10171 Lead-induced gout, right ankle and foot
661
M10172 Lead-induced gout, left ankle and foot
661
M10179 Lead-induced gout, unspecified ankle and

M1018 foot
Lead-induced gout, vertebrae
661
661
M1019
Lead-induced gout, multiple sites
661
M1020
Drug-induced gout, unspecified site
661
M10211 Drug-induced gout, right shoulder
661
M10212 Drug-induced gout, left shoulder
661
M10219 Drug-induced gout, unspecified shoulder
661
M10221 Drug-induced gout, right elbow
661
M10222 Drug-induced gout, left elbow
661
M10229 Drug-induced gout, unspecified elbow
661
M10231 Drug-induced gout, right wrist
661
M10232 Drug-induced gout, left wrist
661
M10239 Drug-induced gout, unspecified wrist
661
M10241 Drug-induced gout, right hand
661
M10242 Drug-induced gout, left hand
661
M10249 Drug-induced gout, unspecified hand
661
M10251 Drug-induced gout, right hip
661
M10252 Drug-induced gout, left hip
661
M10259 Drug-induced gout, unspecified hip
661
M10261 Drug-induced gout, right knee
661
M10262 Drug-induced gout, left knee
661
M10269 Drug-induced gout, unspecified knee
661
M10271 Drug-induced gout, right ankle and foot
661
M10272 Drug-induced gout, left ankle and foot
661
M10279 Drug-induced gout, unspecified ankle and

M1028 foot
Drug-induced gout, vertebrae
661
661
Page 2319 of 6734

M1029
Drug-induced gout, multiple sites
661
Gout due to renal impairment, unspecified

M10311 site
Gout due to renal impairment, right
M10312 shoulder
Gout due to renal impairment, left
M10319 shoulder
Gout due to renal impairment, unspecified
726
726
726
726
M10321 shoulder
Gout due to renal impairment, right elbow
726
M10322 Gout due to renal impairment, left elbow
726
M10329 Gout due to renal impairment, unspecified

M10331 elbow
Gout due to renal impairment, right wrist
726
726
M10332 Gout due to renal impairment, left wrist
726

M10341 wrist
Gout due to renal impairment, right hand
726
726
M10342 Gout due to renal impairment, left hand
726

M10351 hand
Gout due to renal impairment, right hip
726
726
M10352 Gout due to renal impairment, left hip
726

M10361 hip
Gout due to renal impairment, right knee
726
726
M10362 Gout due to renal impairment, left knee
726

M10371 knee
Gout due to renal impairment, right ankle
M10372 and
Goutfoot
due to renal impairment, left ankle
M10379 and
Goutfoot
due to renal impairment, unspecified
726
726
726
M1030
726
M1038
ankle
andto
foot
Gout due
renal impairment, vertebrae
726
M1039
Gout due to renal impairment, multiple

sites
Other secondary gout, unspecified site
726
661
M10411 Other secondary gout, right shoulder
661
M10412 Other secondary gout, left shoulder
661
M10419 Other secondary gout, unspecified

shoulder
661
M1040
Page 2320 of 6734

M10421 Other secondary gout, right elbow
661
M10422 Other secondary gout, left elbow
661
M10429 Other secondary gout, unspecified elbow
661
M10431 Other secondary gout, right wrist
661
M10432 Other secondary gout, left wrist
661
M10439 Other secondary gout, unspecified wrist
661
M10441 Other secondary gout, right hand
661
M10442 Other secondary gout, left hand
661
M10449 Other secondary gout, unspecified hand
661
M10451 Other secondary gout, right hip
661
M10452 Other secondary gout, left hip
661
M10459 Other secondary gout, unspecified hip
661
M10461 Other secondary gout, right knee
661
M10462 Other secondary gout, left knee
661
M10469 Other secondary gout, unspecified knee
661
M10471 Other secondary gout, right ankle and foot
661
M10472 Other secondary gout, left ankle and foot
661
M10479 Other secondary gout, unspecified ankle

foot
M1048 and
Other
secondary gout, vertebrae
661
661
Other secondary gout, multiple sites
661
Gout, unspecified
661
Hydroxyapatite deposition disease,

site deposition disease, right
M11011 unspecified
Hydroxyapatite
M11012 shoulder
Hydroxyapatite deposition disease, left
661
661
661
M11019 shoulder
shoulder
M11021 unspecified
Hydroxyapatite
deposition disease, right
elbow
M11022 Hydroxyapatite deposition disease, left
661
661
661
M11029 elbow
elbow
M11031 unspecified
Hydroxyapatite
wrist
661
661
M1049
M109
M1100
Page 2321 of 6734

M11039 wrist
wrist
M11041 unspecified
Hydroxyapatite
M11042 hand
661
661
661
661
M11049 hand
hand
M11051 unspecified
Hydroxyapatite
hip
M11052 Hydroxyapatite deposition disease, left hip
661
661
661
M11059 Hydroxyapatite deposition disease,

hip deposition disease, right
M11061 unspecified
Hydroxyapatite
M11062 knee
M11069 knee
661
661
661
661
knee
M11071 unspecified
Hydroxyapatite
ankle
and
foot
and foot deposition disease, unsp
M11079 ankle
Hydroxyapatite
661
661
661
661
661
661
M11111 Familial chondrocalcinosis, right shoulder
661
M11112 Familial chondrocalcinosis, left shoulder
661
M11119 Familial chondrocalcinosis, unspecified

M11121 shoulder
Familial chondrocalcinosis, right elbow
661
661
M11122 Familial chondrocalcinosis, left elbow
661

M11131 elbow
Familial chondrocalcinosis, right wrist
661
661
M11132 Familial chondrocalcinosis, left wrist
661

M11141 wrist
Familial chondrocalcinosis, right hand
661
661
M11142 Familial chondrocalcinosis, left hand
661

hand
661
M1108
M1109
M1110
ankle
and foot deposition disease,
Hydroxyapatite
vertebrae
multiple
sites
Familial chondrocalcinosis,
unspecified site
Page 2322 of 6734

M11151 Familial chondrocalcinosis, right hip
661
M11152 Familial chondrocalcinosis, left hip
661
M11159 Familial chondrocalcinosis, unspecified hip
661
M11161 Familial chondrocalcinosis, right knee
661
M11162 Familial chondrocalcinosis, left knee
661

M11171 knee
Familial chondrocalcinosis, right ankle and
M11172 foot
Familial chondrocalcinosis, left ankle and
661
661
661
M11179 foot
Familial chondrocalcinosis, unspecified
and
foot
M1118 ankle
Familial
chondrocalcinosis,
vertebrae
661
661
M1119
Familial chondrocalcinosis, multiple sites
661
M1120
Other chondrocalcinosis, unspecified site
661
M11211 Other chondrocalcinosis, right shoulder
661
M11212 Other chondrocalcinosis, left shoulder
661
M11219 Other chondrocalcinosis, unspecified

M11221 shoulder
Other chondrocalcinosis, right elbow
661
661
M11222 Other chondrocalcinosis, left elbow
661
M11229 Other chondrocalcinosis, unspecified

M11231 elbow
Other chondrocalcinosis, right wrist
661
661
M11232 Other chondrocalcinosis, left wrist
661
M11239 Other chondrocalcinosis, unspecified wrist
661
M11241 Other chondrocalcinosis, right hand
661
M11242 Other chondrocalcinosis, left hand
661
M11249 Other chondrocalcinosis, unspecified hand
661
M11251 Other chondrocalcinosis, right hip
661
M11252 Other chondrocalcinosis, left hip
661
M11259 Other chondrocalcinosis, unspecified hip
661
M11261 Other chondrocalcinosis, right knee
661
M11262 Other chondrocalcinosis, left knee
661
Page 2323 of 6734

M11269 Other chondrocalcinosis, unspecified knee
661
M11271 Other chondrocalcinosis, right ankle and

M11272 foot
Other chondrocalcinosis, left ankle and
M11279 foot
Other chondrocalcinosis, unspecified ankle
661
661
661
M1128
and
foot
Other
chondrocalcinosis, vertebrae
661
M1129
Other chondrocalcinosis, multiple sites
661
Other specified crystal arthropathies,

site crystal arthropathies, right
M11811 unspecified
Other specified
M11812 shoulder
Other specified crystal arthropathies, left
661
661
661
M11819 shoulder
shoulder
M11821 unspecified
Other specified
crystal arthropathies, right
M11822 elbow
661
661
661
M11829 elbow
elbow
M11831 unspecified
Other specified
M11832 wrist
661
661
661
M11839 wrist
wrist
M11841 unspecified
Other specified
hand
M11842 Other specified crystal arthropathies, left
661
661
661
M11849 hand
hand
M11851 unspecified
Other specified
hip
661
661
661
M11859 hip
hip crystal arthropathies, right
M11861 unspecified
Other specified
M11862 knee
M11869 knee
661
661
661
661
knee
M11871 unspecified
Other specified
ankle
and
foot
and foot
M11879 ankle
Oth crystal
arthropathies, unspecified
661
661
661
661
M1180
M1188
ankle
foot crystal arthropathies,
Other and
specified
vertebrae
Page 2324 of 6734

M1189
661
661
Chronic postrheumatic arthropathy,

site
M12011 unspecified
Chronic postrheumatic
arthropathy
[Jaccoud],
right
shoulder
M12012 Chronic postrheumatic arthropathy
661
661
661
left shoulder arthropathy,

M12019 [Jaccoud],
shoulder arthropathy
M12021 unspecified
right elbow arthropathy
M12022 [Jaccoud],
661
661
661
left elbow arthropathy,

M12029 [Jaccoud],
elbow
M12031 unspecified
arthropathy
[Jaccoud],
right
wrist
661
661
661
left wrist
M12039 [Jaccoud],
arthropathy,
unspecified
wrist
right hand arthropathy
M12042 [Jaccoud],
661
661
661
left hand
M12049 [Jaccoud],
arthropathy,
unspecified
hand
right hip
M12052 [Jaccoud],
arthropathy
661
661
661
left hip
M12059 [Jaccoud],
arthropathy
unspecified hip
M12061 [Jaccoud],
arthropathy
[Jaccoud],
right
knee
661
661
661
left knee
M12069 [Jaccoud],
arthropathy,
unspecified
knee
M12071 Chronic postrheumatic arthropathy, right
and
foot
M12072 ankle
Chronic
postrheumatic
arthropathy, left
661
661
661
and
foot
M12079 ankle
Chronic
postrheumatic
arthropathy, unsp
ankle
and
foot
M1208 Chronic postrheumatic arthropathy, other
site
M1209 specified
arthropathy
661
661
661
661
M12111 Kaschin-Beck disease, right shoulder
661
M12112 Kaschin-Beck disease, left shoulder
661
M119

multiple
sites
Crystal arthropathy,
unspecified
M1200
M1210
[Jaccoud],
multiple
sites
Kaschin-Beck
disease,
unspecified site
Page 2325 of 6734

M12119 Kaschin-Beck disease, unspecified
M12121 shoulder
Kaschin-Beck disease, right elbow
661
661
M12122 Kaschin-Beck disease, left elbow
661
M12129 Kaschin-Beck disease, unspecified elbow
661
M12131 Kaschin-Beck disease, right wrist
661
M12132 Kaschin-Beck disease, left wrist
661
M12139 Kaschin-Beck disease, unspecified wrist
661
M12141 Kaschin-Beck disease, right hand
661
M12142 Kaschin-Beck disease, left hand
661
M12149 Kaschin-Beck disease, unspecified hand
661
M12151 Kaschin-Beck disease, right hip
661
M12152 Kaschin-Beck disease, left hip
661
M12159 Kaschin-Beck disease, unspecified hip
661
M12161 Kaschin-Beck disease, right knee
661
M12162 Kaschin-Beck disease, left knee
661
M12169 Kaschin-Beck disease, unspecified knee
661
M12171 Kaschin-Beck disease, right ankle and foot
661
M12172 Kaschin-Beck disease, left ankle and foot
661
M12179 Kaschin-Beck disease, unspecified ankle

foot
M1218 and
Kaschin-Beck
disease, vertebrae
661
661
661
Villonodular synovitis (pigmented),

M12211 unspecified
Villonodular site
synovitis (pigmented), right
shoulder
M12212 Villonodular synovitis (pigmented), left
661
661
661
M12219 shoulder
M12221 unspecified
Villonodular shoulder
elbow
661
661
661
M12229 elbow
M12231 unspecified
Villonodular elbow
wrist
661
661
M1219
Kaschin-Beck disease, multiple sites
M1220
Page 2326 of 6734

M12239 wrist
M12241 unspecified
Villonodular wrist
M12242 hand
Villonodular synovitis (pigmented), left
661
661
661
661
M12249 hand
M12251 unspecified
Villonodular hand
hip
M12252 Villonodular synovitis (pigmented), left hip
661
661
661
M12259 Villonodular synovitis (pigmented),

M12261 unspecified
Villonodular hip
knee
661
661
661
M12269 knee
M12271 unspecified
Villonodular knee
ankle
and
foot
661
661
661
and foot
M12279 ankle
Villonodular
synovitis (pigmented), unsp
and foot
M1228 ankle
Villonodular
synovitis (pigmented), other
specified
site
M1229 Villonodular synovitis (pigmented),
661
661
661
multiple
sites
Palindromic
rheumatism, unspecified site
661
M12311 Palindromic rheumatism, right shoulder
661
M12312 Palindromic rheumatism, left shoulder
661
M12319 Palindromic rheumatism, unspecified

M12321 shoulder
Palindromic rheumatism, right elbow
661
661
M12322 Palindromic rheumatism, left elbow
661
M12329 Palindromic rheumatism, unspecified

M12331 elbow
Palindromic rheumatism, right wrist
661
661
M12332 Palindromic rheumatism, left wrist
661
M12339 Palindromic rheumatism, unspecified wrist
661
M12341 Palindromic rheumatism, right hand
661
M12342 Palindromic rheumatism, left hand
661
M12349 Palindromic rheumatism, unspecified hand
661
M1230
Page 2327 of 6734

M12351 Palindromic rheumatism, right hip
661
M12352 Palindromic rheumatism, left hip
661
M12359 Palindromic rheumatism, unspecified hip
661
M12361 Palindromic rheumatism, right knee
661
M12362 Palindromic rheumatism, left knee
661
M12369 Palindromic rheumatism, unspecified knee
661
M12371 Palindromic rheumatism, right ankle and

M12372 foot
Palindromic rheumatism, left ankle and
M12379 foot
Palindromic rheumatism, unspecified ankle
661
661
661
661
M1239
and
foot
Palindromic
rheumatism, other specified
site
Palindromic rheumatism, multiple sites
661
M1240
Intermittent hydrarthrosis, unspecified site
661
M12411 Intermittent hydrarthrosis, right shoulder
661
M12412 Intermittent hydrarthrosis, left shoulder
661
M12419 Intermittent hydrarthrosis, unspecified

M12421 shoulder
Intermittent hydrarthrosis, right elbow
661
661
M12422 Intermittent hydrarthrosis, left elbow
661

M12431 elbow
Intermittent hydrarthrosis, right wrist
661
661
M12432 Intermittent hydrarthrosis, left wrist
661

M12441 wrist
Intermittent hydrarthrosis, right hand
661
661
M12442 Intermittent hydrarthrosis, left hand
661

M12451 hand
Intermittent hydrarthrosis, right hip
661
661
M12452 Intermittent hydrarthrosis, left hip
661
M12459 Intermittent hydrarthrosis, unspecified hip
661
M12461 Intermittent hydrarthrosis, right knee
661
M12462 Intermittent hydrarthrosis, left knee
661
M1238
Page 2328 of 6734

M12471 knee
Intermittent hydrarthrosis, right ankle and
M12472 foot
Intermittent hydrarthrosis, left ankle and
661
661
661
M12479 foot
Intermittent hydrarthrosis, unspecified
and foot
M1248 ankle
Intermittent
hydrarthrosis, other site
661
661
M1249
Intermittent hydrarthrosis, multiple sites
661
M1250
Traumatic arthropathy, unspecified site
661
M12511 Traumatic arthropathy, right shoulder
661
M12512 Traumatic arthropathy, left shoulder
661
M12519 Traumatic arthropathy, unspecified

M12521 shoulder
Traumatic arthropathy, right elbow
661
661
M12522 Traumatic arthropathy, left elbow
661
M12529 Traumatic arthropathy, unspecified elbow
661
M12531 Traumatic arthropathy, right wrist
661
M12532 Traumatic arthropathy, left wrist
661
M12539 Traumatic arthropathy, unspecified wrist
661
M12541 Traumatic arthropathy, right hand
661
M12542 Traumatic arthropathy, left hand
661
M12549 Traumatic arthropathy, unspecified hand
661
M12551 Traumatic arthropathy, right hip
661
M12552 Traumatic arthropathy, left hip
661
M12559 Traumatic arthropathy, unspecified hip
661
M12561 Traumatic arthropathy, right knee
661
M12562 Traumatic arthropathy, left knee
661
M12569 Traumatic arthropathy, unspecified knee
661
M12571 Traumatic arthropathy, right ankle and

M12572 foot
Traumatic arthropathy, left ankle and foot
661
661
M12579 Traumatic arthropathy, unspecified ankle

foot arthropathy, other specified site
M1258 and
Traumatic
661
661
Page 2329 of 6734

M1259
Traumatic arthropathy, multiple sites
661
M1280
Oth specific arthropathies, NEC, unsp site
661
M12811 Oth specific arthropathies, NEC, right

M12812 shoulder
Oth specific arthropathies, NEC, left
M12819 shoulder
Oth specific arthropathies, NEC, unsp
M12821 shoulder
Oth specific arthropathies, NEC, right
661
661
661
661
M12822 elbow
Oth specific arthropathies, NEC, left elbow
661
M12829 Oth specific arthropathies, NEC, unsp

M12831 elbow
Oth specific arthropathies, NEC, right wrist
661
661
M12832 Oth specific arthropathies, NEC, left wrist
661
M12839 Oth specific arthropathies, NEC, unsp wrist
661
M12841 Oth specific arthropathies, NEC, right hand
661
M12842 Oth specific arthropathies, NEC, left hand
661
M12849 Oth specific arthropathies, NEC, unsp hand
661
M12851 Oth specific arthropathies, NEC, right hip
661
M12852 Oth specific arthropathies, NEC, left hip
661
M12859 Oth specific arthropathies, NEC, unsp hip
661
M12861 Oth specific arthropathies, NEC, right knee
661
M12862 Oth specific arthropathies, NEC, left knee
661
M12869 Oth specific arthropathies, NEC, unsp knee
661
M12871 Oth specific arthropathies, NEC, right

and foot
M12872 ankle
Oth specific
arthropathies, NEC, left ankle
foot
M12879 and
Oth specific
arthropathies, NEC, unsp
661
661
661
M1288
ankle
and foot
Oth specific
arthropathies, NEC, oth site
661
M1289
661
M129
Oth specific arthropathies, NEC, multiple

sites
Arthropathy, unspecified
661
M130
Polyarthritis, unspecified
661
661
661
M1310
Monoarthritis, not elsewhere classified,

site
M13111 unspecified
Monoarthritis,
not elsewhere classified,
right shoulder
Page 2330 of 6734

M13112 Monoarthritis, not elsewhere classified, left
M13119 shoulder
shoulder not elsewhere classified,
M13121 unsp
Monoarthritis,
elbow
M13122 right
Monoarthritis,
not elsewhere classified, left
elbow
M13129 Monoarthritis, not elsewhere classified,
661
661
661
661
661
elbow
M13131 unspecified
Monoarthritis,
right
wrist
M13139 wrist
661
661
661
wrist
M13141 unspecified
Monoarthritis,
right
hand
M13149 hand
661
661
661
hand
M13151 unspecified
Monoarthritis,
right
hip
M13159 hip
661
661
661
hipnot elsewhere classified,

M13161 unspecified
Monoarthritis,
knee
M13162 right
Monoarthritis,
knee
M13169 Monoarthritis, not elsewhere classified,
661
661
661
knee
M13171 unspecified
Monoarthritis,
NEC, right ankle and foot
661

and foot not elsewhere classified,
M13179 ankle
Monoarthritis,
and arthritis,
foot
M1380 unsp
Otherankle
specified
unspecified site
661
661
661
M13811 Other specified arthritis, right shoulder
661
M13812 Other specified arthritis, left shoulder
661
M13819 Other specified arthritis, unspecified

M13821 shoulder
Other specified arthritis, right elbow
661
661
M13822 Other specified arthritis, left elbow
661
M13829 Other specified arthritis, unspecified elbow
661
M13831 Other specified arthritis, right wrist
661
M13832 Other specified arthritis, left wrist
661
Page 2331 of 6734

M13839 Other specified arthritis, unspecified wrist
661
M13841 Other specified arthritis, right hand
661
M13842 Other specified arthritis, left hand
661
M13849 Other specified arthritis, unspecified hand
661
M13851 Other specified arthritis, right hip
661
M13852 Other specified arthritis, left hip
661
M13859 Other specified arthritis, unspecified hip
661
M13861 Other specified arthritis, right knee
661
M13862 Other specified arthritis, left knee
661
M13869 Other specified arthritis, unspecified knee
661
M13871 Other specified arthritis, right ankle and

M13872 foot
Other specified arthritis, left ankle and
M13879 foot
Other specified arthritis, unspecified ankle
foot
M1388 and
Other
specified arthritis, other site
661
661
661
661
M1389
Other specified arthritis, multiple sites
661
M1460
Charcot's joint, unspecified site
661
M14611 Charcot's joint, right shoulder
661
M14612 Charcot's joint, left shoulder
661
M14619 Charcot's joint, unspecified shoulder
661
M14621 Charcot's joint, right elbow
661
M14622 Charcot's joint, left elbow
661
M14629 Charcot's joint, unspecified elbow
661
M14631 Charcot's joint, right wrist
661
M14632 Charcot's joint, left wrist
661
M14639 Charcot's joint, unspecified wrist
661
M14641 Charcot's joint, right hand
661
M14642 Charcot's joint, left hand
661
M14649 Charcot's joint, unspecified hand
661
M14651 Charcot's joint, right hip
661
Page 2332 of 6734

M14652 Charcot's joint, left hip
661
M14659 Charcot's joint, unspecified hip
661
M14661 Charcot's joint, right knee
661
M14662 Charcot's joint, left knee
661
M14669 Charcot's joint, unspecified knee
661
M14671 Charcot's joint, right ankle and foot
661
M14672 Charcot's joint, left ankle and foot
661
M14679 Charcot's joint, unspecified ankle and foot
661
M1468
Charcot's joint, vertebrae
661
M1469
Charcot's joint, multiple sites
661
Arthropathies in oth diseases classd

unsp site
M14811 elswhr,
Arthropathies
elswhr,
right
shoulder
M14812 Arthropathies in oth diseases classd
661
661
661
left shoulder
M14819 elswhr,
Arthropathies
unsp shoulder
M14821 elswhr,
Arthropathies
elswhr,
right
elbow
661
661
661
left elbow
M14829 elswhr,
Arthropathies
elswhr,
unsp
elbow
right wrist
M14832 elswhr,
Arthropathies
661
661
661
left wrist
M14839 elswhr,
Arthropathies
elswhr,
unsp
wrist
right hand
M14842 elswhr,
Arthropathies
661
661
661
left hand
M14849 elswhr,
Arthropathies
elswhr,
unsp
hand
right hip
M14852 elswhr,
Arthropathies
in oth diseases classified
661
661
661
leftinhip
M14859 elsewhere,
Arthropathies
oth diseases classified
elsewhere,
unsp
hip diseases classd
M14861 Arthropathies in oth
right knee
M14862 elswhr,
Arthropathies
661
661
661
left knee
M14869 elswhr,
Arthropathies
elswhr, unsp knee
661
M1480
Page 2333 of 6734

right ank/ft
M14872 elswhr,
Arthropathies
elswhr,
left
ank/ft
661
661
661
661
661
M150
elswhr,
unsp ank/ft
Arthropathies
elswhr,
vertebrae
Arthropathies in oth diseases classd
elswhr,
sites(osteo)arthritis
Primary multiple
generalized
661
M151
Heberden's nodes (with arthropathy)
661
M152
Bouchard's nodes (with arthropathy)
661
M153
Secondary multiple arthritis
661
M154
Erosive (osteo)arthritis
661
M158
Other polyosteoarthritis
661
M159
Polyosteoarthritis, unspecified
661
M160
Bilateral primary osteoarthritis of hip
661
661
M1611
Unilateral primary osteoarthritis,

unspecified
hip
Unilateral primary
osteoarthritis, right hip
661
M1612
Unilateral primary osteoarthritis, left hip
661
M162
Bilateral osteoarthritis resulting from hip

dysplasia
Unilateral osteoarth resulting from hip
661
661
dysplasia,
unsp hip resulting from hip
Unilateral osteoarth
dysplasia,
right hip resulting from hip
Unilateral osteoarth
dysplasia,
left hip
Bilateral post-traumatic
osteoarthritis of
661
661
661
hip
Unilateral post-traumatic osteoarthritis,
unspecified
hip
Unilateral post-traumatic
osteoarthritis,
right
hip
661
661
661
661
M167
left
hipbilateral secondary osteoarthritis of
Other
hip
Other unilateral secondary osteoarthritis
661
M169
of
hip
Osteoarthritis
of hip, unspecified
661
M170
Bilateral primary osteoarthritis of knee
661
Unilateral primary osteoarthritis,

unspecified knee
661
M1488
M1489
M1610
M1630
M1631
M1632
M164
M1650
M1651
M1652
M166
M1710
Page 2334 of 6734

M1711
Unilateral primary osteoarthritis, right

knee
Unilateral primary osteoarthritis, left knee
661
661
Bilateral post-traumatic osteoarthritis of

knee
661
661
unspecified
knee
Unilateral post-traumatic
osteoarthritis,
right
knee
left
knee
Other
bilateral secondary osteoarthritis of
661
661
661
knee
Other unilateral secondary osteoarthritis
of
knee
Osteoarthritis
of knee, unspecified
661
661
Bilateral primary osteoarth of first

carpometacarp
joints
Unil prim osteoarth
of first carpometacarp
661
661
joint,
unsp hand
Unil primary
osteoarth of first
carpometacarp
joint, r hand
Unil primary osteoarth
of first
661
661
carpometacarp
joint, l hand
Bi post-trauma osteoarth
of first
carpometacarp
Unil post-traumajoints
osteoarth of 1st
661
661
carpometacarp
handof 1st
Unil post-traumajt,unsp
osteoarth
carpometacarp
r hand of 1st
Unil post-traumajt,osteoarth
carpometacarp
jt,osteoarth
l hand
Oth bi secondary
of first
661
661
661
carpometacarp
joints of 1st
Oth unil sec osteoarth
carpometacarp
joint, unsp
hand
of first
661
661
carpometacarp
joint, r of
hand
first
carpometacarp
joint,
l
hand
Osteoarthritis of first carpometacarpal
661
661
unspecified
M19011 joint,
Primary
osteoarthritis, right shoulder
661
M19012 Primary osteoarthritis, left shoulder
661
M19019 Primary osteoarthritis, unspecified

M19021 shoulder
Primary osteoarthritis, right elbow
661
661
M19022 Primary osteoarthritis, left elbow
661
M19029 Primary osteoarthritis, unspecified elbow
661
M19031 Primary osteoarthritis, right wrist
661
M1712
M172
M1730
M1731
M1732
M174
M175
M179
M180
M1810
M1811
M1812
M182
M1830
M1831
M1832
M184
M1850
M1851
M1852
M189
Page 2335 of 6734

M19032 Primary osteoarthritis, left wrist
661
M19039 Primary osteoarthritis, unspecified wrist
661
M19041 Primary osteoarthritis, right hand
661
M19042 Primary osteoarthritis, left hand
661
M19049 Primary osteoarthritis, unspecified hand
661
M19071 Primary osteoarthritis, right ankle and foot
661
M19072 Primary osteoarthritis, left ankle and foot
661
M19079 Primary osteoarthritis, unspecified ankle

foot
M19111 and
Post-traumatic
osteoarthritis, right
661
661
M19112 shoulder
Post-traumatic osteoarthritis, left shoulder
661
M19119 Post-traumatic osteoarthritis, unspecified

M19121 shoulder
Post-traumatic osteoarthritis, right elbow
661
661
M19122 Post-traumatic osteoarthritis, left elbow
661

M19131 elbow
Post-traumatic osteoarthritis, right wrist
661
661
M19132 Post-traumatic osteoarthritis, left wrist
661

M19141 wrist
Post-traumatic osteoarthritis, right hand
661
661
M19142 Post-traumatic osteoarthritis, left hand
661

M19171 hand
Post-traumatic osteoarthritis, right ankle
foot
M19172 and
Post-traumatic
osteoarthritis, left ankle
661
661
661
foot
M19179 and
Post-traumatic
osteoarthritis, unspecified
ankle
and
foot
M19211 Secondary osteoarthritis, right shoulder
661
661
M19212 Secondary osteoarthritis, left shoulder
661
M19219 Secondary osteoarthritis, unspecified

M19221 shoulder
Secondary osteoarthritis, right elbow
661
661
M19222 Secondary osteoarthritis, left elbow
661
M19229 Secondary osteoarthritis, unspecified

elbow
661
Page 2336 of 6734

M19231 Secondary osteoarthritis, right wrist
661
M19232 Secondary osteoarthritis, left wrist
661
M19239 Secondary osteoarthritis, unspecified wrist
661
M19241 Secondary osteoarthritis, right hand
661
M19242 Secondary osteoarthritis, left hand
661
M19249 Secondary osteoarthritis, unspecified hand
661
M19271 Secondary osteoarthritis, right ankle and

M19272 foot
Secondary osteoarthritis, left ankle and
M19279 foot
Secondary osteoarthritis, unspecified
661
661
661
M1990
ankle
and foot
Unspecified
osteoarthritis, unspecified site
661
M1991
Primary osteoarthritis, unspecified site
661
M1992
Post-traumatic osteoarthritis, unspecified

site
Secondary osteoarthritis, unspecified site
661
661
M1A00X0 Idiopathic chronic gout, unspecified site,

tophus
M1A00X1 without
Idiopathic
chronic gout, unspecified site,
with
tophus
M1A0110 Idiopathic chronic gout, right shoulder,
661
661
661
tophus
M1A0111 without
Idiopathic
chronic gout, right shoulder,
with
tophus
(tophi)gout, left shoulder,
M1A0120 Idiopathic chronic
tophus
M1A0121 without
Idiopathic
chronic gout, left shoulder, with
661
661
661
(tophi)
M1A0190 tophus
Idiopathic
chronic gout, unsp shoulder,
without
tophus
M1A0191 Idiopathic chronic gout, unspecified
tophus
M1A0210 shoulder,
Idiopathic with
chronic
gout, right elbow,
661
661
661
tophus
(tophi)
M1A0211 without
Idiopathic
chronic
gout, right elbow, with
tophus
(tophi)
M1A0220 Idiopathic chronic gout, left elbow, without
(tophi)
M1A0221 tophus
Idiopathic
chronic gout, left elbow, with
661
661
661
(tophi)
M1A0290 tophus
Idiopathic
chronic gout, unspecified elbow,
without
tophus
M1A0291 Idiopathic chronic gout, unspecified elbow,
tophus
M1A0310 with
Idiopathic
chronic gout, right wrist, without
661
661
661
(tophi)
M1A0311 tophus
Idiopathic
chronic gout, right wrist, with
tophus (tophi)
661
M1993
Page 2337 of 6734

M1A0320 Idiopathic chronic gout, left wrist, without
(tophi)
M1A0321 tophus
Idiopathic
chronic gout, left wrist, with
tophus
(tophi)
M1A0390 Idiopathic chronic gout, unspecified wrist,
661
661
661
tophus
M1A0391 without
Idiopathic
chronic gout, unspecified wrist,
with
tophus
M1A0410 Idiopathic chronic gout, right hand,
tophus
(tophi)
M1A0411 without
Idiopathic
chronic
gout, right hand, with
661
661
661
(tophi)
M1A0420 tophus
Idiopathic
chronic gout, left hand, without
(tophi)
M1A0421 tophus
Idiopathic
chronic gout, left hand, with
tophus
(tophi)
M1A0490 Idiopathic chronic gout, unspecified hand,
661
661
661
tophus
M1A0491 without
Idiopathic
chronic gout, unspecified hand,
with
tophus
M1A0510 Idiopathic chronic gout, right hip, without
(tophi)
M1A0511 tophus
Idiopathic
chronic gout, right hip, with
661
661
661
(tophi)
M1A0520 tophus
Idiopathic
chronic gout, left hip, without
tophus
(tophi)
M1A0521 Idiopathic chronic gout, left hip, with
(tophi)
M1A0590 tophus
Idiopathic
chronic gout, unspecified hip,
661
661
661
tophus
M1A0591 without
Idiopathic
chronic gout, unspecified hip,
with
tophus
M1A0610 Idiopathic chronic gout, right knee, without
(tophi)
M1A0611 tophus
Idiopathic
chronic gout, right knee, with
661
661
661
(tophi)
M1A0620 tophus
Idiopathic
chronic gout, left knee, without
tophus
(tophi)
M1A0621 Idiopathic chronic gout, left knee, with
(tophi)
M1A0690 tophus
Idiopathic
chronic gout, unspecified knee,
661
661
661
tophus
M1A0691 without
Idiopathic
chronic gout, unspecified knee,
tophus
M1A0710 with
Idiopathic
chronic gout, right ankle and
foot,
w/o
tophus
M1A0711 Idiopathic chronic gout, right ankle and
661
661
661
with tophus
M1A0720 foot,
Idiopathic
chronic gout, left ankle and foot,
tophus
M1A0721 without
Idiopathic
chronic gout, left ankle and foot,
with
tophus
M1A0790 Idiopathic chronic gout, unsp ankle and
661
661
661
without
tophus
M1A0791 foot,
Idiopathic
chronic
gout, unsp ankle and
foot,
with
tophus
M1A08X0 Idiopathic chronic gout, vertebrae, without
tophus (tophi)
661
661
Page 2338 of 6734

M1A08X1 Idiopathic chronic gout, vertebrae, with
(tophi)
M1A09X0 tophus
Idiopathic
chronic gout, multiple sites,
without
tophus
M1A09X1 Idiopathic chronic gout, multiple sites, with
661
661
661
(tophi)chronic gout, unspecified

M1A10X0 tophus
Lead-induced
without tophus
M1A10X1 site,
Lead-induced
chronic gout, unspecified
site,
with
tophus
M1A1110 Lead-induced chronic gout, right shoulder,
854
TOXIC EFFECTS OF NON-MEDICINAL SUBS
854
854
tophuschronic gout, right shoulder,

M1A1111 without
Lead-induced
tophus chronic gout, left shoulder,
M1A1120 with
Lead-induced
tophuschronic gout, left shoulder,
M1A1121 without
Lead-induced
854
854
854
tophus chronic gout, unsp shoulder,

M1A1190 with
Lead-induced
tophuschronic gout, unspecified
M1A1191 without
Lead-induced
withchronic
tophus gout, right elbow,
M1A1210 shoulder,
Lead-induced
854
854
854
tophuschronic gout, right elbow,

M1A1211 without
Lead-induced
tophus (tophi)
M1A1220 with
Lead-induced
chronic gout, left elbow,
tophuschronic gout, left elbow, with
M1A1221 without
Lead-induced
854
854
854

M1A1290 tophus
Lead-induced
withoutchronic
tophusgout, unspecified
M1A1291 elbow,
Lead-induced
with tophus
M1A1310 elbow,
Lead-induced
chronic gout, right wrist,
854
854
854
tophuschronic gout, right wrist,

M1A1311 without
Lead-induced
tophus (tophi)
M1A1320 with
Lead-induced
chronic gout, left wrist,
without
tophus
M1A1321 Lead-induced chronic gout, left wrist, with
854
854
854

M1A1390 tophus
Lead-induced
without chronic
tophus gout, unspecified
M1A1391 wrist,
Lead-induced
with tophus
M1A1410 wrist,
Lead-induced
chronic gout, right hand,
854
854
854
tophuschronic gout, right hand,

M1A1411 without
Lead-induced
tophus (tophi)
M1A1420 with
Lead-induced
chronic gout, left hand,
without
tophus
(tophi)gout, left hand, with
M1A1421 Lead-induced chronic
854
854
854

M1A1490 tophus
Lead-induced
without chronic
M1A1491 hand,
Lead-induced
hand, with tophus
854
854
Page 2339 of 6734

M1A1510 Lead-induced chronic gout, right hip,
tophuschronic
(tophi)gout, right hip, with
M1A1511 without
Lead-induced
(tophi)chronic gout, left hip,
M1A1520 tophus
Lead-induced
854
854
854
tophuschronic
(tophi)gout, left hip, with
M1A1521 without
Lead-induced
M1A1590 tophus
Lead-induced
without tophus
M1A1591 hip,
Lead-induced
854
854
854
with tophus
M1A1610 hip,
Lead-induced
chronic gout, right knee,
tophuschronic gout, right knee,
M1A1611 without
Lead-induced
tophus (tophi)
M1A1620 with
Lead-induced
chronic gout, left knee,
854
854
854
tophuschronic
(tophi)gout, left knee, with
M1A1621 without
Lead-induced
M1A1690 tophus
Lead-induced
without chronic
M1A1691 knee,
Lead-induced
854
854
854
with tophus
M1A1710 knee,
Lead-induced
foot,
w/o
tophus
M1A1711 Lead-induced chronic gout, right ankle and
with tophus
M1A1720 foot,
Lead-induced
chronic gout, left ankle and
854
854
854
w/o tophus
M1A1721 foot,
Lead-induced
foot,
with
tophus
M1A1790 Lead-induced chronic gout, unsp ankle and
w/o tophus
M1A1791 foot,
Lead-induced
chronic gout, unsp ankle and
854
854
854
with tophus
M1A18X0 foot,
Lead-induced
chronic gout, vertebrae,
without
tophus
(tophi)gout, vertebrae, with
M1A18X1 Lead-induced chronic
(tophi)chronic gout, multiple sites,
M1A19X0 tophus
Lead-induced
854
854
854
tophuschronic gout, multiple sites,

M1A19X1 without
Lead-induced
tophus chronic gout, unspecified
M1A20X0 with
Drug-induced
without tophus
M1A20X1 site,
Drug-induced
854
661
661
with tophus
M1A2110 site,
Drug-induced
chronic gout, right shoulder,
tophuschronic gout, right shoulder,
M1A2111 without
Drug-induced
tophus chronic gout, left shoulder,
M1A2120 with
Drug-induced
661
661
661
tophuschronic gout, left shoulder,

M1A2121 without
Drug-induced
tophus chronic gout, unsp shoulder,
M1A2190 with
Drug-induced
without tophus
661
661
Page 2340 of 6734

M1A2191 Drug-induced chronic gout, unspecified
withchronic
tophus gout, right elbow,
M1A2210 shoulder,
Drug-induced
tophuschronic gout, right elbow,
M1A2211 without
Drug-induced
661
661
661
tophus (tophi)
M1A2220 with
Drug-induced
chronic gout, left elbow,
without
tophus
M1A2221 Drug-induced chronic gout, left elbow,
tophus (tophi)
M1A2290 with
Drug-induced
661
661
661
withoutchronic
tophusgout, unspecified
M1A2291 elbow,
Drug-induced
with tophus
M1A2310 elbow,
Drug-induced
without
tophus
M1A2311 Drug-induced chronic gout, right wrist,
661
661
661
tophus (tophi)
M1A2320 with
Drug-induced
chronic gout, left wrist,
without
tophus
M1A2321 Drug-induced chronic gout, left wrist, with
(tophi) chronic gout, unspecified
M1A2390 tophus
Drug-induced
661
661
661
without chronic
M1A2391 wrist,
Drug-induced
with tophus
M1A2410 wrist,
Drug-induced
chronic gout, right hand,
M1A2411 without
Drug-induced
661
661
661
tophus (tophi)
M1A2420 with
Drug-induced
chronic gout, left hand,
without
tophus
(tophi)gout, left hand, with
M1A2421 Drug-induced chronic
M1A2490 tophus
Drug-induced
661
661
661
without chronic
M1A2491 hand,
Drug-induced
with tophus
M1A2510 hand,
Drug-induced
chronic gout, right hip,
without
tophus
(tophi)gout, right hip, with
661
661
661
(tophi) chronic gout, left hip,

M1A2520 tophus
Drug-induced
tophuschronic
(tophi)gout, left hip, with
M1A2521 without
Drug-induced
M1A2590 tophus
Drug-induced
661
661
661
without tophus
M1A2591 hip,
Drug-induced
with tophus
M1A2610 hip,
Drug-induced
chronic gout, right knee,
without
tophus
M1A2611 Drug-induced chronic gout, right knee,
661
661
661
tophus (tophi)
M1A2620 with
Drug-induced
chronic gout, left knee,
without
tophus
(tophi)gout, left knee, with
tophus (tophi)
661
661
Page 2341 of 6734

M1A2690 Drug-induced chronic gout, unspecified
without chronic
M1A2691 knee,
Drug-induced
with tophus
M1A2710 knee,
Drug-induced
661
661
661
w/o tophus
M1A2711 foot,
Drug-induced
foot,
with
tophus
M1A2720 Drug-induced chronic gout, left ankle and
w/o tophus
M1A2721 foot,
Drug-induced
661
661
661
with tophus
M1A2790 foot,
Drug-induced
chronic gout, unsp ankle
foot, w/o tophus
M1A2791 and
Drug-induced
and
foot,
with
tophus gout, vertebrae,
M1A28X0 Drug-induced chronic
661
661
661
tophuschronic
(tophi)gout, vertebrae,
M1A28X1 without
Drug-induced
tophus (tophi)
M1A29X0 with
Drug-induced
chronic gout, multiple sites,
tophuschronic gout, multiple sites,
M1A29X1 without
Drug-induced
661
661
661
tophus
M1A30X0 with
Chronic
gout due to renal impairment,
unsp
site,
w/odue
tophus
M1A30X1 Chronic gout
to renal impairment,
site,
with
tophus
M1A3110 unsp
Chronic
gout
due
to renal impairment, r
shoulder,
w/o
toph
M1A3111 Chronic gout due to renal impairment,
661
661
661
661
shoulder,
w toph
M1A3120 right
Chronic
gout due
to renal impairment, l
shoulder,
w/o
toph
M1A3121 Chronic gout due to renal impairment, left
w toph
M1A3190 shoulder,
Chronic gout
due to renal impairment,
661
661
661
shldr,
w/o
toph
M1A3191 unsp
Chronic
gout
due
unsp
shoulder,
w
toph
elbow,
M1A3211 right
Chronic
goutw/o
duetoph
661
661
661
elbow,
tophus
M1A3220 right
Chronic
goutwdue
to renal impairment, left
elbow,
w/o
tophus
tophus
M1A3290 elbow,
Chronicwgout
661
661
661
elbow,
M1A3291 unsp
Chronic
goutw/o
duetophus
unsp
elbow,
w
tophus
wrist,
w/o
toph
M1A3311 right
Chronic
gout
due
661
661
661
wrist,
w due
tophus
M1A3320 right
Chronic
gout
wrist, w/o tophus
661
Page 2342 of 6734

w gout
tophus
M1A3390 wrist,
Chronic
unsp
wrist,
w/o
tophus
M1A3391 Chronic gout due
wrist,
w due
tophus
M1A3410 unsp
Chronic
gout
661
661
661
661
hand,
w/o
tophus
M1A3411 right
Chronic
gout
due
right
hand,
w
tophus
w/o
tophus
M1A3421 hand,
Chronic
gout
due to renal impairment, left
661
661
661
with
tophus
M1A3490 hand,
Chronic
gout
unsp
hand,
w/o
tophus
unsp
hand,
with
tophus
661
661
661
hip,gout
w/o due
tophus
M1A3511 right
Chronic
hip,gout
withdue
tophus
M1A3520 right
Chronic
hip,
w/o
tophus
661
661
661
withgout
tophus
M1A3590 hip,
Chronic
hip,
w/odue
tophus
M1A3591 unsp
Chronic
gout
unsp
hip,
with
tophus
661
661
661
knee,
w/o
tophus
M1A3611 right
Chronic
gout
due
right
knee,
w
tophus
w/o
tophus
M1A3621 knee,
Chronic
gout
661
661
661
with
tophus
M1A3690 knee,
Chronic
gout
unsp
knee,
w/o
tophus
unsp
knee,
with
tophus
661
661
661
ank/ft,
M1A3711 right
Chronic
goutw/o
duetoph
right
ank/ft,
w
toph
toph
M1A3721 ank/ft,
Chronicw/o
gout
661
661
661
tophdue to renal impairment,

M1A3790 ank/ft,
Chronicwgout
ank/ft,
M1A3791 unsp
Chronic
goutw/o
duetoph
unsp
ank/ft,
w
toph
M1A38X0 Chronic gout due to renal impairment,
661
661
661
w/o
tophus
M1A38X1 vertebrae,
Chronic gout
due
vertebrae, with tophus
661
Page 2343 of 6734

M1A39X0 Chronic gout due to renal impairment,
sites,
w/o
toph
M1A39X1 mult
Chronic
gout
due
multiple
sites,
w
toph
M1A40X0 Other secondary chronic gout, unsp site,
661
661
661

M1A40X1 without
Other secondary
tophus chronic gout, right
M1A4110 site,
Otherwith
secondary
withoutchronic
tophus gout, right
M1A4111 shoulder,
Other secondary
with tophus
M1A4120 shoulder,
Other secondary
chronic gout, left
661
661
661
661
withoutchronic
tophus gout, left
M1A4121 shoulder,
Other secondary
with tophus
M1A4190 shoulder,
Other secondary
chronic gout, unsp
shoulder,
without
tophus gout, unsp
M1A4191 Other secondary chronic
661
661
661
with tophus
M1A4210 shoulder,
Other secondary
chronic gout, right elbow,
tophus chronic gout, right elbow,
M1A4211 without
Other secondary
M1A4220 with
Othertophus
secondary chronic gout, left elbow,
661
661
661
tophus chronic gout, left elbow,

M1A4221 without
Other secondary
M1A4290 with
Othertophus
secondary chronic gout, unsp elbow,
without
M1A4291 Other secondary
with tophus
M1A4310 elbow,
Other secondary
661
661
661
661
tophus chronic gout, right wrist,

M1A4311 without
Other secondary
M1A4320 with
Othertophus
secondary chronic gout, left wrist,
without
tophus chronic gout, left wrist,
M1A4390 with
Othertophus
secondary chronic gout, unsp wrist,
661
661
661
661

M1A4391 without
Other secondary
M1A4410 wrist,
Other with
secondary
tophus chronic gout, right hand,
M1A4411 without
Other secondary
661
661
661
M1A4420 with
Othertophus
secondary chronic gout, left hand,
tophus chronic gout, left hand,
M1A4421 without
Other secondary
(tophi)
M1A4490 with
Othertophus
secondary
chronic gout, unsp hand,
without
tophus
M1A4491 Other secondary chronic gout, unspecified
661
661
661
661
tophuschronic gout, right hip,

M1A4510 hand,
Other with
secondary
without tophus
661
Page 2344 of 6734

M1A4511 Other secondary chronic gout, right hip,
(tophi)
M1A4520 with
Othertophus
secondary
chronic gout, left hip,
without
tophus
M1A4521 Other secondary chronic gout, left hip,
661
661
661
(tophi)
M1A4590 with
Othertophus
secondary
chronic gout, unsp hip,
without
tophus
M1A4591 Other secondary chronic gout, unspecified
with
tophus chronic gout, right knee,
M1A4610 hip,
Other
secondary
661
661
661
tophus chronic gout, right knee,

M1A4611 without
Other secondary
M1A4620 with
Othertophus
secondary chronic gout, left knee,
without
tophus chronic gout, left knee,
(tophi)
M1A4690 with
Othertophus
secondary
chronic gout, unsp knee,
661
661
661
661

M1A4691 without
Other secondary
with tophus
M1A4710 knee,
Oth secondary
chronic gout, right ankle
and
foot,
w/o
tophus
M1A4711 Oth secondary chronic gout, right ankle
661
661
661
foot, w tophus
M1A4720 and
Oth secondary
w/o tophuschronic gout, left ankle and
M1A4721 foot,
Oth secondary
with tophus
M1A4790 foot,
Oth secondary
661
661
661
foot, w/o tophus

M1A4791 and
Oth secondary
and
foot,
with
tophus
M1A48X0 Other secondary chronic gout, vertebrae,
tophus chronic gout, vertebrae,
M1A48X1 without
Other secondary
661
661
661
(tophi)
M1A49X0 with
Othertophus
secondary
chronic gout, multiple
sites,
without
tophus
M1A49X1 Other secondary chronic gout, multiple
with
tophus
M1A9XX0 sites,
Chronic
gout,
unspecified, without tophus
661
661
661
M1A9XX1 (tophi)
Chronic gout, unspecified, with tophus
M20001 (tophi)
Unspecified deformity of right finger(s)
661
661
M20002 Unspecified deformity of left finger(s)
661
M20009 Unspecified deformity of unspecified

M20011 finger(s)
Mallet finger of right finger(s)
661
661
M20012 Mallet finger of left finger(s)
661
M20019 Mallet finger of unspecified finger(s)
661
Page 2345 of 6734

M20021 Boutonniere deformity of right finger(s)
661
M20022 Boutonniere deformity of left finger(s)
661
M20029 Boutonniere deformity of unspecified

M20031 finger(s)
Swan-neck deformity of right finger(s)
661
661
M20032 Swan-neck deformity of left finger(s)
661
M20039 Swan-neck deformity of unspecified

M20091 finger(s)
Other deformity of right finger(s)
661
661
M20092 Other deformity of left finger(s)
661
M20099 Other deformity of finger(s), unspecified

M2010 finger(s)
Hallux valgus (acquired), unspecified foot
661
661
M2011
Hallux valgus (acquired), right foot
661
M2012
Hallux valgus (acquired), left foot
661
M2020
Hallux rigidus, unspecified foot
661
M2021
Hallux rigidus, right foot
661
M2022
Hallux rigidus, left foot
661
M2030
Hallux varus (acquired), unspecified foot
661
M2031
Hallux varus (acquired), right foot
661
M2032
Hallux varus (acquired), left foot
661
M2040
661
M2041
Other hammer toe(s) (acquired),

unspecified
foottoe(s) (acquired), right foot
Other hammer
661
M2042
Other hammer toe(s) (acquired), left foot
661
661
661
661
661
unspecified
foot
Acquired deformities
of toe(s), unspecified,
right
foot
Acquired deformities of toe(s), unspecified,
left
footdeformity, not elsewhere classified,
Valgus
661
661
661
site not elsewhere classified,

M21021 unspecified
Valgus deformity,
right elbow
661
M205X1 Other deformities of toe(s) (acquired),

M205X2 right
Otherfoot
deformities of toe(s) (acquired), left
foot
M205X9 Other deformities of toe(s) (acquired),
foot
M2060 unspecified
Acquired deformities
of toe(s), unsp,
M2061
M2062
M2100
Page 2346 of 6734

M21022 Valgus deformity, not elsewhere classified,
elbow
M21029 left
Valgus
deformity, not elsewhere classified,
unsp
elbow
hip
M21052 right
Valgus
661
661
661
661
hip deformity, not elsewhere classified,

M21059 left
Valgus
hip not elsewhere classified,
M21061 unspecified
Valgus deformity,
knee
M21062 right
Valgus
knee
M21069 left
Valgus
661
661
661
661
knee not elsewhere classified,

M21071 unspecified
Valgus deformity,
ankle
M21072 right
Valgus
left
ankle
M2110 unsp
Varusankle
661
661
661
661
site not elsewhere classified,

M21121 unspecified
Varus deformity,
M21122 right
Varuselbow
elbow
M21129 left
Varus
unspecified
elbownot elsewhere classified,
M21151 Varus deformity,
661
661
661
661
M21152 right
Varuship
left
hip
M21159 Varus deformity, not elsewhere classified,
M21161 unspecified
Varus deformity, not elsewhere classified,
M21162 right
Varusknee
661
661
661
661
knee
M21169 left
Varus
unspecified
knee not elsewhere classified,
M21171 Varus deformity,
M21172 right
Varusankle
661
661
661
ankle
M21179 left
Varus
unspecified
ankle unspecified site
M2120 Flexion deformity,
661
661
M21211 Flexion deformity, right shoulder
661
M21212 Flexion deformity, left shoulder
661
M21219 Flexion deformity, unspecified shoulder
661
M21221 Flexion deformity, right elbow
661
Page 2347 of 6734

M21222 Flexion deformity, left elbow
661
M21229 Flexion deformity, unspecified elbow
661
M21231 Flexion deformity, right wrist
661
M21232 Flexion deformity, left wrist
661
M21239 Flexion deformity, unspecified wrist
661
M21241 Flexion deformity, right finger joints
661
M21242 Flexion deformity, left finger joints
661
M21249 Flexion deformity, unspecified finger joints
661
M21251 Flexion deformity, right hip
661
M21252 Flexion deformity, left hip
661
M21259 Flexion deformity, unspecified hip
661
M21261 Flexion deformity, right knee
661
M21262 Flexion deformity, left knee
661
M21269 Flexion deformity, unspecified knee
661
M21271 Flexion deformity, right ankle and toes
661
M21272 Flexion deformity, left ankle and toes
661
M21279 Flexion deformity, unspecified ankle and

M21331 toes
Wrist drop, right wrist
661
527
M21332 Wrist drop, left wrist
527
M21339 Wrist drop, unspecified wrist
527
M21371 Foot drop, right foot
661
M21372 Foot drop, left foot
661
M21379 Foot drop, unspecified foot
661
661
M2141
Flat foot [pes planus] (acquired),

unspecified
foot
Flat foot [pes
planus] (acquired), right foot
661
M2142
Flat foot [pes planus] (acquired), left foot
661
M21511 Acquired clawhand, right hand
527
M21512 Acquired clawhand, left hand
527
M21519 Acquired clawhand, unspecified hand
527
M2140
Page 2348 of 6734

M21521 Acquired clubhand, right hand
527
M21522 Acquired clubhand, left hand
527
M21529 Acquired clubhand, unspecified hand
527
M21531 Acquired clawfoot, right foot
527
M21532 Acquired clawfoot, left foot
527
M21539 Acquired clawfoot, unspecified foot
527
M21541 Acquired clubfoot, right foot
661
M21542 Acquired clubfoot, left foot
661
M21549 Acquired clubfoot, unspecified foot
661
M216X1 Other acquired deformities of right foot
661
M216X2 Other acquired deformities of left foot
661
M216X9 Other acquired deformities of unspecified

M2170 foot
Unequal limb length (acquired),
661
661
site
M21721 unspecified
Unequal limb
length (acquired), right
M21722 humerus
Unequal limb length (acquired), left
M21729 humerus
Unequal limb length (acquired),
661
661
661
humerus
M21731 unspecified
Unequal limb
length (acquired), right ulna
661
M21732 Unequal limb length (acquired), left ulna
661
M21733 Unequal limb length (acquired), right

M21734 radius
Unequal limb length (acquired), left radius
661
661
M21739 Unequal limb length (acquired),

ulna
and (acquired),
radius
M21751 unspecified
Unequal limb
length
right
M21752 femur
Unequal limb length (acquired), left femur
661
661
661

femur
M21761 unspecified
Unequal limb
length (acquired), right tibia
661
661
M21762 Unequal limb length (acquired), left tibia
661
M21763 Unequal limb length (acquired), right

M21764 fibula
Unequal limb length (acquired), left fibula
661
661

unspecified tibia and fibula
661
Page 2349 of 6734

M2180
Other specified acquired deformities of

limbacquired deformities of
M21821 unspecified
Other specified
arm acquired deformities of left
M21822 right
Otherupper
specified
arm
M21829 upper
Oth acquired
deformities of unspecified
661
661
661
661
arm
M21831 upper
Other specified
acquired deformities of
right
forearm
M21832 Other specified acquired deformities of left
M21839 forearm
Other specified acquired deformities of
forearm
M21851 unspecified
Other specified
661
661
661
661
M21852 right
Otherthigh
specified acquired deformities of left
thigh
M21859 Other specified acquired deformities of
thigh
M21861 unspecified
Other specified
leg acquired deformities of left
M21862 right
Otherlower
specified
leg
M21869 lower
Oth acquired
deformities of unspecified
661
661
661
661
661
leg
M2190 lower
Unspecified
acquired deformity of
M21921 unspecified
Unspecified limb
acquired deformity of right
upper
arm
M21922 Unspecified acquired deformity of left
arm acquired deformity of
M21929 upper
Unspecified
661
661
661
661
armdeformity of right
M21931 unspecified
Unspecified upper
acquired
M21932 forearm
Unspecified acquired deformity of left
M21939 forearm
Unspecified acquired deformity of
661
661
661
M21941 unspecified
Unspecified forearm
acquired deformity of hand,
right
hand
M21942 Unspecified acquired deformity of hand,
hand
M21949 left
Unspecified
acquired deformity of hand,
unspecified
hand
M21951 Unspecified acquired deformity of right
661
661
661
661
M21952 thigh
Unspecified acquired deformity of left
M21959 thigh
Unspecified acquired deformity of
M21961 unspecified
Unspecified thigh
acquired deformity of right
lower
leg
M21962 Unspecified acquired deformity of left
661
661
661
661
leg
M21969 lower
Unspecified
acquired deformity of
unspecified lower leg
661
Page 2350 of 6734

M2200
652
FRACTURES & DISLOCATIONS EXCEPT FEMU
M2201
Recurrent dislocation of patella,

unspecified
knee
Recurrent dislocation
of patella, right knee
652
M2202
Recurrent dislocation of patella, left knee
652
M2210
Recurrent subluxation of patella,

unspecified
knee
Recurrent subluxation
of patella, right
knee
Recurrent subluxation of patella, left knee
652
652
652
M222X1 Patellofemoral disorders, right knee
652
M222X2 Patellofemoral disorders, left knee
652
M222X9 Patellofemoral disorders, unspecified knee
652
M223X1 Other derangements of patella, right knee
652
M223X2 Other derangements of patella, left knee
652
M223X9 Other derangements of patella,

kneepatellae, unspecified
M2240 unspecified
Chondromalacia
652
M2211
M2212
652
M2241
knee
Chondromalacia patellae, right knee
652
M2242
Chondromalacia patellae, left knee
652
M228X1 Other disorders of patella, right knee
652
M228X2 Other disorders of patella, left knee
652
M228X9 Other disorders of patella, unspecified

M2290 knee
Unspecified disorder of patella,
652
652
M2291
unspecified
Unspecified knee
disorder of patella, right knee
652
M2292
Unspecified disorder of patella, left knee
652
M23000 Cystic meniscus, unspecified lateral

right knee
M23001 meniscus,
Cystic meniscus,
unspecified lateral
meniscus,
left
knee
M23002 Cystic meniscus, unsp lateral meniscus,
652
652
652
knee unspecified medial

M23003 unspecified
Cystic meniscus,
right knee
M23004 meniscus,
Cystic meniscus,
unspecified medial
meniscus,
left
knee
M23005 Cystic meniscus, unsp medial meniscus,
652
652
652
knee unspecified meniscus,

M23006 unspecified
Cystic meniscus,
M23007 right
Cysticknee
meniscus, unspecified meniscus,
left knee
652
652
Page 2351 of 6734

M23009 Cystic meniscus, unspecified meniscus,
knee anterior horn of medial
M23011 unspecified
Cystic meniscus,
652
652
r knee anterior horn of medial

M23012 meniscus,
Cystic meniscus,
left knee
M23019 meniscus,
Cystic meniscus,
anterior horn of medial
meniscus,
unsp
knee
M23021 Cystic meniscus, posterior horn of medial
652
652
652
r knee posterior horn of medial

M23022 meniscus,
Cystic meniscus,
l knee post horn of medial
M23029 meniscus,
Cystic meniscus,
unsp knee
M23031 meniscus,
Cystic meniscus,
other medial meniscus,
652
652
652
M23032 right
Cysticknee
meniscus, other medial meniscus,
left
knee
M23039 Cystic meniscus, other medial meniscus,
knee anterior horn of lat
M23041 unspecified
Cystic meniscus,
652
652
652
right kneeanterior horn of lat

M23042 mensc,
Cystic meniscus,
left knee anterior horn of lat
M23049 mensc,
Cystic meniscus,
unsp kneeposterior horn of lat
M23051 mensc,
Cystic meniscus,
652
652
652
right kneeposterior horn of lat

M23052 mensc,
Cystic meniscus,
left knee posterior horn of lat
M23059 mensc,
Cystic meniscus,
unsp kneeother lateral meniscus,
M23061 mensc,
Cystic meniscus,
652
652
652
M23062 right
Cysticknee
meniscus, other lateral meniscus,
knee
M23069 left
Cystic
meniscus, other lateral meniscus,
unspecified
kneelat mensc due to old
M23200 Derang of unsp
652
652
652
right knee
M23201 tear/inj,
Derangement
of unsp lat mensc due to old
tear/inj,
left
knee
M23202 Derangement of unsp lat mensc due to old
unsp
knee
M23203 tear/inj,
Derang of
unsp
medial meniscus due to
652
652
652
tear/inj,
r knee
M23204 old
Derang
of unsp
medial meniscus due to
old
tear/inj,
l
knee
M23205 Derang of unsp medial mensc due to old
unsp knee
M23206 tear/inj,
Derangement
of unsp meniscus due to old
652
652
652
right knee
M23207 tear/inj,
Derangement
of unsp meniscus due to old
tear/inj,
left
knee
M23209 Derangement of unsp meniscus due to old
unsp
M23211 tear/inj,
Derang of
antknee
horn of medial mensc d/t
652
652
652
old tear/inj, r knee

Page 2352 of 6734

M23212 Derang of ant horn of medial mensc d/t
tear/inj,
l knee
M23219 old
Derang
of ant
horn of med mensc d/t old
tear/inj,
unsp
knee
M23221 Derang of post horn of medial mensc d/t
652
652
652
tear/inj,
r knee
M23222 old
Derang
of post
horn of medial mensc d/t
old
tear/inj,
l
knee
M23229 Derang of post horn of med mensc d/t old
unsp
kneemeniscus due to old
M23231 tear/inj,
Derang of
medial
652
652
652
right
kneemeniscus due to old
M23232 tear/inj,
Derang of
medial
left
knee meniscus due to old
M23239 tear/inj,
Derang of
medial
unsp
M23241 tear/inj,
Derang of
antknee
horn of lat mensc due to old
tear/inj,
r
knee
M23242 Derang of ant horn of lat mensc due to old
652
652
652
652
l knee
M23249 tear/inj,
Derang of
ant horn of lat mensc d/t old
unsp
M23251 tear/inj,
Derang of
postknee
horn of lat mensc due to
old
tear/inj,
r
knee
M23252 Derang of post horn of lat mensc due to
652
652
652
tear/inj,
l knee
M23259 old
Derang
of post
horn of lat mensc d/t old
unsp knee
M23261 tear/inj,
Derangement
of lat mensc due to old
tear/inj,
right
knee
M23262 Derangement of lat mensc due to old
652
652
652
left knee
M23269 tear/inj,
Derangement
of lat mensc due to old
tear/inj,
unsp
knee
M23300 Oth meniscus derangements, unsp lateral
right
knee
M23301 meniscus,
Oth meniscus
derangements,
unsp lateral
652
652
652
left derangements,
knee
M23302 meniscus,
Oth meniscus
unsp lateral
meniscus,
unsp
knee
M23303 Oth meniscus derangements, unsp medial
right knee
M23304 meniscus,
Other meniscus
derangements, unsp
652
652
652
meniscus,
left knee
M23305 medial
Other meniscus
derangements,
unsp
medial
meniscus,
unsp
knee
M23306 Other meniscus derangements, unsp
right knee
M23307 meniscus,
Other meniscus
derangements,
652
652
652
meniscus,
left knee unsp
M23309 unspecified
Other meniscus
derangements,
unspecified
knee
M23311 meniscus,
Oth meniscus
derang, ant
horn of medial
652
652
r knee
M23312 meniscus,
Oth meniscus
derang, ant horn of medial
meniscus,
l
knee
M23319 Oth meniscus derang, ant horn of medial
meniscus, unsp knee
652
652
Page 2353 of 6734

M23321 Oth meniscus derang, post horn of medial
r knee
M23322 meniscus,
Oth meniscus
derang, post horn of medial
meniscus,
l
knee
M23329 Oth meniscus derang, post horn of medial
unsp
knee
M23331 meniscus,
Oth meniscus
derangements,
other medial
652
652
652
652
right
knee
M23332 meniscus,
Oth meniscus
derangements,
other medial
meniscus,
left
knee
M23339 Oth meniscus derangements, other medial
unsp
knee anterior horn of lat
M23341 meniscus,
Oth meniscus
derang,
652
652
652
right knee
M23342 mensc,
Oth meniscus
derang, anterior horn of lat
mensc,
left
knee
M23349 Oth meniscus derang, anterior horn of lat
unsp knee
M23351 mensc,
Oth meniscus
derang, posterior horn of lat
652
652
652
right knee
M23352 mensc,
Oth meniscus
left knee
M23359 mensc,
Oth meniscus
mensc,
unsp
knee
M23361 Oth meniscus derangements, oth lateral
652
652
652
right
knee
M23362 meniscus,
Oth meniscus
derangements,
other lateral
left derangements,
knee
M23369 meniscus,
Oth meniscus
other lateral
meniscus,
unsp
knee
M2340 Loose body in knee, unspecified knee
652
652
661
M2341
Loose body in knee, right knee
661
M2342
Loose body in knee, left knee
661
M2350
661
M2351
Chronic instability of knee, unspecified

knee
Chronic instability of knee, right knee
652
M2352
Chronic instability of knee, left knee
652
M23601 Other spontaneous disruption of unsp

of right knee
M23602 ligament
Other spontaneous
disruption of unsp
ligament
of
left
knee
M23609 Other spontaneous disruption of unsp
652
652
652
unsp of
knee
M23611 ligament
Oth spon of
disrupt
anterior cruciate
right of
knee
M23612 ligament
Oth spon of
disrupt
anterior cruciate
ligament
of
left
knee
M23619 Oth spon disrupt of anterior cruciate
652
652
652
unsp of
knee
M23621 ligament
Oth spon of
disrupt
posterior cruciate
ligament
of
r
knee
M23622 Oth spon disrupt of posterior cruciate
ligament of left knee
652
652
Page 2354 of 6734

M23629 Oth spon disrupt of posterior cruciate
unsp knee
M23631 ligament
Oth spon of
disruption
of medial collat
652
652
right knee
M23632 ligament
Oth spon of
disruption
of medial collat
left kneeof medial collat
M23639 ligament
Oth spon of
disruption
unsp knee
M23641 ligament
Oth spon of
disruption
of lateral collat
652
652
652
right knee
M23642 ligament
Oth spon of
disruption
of lateral collat
ligament
of
left
knee
M23649 Oth spon disruption of lateral collat
unsp knee
M23671 ligament
Oth spon of
disruption
of capsular ligament
652
652
652
right
knee
M23672 of
Oth
spontaneous
disruption of capsular
ligament
of
left
knee
M23679 Oth spontaneous disruption of capsular
of unsp
knee
M238X1 ligament
Other internal
derangements
of right knee
652
652
652
M238X2 Other internal derangements of left knee
652
M238X9 Other internal derangements of

M2390 unspecified
Unspecified knee
internal derangement of
M2391 unspecified
Unspecified knee
internal derangement of right
knee
M2392 Unspecified internal derangement of left
652
652
652
652
knee
Loose body in unspecified joint
661
M24011 Loose body in right shoulder
661
M24012 Loose body in left shoulder
661
M24019 Loose body in unspecified shoulder
661
M24021 Loose body in right elbow
661
M24022 Loose body in left elbow
661
M24029 Loose body in unspecified elbow
661
M24031 Loose body in right wrist
661
M24032 Loose body in left wrist
661
M24039 Loose body in unspecified wrist
661
M24041 Loose body in right finger joint(s)
661
M24042 Loose body in left finger joint(s)
661
M24049 Loose body in unspecified finger joint(s)
661
M2400
Page 2355 of 6734

M24051 Loose body in right hip
661
M24052 Loose body in left hip
661
M24059 Loose body in unspecified hip
661
M24071 Loose body in right ankle
661
M24072 Loose body in left ankle
661
M24073 Loose body in unspecified ankle
661
M24074 Loose body in right toe joint(s)
661
M24075 Loose body in left toe joint(s)
661
M24076 Loose body in unspecified toe joints
661
661
Other articular cartilage disorders,

sitecartilage disorders, right
M24111 unspecified
Other articular
M24112 shoulder
Other articular cartilage disorders, left
661
652
652
M24119 shoulder
shoulder
M24121 unspecified
Other articular
cartilage disorders, right
elbow
M24122 Other articular cartilage disorders, left
652
652
652
M24129 elbow
elbow
M24131 unspecified
Other articular
M24132 wrist
652
652
652
M24139 wrist
wrist
M24141 unspecified
Other articular
hand
M24142 Other articular cartilage disorders, left
652
652
652
M24149 hand
hand
M24151 unspecified
Other articular
hip
M24152 Other articular cartilage disorders, left hip
652
661
661
M24159 Other articular cartilage disorders,

hip cartilage disorders, right
M24171 unspecified
Other articular
M24172 ankle
661
652
652
M24173 ankle
unspecified ankle
652
M2408
Loose body, other site
M2410
Page 2356 of 6734

M24174 Other articular cartilage disorders, right
M24175 foot
Other articular cartilage disorders, left foot
652
652
M24176 Other articular cartilage disorders,

foot
M2420 unspecified
Disorder of ligament,
unspecified site
652
661
M24211 Disorder of ligament, right shoulder
661
M24212 Disorder of ligament, left shoulder
661
M24219 Disorder of ligament, unspecified shoulder
661
M24221 Disorder of ligament, right elbow
661
M24222 Disorder of ligament, left elbow
661
M24229 Disorder of ligament, unspecified elbow
661
M24231 Disorder of ligament, right wrist
661
M24232 Disorder of ligament, left wrist
661
M24239 Disorder of ligament, unspecified wrist
661
M24241 Disorder of ligament, right hand
661
M24242 Disorder of ligament, left hand
661
M24249 Disorder of ligament, unspecified hand
661
M24251 Disorder of ligament, right hip
661
M24252 Disorder of ligament, left hip
661
M24259 Disorder of ligament, unspecified hip
661
M24271 Disorder of ligament, right ankle
661
M24272 Disorder of ligament, left ankle
661
M24273 Disorder of ligament, unspecified ankle
661
M24274 Disorder of ligament, right foot
661
M24275 Disorder of ligament, left foot
661
M24276 Disorder of ligament, unspecified foot
661
M2428
Disorder of ligament, vertebrae
661
M2430
Pathological dislocation of unsp joint, NEC
652
652
652
M24311 Pathological dislocation of right shoulder,

M24312 NEC
Pathological dislocation of left shoulder,
NEC
Page 2357 of 6734

M24319 Pathological dislocation of unsp shoulder,
M24321 NEC
Pathological dislocation of right elbow,
M24322 NEC
Pathological dislocation of left elbow, NEC
652
652
652
M24329 Pathological dislocation of unsp elbow,

M24331 NEC
Pathological dislocation of right wrist, NEC
652
652
M24332 Pathological dislocation of left wrist, NEC
652
M24339 Pathological dislocation of unsp wrist, NEC
652
M24341 Pathological dislocation of right hand, NEC
652
M24342 Pathological dislocation of left hand, NEC
652
M24349 Pathological dislocation of unsp hand, NEC
652
M24351 Pathological dislocation of right hip, NEC
661
M24352 Pathological dislocation of left hip, NEC
661
M24359 Pathological dislocation of unsp hip, NEC
661
M24361 Pathological dislocation of right knee, NEC
652
M24362 Pathological dislocation of left knee, NEC
652
M24369 Pathological dislocation of unsp knee, NEC
652
M24371 Pathological dislocation of right ankle, NEC
652
M24372 Pathological dislocation of left ankle, NEC
652
M24373 Pathological dislocation of unsp ankle, NEC
652
M24374 Pathological dislocation of right foot, NEC
652
M24375 Pathological dislocation of left foot, NEC
652
M24376 Pathological dislocation of unsp foot, NEC
652
661
M24411 Recurrent dislocation, right shoulder
652
M24412 Recurrent dislocation, left shoulder
652
M24419 Recurrent dislocation, unspecified shoulder
652
M24421 Recurrent dislocation, right elbow
652
M24422 Recurrent dislocation, left elbow
652
M24429 Recurrent dislocation, unspecified elbow
652
M2440
Recurrent dislocation, unspecified joint
Page 2358 of 6734

M24431 Recurrent dislocation, right wrist
652
M24432 Recurrent dislocation, left wrist
652
M24439 Recurrent dislocation, unspecified wrist
652
M24441 Recurrent dislocation, right hand
652
M24442 Recurrent dislocation, left hand
652
M24443 Recurrent dislocation, unspecified hand
652
M24444 Recurrent dislocation, right finger
652
M24445 Recurrent dislocation, left finger
652
M24446 Recurrent dislocation, unspecified finger
652
M24451 Recurrent dislocation, right hip
661
M24452 Recurrent dislocation, left hip
661
M24459 Recurrent dislocation, unspecified hip
661
M24461 Recurrent dislocation, right knee
652
M24462 Recurrent dislocation, left knee
652
M24469 Recurrent dislocation, unspecified knee
652
M24471 Recurrent dislocation, right ankle
652
M24472 Recurrent dislocation, left ankle
652
M24473 Recurrent dislocation, unspecified ankle
652
M24474 Recurrent dislocation, right foot
652
M24475 Recurrent dislocation, left foot
652
M24476 Recurrent dislocation, unspecified foot
652
M24477 Recurrent dislocation, right toe(s)
652
M24478 Recurrent dislocation, left toe(s)
652
M24479 Recurrent dislocation, unspecified toe(s)
652
661
M24511 Contracture, right shoulder
661
M24512 Contracture, left shoulder
661
M24519 Contracture, unspecified shoulder
661
M24521 Contracture, right elbow
661
M2450
Contracture, unspecified joint
Page 2359 of 6734

M24522 Contracture, left elbow
661
M24529 Contracture, unspecified elbow
661
M24531 Contracture, right wrist
661
M24532 Contracture, left wrist
661
M24539 Contracture, unspecified wrist
661
M24541 Contracture, right hand
661
M24542 Contracture, left hand
661
M24549 Contracture, unspecified hand
661
M24551 Contracture, right hip
661
M24552 Contracture, left hip
661
M24559 Contracture, unspecified hip
661
M24561 Contracture, right knee
661
M24562 Contracture, left knee
661
M24569 Contracture, unspecified knee
661
M24571 Contracture, right ankle
661
M24572 Contracture, left ankle
661
M24573 Contracture, unspecified ankle
661
M24574 Contracture, right foot
661
M24575 Contracture, left foot
661
M24576 Contracture, unspecified foot
661
661
M24611 Ankylosis, right shoulder
661
M24612 Ankylosis, left shoulder
661
M24619 Ankylosis, unspecified shoulder
661
M24621 Ankylosis, right elbow
661
M24622 Ankylosis, left elbow
661
M24629 Ankylosis, unspecified elbow
661
M24631 Ankylosis, right wrist
661
M24632 Ankylosis, left wrist
661
M2460
Ankylosis, unspecified joint
Page 2360 of 6734

M24639 Ankylosis, unspecified wrist
661
M24641 Ankylosis, right hand
661
M24642 Ankylosis, left hand
661
M24649 Ankylosis, unspecified hand
661
M24651 Ankylosis, right hip
661
M24652 Ankylosis, left hip
661
M24659 Ankylosis, unspecified hip
661
M24661 Ankylosis, right knee
661
M24662 Ankylosis, left knee
661
M24669 Ankylosis, unspecified knee
661
M24671 Ankylosis, right ankle
661
M24672 Ankylosis, left ankle
661
M24673 Ankylosis, unspecified ankle
661
M24674 Ankylosis, right foot
661
M24675 Ankylosis, left foot
661
M24676 Ankylosis, unspecified foot
661
661
Oth specific joint derangements of unsp

NEC joint derangements of right
M24811 joint,
Oth specific
NEC
M24812 shoulder,
Oth specific
joint derangements of left
shoulder,
NEC
M24819 Oth specific joint derangements of unsp
661
661
661
661
NEC
M24821 shoulder,
Oth specific
joint derangements of right
NEC joint derangements of left
M24822 elbow,
Oth specific
NEC joint derangements of unsp
M24829 elbow,
Oth specific
M24831 elbow,
Oth specific
661
661
661
661

M24832 wrist,
Oth specific
M24839 wrist,
Oth specific
M24841 wrist,
Oth specific
M24842 hand,
Oth specific
661
661
661
661
M247
Protrusio acetabuli
M2480
hand, NEC
Page 2361 of 6734

M24851 hand,
Oth specific
NEC
M24852 hip,
Oth specific
joint derangements of left hip,
M24859 NEC
Oth specific joint derangements of unsp
661
661
661
661
NEC
M24871 hip,
Oth specific
joint derangements of right
ankle,
NEC
M24872 Oth specific joint derangements of left
M24873 ankle,
Oth specific
M24874 ankle,
Oth specific
661
661
661
661
NEC
M24875 foot,
Oth specific
joint derangements left foot,
NEC
foot,
NEC
M249
Joint derangement,
unspecified
661
661
661
510
M25011 Hemarthrosis, right shoulder
510
M25012 Hemarthrosis, left shoulder
510
M25019 Hemarthrosis, unspecified shoulder
510
M25021 Hemarthrosis, right elbow
510
M25022 Hemarthrosis, left elbow
510
M25029 Hemarthrosis, unspecified elbow
510
M25031 Hemarthrosis, right wrist
510
M25032 Hemarthrosis, left wrist
510
M25039 Hemarthrosis, unspecified wrist
510
M25041 Hemarthrosis, right hand
510
M25042 Hemarthrosis, left hand
510
M25049 Hemarthrosis, unspecified hand
510
M25051 Hemarthrosis, right hip
510
M25052 Hemarthrosis, left hip
510
M25059 Hemarthrosis, unspecified hip
510
M25061 Hemarthrosis, right knee
510
M25062 Hemarthrosis, left knee
510
M2500
Hemarthrosis, unspecified joint
Page 2362 of 6734

M25069 Hemarthrosis, unspecified knee
510
M25071 Hemarthrosis, right ankle
510
M25072 Hemarthrosis, left ankle
510
M25073 Hemarthrosis, unspecified ankle
510
M25074 Hemarthrosis, right foot
510
M25075 Hemarthrosis, left foot
510
M25076 Hemarthrosis, unspecified foot
510
M2508
Hemarthrosis, other specified site
510
M2510
Fistula, unspecified joint
661
M25111 Fistula, right shoulder
661
M25112 Fistula, left shoulder
661
M25119 Fistula, unspecified shoulder
661
M25121 Fistula, right elbow
661
M25122 Fistula, left elbow
661
M25129 Fistula, unspecified elbow
661
M25131 Fistula, right wrist
661
M25132 Fistula, left wrist
661
M25139 Fistula, unspecified wrist
661
M25141 Fistula, right hand
661
M25142 Fistula, left hand
661
M25149 Fistula, unspecified hand
661
M25151 Fistula, right hip
661
M25152 Fistula, left hip
661
M25159 Fistula, unspecified hip
661
M25161 Fistula, right knee
661
M25162 Fistula, left knee
661
M25169 Fistula, unspecified knee
661
M25171 Fistula, right ankle
661
M25172 Fistula, left ankle
661
Page 2363 of 6734

M25173 Fistula, unspecified ankle
661
M25174 Fistula, right foot
661
M25175 Fistula, left foot
661
M25176 Fistula, unspecified foot
661
M2518
Fistula, other specified site
661
M2520
Flail joint, unspecified joint
661
M25211 Flail joint, right shoulder
661
M25212 Flail joint, left shoulder
661
M25219 Flail joint, unspecified shoulder
661
M25221 Flail joint, right elbow
661
M25222 Flail joint, left elbow
661
M25229 Flail joint, unspecified elbow
661
M25231 Flail joint, right wrist
661
M25232 Flail joint, left wrist
661
M25239 Flail joint, unspecified wrist
661
M25241 Flail joint, right hand
661
M25242 Flail joint, left hand
661
M25249 Flail joint, unspecified hand
661
M25251 Flail joint, right hip
661
M25252 Flail joint, left hip
661
M25259 Flail joint, unspecified hip
661
M25261 Flail joint, right knee
661
M25262 Flail joint, left knee
661
M25269 Flail joint, unspecified knee
661
M25271 Flail joint, right ankle and foot
661
M25272 Flail joint, left ankle and foot
661
M25279 Flail joint, unspecified ankle and foot
661
M2528
Flail joint, other site
661
M2530
Other instability, unspecified joint
661
Page 2364 of 6734

M25311 Other instability, right shoulder
661
M25312 Other instability, left shoulder
661
M25319 Other instability, unspecified shoulder
661
M25321 Other instability, right elbow
661
M25322 Other instability, left elbow
661
M25329 Other instability, unspecified elbow
661
M25331 Other instability, right wrist
661
M25332 Other instability, left wrist
661
M25339 Other instability, unspecified wrist
661
M25341 Other instability, right hand
661
M25342 Other instability, left hand
661
M25349 Other instability, unspecified hand
661
M25351 Other instability, right hip
661
M25352 Other instability, left hip
661
M25359 Other instability, unspecified hip
661
M25361 Other instability, right knee
661
M25362 Other instability, left knee
661
M25369 Other instability, unspecified knee
661
M25371 Other instability, right ankle
661
M25372 Other instability, left ankle
661
M25373 Other instability, unspecified ankle
661
M25374 Other instability, right foot
661
M25375 Other instability, left foot
661
M25376 Other instability, unspecified foot
661
661
M25411 Effusion, right shoulder
661
M25412 Effusion, left shoulder
661
M25419 Effusion, unspecified shoulder
661
M25421 Effusion, right elbow
661
M2540
Effusion, unspecified joint
Page 2365 of 6734

M25422 Effusion, left elbow
661
M25429 Effusion, unspecified elbow
661
M25431 Effusion, right wrist
661
M25432 Effusion, left wrist
661
M25439 Effusion, unspecified wrist
661
M25441 Effusion, right hand
661
M25442 Effusion, left hand
661
M25449 Effusion, unspecified hand
661
M25451 Effusion, right hip
661
M25452 Effusion, left hip
661
M25459 Effusion, unspecified hip
661
M25461 Effusion, right knee
661
M25462 Effusion, left knee
661
M25469 Effusion, unspecified knee
661
M25471 Effusion, right ankle
661
M25472 Effusion, left ankle
661
M25473 Effusion, unspecified ankle
661
M25474 Effusion, right foot
661
M25475 Effusion, left foot
661
M25476 Effusion, unspecified foot
661
M2548
Effusion, other site
661
M2550
Pain in unspecified joint
661
M25511 Pain in right shoulder
661
M25512 Pain in left shoulder
661
M25519 Pain in unspecified shoulder
661
M25521 Pain in right elbow
661
M25522 Pain in left elbow
661
M25529 Pain in unspecified elbow
661
M25531 Pain in right wrist
661
Page 2366 of 6734

M25532 Pain in left wrist
661
M25539 Pain in unspecified wrist
661
M25551 Pain in right hip
661
M25552 Pain in left hip
661
M25559 Pain in unspecified hip
661
M25561 Pain in right knee
661
M25562 Pain in left knee
661
M25569 Pain in unspecified knee
661
M25571 Pain in right ankle and joints of right foot
661
M25572 Pain in left ankle and joints of left foot
661
M25579 Pain in unspecified ankle and joints of

foot
M2560 unspecified
Stiffness of unspecified
joint, not
661
661
M25611 elsewhere
Stiffness ofclassified
right shoulder, not elsewhere
classified
M25612 Stiffness of left shoulder, not elsewhere
M25619 classified
Stiffness of unspecified shoulder, not
661
661
661
M25621 elsewhere
right elbow, not elsewhere
classified
M25622 Stiffness of left elbow, not elsewhere
M25629 classified
Stiffness of unspecified elbow, not
661
661
661
M25631 elsewhere
right wrist, not elsewhere
classified
M25632 Stiffness of left wrist, not elsewhere
661
661
M25639 classified
Stiffness of unspecified wrist, not
M25641 elsewhere
right hand, not elsewhere
M25642 classified
Stiffness of left hand, not elsewhere
661
661
661
M25649 classified
Stiffness of unspecified hand, not
M25651 elsewhere
right hip, not elsewhere
M25652 classified
Stiffness of left hip, not elsewhere
661
661
661
M25659 classified
Stiffness of unspecified hip, not elsewhere
M25661 classified
Stiffness of right knee, not elsewhere
M25662 classified
Stiffness of left knee, not elsewhere
661
661
661
classified
Page 2367 of 6734

M25669 Stiffness of unspecified knee, not
M25671 elsewhere
right ankle, not elsewhere
661
661
M25672 classified
Stiffness of left ankle, not elsewhere
M25673 classified
Stiffness of unspecified ankle, not
M25674 elsewhere
right foot, not elsewhere
661
661
661
M25675 classified
Stiffness of left foot, not elsewhere
M25676 classified
Stiffness of unspecified foot, not elsewhere
M2570 classified
Osteophyte, unspecified joint
661
661
661
M25711 Osteophyte, right shoulder
661
M25712 Osteophyte, left shoulder
661
M25719 Osteophyte, unspecified shoulder
661
M25721 Osteophyte, right elbow
661
M25722 Osteophyte, left elbow
661
M25729 Osteophyte, unspecified elbow
661
M25731 Osteophyte, right wrist
661
M25732 Osteophyte, left wrist
661
M25739 Osteophyte, unspecified wrist
661
M25741 Osteophyte, right hand
661
M25742 Osteophyte, left hand
661
M25749 Osteophyte, unspecified hand
661
M25751 Osteophyte, right hip
661
M25752 Osteophyte, left hip
661
M25759 Osteophyte, unspecified hip
661
M25761 Osteophyte, right knee
661
M25762 Osteophyte, left knee
661
M25769 Osteophyte, unspecified knee
661
M25771 Osteophyte, right ankle
661
M25772 Osteophyte, left ankle
661
M25773 Osteophyte, unspecified ankle
661
Page 2368 of 6734

M25774 Osteophyte, right foot
661
M25775 Osteophyte, left foot
661
M25776 Osteophyte, unspecified foot
661
656
BACK & NECK DIAGNOSES EXCEPT LUMBAR
Other specified joint disorders, unspecified

M25811 joint
Other specified joint disorders, right
M25812 shoulder
Other specified joint disorders, left
M25819 shoulder
Other specified joint disorders, unspecified
661
661
661
661
M25821 shoulder
Other specified joint disorders, right elbow
661
M25822 Other specified joint disorders, left elbow
661
M25829 Other specified joint disorders, unspecified

M25831 elbow
Other specified joint disorders, right wrist
661
661
M25832 Other specified joint disorders, left wrist
661

M25841 wrist
Other specified joint disorders, right hand
661
661
M25842 Other specified joint disorders, left hand
661

M25851 hand
Other specified joint disorders, right hip
661
661
M25852 Other specified joint disorders, left hip
661

M25861 hip
Other specified joint disorders, right knee
661
661
M25862 Other specified joint disorders, left knee
661

M25871 knee
Other specified joint disorders, right ankle
foot
M25872 and
Other
specified joint disorders, left ankle
foot
M25879 and
Other
specified joint disorders, unspecified
661
661
661
M2578
Osteophyte, vertebrae
M2580
661
ankle
and foot unspecified
Joint disorder,
661
M2600
Unspecified anomaly of jaw size
563
M2601
Maxillary hyperplasia
563
M259
Page 2369 of 6734

M2602
Maxillary hypoplasia
563
M2603
Mandibular hyperplasia
563
M2604
Mandibular hypoplasia
563
M2605
Macrogenia
563
M2606
Microgenia
563
M2607
Excessive tuberosity of jaw
563
M2609
Other specified anomalies of jaw size
563
M2610
563
M2611
Unspecified anomaly of jaw-cranial base

relationship
Maxillary asymmetry
563
M2612
Other jaw asymmetry
563
M2619
Other specified anomalies of jaw-cranial

base
relationship
Unspecified
anomaly of dental arch
563
M2620
563
M26211 relationship
Malocclusion, Angle's class I
563
M26212 Malocclusion, Angle's class II
563
M26213 Malocclusion, Angle's class III
563
M26219 Malocclusion, Angle's class, unspecified
563
M26220 Open anterior occlusal relationship
563
M26221 Open posterior occlusal relationship
563
M2623
Excessive horizontal overlap
563
M2624
Reverse articulation
563
M2625
Anomalies of interarch distance
563
M2629
563
563
M2631
Other anomalies of dental arch

relationship
Unsp anomaly of tooth position of fully
erupted
Crowdingtooth/teeth
of fully erupted teeth
563
M2632
Excessive spacing of fully erupted teeth
563
M2633
563
M2634
Horizontal displacement of fully erupted

tooth
or displacement
teeth
Vertical
of fully erupted
563
M2635
tooth
or teeth
Rotation
of fully erupted tooth or teeth
563
M2636
Insufficient interocclusal distance of fully

erupted teeth
563
M2630
Page 2370 of 6734

M2637
Excessive interocclusal distance of fully

erupted
teeth of tooth position of fully
Oth anomalies
563
563
erupted
tooth/teeth
Malocclusion,
unspecified
563
563
M2651
Dentofacial functional abnormalities,

unspecified
Abnormal jaw closure
563
M2652
Limited mandibular range of motion
563
M2653
Deviation in opening and closing of the

mandible
Insufficient anterior guidance
563
563
563
M2656
Centric occlusion maximum intercuspation

discrepancy
Non-working side interference
563
M2657
Lack of posterior occlusal support
563
M2659
Other dentofacial functional abnormalities
563
M2660
563
M2661
Temporomandibular joint disorder,

unspecified
Adhesions and ankylosis of
563
M2662
temporomandibular
joint
Arthralgia of temporomandibular
joint
563
M2663
563
563
M2670
Articular disc disorder of

temporomandibular
joint of
Other specified disorders
temporomandibular
Unspecified alveolar joint
anomaly
563
M2671
Alveolar maxillary hyperplasia
563
M2672
Alveolar mandibular hyperplasia
563
M2673
Alveolar maxillary hypoplasia
563
M2674
Alveolar mandibular hypoplasia
563
M2679
Other specified alveolar anomalies
563
M2681
Anterior soft tissue impingement
563
M2682
Posterior soft tissue impingement
563
M2689
Other dentofacial anomalies
563
M269
Dentofacial anomaly, unspecified
563
M270
Developmental disorders of jaws
563
M271
Giant cell granuloma, central
563
M2639
M264
M2650
M2654
M2655
M2669
Page 2371 of 6734

M272
Inflammatory conditions of jaws
563
M273
Alveolitis of jaws
563
M2740
Unspecified cyst of jaw
563
M2749
Other cysts of jaw
563
M2751
563
M2752
Perforation of root canal space due to

endodontic
Endodontic treatment
overfill
563
M2753
Endodontic underfill
563
M2759
Oth periradicular pathology assoc w prev

endodontic
trtmt failure of dental implant
Osseointegration
563
563
Post-osseointegration biological failure of

dental
implant
Post-osseointegration
mechanical failure
of
dental
implant dental implant failure
Other
endosseous
563
563
563
M278
Other specified diseases of jaws
563
M279
Disease of jaws, unspecified
563
M300
Polyarteritis nodosa
655
M301
Polyarteritis with lung involvement [ChurgStrauss]

Juvenile polyarteritis
655
655
655
M308
Mucocutaneous lymph node syndrome

[Kawasaki]
Other conditions related to polyarteritis
655
M310
nodosa
Hypersensitivity angiitis
655
M311
Thrombotic microangiopathy
780
M312
Lethal midline granuloma
804
Wegener's granulomatosis without renal

involvement
Wegener's granulomatosis with renal
involvement
Aortic arch syndrome [Takayasu]
655
655
655
655
M316
Giant cell arteritis with polymyalgia

rheumatica
Other giant cell arteritis
655
M317
Microscopic polyangiitis
655
M318
Other specified necrotizing vasculopathies
510
M2761
M2762
M2763
M2769
M302
M303
M3130
M3131
M314
M315
Page 2372 of 6734

M319
Necrotizing vasculopathy, unspecified
510
M320
Drug-induced systemic lupus

erythematosus
Systemic lupus erythematosus, organ or
system
involvinunsp
Endocarditis
systemic lupus
655
655
655
erythematosus
Pericarditis in systemic lupus
erythematosus
Lung involvement in systemic lupus
erythematosus
Glomerular disease in systemic lupus
655
655
655
erythematosus
Tubulo-interstitial neuropath in sys lupus
erythematosus
Oth organ or system involv in systemic
655
655
lupus
Other erythematosus
forms of systemic lupus
erythematosus
Systemic lupus erythematosus,
655
655
unspecified
Juvenile dermatopolymyositis, organ
involvement
unspecified
Juvenile dermatopolymyositis
with
655
655
respiratory
involvement
Juvenile dermatopolymyositis
with
myopathy
Juvenile dermatopolymyositis with other
organ
involvement
Other dermatopolymyositis,
organ
655
655
655
involvement
unspecified
Other dermatopolymyositis
with
respiratory
involvement
Other dermatopolymyositis with myopathy
655
655
655
M3320
Other dermatopolymyositis with other

organ
involvement
Polymyositis,
organ involvement
655
M3321
unspecified
Polymyositis with respiratory involvement
655
M3322
Polymyositis with myopathy
655
M3329
Polymyositis with other organ involvement
655
M3390
Dermatopolymyositis, unsp, organ

involvement
unspecified
Dermatopolymyositis,
unsp with
655
655
respiratory
involvement
Dermatopolymyositis,
unspecified with
myopathy
Dermatopolymyositis, unsp with other
655
655
M340
organ
involvement
Progressive
systemic sclerosis
655
M341
CR(E)ST syndrome
655
M3210
M3211
M3212
M3213
M3214
M3215
M3219
M328
M329
M3300
M3301
M3302
M3309
M3310
M3311
M3312
M3319
M3391
M3392
M3399
Page 2373 of 6734

M342
655
M3481
Systemic sclerosis induced by drug and

chemical
Systemic sclerosis with lung involvement
655
M3482
Systemic sclerosis with myopathy
655
M3483
Systemic sclerosis with polyneuropathy
527
M3489
Other systemic sclerosis
655
Systemic sclerosis, unspecified
655
M3500
Sicca syndrome, unspecified
655
M3501
Sicca syndrome with keratoconjunctivitis
655
M3502
Sicca syndrome with lung involvement
655
M3503
Sicca syndrome with myopathy
655
M3504
655
655
M351
Sicca syndrome with tubulo-interstitial

nephropathy
Sicca syndrome with other organ
involvement
Other overlap syndromes
655
M352
Behcet's disease
655
M353
Polymyalgia rheumatica
655
M354
Diffuse (eosinophilic) fasciitis
661
M355
Multifocal fibrosclerosis
655
M356
Relapsing panniculitis [Weber-Christian]
675
M357
Hypermobility syndrome
661
M358
Other specified systemic involvement of

connective
tissue
Systemic involvement
of connective
655
655
655
M361
tissue,
unspecified
Dermato(poly)myositis
in neoplastic
disease
Arthropathy in neoplastic disease
661
M362
Hemophilic arthropathy
661
M363
Arthropathy in other blood disorders
661
M364
Arthropathy in hypersensitivity reactions

classd
elswhr
Systemic
disord of conn tiss in oth
661
655
M4000
diseases
classd elswhr
Postural kyphosis,
site unspecified
656
M4003
Postural kyphosis, cervicothoracic region
656
M349
M3509
M359
M360
M368
Page 2374 of 6734

M4004
Postural kyphosis, thoracic region
656
M4005
Postural kyphosis, thoracolumbar region
656
M4010
Other secondary kyphosis, site unspecified
656
M4012
Other secondary kyphosis, cervical region
656
M4013
Other secondary kyphosis, cervicothoracic

region
Other secondary kyphosis, thoracic region
656
656
Other secondary kyphosis, thoracolumbar

M40202 region
Unspecified kyphosis, cervical region
656
656
M40203 Unspecified kyphosis, cervicothoracic

M40204 region
Unspecified kyphosis, thoracic region
656
656
M40205 Unspecified kyphosis, thoracolumbar

M40209 region
Unspecified kyphosis, site unspecified
656
656
M40292 Other kyphosis, cervical region
656
M40293 Other kyphosis, cervicothoracic region
656
M40294 Other kyphosis, thoracic region
656
M40295 Other kyphosis, thoracolumbar region
656
M40299 Other kyphosis, site unspecified
656
M4014
M4015
M4030
Flatback syndrome, site unspecified
656
M4035
Flatback syndrome, thoracolumbar region
656
M4036
Flatback syndrome, lumbar region
656
M4037
Flatback syndrome, lumbosacral region
656
M4040
Postural lordosis, site unspecified
656
M4045
Postural lordosis, thoracolumbar region
656
M4046
Postural lordosis, lumbar region
656
M4047
Postural lordosis, lumbosacral region
656
M4050
Lordosis, unspecified, site unspecified
656
M4055
656
M4056
Lordosis, unspecified, thoracolumbar

region
Lordosis, unspecified, lumbar region
656
M4057
Lordosis, unspecified, lumbosacral region
656
Page 2375 of 6734

M4100
Infantile idiopathic scoliosis, site

unspecified
Infantile idiopathic scoliosis, cervical
region
Infantile idiopathic scoliosis,
656
656
656
656
M4105
cervicothoracic
region
Infantile idiopathic
scoliosis, thoracic
region
Infantile idiopathic scoliosis,
656
M4106
thoracolumbar
region
Infantile idiopathic
scoliosis, lumbar region
656
Infantile idiopathic scoliosis, lumbosacral

M4108 region
Infantile idiopathic scoliosis, sacr/sacrocygl
M41112 region
Juvenile idiopathic scoliosis, cervical
M41113 region
Juvenile idiopathic scoliosis,
656
656
656
656
region
M41114 cervicothoracic
Juvenile idiopathic
scoliosis, thoracic
M41115 region
Juvenile idiopathic scoliosis,
region
M41116 thoracolumbar
Juvenile idiopathic
scoliosis, lumbar region
656
656
656
M41117 Juvenile idiopathic scoliosis, lumbosacral

M41119 region
Juvenile idiopathic scoliosis, site
M41122 unspecified
Adolescent idiopathic scoliosis, cervical
656
656
656
M41123 region
Adolescent idiopathic scoliosis,
regionscoliosis, thoracic
M41124 cervicothoracic
Adolescent idiopathic
M41125 region
656
656
656
region scoliosis, lumbar

M41126 thoracolumbar
M41127 region
region scoliosis, site
M41129 lumbosacral
656
656
656
M4102
M4103
M4104
M4107
M4120
unspecified
Other idiopathic scoliosis, site unspecified
656
M4122
Other idiopathic scoliosis, cervical region
656
M4123
Other idiopathic scoliosis, cervicothoracic

region
Other idiopathic scoliosis, thoracic region
656
656
Other idiopathic scoliosis, thoracolumbar

region
Other idiopathic scoliosis, lumbar region
656
656
Other idiopathic scoliosis, lumbosacral

region
656
M4124
M4125
M4126
M4127
Page 2376 of 6734

M4130
Thoracogenic scoliosis, site unspecified
656
M4134
Thoracogenic scoliosis, thoracic region
656
M4135
Thoracogenic scoliosis, thoracolumbar

region
Neuromuscular scoliosis, site unspecified
656
656
Neuromuscular scoliosis, occipito-atlantoaxial

region
Neuromuscular
scoliosis, cervical region
656
656
Neuromuscular scoliosis, cervicothoracic

region
Neuromuscular scoliosis, thoracic region
656
656
Neuromuscular scoliosis, thoracolumbar

region
Neuromuscular scoliosis, lumbar region
656
656
656
M4150
Neuromuscular scoliosis, lumbosacral

region
Other secondary scoliosis, site unspecified
656
M4152
Other secondary scoliosis, cervical region
656
M4153
Other secondary scoliosis, cervicothoracic

region
Other secondary scoliosis, thoracic region
656
656
Other secondary scoliosis, thoracolumbar

region
Other secondary scoliosis, lumbar region
656
656
656
M4180
Other secondary scoliosis, lumbosacral

region
Other forms of scoliosis, site unspecified
656
M4182
Other forms of scoliosis, cervical region
656
M4183
Other forms of scoliosis, cervicothoracic

region
Other forms of scoliosis, thoracic region
656
656
Other forms of scoliosis, thoracolumbar

region
Other forms of scoliosis, lumbar region
656
656
Other forms of scoliosis, lumbosacral

region
Scoliosis, unspecified
656
656
Juvenile osteochondrosis of spine, site

unspecified
Juvenile osteochondrosis of spine, occiptatlan-ax
region
Juvenile osteochondrosis
of spine, cervical
region
661
661
661
M4140
M4141
M4142
M4143
M4144
M4145
M4146
M4147
M4154
M4155
M4156
M4157
M4184
M4185
M4186
M4187
M419
M4200
M4201
M4202
Page 2377 of 6734

M4203
Juvenile osteochondrosis of spine,

cervicothoracic
region
of spine, thoracic
region
661
661
661
thoracolumbar
region
of spine, lumbar
region
lumbosacral
region
of spine,
661
661
661
sacr/sacrocygl
region
of spine, multiple
sites
spine
Adult in
osteochondrosis
of spine, site
661
661
unspecified
Adult osteochondrosis of spine, occiptatlan-ax
region
Adult osteochondrosis
of spine, cervical
region
Adult osteochondrosis of spine,
661
661
661
cervicothoracic
region of spine, thoracic
region
thoracolumbar
region of spine, lumbar
region
661
661
661
661
lumbosacral
region
of spine,
sacr/sacrocygl
region
Adult osteochondrosis of spine, multiple
sites
spine
Spinalinosteochondrosis,
unspecified
661
661
661
M4300
Spondylolysis, site unspecified
656
M4301
Spondylolysis, occipito-atlanto-axial region
656
M4302
Spondylolysis, cervical region
656
M4303
Spondylolysis, cervicothoracic region
656
M4304
Spondylolysis, thoracic region
656
M4305
Spondylolysis, thoracolumbar region
656
M4306
Spondylolysis, lumbar region
656
M4307
Spondylolysis, lumbosacral region
656
M4308
656
M4309
Spondylolysis, sacral and sacrococcygeal

region
Spondylolysis, multiple sites in spine
656
M4310
Spondylolisthesis, site unspecified
656
M4204
M4205
M4206
M4207
M4208
M4209
M4210
M4211
M4212
M4213
M4214
M4215
M4216
M4217
M4218
M4219
M429
Page 2378 of 6734

M4311
656
M4312
Spondylolisthesis, occipito-atlanto-axial
region
Spondylolisthesis, cervical region
656
M4313
Spondylolisthesis, cervicothoracic region
656
M4314
Spondylolisthesis, thoracic region
656
M4315
Spondylolisthesis, thoracolumbar region
656
M4316
Spondylolisthesis, lumbar region
656
M4317
Spondylolisthesis, lumbosacral region
656
M4318
656
M4319
Spondylolisthesis, sacral and

sacrococcygeal
region
Spondylolisthesis,
multiple sites in spine
656
M4320
Fusion of spine, site unspecified
656
M4321
656
M4322
Fusion of spine, occipito-atlanto-axial

region
Fusion of spine, cervical region
656
M4323
Fusion of spine, cervicothoracic region
656
M4324
Fusion of spine, thoracic region
656
M4325
Fusion of spine, thoracolumbar region
657
M4326
Fusion of spine, lumbar region
657
M4327
Fusion of spine, lumbosacral region
656
M4328
Fusion of spine, sacral and sacrococcygeal

region
Recurrent atlantoaxial dislocation with
myelopathy
Other recurrent atlantoaxial dislocation
656
661
661
M435X2 Other recurrent vertebral dislocation,

regionvertebral dislocation,
M435X3 cervical
Oth recurrent
661
661
M435X4 cervicothoracic
Other recurrent region
vertebral dislocation,
thoracic
region
M435X5 Other recurrent vertebral dislocation,
M435X6 thoracolumbar
Other recurrentregion
661
661
661
region vertebral dislocation,

M435X7 lumbar
Other recurrent
M435X8 lumbosacral
Oth recurrentregion
661
661
M435X9 sacr/sacrocygl
Other recurrentregion
vertebral dislocation, site
unspecified
M436
Torticollis
661
656
M433
M434
Page 2379 of 6734

M438X1 Oth deforming dorsopathies, occipitoregion
M438X2 atlanto-axial
Other specified
deforming dorsopathies,
656
656
region dorsopathies,
M438X3 cervical
Oth deforming
Other specified region
thoracic
region
M438X5 Other specified deforming dorsopathies,
656
656
656
lumbar
region
M438X7 Other specified deforming dorsopathies,
region
M438X8 lumbosacral
Oth deforming
dorsopathies, sacral and
656
656
656
region
M438X9 sacrococcygeal
Other specified deforming
dorsopathies,
site
unspecified
M439
Deforming dorsopathy, unspecified
656
656
Ankylosing spondylitis of multiple sites in

spine
Ankylosing spondylitis of occipito-atlantoaxial
regionspondylitis of cervical region
Ankylosing
655
655
655
Ankylosing spondylitis of cervicothoracic

region
Ankylosing spondylitis of thoracic region
655
655
Ankylosing spondylitis of thoracolumbar

region
Ankylosing spondylitis lumbar region
655
655
Ankylosing spondylitis of lumbosacral

region
Ankylosing spondylitis sacral and
sacrococcygeal
region of unspecified sites
Ankylosing spondylitis
655
655
655
M4600
in
spine
Spinal
enthesopathy, site unspecified
656
M4601
Spinal enthesopathy, occipito-atlanto-axial

region
Spinal enthesopathy, cervical region
656
656
Spinal enthesopathy, cervicothoracic

region
Spinal enthesopathy, thoracic region
656
656
656
M4606
Spinal enthesopathy, thoracolumbar

region
Spinal enthesopathy, lumbar region
656
M4607
Spinal enthesopathy, lumbosacral region
656
M4608
Spinal enthesopathy, sacral and

sacrococcygeal region
656
M450
M451
M452
M453
M454
M455
M456
M457
M458
M459
M4602
M4603
M4604
M4605
Page 2380 of 6734

M4609
Spinal enthesopathy, multiple sites in

spine
Sacroiliitis, not elsewhere classified
656
656
M4620
Osteomyelitis of vertebra, site unspecified
654
M4621
Osteomyelitis of vertebra, occipito-atlantoaxial

region of vertebra, cervical region
Osteomyelitis
654
654
Osteomyelitis of vertebra, cervicothoracic

region
Osteomyelitis of vertebra, thoracic region
654
654
Osteomyelitis of vertebra, thoracolumbar

region
Osteomyelitis of vertebra, lumbar region
654
654
Osteomyelitis of vertebra, lumbosacral

region
Osteomyelitis of vertebra, sacral and
sacrococcygeal
region
Infection of intervertebral
disc (pyogenic),
654
654
654
site
unsp of intvrt disc (pyogenic), occiptInfection
atlan-ax
Infection region
of intervertebral disc (pyogenic),
654
654
cervical
Infectionregion
of intvrt disc (pyogenic),
cervicothor
region
disc (pyogenic),
654
654
thoracic
Infectionregion
thoracolumbar
region
disc (pyogenic),
654
654
lumbar
Infectionregion
lumbosacral
region
Infection of intvrt
disc (pyogenic),
sacr/sacrocygl
region
Infection of intvrt disc (pyogenic), multiple
sites
in spine
Discitis,
unspecified, site unspecified
654
654
654
656
Discitis, unspecified, occipito-atlanto-axial

region
Discitis, unspecified, cervical region
656
656
656
M4644
Discitis, unspecified, cervicothoracic

region
Discitis, unspecified, thoracic region
656
M4645
Discitis, unspecified, thoracolumbar region
656
M4646
Discitis, unspecified, lumbar region
657
M4647
Discitis, unspecified, lumbosacral region
657
M461
M4622
M4623
M4624
M4625
M4626
M4627
M4628
M4630
M4631
M4632
M4633
M4634
M4635
M4636
M4637
M4638
M4639
M4640
M4641
M4642
M4643
Page 2381 of 6734

M4648
M4649
M4650
M4651
M4652
M4653
M4654
M4655
M4656
M4657
M4658
M4659
M4680
M4681
M4682
M4683
M4684
M4685
M4686
M4687
M4688
M4689
M4690
M4691
M4692
M4693
M4694
M4695
M4696
Discitis, unspecified, sacral and

sacrococcygeal
region
Discitis, unspecified,
multiple sites in spine
656
656
Other infective spondylopathies, site

unspecified
Oth infective spondylopathies, occipito-
656
656
atlanto-axial
region
Other infective
spondylopathies, cervical
region
Other infective spondylopathies,
656
656
cervicothoracic
region
thoracic
region
656
656
thoracolumbar
Other infective region
spondylopathies, lumbar
region
656
656
lumbosacral
Oth infectiveregion
spondylopathies,
sacr/sacrocygl
Other infectiveregion
spondylopathies, multiple
sites
in
spine
Oth inflammatory spondylopathies, site
656
656
656
unspecified
Oth inflammatory spondylopathies, occiptatlan-ax
region
Oth inflammatory
spondylopathies,
cervical
region
Oth inflammatory spondylopathies,
656
656
656
cervicothoracic
region
Oth inflammatory
spondylopathies,
thoracic
region
Oth inflammatory spondylopathies,
656
656
thoracolumbar
inflammatory
spondylopathies,
region
Oth inflammatorylumbar
spondylopathies,
656
656
lumbosacral
regionspondylopathies,
Oth inflammatory
sacr/sacrocygl
region
Oth inflammatory
spondylopathies,
656
656
multiple
sites
in spine
Unspecified
inflammatory
spondylopathy,
site
unspecified
Unsp inflammatory spondylopathy, occipt-
656
656
atlan-ax
region
Unspecified
inflammatory spondylopathy,
cervical
region
Unsp inflammatory
spondylopathy,
656
656
cervicothoracic
region
Unspecified inflammatory
spondylopathy,
thoracic
region
Unspecified inflammatory spondylopathy,
thoracolumbar
region
Unspecified inflammatory
spondylopathy,
656
656
656
lumbar region
Page 2382 of 6734

M4697
M4698
Unspecified inflammatory spondylopathy,

lumbosacral
region spondylopathy,
Unsp inflammatory
656
656
region
M4699 sacr/sacrocygl
Unsp inflammatory
spondylopathy,
sites inartery
spinecomprsn synd,
M47011 multiple
Anterior spinal
region comprsn syndromes,
M47012 occipt-atlan-ax
Anterior spinal artery
656
656
656
M47013 cervical
Anterior region
spinal artery comprsn syndromes,
cervicothor
region
M47014 Anterior spinal
artery comprsn syndromes,
M47015 thoracic
Anterior region
spinal artery comprsn syndromes,
656
656
656
region
M47016 thoracolum
Anterior spinal
artery compression
syndromes,
lumbar
region
M47019 Anterior spinal artery
compression
syndromes,
site
unsp
M47021 Verteb art compression syndromes, occiptM47022 atlan-ax
Vertebralregion
artery compression syndromes,
656
656
656
656
M47029 cervical
Vertebralregion
artery compression syndromes,
site
unspecified
M4710 Other spondylosis with myelopathy, site
M4711 unspecified
Oth spondylosis w myelopathy, occipito-
656
656
M4712
M4713
M4714
M4715
M4716
M4720
M4721
M4722
M4723
M4724
M4725
M4726
M4727
M4728
656
atlanto-axial
regionwith myelopathy,
Other spondylosis
cervical
region
Other spondylosis
with myelopathy,
cervicothoracic
region
Other spondylosis with myelopathy,
656
656
656
thoracic
region
Other spondylosis
with myelopathy,
thoracolumbar
region
Other spondylosis with myelopathy,
lumbar
region
Other spondylosis
with radiculopathy, site
unspecified
Oth spondylosis w radiculopathy, occipt-
656
658
656
656
atlan-ax
region
Other spondylosis
with radiculopathy,
cervical
region
Other spondylosis with radiculopathy,
cervicothoracic
region
Other spondylosis
with radiculopathy,
656
656
656
thoracic
region
Other spondylosis
with radiculopathy,
thoracolumbar
region
Other spondylosis with radiculopathy,
lumbar
region
Other spondylosis
with radiculopathy,
656
657
657
lumbosacral
region
Oth spondylosis
w radiculopathy,
sacr/sacrocygl region
656
Page 2383 of 6734

M47811 Spondyls w/o myelpath or radiculopathy,
M47812 occipt-atlan-ax
Spondylosis w/orgn
myelopathy or
656
656
cervical region
M47813 radiculopathy,
Spondyls w/o myelopathy
or
cervicothor
region
Spondylosis w/o
myelopathy
or
radiculopathy,
thoracic
region
M47815 Spondyls w/o myelopathy or
656
656
656
thoracolum
region
Spondylosis w/o
myelopathy
or
radiculopathy,
lumbar
region
M47817 Spondyls w/o myelopathy or
lumbosacr
Spondyls w/o myelpath
orregion
radiculopathy,
657
657
656
rgn myelopathy or
M47819 sacr/sacrocygl
Spondylosis without
site unsp
Other spondylosis,
occipito-atlanto-axial
region
M47892 Other spondylosis, cervical region
656
656
656
M47893 Other spondylosis, cervicothoracic region
656
M47894 Other spondylosis, thoracic region
656
M47895 Other spondylosis, thoracolumbar region
656
M47896 Other spondylosis, lumbar region
657
M47897 Other spondylosis, lumbosacral region
657
M47898 Other spondylosis, sacral and

region
M47899 sacrococcygeal
Other spondylosis,
site unspecified
656
656
Spondylosis, unspecified
656
M4800
Spinal stenosis, site unspecified
656
M4801
656
M4802
Spinal stenosis, occipito-atlanto-axial

region
Spinal stenosis, cervical region
656
M4803
Spinal stenosis, cervicothoracic region
656
M4804
Spinal stenosis, thoracic region
656
M4805
Spinal stenosis, thoracolumbar region
656
M4806
Spinal stenosis, lumbar region
657
M4807
Spinal stenosis, lumbosacral region
657
M4808
Spinal stenosis, sacral and sacrococcygeal

region
Ankylosing hyperostosis [Forestier], site
656
656
M479
M4810
unspecified
Page 2384 of 6734

M4811
Ankylosing hyperostosis, occipito-atlantoaxial

regionhyperostosis [Forestier],
Ankylosing
656
656
cervical
region
Ankylosing
hyperostosis [Forestier],
cervicothoracic
region [Forestier],
Ankylosing hyperostosis
thoracic
region
Ankylosing
hyperostosis [Forestier],
656
656
656
thoracolumbar
region
[Forestier],
lumbar
region
Ankylosing hyperostosis [Forestier],
lumbosacral
region
Ankylosing hyperostosis,
sacral and
656
656
656
656
M4820
sacrococcygeal
region [Forestier],
multiple
sites in
spine
Kissing spine,
site
unspecified
656
M4821
Kissing spine, occipito-atlanto-axial region
656
M4822
Kissing spine, cervical region
656
M4823
Kissing spine, cervicothoracic region
656
M4824
Kissing spine, thoracic region
656
M4825
Kissing spine, thoracolumbar region
657
M4826
Kissing spine, lumbar region
657
M4827
Kissing spine, lumbosacral region
657
M4830
Traumatic spondylopathy, site unspecified
656
M4831
Traumatic spondylopathy, occipito-atlantoaxial

region
Traumatic
spondylopathy, cervical region
656
656
Traumatic spondylopathy, cervicothoracic

region
Traumatic spondylopathy, thoracic region
656
656
Traumatic spondylopathy, thoracolumbar

region
Traumatic spondylopathy, lumbar region
656
656
Traumatic spondylopathy, lumbosacral

M4838 region
Traumatic spondylopathy, sacral and
M4840XA sacrococcygeal
Fatigue fracture region
of vertebra, site unsp, init
for
fx
M4840XD Fatigue fx vertebra, site unsp, subs for fx
656
656
652
872
routn fx
heal
M4840XG w
Fatigue
vertebra, site unsp, subs for fx
w delay heal
872
M4812
M4813
M4814
M4815
M4816
M4817
M4818
M4819
M4832
M4833
M4834
M4835
M4836
M4837
Page 2385 of 6734

M4840XS Fatigue fracture of vertebra, site unsp,
of fracture
M4841XA sequela
Fatigue fracture
of vertebra, occipt-atlanax
region,
init
M4841XD Fatigue fx vert, occipt-atlan-ax rgn, 7thD
656
652
872
M4841XG Fatigue fx vert, occipt-atlan-ax rgn, 7thG
872
M4841XS Fatigue fracture of vertebra, occipt-atlanregion,

sqla of vertebra, cervical
M4842XA ax
Fatigue
fracture
for fx
M4842XD region,
Fatigue init
fx vertebra,
cerv region, subs for
656
652
872
w routn
heal
M4842XG fx
Fatigue
fx vertebra,
cerv region, subs for
fx
w
delay
heal
M4842XS Fatigue fracture of vertebra, cervical
872
656
M4843XA region,
Fatigue sqla
fracture of vertebra,
cervicothoracic
region, init rgn, subs for fx
M4843XD Fatigue fx vert, cervicothor
routn fx
heal
M4843XG w
Fatigue
vert, cervicothor rgn, subs for fx
w
delay
heal
M4843XS Fatigue fracture of vertebra,
652
872
872
656
sqla thoracic
M4844XA cervicothoracic
Fatigue fracture region,
of vertebra,
for fx
M4844XD region,
Fatigue init
fx vertebra,
thor region, subs for fx
w
routn
heal
M4844XG Fatigue fx vertebra, thor region, subs for fx
delay fracture
heal
M4844XS w
Fatigue
of vertebra, thoracic
652
872
872
656
M4845XA region,
Fatigue sqla
fracture of vertebra,
region,
init region, subs for
M4845XD thoracolumbar
Fatigue fx vertebra,
thrclm
w routn
heal
M4845XG fx
Fatigue
fx vertebra,
thrclm region, subs for
fx
w
delay
heal
M4845XS Fatigue fracture of vertebra,
652
872
872
656
sqla lumbar
M4846XA thoracolumbar
Fatigue fractureregion,
of vertebra,
for fx
M4846XD region,
Fatigue init
fx vertebra,
lumbar region, subs
for
fx
w
routn
heal
M4846XG Fatigue fx vertebra, lumbar region, subs
652
872
872
fx w fracture
delay heal
M4846XS for
Fatigue
of vertebra, lumbar
M4847XA region,
Fatigue sqla
fracture of vertebra, lumbosacral
region,
init
M4847XD Fatigue fx vert, lumbosacr region, subs for
656
652
872
w routn
heal lumbosacr region, subs for
M4847XG fx
Fatigue
fx vert,
w delay
heal of vertebra, lumbosacral
M4847XS fx
Fatigue
fracture
region, sqla
872
656
Page 2386 of 6734

M4848XA Fatigue fracture of vertebra, sacr/sacrocygl
M4848XD region,
Fatigue init
fx vert, sacr/sacrocygl rgn, 7thD
652
872
M4848XG Fatigue fx vert, sacr/sacrocygl rgn, 7thG
872
M4848XS Fatigue fracture of vertebra, sacr/sacrocygl

sqla
M4850XA region,
Collapsed
vertebra, NEC, site unsp, init
656
656
M4850XD Collapsed vertebra, NEC, site unsp, subs

fx w routn
heal NEC, site unsp, subs
M4850XG for
Collapsed
vertebra,
fx w delay
heal NEC, site unsp,
M4850XS for
Collapsed
vertebra,
ofvertebra,
fracture NEC, occipito-atlantoM4851XA sequela
Collapsed
872
872
656
656
region,
initNEC, occipt-atlan-ax rgn,
M4851XD axial
Collapsed
vert,
M4851XG 7thD
Collapsed vert, NEC, occipt-atlan-ax rgn,
M4851XS 7thG
Collapsed vertebra, NEC, occipt-atlan-ax
872
872
656
sqla
M4852XA region,
Collapsed
vertebra, NEC, cervical region,
init
M4852XD Collapsed vert, NEC, cerv region, subs for
w routn vert,
heal NEC, cerv region, subs for
M4852XG fx
Collapsed
656
872
872
w delay vertebra,
heal
M4852XS fx
Collapsed
NEC, cervical region,
sqla
M4853XA Collapsed vertebra, NEC, cervicothoracic
initvert, NEC, cervicothor rgn, 7thD
M4853XD region,
Collapsed
656
656
872
M4853XG Collapsed vert, NEC, cervicothor rgn, 7thG
872
M4853XS Collapsed vertebra, NEC, cervicothoracic

sqla
M4854XA region,
Collapsed
vertebra, NEC, thoracic region,
init
M4854XD Collapsed vert, NEC, thor region, subs for
656
656
872
w routn vert,
heal NEC, thor region, subs for
M4854XG fx
Collapsed
w delay vertebra,
heal
M4854XS fx
Collapsed
NEC, thoracic region,
872
656
M4855XA sqla
Collapsed vertebra, NEC, thoracolumbar
initvert, NEC, thrclm region, subs
M4855XD region,
Collapsed
fx w routn
M4855XG for
Collapsed
vert,heal
NEC, thrclm region, subs
656
872
872
fx w delay
heal NEC, thoracolumbar
M4855XS for
Collapsed
vertebra,
sqla
M4856XA region,
Collapsed
vertebra, NEC, lumbar region,
init
656
656
Page 2387 of 6734

M4856XD Collapsed vert, NEC, lumbar region, subs
fx w routn
M4856XG for
Collapsed
vert,heal
NEC, lumbar region, subs
for
fx
w
delay
heal
M4856XS Collapsed vertebra, NEC, lumbar region,
872
872
656
ofvertebra,
fracture NEC, lumbosacral
M4857XA sequela
Collapsed
initvert, NEC, lumbosacr rgn, subs
M4857XD region,
Collapsed
656
872
fx w routn
M4857XG for
Collapsed
vert,heal
NEC, lumbosacr rgn, subs
for
fx
w
delay
heal
M4857XS Collapsed vertebra, NEC, lumbosacral
sqla
M4858XA region,
Collapsed
vertebra, NEC, sacr/sacrocygl
872
656
656
initvert, NEC, sacr/sacrocygl rgn,

M4858XD region,
Collapsed
M4858XG 7thD
Collapsed vert, NEC, sacr/sacrocygl rgn,
M4858XS 7thG
Collapsed vertebra, NEC, sacr/sacrocygl
872
872
656
sqla
M488X1 region,
Oth spondylopathies,
occipito-atlanto-axial
region
M488X2 Other specified spondylopathies, cervical
655
655
M488X3 region
Other specified spondylopathies,
spondylopathies, thoracic
region
M488X5 Other specified spondylopathies,
655
655
655
spondylopathies, lumbar
region
M488X7 Other specified spondylopathies,
region sacral and
M488X8 lumbosacral
Oth spondylopathies,
655
655
655
region
Other specified spondylopathies,
site
unspecified
M489
Spondylopathy, unspecified
655
656
Spondylopathy in diseases classified

elsewhere,
site unsp
Spond in diseases
classd elswhr, occipt-
656
656
atlan-ax
region in diseases classd elswhr,
Spondylopathy
cervical
region in diseases classd elswhr,
Spondylopathy
cervicothor
region
Spondylopathy
in diseases classd elswhr,
thoracic
region
Spond in diseases classd elswhr,
656
656
656
656
thoracolumbar
Spondylopathy region
lumbar
region
Spondylopathy in diseases classd elswhr,
lumbosacral region
656
656
M4980
M4981
M4982
M4983
M4984
M4985
M4986
M4987
Page 2388 of 6734

M4988
M4989
M5000
M5001
M5002
M5003
M5010
M5011
M5012
M5013
M5020
M5021
M5022
M5023
M5030
M5031
M5032
M5033
M5080
M5081
M5082
M5083
M5090
M5091
M5092
M5093
M5104
M5105
M5106
Spond in diseases classd elswhr,

sacr/sacrocygl
region
Spond in diseases
classd elswhr, multiple
sites
in
spine
Cervical disc disorder with myelopathy,
656
656
656
unsp
cervical
region w myelopathy, high
Cervical
disc disorder
cervical
Cervical region
disc disorder with myelopathy,
mid-cervical
Cervical disc region
disorder w myelopathy,
656
656
656
cervicothoracic
regionw radiculopathy,
Cervical disc disorder
unsp
cervical
region
Cerv disc
disorder
w radiculopathy, high
527
527
cervical
Cervical region
disc disorder w radiculopathy,
mid-cervical
Cervical disc region
disorder w radiculopathy,
cervicothor
region
Other cervical disc displacement, unsp
527
527
656
cervical
regiondisc displacement, high
Other cervical
cervical
regiondisc displacement, midOther cervical
cervical
regiondisc displacement,
Other cervical
656
656
656
cervicothoracic
region
Other cervical disc
degeneration, unsp
cervical
region
Other cervical disc degeneration, high
cervical
regiondisc degeneration, midOther cervical
656
656
656
cervical
regiondisc degeneration,
Other cervical
cervicothoracic
region
Other cervical disc
disorders, unspecified
656
656
cervical
regiondisc disorders, high cervical
Other cervical
region
Other cervical disc disorders, mid-cervical
region
Other cervical disc disorders,
656
656
656
cervicothoracic
region unsp, unspecified
Cervical disc disorder,
cervical
Cervical region
disc disorder, unspecified, high
656
656
cervical
Cervical region
disc disorder, unspecified, midcervical
Cervical region
disc disorder, unspecified,
cervicothoracic
region
Intervertebral disc
disorders w
656
656
656
myelopathy,
thoracicwregion
Intvrt disc disorders
myelopathy,
thoracolumbar
region
Intervertebral disc disorders with
656
658
myelopathy, lumbar region

Page 2389 of 6734

M5114
Intvrt disc disorders w radiculopathy,

thoracic
region
Intvrt disc
disorders w radiculopathy,
thoracolumbar
region
Intervertebral disc
disorders w
656
656
656
radiculopathy,
lumbar
Intvrt disc disorders
w region
radiculopathy,
lumbosacral
region
Other intervertebral disc displacement,
656
656
thoracic
region
Other intervertebral
disc displacement,
thoracolumbar
region
Other intervertebral disc displacement,
lumbar
region
disc displacement,
656
657
657
lumbosacral
region disc degeneration,
thoracic
region
disc degeneration,
thoracolumbar
region
Other intervertebral disc degeneration,
656
656
657
657
M5144
lumbar
region
disc degeneration,
lumbosacral
region
Schmorl's nodes, thoracic region
656
M5145
Schmorl's nodes, thoracolumbar region
656
M5146
Schmorl's nodes, lumbar region
656
M5147
Schmorl's nodes, lumbosacral region
656
M5184
Other intervertebral disc disorders,

thoracic
region
disc disorders,
thoracolumbar
regiondisc disorders, lumbar
region
Other intervertebral disc disorders,
656
656
657
657
657
M530
lumbosacral
region
Unsp thoracic,
thoracolum and lumbosacr
intvrt
disc
disorder
Cervicocranial syndrome
527
M531
Cervicobrachial syndrome
527
M532X1 Spinal instabilities, occipito-atlanto-axial

M532X2 region
Spinal instabilities, cervical region
661
661
M532X3 Spinal instabilities, cervicothoracic region
661
M532X4 Spinal instabilities, thoracic region
661
M532X5 Spinal instabilities, thoracolumbar region
661
M532X6 Spinal instabilities, lumbar region
661
M5115
M5116
M5117
M5124
M5125
M5126
M5127
M5134
M5135
M5136
M5137
M5185
M5186
M5187
M519
Page 2390 of 6734

M532X7 Spinal instabilities, lumbosacral region
656
M532X8 Spinal instabilities, sacral and

region
Spinal instabilities,
site unspecified
656
661
Sacrococcygeal disorders, not elsewhere

classified
Other specified dorsopathies, site
656
656
unspecified
Other specified dorsopathies, occipitoatlanto-axial
region
Other specified
dorsopathies, cervical
region
Other specified dorsopathies,
656
656
656
cervicothoracic
dorsopathies, thoracic
region
Other specified dorsopathies,
thoracolumbar
dorsopathies, lumbar
region
Other specified dorsopathies, lumbosacral
656
657
656
656
region
Oth dorsopathies, sacral and
sacrococcygeal
region
Dorsopathy, unspecified
656
656
Panniculitis affecting regions of neck and

back,
site unsp
Panniculitis
aff regions of neck/bk, occipt-
675
675
atlan-ax
region
Panniculitis
affecting regions of neck/bk,
cervical
region
Panniculitis aff regions of neck/bk,
675
656
cervicothor
Panniculitis region
affecting regions of neck/bk,
thoracic
region
Panniculitis affecting regions of neck/bk,
thoracolum
region
Panniculitis affecting
regions of neck/bk,
lumbar
region
Panniculitis affecting regions of neck/bk,
656
656
657
657
656
M5409
lumbosacr
Panniculitisregion
aff regions of neck/bk,
sacr/sacrocygl
Panniculitis aff region
regions, neck/bk, multiple
656
M5410
sites
in spine site unspecified
Radiculopathy,
527
M5411
527
M5412
Radiculopathy, occipito-atlanto-axial
region
Radiculopathy, cervical region
527
M5413
Radiculopathy, cervicothoracic region
527
M5414
Radiculopathy, thoracic region
656
M533
M5380
M5381
M5382
M5383
M5384
M5385
M5386
M5387
M5388
M539
M5400
M5401
M5402
M5403
M5404
M5405
M5406
M5407
M5408
Page 2391 of 6734

M5415
Radiculopathy, thoracolumbar region
656
M5416
Radiculopathy, lumbar region
656
M5417
Radiculopathy, lumbosacral region
656
M5418
Radiculopathy, sacral and sacrococcygeal

region
Cervicalgia
527
656
M5430
Sciatica, unspecified side
658
M5431
Sciatica, right side
658
M5432
Sciatica, left side
658
M5440
Lumbago with sciatica, unspecified side
658
M5441
Lumbago with sciatica, right side
658
M5442
Lumbago with sciatica, left side
658
M545
Low back pain
656
M546
Pain in thoracic spine
656
M5481
Occipital neuralgia
656
M5489
Other dorsalgia
656
Dorsalgia, unspecified
656
M60000 Infective myositis, unspecified right arm
654
M60001 Infective myositis, unspecified left arm
654
M60002 Infective myositis, unspecified arm
654
M60003 Infective myositis, unspecified right leg
654
M60004 Infective myositis, unspecified left leg
654
M60005 Infective myositis, unspecified leg
654
M60009 Infective myositis, unspecified site
654
M60011 Infective myositis, right shoulder
654
M60012 Infective myositis, left shoulder
654
M60019 Infective myositis, unspecified shoulder
654
M60021 Infective myositis, right upper arm
654
M60022 Infective myositis, left upper arm
654
M60029 Infective myositis, unspecified upper arm
654
M542
M549
Page 2392 of 6734

M60031 Infective myositis, right forearm
654
M60032 Infective myositis, left forearm
654
M60039 Infective myositis, unspecified forearm
654
M60041 Infective myositis, right hand
654
M60042 Infective myositis, left hand
654
M60043 Infective myositis, unspecified hand
654
M60044 Infective myositis, right finger(s)
654
M60045 Infective myositis, left finger(s)
654
M60046 Infective myositis, unspecified finger(s)
654
M60051 Infective myositis, right thigh
654
M60052 Infective myositis, left thigh
654
M60059 Infective myositis, unspecified thigh
654
M60061 Infective myositis, right lower leg
654
M60062 Infective myositis, left lower leg
654
M60069 Infective myositis, unspecified lower leg
654
M60070 Infective myositis, right ankle
654
M60071 Infective myositis, left ankle
654
M60072 Infective myositis, unspecified ankle
654
M60073 Infective myositis, right foot
654
M60074 Infective myositis, left foot
654
M60075 Infective myositis, unspecified foot
654
M60076 Infective myositis, right toe(s)
654
M60077 Infective myositis, left toe(s)
654
M60078 Infective myositis, unspecified toe(s)
654
M6008
Infective myositis, other site
654
M6009
Infective myositis, multiple sites
654
M6010
Interstitial myositis of unspecified site
661
M60111 Interstitial myositis, right shoulder
661
M60112 Interstitial myositis, left shoulder
661
Page 2393 of 6734

M60119 Interstitial myositis, unspecified shoulder
661
M60121 Interstitial myositis, right upper arm
661
M60122 Interstitial myositis, left upper arm
661
M60129 Interstitial myositis, unspecified upper arm
661
M60131 Interstitial myositis, right forearm
661
M60132 Interstitial myositis, left forearm
661
M60139 Interstitial myositis, unspecified forearm
661
M60141 Interstitial myositis, right hand
661
M60142 Interstitial myositis, left hand
661
M60149 Interstitial myositis, unspecified hand
661
M60151 Interstitial myositis, right thigh
661
M60152 Interstitial myositis, left thigh
661
M60159 Interstitial myositis, unspecified thigh
661
M60161 Interstitial myositis, right lower leg
661
M60162 Interstitial myositis, left lower leg
661
M60169 Interstitial myositis, unspecified lower leg
661
M60171 Interstitial myositis, right ankle and foot
661
M60172 Interstitial myositis, left ankle and foot
661
M60179 Interstitial myositis, unspecified ankle and

M6018 foot
Interstitial myositis, other site
661
661
661
Foreign body granuloma of soft tissue,

unsp
sitegranuloma of soft tissue,
M60211 NEC,
Foreign
body
right
shoulder
M60212 NEC,
Foreign
body
granuloma of soft tissue,
NEC,
left
shoulder
M60219 Foreign body granuloma of soft tissue,
661
661
661
661
unsp
shoulder
M60221 NEC,
Foreign
body
NEC,
right
upper
arm
M60222 Foreign body granuloma
of soft tissue,
NEC,
left
upper
arm
unsp
upper
arm
M60231 NEC,
Foreign
body
granuloma
of soft tissue,
661
661
661
661
M6019
Interstitial myositis, multiple sites
M6020
NEC, right forearm

Page 2394 of 6734

leftbody
forearm
M60239 NEC,
Foreign
NEC,
unsp
forearm
right
hand
M60242 NEC,
Foreign
body
661
661
661
661
leftbody
handgranuloma of soft tissue,
M60249 NEC,
Foreign
unsp
hand
M60251 NEC,
Foreign
body
NEC,
right
thigh
leftbody
thighgranuloma of soft tissue,
M60259 NEC,
Foreign
661
661
661
661
unsp
thigh
M60261 NEC,
Foreign
body
NEC,
right
lower
leg
M60262 Foreign body granuloma
of soft tissue,
NEC,
left
lower
leg
unsp
lower
leg
M60271 NEC,
Foreign
body
granuloma
of soft tissue,
661
661
661
661
right
ank/ft
M60272 NEC,
Foreign
body
NEC,
left
ank/ft
unsp
ank/ft
M6028 NEC,
Foreign
body
NEC,
oth
site
M6080 Other myositis, unspecified site
661
661
661
661
M60811 Other myositis, right shoulder
661
M60812 Other myositis, left shoulder
661
M60819 Other myositis, unspecified shoulder
661
M60821 Other myositis, right upper arm
661
M60822 Other myositis, left upper arm
661
M60829 Other myositis, unspecified upper arm
661
M60831 Other myositis, right forearm
661
M60832 Other myositis, left forearm
661
M60839 Other myositis, unspecified forearm
661
M60841 Other myositis, right hand
661
M60842 Other myositis, left hand
661
M60849 Other myositis, unspecified hand
661
M60851 Other myositis, right thigh
661
Page 2395 of 6734

M60852 Other myositis, left thigh
661
M60859 Other myositis, unspecified thigh
661
M60861 Other myositis, right lower leg
661
M60862 Other myositis, left lower leg
661
M60869 Other myositis, unspecified lower leg
661
M60871 Other myositis, right ankle and foot
661
M60872 Other myositis, left ankle and foot
661
M60879 Other myositis, unspecified ankle and foot
661
M6088
Other myositis, other site
661
M6089
Other myositis, multiple sites
661
Myositis, unspecified
661
Myositis ossificans traumatica, unspecified

M61011 site
Myositis ossificans traumatica, right
M61012 shoulder
Myositis ossificans traumatica, left
M61019 shoulder
661
661
661
661
M61021 shoulder
Myositis ossificans traumatica, right upper
M61022 arm
Myositis ossificans traumatica, left upper
M61029 arm
661
661
661
arm
M61031 upper
Myositis
ossificans traumatica, right
forearm
M61032 Myositis ossificans traumatica, left forearm
661
661
M61039 Myositis ossificans traumatica, unspecified

M61041 forearm
Myositis ossificans traumatica, right hand
661
661
M61042 Myositis ossificans traumatica, left hand
661

M61051 hand
Myositis ossificans traumatica, right thigh
661
661
M61052 Myositis ossificans traumatica, left thigh
661

M61061 thigh
Myositis ossificans traumatica, right lower
M61062 leg
Myositis ossificans traumatica, left lower
leg
661
661
661
M609
M6100
Page 2396 of 6734

legossificans traumatica, right ankle
M61071 lower
Myositis
foot ossificans traumatica, left ankle
M61072 and
Myositis
661
661
661
foot ossificans traumatica, unspecified

M61079 and
Myositis
and
foot
M6108 ankle
Myositis
ossificans
traumatica, other site
661
661
Myositis ossificans traumatica, multiple

M6110 sites
Myositis ossificans progressiva,
site
M61111 unspecified
Myositis ossificans
progressiva, right
shoulder
M61112 Myositis ossificans progressiva, left
661
661
661
661
M61119 shoulder
shoulder
M61121 unspecified
Myositis ossificans
progressiva, right upper
M61122 arm
Myositis ossificans progressiva, left upper
661
661
661
M61129 arm
arm
M61131 unspecified
Myositis ossificans
progressiva, right
M61132 forearm
Myositis ossificans progressiva, left
661
661
661
M61139 forearm
forearmprogressiva, right hand
M61141 unspecified
Myositis ossificans
661
661
M61142 Myositis ossificans progressiva, left hand
661
M61143 Myositis ossificans progressiva,

hand progressiva, right
M61144 unspecified
Myositis ossificans
M61145 finger(s)
Myositis ossificans progressiva, left
661
661
661
M61146 finger(s)
finger(s)
M61151 unspecified
Myositis ossificans
progressiva, right thigh
661
661
M61152 Myositis ossificans progressiva, left thigh
661

thigh progressiva, right lower
M61161 unspecified
Myositis ossificans
M61162 leg
Myositis ossificans progressiva, left lower
661
661
661
M61169 leg
lower leg
M61171 unspecified
Myositis ossificans
progressiva, right ankle
661
661
M6109
Page 2397 of 6734

M61172 Myositis ossificans progressiva, left ankle
661

ankle progressiva, right foot
M61174 unspecified
Myositis ossificans
661
661
M61175 Myositis ossificans progressiva, left foot
661

foot
M61177 unspecified
Myositis ossificans
progressiva, right toe(s)
661
661
M61178 Myositis ossificans progressiva, left toe(s)
661

toe(s) progressiva, other site
M6118 unspecified
Myositis ossificans
661
661
661
661
siteand ossification of
M61211 muscle,
Paralyticunsp
calcifcn
shoulder
M61212 muscle,
Paralyticrcalcifcn
and ossification of
muscle,
left
shoulder
M61219 Paralytic calcifcn and ossification of
661
661
661
shoulderand ossification of
M61221 muscle,
Paralyticunsp
calcification
up arm
M61222 muscle,
Paralyticrcalcification
and ossification of
muscle,
l
up
arm
M61229 Paralytic calcifcn and ossifictn of muscle,
661
661
661
upper
arm and ossification of
M61231 unsp
Paralytic
calcifcn
forearm
M61232 muscle,
Paralyticright
calcifcn
and ossification of
muscle,
left
forearm
661
661
661
forearm
M61241 muscle,
Paralyticunsp
calcifcn
and ossification of
muscle,
right
hand
hand and ossification of
M61249 muscle,
Paralyticleft
calcifcn
661
661
661
hand
M61251 muscle,
Paralyticunsp
calcifcn
and ossification of
muscle,
right
thigh
thighand ossification of
M61259 muscle,
Paralyticleft
calcifcn
661
661
661
thigh
M61261 muscle,
Paralyticunsp
calcifcn
and ossification of
muscle,
r
low
leg
low leg and ossifictn of muscle,
M61269 muscle,
Paralyticl calcifcn
661
661
661
M6119
M6120
Myositis ossificans progressiva, multiple

sites
Paralytic calcifcn and ossification of
unsp lower leg

Page 2398 of 6734

ank/ft
M61272 muscle,
Paralyticright
calcifcn
and ossification of
muscle,
left
ank/ft
661
661
661
muscle,
ank/ft and ossification of
Paralyticunsp
calcification
muscle,
site and ossifictn of muscle,
Paralyticoth
calcifcn
661
661
sitesossifictn of muscles assoc w

M6130 multiple
Calcifcn and
M61311 burns,
Calcifcnunsp
and site
ossifictn of muscles assoc w
M61312 burns,
Calcifcnr shoulder
and ossifictn of muscles assoc w
burns,
l
shoulder
M61319 Calcifcn and ossifictn of muscles assoc w
661
661
661
661
M61321 burns,
Calcifcnunsp
and shldr
burns,
r
up
arm
arm
M61329 burns,
Calcifcnl up
and
burns,
unsp
up
arm of muscles assoc w
M61331 Calcifcn and ossifictn
661
661
661
661
M61332 burns,
Calcifcnr forearm
and ossifictn of muscles assoc w
M61339 burns,
Calcifcnl forearm
and ossifictn of musc assoc w
burns,
unsp
M61341 Calcifcn and forearm
burns,
right
hand
661
661
661
661
hand
M61349 burns,
Calcifcnleft
and
M61351 burns,
Calcifcnunsp
and hand
burns,
right
thigh
thigh
M61359 burns,
Calcifcnleft
and
661
661
661
661
M61361 burns,
Calcifcnunsp
and thigh
M61362 burns,
Calcifcnr low
and leg
burns,
l
low
leg
M61369 Calcifcn and ossifictn of musc assoc w
661
661
661
leg of musc assoc w

M61371 burns,
Calcifcnunsp
and low
ossifictn
M61372 burns,
Calcifcnright
andank/ft
burns,
left
ank/ft
M6138 burns,
Calcifcnunsp
and ank/ft
661
661
661
661
burns,
site
Calcifcnoth
and
burns, mult sites
661
M6128
M6129
M6139
Page 2399 of 6734

M6140
Other calcification of muscle, unspecified

M61411 site
Other calcification of muscle, right
M61412 shoulder
Other calcification of muscle, left shoulder
661
661
661
M61419 Other calcification of muscle, unspecified

M61421 shoulder
Other calcification of muscle, right upper
M61422 arm
Other calcification of muscle, left upper
M61429 arm
Other calcification of muscle, unspecified
661
661
661
661
arm
M61431 upper
Other calcification
of muscle, right forearm
661
M61432 Other calcification of muscle, left forearm
661

M61441 forearm
Other calcification of muscle, right hand
661
661
M61442 Other calcification of muscle, left hand
661

M61451 hand
Other calcification of muscle, right thigh
661
661
M61452 Other calcification of muscle, left thigh
661

M61461 thigh
Other calcification of muscle, right lower
M61462 leg
Other calcification of muscle, left lower leg
661
661
661

M61471 lower
Other leg
calcification of muscle, right ankle
and
foot
M61472 Other calcification of muscle, left ankle
foot
M61479 and
Other
calcification of muscle, unspecified
661
661
661
661
661
Other calcification of muscle, multiple

M6150 sites
Other ossification of muscle, unspecified
M61511 site
Other ossification of muscle, right shoulder
661
661
661
M61512 Other ossification of muscle, left shoulder
661
M61519 Other ossification of muscle, unspecified

M61521 shoulder
Other ossification of muscle, right upper
arm
661
661
M6148
ankle
foot
Other and
calcification
of muscle, other site
M6149
Page 2400 of 6734

M61522 Other ossification of muscle, left upper
M61529 arm
arm
M61531 upper
Other ossification
of muscle, right forearm
661
661
661
M61532 Other ossification of muscle, left forearm
661

M61541 forearm
Other ossification of muscle, right hand
661
661
M61542 Other ossification of muscle, left hand
661

M61551 hand
Other ossification of muscle, right thigh
661
661
M61552 Other ossification of muscle, left thigh
661

M61561 thigh
Other ossification of muscle, right lower
M61562 leg
Other ossification of muscle, left lower leg
661
661
661

M61571 lower
Other leg
ossification of muscle, right ankle
and
foot
M61572 Other ossification of muscle, left ankle and
M61579 foot
661
661
661
661
M6158
ankle
foot
Other and
ossification
661
M6159
Other ossification of muscle, multiple sites
661
Calcification and ossification of muscle,

unspecified
Separation of muscle (nontraumatic),
661
M619
M6200
661
site
M62011 unspecified
Separation of
muscle (nontraumatic), right
M62012 shoulder
Separation of muscle (nontraumatic), left
M62019 shoulder
661
661
661
shoulder
M62021 unspecified
Separation of
arm of muscle (nontraumatic), left
M62022 upper
Separation
arm of muscle (nontraumatic),
M62029 upper
Separation
661
661
661
upper
arm(nontraumatic), right
M62031 unspecified
Separation of
muscle
M62032 forearm
Separation of muscle (nontraumatic), left
forearm
661
661
Page 2401 of 6734

M62039 Separation of muscle (nontraumatic),
forearm
M62041 unspecified
Separation of
hand
M62042 Separation of muscle (nontraumatic), left
661
661
661
M62049 hand
hand
M62051 unspecified
Separation of
thigh
661
661
661
M62059 thigh
thigh
M62061 unspecified
Separation of
lower
leg
661
661
661
leg of muscle (nontraumatic),

M62069 lower
Separation
lower
leg (nontraumatic), right
M62071 unspecified
Separation of
muscle
and foot
M62072 ankle
Separation
of muscle (nontraumatic), left
661
661
661
and foot
M62079 ankle
Separation
of muscle (nontraumatic), unsp
ankle
and
foot
M6208 Separation of muscle (nontraumatic),
M6210 other
Other site
rupture of muscle (nontraumatic),
661
661
661
site
M62111 unspecified
Other rupture
of muscle (nontraumatic),
right
shoulder
M62112 Other rupture of muscle (nontraumatic),
shoulder
M62119 left
Other
661
661
661
shoulder
M62121 unspecified
Other rupture
right
upper
arm
upper
armof muscle (nontraumatic),
M62129 left
Other
rupture
661
661
661
arm
M62131 unsp
Otherupper
rupture
M62132 right
Otherforearm
left
forearm
661
661
661
forearm
M62141 unspecified
Other rupture
M62142 right
Otherhand
left
hand
661
661
661
hand
M62151 unspecified
Other rupture
right
thigh
left thigh
661
661
Page 2402 of 6734

thigh
M62161 unspecified
Other rupture
right
lower
leg
661
661
661
lower
leg of muscle (nontraumatic),
M62169 left
Other
rupture
legof muscle (nontraumatic),
M62171 unsp
Otherlower
rupture
andoffoot
M62172 right
Otherankle
rupture
muscle (nontraumatic),
661
661
661
ankle
and foot
M62179 left
Other
rupture
andoffoot
M6218 unsp
Otherankle
rupture
muscle (nontraumatic),
other
site
M6220 Nontraumatic ischemic infarction of
661
661
661
unspecified
siteinfarction of
M62211 muscle,
Nontraumatic
ischemic
right shoulder
M62212 muscle,
Nontraumatic
ischemic infarction of
left shoulder
M62219 muscle,
Nontraumatic
661
661
661
unsp shoulder
M62221 muscle,
Nontraumatic
muscle,
right
upper
arminfarction of
M62222 Nontraumatic ischemic
left upper
arm infarction of
M62229 muscle,
Nontraumatic
ischemic
661
661
661
unsp upper
arminfarction of
M62231 muscle,
Nontraumatic
ischemic
right forearm
M62232 muscle,
Nontraumatic
muscle,
left
forearm
661
661
661
unsp forearm
M62241 muscle,
Nontraumatic
muscle,
right
hand
left hand
M62249 muscle,
Nontraumatic
661
661
661
unspecified
hand
M62251 muscle,
Nontraumatic
ischemic
infarction of
right thigh
M62252 muscle,
Nontraumatic
muscle,
left
thigh
661
661
661
unsp thigh
M62261 muscle,
Nontraumatic
right lower
leg infarction of
M62262 muscle,
Nontraumatic
ischemic
left lower
leg infarction of
M62269 muscle,
Nontraumatic
ischemic
661
661
661
unsp lower
leg infarction of
M62271 muscle,
Nontraumatic
ischemic
right ank/ft
M62272 muscle,
Nontraumatic
muscle, left ank/ft
661
661
Page 2403 of 6734

unsp ank/ft
M6228 muscle,
Nontraumatic
muscle,
other
site
M623
Immobility syndrome
(paraplegic)
661
661
661
661
M62411 Contracture of muscle, right shoulder
661
M62412 Contracture of muscle, left shoulder
661
M62419 Contracture of muscle, unspecified

M62421 shoulder
Contracture of muscle, right upper arm
661
661
M62422 Contracture of muscle, left upper arm
661
M62429 Contracture of muscle, unspecified upper

M62431 arm
Contracture of muscle, right forearm
661
661
M62432 Contracture of muscle, left forearm
661
M62439 Contracture of muscle, unspecified

M62441 forearm
Contracture of muscle, right hand
661
661
M62442 Contracture of muscle, left hand
661
M62449 Contracture of muscle, unspecified hand
661
M62451 Contracture of muscle, right thigh
661
M62452 Contracture of muscle, left thigh
661
M62459 Contracture of muscle, unspecified thigh
661
M62461 Contracture of muscle, right lower leg
661
M62462 Contracture of muscle, left lower leg
661
M62469 Contracture of muscle, unspecified lower

M62471 leg
Contracture of muscle, right ankle and foot
661
661
M62472 Contracture of muscle, left ankle and foot
661
M62479 Contracture of muscle, unspecified ankle

foot
M6248 and
Contracture
661
661
661
661
661
M6240
M6249
Contracture of muscle, unspecified site
Contracture of muscle, multiple sites
M6250
Muscle wasting and atrophy, NEC, unsp

M62511 site
Muscle wasting and atrophy, NEC, right
shoulder
Page 2404 of 6734

M62512 Muscle wasting and atrophy, NEC, left
M62519 shoulder
M62521 shoulder
M62522 upper
Musclearm
wasting and atrophy, NEC, left
661
661
661
661
M62529 upper
Musclearm
wasting and atrophy, NEC, unsp
upper
arm
M62531 Muscle wasting and atrophy, NEC, right
M62532 forearm
Muscle wasting and atrophy, NEC, left
M62539 forearm
661
661
661
661
M62541 forearm
M62542 hand
M62549 hand
M62551 hand
661
661
661
661
M62552 thigh
M62559 thigh
M62561 thigh
M62562 lower
Muscleleg
wasting and atrophy, NEC, left
661
661
661
661
M62569 lower
Muscleleg
wasting and atrophy, NEC, unsp
lower
leg
M62571 Muscle wasting and atrophy, NEC, right
foot and atrophy, NEC, left
M62572 ankle
Muscleand
wasting
foot and atrophy, NEC, unsp
M62579 ankle
Muscleand
wasting
661
661
661
661
M6258
ankle
foot and atrophy, NEC, oth site
Muscleand
wasting
661
M6259
661
M6281
Muscle wasting and atrophy, NEC, multiple

sites
Muscle weakness (generalized)
661
M6282
Rhabdomyolysis
661
M62830 Muscle spasm of back
656
M62831 Muscle spasm of calf
661
M62838 Other muscle spasm
661
Other specified disorders of muscle
661
Disorder of muscle, unspecified
661
M6289
M629
Page 2405 of 6734

M6380
Disorders of muscle in diseases classd

unsp
site
M63811 elswhr,
Disorders
of muscle
in diseases classd
elswhr,
r
shoulder
M63812 Disorders of muscle in diseases classd
leftofshoulder
M63819 elswhr,
Disorders
muscle in diseases classd
661
661
661
661
unsp
shoulder
M63821 elswhr,
Disorders
of muscle
in diseases classd
elswhr,
r
up
arm
M63822 Disorders of muscle in diseases classd
l up
arm in diseases classd elswhr,
M63829 elswhr,
Disord of
muscle
661
661
661
upper
M63831 unsp
Disorders
ofarm
elswhr,
right
forearmin diseases classd
M63832 Disorders of muscle
leftofforearm
M63839 elswhr,
Disorders
661
661
661
unsp
forearmin diseases classd
M63841 elswhr,
Disorders
of muscle
right
hand in diseases classd
M63842 elswhr,
Disorders
of muscle
leftofhand
M63849 elswhr,
Disorders
661
661
661
unsp
hand in diseases classd
M63851 elswhr,
Disorders
of muscle
right
thigh in diseases classd
M63852 elswhr,
Disorders
of muscle
leftofthigh
M63859 elswhr,
Disorders
elswhr,
unsp
thigh in diseases classd
M63861 Disorders of muscle
661
661
661
661
r low
leg
M63862 elswhr,
Disorders
of muscle
in diseases classd
l low
leg in diseases classd elswhr,
M63869 elswhr,
Disord of
muscle
lowerofleg
M63871 unsp
Disorders
661
661
661
right
ank/ft in diseases classd
M63872 elswhr,
Disorders
of muscle
leftofank/ft
M63879 elswhr,
Disorders
unsp
ank/ft in diseases classd
M6388 elswhr,
Disorders
of muscle
oth
site in diseases classd elswhr,
M6389 elswhr,
Disord of
muscle
661
661
661
661
multiple
sites
Abscess of
tendon sheath, unspecified site
661
M65011 Abscess of tendon sheath, right shoulder
661
M65012 Abscess of tendon sheath, left shoulder
661
M65019 Abscess of tendon sheath, unspecified

M65021 shoulder
Abscess of tendon sheath, right upper arm
661
661
M6500
Page 2406 of 6734

M65022 Abscess of tendon sheath, left upper arm
661

arm
M65031 upper
Abscess
of tendon sheath, right forearm
661
661
M65032 Abscess of tendon sheath, left forearm
661

M65041 forearm
Abscess of tendon sheath, right hand
661
661
M65042 Abscess of tendon sheath, left hand
661

M65051 hand
Abscess of tendon sheath, right thigh
661
661
M65052 Abscess of tendon sheath, left thigh
661

M65061 thigh
Abscess of tendon sheath, right lower leg
661
661
M65062 Abscess of tendon sheath, left lower leg
661

legof tendon sheath, right ankle and
M65071 lower
Abscess
M65072 foot
Abscess of tendon sheath, left ankle and
M65079 foot
Abscess of tendon sheath, unspecified
661
661
661
661
ankle
and
Abscess
offoot
tendon sheath, other site
661
Other infective (teno)synovitis,

site(teno)synovitis, right
M65111 unspecified
Other infective
M65112 shoulder
Other infective (teno)synovitis, left
661
661
661
M65119 shoulder
Other infective (teno)synovitis,
shoulder
M65121 unspecified
Other infective
(teno)synovitis, right elbow
661
661
M65122 Other infective (teno)synovitis, left elbow
661
M65129 Other infective (teno)synovitis,

elbow
M65131 unspecified
Other infective
(teno)synovitis, right wrist
661
661
M65132 Other infective (teno)synovitis, left wrist
661

wrist
M65141 unspecified
Other infective
(teno)synovitis, right hand
661
661
M6508
M6510
Page 2407 of 6734

M65142 Other infective (teno)synovitis, left hand
661

hand
M65151 unspecified
Other infective
(teno)synovitis, right hip
661
661
M65152 Other infective (teno)synovitis, left hip
661

hip (teno)synovitis, right knee
M65161 unspecified
Other infective
661
661
M65162 Other infective (teno)synovitis, left knee
661

knee
M65171 unspecified
Other infective
(teno)synovitis, right ankle
and
foot
M65172 Other infective (teno)synovitis, left ankle
661
661
661
foot
M65179 and
Other
infective (teno)synovitis,
ankle
and foot
M6518 unspecified
Other infective
(teno)synovitis,
other site
661
661
661
661
M65221 Calcific tendinitis, right upper arm
661
M65222 Calcific tendinitis, left upper arm
661
M65229 Calcific tendinitis, unspecified upper arm
661
M65231 Calcific tendinitis, right forearm
661
M65232 Calcific tendinitis, left forearm
661
M65239 Calcific tendinitis, unspecified forearm
661
M65241 Calcific tendinitis, right hand
661
M65242 Calcific tendinitis, left hand
661
M65249 Calcific tendinitis, unspecified hand
661
M65251 Calcific tendinitis, right thigh
661
M65252 Calcific tendinitis, left thigh
661
M65259 Calcific tendinitis, unspecified thigh
661
M65261 Calcific tendinitis, right lower leg
661
M65262 Calcific tendinitis, left lower leg
661
M65269 Calcific tendinitis, unspecified lower leg
661
M6519
M6520
Other infective (teno)synovitis, multiple

sites
Calcific tendinitis, unspecified site
Page 2408 of 6734

M65271 Calcific tendinitis, right ankle and foot
661
M65272 Calcific tendinitis, left ankle and foot
661
M65279 Calcific tendinitis, unspecified ankle and

M6528 foot
Calcific tendinitis, other site
661
661
M6529
Calcific tendinitis, multiple sites
661
M6530
Trigger finger, unspecified finger
661
M65311 Trigger thumb, right thumb
661
M65312 Trigger thumb, left thumb
661
M65319 Trigger thumb, unspecified thumb
661
M65321 Trigger finger, right index finger
661
M65322 Trigger finger, left index finger
661
M65329 Trigger finger, unspecified index finger
661
M65331 Trigger finger, right middle finger
661
M65332 Trigger finger, left middle finger
661
M65339 Trigger finger, unspecified middle finger
661
M65341 Trigger finger, right ring finger
661
M65342 Trigger finger, left ring finger
661
M65349 Trigger finger, unspecified ring finger
661
M65351 Trigger finger, right little finger
661
M65352 Trigger finger, left little finger
661
M65359 Trigger finger, unspecified little finger
661
661
Other synovitis and tenosynovitis,

siteand tenosynovitis, right
M65811 unspecified
Other synovitis
M65812 shoulder
Other synovitis and tenosynovitis, left
661
661
661
M65819 shoulder
shoulder
M65821 unspecified
Other synovitis
and tenosynovitis, right
upper
arm
M65822 Other synovitis and tenosynovitis, left
661
661
661
arm
M65829 upper
Other synovitis
and tenosynovitis,
unspecified upper arm
661
M654
Radial styloid tenosynovitis [de Quervain]
M6580
Page 2409 of 6734

M65831 Other synovitis and tenosynovitis, right
M65832 forearm
M65839 forearm
661
661
661
forearm
M65841 unspecified
Other synovitis
hand
M65849 hand
661
661
661
hand
M65851 unspecified
Other synovitis
M65852 thigh
M65859 thigh
661
661
661
thigh
M65861 unspecified
Other synovitis
lower
leg
M65869 lower
Other leg
synovitis and tenosynovitis,
661
661
661
lower
leg
M65871 unspecified
Other synovitis
and
tenosynovitis, right
ankle
and
foot
foot and tenosynovitis, unsp
M65879 ankle
Other and
synovitis
661
661
661
661
661
M659
ankle
foot and tenosynovitis, other
Other and
synovitis
site
Other synovitis and tenosynovitis, multiple
sites
Synovitis and tenosynovitis, unspecified
661
M660
Rupture of popliteal cyst
661
Rupture of synovium, unspecified joint
661
M66111 Rupture of synovium, right shoulder
661
M66112 Rupture of synovium, left shoulder
661
M66119 Rupture of synovium, unspecified shoulder
661
M66121 Rupture of synovium, right elbow
661
M66122 Rupture of synovium, left elbow
661
M66129 Rupture of synovium, unspecified elbow
661
M66131 Rupture of synovium, right wrist
661
M66132 Rupture of synovium, left wrist
661
M66139 Rupture of synovium, unspecified wrist
661
M6588
M6589
M6610
Page 2410 of 6734

M66141 Rupture of synovium, right hand
661
M66142 Rupture of synovium, left hand
661
M66143 Rupture of synovium, unspecified hand
661
M66144 Rupture of synovium, right finger(s)
661
M66145 Rupture of synovium, left finger(s)
661
M66146 Rupture of synovium, unspecified finger(s)
661
M66151 Rupture of synovium, right hip
661
M66152 Rupture of synovium, left hip
661
M66159 Rupture of synovium, unspecified hip
661
M66171 Rupture of synovium, right ankle
661
M66172 Rupture of synovium, left ankle
661
M66173 Rupture of synovium, unspecified ankle
661
M66174 Rupture of synovium, right foot
661
M66175 Rupture of synovium, left foot
661
M66176 Rupture of synovium, unspecified foot
661
M66177 Rupture of synovium, right toe(s)
661
M66178 Rupture of synovium, left toe(s)
661
M66179 Rupture of synovium, unspecified toe(s)
661
Rupture of synovium, other site
661
Spontaneous rupture of extensor tendons,

M66211 unspecified
Spontaneoussite
rupture of extensor tendons,
right
shoulder
M66212 Spontaneous rupture of extensor tendons,
shoulder rupture of extensor tendons,
M66219 left
Spontaneous
661
661
661
661
shoulderrupture of extensor tendons,

M66221 unsp
Spontaneous
upper arm
M66222 right
Spontaneous
upper armrupture of extensor tendons,
M66229 left
Spontaneous
upper arm
M66231 unsp
Spontaneous
661
661
661
661
forearm rupture of extensor tendons,

M66232 right
Spontaneous
forearm rupture of extensor tendons,
M66239 left
Spontaneous
unspecified forearm
661
661
M6618
M6620
Page 2411 of 6734

hand
M66242 right
Spontaneous
left
hand
M66251 unspecified
Spontaneoushand
661
661
661
661
thigh
M66252 right
Spontaneous
left
thigh
M66261 unspecified
Spontaneousthigh
lower legrupture of extensor tendons,
M66262 right
Spontaneous
661
661
661
661
lower leg rupture of extensor tendons,

M66269 left
Spontaneous
lower legrupture of extensor tendons,
M66271 unsp
Spontaneous
ank/ft rupture of extensor tendons,
M66272 right
Spontaneous
ankle andrupture
foot
M66279 left
Spontaneous
of extensor tendons,
661
661
661
661
unsp
ankle and
foot of extensor tendons,
Spontaneous
rupture
other
site
Spontaneous
multiple
sites rupture of flexor tendons,
Spontaneous
661
661
M6628
M6629
M6630
661
M66311 unspecified
Spontaneoussite
rupture of flexor tendons,
right
shoulder
M66312 Spontaneous rupture of flexor tendons, left
M66319 shoulder
Spontaneous rupture of flexor tendons,
M66321 unspecified
Spontaneousshoulder
661
661
661
661
upper arm
M66322 right
Spontaneous
rupture of flexor tendons, left
upper
arm
M66329 Spontaneous rupture of flexor tendons,
armof flexor tendons,
M66331 unspecified
Spontaneousupper
rupture
forearm rupture of flexor tendons, left
M66332 right
Spontaneous
M66339 forearm
Spontaneous rupture of flexor tendons,
661
661
661
661
661
M66341 unspecified
Spontaneousforearm
hand
M66342 right
Spontaneous
hand
M66351 unspecified
Spontaneoushand
661
661
661
661
thigh
M66352 right
Spontaneous
thigh
661
Page 2412 of 6734

M66361 unspecified
Spontaneousthigh
right
lower
leg
M66362 Spontaneous rupture of flexor tendons, left
leg
M66369 lower
Spontaneous
661
661
661
661
leg of flexor tendons,

M66371 unspecified
Spontaneouslower
rupture
ankle and
foot of flexor tendons, left
M66372 right
Spontaneous
rupture
and footrupture of flexor tendons,
M66379 ankle
Spontaneous
661
661
661
661
661
M6638
M6639
M6680
unsp
ankle and
foot of flexor tendons,
Spontaneous
rupture
other
site
Spontaneous
multiple
sites
Spontaneous rupture of other tendons,
661
M66811 unspecified
Spontaneoussite
rupture of other tendons,
shoulderrupture of other tendons, left
M66812 right
Spontaneous
M66819 shoulder
M66821 unspecified
Spontaneousshoulder
661
661
661
661
upper arm
M66822 right
Spontaneous
rupture of other tendons, left
upper
arm
M66829 Spontaneous rupture of other tendons,
armof other tendons,
M66831 unspecified
Spontaneousupper
rupture
forearm rupture of other tendons, left
M66832 right
Spontaneous
M66839 forearm
661
661
661
661
661
M66841 unspecified
Spontaneousforearm
right
hand
M66842 Spontaneous rupture of other tendons, left
M66849 hand
M66851 unspecified
Spontaneoushand
661
661
661
661
thigh
M66852 right
Spontaneous
rupture of other tendons, left
thigh
M66859 Spontaneous rupture of other tendons,
M66861 unspecified
Spontaneousthigh
right
lower
leg
leg
M66869 lower
Spontaneous
661
661
661
661
661
leg of other tendons,

M66871 unspecified
Spontaneouslower
rupture
right ankle and foot
661
Page 2413 of 6734

and footrupture of other tendons,
M66879 ankle
Spontaneous
ankle and
foot of other tendons,
M6688 unsp
Spontaneous
rupture
M6689 other
661
661
661
661
multiple
sites rupture of unspecified
Spontaneous
tendon
Short Achilles tendon (acquired),
661
661
unspecified
ankle
Short Achilles
tendon (acquired), right
ankle
Short Achilles tendon (acquired), left ankle
661
661
Synovial hypertrophy, not elsewhere

unsp site
M67211 classified,
Synovial hypertrophy,
NEC, right shoulder
661
661
M67212 Synovial hypertrophy, NEC, left shoulder
661
M67219 Synovial hypertrophy, NEC, unsp shoulder
661
M67221 Synovial hypertrophy, NEC, right upper

M67222 arm
Synovial hypertrophy, NEC, left upper arm
661
661
M67229 Synovial hypertrophy, NEC, unsp upper

M67231 arm
Synovial hypertrophy, NEC, right forearm
661
661
M67232 Synovial hypertrophy, not elsewhere

left forearm not elsewhere
M67239 classified,
unsp forearm
M67241 classified,
not elsewhere
661
661
661
right hand not elsewhere

M67242 classified,
left hand
M67249 classified,
not elsewhere
classified,
unsp
hand
M67251 Synovial hypertrophy, not elsewhere
661
661
661
right thigh not elsewhere

M67252 classified,
left thigh
M67259 classified,
not elsewhere
classified,
unsp
thigh
M67261 Synovial hypertrophy, NEC, right lower leg
661
661
661
M67262 Synovial hypertrophy, NEC, left lower leg
661
M67269 Synovial hypertrophy, NEC, unsp lower leg
661
M67271 Synovial hypertrophy, NEC, right ankle

foot hypertrophy, NEC, left ankle and
M67272 and
Synovial
foot
661
661
M669
M6700
M6701
M6702
M6720
Page 2414 of 6734

M67279 Synovial hypertrophy, NEC, unsp ankle
foot hypertrophy, not elsewhere
M6728 and
Synovial
other site NEC, multiple sites
M6729 classified,
661
661
661
661
M67311 Transient synovitis, right shoulder
661
M67312 Transient synovitis, left shoulder
661
M67319 Transient synovitis, unspecified shoulder
661
M67321 Transient synovitis, right elbow
661
M67322 Transient synovitis, left elbow
661
M67329 Transient synovitis, unspecified elbow
661
M67331 Transient synovitis, right wrist
661
M67332 Transient synovitis, left wrist
661
M67339 Transient synovitis, unspecified wrist
661
M67341 Transient synovitis, right hand
661
M67342 Transient synovitis, left hand
661
M67349 Transient synovitis, unspecified hand
661
M67351 Transient synovitis, right hip
661
M67352 Transient synovitis, left hip
661
M67359 Transient synovitis, unspecified hip
661
M67361 Transient synovitis, right knee
661
M67362 Transient synovitis, left knee
661
M67369 Transient synovitis, unspecified knee
661
M67371 Transient synovitis, right ankle and foot
661
M67372 Transient synovitis, left ankle and foot
661
M67379 Transient synovitis, unspecified ankle and

M6738 foot
Transient synovitis, other site
661
661
M6730
Transient synovitis, unspecified site
M6739
Transient synovitis, multiple sites
661
M6740
Ganglion, unspecified site
661
661
M67411 Ganglion, right shoulder
Page 2415 of 6734

M67412 Ganglion, left shoulder
661
M67419 Ganglion, unspecified shoulder
661
M67421 Ganglion, right elbow
661
M67422 Ganglion, left elbow
661
M67429 Ganglion, unspecified elbow
661
M67431 Ganglion, right wrist
661
M67432 Ganglion, left wrist
661
M67439 Ganglion, unspecified wrist
661
M67441 Ganglion, right hand
661
M67442 Ganglion, left hand
661
M67449 Ganglion, unspecified hand
661
M67451 Ganglion, right hip
661
M67452 Ganglion, left hip
661
M67459 Ganglion, unspecified hip
661
M67461 Ganglion, right knee
661
M67462 Ganglion, left knee
661
M67469 Ganglion, unspecified knee
661
M67471 Ganglion, right ankle and foot
661
M67472 Ganglion, left ankle and foot
661
M67479 Ganglion, unspecified ankle and foot
661
M6748
Ganglion, other site
661
M6749
Ganglion, multiple sites
661
M6750
Plica syndrome, unspecified knee
661
M6751
Plica syndrome, right knee
661
M6752
Plica syndrome, left knee
661
661
661
661
661
M6780
Oth disrd of synovium and tendon,

site disorders of synovium,
M67811 unspecified
Other specified
M67812 right
Othershoulder
specified disorders of synovium, left
shoulder
M67813 Other specified disorders of tendon, right
shoulder
Page 2416 of 6734

M67814 Other specified disorders of tendon, left
M67819 shoulder
661
661
shoulder
M67821 unspecified
Other specified
disorders of synovium,
M67822 right
Otherelbow
elbow
661
661
661
M67824 elbow
Other specified disorders of tendon, left
M67829 elbow
elbow
M67831 unspecified
Other specified
661
661
661
M67832 right
Otherwrist
wrist
M67834 wrist
M67839 wrist
661
661
661
661
forearm
M67841 unspecified
Other specified
right
hand
M67842 Other specified disorders of synovium, left
M67843 hand
Other specified disorders of tendon, right
661
661
661
M67844 hand
M67849 hand
hand
M67851 unspecified
Other specified
661
661
661
M67852 right
Otherhip
hip
M67854 hip
M67859 hip
661
661
661
661
hip disorders of synovium,

M67861 unspecified
Other specified
M67862 right
Otherknee
knee
M67864 knee
661
661
661
661
M67869 knee
knee
M67871 unspecified
Other specified
right
ankle
and
foot
M67872 Other specified disorders of synovium, left
ankle and foot
661
661
661
Page 2417 of 6734

foot disorders of tendon, left
M67874 ankle
Other and
specified
andof
foot
M67879 ankle
Oth disrd
synovium and tendon,
M6788
M6789
unspecified
ankle
and footof synovium and
Other specified
disorders
tendon,
site
Oth disrdother
of synovium
and tendon,
661
661
661
661
661
sites of synovium and tendon,

M6790 multiple
Unsp disorder
M67911 unspecified
Unspecified site
disorder of synovium and
rightdisorder
shoulder
M67912 tendon,
Unspecified
of synovium and
661
661
661
left shoulder
M67919 tendon,
Unsp disorder
of synovium and tendon,
unspecified
shoulder
M67921 Unspecified disorder of synovium and
rightdisorder
upper arm
M67922 tendon,
Unspecified
of synovium and
661
661
661
left upper
arm
M67929 tendon,
Unsp disorder
of synovium
and tendon,
unspecified
upper
arm
661
661
rightdisorder
forearmof synovium and
M67932 tendon,
Unspecified
left forearm
M67939 tendon,
Unsp disorder
unspecified
forearm
661
661
661
rightdisorder
hand of synovium and
M67942 tendon,
Unspecified
left hand
M67949 tendon,
Unsp disorder
M67951 unspecified
Unspecified hand
disorder of synovium and
661
661
661
rightdisorder
thigh of synovium and
M67952 tendon,
Unspecified
left thigh
M67959 tendon,
Unsp disorder
unspecified
thigh
661
661
661
rightdisorder
lower leg
M67962 tendon,
Unspecified
of synovium and
tendon,
left
lower
leg
M67969 Unsp disorder of synovium and tendon,
661
661
lower
leg
M67971 unspecified
Unsp disorder
of synovium
and tendon,
andoffoot
M67972 right
Unsp ankle
disorder
synovium and tendon,
left
ankle
and
foot
M67979 Unsp disorder of synovium and tendon,
661
661
661
661
661
M6798
M6799
unsp
ankle and
foot of synovium and
Unspecified
disorder
tendon,
other
site
Unspecified
disorder
of synovium and
tendon, multiple sites
Page 2418 of 6734

M70031 Crepitant synovitis (acute) (chronic), right
M70032 wrist
Crepitant synovitis (acute) (chronic), left
M70039 wrist
Crepitant synovitis (acute) (chronic),
wrist (acute) (chronic), right
M70041 unspecified
Crepitant synovitis
661
661
661
661
M70042 hand
Crepitant synovitis (acute) (chronic), left
M70049 hand
Crepitant synovitis (acute) (chronic),
hand
M7010 unspecified
Bursitis, unspecified
hand
661
661
661
M7011
Bursitis, right hand
661
M7012
Bursitis, left hand
661
M7020
Olecranon bursitis, unspecified elbow
661
M7021
Olecranon bursitis, right elbow
661
M7022
Olecranon bursitis, left elbow
661
M7030
Other bursitis of elbow, unspecified elbow
661
M7031
Other bursitis of elbow, right elbow
661
M7032
Other bursitis of elbow, left elbow
661
M7040
Prepatellar bursitis, unspecified knee
661
M7041
Prepatellar bursitis, right knee
661
M7042
Prepatellar bursitis, left knee
661
M7050
Other bursitis of knee, unspecified knee
661
M7051
Other bursitis of knee, right knee
661
M7052
Other bursitis of knee, left knee
661
M7060
Trochanteric bursitis, unspecified hip
661
M7061
Trochanteric bursitis, right hip
661
M7062
Trochanteric bursitis, left hip
661
M7070
Other bursitis of hip, unspecified hip
661
M7071
Other bursitis of hip, right hip
661
M7072
Other bursitis of hip, left hip
661
660
660
M7080
Oth soft tissue disord related to

ofdisord
unsp site
M70811 use/pressure
Oth soft tissue
related to
use/pressure, r shoulder
Page 2419 of 6734

M70812 Oth soft tissue disord related to
shoulder
M70819 use/pressure,
Oth soft tissuel disord
related to
use/pressure,
unsp
shldr
M70821 Oth soft tissue disorders related to
up arm related to
Oth soft tissuer disorders
660
660
660
660
up armrel to use/pressure,
upper
arms
M70831 unsp
Oth soft
tissue
disorders related to
use/pressure,
r
forearm related to
M70832 Oth soft tissue disorders
660
660
660
forearm
related to
use/pressure,
unsp
forearm
hand
related to
660
660
660
hand related to
Oth soft tissueleft
disorders
hand
Oth soft tissueunsp
disord
related to
use/pressure,
right
thigh
M70852 Oth soft tissue disord related to
660
660
660
thigh
Oth soft tissueleft
disord
related to
thigh related to
Oth soft tissueunsp
disorders
low leg related to
660
660
660
low leg related to

Oth soft tissuel disorders
legrelated to
Oth soft tissueunsp
disord
ank/ft
Oth soft tissueright
disord
related to
660
660
660
ank/ft
Oth soft tissueleft
disord
related to
use/pressure,
unsp
ank/ft
oth
site related to
M7089 use/pressure
Oth soft tissue
disord
660
660
660
use/pressure
mult
sitesrelated to
Unsp soft tissue
disord
of unsp
site
M70911 use/pressure
Unsp soft tissue
disord
related to
use/pressure,
r
shoulder
M70912 Unsp soft tissue disord related to
660
660
660
l shoulder
Unsp soft tissue
disord related to
use/pressure,
unsp
shldr related to
M70921 Unsp soft tissue disorder
660
660
r up
arm related to
Unsp soft tissue
disorder
l up
arm related to
Unsp soft tissue
disord
use/pressure, unsp up arm
660
660
M7090
Page 2420 of 6734

M70931 Unsp soft tissue disorder related to
r forearm
Unsp soft tissue
disorder related to
use/pressure,
l
forearm
M70939 Unsp soft tissue disord rel to use/pressure,
660
660
660
M70941 unsp
Unsp forearm
soft tissue disorder related to
use/pressure,
r hand
M70942 Unsp soft tissue
disorder related to
use/pressure,
left
hand related to
M70949 Unsp soft tissue disorder
660
660
660
unsp
hand
Unsp soft tissue
disord
related to
right
thigh
Unsp soft tissue
disord
related to
use/pressure,
left
thigh
660
660
660
unsp
thigh related to
Unsp soft tissue
disorder
r low
leg related to
Unsp soft tissue
disorder
l low
leg rel to use/pressure,
Unsp soft tissue
disord
660
660
660
M70971 unsp
Unsp low
soft leg
tissue disord rel to use/pressure,
right
ank/ft
leftdisord
ank/ftrelated to
Unsp soft tissue
660
660
660
660
M7099
use/pressure,
unsp
ank/ftrelated to
Unsp soft tissue
disorder
use/pressure
othdisord related to
Unsp soft tissue
660
M7100
use/pressure
mult unspecified
sites
Abscess of bursa,
site
661
M71011 Abscess of bursa, right shoulder
661
M71012 Abscess of bursa, left shoulder
661
M71019 Abscess of bursa, unspecified shoulder
661
M71021 Abscess of bursa, right elbow
661
M71022 Abscess of bursa, left elbow
661
M71029 Abscess of bursa, unspecified elbow
661
M71031 Abscess of bursa, right wrist
661
M71032 Abscess of bursa, left wrist
661
M71039 Abscess of bursa, unspecified wrist
661
M71041 Abscess of bursa, right hand
661
M71042 Abscess of bursa, left hand
661
M7098
Page 2421 of 6734

M71049 Abscess of bursa, unspecified hand
661
M71051 Abscess of bursa, right hip
661
M71052 Abscess of bursa, left hip
661
M71059 Abscess of bursa, unspecified hip
661
M71061 Abscess of bursa, right knee
661
M71062 Abscess of bursa, left knee
661
M71069 Abscess of bursa, unspecified knee
661
M71071 Abscess of bursa, right ankle and foot
661
M71072 Abscess of bursa, left ankle and foot
661
M71079 Abscess of bursa, unspecified ankle and

M7108 foot
Abscess of bursa, other site
661
661
M7109
Abscess of bursa, multiple sites
661
M7110
Other infective bursitis, unspecified site
661
M71111 Other infective bursitis, right shoulder
661
M71112 Other infective bursitis, left shoulder
661
M71119 Other infective bursitis, unspecified

M71121 shoulder
Other infective bursitis, right elbow
661
661
M71122 Other infective bursitis, left elbow
661
M71129 Other infective bursitis, unspecified elbow
661
M71131 Other infective bursitis, right wrist
661
M71132 Other infective bursitis, left wrist
661
M71139 Other infective bursitis, unspecified wrist
661
M71141 Other infective bursitis, right hand
661
M71142 Other infective bursitis, left hand
661
M71149 Other infective bursitis, unspecified hand
661
M71151 Other infective bursitis, right hip
661
M71152 Other infective bursitis, left hip
661
M71159 Other infective bursitis, unspecified hip
661
M71161 Other infective bursitis, right knee
661
Page 2422 of 6734

M71162 Other infective bursitis, left knee
661
M71169 Other infective bursitis, unspecified knee
661
M71171 Other infective bursitis, right ankle and

M71172 foot
Other infective bursitis, left ankle and foot
661
661
M71179 Other infective bursitis, unspecified ankle

foot
M7118 and
Other
infective bursitis, other site
661
661
M7119
Other infective bursitis, multiple sites
661
M7120
661
661
M7122
Synovial cyst of popliteal space [Baker],

unspecified
knee
Synovial cyst
of popliteal space [Baker],
right
knee
Synovial cyst of popliteal space [Baker],
661
M7130
left
knee
Other
bursal cyst, unspecified site
661
M71311 Other bursal cyst, right shoulder
661
M71312 Other bursal cyst, left shoulder
661
M71319 Other bursal cyst, unspecified shoulder
661
M71321 Other bursal cyst, right elbow
661
M71322 Other bursal cyst, left elbow
661
M71329 Other bursal cyst, unspecified elbow
661
M71331 Other bursal cyst, right wrist
661
M71332 Other bursal cyst, left wrist
661
M71339 Other bursal cyst, unspecified wrist
661
M71341 Other bursal cyst, right hand
661
M71342 Other bursal cyst, left hand
661
M71349 Other bursal cyst, unspecified hand
661
M71351 Other bursal cyst, right hip
661
M71352 Other bursal cyst, left hip
661
M71359 Other bursal cyst, unspecified hip
661
M71371 Other bursal cyst, right ankle and foot
661
M71372 Other bursal cyst, left ankle and foot
661
M71379 Other bursal cyst, unspecified ankle and

foot
661
M7121
Page 2423 of 6734

M7138
Other bursal cyst, other site
661
M7139
Other bursal cyst, multiple sites
661
M7140
Calcium deposit in bursa, unspecified site
661
M71421 Calcium deposit in bursa, right elbow
661
M71422 Calcium deposit in bursa, left elbow
661
M71429 Calcium deposit in bursa, unspecified

M71431 elbow
Calcium deposit in bursa, right wrist
661
661
M71432 Calcium deposit in bursa, left wrist
661
M71439 Calcium deposit in bursa, unspecified wrist
661
M71441 Calcium deposit in bursa, right hand
661
M71442 Calcium deposit in bursa, left hand
661
M71449 Calcium deposit in bursa, unspecified hand
661
M71451 Calcium deposit in bursa, right hip
661
M71452 Calcium deposit in bursa, left hip
661
M71459 Calcium deposit in bursa, unspecified hip
661
M71461 Calcium deposit in bursa, right knee
661
M71462 Calcium deposit in bursa, left knee
661
M71469 Calcium deposit in bursa, unspecified knee
661
M71471 Calcium deposit in bursa, right ankle and

M71472 foot
Calcium deposit in bursa, left ankle and
M71479 foot
Calcium deposit in bursa, unspecified
and
foot in bursa, other site
M7148 ankle
Calcium
deposit
661
661
661
661
Calcium deposit in bursa, multiple sites
661
Other bursitis, not elsewhere classified,

sitenot elsewhere classified,
M71521 unspecified
Other bursitis,
M71522 right
Otherelbow
bursitis, not elsewhere classified,
661
661
661
elbow
M71529 left
Other
unspecified
elbow
M71531 Other bursitis,
right
wrist
M71532 Other bursitis, not elsewhere classified,
661
661
661
M7149
M7150
left wrist
Page 2424 of 6734

wrist
M71541 unspecified
Other bursitis,
right
hand
661
661
661
hand
M71549 left
Other
unspecified
hand
M71551 Other bursitis,
right
hip
661
661
661
hipbursitis, not elsewhere classified,

M71559 left
Other
hipnot elsewhere classified,
M71561 unspecified
Other bursitis,
M71562 right
Otherknee
661
661
661
knee
M71569 left
Other
unspecified
M71571 Oth bursitis,knee
not elsewhere classified, right
and foot
M71572 ankle
Oth bursitis,
661
661
661
and foot
M71579 ankle
Oth bursitis,
not elsewhere classified, unsp
ankle
and
foot
M7180 other
Other site
specified bursopathies, unspecified
661
661
661
M71811 site
Other specified bursopathies, right
M71812 shoulder
Other specified bursopathies, left shoulder
661
661
M71819 Other specified bursopathies, unspecified

M71821 shoulder
Other specified bursopathies, right elbow
661
661
M71822 Other specified bursopathies, left elbow
661

M71831 elbow
Other specified bursopathies, right wrist
661
661
M71832 Other specified bursopathies, left wrist
661

M71841 wrist
Other specified bursopathies, right hand
661
661
M71842 Other specified bursopathies, left hand
661

M71851 hand
Other specified bursopathies, right hip
661
661
M71852 Other specified bursopathies, left hip
661
Page 2425 of 6734

M71861 hip
Other specified bursopathies, right knee
661
661
M71862 Other specified bursopathies, left knee
661

M71871 knee
Other specified bursopathies, right ankle
foot
M71872 and
Other
specified bursopathies, left ankle
and
foot
661
661
661
661
M7188
ankle
foot bursopathies, other site
Other and
specified
661
M7189
661
M719
Other specified bursopathies, multiple

sites
Bursopathy, unspecified
661
M720
Palmar fascial fibromatosis [Dupuytren]
661
M721
Knuckle pads
661
M722
Plantar fascial fibromatosis
661
M724
Pseudosarcomatous fibromatosis
661
M726
Necrotizing fasciitis
654
M728
Other fibroblastic disorders
661
M729
Fibroblastic disorder, unspecified
661
M7500
Adhesive capsulitis of unspecified shoulder
661
M7501
Adhesive capsulitis of right shoulder
661
M7502
Adhesive capsulitis of left shoulder
661
M75100 Unsp rotatr-cuff tear/ruptr of unsp

not trauma
M75101 shoulder,
Unsp rotatr-cuff
tear/ruptr of right
not trauma
M75102 shoulder,
Unsp rotatr-cuff
tear/ruptr of left shoulder,
661
661
661
trauma
M75110 not
Incmpl
rotatr-cuff tear/ruptr of unsp
shoulder,
not
trauma tear/ruptr of r
M75111 Incomplete
rotatr-cuff
not
trauma tear/ruptr of l
M75112 shoulder,
Incomplete
rotatr-cuff
661
661
661
traumatear/ruptr of unsp
M75120 shoulder,
Complete not
rotatr-cuff
traumatear/ruptr of r
M75121 shoulder,
Complete not
rotatr-cuff
traumatear/ruptr of left
M75122 shoulder,
Complete not
rotatr-cuff
661
661
661
shoulder, not trauma

Page 2426 of 6734

M7520
Bicipital tendinitis, unspecified shoulder
661
M7521
Bicipital tendinitis, right shoulder
661
M7522
Bicipital tendinitis, left shoulder
661
M7530
Calcific tendinitis of unspecified shoulder
661
M7531
Calcific tendinitis of right shoulder
661
M7532
Calcific tendinitis of left shoulder
661
M7540
661
M7541
Impingement syndrome of unspecified

shoulder
Impingement syndrome of right shoulder
661
M7542
Impingement syndrome of left shoulder
661
M7550
Bursitis of unspecified shoulder
661
M7551
Bursitis of right shoulder
661
M7552
Bursitis of left shoulder
661
M7580
661
M7581
Other shoulder lesions, unspecified

shoulder
Other shoulder lesions, right shoulder
661
M7582
Other shoulder lesions, left shoulder
661
M7590
661
661
M7592
Shoulder lesion, unspecified, unspecified

shoulder
Shoulder lesion, unspecified, right
shoulder
Shoulder lesion, unspecified, left shoulder
661
M7600
Gluteal tendinitis, unspecified hip
661
M7601
Gluteal tendinitis, right hip
661
M7602
Gluteal tendinitis, left hip
661
M7610
Psoas tendinitis, unspecified hip
661
M7611
Psoas tendinitis, right hip
661
M7612
Psoas tendinitis, left hip
661
M7620
Iliac crest spur, unspecified hip
661
M7621
Iliac crest spur, right hip
661
M7622
Iliac crest spur, left hip
661
M7630
Iliotibial band syndrome, unspecified leg
661
M7631
Iliotibial band syndrome, right leg
661
M7591
Page 2427 of 6734

M7632
Iliotibial band syndrome, left leg
661
M7640
Tibial collateral bursitis, unspecified leg
661
M7641
661
661
M7650
Tibial collateral bursitis [Pellegrini-Stieda],

right
Tibialleg
collateral bursitis [Pellegrini-Stieda],
left
leg
Patellar tendinitis, unspecified knee
661
M7651
Patellar tendinitis, right knee
661
M7652
Patellar tendinitis, left knee
661
M7660
Achilles tendinitis, unspecified leg
661
M7661
Achilles tendinitis, right leg
661
M7662
Achilles tendinitis, left leg
661
M7670
Peroneal tendinitis, unspecified leg
661
M7671
Peroneal tendinitis, right leg
661
M7672
Peroneal tendinitis, left leg
661
M76811 Anterior tibial syndrome, right leg
661
M76812 Anterior tibial syndrome, left leg
661
M76819 Anterior tibial syndrome, unspecified leg
661
M76821 Posterior tibial tendinitis, right leg
661
M76822 Posterior tibial tendinitis, left leg
661
M76829 Posterior tibial tendinitis, unspecified leg
661
M76891 Oth enthesopathies of right lower limb,

foot
M76892 excluding
Oth enthesopathies
of left lower limb,
excluding
foot
M76899 Oth enthesopathies of unspecified lower
661
661
661
661
M7700
limb,
excluding
foot
Unspecified
enthesopathy,
lower limb,
excluding
foot
Medial epicondylitis, unspecified elbow
661
M7701
Medial epicondylitis, right elbow
661
M7702
Medial epicondylitis, left elbow
661
M7710
Lateral epicondylitis, unspecified elbow
661
M7711
Lateral epicondylitis, right elbow
661
M7712
Lateral epicondylitis, left elbow
661
M7642
M769
Page 2428 of 6734

M7720
Periarthritis, unspecified wrist
661
M7721
Periarthritis, right wrist
661
M7722
Periarthritis, left wrist
661
M7730
Calcaneal spur, unspecified foot
661
M7731
Calcaneal spur, right foot
661
M7732
Calcaneal spur, left foot
661
M7740
Metatarsalgia, unspecified foot
661
M7741
Metatarsalgia, right foot
661
M7742
Metatarsalgia, left foot
661
M7750
Other enthesopathy of unspecified foot
661
M7751
Other enthesopathy of right foot
661
M7752
Other enthesopathy of left foot
661
661
M779
Other enthesopathies, not elsewhere

classified
Enthesopathy, unspecified
661
M790
Rheumatism, unspecified
661
M791
Myalgia
661
M792
Neuralgia and neuritis, unspecified
527
M793
Panniculitis, unspecified
675
M794
Hypertrophy of (infrapatellar) fat pad
675
M795
Residual foreign body in soft tissue
661
M79601 Pain in right arm
661
M79602 Pain in left arm
661
M79603 Pain in arm, unspecified
661
M79604 Pain in right leg
661
M79605 Pain in left leg
661
M79606 Pain in leg, unspecified
661
M79609 Pain in unspecified limb
661
M79621 Pain in right upper arm
661
M79622 Pain in left upper arm
661
M778
Page 2429 of 6734

M79629 Pain in unspecified upper arm
661
M79631 Pain in right forearm
661
M79632 Pain in left forearm
661
M79639 Pain in unspecified forearm
661
M79641 Pain in right hand
661
M79642 Pain in left hand
661
M79643 Pain in unspecified hand
661
M79644 Pain in right finger(s)
661
M79645 Pain in left finger(s)
661
M79646 Pain in unspecified finger(s)
661
M79651 Pain in right thigh
661
M79652 Pain in left thigh
661
M79659 Pain in unspecified thigh
661
M79661 Pain in right lower leg
661
M79662 Pain in left lower leg
661
M79669 Pain in unspecified lower leg
661
M79671 Pain in right foot
661
M79672 Pain in left foot
661
M79673 Pain in unspecified foot
661
M79674 Pain in right toe(s)
661
M79675 Pain in left toe(s)
661
M79676 Pain in unspecified toe(s)
661
Fibromyalgia
661
M7981
Nontraumatic hematoma of soft tissue
660
M7989
Other specified soft tissue disorders
660
Soft tissue disorder, unspecified
660
M79A11 Nontraumatic compartment syndrome of

upper extremity
M79A12 right
Nontraumatic
compartment syndrome of
left
upper
extremity
660
660
660
M797
M799
unsp upper extremity

Page 2430 of 6734

lower extremity
M79A22 right
Nontraumatic
left
lower
extremity
660
660
660
unsp
lower extremity
Nontraumatic
abdomen
sites
M8000XA other
Age-rel
osteopor w current path fracture,
unsp
site,
init
M8000XD Age-rel osteopor
w crnt path fx, unsp site,
660
660
653
653
M8000XG 7thD
Age-rel osteopor w crnt path fx, unsp site,
M8000XK 7thG
M8000XP 7thK
M8000XS 7thP
Age-rel osteopor w current path fracture,
653
653
653
653
site,
sequelaw current path fracture, r
M80011A unsp
Age-rel
osteopor
init
M80011D shoulder,
Age-rel osteopor
w crnt path fx, r shldr,
7thD
M80011G Age-rel osteopor w crnt path fx, r shldr,
653
653
653
M80011K 7thG
Age-rel osteopor w crnt path fx, r shldr,
M80011P 7thK
Age-rel osteopor w crnt path fx, r shldr,
M80011S 7thP
Age-rel osteopor w current path fx, r
sequelaw current path fracture, l
M80012A shoulder,
Age-rel osteopor
init
M80012D shoulder,
Age-rel osteopor
w crnt path fx, l shldr,
653
653
653
653
653
M80012G 7thD
Age-rel osteopor w crnt path fx, l shldr,
M80012K 7thG
M80012P 7thK
M80012S 7thP
Age-rel osteopor w current path fx, l
653
653
653
653
sequelaw current path fx, unsp

M80019A shoulder,
Age-rel osteopor
init
M80019D shoulder,
Age-rel osteopor
w crnt path fx, unsp
M80019G shldr,
Age-rel7thD
osteopor w crnt path fx, unsp
653
653
653
M80019K shldr,
Age-rel7thG
shldr,
7thK
M80019P Age-rel osteopor w crnt path fx, unsp
M80019S shldr,
Age-rel7thP
osteopor w current path fx, unsp
653
653
653
M79A3
shoulder, sequela
Page 2431 of 6734

M80021A Age-rel osteopor w current path fracture, r
init
M80021D humerus,
Age-rel osteopor
w crnt path fx, r humer,
7thD
M80021G Age-rel osteopor w crnt path fx, r humer,
653
653
653
M80021K 7thG
Age-rel osteopor w crnt path fx, r humer,
M80021P 7thK
Age-rel osteopor w crnt path fx, r humer,
M80021S 7thP
Age-rel osteopor w current path fracture, r
sequelaw current path fracture, l
M80022A humerus,
Age-rel osteopor
init
M80022D humerus,
Age-rel osteopor
w crnt path fx, l humer,
653
653
653
653
653
M80022G 7thD
Age-rel osteopor w crnt path fx, l humer,
M80022K 7thG
M80022P 7thK
M80022S 7thP
Age-rel osteopor w current path fracture, l
sequelaw current path fracture,
M80029A humerus,
Age-rel osteopor
653
653
653
653
653
humerus,
M80029D unsp
Age-rel
osteoporinit
7thD
M80029G humer,
Age-rel osteopor
humer,
7thG
M80029K Age-rel osteopor w crnt path fx, unsp
7thK
M80029P humer,
Age-rel osteopor
653
653
653
653
7thP
M80029S humer,
Age-rel osteopor
w current path fx, unsp
sequelaw current path fracture, r
M80031A humerus,
Age-rel osteopor
init
M80031D forearm,
Age-rel osteopor
w crnt path fx, r forearm,
653
653
653
M80031G 7thD
Age-rel osteopor w crnt path fx, r forearm,
M80031K 7thG
M80031P 7thK
M80031S 7thP
653
653
653
653
sequela w current path fracture, l

M80032A forearm,
Age-rel osteopor
init
M80032D forearm,
Age-rel osteopor
w crnt path fx, l forearm,
7thD
M80032G Age-rel osteopor w crnt path fx, l forearm,
653
653
653
M80032K 7thG
Age-rel osteopor w crnt path fx, l forearm,
M80032P 7thK
Age-rel osteopor w crnt path fx, l forearm,
7thP
653
653
Page 2432 of 6734

M80032S Age-rel osteopor w current path fracture, l
sequela w current path fracture,
M80039A forearm,
Age-rel osteopor
forearm,
initw crnt path fx, unsp
M80039D unsp
Age-rel
osteopor
653
653
653
7thD
M80039G forearm,
Age-rel osteopor
forearm,
7thG
M80039K Age-rel osteopor w crnt path fx, unsp
7thK
M80039P forearm,
Age-rel osteopor
forearm,
7thP
M80039S Age-rel osteopor w current path fx, unsp
653
653
653
653

M80041A forearm,
Age-rel osteopor
hand,
init w crnt path fx, r hand,
M80041D right
Age-rel
osteopor
M80041G 7thD
Age-rel osteopor w crnt path fx, r hand,
653
653
653
M80041K 7thG
M80041P 7thK
M80041S 7thP
M80042A hand,
Age-relsequela
653
653
653
653
hand,
init
M80042D left
Age-rel
osteopor
w crnt path fx, l
7thD
M80042G Age-rel osteopor w crnt path fx, l
M80042K 7thG
Age-rel osteopor w crnt path fx, l
M80042P 7thK
hand,
653
hand,
653
hand,
653
hand,
653
M80042S 7thP
hand,
sequelaw current path fracture,
M80049A left
Age-rel
osteopor
hand,
init w crnt path fx, unsp
M80049D unsp
Age-rel
osteopor
653
653
653
M80049G hand,
Age-rel7thD
M80049K hand,
Age-rel7thG
hand,
7thK
M80049S hand,
Age-rel7thP
653
653
653
653
hand,
sequela
M80051A unsp
Age-rel
osteopor
w current path fracture,
right
femur,
init
M80051D Age-rel osteopor w crnt path fx, r femr,
653
653
M80051G 7thD
Age-rel osteopor w crnt path fx, r femr,
M80051K 7thG
Age-rel osteopor w crnt path fx, r femr,
7thK
653
653
Page 2433 of 6734

M80051P Age-rel osteopor w crnt path fx, r femr,
M80051S 7thP
M80052A femur,
Age-rel sequela
femur,
init w crnt path fx, l femr,
M80052D left
Age-rel
osteopor
653
653
653
653
M80052G 7thD
Age-rel osteopor w crnt path fx, l femr,
M80052K 7thG
M80052P 7thK
M80052S 7thP
M80059A femur,
Age-rel sequela
653
653
653
653
653
femur,
M80059D unsp
Age-rel
osteopor
M80059G 7thD
Age-rel osteopor w crnt path fx, unsp
M80059K 7thG
M80059P 7thK
femr,
653
femr,
653
femr,
653
femr,
7thP
M80061A femur,
Age-rel sequela
osteopor w current path fracture, r
low
leg,
init
M80061D Age-rel osteopor
w crnt path fx, r low leg,
653
653
653
653
M80061G 7thD
Age-rel osteopor w crnt path fx, r low leg,
M80061K 7thG
M80061P 7thK
M80061S 7thP
653
653
653
653
leg,osteopor
sequela w current path fracture, l
M80062A low
Age-rel
leg,osteopor
init
M80062D low
Age-rel
w crnt path fx, l low leg,
M80062G 7thD
Age-rel osteopor w crnt path fx, l low leg,
653
653
653
M80062K 7thG
M80062P 7thK
M80062S 7thP
leg,osteopor
M80069A low
Age-rel
653
653
653
653
low
leg, init w crnt path fx, unsp low
M80069D unsp
Age-rel
osteopor
7thD
M80069G leg,
Age-rel
osteopor w crnt path fx, unsp low
leg, 7thG
653
653
Page 2434 of 6734

M80069K Age-rel osteopor w crnt path fx, unsp low
7thK
M80069P leg,
Age-rel
osteopor w crnt path fx, unsp low
leg,
7thP
653
653
653
leg,osteopor
M80071A low
Age-rel
ank/ft,
init w crnt path fx, r ank/ft,
M80071D right
Age-rel
osteopor
M80071G 7thD
Age-rel osteopor w crnt path fx, r ank/ft,
653
653
653
M80071K 7thG
M80071P 7thK
M80071S 7thP
Age-rel osteopor w current path fx, right
M80072A ank/ft,
Age-relsequela
653
653
653
653
ank/ft,
init
M80072D left
Age-rel
osteopor
w crnt path fx, l
M80072G 7thD
M80072K 7thG
M80072P 7thK
ank/ft,
653
ank/ft,
653
ank/ft,
653
ank/ft,
653
M80072S 7thP
Age-rel osteopor w current path fx, left
M80079A ank/ft,
Age-relsequela
unsp
ank/ft,
M80079D Age-rel osteopor
653
653
653
M80079G ank/ft,
Age-rel7thD
M80079K ank/ft,
Age-rel7thG
ank/ft,
7thK
M80079S ank/ft,
Age-rel7thP
osteopor w current path fx, unsp
653
653
653
653
M8008XA ank/ft,
Age-relsequela
init w crnt path fx, verteb,
M8008XD vertebra(e),
Age-rel osteopor
M8008XG 7thD
Age-rel osteopor w crnt path fx, verteb,
653
653
653
M8008XK 7thG
M8008XP 7thK
M8008XS 7thP
sequela
M8080XA verteb,
Oth osteopor
w current path fracture, unsp
653
653
653
653
init
M8080XD site,
Oth osteopor
w crnt path fx, unsp site,
7thD
653
Page 2435 of 6734

M8080XG Oth osteopor w crnt path fx, unsp site,
M8080XK 7thG
Oth osteopor w crnt path fx, unsp site,
M8080XP 7thK
Oth osteopor w crnt path fx, unsp site,
M8080XS 7thP
Oth osteopor w current path fracture, unsp
653
653
653
653
sequela w current path fracture, r

M80811A site,
Oth osteopor
init w crnt path fx, r shldr, 7thD
M80811D shoulder,
Oth osteopor
653
653
M80811G Oth osteopor w crnt path fx, r shldr, 7thG
653
M80811K Oth osteopor w crnt path fx, r shldr, subs

w nonunion
M80811P for
Othfx
osteopor
w crnt path fx, r shldr, subs
for
fx
w
malunion
M80811S Oth osteopor w current path fracture, r
653
653
653
sequela
M80812A shoulder,
Oth osteopor
w current path fracture, l
init w crnt path fx, l shldr, 7thD
M80812D shoulder,
Oth osteopor
653
653
M80812G Oth osteopor w crnt path fx, l shldr, 7thG
653
M80812K Oth osteopor w crnt path fx, l shldr, subs

w nonunion
M80812P for
Othfx
osteopor
w crnt path fx, l shldr, subs
for
fx
w
malunion
M80812S Oth osteopor w current path fracture, l
653
653
653
sequela
M80819A shoulder,
Oth osteopor
shoulder,
init
M80819D Oth osteopor w crnt path fx, unsp shldr,
M80819G 7thD
Oth osteopor w crnt path fx, unsp shldr,
653
653
653
M80819K 7thG
M80819P 7thK
M80819S 7thP
653
653
653
sequela
M80821A shoulder,
Oth osteopor
w current path fracture, r
humerus,
init
M80821D Oth osteopor w crnt path fx, r humer, 7thD
653
653
M80821G Oth osteopor w crnt path fx, r humer, 7thG
653
M80821K Oth osteopor w crnt path fx, r humer, subs

w nonunion
M80821P for
Othfx
osteopor
w crnt path fx, r humer, subs
for
fx
w
malunion
M80821S Oth osteopor w current path fracture, r
sequela
M80822A humerus,
Oth osteopor
653
653
653
653
humerus, init
Page 2436 of 6734

M80822D Oth osteopor w crnt path fx, l humer, 7thD
653
M80822G Oth osteopor w crnt path fx, l humer, 7thG
653
M80822K Oth osteopor w crnt path fx, l humer, subs

w nonunion
M80822P for
Othfx
osteopor
w crnt path fx, l humer, subs
for
fx
w
malunion
M80822S Oth osteopor w current path fracture, l
653
653
653
sequela
M80829A humerus,
Oth osteopor
humerus,
init
M80829D Oth osteopor w crnt path fx, unsp humer,
M80829G 7thD
Oth osteopor w crnt path fx, unsp humer,
653
653
653
M80829K 7thG
M80829P 7thK
M80829S 7thP
653
653
653
sequela
M80831A humerus,
Oth osteopor
w current path fracture, r
forearm,
init
M80831D Oth osteopor w crnt path fx, r forearm,
653
653
M80831G 7thD
Oth osteopor w crnt path fx, r forearm,
M80831K 7thG
M80831P 7thK
M80831S 7thP
Oth osteopor w current path fracture, r
653
653
653
653
sequela
M80832A forearm,
Oth osteopor
init w crnt path fx, l forearm,
M80832D forearm,
Oth osteopor
M80832G 7thD
Oth osteopor w crnt path fx, l forearm,
653
653
653
M80832K 7thG
M80832P 7thK
M80832S 7thP
Oth osteopor w current path fracture, l
653
653
653
sequela
M80839A forearm,
Oth osteopor
forearm,
init
M80839D Oth osteopor w crnt path fx, unsp forearm,
M80839G 7thD
Oth osteopor w crnt path fx, unsp forearm,
653
653
653
M80839K 7thG
M80839P 7thK
M80839S 7thP
653
653
653
forearm, sequela
Page 2437 of 6734

M80841A Oth osteopor w current path fracture, right
init
M80841D hand,
Oth osteopor
w crnt path fx, r hand, 7thD
653
653
M80841G Oth osteopor w crnt path fx, r hand, 7thG
653
M80841K Oth osteopor w crnt path fx, r hand, subs

w nonunion
M80841P for
Othfx
osteopor
w crnt path fx, r hand, subs
for
fx
w
malunion
M80841S Oth osteopor w current path fracture, right
653
653
653
sequelaw current path fracture, left

M80842A hand,
Oth osteopor
init
M80842D hand,
Oth osteopor
w crnt path fx, l hand, 7thD
653
653
M80842G Oth osteopor w crnt path fx, l hand, 7thG
653
M80842K Oth osteopor w crnt path fx, l hand, subs

w nonunion
M80842P for
Othfx
osteopor
w crnt path fx, l hand, subs
w malunion
M80842S for
Othfx
osteopor
w current path fracture, left
653
653
653
sequelaw current path fracture, unsp

M80849A hand,
Oth osteopor
init
M80849D hand,
Oth osteopor
w crnt path fx, unsp hand,
M80849G 7thD
Oth osteopor w crnt path fx, unsp hand,
653
653
653
M80849K 7thG
M80849P 7thK
M80849S 7thP
653
653
653
sequelaw current path fracture, right

M80851A hand,
Oth osteopor
init
M80851D femur,
Oth osteopor
w crnt path fx, r femr, 7thD
653
653
M80851G Oth osteopor w crnt path fx, r femr, 7thG
653
M80851K Oth osteopor w crnt path fx, r femur, subs

w nonunion
M80851P for
Othfx
osteopor
w crnt path fx, r femur, subs
for
fx
w
malunion
653
653
653
sequela
M80852A femur,
Oth osteopor
init
M80852D femur,
Oth osteopor
w crnt path fx, l femr, 7thD
653
653
M80852G Oth osteopor w crnt path fx, l femr, 7thG
653
M80852K Oth osteopor w crnt path fx, l femur, subs

w nonunion
M80852P for
Othfx
osteopor
w crnt path fx, l femur, subs
for fx w malunion
653
653
Page 2438 of 6734

M80852S Oth osteopor w current path fracture, left
sequela
M80859A femur,
Oth osteopor
femur,
init
M80859D Oth osteopor w crnt path fx, unsp femr,
653
653
653
M80859G 7thD
Oth osteopor w crnt path fx, unsp femr,
M80859K 7thG
M80859P 7thK
M80859S 7thP
653
653
653
653
sequela
M80861A femur,
Oth osteopor
w current path fracture, r low
leg,
init
M80861D Oth osteopor w crnt path fx, r low leg,
M80861G 7thD
Oth osteopor w crnt path fx, r low leg,
653
653
653
M80861K 7thG
Oth osteopor w crnt path fx, r low leg,
M80861P 7thK
Oth osteopor w crnt path fx, r low leg, 7thP
653
653
M80861S Oth osteopor w current path fracture, r low

sequela w current path fracture, l low
M80862A leg,
Oth osteopor
init
M80862D leg,
Oth osteopor
w crnt path fx, l low leg,
653
653
653
M80862G 7thD
Oth osteopor w crnt path fx, l low leg,
M80862K 7thG
Oth osteopor w crnt path fx, l low leg, 7thK
653
653
M80862P Oth osteopor w crnt path fx, l low leg, 7thP
653
M80862S Oth osteopor w current path fracture, l low

sequela w current path fracture, unsp
M80869A leg,
Oth osteopor
leg, init w crnt path fx, unsp low leg,
M80869D lower
Oth osteopor
653
653
653
M80869G 7thD
Oth osteopor w crnt path fx, unsp low leg,
M80869K 7thG
M80869P 7thK
M80869S 7thP
653
653
653
653
sequela
M80871A low
Oth leg,
osteopor
w current path fracture, right
ank/ft,
init
M80871D Oth osteopor w crnt path fx, r ank/ft, 7thD
653
653
M80871G Oth osteopor w crnt path fx, r ank/ft, 7thG
653
M80871K Oth osteopor w crnt path fx, r ank/ft, 7thK
653
Page 2439 of 6734

M80871P Oth osteopor w crnt path fx, r ank/ft, 7thP
653

sequela
M80872A ank/ft,
Oth osteopor
init
M80872D ank/ft,
Oth osteopor
w crnt path fx, l ank/ft, 7thD
653
653
653
M80872G Oth osteopor w crnt path fx, l ank/ft, 7thG
653
M80872K Oth osteopor w crnt path fx, l ank/ft, 7thK
653
M80872P Oth osteopor w crnt path fx, l ank/ft, 7thP
653
M80872S Oth osteopor w current path fracture, left

sequela
M80879A ank/ft,
Oth osteopor
ank/ft,
init
M80879D Oth osteopor w crnt path fx, unsp ank/ft,
653
653
653
M80879G 7thD
Oth osteopor w crnt path fx, unsp ank/ft,
M80879K 7thG
M80879P 7thK
M80879S 7thP
653
653
653
653
sequela
M8088XA ank/ft,
Oth osteopor
w current path fracture,
vertebra(e),
init
M8088XD Oth osteopor w crnt path fx, verteb, 7thD
653
653
M8088XG Oth osteopor w crnt path fx, verteb, 7thG
653
M8088XK Oth osteopor w crnt path fx, verteb, subs

w nonunion
M8088XP for
Othfx
osteopor
w crnt path fx, verteb, subs
for
fx
w
malunion
M8088XS Oth osteopor w current path fracture,
653
653
653
vertebra(e),
sequela
Age-related osteoporosis
w/o current
pathological
fracture
Localized osteoporosis [Lequesne]
662
OSTEOPOROSIS
662
OSTEOPOROSIS
662
OSTEOPOROSIS
M830
Other osteoporosis without current

pathological
fracture
Puerperal osteomalacia
661
M831
Senile osteomalacia
661
M832
Adult osteomalacia due to malabsorption
661
M833
Adult osteomalacia due to malnutrition
661
M834
Aluminum bone disease
661
M835
Other drug-induced osteomalacia in adults
661
M810
M816
M818
Page 2440 of 6734

M838
Other adult osteomalacia
661
M839
Adult osteomalacia, unspecified
661
M8430XA Stress fracture, unspecified site, init encntr

fracture
M8430XD for
Stress
fracture, unsp site, subs for fx w
routn
heal
M8430XG Stress fracture, unsp site, subs for fx w
652
872
872
M8430XK delay
Stressheal
fracture, unsp site, subs for fx w
nonunion
M8430XP Stress fracture, unsp site, subs for fx w
M8430XS malunion
Stress fracture, unspecified site, sequela
661
661
661
M84311A Stress fracture, right shoulder, init encntr

fracture
M84311D for
Stress
fracture, right shoulder, subs for fx
w
routn
heal
M84311G Stress fracture,
right shoulder, subs for fx
delayfracture,
heal
M84311K w
Stress
right shoulder, subs for fx
652
872
872
661
nonunion
M84311P w
Stress
fracture, right shoulder, subs for fx
w
malunion
M84311S Stress fracture, right shoulder, sequela
661
661
M84312A Stress fracture, left shoulder, init encntr

fracture
M84312D for
Stress
fracture, left shoulder, subs for fx w
routn
heal
M84312G Stress fracture, left shoulder, subs for fx w
M84312K delay
Stressheal
fracture, left shoulder, subs for fx w
M84312P nonunion
Stress fracture, left shoulder, subs for fx w
652
872
872
661
661
M84312S malunion
Stress fracture, left shoulder, sequela
661
M84319A Stress fracture, unsp shoulder, init encntr

fracture
M84319D for
Stress
fracture, unsp shoulder, subs for fx
routnfracture,
heal
M84319G w
Stress
unsp shoulder, subs for fx
w
delay
heal
M84319K Stress fracture, unsp shoulder, subs for fx
652
872
872
661
nonunion
M84319P w
Stress
fracture, unsp shoulder, subs for fx
malunion
M84319S w
Stress
fracture, unspecified shoulder,
sequela
M84321A Stress fracture, right humerus, init encntr
661
661
652
fracture
M84321D for
Stress
fracture, right humerus, subs for fx
w
routn
heal
right humerus, subs for fx
w delay heal
872
872
Page 2441 of 6734

M84321K Stress fracture, right humerus, subs for fx
nonunion
M84321P w
Stress
fracture, right humerus, subs for fx
w
malunion
M84321S Stress fracture, right humerus, sequela
661
661
661
M84322A Stress fracture, left humerus, init encntr

fracture
M84322D for
Stress
fracture, left humerus, subs for fx w
routn
heal
M84322G Stress fracture, left humerus, subs for fx w
M84322K delay
Stressheal
fracture, left humerus, subs for fx w
M84322P nonunion
Stress fracture, left humerus, subs for fx w
652
872
872
661
661
M84322S malunion
Stress fracture, left humerus, sequela
661
M84329A Stress fracture, unsp humerus, init encntr

fracture
M84329D for
Stress
fracture, unsp humerus, subs for fx
routnfracture,
heal
M84329G w
Stress
unsp humerus, subs for fx
w
delay
heal
M84329K Stress fracture, unsp humerus, subs for fx
652
872
872
661
nonunion
M84329P w
Stress
fracture, unsp humerus, subs for fx
malunion
M84329S w
Stress
fracture, unspecified humerus,
sequela
M84331A Stress fracture, right ulna, initial encounter
661
661
652
fracture
M84331D for
Stress
fracture, right ulna, subs for fx
routn
heal
M84331G Stress fracture, right ulna, subs for fx
M84331K delay
Stressheal
fracture, right ulna, subs for fx
nonunion
M84331P Stress fracture, right ulna, subs for fx
872
872
661
661
M84331S malunion
Stress fracture, right ulna, sequela
661
M84332A Stress fracture, left ulna, initial encounter

fracture
M84332D for
Stress
fracture, left ulna, subs for fx w
routn
heal
M84332G Stress fracture, left ulna, subs for fx w
M84332K delay
Stressheal
fracture, left ulna, subs for fx w
652
872
872
661
M84332P nonunion
Stress fracture, left ulna, subs for fx w
M84332S malunion
Stress fracture, left ulna, sequela
661
661
M84333A Stress fracture, right radius, init encntr for

M84333D fracture
Stress fracture, right radius, subs for fx w
routn heal
652
872
Page 2442 of 6734

M84333G Stress fracture, right radius, subs for fx w
M84333K delay
Stressheal
fracture, right radius, subs for fx w
nonunion
M84333P Stress fracture, right radius, subs for fx w
M84333S malunion
Stress fracture, right radius, sequela
872
661
661
661
M84334A Stress fracture, left radius, initial

for fracture
M84334D encounter
Stress fracture,
left radius, subs for fx w
routn
heal
M84334G Stress fracture, left radius, subs for fx w
M84334K delay
Stressheal
fracture, left radius, subs for fx w
652
872
872
661
M84334P nonunion
Stress fracture, left radius, subs for fx w
M84334S malunion
Stress fracture, left radius, sequela
661
661
M84339A Stress fracture, unsp ulna and radius, init

fx fx, unsp ulna and radius, subs for fx
M84339D for
Stress
routnfx,
heal
M84339G w
Stress
unsp ulna and radius, subs for fx
652
872
872
delayfx,heal
M84339K w
Stress
unsp ulna and radius, subs for fx
nonunion
M84339P w
Stress
fx, unsp ulna and radius, subs for fx
w
malunion
M84339S Stress fracture, unspecified ulna and
661
661
661
sequela right hand, initial

M84341A radius,
Stress fracture,
for fracture
M84341D encounter
Stress fracture,
right hand, subs for fx w
M84341G routn
Stressheal
fracture, right hand, subs for fx w
delay
heal
M84341K Stress fracture, right hand, subs for fx w
652
872
872
661
M84341P nonunion
Stress fracture, right hand, subs for fx w
M84341S malunion
Stress fracture, right hand, sequela
661
661
M84342A Stress fracture, left hand, initial encounter

fracture
M84342D for
Stress
fracture, left hand, subs for fx w
routn
heal
M84342G Stress fracture, left hand, subs for fx w
M84342K delay
Stressheal
fracture, left hand, subs for fx w
652
872
872
661
M84342P nonunion
Stress fracture, left hand, subs for fx w
M84342S malunion
Stress fracture, left hand, sequela
661
661
M84343A Stress fracture, unspecified hand, init

encntr for fracture
652
Page 2443 of 6734

M84343D Stress fracture, unsp hand, subs for fx
M84343G routn
Stressheal
fracture, unsp hand, subs for fx
delay
heal
M84343K Stress fracture, unsp hand, subs for fx
M84343P nonunion
Stress fracture, unsp hand, subs for fx
872
872
661
w
malunion
M84343S Stress fracture, unspecified hand, sequela
661
661
M84344A Stress fracture, right finger(s), init encntr

fracture
M84344D for
Stress
fracture, right finger(s), subs for fx
routnfracture,
heal
M84344G w
Stress
right finger(s), subs for fx
w
delay
heal
M84344K Stress fracture, right finger(s), subs for fx
652
872
872
661
nonunion
M84344P w
Stress
fracture, right finger(s), subs for fx
w
malunion
M84344S Stress fracture, right finger(s), sequela
661
661
M84345A Stress fracture, left finger(s), init encntr for

M84345D fracture
Stress fracture, left finger(s), subs for fx w
M84345G routn
Stressheal
fracture, left finger(s), subs for fx w
M84345K delay
Stressheal
fracture, left finger(s), subs for fx w
652
872
872
661
M84345P nonunion
Stress fracture, left finger(s), subs for fx w
M84345S malunion
Stress fracture, left finger(s), sequela
661
661
M84346A Stress fracture, unsp finger(s), init encntr

fracture
M84346D for
Stress
fracture, unsp finger(s), subs for fx
w
routn
heal
unsp finger(s), subs for fx
w
delay
heal
M84346K Stress fracture, unsp finger(s), subs for fx
652
872
872
661
nonunion
M84346P w
Stress
fracture, unsp finger(s), subs for fx
malunion
M84346S w
Stress
fracture, unspecified finger(s),
sequela
M84350A Stress fracture, pelvis, initial encounter for
661
661
652
M84350D fracture
Stress fracture, pelvis, subs for fx w routn
M84350G heal
Stress fracture, pelvis, subs for fx w delay
M84350K heal
Stress fracture, pelvis, subs encntr for
w nonunion
M84350P fracture
Stress fracture,
pelvis, subs encntr for
872
872
661
661
w malunion
M84350S fracture
Stress fracture,
pelvis, sequela
656
Page 2444 of 6734

M84351A Stress fracture, right femur, initial
for fracture
M84351D encounter
Stress fracture,
right femur, subs for fx w
routn
heal
M84351G Stress fracture, right femur, subs for fx w
M84351K delay
Stressheal
fracture, right femur, subs for fx w
652
872
872
661
M84351P nonunion
Stress fracture, right femur, subs for fx w
M84351S malunion
Stress fracture, right femur, sequela
661
661
M84352A Stress fracture, left femur, initial

for fracture
M84352D encounter
Stress fracture,
left femur, subs for fx w
routn
heal
M84352G Stress fracture, left femur, subs for fx w
M84352K delay
Stressheal
fracture, left femur, subs for fx w
652
872
872
661
M84352P nonunion
Stress fracture, left femur, subs for fx w
M84352S malunion
Stress fracture, left femur, sequela
661
661
M84353A Stress fracture, unspecified femur, init

for fracture
M84353D encntr
Stress fracture,
unsp femur, subs for fx w
M84353G routn
Stressheal
fracture, unsp femur, subs for fx w
652
872
872
M84353K delay
Stressheal
fracture, unsp femur, subs for fx w
nonunion
M84353P Stress fracture, unsp femur, subs for fx w
M84353S malunion
Stress fracture, unspecified femur, sequela
661
661
661
M84359A Stress fracture, hip, unspecified, init

for fracture
M84359D encntr
Stress fracture,
hip, unsp, subs for fx w
routn
heal
M84359G Stress fracture, hip, unsp, subs for fx w
M84359K delay
Stressheal
fracture, hip, unsp, subs for fx w
652
872
872
661
M84359P nonunion
Stress fracture, hip, unsp, subs for fx w
M84359S malunion
Stress fracture, hip, unspecified, sequela
661
661
M84361A Stress fracture, right tibia, initial

for fracture
M84361D encounter
Stress fracture,
right tibia, subs for fx w
routn
heal
M84361G Stress fracture, right tibia, subs for fx w
M84361K delay
Stressheal
fracture, right tibia, subs for fx w
652
872
872
661
M84361P nonunion
Stress fracture, right tibia, subs for fx w
malunion
661
Page 2445 of 6734

M84361S Stress fracture, right tibia, sequela
661
M84362A Stress fracture, left tibia, initial encounter

fracture
M84362D for
Stress
fracture, left tibia, subs for fx w
M84362G routn
Stressheal
fracture, left tibia, subs for fx w
delay
heal
M84362K Stress fracture, left tibia, subs for fx w
652
872
872
661
M84362P nonunion
Stress fracture, left tibia, subs for fx w
M84362S malunion
Stress fracture, left tibia, sequela
661
661
M84363A Stress fracture, right fibula, init encntr for

M84363D fracture
Stress fracture, right fibula, subs for fx w
M84363G routn
Stressheal
fracture, right fibula, subs for fx w
delay
heal
M84363K Stress fracture, right fibula, subs for fx w
652
872
872
661
M84363P nonunion
Stress fracture, right fibula, subs for fx w
M84363S malunion
Stress fracture, right fibula, sequela
661
661
M84364A Stress fracture, left fibula, initial encounter

fracture
M84364D for
Stress
fracture, left fibula, subs for fx w
routn
heal
M84364G Stress fracture, left fibula, subs for fx w
M84364K delay
Stressheal
fracture, left fibula, subs for fx w
652
872
872
661
M84364P nonunion
Stress fracture, left fibula, subs for fx w
M84364S malunion
Stress fracture, left fibula, sequela
661
661
M84369A Stress fracture, unsp tibia and fibula, init

fx fx, unsp tibia and fibula, subs for fx
M84369D for
Stress
routnfx,
heal
M84369G w
Stress
unsp tibia and fibula, subs for fx
652
872
872
delayfx,heal
M84369K w
Stress
unsp tibia and fibula, subs for fx
w
nonunion
M84369P Stress fx, unsp tibia and fibula, subs for fx
malunion
M84369S w
Stress
fracture, unspecified tibia and
661
661
661
sequela right ankle, initial

M84371A fibula,
Stress fracture,
for fracture
M84371D encounter
Stress fracture,
right ankle, subs for fx w
routn
heal
M84371G Stress fracture, right ankle, subs for fx w
M84371K delay
Stressheal
fracture, right ankle, subs for fx w
652
872
872
661
nonunion
Page 2446 of 6734

M84371P Stress fracture, right ankle, subs for fx w
M84371S malunion
Stress fracture, right ankle, sequela
661
661
M84372A Stress fracture, left ankle, initial encounter

fracture
M84372D for
Stress
fracture, left ankle, subs for fx w
routn
heal
M84372G Stress fracture, left ankle, subs for fx w
M84372K delay
Stressheal
fracture, left ankle, subs for fx w
652
872
872
661
M84372P nonunion
Stress fracture, left ankle, subs for fx w
M84372S malunion
Stress fracture, left ankle, sequela
661
661
M84373A Stress fracture, unspecified ankle, init

for fracture
M84373D encntr
Stress fracture,
unsp ankle, subs for fx w
routn
heal
M84373G Stress fracture, unsp ankle, subs for fx w
652
872
872
M84373K delay
Stressheal
fracture, unsp ankle, subs for fx w
nonunion
M84373P Stress fracture, unsp ankle, subs for fx w
M84373S malunion
Stress fracture, unspecified ankle, sequela
661
661
661
M84374A Stress fracture, right foot, initial encounter

fracture
M84374D for
Stress
fracture, right foot, subs for fx w
routn
heal
M84374G Stress fracture, right foot, subs for fx w
M84374K delay
Stressheal
fracture, right foot, subs for fx w
652
872
872
661
M84374P nonunion
Stress fracture, right foot, subs for fx w
M84374S malunion
Stress fracture, right foot, sequela
661
661
M84375A Stress fracture, left foot, initial encounter

fracture
M84375D for
Stress
fracture, left foot, subs for fx w
M84375G routn
Stressheal
fracture, left foot, subs for fx w
delay
heal
M84375K Stress fracture, left foot, subs for fx w
652
872
872
661
M84375P nonunion
Stress fracture, left foot, subs for fx w
M84375S malunion
Stress fracture, left foot, sequela
661
661
M84376A Stress fracture, unspecified foot, init

for fracture
M84376D encntr
Stress fracture,
unsp foot, subs for fx w
routn
heal
M84376G Stress fracture, unsp foot, subs for fx w
652
872
872
delay heal
Page 2447 of 6734

M84376K Stress fracture, unsp foot, subs for fx w
M84376P nonunion
Stress fracture, unsp foot, subs for fx w
M84376S malunion
Stress fracture, unspecified foot, sequela
661
661
661
M84377A Stress fracture, right toe(s), init encntr for

M84377D fracture
Stress fracture, right toe(s), subs for fx w
M84377G routn
Stressheal
fracture, right toe(s), subs for fx w
delay
heal
M84377K Stress fracture, right toe(s), subs for fx w
652
872
872
661
M84377P nonunion
Stress fracture, right toe(s), subs for fx w
M84377S malunion
Stress fracture, right toe(s), sequela
661
661
M84378A Stress fracture, left toe(s), initial

for fracture
M84378D encounter
Stress fracture,
left toe(s), subs for fx w
M84378G routn
Stressheal
fracture, left toe(s), subs for fx w
delay
heal
M84378K Stress fracture, left toe(s), subs for fx w
652
872
872
661
M84378P nonunion
Stress fracture, left toe(s), subs for fx w
M84378S malunion
Stress fracture, left toe(s), sequela
661
661
M84379A Stress fracture, unsp toe(s), init encntr for

M84379D fracture
Stress fracture, unsp toe(s), subs for fx w
M84379G routn
Stressheal
fracture, unsp toe(s), subs for fx w
M84379K delay
Stressheal
fracture, unsp toe(s), subs for fx w
652
872
872
661
M84379P nonunion
Stress fracture, unsp toe(s), subs for fx w
M84379S malunion
Stress fracture, unspecified toe(s), sequela
661
661
M8438XA Stress fracture, other site, initial encounter

fracture
M8438XD for
Stress
fracture, oth site, subs for fx w
routn
heal
M8438XG Stress fracture, oth site, subs for fx w
652
872
872
M8438XK delay
Stressheal
fracture, oth site, subs for fx w
M8438XP nonunion
Stress fracture, oth site, subs for fx w
M8438XS malunion
Stress fracture, other site, sequela
661
661
661
M8440XA Pathological fracture, unsp site, init encntr

fracture fracture, unsp site, subs for fx
M8440XD for
Pathological
w routn heal
653
653
Page 2448 of 6734

M8440XG Pathological fracture, unsp site, subs for fx
delay heal fracture, unsp site, subs for fx
M8440XK w
Pathological
nonunion fracture, unsp site, subs for fx
M8440XP w
Pathological
malunion fracture, unspecified site,
M8440XS w
Pathological
653
653
653
653
M84411A sequela
Pathological fracture, right shoulder, init
fx
M84411D for
Pathological
fracture, r shoulder, subs for
fx
w
routn
heal
M84411G Pathological fracture, r shoulder, subs for
653
653
653
w delay heal
M84411K fx
Pathological
fracture, r shoulder, subs for
fx
w
nonunion
M84411P Pathological fracture, r shoulder, subs for
w malunion
M84411S fx
Pathological
fracture, right shoulder,
653
653
653
M84412A sequela
Pathological fracture, left shoulder, init for
M84412D fx
Pathological fracture, l shoulder, subs for
w routn heal
M84412G fx
Pathological
fracture, l shoulder, subs for
653
653
653
w delay heal
M84412K fx
Pathological
fracture, left shoulder, subs
fx w nonunion
M84412P for
Pathological
fracture, left shoulder, subs
for
fx
w
malunion
M84412S Pathological fracture, left shoulder,
653
653
653
M84419A sequela
Pathological fracture, unsp shoulder, init
M84419D for
Pathfxfracture, unsp shoulder, subs for fx w
heal
M84419G routn
Path fracture,
unsp shoulder, subs for fx w
653
653
653
heal fracture, unsp shoulder, subs

M84419K delay
Pathological
fx w nonunion
M84419P for
Pathological
fracture, unsp shoulder, subs
for
fx
w
malunion
M84419S Pathological fracture, unspecified
653
653
653
sequela
M84421A shoulder,
Pathological
fracture, right humerus, init
for
fx
M84421D Pathological fracture, r humerus, subs for
w routn heal
M84421G fx
Pathological
fracture, r humerus, subs for
653
653
653
w delay heal
M84421K fx
Pathological
fracture, right humerus, subs
for
fx
w
nonunion
M84421P Pathological fracture, right humerus, subs
fx w malunion
M84421S for
Pathological
fracture, right humerus,
653
653
653
M84422A sequela
Pathological fracture, left humerus, init for
fx
653
Page 2449 of 6734

M84422D Pathological fracture, l humerus, subs for
w routn heal
M84422G fx
Pathological
fracture, l humerus, subs for
fx
w
delay
heal
M84422K Pathological fracture, left humerus, subs
653
653
653
fx w nonunion
M84422P for
Pathological
fracture, left humerus, subs
for
fx
w
malunion
M84422S Pathological fracture, left humerus,
M84429A sequela
Pathological fracture, unsp humerus, init
653
653
653
M84429D for
Pathfxfracture, unsp humerus, subs for fx w
heal
M84429G routn
Path fracture,
unsp humerus, subs for fx w
delay
heal
M84429K Pathological fracture, unsp humerus, subs
653
653
653
fx w nonunion
M84429P for
Pathological
fracture, unsp humerus, subs
for
fx
w
malunion
M84429S Pathological fracture, unspecified
sequela
M84431A humerus,
Pathological
fracture, right ulna, init encntr
653
653
653
fracture fracture, right ulna, subs for

M84431D for
Pathological
w routn heal
M84431G fx
Pathological
fracture, right ulna, subs for
w delay heal
M84431K fx
Pathological
fracture, right ulna, subs for
fx
w
nonunion
M84431P Pathological fracture, right ulna, subs for
653
653
653
653
w malunion
M84431S fx
Pathological
fracture, right ulna, sequela
653
M84432A Pathological fracture, left ulna, init encntr

fracture fracture, left ulna, subs for fx
M84432D for
Pathological
routn heal fracture, left ulna, subs for fx
M84432G w
Pathological
delay heal fracture, left ulna, subs for fx
M84432K w
Pathological
653
653
653
653
nonunion fracture, left ulna, subs for fx

M84432P w
Pathological
malunion fracture, left ulna, sequela
M84432S w
Pathological
653
653
M84433A Pathological fracture, right radius, init for

M84433D fx
Path fracture, right radius, subs for fx w
653
653
heal
M84433G routn
Path fracture,
right radius, subs for fx w
delay
heal
M84433K Pathological fracture, right radius, subs for
653
653
w nonunion
M84433P fx
Pathological
fracture, right radius, subs for
fx
w
malunion
M84433S Pathological fracture, right radius, sequela
653
653
Page 2450 of 6734

M84434A Pathological fracture, left radius, init
for fracture
M84434D encntr
Pathological
fracture, left radius, subs for
fx
w
routn
heal
M84434G Pathological fracture, left radius, subs for
w delay heal
M84434K fx
Pathological
fracture, left radius, subs for
fx
w
nonunion
M84434P Pathological fracture, left radius, subs for
653
653
653
653
653
w malunion
M84434S fx
Pathological
fracture, left radius, sequela
653
M84439A Pathological fracture, unsp ulna and

forulna
fx and radius, subs for fx
M84439D radius,
Path fx,init
unsp
routn
heal ulna and radius, subs for fx
M84439G w
Path
fx, unsp
653
653
653
delay
heal unsp ulna and radius, subs
M84439K w
Path
fracture,
w nonunion
M84439P for
Pathfxfracture,
unsp ulna and radius, subs
fx w malunion
M84439S for
Pathological
fracture, unspecified ulna and
653
653
653
sequela
M84441A radius,
Pathological
fracture, right hand, init
encntr
for
fracture
M84441D Pathological fracture, right hand, subs for
w routn heal
M84441G fx
Pathological
fracture, right hand, subs for
fx
w
delay
heal
M84441K Pathological fracture, right hand, subs for
w nonunion
M84441P fx
Pathological
fracture, right hand, subs for
653
653
653
653
653
w malunion
M84441S fx
Pathological
fracture, right hand, sequela
653
M84442A Pathological fracture, left hand, init encntr

fracture fracture, left hand, subs for fx
M84442D for
Pathological
routn heal fracture, left hand, subs for fx
M84442G w
Pathological
delay heal fracture, left hand, subs for fx
M84442K w
Pathological
653
653
653
653
nonunion fracture, left hand, subs for fx

M84442P w
Pathological
malunion fracture, left hand, sequela
M84442S w
Pathological
653
653
M84443A Pathological fracture, unsp hand, init

for fracture
M84443D encntr
Pathological
fracture, unsp hand, subs for
fx
w
routn
heal
M84443G Pathological fracture, unsp hand, subs for
w delay heal
M84443K fx
Pathological
fracture, unsp hand, subs for
fx
w
nonunion
M84443P Pathological fracture, unsp hand, subs for
653
653
653
653
653
fx w malunion
Page 2451 of 6734

M84443S Pathological fracture, unspecified hand,
M84444A sequela
Pathological fracture, right finger(s), init
M84444D for
Pathfxfracture, right finger(s), subs for fx w
653
653
653
heal
M84444G routn
Path fracture,
right finger(s), subs for fx w
delay
heal
M84444K Path fracture, right finger(s), subs for fx w
M84444P nonunion
Path fracture, right finger(s), subs for fx w
M84444S malunion
Pathological fracture, right finger(s),
653
653
653
653
M84445A sequela
Pathological fracture, left finger(s), init for
M84445D fx
Path fracture, left finger(s), subs for fx w
653
653
heal
M84445G routn
Path fracture,
left finger(s), subs for fx w
delay
heal
M84445K Path fracture, left finger(s), subs for fx w
M84445P nonunion
Path fracture, left finger(s), subs for fx w
M84445S malunion
Pathological fracture, left finger(s),
653
653
653
653
M84446A sequela
Pathological fracture, unsp finger(s), init
M84446D for
Pathfxfracture, unsp finger(s), subs for fx w
heal
M84446G routn
Path fracture,
unsp finger(s), subs for fx w
653
653
653
heal
M84446K delay
Path fracture,
unsp finger(s), subs for fx w
nonunion
M84446P Path fracture, unsp finger(s), subs for fx w
M84446S malunion
Pathological fracture, unspecified finger(s),
653
653
653
M84451A sequela
Pathological fracture, right femur, init
for fracture
M84451D encntr
Pathological
fracture, right femur, subs for
fx
w
routn
heal
M84451G Pathological fracture, right femur, subs for
w delay heal
M84451K fx
Pathological
fracture, right femur, subs for
fx
w
nonunion
M84451P Pathological fracture, right femur, subs for
653
653
653
653
653
w malunion
M84451S fx
Pathological
fracture, right femur, sequela
653
M84452A Pathological fracture, left femur, init

for fracture
M84452D encntr
Pathological
fracture, left femur, subs for
fx
w
routn
heal
M84452G Pathological fracture, left femur, subs for
w delay heal
M84452K fx
Pathological
fracture, left femur, subs for
fx w nonunion
653
653
653
653
Page 2452 of 6734

M84452P Pathological fracture, left femur, subs for
w malunion
M84452S fx
Pathological
fracture, left femur, sequela
653
653
M84453A Pathological fracture, unsp femur, init

for fracture
M84453D encntr
Pathological
fracture, unsp femur, subs for
fx
w
routn
heal
M84453G Pathological fracture, unsp femur, subs for
w delay heal
M84453K fx
Pathological
fracture, unsp femur, subs for
fx
w
nonunion
M84453P Pathological fracture, unsp femur, subs for
653
653
653
653
653
w malunion
M84453S fx
Pathological
fracture, unspecified femur,
sequela
M84454A Pathological fracture, pelvis, init encntr for
M84454D fracture
Pathological fracture, pelvis, subs for fx w
653
653
653
heal fracture, pelvis, subs for fx w

M84454G routn
Pathological
heal fracture, pelvis, subs for fx w
M84454K delay
Pathological
M84454P nonunion
Pathological fracture, pelvis, subs for fx w
M84454S malunion
Pathological fracture, pelvis, sequela
653
653
653
653
M84459A Pathological fracture, hip, unsp, init encntr

fracture fracture, hip, unsp, subs for fx
M84459D for
Pathological
routn heal fracture, hip, unsp, subs for fx
M84459G w
Pathological
delay heal fracture, hip, unsp, subs for fx
M84459K w
Pathological
653
653
653
653
nonunion fracture, hip, unsp, subs for fx

M84459P w
Pathological
malunion fracture, hip, unspecified,
M84459S w
Pathological
M84461A sequela
Pathological fracture, right tibia, init encntr
653
653
653
fracture fracture, right tibia, subs for

M84461D for
Pathological
w routn heal
M84461G fx
Pathological
fracture, right tibia, subs for
fx
w
delay
heal
M84461K Pathological fracture, right tibia, subs for
w nonunion
M84461P fx
Pathological
fracture, right tibia, subs for
653
653
653
653
w malunion
M84461S fx
Pathological
fracture, right tibia, sequela
653
M84462A Pathological fracture, left tibia, init encntr

fracture fracture, left tibia, subs for fx
M84462D for
Pathological
routn heal fracture, left tibia, subs for fx
M84462G w
Pathological
w delay heal
653
653
653
Page 2453 of 6734

M84462K Pathological fracture, left tibia, subs for fx
nonunion fracture, left tibia, subs for fx
M84462P w
Pathological
malunion fracture, left tibia, sequela
M84462S w
Pathological
653
653
653
M84463A Pathological fracture, right fibula, init for fx
653
M84463D Path fracture, right fibula, subs for fx w

heal
M84463G routn
Path fracture,
right fibula, subs for fx w
delay
heal
M84463K Pathological fracture, right fibula, subs for
653
653
653
w nonunion
M84463P fx
Pathological
fracture, right fibula, subs for
fx
w
malunion
M84463S Pathological fracture, right fibula, sequela
653
653
M84464A Pathological fracture, left fibula, init encntr

fracture fracture, left fibula, subs for fx
M84464D for
Pathological
routn heal fracture, left fibula, subs for fx
M84464G w
Pathological
delay heal fracture, left fibula, subs for fx
M84464K w
Pathological
653
653
653
653
nonunion fracture, left fibula, subs for fx

M84464P w
Pathological
malunion fracture, left fibula, sequela
M84464S w
Pathological
653
653
M84469A Pathological fracture, unsp tibia and fibula,

M84469D init
Pathfor
fx,fxunsp tibia and fibula, subs for fx w
653
653
heal
M84469G routn
Path fx,
unsp tibia and fibula, subs for fx w
heal
M84469K delay
Path fracture,
unsp tibia and fibula, subs
for
fx
w
nonunion
M84469P Path fracture, unsp tibia and fibula, subs
653
653
653
fx w malunion
M84469S for
Pathological
fracture, unspecified tibia and
fibula,
sequela
M84471A Pathological fracture, right ankle, init
for fracture
M84471D encntr
Pathological
fracture, right ankle, subs for
653
653
653
w routn heal
M84471G fx
Pathological
fx
w
delay
heal
M84471K Pathological fracture, right ankle, subs for
w nonunion
M84471P fx
Pathological
fx
w
malunion
M84471S Pathological fracture, right ankle, sequela
653
653
653
653
M84472A Pathological fracture, left ankle, init encntr

fracture fracture, left ankle, subs for fx
M84472D for
Pathological
w routn heal
653
653
Page 2454 of 6734

M84472G Pathological fracture, left ankle, subs for fx
delay heal fracture, left ankle, subs for fx
M84472K w
Pathological
nonunion fracture, left ankle, subs for fx
M84472P w
Pathological
malunion fracture, left ankle, sequela
M84472S w
Pathological
653
653
653
653
M84473A Pathological fracture, unsp ankle, init

for fracture
M84473D encntr
Pathological
fracture, unsp ankle, subs for
fx
w
routn
heal
M84473G Pathological fracture, unsp ankle, subs for
w delay heal
M84473K fx
Pathological
fracture, unsp ankle, subs for
fx
w
nonunion
M84473P Pathological fracture, unsp ankle, subs for
653
653
653
653
653
w malunion
M84473S fx
Pathological
fracture, unspecified ankle,
sequela
M84474A Pathological fracture, right foot, init encntr
fracture fracture, right foot, subs for fx
M84474D for
Pathological
653
653
653
routn heal fracture, right foot, subs for fx

M84474G w
Pathological
delay heal fracture, right foot, subs for fx
M84474K w
Pathological
nonunion fracture, right foot, subs for fx
M84474P w
Pathological
malunion fracture, right foot, sequela
M84474S w
Pathological
653
653
653
653
M84475A Pathological fracture, left foot, init encntr

fracture fracture, left foot, subs for fx
M84475D for
Pathological
routn heal fracture, left foot, subs for fx
M84475G w
Pathological
delay heal fracture, left foot, subs for fx
M84475K w
Pathological
653
653
653
653
nonunion fracture, left foot, subs for fx

M84475P w
Pathological
malunion fracture, left foot, sequela
M84475S w
Pathological
653
653
M84476A Pathological fracture, unsp foot, init encntr

fracture fracture, unsp foot, subs for fx
M84476D for
Pathological
routn heal fracture, unsp foot, subs for fx
M84476G w
Pathological
delay heal fracture, unsp foot, subs for fx
M84476K w
Pathological
653
653
653
653
nonunion fracture, unsp foot, subs for fx

M84476P w
Pathological
malunion fracture, unspecified foot,
M84476S w
Pathological
M84477A sequela
Pathological fracture, right toe(s), init for
653
653
653
fx
Page 2455 of 6734

M84477D Path fracture, right toe(s), subs for fx w
heal
M84477G routn
Path fracture,
right toe(s), subs for fx w
delay
heal
M84477K Pathological fracture, right toe(s), subs for
653
653
653
w nonunion
M84477P fx
Pathological
fracture, right toe(s), subs for
fx
w
malunion
M84477S Pathological fracture, right toe(s), sequela
653
653
M84478A Pathological fracture, left toe(s), init encntr

fracture fracture, left toe(s), subs for
M84478D for
Pathological
w routn heal
M84478G fx
Pathological
fracture, left toe(s), subs for
fx
w
delay
heal
M84478K Pathological fracture, left toe(s), subs for
653
653
653
653
w nonunion
M84478P fx
Pathological
fracture, left toe(s), subs for
fx
w
malunion
M84478S Pathological fracture, left toe(s), sequela
653
653
M84479A Pathological fracture, unsp toe(s), init

for fracture
M84479D encntr
Pathological
fracture, unsp toe(s), subs for
fx
w
routn
heal
M84479G Pathological fracture, unsp toe(s), subs for
w delay heal
M84479K fx
Pathological
fracture, unsp toe(s), subs for
fx
w
nonunion
M84479P Pathological fracture, unsp toe(s), subs for
653
653
653
653
653
w malunion
M84479S fx
Pathological
fracture, unspecified toe(s),
sequela
M8448XA Pathological fracture, other site, init encntr
fracture fracture, oth site, subs for fx
M8448XD for
Pathological
653
653
653
routn heal fracture, oth site, subs for fx

M8448XG w
Pathological
delay heal fracture, oth site, subs for fx
M8448XK w
Pathological
nonunion fracture, oth site, subs for fx
M8448XP w
Pathological
malunion fracture, other site, sequela
M8448XS w
Pathological
653
653
653
653
M8450XA Pathological fracture in neoplastic disease,

site,
init
M8450XD unsp
Path fx
in neopltc
dis, unsp site, subs for fx
653
653
routn
heal
M8450XG w
Path
fx in
neopltc dis, unsp site, subs for fx
w
delay
heal
M8450XK Path fx in neopltc dis, unsp site, subs for fx
nonunion
M8450XP w
Path
fx in neopltc dis, unsp site, subs for fx
w
malunion
M8450XS Path fracture in neoplastic disease, unsp
653
653
653
661
site, sequela
Page 2456 of 6734

M84511A Path fracture in neoplastic disease, r
M84511D shoulder,
Path fx in init
neopltc dis, r shldr, subs for fx w
routn
heal
M84511G Path fx in neopltc dis, r shldr, subs for fx w
M84511K delay
Path fxheal
in neopltc disease, r shldr, subs for
653
653
653
653
w nonunion
M84511P fx
Path
fx in neopltc disease, r shldr, subs for
fx
w
malunion
M84511S Path fracture in neoplastic disease, r
sequela
M84512A shoulder,
Path fracture
in neoplastic disease, l
653
661
653
M84512D shoulder,
Path fx in init
neopltc dis, l shldr, subs for fx w
routn
heal
M84512G Path fx in neopltc dis, l shldr, subs for fx w
M84512K delay
Path fxheal
in neopltc disease, l shldr, subs for
653
653
653
w nonunion
M84512P fx
Path
fx in neopltc disease, l shldr, subs for
w malunion
M84512S fx
Path
fracture in neoplastic disease, l
shoulder,
sequela
M84519A Path fracture
in neoplastic disease, unsp
653
661
653
M84519D shoulder,
Path fx in init
neopltc dis, unsp shldr, subs for
w routn
heal
M84519G fx
Path
fx in neopltc
dis, unsp shldr, subs for
fx
w
delay
heal
M84519K Path fx in neopltc dis, unsp shldr, subs for
w nonunion
M84519P fx
Path
fx in neopltc dis, unsp shldr, subs for
653
653
653
653
w malunion
M84519S fx
Path
fracture in neoplastic disease, unsp
sequela
M84521A shoulder,
Pathological
fracture in neoplastic disease,
r
humerus,
init
M84521D Path fx in neopltc dis, r humerus, subs for
661
653
653
w routn
heal
M84521G fx
Path
fx in neopltc
dis, r humerus, subs for
fx
w
delay
heal
M84521K Path fx in neopltc dis, r humerus, subs for
w nonunion
M84521P fx
Path
fx in neopltc dis, r humerus, subs for
fx
w
malunion
M84521S Path fracture in neoplastic disease, r
653
653
653
661
sequela
M84522A humerus,
Pathological
humerus,
init
M84522D lPath
fx in neopltc
dis, l humerus, subs for
fx
w
routn
heal
M84522G Path fx in neopltc dis, l humerus, subs for
653
653
653
w delay
heal dis, l humerus, subs for
M84522K fx
Path
fx in neopltc
w nonunion
M84522P fx
Path
fx in neopltc dis, l humerus, subs for
fx w malunion
653
653
Page 2457 of 6734

M84522S Path fracture in neoplastic disease, l
sequela
M84529A humerus,
Path fracture
humerus,
init
M84529D Path fx in neopltc dis, unsp humer, subs
661
653
653
win
routn
healdis, unsp humer, subs
M84529G for
Pathfxfx
neopltc
win
delay
healdis, unsp humerus, subs
M84529K for
Pathfxfx
neopltc
win
nonunion
M84529P for
Pathfxfx
neopltc dis, unsp humerus, subs
653
653
653
w malunion
M84529S for
Pathfxfracture
sequela
M84531A humerus,
Path fracture
in neoplastic disease, right
ulna,
init
M84531D Path fx in neopltc disease, r ulna, subs for
661
653
653
w routn
heal
M84531G fx
Path
fx in neopltc
disease, r ulna, subs for
fx
w
delay
heal
M84531K Path fx in neopltc disease, r ulna, subs for
w nonunion
M84531P fx
Path
fx in neopltc disease, r ulna, subs for
fx
w
malunion
M84531S Path fracture in neoplastic disease, right
653
653
653
661
sequelafracture in neoplastic disease,

M84532A ulna,
Pathological
M84532D left
Pathulna,
fx in init
neopltc disease, l ulna, subs for
fx
w
routn
heal
M84532G Path fx in neopltc
disease, l ulna, subs for
653
653
653
w delay
heal disease, l ulna, subs for
M84532K fx
Path
fx in neopltc
w nonunion
M84532P fx
Path
fx in neopltc disease, l ulna, subs for
w malunion
M84532S fx
Path
fracture in neoplastic disease, left
653
653
661
sequela in neoplastic disease, right

M84533A ulna,
Path fracture
M84533D radius,
Path fx init
in neopltc dis, r radius, subs for fx
w
routn
heal
M84533G Path fx in
neopltc dis, r radius, subs for fx
653
653
653
delay
M84533K w
Path
fx inheal
neopltc disease, r radius, subs
for
fx
w
nonunion
M84533P Path fx in neopltc disease, r radius, subs
w malunion
M84533S for
Pathfxfracture
653
653
661
sequela
M84534A radius,
Path fracture
in neoplastic disease, left
radius,
init
M84534D Path fx in neopltc dis, left rad, subs for fx
653
653
routn
heal
M84534G w
Path
fx in
neopltc dis, left rad, subs for fx
w
delay
heal
M84534K Path fx in neopltc dis, left radius, subs for
fx w nonunion
653
653
Page 2458 of 6734

M84534P Path fx in neopltc dis, left radius, subs for
w malunion
M84534S fx
Path
653
661
sequela
M84539A radius,
Path fracture
in neopltc disease, unsp ulna
init
M84539D and
Pathradius,
fx in neopltc
dis, unsp ulna & rad,
7thD
M84539G Path fx in neopltc dis, unsp ulna & rad,
653
653
653
M84539K 7thG
Path fx in neopltc dis, unsp ulna & rad,
M84539P 7thK
Path fx in neopltc dis, unsp ulna & rad,
M84539S 7thP
Path fx in neopltc disease, unsp ulna and
sequela
M84541A radius,
Path fracture
653
653
653
653
M84541D hand,
Path fxinit
in neopltc disease, r hand, subs for
fx
w
routn
heal
M84541G Path fx in neopltc
disease, r hand, subs for
w delay
heal disease, r hand, subs for
M84541K fx
Path
fx in neopltc
w nonunion
M84541P fx
Path
fx in neopltc disease, r hand, subs for
653
653
653
653
w malunion
M84541S fx
Path
fracture in neoplastic disease, right
sequela
M84542A hand,
Pathological
left
hand,
init
M84542D Path fx in neopltc disease, l hand, subs for
661
653
653
w routn
heal
M84542G fx
Path
fx in neopltc
disease, l hand, subs for
fx
w
delay
heal
M84542K Path fx in neopltc disease, l hand, subs for
w nonunion
M84542P fx
Path
fx in neopltc disease, l hand, subs for
fx
w
malunion
M84542S Path fracture in neoplastic disease, left
653
653
653
661
sequela
M84549A hand,
Pathological
unsp
hand,
init
M84549D Path fx in neopltc dis, unsp hand, subs for
w routn
heal
M84549G fx
Path
fx in neopltc
dis, unsp hand, subs for
653
653
653
w delay
heal dis, unsp hand, subs for
M84549K fx
Path
fx in neopltc
w nonunion
M84549P fx
Path
fx in neopltc dis, unsp hand, subs for
w malunion
M84549S fx
Path
fracture in neoplastic disease, unsp
653
653
661
sequela
M84550A hand,
Pathological
pelvis,
init
M84550D Path fx in neopltc disease, pelvis, subs for
w routn
heal
M84550G fx
Path
fx in neopltc
disease, pelvis, subs for
653
653
653
fx w delay heal
Page 2459 of 6734

M84550K Path fx in neopltc disease, pelvis, subs for
w nonunion
M84550P fx
Path
fx in neopltc disease, pelvis, subs for
fx
w
malunion
M84550S Pathological fracture in neoplastic disease,
653
653
656
sequela
M84551A pelvis,
Path fracture
femur,
init
M84551D Path fx in neopltc dis, r femur, subs for fx
653
653
routn
heal
M84551G w
Path
fx in
neopltc dis, r femur, subs for fx
w
delay
heal
M84551K Path fx in neopltc disease, r femur, subs
win
nonunion
M84551P for
Pathfxfx
neopltc disease, r femur, subs
653
653
653
w malunion
M84551S for
Pathfxfracture
femur,
sequela
M84552A Path fracture in neoplastic disease, left
M84552D femur,
Path fx init
in neopltc dis, l femur, subs for fx
661
653
653
routn
heal
M84552G w
Path
fx in
neopltc dis, l femur, subs for fx
w
delay
heal
M84552K Path fx in neopltc disease, l femur, subs
win
nonunion
M84552P for
Pathfxfx
neopltc disease, l femur, subs
653
653
653
w malunion
M84552S for
Pathfxfracture
femur,
sequela
M84553A Path fracture in neoplastic disease, unsp
M84553D femur,
Path fx init
in neopltc dis, unsp femur, subs for
661
653
653
w routn
heal
M84553G fx
Path
fx in neopltc
dis, unsp femur, subs for
w delay
heal dis, unsp femur, subs for
M84553K fx
Path
fx in neopltc
w nonunion
M84553P fx
Path
fx in neopltc dis, unsp femur, subs for
fx
w
malunion
M84553S Path fracture in neoplastic disease, unsp
653
653
653
661
sequela
M84559A femur,
Pathological
init
M84559D hip,
Pathunsp,
fx in neopltc
dis, hip, unsp, subs for fx
w
routn
heal
M84559G Path fx in neopltc dis, hip, unsp, subs for fx
653
653
653
delay
M84559K w
Path
fx inheal
neopltc dis, hip, unsp, subs for fx
nonunion
M84559P w
Path
fx in neopltc dis, hip, unsp, subs for fx
w
malunion
M84559S Path fracture in neoplastic disease, hip,
653
653
661
sequelain neoplastic disease, right

M84561A unsp,
Path fracture
init
M84561D tibia,
Path fx
in neopltc dis, r tibia, subs for fx w
routn heal
653
653
Page 2460 of 6734

M84561G Path fx in neopltc dis, r tibia, subs for fx w
M84561K delay
Path fxheal
in neopltc disease, r tibia, subs for
fx
w
nonunion
M84561P Path fx in neopltc disease, r tibia, subs for
653
653
653
w malunion
M84561S fx
Path
tibia,
sequelain neoplastic disease, left
init
M84562D tibia,
Path fx
in neopltc dis, l tibia, subs for fx w
661
653
653
M84562G routn
Path fxheal
in neopltc dis, l tibia, subs for fx w
M84562K delay
Path fxheal
in neopltc disease, l tibia, subs for
fx
w
nonunion
M84562P Path fx in neopltc disease, l tibia, subs for
653
653
653
w malunion
M84562S fx
Path
tibia,
sequelain neoplastic disease, right
M84563D fibula,
Path fxinit
in neopltc dis, r fibula, subs for fx
w
routn
heal
M84563G Path fx in
neopltc dis, r fibula, subs for fx
661
653
653
653
delay
M84563K w
Path
fx inheal
neopltc disease, r fibula, subs for
w nonunion
M84563P fx
Path
fx in neopltc disease, r fibula, subs for
fx
w
malunion
653
653
661
sequela
M84564A fibula,
Path fracture
fibula,
init
M84564D Path fx in neopltc dis, l fibula, subs for fx w
M84564G routn
Path fxheal
in neopltc dis, l fibula, subs for fx w
653
653
653
M84564K delay
Path fxheal
in neopltc disease, l fibula, subs for
fx
w
nonunion
M84564P Path fx in neopltc disease, l fibula, subs for
w malunion
M84564S fx
Path
653
653
661
M84569A fibula,
Path fxsequela
in neopltc disease, unsp tibia and
fibula,
init
M84569D Path fx in neopltc dis, unsp tibia & fibula,
M84569G 7thD
Path fx in neopltc dis, unsp tibia & fibula,
653
653
653
M84569K 7thG
M84569P 7thK
M84569S 7thP
Path fx in neopltc disease, unsp tibia and
sequela
M84571A fibula,
Path fracture
653
653
653
653
ankle, init
Page 2461 of 6734

M84571D Path fx in neopltc dis, r ankle, subs for fx w
M84571G routn
Path fxheal
in neopltc dis, r ankle, subs for fx w
delay
heal
M84571K Path fx in neopltc disease, r ankle, subs for
653
653
653
w nonunion
M84571P fx
Path
fx in neopltc disease, r ankle, subs for
fx
w
malunion
653
661
sequela
M84572A ankle,
Path fracture
ankle,
init
M84572D Path fx in neopltc dis, l ankle, subs for fx w
M84572G routn
Path fxheal
in neopltc dis, l ankle, subs for fx w
653
653
653
M84572K delay
Path fxheal
in neopltc disease, l ankle, subs for
fx
w
nonunion
M84572P Path fx in neopltc disease, l ankle, subs for
w malunion
M84572S fx
Path
653
653
661
sequela
M84573A ankle,
Path fracture
ankle,
init
M84573D Path fx in neopltc dis, unsp ankle, subs for
653
653
w routn
heal
M84573G fx
Path
fx in neopltc
dis, unsp ankle, subs for
w delay
heal dis, unsp ankle, subs for
M84573K fx
Path
fx in neopltc
w nonunion
M84573P fx
Path
fx in neopltc dis, unsp ankle, subs for
fx
w
malunion
653
653
653
661
sequela
M84574A ankle,
Path fracture
initin neopltc disease, r foot, subs for
M84574D foot,
Path fx
w routn
heal
M84574G fx
Path
fx in neopltc
disease, r foot, subs for
653
653
653
w delay
heal disease, r foot, subs for
M84574K fx
Path
fx in neopltc
w nonunion
M84574P fx
Path
fx in neopltc disease, r foot, subs for
w malunion
M84574S fx
Path
653
653
661

M84575A foot,
Pathological
M84575D left
Pathfoot,
fx ininit
neopltc disease, l foot, subs for
w routn
heal
M84575G fx
Path
fx in neopltc
disease, l foot, subs for
653
653
653
w delay
heal disease, l foot, subs for
M84575K fx
Path
fx in neopltc
w nonunion
M84575P fx
Path
fx in neopltc disease, l foot, subs for
fx
w
malunion
M84575S Path fracture in neoplastic disease, left
653
653
661
foot, sequela
Page 2462 of 6734

M84576A Pathological fracture in neoplastic disease,
foot,
init
M84576D unsp
Path fx
in neopltc
dis, unsp foot, subs for
653
653
w routn
heal
M84576G fx
Path
fx in neopltc
dis, unsp foot, subs for
w delay
heal dis, unsp foot, subs for
M84576K fx
Path
fx in neopltc
w nonunion
M84576P fx
Path
fx in neopltc dis, unsp foot, subs for
fx
w
malunion
653
653
653
661

M8458XA foot,
Pathological
M8458XD oth
Pathsite,
fx ininit
neopltc dis, oth site, subs for fx
w
routn
heal
M8458XG Path fx in neopltc dis, oth site, subs for fx
656
653
653
delay
M8458XK w
Path
fx inheal
neopltc disease, oth site, subs
for
fx
w
nonunion
M8458XP Path fx in neopltc disease, oth site, subs
w malunion
M8458XS for
Pathfxfracture
in neoplastic disease, oth
site,
sequela
M8460XA Pathological fracture in oth disease, unsp
653
653
656
653
fxdisease, unsp site, subs for

M8460XD site,
Path init
fx infor
oth
w routn
heal
M8460XG fx
Path
fx in oth
disease, unsp site, subs for
fx
w
delay
heal
M8460XK Path fx in oth disease, unsp site, subs for
w nonunion
M8460XP fx
Path
fx in oth disease, unsp site, subs for
653
653
653
653
w malunion
M8460XS fx
Pathological
fracture in other disease,
site, sequela
M84611A unsp
Pathological
fracture in oth disease, right
shoulder,
init
M84611D Path fx in oth disease, r shoulder, subs for
661
653
653
w routn
heal
M84611G fx
Path
fx in oth
disease, r shoulder, subs for
fx
w
delay
heal
M84611K Path fx in oth disease, r shoulder, subs for
w nonunion
M84611P fx
Path
fx in oth disease, r shoulder, subs for
fx
w
malunion
M84611S Pathological fracture in oth disease, r
653
653
653
661
sequela
M84612A shoulder,
Pathological
fracture in oth disease, left
M84612D shoulder,
Path fx in init
oth disease, l shoulder, subs for
fx
w
routn
heal
M84612G Path fx in oth
disease, l shoulder, subs for
653
653
653
w delay
heal
M84612K fx
Path
fx in oth
disease, l shoulder, subs for
fx
w
nonunion
M84612P Path fx in oth disease, l shoulder, subs for
fx w malunion
653
653
Page 2463 of 6734

M84612S Pathological fracture in oth disease, left
sequela
M84619A shoulder,
Pathological
fracture in oth disease, unsp
shoulder,
init
M84619D Path fx in oth disease, unsp shldr, subs for
661
653
653
w routn
heal
M84619G fx
Path
fx in oth
disease, unsp shldr, subs for
fx
w
delay
heal
M84619K Path fx in oth disease, unsp shldr, subs for
w nonunion
M84619P fx
Path
fx in oth disease, unsp shldr, subs for
fx
w
malunion
M84619S Pathological fracture in oth disease, unsp
653
653
653
661
sequela
M84621A shoulder,
Pathological
humerus,
init
M84621D Path fx in oth disease, r humerus, subs for
653
653
w routn
heal
M84621G fx
Path
fx in oth
disease, r humerus, subs for
fx
w
delay
heal
M84621K Path fx in oth disease, r humerus, subs for
w nonunion
M84621P fx
Path
fx in oth disease, r humerus, subs for
fx
w
malunion
M84621S Pathological fracture in oth disease, right
653
653
653
661
sequela
M84622A humerus,
Pathological
init disease, l humerus, subs for
M84622D humerus,
Path fx in oth
w routn
heal
M84622G fx
Path
fx in oth
disease, l humerus, subs for
653
653
653
w delay
heal
M84622K fx
Path
fx in oth
disease, l humerus, subs for
fx
w
nonunion
M84622P Path fx in oth disease, l humerus, subs for
w malunion
M84622S fx
Pathological
653
653
661
sequela
M84629A humerus,
Pathological
humerus,
init
M84629D Path fx in oth dis, unsp humerus, subs for
w routn
heal
M84629G fx
Path
fx in oth
dis, unsp humerus, subs for
653
653
653
w delay
heal
M84629K fx
Path
fx in oth
disease, unsp humerus, subs
for
fx
w
nonunion
M84629P Path fx in oth disease, unsp humerus, subs
fx w malunion
M84629S for
Pathological
653
653
661
sequela
M84631A humerus,
Pathological
ulna,
init
M84631D Path fx in oth disease, r ulna, subs for fx w
653
653
M84631G routn
Path fxheal
in oth disease, r ulna, subs for fx w
delay
heal
M84631K Path fracture in oth disease, r ulna, subs
for fx w nonunion
653
661
Page 2464 of 6734

M84631P Path fracture in oth disease, r ulna, subs
fx w malunion
M84631S for
Pathological
fracture in other disease, right
661
661
sequelafracture in oth disease, left

M84632A ulna,
Pathological
init
M84632D ulna,
Path fx
infor
othfxdisease, l ulna, subs for fx w
M84632G routn
Path fxheal
in oth disease, l ulna, subs for fx w
653
653
653
heal
M84632K delay
Path fracture
in oth disease, l ulna, subs
for
fx
w
nonunion
M84632P Path fracture in oth disease, l ulna, subs
fx w malunion
M84632S for
Pathological
fracture in other disease, left
661
661
661
sequelafracture in oth disease, right

M84633A ulna,
Pathological
M84633D radius,
Path fx init
in oth disease, r radius, subs for fx
w
routn
heal
M84633G Path fx in
oth disease, r radius, subs for fx
653
653
653
delay
M84633K w
Path
fx inheal
oth disease, r radius, subs for fx
w
nonunion
M84633P Path fx in oth disease, r radius, subs for fx
malunion fracture in oth disease, right
M84633S w
Pathological
653
653
661
sequela
M84634A radius,
Pathological
radius,
init
M84634D Path fx in oth dis, left radius, subs for fx w
M84634G routn
Path fxheal
in oth dis, left radius, subs for fx w
653
653
653
M84634K delay
Path fxheal
in oth disease, left radius, subs for
w nonunion
M84634P fx
Path
fx in oth disease, left radius, subs for
fx
w
malunion
M84634S Pathological fracture in other disease, left
653
653
661
sequela
M84639A radius,
Path fracture
in oth disease, unsp ulna and
radius,
init
M84639D Path fx in oth dis, unsp ulna & rad, 7thD
653
653
M84639G Path fx in oth dis, unsp ulna & rad, 7thG
653
M84639K Path fx in oth dis, unsp ulna & rad, subs

win
nonunion
M84639P for
Pathfxfx
oth dis, unsp ulna & rad, subs
w malunion
M84639S for
Pathfxfracture
in oth disease, unsp ulna and
653
653
661
sequela
M84641A radius,
Pathological
hand,
init
M84641D Path fx in oth disease, r hand, subs for fx
routn
heal
M84641G w
Path
fx in
oth disease, r hand, subs for fx
653
653
653
w delay heal
Page 2465 of 6734

M84641K Path fracture in oth disease, r hand, subs
w nonunion
M84641P for
Pathfxfracture
in oth disease, r hand, subs
for
fx
w
malunion
M84641S Pathological fracture in other disease, right
661
661
661
sequela
M84642A hand,
Pathological
hand,
init
for
M84642D Path fx in oth fx
disease, l hand, subs for fx w
routn
heal
M84642G Path fx in oth disease, l hand, subs for fx w
653
653
653
heal
M84642K delay
Path fracture
in oth disease, l hand, subs
w nonunion
M84642P for
Pathfxfracture
in oth disease, l hand, subs
for
fx
w
malunion
661
661
661
sequela
M84649A hand,
Pathological
hand,
init
for
M84649D Path fx in oth fx
disease, unsp hand, subs for
w routn
heal
M84649G fx
Path
fx in oth
653
653
653
w delay
heal
M84649K fx
Path
fx in oth
fx
w
nonunion
M84649P Path fx in oth disease, unsp hand, subs for
w malunion
M84649S fx
Pathological
653
653
661
hand, sequela
M84650A unsp
Pathological
fracture in oth disease, pelvis,
init
for
fx
M84650D Path fx in oth disease, pelvis, subs for fx w
M84650G routn
Path fxheal
in oth disease, pelvis, subs for fx w
653
653
653
heal
M84650K delay
Path fracture
in oth disease, pelvis, subs
for
fx
w
nonunion
M84650P Path fracture in oth disease, pelvis, subs
fx w malunion
M84650S for
Pathological
661
661
656
sequela
M84651A pelvis,
Pathological
M84651D femur,
Path fx init
in oth disease, r femur, subs for fx
w
routn
heal
M84651G Path fx in
oth disease, r femur, subs for fx
653
653
653
delay
M84651K w
Path
fx inheal
oth disease, r femur, subs for fx
nonunion
M84651P w
Path
fx in oth disease, r femur, subs for fx
w
malunion
653
653
661
sequela
M84652A femur,
Pathological
femur,
init
M84652D Path fx in oth disease, l femur, subs for fx
w routn heal
653
653
Page 2466 of 6734

M84652G Path fx in oth disease, l femur, subs for fx
delay
M84652K w
Path
fx inheal
oth disease, l femur, subs for fx
w
nonunion
M84652P Path fx in oth disease, l femur, subs for fx
malunion fracture in other disease, left
M84652S w
Pathological
653
653
653
661
sequela
M84653A femur,
Pathological
femur,
init
M84653D Path fx in oth disease, unsp femur, subs
win
routn
heal
M84653G for
Pathfxfx
oth disease,
unsp femur, subs
653
653
653
win
delay
heal
M84653K for
Pathfxfx
oth disease,
unsp femur, subs
for
fx
w
nonunion
M84653P Path fx in oth disease, unsp femur, subs
fx w malunion
M84653S for
Pathological
653
653
661
femur, fracture
sequela in oth disease, hip,
M84659A unsp
Pathological
M84659D unsp,
Path fxinit
in for
othfx
disease, hip, unsp, subs for
fx
w
routn
heal
M84659G Path fx in oth disease, hip, unsp, subs for
653
653
653
w delay
heal
M84659K fx
Path
fx in oth
disease, hip, unsp, subs for
w nonunion
M84659P fx
Path
fx in oth disease, hip, unsp, subs for
fx
w
malunion
M84659S Pathological fracture in other disease, hip,
sequela
M84661A unsp,
Pathological
653
653
661
653
init
M84661D tibia,
Path fx
in oth disease, r tibia, subs for
M84661G routn
Path fxheal
in oth disease, r tibia, subs for
delay
heal
M84661K Path fx in oth disease, r tibia, subs for
M84661P nonunion
Path fx in oth disease, r tibia, subs for
fx w
653
fx w
653
fx w
653
fx w
malunion
M84662A tibia,
Pathological
init
M84662D tibia,
Path fx
in oth disease, l tibia, subs for fx w
653
661
653
653
M84662G routn
Path fxheal
M84662K delay
Path fxheal
nonunion
M84662P Path fx in oth disease, l tibia, subs for fx w
M84662S malunion
Pathological fracture in other disease, left
653
653
653
661
sequelafracture in oth disease, right

M84663A tibia,
Pathological
fibula, init
653
Page 2467 of 6734

M84663D Path fx in oth disease, r fibula, subs for
routn
heal
M84663G w
Path
fx in
oth disease, r fibula, subs for
w
delay
heal
M84663K Path fx in oth disease, r fibula, subs for
nonunion
M84663P w
Path
fx in oth disease, r fibula, subs for
fx
653
fx
653
fx
653
fx
w
malunion
M84663S Pathological fracture in oth disease, right
sequela
M84664A fibula,
Pathological
fibula,
init
M84664D Path fx in oth disease, l fibula, subs for fx
653
661
653
653
routn
heal
M84664G w
Path
fx in
oth disease, l fibula, subs for fx
w
delay
heal
M84664K Path fx in oth disease, l fibula, subs for fx
nonunion
M84664P w
Path
fx in oth disease, l fibula, subs for fx
w
malunion
653
653
653
661
sequela
M84669A fibula,
Path fracture
in oth disease, unsp tibia and
fibula,
init
M84669D Path fx in oth dis, unsp tibia & fibula, 7thD
653
653
M84669G Path fx in oth dis, unsp tibia & fibula, 7thG
653
M84669K Path fx in oth dis, unsp tibia & fibula, 7thK
653
M84669P Path fx in oth dis, unsp tibia & fibula, 7thP
653
M84669S Path fracture in oth disease, unsp tibia and

sequela
M84671A fibula,
Pathological
661
653
M84671D ankle,
Path fxinit
in oth disease, r ankle, subs for
w
routn
heal
M84671G Path fx in
oth disease, r ankle, subs for
w
delay
heal
M84671K Path fx in oth disease, r ankle, subs for
nonunion
M84671P w
Path
fx in oth disease, r ankle, subs for
fx
653
fx
653
fx
653
fx
653
malunion fracture in other disease, right

M84671S w
Pathological
sequela
M84672A ankle,
Pathological
ankle,
init
M84672D Path fx in oth disease, l ankle, subs for fx
661
653
653
routn
heal
M84672G w
Path
fx in
oth disease, l ankle, subs for fx
w
delay
heal
M84672K Path fx in oth disease, l ankle, subs for fx
nonunion
M84672P w
Path
fx in oth disease, l ankle, subs for fx
w
malunion
653
653
653
661
ankle, sequela
Page 2468 of 6734

M84673A Pathological fracture in oth disease, unsp
M84673D ankle,
Path fxinit
in oth disease, unsp ankle, subs for
653
653
w routn
heal
M84673G fx
Path
fx in oth
disease, unsp ankle, subs for
w delay
heal
M84673K fx
Path
fx in oth
disease, unsp ankle, subs for
fx
w
nonunion
M84673P Path fx in oth disease, unsp ankle, subs for
w malunion
M84673S fx
Pathological
653
653
653
661
ankle, sequela
M84674A unsp
Pathological
initin oth disease, r foot, subs for fx w
M84674D foot,
Path fx
M84674G routn
Path fxheal
in oth disease, r foot, subs for fx w
653
653
653
heal
M84674K delay
Path fracture
in oth disease, r foot, subs
for
fx
w
nonunion
M84674P Path fracture in oth disease, r foot, subs
fx w malunion
M84674S for
Pathological
fracture in other disease, right
661
661
661

M84675A foot,
Pathological
initinfor
M84675D foot,
Path fx
othfxdisease, l foot, subs for fx w
M84675G routn
Path fxheal
in oth disease, l foot, subs for fx w
653
653
653
heal
M84675K delay
Path fracture
in oth disease, l foot, subs for
fx
w
nonunion
M84675P Path fracture in oth disease, l foot, subs for
w malunion
M84675S fx
Pathological
fracture in other disease, left
661
661
661
sequelafracture in oth disease, unsp

M84676A foot,
Pathological
initinfor
M84676D foot,
Path fx
othfxdisease, unsp foot, subs for
653
653
w routn
heal
M84676G fx
Path
fx in oth
disease, unsp foot, subs for
fx
w
delay
heal
M84676K Path fx in oth disease, unsp foot, subs for
w nonunion
M84676P fx
Path
fx in oth disease, unsp foot, subs for
fx
w
malunion
M84676S Pathological fracture in other disease,
653
653
653
661
foot, sequela
M8468XA unsp
Pathological
fracture in oth disease, oth
fxdisease, oth site, subs for fx
M8468XD site,
Path init
fx infor
oth
routn
heal
M8468XG w
Path
fx in
oth disease, oth site, subs for fx
653
653
653
delay
M8468XK w
Path
fx inheal
oth disease, oth site, subs for fx
w
nonunion
M8468XP Path fx in oth disease, oth site, subs for fx
w malunion
653
653
Page 2469 of 6734

M8468XS Pathological fracture in other disease,
sequela
M8480 other
Other site,
disorders
of continuity of bone,
661
661
site of continuity of bone, right

M84811 unspecified
Other disorders
M84812 shoulder
Other disorders of continuity of bone, left
M84819 shoulder
Other disorders of continuity of bone,
shoulder
M84821 unspecified
Other disorders
of continuity of bone, right
661
661
661
661
M84822 humerus
M84829 humerus
humerus
M84831 unspecified
Other disorders
of continuity of bone, right
ulna
M84832 Other disorders of continuity of bone, left
661
661
661
661
M84833 ulna
Other disorders of continuity of bone, right
M84834 radius
M84839 radius
Other disorders of continuity of bone, unsp
radius of continuity of bone, right
M84841 ulna
Otherand
disorders
661
661
661
661
M84842 hand
M84849 hand
M84851 unspecified
Oth disord ofhand
continuity of bone, right pelv
661
661
661
thigh
M84852 rgn
Oth and
disord
of continuity of bone, left pelv
and of
thigh
M84859 region
Oth disord
continuity of bone, unsp pelv
region
and
thigh
M84861 Other disorders of continuity of bone, right
661
661
661
M84862 tibia
M84863 tibia
M84864 fibula
M84869 fibula
left
661
right
661
left
661
unsp
tibia
and
fibula
M84871 Other disorders of continuity of bone, right
foot of continuity of bone, left
M84872 ankle
Other and
disorders
foot of continuity of bone, unsp
M84879 ankle
Other and
disorders
foot of continuity of bone,
M8488 ankle
Other and
disorders
661
661
661
661
661
other
siteof continuity of bone, unspecified
Disorder
661
M849
Page 2470 of 6734

M8500
Fibrous dysplasia (monostotic), unspecified

M85011 site
Fibrous dysplasia (monostotic), right
M85012 shoulder
Fibrous dysplasia (monostotic), left
M85019 shoulder
661
661
661
661
M85021 shoulder
Fibrous dysplasia (monostotic), right upper
M85022 arm
Fibrous dysplasia (monostotic), left upper
M85029 arm
661
661
661
M85031 upper
Fibrousarm
dysplasia (monostotic), right
forearm
M85032 Fibrous dysplasia (monostotic), left
M85039 forearm
661
661
661
M85041 forearm
Fibrous dysplasia (monostotic), right hand
661
M85042 Fibrous dysplasia (monostotic), left hand
661
M85049 Fibrous dysplasia (monostotic), unspecified

M85051 hand
Fibrous dysplasia (monostotic), right thigh
661
661
M85052 Fibrous dysplasia (monostotic), left thigh
661
M85059 Fibrous dysplasia (monostotic), unspecified

M85061 thigh
Fibrous dysplasia (monostotic), right lower
M85062 leg
Fibrous dysplasia (monostotic), left lower
M85069 leg
661
661
661
661
leg
M85071 lower
Fibrous
dysplasia (monostotic), right ankle
and
foot
M85072 Fibrous dysplasia (monostotic), left ankle
footdysplasia (monostotic), unspecified
M85079 and
Fibrous
661
661
661
M8508
ankle
and
foot
Fibrous
dysplasia
(monostotic), other site
661
M8509
Fibrous dysplasia (monostotic), multiple

sites
Skeletal fluorosis, unspecified site
661
661
M85111 Skeletal fluorosis, right shoulder
661
M85112 Skeletal fluorosis, left shoulder
661
M85119 Skeletal fluorosis, unspecified shoulder
661
M85121 Skeletal fluorosis, right upper arm
661
M8510
Page 2471 of 6734

M85122 Skeletal fluorosis, left upper arm
661
M85129 Skeletal fluorosis, unspecified upper arm
661
M85131 Skeletal fluorosis, right forearm
661
M85132 Skeletal fluorosis, left forearm
661
M85139 Skeletal fluorosis, unspecified forearm
661
M85141 Skeletal fluorosis, right hand
661
M85142 Skeletal fluorosis, left hand
661
M85149 Skeletal fluorosis, unspecified hand
661
M85151 Skeletal fluorosis, right thigh
661
M85152 Skeletal fluorosis, left thigh
661
M85159 Skeletal fluorosis, unspecified thigh
661
M85161 Skeletal fluorosis, right lower leg
661
M85162 Skeletal fluorosis, left lower leg
661
M85169 Skeletal fluorosis, unspecified lower leg
661
M85171 Skeletal fluorosis, right ankle and foot
661
M85172 Skeletal fluorosis, left ankle and foot
661
M85179 Skeletal fluorosis, unspecified ankle and

M8518 foot
Skeletal fluorosis, other site
661
661
Skeletal fluorosis, multiple sites
661
Hyperostosis of skull
564
Osteitis condensans, unspecified site
661
M85311 Osteitis condensans, right shoulder
661
M85312 Osteitis condensans, left shoulder
661
M85319 Osteitis condensans, unspecified shoulder
661
M85321 Osteitis condensans, right upper arm
661
M85322 Osteitis condensans, left upper arm
661
M85329 Osteitis condensans, unspecified upper

M85331 arm
Osteitis condensans, right forearm
661
661
M85332 Osteitis condensans, left forearm
661
M8519
M852
M8530
Page 2472 of 6734

M85339 Osteitis condensans, unspecified forearm
661
M85341 Osteitis condensans, right hand
661
M85342 Osteitis condensans, left hand
661
M85349 Osteitis condensans, unspecified hand
661
M85351 Osteitis condensans, right thigh
661
M85352 Osteitis condensans, left thigh
661
M85359 Osteitis condensans, unspecified thigh
661
M85361 Osteitis condensans, right lower leg
661
M85362 Osteitis condensans, left lower leg
661
M85369 Osteitis condensans, unspecified lower leg
661
M85371 Osteitis condensans, right ankle and foot
661
M85372 Osteitis condensans, left ankle and foot
661
M85379 Osteitis condensans, unspecified ankle

footcondensans, other site
M8538 and
Osteitis
661
661
M8539
Osteitis condensans, multiple sites
661
M8540
Solitary bone cyst, unspecified site
661
M85411 Solitary bone cyst, right shoulder
661
M85412 Solitary bone cyst, left shoulder
661
M85419 Solitary bone cyst, unspecified shoulder
661
M85421 Solitary bone cyst, right humerus
661
M85422 Solitary bone cyst, left humerus
661
M85429 Solitary bone cyst, unspecified humerus
661
M85431 Solitary bone cyst, right ulna and radius
661
M85432 Solitary bone cyst, left ulna and radius
661
M85439 Solitary bone cyst, unspecified ulna and

M85441 radius
Solitary bone cyst, right hand
661
661
M85442 Solitary bone cyst, left hand
661
M85449 Solitary bone cyst, unspecified hand
661
M85451 Solitary bone cyst, right pelvis
661
Page 2473 of 6734

M85452 Solitary bone cyst, left pelvis
661
M85459 Solitary bone cyst, unspecified pelvis
661
M85461 Solitary bone cyst, right tibia and fibula
661
M85462 Solitary bone cyst, left tibia and fibula
661
M85469 Solitary bone cyst, unspecified tibia and

M85471 fibula
Solitary bone cyst, right ankle and foot
661
661
M85472 Solitary bone cyst, left ankle and foot
661
M85479 Solitary bone cyst, unspecified ankle and

M8548 foot
Solitary bone cyst, other site
661
661
661
M85511 Aneurysmal bone cyst, right shoulder
661
M85512 Aneurysmal bone cyst, left shoulder
661
M85519 Aneurysmal bone cyst, unspecified

M85521 shoulder
Aneurysmal bone cyst, right upper arm
661
661
M85522 Aneurysmal bone cyst, left upper arm
661
M85529 Aneurysmal bone cyst, unspecified upper

M85531 arm
Aneurysmal bone cyst, right forearm
661
661
M85532 Aneurysmal bone cyst, left forearm
661
M85539 Aneurysmal bone cyst, unspecified

M85541 forearm
Aneurysmal bone cyst, right hand
661
661
M85542 Aneurysmal bone cyst, left hand
661
M85549 Aneurysmal bone cyst, unspecified hand
661
M85551 Aneurysmal bone cyst, right thigh
661
M85552 Aneurysmal bone cyst, left thigh
661
M85559 Aneurysmal bone cyst, unspecified thigh
661
M85561 Aneurysmal bone cyst, right lower leg
661
M85562 Aneurysmal bone cyst, left lower leg
661
M85569 Aneurysmal bone cyst, unspecified lower

M85571 leg
Aneurysmal bone cyst, right ankle and
foot
661
661
M8550
Aneurysmal bone cyst, unspecified site
Page 2474 of 6734

M85572 Aneurysmal bone cyst, left ankle and foot
661
M85579 Aneurysmal bone cyst, unspecified ankle

foot
M8558 and
Aneurysmal
bone cyst, other site
661
661
M8559
Aneurysmal bone cyst, multiple sites
661
M8560
Other cyst of bone, unspecified site
661
M85611 Other cyst of bone, right shoulder
661
M85612 Other cyst of bone, left shoulder
661
M85619 Other cyst of bone, unspecified shoulder
661
M85621 Other cyst of bone, right upper arm
661
M85622 Other cyst of bone, left upper arm
661
M85629 Other cyst of bone, unspecified upper arm
661
M85631 Other cyst of bone, right forearm
661
M85632 Other cyst of bone, left forearm
661
M85639 Other cyst of bone, unspecified forearm
661
M85641 Other cyst of bone, right hand
661
M85642 Other cyst of bone, left hand
661
M85649 Other cyst of bone, unspecified hand
661
M85651 Other cyst of bone, right thigh
661
M85652 Other cyst of bone, left thigh
661
M85659 Other cyst of bone, unspecified thigh
661
M85661 Other cyst of bone, right lower leg
661
M85662 Other cyst of bone, left lower leg
661
M85669 Other cyst of bone, unspecified lower leg
661
M85671 Other cyst of bone, right ankle and foot
661
M85672 Other cyst of bone, left ankle and foot
661
M85679 Other cyst of bone, unspecified ankle and

M8568 foot
Other cyst of bone, other site
661
661
M8569
Other cyst of bone, multiple sites
661
M8580
Oth disrd of bone density and structure,

unspecified site
661
Page 2475 of 6734

M85811 Oth disrd of bone density and structure,
shoulder
M85812 right
Oth disrd
of bone density and structure,
left
shoulder
shoulder
M85821 unsp
Oth disrd
661
661
661
661
upper
M85822 right
Oth disrd
of arm
bone density and structure,
left
upper
arm
upper
M85831 unsp
Oth disrd
of arm
forearm
M85832 right
Oth disrd
661
661
661
661
M85839 left
Oth forearm
disrd of bone density and structure,
unspecified
M85841 Oth disrd of forearm
right
hand
661
661
661
M85849 left
Oth hand
unspecified
M85851 Oth disrd of hand
right
thigh
M85859 left
Oth thigh
661
661
661
661
M85861 unspecified
Oth disrd of thigh
right
lower
leg
legbone density and structure,
M85869 left
Oth lower
disrd of
lower
M85871 unsp
Oth disrd
ofleg
661
661
661
661
ank/ft
M85872 right
Oth disrd
left
ankle
and
footdensity and structure,
M85879 Oth disrd of
bone
ankle
foot
M8588 unsp
Oth disrd
ofand
bone
density and structure,
661
661
661
other
site of bone density and structure,
Oth disrd
multiple
Disorder sites
661
M8589
M859
661
M8600 unspecified
Acute hematogenous osteomyelitis,
site
M86011 unspecified
Acute hematogenous
osteomyelitis, right
shoulder
M86012 Acute hematogenous osteomyelitis, left
654
654
654
M86019 shoulder
shoulder osteomyelitis, right
M86021 unspecified
Acute hematogenous
humerus
654
654
Page 2476 of 6734

M86029 humerus
humerus osteomyelitis, right
M86031 unspecified
Acute hematogenous
and ulna
M86032 radius
Acute hematogenous
osteomyelitis, left
654
654
654
654
and ulna
M86039 radius
Acute hematogenous
osteomyelitis, unsp
radius
and
ulna
M86041 Acute hematogenous osteomyelitis, right
M86042 hand
Acute hematogenous osteomyelitis, left
654
654
654
M86049 hand
hand
M86051 unspecified
Acute hematogenous
femur
654
654
654
M86059 femur
femur
M86061 unspecified
Acute hematogenous
tibia
and
fibula
654
654
654
fibula
M86069 tibia
Acuteand
hematogenous
osteomyelitis, unsp
fibula
M86071 tibia
Acuteand
hematogenous
ankle
and
foot
654
654
654
foot
M86079 ankle
Acute and
hematogenous
osteomyelitis,
unspecified
ankle
and
foot
M8608 Acute hematogenous osteomyelitis,
other
M8609 sites
654
654
654
654
M86111 Other acute osteomyelitis, right shoulder
654
M86112 Other acute osteomyelitis, left shoulder
654
M86119 Other acute osteomyelitis, unspecified

M86121 shoulder
Other acute osteomyelitis, right humerus
654
654
M86122 Other acute osteomyelitis, left humerus
654

M86131 humerus
Other acute osteomyelitis, right radius and
M86132 ulna
Other acute osteomyelitis, left radius and
654
654
654
M86139 ulna
Other acute osteomyelitis, unspecified
radius and ulna
654
M8610
multiple
sitesosteomyelitis, unspecified site
Other acute
Page 2477 of 6734

M86141 Other acute osteomyelitis, right hand
654
M86142 Other acute osteomyelitis, left hand
654

M86151 hand
Other acute osteomyelitis, right femur
654
654
M86152 Other acute osteomyelitis, left femur
654

M86161 femur
Other acute osteomyelitis, right tibia and
M86162 fibula
Other acute osteomyelitis, left tibia and
654
654
654
M86169 fibula
fibula
M86171 tibia
Otherand
acute
osteomyelitis, right ankle and
foot
M86172 Other acute osteomyelitis, left ankle and
654
654
654
M86179 foot
foot
M8618 ankle
Other and
acute
osteomyelitis, other site
654
654
M8619
Other acute osteomyelitis, multiple sites
654
M8620
Subacute osteomyelitis, unspecified site
654
M86211 Subacute osteomyelitis, right shoulder
654
M86212 Subacute osteomyelitis, left shoulder
654
M86219 Subacute osteomyelitis, unspecified

M86221 shoulder
Subacute osteomyelitis, right humerus
654
654
M86222 Subacute osteomyelitis, left humerus
654
M86229 Subacute osteomyelitis, unspecified

M86231 humerus
Subacute osteomyelitis, right radius and
M86232 ulna
Subacute osteomyelitis, left radius and
654
654
654
M86239 ulna
Subacute osteomyelitis, unspecified radius
ulna osteomyelitis, right hand
M86241 and
Subacute
654
654
M86242 Subacute osteomyelitis, left hand
654
M86249 Subacute osteomyelitis, unspecified hand
654
M86251 Subacute osteomyelitis, right femur
654
M86252 Subacute osteomyelitis, left femur
654
Page 2478 of 6734

M86259 Subacute osteomyelitis, unspecified femur
654
M86261 Subacute osteomyelitis, right tibia and

M86262 fibula
Subacute osteomyelitis, left tibia and
M86269 fibula
Subacute osteomyelitis, unspecified tibia
654
654
654
fibula osteomyelitis, right ankle and

M86271 and
Subacute
M86272 foot
Subacute osteomyelitis, left ankle and foot
654
654
M86279 Subacute osteomyelitis, unspecified ankle

foot osteomyelitis, other site
M8628 and
Subacute
654
654
Subacute osteomyelitis, multiple sites
654
Chronic multifocal osteomyelitis,

site
M86311 unspecified
Chronic multifocal
M86312 shoulder
Chronic multifocal osteomyelitis, left
654
654
654
M86319 shoulder
shoulder
M86321 unspecified
Chronic multifocal
M86322 humerus
654
654
654
M86329 humerus
humerus
M86331 unspecified
Chronic multifocal
radius
and
ulna
M86332 Chronic multifocal osteomyelitis, left
654
654
654
ulna
M86339 radius
Chronicand
multifocal
osteomyelitis, unsp
radius
and
ulna
M86341 Chronic multifocal osteomyelitis, right
M86342 hand
Chronic multifocal osteomyelitis, left hand
654
654
654
M86349 Chronic multifocal osteomyelitis,

hand osteomyelitis, right
M86351 unspecified
Chronic multifocal
M86352 femur
654
654
654
M86359 femur
femur osteomyelitis, right tibia
M86361 unspecified
Chronic multifocal
fibula
M86362 and
Chronic
multifocal osteomyelitis, left tibia
654
654
654
fibula
M86369 and
Chronic
multifocal osteomyelitis, unsp
tibia
and
fibula
M86371 Chronic multifocal
ankle and foot
654
654
M8629
M8630
Page 2479 of 6734

M86372 Chronic multifocal osteomyelitis, left ankle
footmultifocal osteomyelitis,
M86379 and
Chronic
ankle and
foot
M8638 unspecified
Chronic multifocal
osteomyelitis,
other site
654
654
654
Chronic multifocal osteomyelitis, multiple

M8640 sites
Chronic osteomyelitis with draining sinus,
site
M86411 unspecified
Chronic osteomyelitis
with draining sinus,
right
shoulder
M86412 Chronic osteomyelitis with draining sinus,
654
654
654
654
shoulder
M86419 left
Chronic
osteomyelitis with draining sinus,
unsp
shoulder
humerus
M86422 right
Chronic
left
humerus
654
654
654
654
humerus
M86431 unsp
Chronic
osteomyelit w draining sinus, right
radius
and
ulna
M86432 Chronic osteomyelitis
w draining sinus, left
654
654
ulna
M86439 radius
Chronicand
osteomyelitis
w draining sinus,
radius
and ulna with draining sinus,
M86441 unsp
Chronic
osteomyelitis
hand
M86442 right
Chronic
654
654
654
handosteomyelitis with draining sinus,

M86449 left
Chronic
hand
M86451 unspecified
Chronic osteomyelitis
with draining sinus,
femur
M86452 right
Chronic
left
femur
654
654
654
654
femur w draining sinus, right

M86461 unspecified
Chronic osteomyelit
andosteomyelit
fibula
M86462 tibia
Chronic
w draining sinus, left
andosteomyelit
fibula
M86469 tibia
Chronic
w draining sinus, unsp
tibia
and
fibula
M86471 Chronic osteomyelitis w draining sinus,
654
654
654
654
ankle
and foot w draining sinus, left
M86472 right
Chronic
osteomyelitis
and
foot
M86479 ankle
Chronic
osteomyelitis
w draining sinus,
unsp
ankle
and
foot
654
654
654
654
654
M8639
M8649
M8650
other
site
Chronic
multiple
sites hematogenous
Other chronic
osteomyelitis, unspecified site
Page 2480 of 6734

M86511 Other chronic hematogenous
right shoulder
M86512 osteomyelitis,
Other chronic hematogenous
654
654
left shoulder
unsp shoulder
right humerus
654
654
654
left humerus
unsp humerus
Oth chronic hematogenous
osteomyelit,
radius and
ulna
M86532 right
Oth chronic
hematogenous
osteomyelitis,
654
654
654
ulna
M86539 left
Oth radius
chronicand
hematogenous
osteomyelitis,
unsp
radius
and
ulna
M86541 Other chronic hematogenous
right hand
654
654
654
left hand
unspecified hand
654
654
right femur
left femur
unspecified femur
Oth chronic hematogenous
osteomyelit,
654
654
654
tibia and
fibula
M86562 right
Oth chronic
hematogenous
osteomyelit,
left
tibia
and
fibula
M86569 Oth chronic hematogenous osteomyelit,
tibia and
fibula
M86571 unsp
Oth chronic
hematogenous
osteomyelitis,
654
654
654
ankle and
foot
M86572 right
Oth chronic
hematogenous
osteomyelitis,
left
ankle
and
foot
M86579 Oth chronic hematogenous osteomyelitis,
and
foot
M8658 unsp
Otherankle
chronic
hematogenous
654
654
654
654
M8659
M8660
osteomyelitis,
other site
osteomyelitis,
multiple sites unspecified
Other chronic osteomyelitis,
654
M86611 site
Other chronic osteomyelitis, right shoulder
654
M86612 Other chronic osteomyelitis, left shoulder
654
M86619 Other chronic osteomyelitis, unspecified

M86621 shoulder
Other chronic osteomyelitis, right
M86622 humerus
Other chronic osteomyelitis, left humerus
654
654
654
Page 2481 of 6734

M86631 humerus
Other chronic osteomyelitis, right radius
ulna
M86632 and
Other
chronic osteomyelitis, left radius
654
654
654
ulna
M86639 and
Other
chronic osteomyelitis, unspecified
radius
and ulna
M86641 Other chronic
osteomyelitis, right hand
654
654
M86642 Other chronic osteomyelitis, left hand
654

M86651 hand
Other chronic osteomyelitis, right thigh
654
654
M86652 Other chronic osteomyelitis, left thigh
654

M86661 thigh
Other chronic osteomyelitis, right tibia and
M86662 fibula
Other chronic osteomyelitis, left tibia and
M86669 fibula
Other chronic osteomyelitis, unspecified
654
654
654
654
fibulaosteomyelitis, right ankle

M86671 tibia
Otherand
chronic
foot
M86672 and
Other
chronic osteomyelitis, left ankle and
foot
654
654
654
M8668
ankle
footosteomyelitis, other site
Other and
chronic
654
M8669
Other chronic osteomyelitis, multiple sites
654
M868X0 Other osteomyelitis, multiple sites
654
M868X1 Other osteomyelitis, shoulder
654
M868X2 Other osteomyelitis, upper arm
654
M868X3 Other osteomyelitis, forearm
654
M868X4 Other osteomyelitis, hand
654
M868X5 Other osteomyelitis, thigh
654
M868X6 Other osteomyelitis, lower leg
654
M868X7 Other osteomyelitis, ankle and foot
654
M868X8 Other osteomyelitis, other site
654
M868X9 Other osteomyelitis, unspecified sites
654
654
M869
Osteomyelitis, unspecified
Page 2482 of 6734

M8700
Idiopathic aseptic necrosis of unspecified

M87011 bone
Idiopathic aseptic necrosis of right
M87012 shoulder
Idiopathic aseptic necrosis of left shoulder
661
661
661
M87019 Idiopathic aseptic necrosis of unspecified

M87021 shoulder
M87022 humerus
Idiopathic aseptic necrosis of left humerus
661
661
661

M87031 humerus
Idiopathic aseptic necrosis of right radius
661
661
M87032 Idiopathic aseptic necrosis of left radius
661

M87034 radius
Idiopathic aseptic necrosis of right ulna
661
661
M87035 Idiopathic aseptic necrosis of left ulna
661

M87037 ulna
Idiopathic aseptic necrosis of right carpus
661
661
M87038 Idiopathic aseptic necrosis of left carpus
661

M87041 carpus
Idiopathic aseptic necrosis of right hand
661
661
M87042 Idiopathic aseptic necrosis of left hand
661

M87044 hand
M87045 finger(s)
Idiopathic aseptic necrosis of left finger(s)
661
661
661

M87050 finger(s)
Idiopathic aseptic necrosis of pelvis
661
661
M87051 Idiopathic aseptic necrosis of right femur
661
M87052 Idiopathic aseptic necrosis of left femur
661

M87061 femur
Idiopathic aseptic necrosis of right tibia
661
661
M87062 Idiopathic aseptic necrosis of left tibia
661

tibia
661
Page 2483 of 6734

M87064 Idiopathic aseptic necrosis of right fibula
661
M87065 Idiopathic aseptic necrosis of left fibula
661

M87071 fibula
Idiopathic aseptic necrosis of right ankle
661
661
M87072 Idiopathic aseptic necrosis of left ankle
661

M87074 ankle
Idiopathic aseptic necrosis of right foot
661
661
M87075 Idiopathic aseptic necrosis of left foot
661

M87077 foot
Idiopathic aseptic necrosis of right toe(s)
661
661
M87078 Idiopathic aseptic necrosis of left toe(s)
661

M8708 toe(s)
Idiopathic aseptic necrosis of bone, other
M8709 site
Idiopathic aseptic necrosis of bone,
sites due to drugs, unspecified
M8710 multiple
Osteonecrosis
661
661
661
661
M87111 bone
Osteonecrosis due to drugs, right shoulder
661
M87112 Osteonecrosis due to drugs, left shoulder
661
M87119 Osteonecrosis due to drugs, unspecified

M87121 shoulder
Osteonecrosis due to drugs, right humerus
661
661
M87122 Osteonecrosis due to drugs, left humerus
661

M87131 humerus
Osteonecrosis due to drugs of right radius
661
661
M87132 Osteonecrosis due to drugs of left radius
661
M87133 Osteonecrosis due to drugs of unspecified

M87134 radius
Osteonecrosis due to drugs of right ulna
661
661
M87135 Osteonecrosis due to drugs of left ulna
661

M87137 ulna
Osteonecrosis due to drugs of right carpus
661
661
M87138 Osteonecrosis due to drugs of left carpus
661
Page 2484 of 6734

M87141 carpus
Osteonecrosis due to drugs, right hand
661
661
M87142 Osteonecrosis due to drugs, left hand
661

M87144 hand
Osteonecrosis due to drugs, right finger(s)
661
661
M87145 Osteonecrosis due to drugs, left finger(s)
661

M87150 finger(s)
Osteonecrosis due to drugs, pelvis
661
661
M87151 Osteonecrosis due to drugs, right femur
661
M87152 Osteonecrosis due to drugs, left femur
661

M87161 femur
Osteonecrosis due to drugs, right tibia
661
661
M87162 Osteonecrosis due to drugs, left tibia
661

M87164 tibia
Osteonecrosis due to drugs, right fibula
661
661
M87165 Osteonecrosis due to drugs, left fibula
661

M87171 fibula
Osteonecrosis due to drugs, right ankle
661
661
M87172 Osteonecrosis due to drugs, left ankle
661

M87174 ankle
Osteonecrosis due to drugs, right foot
661
661
M87175 Osteonecrosis due to drugs, left foot
661

M87177 foot
Osteonecrosis due to drugs, right toe(s)
661
661
M87178 Osteonecrosis due to drugs, left toe(s)
661

M87180 toe(s)
Osteonecrosis due to drugs, jaw
661
661
M87188 Osteonecrosis due to drugs, other site
661
661
M8719
Osteonecrosis due to drugs, multiple sites
Page 2485 of 6734

M8720
Osteonecrosis due to previous trauma,

bone
M87211 unspecified
Osteonecrosis
due to previous trauma,
right
shoulder
M87212 Osteonecrosis due to previous trauma, left
M87219 shoulder
661
661
661
661
shoulder
M87221 unspecified
Osteonecrosis
right
humerus
M87229 humerus
661
661
661
humerus
M87231 unspecified
Osteonecrosis
due to previous trauma of
right
radius
M87232 Osteonecrosis due to previous trauma of
radius
M87233 left
Osteonecrosis
unspecified
radius
661
661
661
661
ulna
M87235 right
Osteonecrosis
left
ulna
ulna
M87237 unspecified
Osteonecrosis
carpus due to previous trauma of
M87238 right
Osteonecrosis
661
661
661
661
carpus
M87239 left
Osteonecrosis
unspecified
carpus
M87241 Osteonecrosis due to previous trauma,
hand
M87242 right
Osteonecrosis
due to previous trauma, left
661
661
661
M87243 hand
hand
M87244 unspecified
Osteonecrosis
right
finger(s)
M87246 finger(s)
661
661
661
661
finger(s)
M87250 unspecified
Osteonecrosis
pelvis
femur
M87252 right
Osteonecrosis
M87256 femur
661
661
661
661
femur
M87261 unspecified
Osteonecrosis
right
tibia
M87263 tibia
unspecified tibia
661
661
661
Page 2486 of 6734

fibula
M87265 right
Osteonecrosis
fibula
fibula
M87271 unspecified
Osteonecrosis
661
661
661
661
ankle
M87272 right
Osteonecrosis
ankle
ankle
M87274 unspecified
Osteonecrosis
foot
M87275 right
Osteonecrosis
foot
661
661
661
661
661
foot
M87277 unspecified
Osteonecrosis
right
toe(s)
M87279 toe(s)
toe(s)
M8728 unspecified
Osteonecrosis
661
661
661
661
661
M8729
M8730
other
site
Osteonecrosis
multiple
sites
Other secondary
osteonecrosis,
661
bone osteonecrosis, right

M87311 unspecified
Other secondary
M87312 shoulder
Other secondary osteonecrosis, left
M87319 shoulder
Other secondary osteonecrosis,
661
661
661
shoulder
M87321 unspecified
Other secondary
osteonecrosis, right
humerus
M87322 Other secondary osteonecrosis, left
M87329 humerus
661
661
661
humerus
M87331 unspecified
Other secondary
osteonecrosis of right
M87332 radius
Other secondary osteonecrosis of left
M87333 radius
Other secondary osteonecrosis of
661
661
661
radius
M87334 unspecified
Other secondary
osteonecrosis of right
M87335 ulna
Other secondary osteonecrosis of left ulna
661
661
M87336 Other secondary osteonecrosis of

ulna osteonecrosis of right
M87337 unspecified
Other secondary
M87338 carpus
Other secondary osteonecrosis of left
carpus
661
661
661
Page 2487 of 6734

M87339 Other secondary osteonecrosis of
carpus
M87341 unspecified
Other secondary
osteonecrosis, right hand
661
661
M87342 Other secondary osteonecrosis, left hand
661
M87343 Other secondary osteonecrosis,

hand osteonecrosis, right
M87344 unspecified
Other secondary
M87345 finger(s)
Other secondary osteonecrosis, left
661
661
661
M87346 finger(s)
finger(s)
M87350 unspecified
Other secondary
osteonecrosis, pelvis
661
661
M87351 Other secondary osteonecrosis, right

M87352 femur
Other secondary osteonecrosis, left femur
661
661

femurosteonecrosis, right tibia
M87361 unspecified
Other secondary
661
661
M87362 Other secondary osteonecrosis, left tibia
661

tibia osteonecrosis, right fibula
M87364 unspecified
Other secondary
661
661
M87365 Other secondary osteonecrosis, left fibula
661

fibulaosteonecrosis, right ankle
M87371 unspecified
Other secondary
661
661
M87372 Other secondary osteonecrosis, left ankle
661

ankleosteonecrosis, right foot
M87374 unspecified
Other secondary
661
661
M87375 Other secondary osteonecrosis, left foot
661

foot osteonecrosis, right
M87377 unspecified
Other secondary
M87378 toe(s)
Other secondary osteonecrosis, left toe(s)
661
661
661

toe(s)osteonecrosis, other site
M8738 unspecified
Other secondary
661
661
661
661
M8739
M8780
Other secondary osteonecrosis, multiple

sites
Other osteonecrosis, unspecified bone
Page 2488 of 6734

M87811 Other osteonecrosis, right shoulder
661
M87812 Other osteonecrosis, left shoulder
661
M87819 Other osteonecrosis, unspecified shoulder
661
M87821 Other osteonecrosis, right humerus
661
M87822 Other osteonecrosis, left humerus
661
M87829 Other osteonecrosis, unspecified humerus
661
M87831 Other osteonecrosis of right radius
661
M87832 Other osteonecrosis of left radius
661
M87833 Other osteonecrosis of unspecified radius
661
M87834 Other osteonecrosis of right ulna
661
M87835 Other osteonecrosis of left ulna
661
M87836 Other osteonecrosis of unspecified ulna
661
M87837 Other osteonecrosis of right carpus
661
M87838 Other osteonecrosis of left carpus
661
M87839 Other osteonecrosis of unspecified carpus
661
M87841 Other osteonecrosis, right hand
661
M87842 Other osteonecrosis, left hand
661
M87843 Other osteonecrosis, unspecified hand
661
M87844 Other osteonecrosis, right finger(s)
661
M87845 Other osteonecrosis, left finger(s)
661
M87849 Other osteonecrosis, unspecified finger(s)
661
M87850 Other osteonecrosis, pelvis
661
M87851 Other osteonecrosis, right femur
661
M87852 Other osteonecrosis, left femur
661
M87859 Other osteonecrosis, unspecified femur
661
M87861 Other osteonecrosis, right tibia
661
M87862 Other osteonecrosis, left tibia
661
M87863 Other osteonecrosis, unspecified tibia
661
M87864 Other osteonecrosis, right fibula
661
Page 2489 of 6734

M87865 Other osteonecrosis, left fibula
661
M87869 Other osteonecrosis, unspecified fibula
661
M87871 Other osteonecrosis, right ankle
661
M87872 Other osteonecrosis, left ankle
661
M87873 Other osteonecrosis, unspecified ankle
661
M87874 Other osteonecrosis, right foot
661
M87875 Other osteonecrosis, left foot
661
M87876 Other osteonecrosis, unspecified foot
661
M87877 Other osteonecrosis, right toe(s)
661
M87878 Other osteonecrosis, left toe(s)
661
M87879 Other osteonecrosis, unspecified toe(s)
661
M8788
Other osteonecrosis, other site
661
M8789
Other osteonecrosis, multiple sites
661
M879
Osteonecrosis, unspecified
661
M880
Osteitis deformans of skull
661
M881
Osteitis deformans of vertebrae
661
M88811 Osteitis deformans of right shoulder
661
M88812 Osteitis deformans of left shoulder
661
M88819 Osteitis deformans of unspecified shoulder
661
M88821 Osteitis deformans of right upper arm
661
M88822 Osteitis deformans of left upper arm
661
M88829 Osteitis deformans of unspecified upper

M88831 arm
Osteitis deformans of right forearm
661
661
M88832 Osteitis deformans of left forearm
661
M88839 Osteitis deformans of unspecified forearm
661
M88841 Osteitis deformans of right hand
661
M88842 Osteitis deformans of left hand
661
M88849 Osteitis deformans of unspecified hand
661
M88851 Osteitis deformans of right thigh
661
Page 2490 of 6734

M88852 Osteitis deformans of left thigh
661
M88859 Osteitis deformans of unspecified thigh
661
M88861 Osteitis deformans of right lower leg
661
M88862 Osteitis deformans of left lower leg
661
M88869 Osteitis deformans of unspecified lower

M88871 leg
Osteitis deformans of right ankle and foot
661
661
M88872 Osteitis deformans of left ankle and foot
661
M88879 Osteitis deformans of unspecified ankle

footdeformans of other bones
M8888 and
Osteitis
661
661
Osteitis deformans of multiple sites
661
Osteitis deformans of unspecified bone
661
Algoneurodystrophy, unspecified site
661
M89011 Algoneurodystrophy, right shoulder
661
M89012 Algoneurodystrophy, left shoulder
661
M89019 Algoneurodystrophy, unspecified shoulder
661
M89021 Algoneurodystrophy, right upper arm
661
M89022 Algoneurodystrophy, left upper arm
661
M89029 Algoneurodystrophy, unspecified upper

M89031 arm
Algoneurodystrophy, right forearm
661
661
M89032 Algoneurodystrophy, left forearm
661
M89039 Algoneurodystrophy, unspecified forearm
661
M89041 Algoneurodystrophy, right hand
661
M89042 Algoneurodystrophy, left hand
661
M89049 Algoneurodystrophy, unspecified hand
661
M89051 Algoneurodystrophy, right thigh
661
M89052 Algoneurodystrophy, left thigh
661
M89059 Algoneurodystrophy, unspecified thigh
661
M89061 Algoneurodystrophy, right lower leg
661
M89062 Algoneurodystrophy, left lower leg
661
M8889
M889
M8900
Page 2491 of 6734

M89069 Algoneurodystrophy, unspecified lower leg
661
M89071 Algoneurodystrophy, right ankle and foot
661
M89072 Algoneurodystrophy, left ankle and foot
661
M89079 Algoneurodystrophy, unspecified ankle

foot
M8908 and
Algoneurodystrophy,
other site
661
661
661
M89121 Complete physeal arrest, right proximal

M89122 humerus
Complete physeal arrest, left proximal
M89123 humerus
Partial physeal arrest, right proximal
661
661
661
M89124 humerus
Partial physeal arrest, left proximal
M89125 humerus
Complete physeal arrest, right distal
M89126 humerus
Complete physeal arrest, left distal
661
661
661
M89127 humerus
Partial physeal arrest, right distal humerus
661
M89128 Partial physeal arrest, left distal humerus
661
M89129 Physeal arrest, humerus, unspecified
661
M89131 Complete physeal arrest, right distal

M89132 radius
Complete physeal arrest, left distal radius
661
661
M89133 Partial physeal arrest, right distal radius
661
M89134 Partial physeal arrest, left distal radius
661
M89138 Other physeal arrest of forearm
661
M89139 Physeal arrest, forearm, unspecified
661

M89152 femur
M89153 femur
Partial physeal arrest, right proximal femur
661
661
661
M89154 Partial physeal arrest, left proximal femur
661
M89155 Complete physeal arrest, right distal femur
661
M89156 Complete physeal arrest, left distal femur
661
M89157 Partial physeal arrest, right distal femur
661
M89158 Partial physeal arrest, left distal femur
661
M8909
Algoneurodystrophy, multiple sites
Page 2492 of 6734

M89159 Physeal arrest, femur, unspecified
661

M89161 tibia
M89162 tibia
Partial physeal arrest, right proximal tibia
661
661
661
M89163 Partial physeal arrest, left proximal tibia
661
M89164 Complete physeal arrest, right distal tibia
661
M89165 Complete physeal arrest, left distal tibia
661
M89166 Partial physeal arrest, right distal tibia
661
M89167 Partial physeal arrest, left distal tibia
661
M89168 Other physeal arrest of lower leg
661
M89169 Physeal arrest, lower leg, unspecified
661
661
Other disorders of bone development and

unsp site
M89211 growth,
Oth disorders
of bone development and
right shoulder
M89212 growth,
Oth disorders
661
661
661
left shoulder
M89219 growth,
Oth disorders
growth,
unsp
shoulder
M89221 Oth disorders of bone development and
right humerus
M89222 growth,
Other disorders
661
661
661
left humerus
M89229 growth,
Other disorders
growth,
unsp
humerus
M89231 Other disorders of bone development and
right ulna
M89232 growth,
Other disorders
661
661
661
left ulnaof bone development and

M89233 growth,
Other disorders
right radius
M89234 growth,
Other disorders
growth,
left
radius
M89239 Oth disorders of bone dev and growth,
661
661
661
and radius
M89241 unsp
Otherulna
disorders
right hand
M89242 growth,
Other disorders
growth,
left
hand
661
661
661
unsp hand
M89251 growth,
Other disorders
growth,
right
femur
growth, left femur
661
661
M8918
Physeal arrest, other site
M8920
Page 2493 of 6734

unsp femur
M89261 growth,
Other disorders
growth,
right
tibia
661
661
661
left tibiaof bone development and

M89263 growth,
Other disorders
right fibula
M89264 growth,
Other disorders
growth,
left
fibula
661
661
661
unsp lower
legdevelopment and
M89271 growth,
Oth disorders
of bone
right ank/ft
M89272 growth,
Oth disorders
growth,
left
ank/ft
661
661
661
661
M8929
growth,
unsp ank/ft
Other disorders
growth,
other
site
Oth disorders of bone development and
661
M8930
growth,
multiple
sites unspecified site
Hypertrophy
of bone,
661
M89311 Hypertrophy of bone, right shoulder
661
M89312 Hypertrophy of bone, left shoulder
661
M89319 Hypertrophy of bone, unspecified shoulder
661
M89321 Hypertrophy of bone, right humerus
661
M89322 Hypertrophy of bone, left humerus
661
M89329 Hypertrophy of bone, unspecified humerus
661
M89331 Hypertrophy of bone, right ulna
661
M89332 Hypertrophy of bone, left ulna
661
M89333 Hypertrophy of bone, right radius
661
M89334 Hypertrophy of bone, left radius
661
M89339 Hypertrophy of bone, unspecified ulna and

M89341 radius
Hypertrophy of bone, right hand
661
661
M89342 Hypertrophy of bone, left hand
661
M89349 Hypertrophy of bone, unspecified hand
661
M89351 Hypertrophy of bone, right femur
661
M89352 Hypertrophy of bone, left femur
661
M89359 Hypertrophy of bone, unspecified femur
661
M8928
Page 2494 of 6734

M89361 Hypertrophy of bone, right tibia
661
M89362 Hypertrophy of bone, left tibia
661
M89363 Hypertrophy of bone, right fibula
661
M89364 Hypertrophy of bone, left fibula
661
M89369 Hypertrophy of bone, unspecified tibia and

M89371 fibula
Hypertrophy of bone, right ankle and foot
661
661
M89372 Hypertrophy of bone, left ankle and foot
661
M89379 Hypertrophy of bone, unspecified ankle

foot
M8938 and
Hypertrophy
of bone, other site
661
661
661
Other hypertrophic osteoarthropathy,

site
M89411 unspecified
Other hypertrophic
osteoarthropathy, right
shoulder
M89412 Other hypertrophic osteoarthropathy, left
661
661
661
M89419 shoulder
shoulder
M89421 unspecified
Other hypertrophic
osteoarthropathy, right
upper
arm
M89422 Other hypertrophic osteoarthropathy, left
661
661
661
arm
M89429 upper
Other hypertrophic
osteoarthropathy,
unspecified
upper
arm
M89431 Other hypertrophic osteoarthropathy, right
M89432 forearm
Other hypertrophic osteoarthropathy, left
661
661
661
M89439 forearm
forearmosteoarthropathy, right
M89441 unspecified
Other hypertrophic
M89442 hand
661
661
661
M89449 hand
hand osteoarthropathy, right
M89451 unspecified
Other hypertrophic
M89452 thigh
661
661
661
M89459 thigh
thigh osteoarthropathy, right
M89461 unspecified
Other hypertrophic
M89462 lower
Other leg
hypertrophic osteoarthropathy, left
661
661
661
M89469 lower
Other leg
hypertrophic osteoarthropathy,
unspecified lower leg
661
M8939
Hypertrophy of bone, multiple sites
M8940
Page 2495 of 6734

M89471 Other hypertrophic osteoarthropathy, right
foot
M89472 ankle
Other and
hypertrophic
osteoarthropathy, left
ankle
and
foot
M89479 Other hypertrophic osteoarthropathy, unsp
661
661
661
661
661
661
M89511 Osteolysis, right shoulder
661
M89512 Osteolysis, left shoulder
661
M89519 Osteolysis, unspecified shoulder
661
M89521 Osteolysis, right upper arm
661
M89522 Osteolysis, left upper arm
661
M89529 Osteolysis, unspecified upper arm
661
M89531 Osteolysis, right forearm
661
M89532 Osteolysis, left forearm
661
M89539 Osteolysis, unspecified forearm
661
M89541 Osteolysis, right hand
661
M89542 Osteolysis, left hand
661
M89549 Osteolysis, unspecified hand
661
M89551 Osteolysis, right thigh
661
M89552 Osteolysis, left thigh
661
M89559 Osteolysis, unspecified thigh
661
M89561 Osteolysis, right lower leg
661
M89562 Osteolysis, left lower leg
661
M89569 Osteolysis, unspecified lower leg
661
M89571 Osteolysis, right ankle and foot
661
M89572 Osteolysis, left ankle and foot
661
M89579 Osteolysis, unspecified ankle and foot
661
M8948
M8949
M8950
ankle
foot
Other and
hypertrophic
osteoarthropathy,
other
site
multiple
sites
Osteolysis,
unspecified site
M8958
Osteolysis, other site
661
M8959
Osteolysis, multiple sites
661
Page 2496 of 6734

M8960
Osteopathy after poliomyelitis, unspecified

M89611 site
Osteopathy after poliomyelitis, right
M89612 shoulder
Osteopathy after poliomyelitis, left
M89619 shoulder
661
661
661
661
M89621 shoulder
Osteopathy after poliomyelitis, right upper
M89622 arm
Osteopathy after poliomyelitis, left upper
M89629 arm
arm after poliomyelitis, right
M89631 upper
Osteopathy
661
661
661
661
M89632 forearm
Osteopathy after poliomyelitis, left
M89639 forearm
M89641 forearm
Osteopathy after poliomyelitis, right hand
661
661
661
M89642 Osteopathy after poliomyelitis, left hand
661
M89649 Osteopathy after poliomyelitis, unspecified

M89651 hand
Osteopathy after poliomyelitis, right thigh
661
661
M89652 Osteopathy after poliomyelitis, left thigh
661
M89659 Osteopathy after poliomyelitis, unspecified

M89661 thigh
Osteopathy after poliomyelitis, right lower
M89662 leg
Osteopathy after poliomyelitis, left lower
M89669 leg
661
661
661
661
leg
M89671 lower
Osteopathy
after poliomyelitis, right ankle
and
foot
M89672 Osteopathy after poliomyelitis, left ankle
foot
M89679 and
Osteopathy
after poliomyelitis, unspecified
and foot
M8968 ankle
Osteopathy
after poliomyelitis, other site
661
661
661
661
661
660
M89711 Major osseous defect, right shoulder

M89712 region
Major osseous defect, left shoulder region
660
660
M89719 Major osseous defect, unspecified

regiondefect, right humerus
M89721 shoulder
Major osseous
660
660
M8969
M8970
Osteopathy after poliomyelitis, multiple

sites
Major osseous defect, unspecified site
Page 2497 of 6734

M89722 Major osseous defect, left humerus
660
M89729 Major osseous defect, unspecified

M89731 humerus
Major osseous defect, right forearm
660
660
M89732 Major osseous defect, left forearm
660
M89739 Major osseous defect, unspecified forearm
660
M89741 Major osseous defect, right hand
660
M89742 Major osseous defect, left hand
660
M89749 Major osseous defect, unspecified hand
660
M89751 Major osseous defect, right pelvic region

thigh
M89752 and
Major
osseous defect, left pelvic region
and
thigh
M89759 Major osseous defect, unspecified pelvic
660
660
660
and thigh
M89761 region
Major osseous
defect, right lower leg
660
M89762 Major osseous defect, left lower leg
660
M89769 Major osseous defect, unspecified lower

M89771 leg
Major osseous defect, right ankle and foot
660
660
M89772 Major osseous defect, left ankle and foot
660
M89779 Major osseous defect, unspecified ankle

foot
M8978 and
Major
osseous defect, other site
660
660
660
M898X0 Other specified disorders of bone, multiple

M898X1 sites
Other specified disorders of bone,
M898X2 shoulder
Other specified disorders of bone, upper
M898X3 arm
Other specified disorders of bone, forearm
661
661
661
661
M898X4 Other specified disorders of bone, hand
661
M898X5 Other specified disorders of bone, thigh
661
M898X6 Other specified disorders of bone, lower

M898X7 leg
Other specified disorders of bone, ankle
foot
M898X8 and
Other
specified disorders of bone, other
site
M898X9 Other specified disorders of bone,
661
661
661
661
M8979
Major osseous defect, multiple sites
unspecified site
Page 2498 of 6734

M899
Disorder of bone, unspecified
661
Osteonecrosis in diseases classified

unsp
M90511 elsewhere,
Osteonecrosis
in site
diseases classd elswhr,
shoulder in diseases classd elswhr,
M90512 right
Osteonecrosis
661
661
661

M90519 left
Osteonecrosis
M90521 unsp
Osteonecrosis
upper arm
M90522 right
Osteonecrosis
upper arm in diseases classd elswhr,
M90529 left
Osteonecrosis
661
661
661
661
upper arm
M90531 unsp
Osteonecrosis
right
forearm
M90532 Osteonecrosis in diseases classified
leftin
forearm
M90539 elsewhere,
Osteonecrosis
diseases classified
661
661
661
unsp
M90541 elsewhere,
Osteonecrosis
in forearm
diseases classified
elsewhere,
right
hand
leftin
hand
M90549 elsewhere,
Osteonecrosis
diseases classified
661
661
661
unsp
M90551 elsewhere,
Osteonecrosis
in hand
diseases classified
elsewhere,
right
thigh
leftin
thigh
M90559 elsewhere,
Osteonecrosis
diseases classified
661
661
661
unsp
M90561 elsewhere,
Osteonecrosis
in thigh
diseases classd elswhr,
lower leg in diseases classd elswhr,
M90562 right
Osteonecrosis
lower leg in diseases classd elswhr,
M90569 left
Osteonecrosis
661
661
661
lower legin diseases classd elswhr,

M90571 unsp
Osteonecrosis
ank/ft
M90572 right
Osteonecrosis
ankle and foot
M90579 left
Osteonecrosis
unsp
ankle
and
M9058 Osteonecrosis infoot
diseases classified
661
661
661
M9050
661
elsewhere,
other
site
Osteonecrosis
in diseases
classd elswhr,
multiple
sites
Osteitis deformans
in neoplastic diseases,
661
661
site
M90611 unspecified
Osteitis deformans
right
shoulder
M90612 Osteitis deformans in neoplastic diseases,
shoulder
M90619 left
Osteitis
deformans in neoplastic diseases,
unsp shoulder
661
661
661
M9059
M9060
Page 2499 of 6734

upper
arm
M90622 right
Osteitis
deformans
left
upper
arm
upper
arm
M90631 unsp
Osteitis
deformans
661
661
661
661
forearm
M90632 right
Osteitis
left
forearm
forearm
M90641 unsp
Osteitis
hand
M90642 right
Osteitis
661
661
661
661
handdeformans in neoplastic diseases,

M90649 left
Osteitis
hand in neoplastic diseases,
M90651 unspecified
Osteitis deformans
thigh
M90652 right
Osteitis
thighdeformans in neoplastic diseases,
M90659 left
Osteitis
661
661
661
661
thigh in neoplastic diseases,

M90661 unspecified
Osteitis deformans
lower
leg
M90662 right
Osteitis
deformans
lower
leg
M90669 left
Osteitis
deformans
unsp
lower
leg
661
661
661
661
ank/ft
M90672 right
Osteitis
left
ank/ft
ank/ft
M9068 unsp
Osteitis
other
site
661
661
661
661
sites
M9080 multiple
Osteopathy
elsewhere,
unsp
site
M90811 Osteopathy in diseases
classified
shoulder
M90812 elsewhere,
Osteopathyright
in diseases
classified
661
661
661
shoulderclassified
M90819 elsewhere,
Osteopathyleft
in diseases
shoulder
M90821 elsewhere,
Osteopathyunsp
in diseases
classified
upper arm
M90822 elsewhere,
Osteopathyright
in diseases
classified
661
661
661
upper arm
M90829 elsewhere,
Osteopathyleft
in diseases
classified
elsewhere,
unsp
upper
arm
M90831 Osteopathy in diseases classified
forearmclassified
M90832 elsewhere,
Osteopathyright
in diseases
661
661
661
elsewhere, left forearm

Page 2500 of 6734

forearmclassified
M90841 elsewhere,
Osteopathyunsp
in diseases
661
661
hand classified
M90842 elsewhere,
Osteopathyright
in diseases
hand
M90849 elsewhere,
Osteopathyleft
in diseases
classified
elsewhere,
unsp
hand
661
661
661
thigh classified
M90852 elsewhere,
Osteopathyright
in diseases
thigh
M90859 elsewhere,
Osteopathyleft
in diseases
classified
thigh classified
M90861 elsewhere,
Osteopathyunsp
in diseases
661
661
661
lower leg
M90862 elsewhere,
Osteopathyright
in diseases
classified
elsewhere,
left
lower
leg
lower leg
M90871 elsewhere,
Osteopathyunsp
in diseases
classd elswhr,
661
661
661
ankle and
foot
M90872 right
Osteopathy
in diseases
classd elswhr, left
ankle
and
foot
M90879 Osteopathy in diseases classd elswhr,
ankle and
foot
M9088 unsp
Osteopathy
in diseases
classified
661
661
661
elsewhere,
site classified
Osteopathyother
in diseases
elsewhere,
multiple sites of pelvis
661
661
661
661
661
M9120
Juvenile osteochondrosis of head of femur,

unspecified
leg
of head of femur,
right
leg osteochondrosis of head of femur,
Juvenile
left
leg
Coxa
plana, unspecified hip
661
M9121
Coxa plana, right hip
661
M9122
Coxa plana, left hip
661
M9130
Pseudocoxalgia, unspecified hip
661
M9131
Pseudocoxalgia, right hip
661
M9132
Pseudocoxalgia, left hip
661
M9140
Coxa magna, unspecified hip
661
M9141
Coxa magna, right hip
661
M9142
Coxa magna, left hip
661
M9180
Other juvenile osteochondrosis of hip and

pelvis, unsp leg
661
M9089
M910
M9110
M9111
M9112
Page 2501 of 6734

M9181
Other juvenile osteochondrosis of hip and

pelvis,
right legosteochondrosis of hip and
Other juvenile
pelvis,
leg
Juvenileleft
osteochondrosis
of hip and pelvis,
661
661
661
unsp,
unsp
leg
Juvenile
osteochondrosis
of hip and pelvis,
unsp,
right
leg
Juvenile osteochondrosis of hip and pelvis,
unsp,
leftosteochondrosis
leg
Juvenile
of humerus,
661
661
661
unspecified
arm
of humerus, right
arm
Juvenile osteochondrosis of humerus, left
arm
Juvenile osteochondrosis of radius and
661
661
661
unspecified
arm
M9211 ulna,
Juvenile
osteochondrosis
of radius and
ulna,
right
arm
M9212 Juvenile osteochondrosis of radius and
left arm
M92201 ulna,
Unspecified
juvenile osteochondrosis, right
hand
M92202 Unspecified juvenile osteochondrosis, left
661
661
661
661
M92209 hand
Unspecified juvenile osteochondrosis,
hand (juvenile) of carpal
M92211 unspecified
Osteochondrosis
right hand(juvenile) of carpal
M92212 lunate,
Osteochondrosis
661
661
661
left hand (juvenile) of carpal

M92219 lunate,
Osteochondrosis
unsp hand(juvenile) of metacarpal
M92221 lunate,
Osteochondrosis
right hand(juvenile) of metacarpal
M92222 heads,
Osteochondrosis
661
661
661
left hand (juvenile) of metacarpal

M92229 heads,
Osteochondrosis
unsp hand
M92291 heads,
Other juvenile
osteochondrosis, right hand
661
661
M92292 Other juvenile osteochondrosis, left hand
661
M92299 Other juvenile osteochondrosis,

hand
M9230 unspecified
Other juvenile
osteochondrosis,
661
M9182
M9190
M9191
M9192
M9200
M9201
M9202
M9210
M9231
M9232
M9240
M9241
M9242
661
unspecified
upper
limb
Other juvenile
osteochondrosis,
right
upper
limb
Other juvenile
osteochondrosis, left upper
limb
Juvenile osteochondrosis of patella,
661
661
661
unspecified
knee
of patella, right
knee
Juvenile osteochondrosis of patella, left
knee
661
661
Page 2502 of 6734

M9250
Juvenile osteochondrosis of tibia and

fibula,
unsp
leg
Juvenile
osteochondrosis
of tibia and
fibula,
right
leg
Juvenile osteochondrosis of tibia and
fibula,
left
leg
Juvenile
osteochondrosis
of tarsus,
661
661
661
661
unspecified
ankle
of tarsus, right
ankle
Juvenile osteochondrosis of tarsus, left
ankle
Juvenile osteochondrosis of metatarsus,
661
661
661
661
661
M928
unspecified
foot
of metatarsus,
right
foot
Juvenile osteochondrosis of metatarsus,
left
foot
Other
specified juvenile osteochondrosis
661
M929
Juvenile osteochondrosis, unspecified
661
M93001 Unsp slipped upper femoral epiphysis,

M93002 right
Unsp hip
slipped upper femoral epiphysis, left
hip
M93003 Unsp slipped upper femoral epiphysis,
M93011 unsp
Acutehip
slipped upper femoral epiphysis,
661
661
661
661
M93012 right
Acutehip
slipped upper femoral epiphysis, left
hip
M93013 Acute slipped upper femoral epiphysis,
hipslipped upper femoral epiphysis,
M93021 unsp
Chronic
661
661
661
hipslipped upper femoral epiphysis,

M93022 right
Chronic
hip slipped upper femoral epiphysis,
M93023 left
Chronic
M93031 unsp
Acutehip
on chronic slipped upper femoral
661
661
661
right hip
M93032 epiphysis,
Acute on chronic
slipped upper femoral
left hipslipped upper femoral
M93033 epiphysis,
Acute on chronic
epiphysis,
hip of adults
M931
Kienbock'sunsp
disease
661
661
661
Osteochondritis dissecans of unspecified

M93211 site
Osteochondritis dissecans, right shoulder
661
661
M93212 Osteochondritis dissecans, left shoulder
661
M93219 Osteochondritis dissecans, unspecified

M93221 shoulder
Osteochondritis dissecans, right elbow
661
661
M9251
M9252
M9260
M9261
M9262
M9270
M9271
M9272
M9320
Page 2503 of 6734

M93222 Osteochondritis dissecans, left elbow
661

M93231 elbow
Osteochondritis dissecans, right wrist
661
661
M93232 Osteochondritis dissecans, left wrist
661

M93241 wrist
Osteochondritis dissecans, joints of right
M93242 hand
Osteochondritis dissecans, joints of left
661
661
661
M93249 hand
Osteochondritis dissecans, joints of
handdissecans, right hip
M93251 unspecified
Osteochondritis
661
661
M93252 Osteochondritis dissecans, left hip
661
M93259 Osteochondritis dissecans, unspecified hip
661
M93261 Osteochondritis dissecans, right knee
661
M93262 Osteochondritis dissecans, left knee
661

M93271 knee
Osteochondritis dissecans, r ankle and
of right foot
M93272 joints
Osteochondritis
dissecans, l ankle and
661
661
661
of left footdissecans, unsp ankle and

M93279 joints
Osteochondritis
of foot
M9328 joints
Osteochondritis
dissecans other site
661
661
661
Other specified osteochondropathies of

site osteochondropathies, right
M93811 unspecified
Other specified
M93812 shoulder
Other specified osteochondropathies, left
661
661
661
M93819 shoulder
Other specified osteochondropathies,
shoulder
M93821 unspecified
Other specified
osteochondropathies, right
upper
arm
M93822 Other specified osteochondropathies, left
661
661
661
arm
M93829 upper
Other specified
osteochondropathies,
unspecified
upper
arm
M93831 Other specified osteochondropathies,
right
forearm
661
661
661
M93839 forearm
unspecified forearm
661
M9329
Osteochondritis dissecans multiple sites
M9380
Page 2504 of 6734

M93841 Other specified osteochondropathies, right
M93842 hand
Other specified osteochondropathies, left
M93849 hand
661
661
661
hand
M93851 unspecified
Other specified
thigh
M93859 thigh
661
661
661
thigh
M93861 unspecified
Other specified
M93862 lower
Other leg
specified osteochondropathies, left
lower
leg
M93869 Other specified osteochondropathies,
661
661
661
lower
leg
M93871 unspecified
Other specified
osteochondropathies,
right
ankle
and
foot
and foot
M93879 ankle
Oth osteochondropathies,
unspecified
661
661
661
M9388
ankle
foot osteochondropathies other
Other and
specified
661
M9389
Other specified osteochondropathies

multiple
sites
Osteochondropathy,
unspecified of
661
M9390
661
site
M93911 unspecified
Osteochondropathy,
unspecified, right
shoulder
M93912 Osteochondropathy, unspecified, left
M93919 shoulder
Osteochondropathy, unspecified,
661
661
661
shoulder unspecified, right

M93921 unspecified
Osteochondropathy,
arm
M93922 upper
Osteochondropathy,
unspecified, left
upper
arm
M93929 Osteochondropathy, unspecified,
661
661
661
upper arm
M93931 unspecified
Osteochondropathy,
unspecified, right
M93932 forearm
Osteochondropathy, unspecified, left
M93939 forearm
661
661
661
forearm unspecified, right

M93941 unspecified
Osteochondropathy,
M93942 hand
Osteochondropathy, unspecified, left hand
661
661

hand
M93951 unspecified
Osteochondropathy,
unspecified, right
thigh
M93952 Osteochondropathy, unspecified, left thigh
661
661
661
Page 2505 of 6734

thigh
M93961 unspecified
Osteochondropathy,
unspecified, right
lower
leg
M93962 Osteochondropathy, unspecified, left lower
661
661
661
M93969 leg
lower legunspecified, right
M93971 unspecified
Osteochondropathy,
and foot
M93972 ankle
Osteochondropathy,
unspecified, left ankle
661
661
661
foot
M93979 and
Osteochondropathy,
unspecified,
ankle and
foot
M9398 unspecified
Osteochondropathy,
unspecified
other
661
661
661
M940
Osteochondropathy, unspecified multiple

sites
Chondrocostal junction syndrome [Tietze]
604
CHEST PAIN
M941
Relapsing polychondritis
661
Chondromalacia, unspecified site
661
M94211 Chondromalacia, right shoulder
661
M94212 Chondromalacia, left shoulder
661
M94219 Chondromalacia, unspecified shoulder
661
M94221 Chondromalacia, right elbow
661
M94222 Chondromalacia, left elbow
661
M94229 Chondromalacia, unspecified elbow
661
M94231 Chondromalacia, right wrist
661
M94232 Chondromalacia, left wrist
661
M94239 Chondromalacia, unspecified wrist
661
M94241 Chondromalacia, joints of right hand
661
M94242 Chondromalacia, joints of left hand
661
M94249 Chondromalacia, joints of unspecified

M94251 hand
Chondromalacia, right hip
661
661
M94252 Chondromalacia, left hip
661
M94259 Chondromalacia, unspecified hip
661
M94261 Chondromalacia, right knee
661
M94262 Chondromalacia, left knee
661
M9399
M9420
Page 2506 of 6734

M94269 Chondromalacia, unspecified knee
661
M94271 Chondromalacia, right ankle and joints of

foot
M94272 right
Chondromalacia,
left ankle and joints of
foot
M94279 left
Chondromalacia,
unspecified ankle and
661
661
661
M9428
joints
of foot
Chondromalacia,
other site
661
M9429
Chondromalacia, multiple sites
661
M94351 Chondrolysis, right hip
661
M94352 Chondrolysis, left hip
661
M94359 Chondrolysis, unspecified hip
661
M948X0 Other specified disorders of cartilage,

sites disorders of cartilage,
M948X1 multiple
Other specified
M948X2 shoulder
Other specified disorders of cartilage,
arm
M948X3 upper
Other specified
disorders of cartilage,
661
661
661
661
M948X4 forearm
M948X5 hand
M948X6 thigh
M948X7 lower
Other leg
specified disorders of cartilage,
661
661
661
661
foot disorders of cartilage,

M948X8 ankle
Other and
specified
M948X9 other
Other site
specified disorders of cartilage,
unspecified
sites
M949
Disorder of cartilage,
unspecified
661
661
661
Acquired deformity of nose
564
M9510
Cauliflower ear, unspecified ear
564
M9511
Cauliflower ear, right ear
564
M9512
Cauliflower ear, left ear
564
M952
Other acquired deformity of head
564
M953
Acquired deformity of neck
661
M954
Acquired deformity of chest and rib
576
M955
Acquired deformity of pelvis
661
M958
Oth acquired deformities of

musculoskeletal system
661
M950
Page 2507 of 6734

M959
Acquired deformity of musculoskeletal

system,
unspecified
Pseudarthrosis
after fusion or arthrodesis
661
872
656
M962
Postlaminectomy syndrome, not elsewhere

classified
Postradiation kyphosis
656
M963
Postlaminectomy kyphosis
656
M964
Postsurgical lordosis
656
M965
Postradiation scoliosis
656
M96621 Fx humerus fol insrt ortho

right arm
M96622 implnt/prosth/bone
Fx humerus fol insrtplt,
ortho
659
MALFUNCTION, REACTION, COMPLIC OF O
659
left arm
Fx humerus fol insrtplt,
ortho
unsp arm
Fx rad/ulna fol insrt plt,
ortho
r arm
ortho
659
659
659
left arm
ortho
plt, unsp
Fx pelvis following insrt
orthoarm
plt implnt/prosth/bone
Fx femur fol insrt ortho
659
659
659
right leg
M96662 plt,
Fx femur
fol insrt ortho implnt/prosth/bone
plt,
left
leg
M96669 Fx femur fol insrt ortho implnt/prosth/bone
unsp leg
M96671 plt,
Fx tib/fib
659
659
659
right leg
M96672 plt,
Fx tib/fib
plt,
left
leg
M96679 Fx tib/fib fol insrt ortho implnt/prosth/bone
unspfollowing
leg
M9669 plt,
Fx bone
insrt ortho
659
659
659
plt of a ms structure
ms sys proc
M96811 comp
of a ms structure
comp
oth
procedure
M96820 Acc pnctr & lac of a ms structure during a
852
852
852
procedure
M96821 ms
Acc sys
pnctr
& lac of a ms structure during
procedure
M96830 oth
Postproc
hemor/hemtom of a ms structure
fol
a
ms
sys
proc
M96831 Postproc hemor/hemtom
of a ms structure
852
852
852
852
564
M960
M961
M9689
M9900
fol
procedure
Othoth
intraop
and postproc comp and
disorders
of
the somatic
ms sys dysfunction of
Segmental and
head region
Page 2508 of 6734

M9901
M9902
M9903
M9904
M9905
M9906
M9907
M9908
M9909
M9910
M9911
M9912
M9913
M9914
M9915
M9916
M9917
M9918
M9919
M9920
M9921
M9922
M9923
M9924
M9925
M9926
M9927
M9928
M9929
Segmental and somatic dysfunction of

cervical
region
Segmental
and somatic dysfunction of
thoracic
region
lumbar
region
Segmental
656
656
656
656
sacral
region
Segmental
pelvic
region
lower
extremity
Segmental
upper
extremity
Segmental
and somatic dysfunction of rib
cage
661
661
661
661
661
abdomen
and
oth regions
Subluxation
complex
(vertebral) of head
region
Subluxation complex (vertebral) of
cervical
region
Subluxation
complex (vertebral) of
656
656
656
thoracic
region
Subluxation
complex (vertebral) of lumbar
region
Subluxation complex (vertebral) of sacral
region
Subluxation complex (vertebral) of pelvic
region
Subluxation complex (vertebral) of lower
656
656
656
652
extremity
Subluxation complex (vertebral) of upper
extremity
Subluxation complex (vertebral) of rib
cage
Subluxation complex (vertebral) of
abdomen
and
other regions
Subluxation
stenosis
of neural canal of
652
577
652
656
head
region stenosis of neural canal of
Subluxation
cervical
region
Subluxation
stenosis of neural canal of
thoracic
region
Subluxation
lumbar
region
Subluxation stenosis of neural canal of
656
656
657
656
sacral
regionstenosis of neural canal of
Subluxation
pelvic
regionstenosis of neural canal of
Subluxation
lower
extremity
Subluxation
upper
extremity
Subluxation stenosis of neural canal of rib
cage
Sublux stenosis of neural canal of
656
656
656
656
656
abdomen and oth regions

Page 2509 of 6734

M9930
M9931
M9932
M9933
M9934
M9935
M9936
M9937
M9938
M9939
M9940
M9941
M9942
M9943
M9944
M9945
M9946
M9947
M9948
M9949
M9950
M9951
M9952
M9953
M9954
M9955
M9956
M9957
M9958
Osseous stenosis of neural canal of head

region
Osseous stenosis of neural canal of
cervical
Osseousregion
thoracic
Osseous region
stenosis of neural canal of lumbar
region
Osseous stenosis of neural canal of sacral
656
656
656
657
656
region
region
extremity
extremity
pelvic
656
lower
656
upper
656
rib
cage
abdomen
and
oth regions
Connective
tissue
stenosis of neural canal
of
head region
Connective
tiss stenosis of neural canal of
656
656
656
656
cervical
region
Connective
thoracic
region
Connective tissue stenosis of neural canal
656
657
of
lumbar region
Connective
tissue stenosis of neural canal
of
sacral
region
Connective tissue stenosis of neural canal
of
pelvic region
Connective
656
656
656
lower
extremity
Connective
upper
extremity
Connective
tissue stenosis of neural canal
656
656
of
rib tiss
cagestenos of neural canal of
Conn
abdomen
and disc
oth regions
Intervertebral
stenosis of neural canal
of
head
region
Intvrt disc stenosis of neural canal of
656
656
656
cervical
region
Intvrt disc
thoracic
region
Intvrt disc stenosis of neural canal of
lumbar
region
Intvrt disc
sacral
region
Intvrt disc
656
657
656
656
pelvic
region disc stenosis of neural canal
Intervertebral
of
low extrm disc stenosis of neural canal
Intervertebral
of
up extrem disc stenosis of neural canal
Intervertebral
of rib cage
656
656
656
Page 2510 of 6734

M9959
M9960
M9961
M9962
M9963
M9964
M9965
M9966
M9967
M9968
M9969
M9970
M9971
M9972
M9973
M9974
M9975
M9976
M9977
M9978
M9979
M9980
M9981
M9982
M9983
M9984
M9985
M9986
M9987
Intvrt disc stenos of neural canal of abd

and
oth regions
Osseous
and sublux stenosis of intvrt
656
656
foramin
head
region
Osseousof
and
sublux
stenosis of intvrt
foramin
cerv
region
Osseousof
and
sublux
stenos of intvrt
656
656
foramin
thor
region
Osseousof
and
sublux
stenos of intvrt
foramin
of
lumbar
region
Osseous and sublux stenos of intvrt
foramin
sacral
region
Osseousof
and
sublux
stenos of intvrt
657
656
656
foramin
pelvic
region
Osseousof
and
sublux
stenosis of intvrt
foramina
of
low
extrm
Osseous and sublux stenosis of intvrt
foramina
of up
extrem
Osseous and
sublux
stenosis of intvrt
656
656
656
foramina
ofsublux
rib cage
Osseous &
stenos of intvrt foramin
of
abdtiss
andand
othdisc
rgn stenosis of intvrt
Conn
656
656
foramin
head
region
Conn tissofand
disc
stenosis of intvrt
foramin
of
cerv
region
Conn tiss and disc stenos of intvrt foramin
656
656
of
thortiss
region
Conn
and disc stenos of intvrt foramin
of
lumbar
region
Conn tiss and
disc stenos of intvrt foramin
of
sacral
region
Conn tiss and disc stenos of intvrt foramin
of
pelvic
Conn
tissregion
and disc stenosis of intvrt
657
656
656
656
foramina
low
extrm
Conn tiss of
and
disc
stenosis of intvrt
foramina
of
up
extrem
Conn tiss and disc stenosis of intvrt
foramina
rib cage
Conn tiss of
& disc
stenos of intvrt foramin of
abd
and
oth
rgn
Other biomechanical lesions of head
656
656
656
564
region
Other biomechanical lesions of cervical
region
Other biomechanical lesions of thoracic
region
Other biomechanical lesions of lumbar
region
Other biomechanical lesions of sacral
661
576
656
656
region
Other biomechanical lesions of pelvic
region
Other biomechanical lesions of lower
extremity
Other biomechanical lesions of upper
extremity
661
661
661
Page 2511 of 6734

M9988
Other biomechanical lesions of rib cage
576
M9989
Other biomechanical lesions of abdomen

and
other regions
Biomechanical
lesion, unspecified
661
661
Acute nephritic syndrome with minor

glomerular
Acute neph abnormality
syndrome w focal and
722
722
segmental
glomerular
lesions
Acute nephritic
syndrome
w diffuse
membranous
glomrlneph
Acute neph syndrome w diffuse mesangial
722
722
prolif
Acuteglomrlneph
neph syndrome w diffuse
endocaplry
prolif
glomrlneph
Acute nephritic
syndrome
w diffuse
722
722
mesangiocap
glomrlneph
Acute nephritic
syndrome with dense
deposit
disease
Acute nephritic syndrome w diffuse
crescentic
glomrlneph
Acute nephritic
syndrome with other
722
722
722
morphologic
changes
Acute nephritic
syndrome with unsp
morphologic
changes
Rapidly progr nephritic syndrome w minor
722
722
glomerular
abnlt
Rapidly progr
neph synd w focal and seg
glomerular
lesions
Rapidly progr neph syndrome w diffuse
membranous
Rapidly progr glomrlneph
neph synd w diffus
722
722
722
mesangial
Rapid progrprolif
nephglomrlneph
synd w diffus endocaplry
prolif
glomrlneph
Rapidly
progr neph syndrome w diffuse
722
722
mesangiocap
Rapidly progr glomrlneph
nephritic syndrome w dense
deposit
disease
Rapidly progr neph syndrome w diffuse
722
722
crescentic
glomrlneph
Rapidly progr
nephritic syndrome w oth
morphologic
Rapidly progrchanges
nephritic syndrome w unsp
morphologic
changes
Recurrent and persistent hematuria w
722
722
722
minor
glomerular
abnlt w focal and seg
Recur and
perst hematur
glomerular
lesions
Recurrent and
perst hematur w diffuse
722
722
membranous
glomrlneph
Recur and perst
hematur w diffus
mesangial
prolif
glomrlneph
Recur & perst hematur
w diffus endocaplry
722
722
prolif
glomrlneph
Recurrent
and perst hematur w diffuse
mesangiocap glomrlneph
722
M999
N000
N001
N002
N003
N004
N005
N006
N007
N008
N009
N010
N011
N012
N013
N014
N015
N016
N017
N018
N019
N020
N021
N022
N023
N024
N025
Page 2512 of 6734

N026
N027
N028
N029
N030
N031
N032
N033
N034
N035
N036
N037
N038
N039
N040
N041
N042
N043
N044
N045
N046
N047
N048
N049
N050
N051
N052
N053
N054
Recurrent and persistent hematuria w

dense
deposit
Recurrent
and disease
perst hematur w diffuse
722
722
crescentic
glomrlneph
Recurrent and
persistent hematuria w oth
morphologic
changes
Recurrent and
perst hematuria w unsp
722
722
morphologic
changes
Chronic nephritic
syndrome with minor
glomerular
abnormality
Chronic neph syndrome w focal and seg
722
722
glomerular
lesionssyndrome w diffuse
Chronic nephritic
membranous
Chronic neph glomrlneph
syndrome w diffuse
722
722
mesangial
prolif
glomrlneph
Chronic neph
syndrome
w diffuse
endocaplry
prolif
glomrlneph
Chronic nephritic syndrome w diffuse
722
722
mesangiocap
glomrlneph
Chronic nephritic
syndrome with dense
deposit
Chronic disease
nephritic syndrome w diffuse
crescentic
glomrlneph
Chronic nephritic
syndrome with other
722
722
722
morphologic
changes
Chronic nephritic
syndrome with unsp
morphologic
changeswith minor glomerular
Nephrotic syndrome
722
722
abnormality
Nephrotic syndrome w focal and
segmental
glomerular
Nephrotic syndrome
w lesions
diffuse
722
722
membranous
glomerulonephritis
Nephrotic syndrome
w diffuse mesangial
prolif
glomrlneph
Nephrotic
syndrome w diffuse endocaplry
722
722
prolif
glomrlneph
Nephrotic
syndrome w diffuse
mesangiocapillary
glomrlneph
Nephrotic syndrome
with dense deposit
disease
Nephrotic syndrome w diffuse crescentic
722
722
722
glomerulonephritis
Nephrotic syndrome with other
morphologic
changeswith unspecified
Nephrotic syndrome
morphologic
changes
Unsp nephritic
syndrome with minor
722
722
722
glomerular
abnormality
Unsp neph syndrome
w focal and
segmental
glomerular
lesions
Unsp nephritic syndrome
w diffuse
722
722
membranous
glomrlneph
Unsp neph syndrome
w diffuse mesangial
prolif
glomrlneph
Unsp neph syndrome w diffuse endocaplry
prolif glomrlneph
722
722
Page 2513 of 6734

N055
Unsp nephritic syndrome w diffuse

mesangiocap
glomrlneph
Unspecified nephritic
syndrome with
722
722
dense
deposit disease
Unsp nephritic
syndrome w diffuse
crescentic
glomrlneph
Unsp nephritic
syndrome with other
morphologic
changes
Unsp nephritic syndrome with unspecified
722
722
722
morphologic
changes
Isolated proteinuria
with minor glomerular
abnormality
Isolated protein w focal and segmental
722
722
glomerular
lesions w diffuse membranous
glomerulonephritis
Isolated proteinuria w diffuse mesangial
prolif
glomrlneph
Isolated
proteinuria w diffuse endocaplry
prolif
glomrlneph
Isolated proteinuria w diffuse
722
722
722
722
mesangiocapillary
Isolated proteinuriaglomrlneph
with dense deposit
disease
Isolated proteinuria w diffuse crescentic
722
722
glomerulonephritis
Isolated proteinuria with other
morphologic
lesion with unspecified
morphologic
lesion
Hereditary nephropathy,
NEC w minor
722
722
722
glomerular
abnormality
Heredit neuropath,
NEC w focal and seg
glomerular
lesions
Hereditary nephropathy, NEC w diffuse
722
722
membranous
glomrlneph
Heredit neuropath,
NEC w diffuse
mesangial
prolif
glomrlneph
Heredit neuropath, NEC w diffus
722
722
endocaplry
prolif glomrlneph
NEC w diffuse
mesangiocap
glomrlneph
Hereditary nephropathy, NEC w dense
deposit
disease
Hereditary
nephropathy, NEC w diffuse
722
722
722
722
722
N08
crescentic
Hereditary glomrlneph
nephropathy, NEC w oth
morphologic
lesions
NEC w unsp
morphologic
lesions in diseases classified
Glomerular disorders
722
N10
elsewhere
Acute tubulo-interstitial nephritis
723
Nonobstructive reflux-associated chronic

pyelonephritis
Chronic obstructive pyelonephritis
723
723
N056
N057
N058
N059
N060
N061
N062
N063
N064
N065
N066
N067
N068
N069
N070
N071
N072
N073
N074
N075
N076
N077
N078
N079
N110
N111
Page 2514 of 6734

N118
Other chronic tubulo-interstitial nephritis
723
N119
Chronic tubulo-interstitial nephritis,

unspecified
Tubulo-interstitial nephritis, not spcf as
acute
or chronic w ureteral stricture, NEC
Hydronephrosis
723
723
724
URINARY STONES & ACQUIRED UPPER URI
724
N1330
Hydronephrosis with renal and ureteral

calculous
obstruction
Unspecified
hydronephrosis
724
N1339
Other hydronephrosis
724
N134
Hydroureter
724
N135
Crossing vessel and stricture of ureter w/o

hydronephrosis
Pyonephrosis
726
723
Vesicoureteral-reflux, unspecified
726
Vesicoureteral-reflux without reflux

N13721 nephropathy
Vesicoureter-reflux w reflux neuropath w/o
unil
N13722 hydrourt,
Vesicoureter-reflux
w reflux neuropath w/o
726
726
726
bi
N13729 hydrourt,
Vesicoureter-reflux
w reflux nephropathy
w/o
hydrourt,
unsp
N13731 Vesicoureter-reflux w reflux neuropath w
unil
N13732 hydrourt,
Vesicoureter-reflux
w reflux neuropath w
726
726
726
bilateral w reflux nephropathy w

N13739 hydrourt,
Vesicoureter-reflux
hydroureter,
unsp and reflux uropathy
N138
Other obstructive
726
724
Obstructive and reflux uropathy,

unspecified
Analgesic nephropathy
726
722
722
N142
Nephropathy induced by oth

drug/meds/biol
subst
Neuropath induced
by unsp drug,
722
N143
medicament
biolg sub
Nephropathy or
induced
by heavy metals
722
N144
722
N150
Toxic nephropathy, not elsewhere

classified
Balkan nephropathy
722
N151
Renal and perinephric abscess
723
N158
Other specified renal tubulo-interstitial

diseases
Renal tubulo-interstitial disease,
722
722
N12
N131
N132
N136
N1370
N1371
N139
N140
N141
N159
unspecified
Page 2515 of 6734

N16
Renal tubulo-interstitial disord in diseases

classd
elswhr failure with tubular necrosis
Acute kidney
722
720
RENAL FAILURE
720
RENAL FAILURE
720
RENAL FAILURE
N178
Acute kidney failure with acute cortical

necrosis
Acute kidney failure with medullary
necrosis
Other acute kidney failure
720
RENAL FAILURE
N179
Acute kidney failure, unspecified
720
RENAL FAILURE
N181
Chronic kidney disease, stage 1
726
N182
Chronic kidney disease, stage 2 (mild)
726
N183
720
RENAL FAILURE
N184

(moderate)
Chronic kidney disease, stage 4 (severe)
720
RENAL FAILURE
N185
720
RENAL FAILURE
N186
End stage renal disease
720
RENAL FAILURE
N189
Chronic kidney disease, unspecified
726
Unspecified kidney failure
726
N200
Calculus of kidney
724
N201
Calculus of ureter
724
N202
Calculus of kidney with calculus of ureter
724
N209
Urinary calculus, unspecified
724
N210
Calculus in bladder
724
N211
Calculus in urethra
724
N218
Other lower urinary tract calculus
724
N219
Calculus of lower urinary tract, unspecified
724
Calculus of urinary tract in diseases

classified
elsewhere
Unspecified
renal colic
724
724
N250
Renal osteodystrophy
726
N251
Nephrogenic diabetes insipidus
726
Secondary hyperparathyroidism of renal

origin
Oth disorders resulting from impaired
726
726
renal
tubular
function
Disorder
rslt from
impaired renal tubular
function, unsp
726
N170
N171
N172
N19
N22
N23
N2581
N2589
N259
Page 2516 of 6734

N261
Atrophy of kidney (terminal)
726
N262
Page kidney
599
HYPERTENSION
N269
Renal sclerosis, unspecified
726
N270
Small kidney, unilateral
726
N271
Small kidney, bilateral
726
N279
Small kidney, unspecified
726
N280
Ischemia and infarction of kidney
726
N281
Cyst of kidney, acquired
726
N2881
Hypertrophy of kidney
726
N2882
Megaloureter
726
N2883
Nephroptosis
726
N2884
Pyelitis cystica
723
N2885
Pyeloureteritis cystica
723
N2886
Ureteritis cystica
723
N2889
Other specified disorders of kidney and

ureter
Disorder of kidney and ureter, unspecified
726
726
726
N3000
Oth disorders of kidney and ureter in

diseases
classd
elswhrhematuria
Acute cystitis
without
727
ACUTE LOWER URINARY TRACT INFECTION
N3001
Acute cystitis with hematuria
727
N3010
723
N3011
Interstitial cystitis (chronic) without

hematuria
Interstitial cystitis (chronic) with hematuria
723
N3020
Other chronic cystitis without hematuria
723
N3021
Other chronic cystitis with hematuria
723
N3030
Trigonitis without hematuria
727
N3031
Trigonitis with hematuria
727
N3040
Irradiation cystitis without hematuria
726
N3041
Irradiation cystitis with hematuria
726
N3080
Other cystitis without hematuria
723
N3081
Other cystitis with hematuria
723
N289
N29
Page 2517 of 6734

N3090
Cystitis, unspecified without hematuria
727
N3091
Cystitis, unspecified with hematuria
727
Uninhibited neuropathic bladder, not

elsewhere
classifiedbladder, not elsewhere
Reflex neuropathic
726
726
classified
Flaccid neuropathic bladder, not elsewhere
classified
Other neuromuscular dysfunction of
726
726
726
N320
bladder
Neuromuscular dysfunction of bladder,
unspecified
Bladder-neck obstruction
726
N321
Vesicointestinal fistula
726
N322
Vesical fistula, not elsewhere classified
726
N323
Diverticulum of bladder
726
N3281
Overactive bladder
726
N3289
Other specified disorders of bladder
726
Bladder disorder, unspecified
726
726
N340
Bladder disorders in diseases classified

elsewhere
Urethral abscess
727
N341
Nonspecific urethritis
727
N342
Other urethritis
727
N343
Urethral syndrome, unspecified
723
N35010 Post-traumatic urethral stricture, male,

N35011 meatal
Post-traumatic bulbous urethral stricture
726
726
N35012 Post-traumatic membranous urethral

N35013 stricture
Post-traumatic anterior urethral stricture
726
726
N35014 Post-traumatic urethral stricture, male,

N35021 unspecified
Urethral stricture due to childbirth
726
726
N35028 Other post-traumatic urethral stricture,

N35111 female
Postinfective urethral stricture, NEC, male,
726
726
N35112 meatal
Postinfective bulbous urethral stricture,
N35113 NEC
Postinfective membranous urethral
stricture, NEC
726
726
N310
N311
N312
N318
N319
N329
N33
Page 2518 of 6734

N35114 Postinfective anterior urethral stricture,
N35119 NEC
Postinfective urethral stricture, NEC, male,
N3512 unsp
Postinfective urethral stricture, NEC,
726
726
726
N358
female
Other urethral stricture
726
N359
Urethral stricture, unspecified
726
N360
Urethral fistula
726
N361
Urethral diverticulum
726
N362
Urethral caruncle
726
N3641
Hypermobility of urethra
726
N3642
Intrinsic sphincter deficiency (ISD)
726
N3643
Combined hypermobility of urethra and

intrns
sphincter
defic
Muscular
disorders
of urethra
726
726
N365
Urethral false passage
726
N368
Other specified disorders of urethra
726
N369
Urethral disorder, unspecified
726
726
N390
Urethral disorders in diseases classified

elsewhere
Urinary tract infection, site not specified
727
N393
Stress incontinence (female) (male)
726
N3941
Urge incontinence
726
N3942
Incontinence without sensory awareness
726
N3943
Post-void dribbling
726
N3944
Nocturnal enuresis
726
N3945
Continuous leakage
726
N3946
Mixed incontinence
726
N39490 Overflow incontinence
726
N39498 Other specified urinary incontinence
726
Other specified disorders of urinary

system
Disorder of urinary system, unspecified
726
726
Enlarged prostate without lower urinary

tract symptoms
741
N3644
N37
N398
N399
N400
Page 2519 of 6734

N401
Enlarged prostate with lower urinary tract

symptoms
Nodular prostate without lower urinary
743
PROSTATITIS
741
741
N410
tract
symptoms
Nodular
prostate with lower urinary tract
symptoms
Acute prostatitis
743
PROSTATITIS
N411
Chronic prostatitis
743
PROSTATITIS
N412
Abscess of prostate
743
PROSTATITIS
N413
Prostatocystitis
743
PROSTATITIS
N414
Granulomatous prostatitis
743
PROSTATITIS
N418
Other inflammatory diseases of prostate
743
PROSTATITIS
N419
743
PROSTATITIS
N420
Inflammatory disease of prostate,

unspecified
Calculus of prostate
741
N421
Congestion and hemorrhage of prostate
741
N423
Dysplasia of prostate
741
N4281
Prostatodynia syndrome
741
N4282
Prostatosis syndrome
741
N4283
Cyst of prostate
741
N4289
Other specified disorders of prostate
741
N429
Disorder of prostate, unspecified
741
N430
Encysted hydrocele
741
N431
Infected hydrocele
741
N432
Other hydrocele
741
N433
Hydrocele, unspecified
741
N4340
Spermatocele of epididymis, unspecified
741
N4341
Spermatocele of epididymis, single
741
N4342
Spermatocele of epididymis, multiple
741
N4400
Torsion of testis, unspecified
510
N4401
Extravaginal torsion of spermatic cord
510
N4402
Intravaginal torsion of spermatic cord
510
N4403
Torsion of appendix testis
510
N402
N403
Page 2520 of 6734

N4404
Torsion of appendix epididymis
510
N441
Cyst of tunica albuginea testis
741
N442
Benign cyst of testis
741
N448
741
N451
Other noninflammatory disorders of the

testis
Epididymitis
741
N452
Orchitis
741
N453
Epididymo-orchitis
741
N454
Abscess of epididymis or testis
741
Organic azoospermia
741
N46021 Azoospermia due to drug therapy
741
N46022 Azoospermia due to infection
741
N46023 Azoospermia due to obstruction of efferent

N46024 ducts
Azoospermia due to radiation
741
741
N46025 Azoospermia due to systemic disease
741
N46029 Azoospermia due to other extratesticular

N4611 causes
Organic oligospermia
741
741
N46121 Oligospermia due to drug therapy
741
N46122 Oligospermia due to infection
741
N46123 Oligospermia due to obstruction of

ductsdue to radiation
N46124 efferent
Oligospermia
741
741
N46125 Oligospermia due to systemic disease
741
N46129 Oligospermia due to other extratesticular

causes
N468
Other male infertility
741
741
N4601
N469
Male infertility, unspecified
741
N470
Adherent prepuce, newborn
741
N471
Phimosis
741
N472
Paraphimosis
741
N473
Deficient foreskin
741
N474
Benign cyst of prepuce
741
Page 2521 of 6734

N475
Adhesions of prepuce and glans penis
741
N476
Balanoposthitis
741
N477
Other inflammatory diseases of prepuce
741
N478
Other disorders of prepuce
741
N480
Leukoplakia of penis
741
N481
Balanitis
741
N4821
Abscess of corpus cavernosum and penis
741
N4822
Cellulitis of corpus cavernosum and penis
741
N4829
Other inflammatory disorders of penis
741
N4830
Priapism, unspecified
741
N4831
Priapism due to trauma
741
N4832
741
N4833
Priapism due to disease classified

elsewhere
Priapism, drug-induced
741
N4839
Other priapism
741
N485
Ulcer of penis
741
N486
Induration penis plastica
741
N4881
Thrombosis of superficial vein of penis
741
N4882
Acquired torsion of penis
741
N4883
Acquired buried penis
741
N4889
Other specified disorders of penis
741
N489
Disorder of penis, unspecified
741
N490
Inflammatory disorders of seminal vesicle
741
N491
741
N492
Inflam disorders of sperm cord, tunica

vaginalis
and vas
def of scrotum
Inflammatory
disorders
741
N493
Fournier gangrene
741
N498
741
741
N500
Inflammatory disorders of oth male genital

organs
Inflammatory disorder of unspecified male
genital
Atrophyorgan
of testis
741
N501
Vascular disorders of male genital organs
741
N499
Page 2522 of 6734

N503
Cyst of epididymis
741
N508
Other specified disorders of male genital

organs
Disorder of male genital organs,
741
741
unspecified
Disorders of male genital organs in
diseases
classd elswhr
Erectile dysfunction
due to arterial
741
741
insufficiency
Corporo-venous occlusive erectile
dysfunction
Comb artrl insuff & corporo-venous
741
741
occlusv
dysfnct
Erectile erectile
dysfunction
due to diseases
classified
elsewhere
Drug-induced erectile dysfunction
741
741
Erectile dysfunction following radical

prostatectomy
Erectile dysfunction following radical
cystectomy
Erectile dysfunction following urethral
741
741
741
surgery
Erectile dysfunction following simple
prostatectomy
Other post-surgical erectile dysfunction
741
741
N528
Other male erectile dysfunction
741
N529
Male erectile dysfunction, unspecified
741
N5311
Retarded ejaculation
741
N5312
Painful ejaculation
741
N5313
Anejaculatory orgasm
741
N5314
Retrograde ejaculation
741
N5319
Other ejaculatory dysfunction
741
N538
Other male sexual dysfunction
741
N539
Unspecified male sexual dysfunction
741
N6001
Solitary cyst of right breast
675
N6002
Solitary cyst of left breast
675
N6009
Solitary cyst of unspecified breast
675
N6011
Diffuse cystic mastopathy of right breast
675
N6012
Diffuse cystic mastopathy of left breast
675
N6019
Diffuse cystic mastopathy of unspecified

breast
675
N509
N51
N5201
N5202
N5203
N521
N522
N5231
N5232
N5233
N5234
N5239
Page 2523 of 6734

N6021
Fibroadenosis of right breast
675
N6022
Fibroadenosis of left breast
675
N6029
Fibroadenosis of unspecified breast
675
N6031
Fibrosclerosis of right breast
675
N6032
Fibrosclerosis of left breast
675
N6039
Fibrosclerosis of unspecified breast
675
N6041
Mammary duct ectasia of right breast
675
N6042
Mammary duct ectasia of left breast
675
N6049
Mammary duct ectasia of unspecified

breast
Other benign mammary dysplasias of right
breast
Other benign mammary dysplasias of left
675
675
675
breast
Other benign mammary dysplasias of
unspecified
Unspecified breast
benign mammary dysplasia of
right
breast
Unspecified benign mammary dysplasia of
675
675
675
675
N61
left
breast benign mammary dysplasia of
Unspecified
unspecified
breast
Inflammatory
disorders of breast
675
N62
Hypertrophy of breast
675
N63
Unspecified lump in breast
675
N640
Fissure and fistula of nipple
675
N641
Fat necrosis of breast
675
N642
Atrophy of breast
675
N643
Galactorrhea not associated with childbirth
675
N644
Mastodynia
675
N6451
Induration of breast
675
N6452
Nipple discharge
675
N6453
Retraction of nipple
675
N6459
Other signs and symptoms in breast
675
N6481
Ptosis of breast
675
N6482
Hypoplasia of breast
675
N6081
N6082
N6089
N6091
N6092
N6099
Page 2524 of 6734

N6489
Other specified disorders of breast
675
N649
Disorder of breast, unspecified
675
N650
Deformity of reconstructed breast
675
N651
Disproportion of reconstructed breast
675
N7001
Acute salpingitis
751
N7002
Acute oophoritis
751
N7003
Acute salpingitis and oophoritis
751
N7011
Chronic salpingitis
751
N7012
Chronic oophoritis
751
N7013
Chronic salpingitis and oophoritis
751
N7091
Salpingitis, unspecified
751
N7092
Oophoritis, unspecified
751
N7093
Salpingitis and oophoritis, unspecified
751
N710
Acute inflammatory disease of uterus
751
N711
Chronic inflammatory disease of uterus
751
N719
Inflammatory disease of uterus,

unspecified
Inflammatory disease of cervix uteri
751
751
N730
Acute parametritis and pelvic cellulitis
751
N731
Chronic parametritis and pelvic cellulitis
751
N732
751
N733
Unspecified parametritis and pelvic

cellulitis
Female acute pelvic peritonitis
751
N734
Female chronic pelvic peritonitis
751
N735
Female pelvic peritonitis, unspecified
751
N736
Female pelvic peritoneal adhesions

(postinfective)
Other specified female pelvic
752
751
inflammatory
Female pelvic diseases
inflammatory disease,
unspecified
Female pelvic inflam disorders in diseases
751
751
N750
classd
Cyst ofelswhr
Bartholin's gland
752
N751
Abscess of Bartholin's gland
751
N72
N738
N739
N74
Page 2525 of 6734

N758
Other diseases of Bartholin's gland
752
N759
Disease of Bartholin's gland, unspecified
752
N760
Acute vaginitis
751
N761
Subacute and chronic vaginitis
751
N762
Acute vulvitis
751
N763
Subacute and chronic vulvitis
751
N764
Abscess of vulva
751
N765
Ulceration of vagina
752
N766
Ulceration of vulva
752
N7681
Mucositis (ulcerative) of vagina and vulva
752
N7689
Other specified inflammation of vagina

and
vulva of vulva in diseases classified
Ulceration
752
752
751
N800
elsewhere
Vaginitis, vulvitis and vulvovaginitis in dis
classd
elswhr of uterus
Endometriosis
752
N801
Endometriosis of ovary
752
N802
Endometriosis of fallopian tube
752
N803
Endometriosis of pelvic peritoneum
752
N804
752
N805
Endometriosis of rectovaginal septum and

vagina
Endometriosis of intestine
625
N806
Endometriosis in cutaneous scar
675
N808
Other endometriosis
752
N809
Endometriosis, unspecified
752
N810
Urethrocele
752
N8110
Cystocele, unspecified
752
N8111
Cystocele, midline
752
N8112
Cystocele, lateral
752
N812
Incomplete uterovaginal prolapse
752
N813
Complete uterovaginal prolapse
752
N814
Uterovaginal prolapse, unspecified
752
N770
N771
Page 2526 of 6734

N815
Vaginal enterocele
752
N816
Rectocele
752
N8181
Perineocele
752
N8182
752
752
N8184
Incompetence or weakening of
pubocervical
Incompetencetissue
or weakening of
rectovaginal
tissue
Pelvic muscle wasting
752
N8185
Cervical stump prolapse
752
N8189
Other female genital prolapse
752
N819
Female genital prolapse, unspecified
752
N820
Vesicovaginal fistula
753
LEVEL II MENSTRUAL AND OTHER FEMALE
N821
Other female urinary-genital tract fistulae
753
N822
Fistula of vagina to small intestine
625
N823
Fistula of vagina to large intestine
625
N824
625
N825
Other female intestinal-genital tract

fistulae
Female genital tract-skin fistulae
753
N828
Other female genital tract fistulae
753
N829
Female genital tract fistula, unspecified
753
N830
Follicular cyst of ovary
752
N831
Corpus luteum cyst
752
N8320
Unspecified ovarian cysts
752
N8329
Other ovarian cysts
752
N8331
Acquired atrophy of ovary
752
N8332
Acquired atrophy of fallopian tube
752
N8333
Acquired atrophy of ovary and fallopian

tube
Prolapse and hernia of ovary and fallopian
752
752
N8351
tube
Torsion of ovary and ovarian pedicle
752
N8352
Torsion of fallopian tube
752
N8353
Torsion of ovary, ovarian pedicle and

fallopian
tube
Hematosalpinx
752
752
N8183
N834
N836
Page 2527 of 6734

N837
Hematoma of broad ligament
752
N838
752
752
N840
Oth noninflammatory disord of ovary,

fallop
and broad ligmt
Noninflammatory
disord of ovary, fallop &
broad
ligmt,
unsp
Polyp of
corpus
uteri
752
N841
Polyp of cervix uteri
752
N842
Polyp of vagina
752
N843
Polyp of vulva
752
N848
Polyp of other parts of female genital tract
752
N849
Polyp of female genital tract, unspecified
752
N8500
Endometrial hyperplasia, unspecified
752
N8501
Benign endometrial hyperplasia
752
N8502
Endometrial intraepithelial neoplasia [EIN]
752
N852
Hypertrophy of uterus
752
N853
Subinvolution of uterus
752
N854
Malposition of uterus
752
N855
Inversion of uterus
752
N856
Intrauterine synechiae
752
N857
Hematometra
752
N858
Other specified noninflammatory disorders

of
uterus
Noninflammatory
disorder of uterus,
752
752
unspecified
Erosion and ectropion of cervix uteri
752
N870
Mild cervical dysplasia
752
N871
Moderate cervical dysplasia
752
N879
Dysplasia of cervix uteri, unspecified
752
N880
Leukoplakia of cervix uteri
752
N881
Old laceration of cervix uteri
752
N882
Stricture and stenosis of cervix uteri
752
N883
Incompetence of cervix uteri
752
N884
Hypertrophic elongation of cervix uteri
752
N839
N859
N86
Page 2528 of 6734

N888
752
N889

of
cervix uteri
Noninflammatory
disorder of cervix uteri,
752
N890
unspecified
Mild vaginal dysplasia
752
N891
Moderate vaginal dysplasia
752
N893
Dysplasia of vagina, unspecified
752
N894
Leukoplakia of vagina
752
N895
Stricture and atresia of vagina
752
N896
Tight hymenal ring
752
N897
Hematocolpos
752
N898
752
N899

of
vagina
Noninflammatory
disorder of vagina,
752
N900
unspecified
Mild vulvar dysplasia
752
N901
Moderate vulvar dysplasia
752
N903
Dysplasia of vulva, unspecified
752
N904
Leukoplakia of vulva
752
N905
Atrophy of vulva
752
N906
Hypertrophy of vulva
752
N907
Vulvar cyst
752
N90810 Female genital mutilation status,

N90811 unspecified
Female genital mutilation Type I status
753
753
N90812 Female genital mutilation Type II status
753
N90813 Female genital mutilation Type III status
753
N90818 Other female genital mutilation status
752
752
N909
Oth noninflammatory disorders of vulva

and
perineum
Noninflammatory
disorder of vulva and
752
N910
perineum,
unspecified
Primary amenorrhea
752
N911
Secondary amenorrhea
752
N912
Amenorrhea, unspecified
752
N913
Primary oligomenorrhea
752
N9089
Page 2529 of 6734

N914
Secondary oligomenorrhea
752
N915
Oligomenorrhea, unspecified
752
N920
752
752
N922
Excessive and frequent menstruation with

regular
cycle
Excessive
and frequent menstruation with
irregular
cycle
Excessive menstruation at puberty
752
N923
Ovulation bleeding
752
N924
752
N925
Excessive bleeding in the premenopausal

period
Other specified irregular menstruation
752
N926
Irregular menstruation, unspecified
752
N930
Postcoital and contact bleeding
752
N938
752
N939
Other specified abnormal uterine and

vaginal
bleeding
Abnormal
uterine and vaginal bleeding,
752
N940
unspecified
Mittelschmerz
752
N941
Dyspareunia
752
N942
Vaginismus
752
N943
Premenstrual tension syndrome
752
N944
Primary dysmenorrhea
752
N945
Secondary dysmenorrhea
752
N946
Dysmenorrhea, unspecified
752
N94810 Vulvar vestibulitis
752
N94818 Other vulvodynia
752
N94819 Vulvodynia, unspecified
752
752
N949
Oth cond assoc w female genital organs

and
cycle
Unspmenstrual
cond assoc
w female genital organs
752
N950
and
menstrual cycle
Postmenopausal
bleeding
752
N951
Menopausal and female climacteric states
752
N952
Postmenopausal atrophic vaginitis
752
N958
Other specified menopausal and

perimenopausal
disordersand
Unspecified menopausal
752
752
N921
N9489
N959
perimenopausal disorder
Page 2530 of 6734

N96
Recurrent pregnancy loss
752
752
N971
Female infertility associated with

anovulation
Female infertility of tubal origin
752
N972
Female infertility of uterine origin
752
N978
Female infertility of other origin
752
N979
Female infertility, unspecified
752
N980
Infection associated with artificial

insemination
Hyperstimulation of ovaries
806
POST-OPERATIVE, POST-TRAUMATIC, OTHER
752
Comp of attempt introduce of fertilized

ovum
in vitro
Comp fol
of attempted
introduction of embryo
852
852
in
embryo
transfer associated with
Other
complications
artificial
fertilization
Complication
associated with artificial
852
N970
N981
N982
N983
N988
N989
852
fertilization,
unsp
N990
Postprocedural
(acute) (chronic) kidney
failure
N99110 Postprocedural urethral stricture, male,
N99111 meatal
Postprocedural bulbous urethral stricture
726
726
726
N99112 Postprocedural membranous urethral

N99113 stricture
Postprocedural anterior urethral stricture
726
726
N99114 Postprocedural urethral stricture, male,

N9912 unspecified
Postprocedural urethral stricture, female
726
726
N992
Postprocedural adhesions of vagina
752
N993
Prolapse of vaginal vault after

hysterectomy
Postprocedural pelvic peritoneal adhesions
752
629
N99510 Cystostomy hemorrhage
726
N99511 Cystostomy infection
852
N99512 Cystostomy malfunction
725
MALFUNCTION, REACTION, COMPLIC OF GE
N99518 Other cystostomy complication
726
N99520 Hemorrhage of other external stoma of

N99521 urinary
Infectiontract
of other external stoma of
726
726
tractof other external stoma of

N99522 urinary
Malfunction
urinary tract
726
N994
Page 2531 of 6734

N99528 Other complication of other external
of urinary
tractstoma of urinary
N99530 stoma
Hemorrhage
of other
726
726
N99531 tract
Infection of other stoma of urinary tract
726
N99532 Malfunction of other stoma of urinary tract
726
N99538 Other complication of other stoma of

N9961 urinary
Intraop tract
hemor/hemtom of a GU sys org
726
852
comp
GU sys procedure
of a GU sys org
comp
oth &
procedure
Acc pnctr
lac of a GU sys org during a
852
852
GU
sys procedure
Accidental
pnctr & lac of a GU sys org
during
oth
procedure
Other intraoperative complications of
852
726
852
852
752
726
O000
Oth postprocedural complications and

disorders
GU sys
Abdominalofpregnancy
765
O001
Tubal pregnancy
765
O002
Ovarian pregnancy
765
O008
Other ectopic pregnancy
765
O009
Ectopic pregnancy, unspecified
765
O010
Classical hydatidiform mole
765
O011
Incomplete and partial hydatidiform mole
765
O019
Hydatidiform mole, unspecified
765
O020
Blighted ovum and nonhydatidiform mole
765
O021
Missed abortion
763
ABORTION W/O D&C, ASPIRATION CURETT
Inapprop chg quantitav hCG in early

pregnancy
Other abnormal products of conception
765
765
Abnormal product of conception,

unspecified
Genitl trct and pelvic infection fol incmpl
spon
abortion
Delayed
or excessive hemor following
765
763
763
N9962
N9971
N9972
N9981
system
N99820 genitourinary
Postproc hemor/hemtom
of a GU sys org
a GU sys
procedure of a GU sys org
N99821 fol
Postproc
hemor/hemtom
oth procedure
N9983 fol
Residual
ovary syndrome
N9989
O0281
O0289
O029
O030
O031
incmpl spon abortion

Page 2532 of 6734

O032
O0330
O0331
O0332
O0333
O0334
O0335
O0336
O0337
O0338
O0339
O034
O035
O036
O037
O0380
O0381
O0382
O0383
O0384
O0385
O0386
O0387
O0388
O0389
O039
O045
O046
O047
Embolism following incomplete

spontaneous
abortion
Unsp complication
following incomplete
763
763
spontaneous
abortion
Shock following
incomplete spontaneous
abortion
Renal failure following incomplete
763
763
spontaneous
abortion
Metabolic disorder
spontaneous
abortion
Damage to pelvic organs following
763
763
incomplete
Oth venous spon
compabortion
spontaneous
Cardiac arrestabortion
763
763
spontaneous
abortion
Sepsis following
incomplete spontaneous
abortion
Urinary tract infection following
763
763
incomplete
abortionabortion with
Incomplete spon
spontaneous
other
complications
Incomplete
spontaneous abortion without
complication
Genitl trct and pelvic infct fol complete or
763
763
763
unsp
spon
Delayed
orabort
excess hemor fol complete or
unsp
spon following
abortion complete or unsp
Embolism
763
763
spontaneous
abortioncomplete or unsp
Unsp comp following
spontaneous
abortion
Shock following
complete or unspecified
763
763
spontaneous
abortion complete or unsp
Renal failure following
spon
abortion
Metabolic
disorder following complete or
763
763
unsp
spon
Damage
toabortion
pelvic organs fol complete or
unsp
spon
abortion
Oth venous comp following complete or
763
763
unsp
spon
abortion
Cardiac
arrest
following complete or unsp
spon
Sepsisabortion
following complete or unsp
763
763
spontaneous
abortion fol complete or
Urinary tract infection
unsp
sponor
abortion
Complete
unsp spontaneous abortion
763
763
with
oth complications
Complete
or unsp spontaneous abortion
without
complication
Genitl trct and pelvic infct fol (induced)
763
763
term
of pregnancy
Delayed
or excess hemor fol (induced)
term
of
pregnancy
Embolism following (induced) termination
763
763
of pregnancy
Page 2533 of 6734

O0480
O0481
O0482
O0483
O0484
O0485
O0486
O0487
O0488
O0489
O070
O071
O072
O0730
O0731
O0732
O0733
O0734
O0735
O0736
O0737
O0738
O0739
O074
O080
O081
O082
O083
O084
(Induced) termination of pregnancy with

unsp
Shockcomplications
following (induced) termination of
763
763
pregnancy
Renal failure following (induced)
termination
of pregnancy
Metabolic disorder
following (induced)
763
763
term
of pregnancy
Damage
to pelvic organs fol (induced)
term
of
pregnancy
Oth venous comp following (induced)
763
763
termination
of following
pregnancy
Cardiac arrest
(induced)
termination
of pregnancy
Sepsis following
(induced) termination of
pregnancy
Urinary tract infection fol (induced) term of
763
763
763
pregnancy
(Induced) termination of pregnancy with
other
Genitlcomplications
trct and pelvic infct fol failed
763
763
attempt
of preg
Delayed term
or excess
hemor fol failed
attempt
term
of
pregnancy
Embolism following failed attempted
763
763
termination
of pregnancy
Failed attempted
termination of pregnancy
w
unspfollowing
comp
Shock
failed attempted
763
763
termination
pregnancy
Renal failureof
following
failed attempted
term
of
pregnancy
Metabolic disorder fol failed attempt term
763
763
of
pregnancy
Damage
to pelvic organs fol failed attempt
term
of pregnancy
Oth venous
comp following failed
763
763
attempted
term
of pregnancy
Cardiac arrest
following
failed attempted
term
of
pregnancy
Sepsis following failed attempted
763
763
termination
pregnancy
Urinary tractofinfection
fol failed attempt
term
pregnancytermination of pregnancy
Failedofattempted
763
763
w
oth comp
Failed
attempted termination of pregnancy
w/o
complication
Genitl trct and pelvic infct fol ectopic and
763
761
molar
pregnancy
Delayed
or excess hemor fol ectopic and
molar
pregnancy
Embolism following ectopic and molar
761
761
pregnancy
Shock following ectopic and molar
pregnancy
Renal failure following ectopic and molar
pregnancy
761
761
Page 2534 of 6734

O085
O086
O087
O0881
O0882
O0883
O0889
O089
O0900
O0901
O0902
O0903
O0910
Metabolic disorders following an ectopic

and
molar
Damage
topregnancy
pelvic organs and tiss fol an
761
761
ect
molar
pregfollowing an ectopic and
Oth and
venous
comp
molar
pregnancy
Cardiac
arrest following an ectopic and
761
761
molar
Sepsispregnancy
following ectopic and molar
pregnancy
Urinary tract infection fol an ectopic and
molar
pregnancy
Other complications
following an ectopic
761
761
761
and
pregnancy
Unspmolar
complication
following an ectopic
and
molar
pregnancy
Suprvsn of preg w history of infertility,
761
765
unsp
trimester
Suprvsn
of preg w history of infertility, first
trimester
Suprvsn of preg w history of infertility,
second
Suprvsntrimester
of preg w history of infertility,
third
trimester
Suprvsn of preg w history of ectopic or
765
765
765
765
preg,
unspwtri
O0911 molar
Suprvsn
of preg
history of ect or molar
firstoftri
O0912 preg,
Suprvsn
preg w history of ect or molar
preg,
second
tri w history of ect or molar
O0913 Suprvsn of preg
third
O09211 preg,
Suprvsn
of tri
preg w history of pre-term
labor,
first
trimester
O09212 Suprvsn of preg w history of pre-term
765
765
765
765
765
second
tri w history of pre-term
O09213 labor,
Suprvsn
of preg
third
trimester
O09219 labor,
Suprvsn
of preg
w history of pre-term
labor,
unsp
trimester
O09291 Suprvsn of preg w poor reprodctv or obstet
765
765
765
first tri
O09292 hx,
Suprvsn
of preg w poor reprodctv or obstet
second
tri w poor reprodctv or obstet
O09293 hx,
Suprvsn
of preg
third of
tri preg w poor reprodctv or obstet
O09299 hx,
Suprvsn
tri w insufficient antenat
O0930 history,
Suprvsnunsp
of preg
765
765
765
765
care,
unsp
Suprvsn
of trimester
preg w insufficient antenat
care,
first
trimester
Suprvsn of preg w insufficient antenat
care,
second
tri w insufficient antenat
Suprvsn
of preg
765
765
765
care,
third trimester
Supervision
of pregnancy w grand
multiparity, unsp trimester
765
O0931
O0932
O0933
O0940
Page 2535 of 6734

O0941
Suprvsn of pregnancy w grand multiparity,

trimester
O0942 first
Suprvsn
of pregnancy w grand multiparity,
second
trimester
O0943 Suprvsn of pregnancy w grand multiparity,
trimester
O09511 third
Supervision
of elderly primigravida, first
trimester
O09512 Supervision of elderly primigravida,
765
765
765
765
765
trimester
O09513 second
Supervision
of elderly primigravida, third
trimester
O09519 Supervision of elderly primigravida,
O09521 unspecified
Supervision trimester
of elderly multigravida, first
765
765
765
O09522 trimester
Supervision of elderly multigravida,
trimester
O09523 second
Supervision
of elderly multigravida, third
trimester
O09529 Supervision of elderly multigravida,
765
765
765
O09611 unspecified
of young primigravida, first
trimester
O09612 Supervision of young primigravida, second
O09613 trimester
Supervision of young primigravida, third
765
765
765
O09619 trimester
Supervision of young primigravida,
O09621 unspecified
of young multigravida, first
765
765
O09622 trimester
Supervision of young multigravida, second
O09623 trimester
Supervision of young multigravida, third
O09629 trimester
Supervision of young multigravida,
trimester
O0970 unspecified
Suprvsn of high
risk preg due to social
765
765
765
765
O0971 problems,
Suprvsn ofunsp
high tri
risk preg due to social
problems,
first
tri
O0972 Suprvsn of high risk preg due to social
tripreg due to social
O0973 problems,
Suprvsn ofsecond
high risk
O09811 problems,
Suprvsn ofthird
pregtri
rslt from assisted
reprodctv
tech,
first
tri
O09812 Suprvsn of preg rslt from
assist reprodctv
765
765
765
765
765
second
tri rslt from assisted
O09813 tech,
Suprvsn
of preg
tri assisted
O09819 reprodctv
Suprvsn oftech,
pregthird
rslt from
O09821 reprodctv
Suprvsn oftech,
pregunsp
w hx tri
of in utero proc dur
prev
preg,
1st
tri
O09822 Suprvsn of preg w hx of in utero proc dur
765
765
765
765
prev preg, 2nd tri

Page 2536 of 6734

O09823 Suprvsn of preg w hx of in utero proc dur
preg,
O09829 prev
Suprvsn
of 3rd
pregtriw hx of in utero proc dur
preg,unsp
tri high risk pregnancies,
O09891 prev
Supervision
of other
765
765
765
trimester
O09892 first
Supervision
of other high risk pregnancies,
second
trimester
O09893 Supervision of other high risk pregnancies,
trimester
O09899 third
Supervision
of other high risk pregnancies,
unsp
trimester
O0990 Supervision of high risk pregnancy, unsp,
765
765
765
765
unsp
trimester
Supervision
of high risk pregnancy, unsp,
first
trimester
O0992 Supervision of high risk pregnancy, unsp,
trimester
O0993 second
Supervision
of high risk pregnancy, unsp,
third
trimester
O10011 Pre-existing essential htn comp
trimester
O10012 pregnancy,
Pre-existing first
essential
htn comp
765
765
765
765
765
trimester
O10013 pregnancy,
Pre-existing second
essential
htn comp
pregnancy,
third
trimester
O10019 Pre-existing essential htn comp
trimester
O1002 pregnancy,
Pre-existing unsp
essential
hypertension
765
765
760
VAGINAL DELIVERY
childbirthhypertension comp
O1003 complicating
Pre-existing essential
puerperium
O10111 the
Pre-exist
hyp heart disease comp
pregnancy,
first
trimester
O10112 Pre-exist hyp
heart
disease comp
761
765
765
second
O10113 pregnancy,
Pre-exist hyp
heart trimester
disease comp
pregnancy,
third
trimester
O10119 Pre-exist hyp heart disease comp
765
765
trimesterheart disease
O1012 pregnancy,
Pre-existing unsp
hypertensive
childbirth
O1013 comp
Pre-existing
hypertensive heart disease
thehyp
puerperium
O10211 comp
Pre-exist
chronic kidney disease comp
preg,
first
tri
O10212 Pre-exist hyp chronic kidney disease comp
760
VAGINAL DELIVERY
761
765
765
second
O10213 preg,
Pre-exist
hyp tri
chronic kidney disease comp
third
tri chronic kidney disease comp
O10219 preg,
Pre-exist
hyp
unsp tri
O1022 preg,
Pre-existing
hyp chronic kidney disease
765
765
760
VAGINAL DELIVERY
childbirth
O1023 comp
Pre-existing
hyp chronic kidney disease
comp
the
puerperium
O10311 Pre-exist hyp heart and chr kidney dis
comp preg, first tri
761
765
O0991
Page 2537 of 6734

O10312 Pre-exist hyp heart and chr kidney dis
preg,
second
tri chr kidney dis
O10313 comp
Pre-exist
hyp
heart and
preg,
third
tri and chr kidney dis
O10319 comp
Pre-exist
hyp
heart
preg,
unsp
triand chronic kidney
O1032 comp
Pre-exist
hyp
heart
765
765
765
760
VAGINAL DELIVERY
chldbrth
O1033 disease
Pre-existcomp
hyp heart
and chr kidney disease
comp
the
puerp
O10411 Pre-existing secondary htn comp
trimester
O10412 pregnancy,
Pre-existing first
secondary
htn comp
761
765
765
trimester
O10413 pregnancy,
Pre-existing second
secondary
htn comp
pregnancy,
third
trimester
O10419 Pre-existing secondary htn comp
765
765
trimester
O1042 pregnancy,
Pre-existing unsp
secondary
hypertension
complicating
childbirth
O1043 Pre-existing secondary hypertension comp
puerperium
O10911 the
Unsp
pre-existing htn comp pregnancy,
first
trimester
O10912 Unsp pre-existing htn comp pregnancy,
760
VAGINAL DELIVERY
761
765
765
trimester htn comp pregnancy,

O10913 second
Unsp pre-existing
O10919 third
Unsp trimester
pre-existing htn comp pregnancy,
unsp
trimester
O1092 Unsp pre-existing hypertension
765
765
760
VAGINAL DELIVERY
complicating
childbirth
Unsp pre-existing
hypertension
complicating
the
puerperium
Pre-existing hypertension w pre-eclampsia,
761
765
first
trimester
Pre-existing
hypertension w pre-eclampsia,
second
trimester
Pre-existing hypertension w pre-eclampsia,
third
trimester
Pre-existing
hypertension with pre-
765
765
765
O1200
eclampsia,
trimester
Gestationalunsp
edema,
unspecified trimester
765
O1201
Gestational edema, first trimester
765
O1202
Gestational edema, second trimester
765
O1203
Gestational edema, third trimester
765
O1210
765
O1211
Gestational proteinuria, unspecified

trimester
Gestational proteinuria, first trimester
765
O1212
Gestational proteinuria, second trimester
765
O1213
Gestational proteinuria, third trimester
765
O1093
O111
O112
O113
O119
Page 2538 of 6734

O1220
Gestational edema with proteinuria,

unspecified
trimester
Gestational edema
with proteinuria, first
trimester
Gestational edema with proteinuria,
765
765
765
second
trimester
Gestational
edema with proteinuria, third
trimester
Gestational htn w/o significant proteinuria,
765
765
first
trimester
Gestatnl
htn w/o significant proteinuria,
second
trimester
Gestational htn w/o significant proteinuria,
765
765
third
trimester
Gestational
htn w/o significant proteinuria,
unsp
trimester
Mild to moderate pre-eclampsia,
765
765
765
765
O1410
unspecified
trimester
Mild to moderate
pre-eclampsia, second
trimester
Mild to moderate pre-eclampsia, third
trimester
Severe pre-eclampsia, unspecified
765
O1412
trimester
Severe pre-eclampsia, second trimester
765
O1413
Severe pre-eclampsia, third trimester
765
O1420
HELLP syndrome (HELLP), unspecified

trimester
HELLP syndrome (HELLP), second
trimester
HELLP syndrome (HELLP), third trimester
765
765
765
Unspecified pre-eclampsia, unspecified

trimester
Unspecified pre-eclampsia, second
trimester
Unspecified pre-eclampsia, third trimester
765
765
765
765
O1502
Eclampsia in pregnancy, unspecified

trimester
Eclampsia in pregnancy, second trimester
765
O1503
Eclampsia in pregnancy, third trimester
765
O151
Eclampsia in labor
760
VAGINAL DELIVERY
O152
Eclampsia in the puerperium
761
O159
Eclampsia, unspecified as to time period
765
O161
Unspecified maternal hypertension, first

trimester
Unspecified maternal hypertension,
second
trimester
Unspecified
maternal hypertension, third
trimester
765
765
765
O1221
O1222
O1223
O131
O132
O133
O139
O1400
O1402
O1403
O1422
O1423
O1490
O1492
O1493
O1500
O162
O163
Page 2539 of 6734

O169
765
O200
Unspecified maternal hypertension,

unspecified
Threatened trimester
abortion
762
THREATENED ABORTION
O208
Other hemorrhage in early pregnancy
762
THREATENED ABORTION
O209
Hemorrhage in early pregnancy,

unspecified
Mild hyperemesis gravidarum
762
THREATENED ABORTION
765
765
O212
Hyperemesis gravidarum with metabolic

disturbance
Late vomiting of pregnancy
765
O218
Other vomiting complicating pregnancy
765
O219
Vomiting of pregnancy, unspecified
765
Varicose veins of low extrm in pregnancy,

unsp
trimester
Varicose
veins of low extrm in pregnancy,
first
trimester
Varicose
veins of low extrm in pregnancy,
second
trimester
Varicose veins of low extrm in pregnancy,
761
765
765
765
third
trimester
Genital
varices in pregnancy, unspecified
trimester
Genital varices in pregnancy, first
trimester
Genital varices in pregnancy, second
trimester
Genital varices in pregnancy, third
761
765
765
765
trimester
Superficial thrombophlebitis in pregnancy,
unsp
trimester
Superficial
thrombophlebitis in pregnancy,
first
trimester
Superficial thrombophlebitis in pregnancy,
761
765
765
second
trimester
Superficial
thrombophlebitis in pregnancy,
third
trimester
Deep phlebothrombosis in pregnancy,
765
765
unspecified
trimester
Deep phlebothrombosis
in pregnancy, first
trimester
Deep phlebothrombosis in pregnancy,
second
trimester
Deep phlebothrombosis
in pregnancy,
765
765
765
third
trimester
Hemorrhoids
in pregnancy, unspecified
trimester
Hemorrhoids in pregnancy, first trimester
761
765
Hemorrhoids in pregnancy, second

trimester
Hemorrhoids in pregnancy, third trimester
765
765
O210
O211
O2200
O2201
O2202
O2203
O2210
O2211
O2212
O2213
O2220
O2221
O2222
O2223
O2230
O2231
O2232
O2233
O2240
O2241
O2242
O2243
Page 2540 of 6734

O2250
Cerebral venous thrombosis in pregnancy,

unsp
trimester
Cerebral
venous thrombosis in pregnancy,
first
trimester
Cerebral venous thrombosis in pregnancy,
second
Cerebraltrimester
venous thrombosis in pregnancy,
761
765
765
765
O228X1 third
Othertrimester
venous complications in pregnancy,
first
trimester
O228X2 Other venous complications in pregnancy,
trimester
O228X3 second
Other venous
complications in pregnancy,
765
765
765
O228X9 third
Othertrimester
venous complications in pregnancy,
unsp
trimester
O2290 Venous complication in pregnancy, unsp,
761
O2251
O2252
O2253
O2291
O2292
O2293
O2300
O2301
O2302
O2303
O2310
O2311
O2312
O2313
O2320
O2321
O2322
O2323
O2330
O2331
O2332
O2333
O2340
761
unsp
trimester
Venous
complication in pregnancy, unsp,
first
trimester
Venous complication in pregnancy, unsp,
second
Venous trimester
complication in pregnancy, unsp,
third
trimester
Infections of kidney in pregnancy,
765
765
765
765
unspecified
Infections oftrimester
kidney in pregnancy, first
trimester
Infections of kidney in pregnancy, second
trimester
Infections of kidney in pregnancy, third
765
765
765
trimester
Infections of bladder in pregnancy,
unspecified
bladder in pregnancy, first
trimester
Infections of bladder in pregnancy, second
765
765
765
trimester
Infections of bladder in pregnancy, third
trimester
Infections of urethra in pregnancy,
unspecified
urethra in pregnancy, first
765
765
765
trimester
Infections of urethra in pregnancy, second
trimester
Infections of urethra in pregnancy, third
trimester
Infections of prt urinary tract in pregnancy,
765
765
765
unsp
Infecttrimester
of prt urinary tract in pregnancy,
first
trimester
Infect of prt urinary tract in pregnancy,
second
Infect oftrimester
prt urinary tract in pregnancy,
third
trimester
Unsp infection of urinary tract in
765
765
765
765
pregnancy, unsp trimester

Page 2541 of 6734

O2341
Unsp infct of urinary tract in pregnancy,

O2342 first
Unsptrimester
infct of urinary tract in pregnancy,
second
trimester
O2343 Unsp infct
of urinary tract in pregnancy,
trimester
O23511 third
Infections
of cervix in pregnancy, first
trimester
O23512 Infections of cervix in pregnancy, second
765
765
765
765
765
O23513 trimester
Infections of cervix in pregnancy, third
O23519 trimester
Infections of cervix in pregnancy,
trimester
O23521 unspecified
Salpingo-oophoritis
in pregnancy, first
765
765
765
O23522 trimester
Salpingo-oophoritis in pregnancy, second
O23523 trimester
Salpingo-oophoritis in pregnancy, third
O23529 trimester
Salpingo-oophoritis in pregnancy,
765
765
765
O23591 unspecified
Infection othtrimester
prt genitl trct in pregnancy,
first
trimester
O23592 Infection oth prt genitl trct in pregnancy,
O23593 second
Infectiontrimester
oth prt genitl trct in pregnancy,
trimester
O23599 third
Infection
oth prt genital tract in
765
765
765
765
pregnancy,
unsp
trimester
Unsp GU tract
infection
in pregnancy, unsp
trimester
Unsp GU tract infection in pregnancy, first
trimester
Unsp GU tract infection in pregnancy,
765
765
765
second
Unsp GUtrimester
tract infection in pregnancy, third
trimester
O24011 Pre-existing diabetes, type 1, in
first trimester
O24012 pregnancy,
Pre-exist diabetes,
type 1, in pregnancy,
765
765
765
trimester
O24013 second
Pre-existing
diabetes, type 1, in
trimester
O24019 pregnancy,
Pre-existing third
diabetes,
type 1, in
pregnancy,
unsp
trimester
O2402 Pre-existing diabetes mellitus, type 1, in
O2403 childbirth
Pre-existing diabetes mellitus, type 1, in
puerperium
O24111 the
Pre-existing
diabetes, type 2, in
765
765
760
VAGINAL DELIVERY
761
765
first trimester
O24112 pregnancy,
Pre-exist diabetes,
type 2, in pregnancy,
second
trimester
O24113 Pre-existing diabetes, type 2, in
trimester
O24119 pregnancy,
Pre-existing third
diabetes,
type 2, in
765
765
765
O2390
O2391
O2392
O2393

Page 2542 of 6734

O2412

O2413 childbirth
puerperium
O24311 the
Unsp
pre-existing diabetes in pregnancy,
O24312 first
Unsptrimester
760
VAGINAL DELIVERY
761
765
765
trimester diabetes in pregnancy,

O24313 second
Unsp pre-existing
O24319 third
Unsp trimester
unsp
trimester
O2432 Unspecified pre-existing diabetes mellitus
765
765
760
VAGINAL DELIVERY
in
childbirth pre-existing diabetes mellitus
Unspecified
the puerperium
O24410 in
Gestational
diabetes mellitus in
pregnancy,
diet
controlled
O24414 Gestational diabetes
in pregnancy, insulin
761
765
765
O24419 controlled
Gestational diabetes mellitus in
control
O24420 pregnancy,
Gestational unsp
diabetes
mellitus in childbirth,
diet
controlled
O24424 Gestational diabetes in childbirth, insulin
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
O24429 controlled
Gestational diabetes mellitus in childbirth,
controldiabetes in the puerperium,
O24430 unsp
Gestational
controlled
O24434 diet
Gestational
diabetes in the puerperium,
760
VAGINAL DELIVERY
761
761
controlled
O24439 insulin
Gestational
diabetes in the puerperium,
unsp
control
O24811 Oth pre-existing diabetes in pregnancy,
trimester
O24812 first
Oth pre-existing
diabetes in pregnancy,
761
765
765
trimesterdiabetes in pregnancy,
O24813 second
Oth pre-existing
trimester diabetes in pregnancy,
O24819 third
Oth pre-existing
O2482 unsp
Othertrimester
pre-existing diabetes mellitus in
765
765
760
VAGINAL DELIVERY
childbirth
Other pre-existing diabetes mellitus in the
O24911 puerperium
Unspecified diabetes mellitus in
trimester
O24912 pregnancy,
Unspecified first
diabetes
mellitus in
761
765
765
trimester
O24913 pregnancy,
Unspecified second
diabetes
mellitus in
pregnancy,
third
trimester
O24919 Unsp diabetes mellitus in pregnancy,
765
O2433
O2483
765
O2492
unspecified
Unspecified trimester
diabetes mellitus in childbirth
760
VAGINAL DELIVERY
O2493
Unspecified diabetes mellitus in the

puerperium
761
Page 2543 of 6734

O2510
Malnutrition in pregnancy, unspecified

trimester
Malnutrition in pregnancy, first trimester
765
765
Malnutrition in pregnancy, second

trimester
Malnutrition in pregnancy, third trimester
765
765
O252
Malnutrition in childbirth
760
VAGINAL DELIVERY
O253
Malnutrition in the puerperium
761
Excessive weight gain in pregnancy,

unspecified
trimester
Excessive weight
gain in pregnancy, first
trimester
Excessive weight gain in pregnancy,
765
765
765
second
trimester
Excessive
weight gain in pregnancy, third
trimester
Low weight gain in pregnancy, unspecified
765
765
trimester
Low weight gain in pregnancy, first
trimester
Low weight gain in pregnancy, second
trimester
Low weight gain in pregnancy, third
trimester
Preg care for patient w recurrent preg loss,
765
765
765
765
unsp
trimester
Preg care
for patient w recurrent preg loss,
first
trimester
Preg care for patient w recur preg loss,
second
trimester
Preg care
for patient w recurrent preg loss,
765
765
765
third
trimester
Retained
uterin contracep dev in
pregnancy,
unspcontracep
trimester dev in
Retained uterin
pregnancy,
first contracep
trimester dev in
Retained uterin
765
765
765
765
O2640
pregnancy,
second
trimester
Retained uterin
contracep
dev in
pregnancy,
third trimester
Herpes gestationis,
765
O2641
Herpes gestationis, first trimester
765
O2642
Herpes gestationis, second trimester
765
O2643
Herpes gestationis, third trimester
765
O2650
Maternal hypotension syndrome,

unspecified
trimester syndrome, first
Maternal hypotension
trimester
Maternal hypotension syndrome, second
761
765
765
O2511
O2512
O2513
O2600
O2601
O2602
O2603
O2610
O2611
O2612
O2613
O2620
O2621
O2622
O2623
O2630
O2631
O2632
O2633
O2651
O2652
trimester
Page 2544 of 6734

O2653
Maternal hypotension syndrome, third

O26611 trimester
Liver and biliary tract disord in pregnancy,
O26612 first
Livertrimester
and biliary tract disord in preg,
765
765
765
trimester
O26613 second
Liver and
biliary tract disord in pregnancy,
third
trimester
O26619 Liver and biliary tract disord in pregnancy,
O2662 unsp
Liver trimester
and biliary tract disorders in
765
765
760
VAGINAL DELIVERY
O2663 childbirth
Liver and biliary tract disorders in the
O26711 puerperium
Sublux of symphysis (pubis) in pregnancy,
trimester
O26712 first
Sublux
of symphysis (pubis) in pregnancy,
761
765
765
trimester
O26713 second
Sublux of
symphysis (pubis) in pregnancy,
third
trimester
O26719 Sublux of symphysis (pubis) in pregnancy,
trimester
O2672 unsp
Subluxation
of symphysis (pubis) in
765
765
760
VAGINAL DELIVERY
O2673 childbirth
Subluxation of symphysis (pubis) in the
O26811 puerperium
Pregnancy related exhaustion and fatigue,
trimester
O26812 first
Pregnancy
related exhaustion and fatigue,
761
765
765
trimester
O26813 second
Pregnancy
related exhaustion and fatigue,
third
trimester
O26819 Pregnancy related exhaustion and fatigue,
trimester
O26821 unsp
Pregnancy
related peripheral neuritis, first
765
765
765
O26822 trimester
Pregnancy related peripheral neuritis,
trimester
O26823 second
Pregnancy
related peripheral neuritis, third
trimester
O26829 Pregnancy related peripheral neuritis,
765
765
765
trimester
O26831 unspecified
Pregnancy related
renal disease, first
O26832 trimester
Pregnancy related renal disease, second
O26833 trimester
Pregnancy related renal disease, third
765
765
765
O26839 trimester
Pregnancy related renal disease,
trimester
O26841 unspecified
Uterine size-date
discrepancy, first
trimester
O26842 Uterine size-date discrepancy, second
765
765
765
O26843 trimester
Uterine size-date discrepancy, third
O26849 trimester
Uterine size-date discrepancy, unspecified
trimester
765
765
Page 2545 of 6734

O26851 Spotting complicating pregnancy, first
O26852 trimester
Spotting complicating pregnancy, second
O26853 trimester
Spotting complicating pregnancy, third
765
765
765
O26859 trimester
Spotting complicating pregnancy,
trimester
O2686 unspecified
Pruritic urticarial
papules and plaques of
pregnancy
(PUPPP)
O26872 Cervical shortening, second trimester
765
765
765
O26873 Cervical shortening, third trimester
765
O26879 Cervical shortening, unspecified trimester
765
O26891 Oth pregnancy related conditions, first

O26892 trimester
Oth pregnancy related conditions, second
O26893 trimester
Oth pregnancy related conditions, third
O26899 trimester
Oth pregnancy related conditions,
765
765
765
O2690
O2691
O2692
O2693
O280
O281
O282
O283
O284
O285
O288
765
unspecified
trimester
Pregnancy related
conditions, unsp,
unspecified
trimester
Pregnancy related conditions, unspecified,
first
trimester
Pregnancy
related conditions, unspecified,
765
765
765
second
trimester
Pregnancy
related conditions, unspecified,
third
trimester
Abnormal hematolog finding on antenatal
765
765
screening
of mother finding on antenat
Abnormal biochemical
screening
of mother
Abnormal cytolog
finding on antenatal
765
765
screening
of mother finding on antenatal
Abnormal ultrasonic
screening
of mother
Abnormal radiolog
finding on antenatal
765
765
screening
of mother
Abn chromsoml
and genetic find on
antenat
screen of
motheron antenatal
Other abnormal
findings
765
765
screening
of mother
O289
Unsp abnormal
findings on antenatal
screening
of
mother
O29011 Aspirat pneumonitis due to anesth during
first
tri
O29012 preg,
Aspirat
pneumonitis
due to anesth during
765
765
765
second
tri
O29013 preg,
Aspirat
pneumonitis
preg,
third
tri
O29019 Aspirat pneumonitis due to anesth during
tri of lung due to anesth
O29021 preg,
Pressrunsp
collapse
765
765
765
during preg, first tri

Page 2546 of 6734

O29022 Pressr collapse of lung d/t anesth during
triof lung due to anesth
O29023 preg,
Pressrsecond
collapse
preg, third
tri due to anesth
O29029 during
Pressr collapse
of lung
765
765
765
preg, unsp
tri of anesth during
O29091 during
Oth pulmonary
comp
first trimester
O29092 preg,
Oth pulmonary
comp of anesth during
preg,
second
trimester
O29093 Oth pulmonary comp of anesth during
third trimester
O29099 preg,
Oth pulmonary
765
765
765
765
unsp
trimester
O29111 preg,
Cardiac
arrest
due to anesth during preg,
first
trimester
O29112 Cardiac arrest due to anesth during preg,
O29113 second
Cardiac trimester
arrest due to anesth during preg,
third
trimester
O29119 Cardiac arrest due to anesth during preg,
765
765
765
765
trimester
O29121 unsp
Cardiac
failure due to anesth during preg,
first
trimester
O29122 Cardiac failure due to anesth during preg,
O29123 second
Cardiac trimester
trimester
O29129 third
Cardiac
765
765
765
765
trimester
O29191 unsp
Oth cardiac
pregnancy,
first
trimester
O29192 Oth cardiac comp
of anesth during preg,
second
trimester
O29193 Oth cardiac comp of anesth during
765
765
765
O29199 pregnancy,
Oth cardiac third
comptrimester
of anesth during
pregnancy,
unsp
trimester
O29211 Cerebral anoxia due to anesth during preg,
trimester
O29212 first
Cerebral
anoxia due to anesth during preg,
765
765
765
O29213 second
Cerebraltrimester
trimester
O29219 third
Cerebral
unsp
trimester
O29291 Oth cnsl comp of anesth during
765
765
765
firstoftrimester
O29292 pregnancy,
Oth cnsl comp
anesth during
second
trimester
O29293 pregnancy,
Oth cnsl comp
of anesth
during
pregnancy,
third
trimester
O29299 Oth cnsl comp of anesthesia during
765
765
765
unsp
trimester
O293X1 pregnancy,
Toxic reaction
to local
anesth during preg,
first
trimester
O293X2 Toxic reaction to local anesth during preg,
second trimester
765
765
Page 2547 of 6734

O293X3 Toxic reaction to local anesth during preg,
O293X9 third
Toxic trimester
reaction to local anesth during preg,
unsp
trimester
O2940 Spinal and epidur anesth induce hdache
O2941
O2942
O2943
during
preg,
unsp anesth
tri
Spinal and
epidur
induce hdache
dur
preg,
first
tri
Spinal and epidur anesth induce hdache
dur
preg,
Spinal
andsecond
epidurtri
anesth induce hdache
765
765
765
765
765
765
tri and epidur anesth

O295X1 dur
Oth preg,
compthird
of spinal
preg,
triand epidur anesth
O295X2 during
Oth comp
of first
spinal
preg,
tri epidur anesth
O295X3 during
Oth comp
of second
spinal and
765
765
765
preg,
O295X9 during
Oth comp
of third
spinaltriand epidural anesth
preg,
unspintubation
tri
O2960 during
Failed or
difficult
for anesth dur
tri intubation for anesth dur
O2961 preg,
Fail orunsp
difficult
765
765
765
tri intubation for anesth dur

O2962 preg,
Fail orfirst
difficult
O2963 preg,
Fail orsecond
difficulttri
intubation for anesth dur
thirdof
trianesthesia during pregnancy,
O298X1 preg,
Oth comp
trimester
O298X2 first
Oth comp
of anesthesia during pregnancy,
765
765
765
765
trimester
O298X3 second
Oth comp
of anesthesia during pregnancy,
third
trimester
O298X9 Oth comp of anesthesia during pregnancy,
O2990 unsp
Unsp trimester
comp of anesthesia during
765
765
765
765
O2991
O2992
pregnancy,
Unsp comp
pregnancy,
Unsp comp
unsp
trimesterduring
of anesthesia
first
trimester during
of anesthesia
765
trimester
O2993 pregnancy,
Unsp comp second
of anesthesia
during
thirdnum
trimester
O30001 pregnancy,
Twin preg, unsp
plcnta & amnio sacs,
first
trimester
O30002 Twin preg, unsp num plcnta & amnio sacs,
765
765
765
trimester
O30003 second
Twin preg,
unsp num plcnta & amnio sacs,
trimester unsp num plcnta & amnio
O30009 third
Twin pregnancy,
unsp trimester
O30011 sacs,
Twin pregnancy,
765
765
765
765
765
first
O30012 monochorionic/monoamniotic,
Twin pregnancy,
trimester
second
Twin pregnancy,
trimester
monochorionic/monoamniotic, third
trimester
Page 2548 of 6734

O30019 Twin pregnancy,
Conjoined twin pregnancy, firstunsp
trimester
trimester
O30022 Conjoined twin pregnancy, second
O30023 trimester
Conjoined twin pregnancy, third trimester
765
765
765
765
O30029 Conjoined twin pregnancy, unspecified

O30031 trimester
Twin pregnancy,
765
765
765
765
765
O30032
O30033
O30039
O30041
monochorionic/diamniotic,
first trimester
Twin pregnancy,
second
Twin pregnancy,
trimester
third trimester
Twin pregnancy,
unsp trimester
Twin pregnancy, dichorionic/diamniotic,
765
O30042 first
Twin trimester
pregnancy, dichorionic/diamniotic,
trimesterdichorionic/diamniotic,
O30043 second
Twin pregnancy,
trimester dichorionic/diamniotic,
O30049 third
Twin pregnancy,
765
765
765
trimester
O30091 unsp
Twin preg,
unable to dtrm num plcnta &
sacs,
first trito dtrm num plcnta &
O30092 amnio
Twin preg,
unable
sacs,
2nd trito dtrm num plcnta &
O30093 amnio
Twin preg,
unable
sacs,
third tri
O30099 amnio
Twin preg,
unable
to dtrm num plcnta &
765
765
765
765
sacs, unsp
O30101 amnio
Triplet preg,
unsp tri
num plcnta & amnio
trimester
O30102 sacs,
Tripletfirst
preg,
unsp num plcnta & amnio
sacs,
second
trimester
O30103 Triplet preg, unsp
num plcnta & amnio
sacs,
third
trimester
O30109 Triplet preg, unsp num plcnta & amnio
765
765
765
765
O30111 sacs,
Tripletunsp
pregtrimester
w two or more monochorionic
firstwtri
O30112 fetuses,
Triplet preg
two or more monochorionic
fetuses,
second
trior more monochorionic
O30113 Triplet preg w two
765
765
765
third
O30119 fetuses,
Triplet preg
w tri
two or more monochorionic
unsp
O30121 fetuses,
Triplet preg
w tri
two or more monoamnio
fetuses,
first
tri
O30122 Triplet preg w two or more monoamnio
second
trior more monoamnio
O30123 fetuses,
Triplet preg
w two
765
765
765
765
third
O30129 fetuses,
Triplet preg
w tri
fetuses, unsp trimester
765
Page 2549 of 6734

O30191 Trp preg, unable to dtrm num plcnta &
sacs,
first to
tri dtrm num plcnta &
O30192 amnio
Trp preg,
unable
sacs,
second
tri num plcnta &
O30193 amnio
Trp preg,
unable
to dtrm
sacs,
thirdto
tridtrm num plcnta &
O30199 amnio
Trp preg,
unable
765
765
765
765
sacs,unsp
unspnum
tri plcnta & amnio
O30201 amnio
Quad preg,
O30202 sacs,
Quad first
preg,trimester
unsp num plcnta & amnio
sacs,
second
trimester
O30203 Quad preg, unsp
num plcnta & amnio
trimester
O30209 sacs,
Quad third
pregnancy,
unsp num plcnta &
765
765
765
765
sacs,wunsp
trimester
O30211 amnio
Quad preg
two or
more monochorionic
fetuses,
first
tri
O30212 Quad preg w two or more monochorionic
second
O30213 fetuses,
Quad preg
w twotrior more monochorionic
765
765
765
third
tri or more monochorionic
O30219 fetuses,
Quad preg
w two
unsp
tri or more monoamnio
O30221 fetuses,
Quad preg
w two
first
O30222 fetuses,
Quad preg
w trimester
second
O30223 fetuses,
Quad preg
w twotrimester
or more monoamnio
765
765
765
765
third
trimester
O30229 fetuses,
Quad preg
w two
or more monoamnio
fetuses,
unsp
trimester
O30291 Quad preg, unable to dtrm num plcnta &
sacs,unable
first tri to dtrm num plcnta &
O30292 amnio
Quad preg,
765
765
765
sacs,unable
2nd tri to dtrm num plcnta &
O30293 amnio
Quad preg,
sacs,unable
third trito dtrm num plcnta &
O30299 amnio
Quad preg,
sacs, unsp
O30801 amnio
Oth multiple
gest,tri
unsp num plcnta &
765
765
765
sacs, first
triunsp num plcnta &
O30802 amnio
Oth multiple
gest,
sacs, second
tri num plcnta &
O30803 amnio
Oth multiple
gest, unsp
sacs, third
O30809 amnio
Oth multiple
gest,tri
unsp num plcnta &
amnio
sacs,
unsp
tri
O30811 Oth mult gest w two or more
765
765
765
765
first tri
O30812 monochorionic
Oth mult gest wfetuses,
two or more
2nd tri
two or more
765
765
third tri
two or more
fetuses,
tri
Oth multiple gest
w twounsp
or more
monoamnio fetuses, first tri
765
765
Page 2550 of 6734

O30822 Oth mult gest w two or more monoamnio
second
triw two or more
O30823 fetuses,
Oth multiple
gest
765
765
third
O30829 monoamnio
Oth multiplefetuses,
gest w two
ortri
more
fetuses,
unsp
trinum plcnta &
O30891 monoamnio
Oth mult gest,
unab to
dtrm
sacs,
1stunab
tri to dtrm num plcnta &
O30892 amnio
Oth mult
gest,
sacs,
2nd
tri to dtrm num plcnta &
O30893 amnio
Oth mult
gest,
unab
765
765
765
765
sacs,
3rd tri to dtrm num plcnta &
O30899 amnio
Oth mult
gest,unab
sacs,
unsp triunspecified,
O3090 amnio
Multiple
gestation,
trimester
O3091 unspecified
Multiple gestation,
unspecified, first
765
765
765
O3092 trimester
Multiple gestation, unspecified, second
O3093 trimester
Multiple gestation, unspecified, third
O3100X0 trimester
Papyraceous fetus, unsp trimester, not
or fetus,
unsp unspecified trimester,
O3100X1 applicable
Papyraceous
765
765
765
765
1
O3100X2 fetus
Papyraceous
fetus, unspecified trimester,
2
O3100X3 fetus
Papyraceous
fetus
3
O3100X4 Papyraceous fetus, unspecified trimester,
4
O3100X5 fetus
Papyraceous
765
765
765
765
5
O3100X9 fetus
Papyraceous
fetus fetus, first trimester, not
O3101X0 other
Papyraceous
or fetus,
unsp first trimester, fetus 1
O3101X1 applicable
Papyraceous
765
765
765
O3101X2 Papyraceous fetus, first trimester, fetus 2
765
765
765
765
O3101X9 Papyraceous fetus, first trimester, other

O3102X0 fetus
Papyraceous fetus, second trimester, not
or fetus,
unsp second trimester, fetus
O3102X1 applicable
Papyraceous
765
765
765
O3102X2 1
Papyraceous fetus, second trimester, fetus
O3102X3 2
3
765
765
Page 2551 of 6734

O3102X4 Papyraceous fetus, second trimester, fetus
O3102X5 4
O3102X9 5
Papyraceous fetus, second trimester, other
O3103X0 fetus
Papyraceous fetus, third trimester, not
765
765
765
765
or fetus,
unsp third trimester, fetus 1
O3103X1 applicable
Papyraceous
765
O3103X2 Papyraceous fetus, third trimester, fetus 2
765
765
765
765
O3103X9 Papyraceous fetus, third trimester, other

O3110X0 fetus
Cont preg aft spon abort of one fts or
765
765
unspaft
tri,spon
unspabort of one fts or
O3110X1 more,
Cont preg
unspaft
tri,spon
fts1 abort of one fts or
O3110X2 more,
Cont preg
unspaft
tri,spon
O3110X3 more,
Cont preg
unspaft
tri,spon
O3110X4 more,
Cont preg
765
765
765
765
unspaft
tri,spon
O3110X5 more,
Cont preg
unspaft
tri,spon
fts5 abort of one fetus or
O3110X9 more,
Cont preg
unspaft
tri,spon
oth abort of one fts or
O3111X0 more,
Cont preg
first aft
tri,spon
O3111X1 more,
Cont preg
765
765
765
765
first aft
tri,spon
O3111X2 more,
Cont preg
first aft
tri,spon
O3111X3 more,
Cont preg
first aft
tri,spon
O3111X4 more,
Cont preg
first aft
tri,spon
O3111X5 more,
Cont preg
765
765
765
765
first aft
tri,spon
O3111X9 more,
Cont preg
first aft
tri,spon
oth abort of one fetus or
O3112X0 more,
Cont preg
2nd aft
tri, spon
unspabort of one fetus or
O3112X1 more,
Cont preg
2nd aft
tri, spon
O3112X2 more,
Cont preg
765
765
765
765
2nd aft
tri, spon
O3112X3 more,
Cont preg
2nd aft
tri, spon
O3112X4 more,
Cont preg
more, 2nd tri, fts4
765
765
Page 2552 of 6734

O3112X5 Cont preg aft spon abort of one fetus or
2nd aft
tri, spon
O3112X9 more,
Cont preg
2nd aft
tri, spon
oth abort of one fts or
O3113X0 more,
Cont preg
thirdaft
tri,spon
O3113X1 more,
Cont preg
765
765
765
765
thirdaft
tri,spon
O3113X2 more,
Cont preg
thirdaft
tri,spon
O3113X3 more,
Cont preg
thirdaft
tri,spon
O3113X4 more,
Cont preg
thirdaft
tri,spon
O3113X5 more,
Cont preg
765
765
765
765
thirdaft
tri,spon
O3113X9 more,
Cont preg
thirdaft
tri,uterin
oth dth of one fts or more,
O3120X0 more,
Cont preg
tri, unsp
O3120X1 unsp
Cont preg
aft uterin dth of one fts or more,
765
765
765
tri, fts1
O3120X2 unsp
Cont preg
aft uterin dth of one fts
unsp
tri,
fts2
O3120X3 Cont preg aft uterin dth of one fts
tri, fts3
O3120X4 unsp
Cont preg
tri, fts4
O3120X5 unsp
Cont preg
or more,
765
or more,
765
or more,
765
or more,
unsp
tri,
fts5
O3120X9 Cont preg aft uterin dth of one fetus or
unspaft
tri,uterin
O3121X0 more,
Cont preg
unsp
O3121X1 first
Conttri,
preg
fts1
O3121X2 first
Conttri,
preg
765
765
765
765
765
fts2
O3121X3 first
Conttri,
preg
first
tri,
fts3
O3121X4 Cont preg aft uterin dth of one fts
fts4
O3121X5 first
Conttri,
preg
fts5
O3121X9 first
Conttri,
preg
or more,
765
or more,
765
or more,
765
or more,
first
tri,
oth
2nd aft
tri, uterin
unsp dth of one fetus or
O3122X1 more,
Cont preg
2nd aft
tri, uterin
fts1 dth of one fetus or
O3122X2 more,
Cont preg
2nd aft
tri, uterin
O3122X3 more,
Cont preg
765
765
765
765
765
2nd aft
tri, uterin
O3122X4 more,
Cont preg
2nd aft
tri, uterin
O3122X5 more,
Cont preg
more, 2nd tri, fts5
765
765
Page 2553 of 6734

2nd aft
tri, uterin
O3123X0 more,
Cont preg
unsp
O3123X1 third
Cont tri,
preg
fts1
O3123X2 third
Cont tri,
preg
765
765
765
765
O3123X3 third
Cont
O3123X4 third
Cont
O3123X5 third
Cont
tri,
fts2
preg
tri,
fts3
preg aft uterin dth of one fts or more,
tri,
fts4
preg
fts5
O3123X9 third
Cont tri,
preg
third
tri,
oth
O3130X0 Cont preg aft elctv fetl rdct of 1 fts or
765
765
765
765
765
tri,unsp
O3130X1 more,unsp
Cont preg aft
elctv fetl rdct of 1 fts or
more,unsp
tri,fts1
tri,fts2
O3130X3 more,unsp
Cont preg aft
more,unsp
tri,fts3
765
765
765
765
tri,fts4
O3130X5 more,unsp
Cont preg aft
elctv fetl rdct of 1 fts
tri,fts5
O3130X9 more,unsp
Cont preg aft
more,unsp
tri,
oth fetl rdct of 1 fts
O3131X0 Cont preg aft elctv
O3131X1 more,1st
Cont pregtri,
aftunsp
or
765
or
765
or
765
or
765
O3131X2 more,1st
Cont pregtri,
aftfts1
O3131X3 more,1st
Cont pregtri,
aftfts2
more,1st
tri,
fts3
O3131X4 Cont preg aft elctv fetl rdct of 1 fts
O3131X5 more,1st
Cont pregtri,
aftfts4
or
765
or
765
or
765
or
765
O3131X9 more,1st
Cont pregtri,
aftfts5
1st tri,
O3132X0 more,
Cont preg
aft oth
more,2nd
tri,
unsp
O3132X2 more,2nd
Cont preg tri,
aft fts1
or
765
or
765
or
765
or
765
O3132X3 more,2nd
Cont preg tri,
aft fts2
more,2nd
tri,
fts3
O3132X5 more,2nd
Cont preg tri,
aft fts4
more,2nd
tri,
fts5
or
765
or
765
or
765
or
765
more, 2nd tri, oth

Page 2554 of 6734

O3133X1 more,3rd
Cont pregtri,
aftunsp
more,3rd
tri,
fts1
O3133X3 more,3rd
Cont pregtri,
aftfts2
or
765
or
765
or
765
or
more,3rd
tri,
fts3
O3133X5 more,3rd
Cont pregtri,
aftfts4
more,3rd
tri,
fts5
3rd tri,
oth to multiple gest, first
O318X10 more,
Oth comp
specific
765
765
765
765
765
unsp
O318X11 trimester,
Oth comp specific
to multiple gest, first
trimester,
fetus
1
O318X12 Oth comp specific to multiple gest, first
fetus 2 to multiple gest, first
O318X13 trimester,
Oth comp specific
O318X14 trimester,
Oth comp specific
765
765
765
765

O318X15 trimester,
Oth comp specific
O318X19 trimester,
Oth comp specific
oth
O318X20 trimester,
Oth comp specific
to multiple gest, second
trimester,
unsp
O318X21 Oth comp specific to multiple gest, second
765
765
765
765
O318X22 tri,
Othfetus
comp1specific to multiple gest, second
O318X23 tri,
Othfetus
O318X24 tri,
Othfetus
O318X25 tri,
Othfetus
765
765
765
765
O318X29 tri,
Othfetus
oth
O318X30 trimester,
Oth comp specific
to multiple gest, third
unsp
O318X31 trimester,
Oth comp specific
to multiple gest, third
trimester,
fetus
1
O318X32 Oth comp specific to multiple gest, third
765
765
765
765
fetus 2 to multiple gest, third

O318X33 trimester,
Oth comp specific
O318X34 trimester,
Oth comp specific
O318X35 trimester,
Oth comp specific
O318X39 trimester,
Oth comp specific
765
765
765
765
oth
O318X90 trimester,
Oth comp specific
to multiple gest, unsp
trimester, unsp
765
Page 2555 of 6734

O318X91 Oth comp specific to multiple gest, unsp
fetus 1 to multiple gest, unsp
O318X92 trimester,
Oth comp specific
O318X93 trimester,
Oth comp specific
O318X94 trimester,
Oth comp specific
765
765
765
765

O318X95 trimester,
Oth comp specific
fetus 5 to multiple gestation,
O318X99 trimester,
Oth comp specific
trimester,
oth
O320XX0 unsp
Maternal
care for
unstable lie, not
765
765
765
or unsp
O320XX1 applicable
Maternal care
for unstable lie, fetus 1
765
O320XX2 Maternal care for unstable lie, fetus 2
765
765
765
765
O320XX9 Maternal care for unstable lie, other fetus
765
O321XX0 Maternal care for breech presentation,

O321XX1 unsp
Maternal care for breech presentation,
1 care for breech presentation,
O321XX2 fetus
Maternal
O321XX3 fetus
Maternal
765
765
765
765

O321XX4 fetus
Maternal
O321XX5 fetus
Maternal
O321XX9 fetus
Maternal
fetus
O322XX0 other
Maternal
care for transverse and oblique
765
765
765
765
unsp care for transverse and oblique

O322XX1 lie,
Maternal
fetus 1
O322XX2 lie,
Maternal
lie,
fetus
2
O322XX3 Maternal care for transverse and oblique
fetus 3
O322XX4 lie,
Maternal
765
765
765
765
fetus 4
O322XX5 lie,
Maternal
lie,
fetus
5
O322XX9 Maternal care for transverse and oblique
other care
fetusfor face, brow and chin
O323XX0 lie,
Maternal
765
765
765
O323XX1 presentation,
Maternal care unsp
for face, brow and chin
presentation, fetus 1
765
Page 2556 of 6734

O323XX2 Maternal care for face, brow and chin
2 brow and chin
Maternal care fetus
for face,
3 brow and chin
Maternal care fetus
for face,
4 brow and chin
Maternal care fetus
for face,
765
765
765
765
5 brow and chin

Maternal care fetus
for face,
Maternal care oth
for high head at term, not
applicable
or
unsp
O324XX1 Maternal care for high head at term, fetus
765
765
765
O324XX2 1
Maternal care for high head at
O324XX3 2
O324XX4 3
O324XX5 4
term, fetus
765
term, fetus
765
term, fetus
765
term, fetus
765
O324XX9 5
Maternal care for high head at term, other
O326XX0 fetus
Maternal care for compound presentation,
O326XX1 unsp
Maternal care for compound presentation,
1 care for compound presentation,
O326XX2 fetus
Maternal
765
765
765
765

O326XX3 fetus
Maternal
O326XX4 fetus
Maternal
O326XX5 fetus
Maternal
O326XX9 fetus
Maternal
765
765
765
765
fetus
O328XX0 other
Maternal
care for oth malpresentation of
fetus,
unsp
O328XX1 Maternal care for other malpresentation of
fetus
1 for other malpresentation of
O328XX2 fetus,
Maternal
care
765
765
765
fetus
O328XX3 fetus,
Maternal
care
fetus
O328XX4 fetus,
Maternal
care
fetus
O328XX5 fetus,
Maternal
care
fetus
5 for oth malpresentation of
O328XX9 fetus,
Maternal
care
765
765
765
765
other
fetus
O329XX0 fetus,
Maternal
care
for malpresentation of fetus,
unsp,
unsp
O329XX1 Maternal care for malpresentation of fetus,
fetus
1 for malpresentation of fetus,
O329XX2 unsp,
Maternal
care
765
765
765
unsp, fetus 2
Page 2557 of 6734

O329XX3 Maternal care for malpresentation of fetus,
fetus
O329XX4 unsp,
Maternal
care
fetus
O329XX5 unsp,
Maternal
care
fetus
O329XX9 unsp,
Maternal
care
765
765
765
765
unsp,
fetus
Maternoth
care
for disproprtn d/t deformity of
matern
pelv
bone
Matern care for
disproprtn d/t generally
contracted
pelvis
Maternal care for disproprtn due to inlet
765
765
765
of pelvis
O333XX0 contrctn
Matern care
for disproprtn d/t outlet
contrctn
of
pelv,
unsp
O333XX1 Matern care for disproprtn
d/t outlet
contrctn
of
pelv,
fts1
O333XX2 Matern care for disproprtn d/t outlet
765
765
765
of pelv,
fts2
O333XX3 contrctn
Matern care
for disproprtn
d/t outlet
of pelv,
fts3
O333XX4 contrctn
Matern care
for disproprtn
d/t outlet
contrctn
of
pelv,
fts4
O333XX5 Matern care for disproprtn d/t outlet
765
765
765
of pelv,
fts5
O333XX9 contrctn
Matern care
for disproprtn
d/t outlet
of pelv,
oth
O334XX0 contrctn
Matern care
for disproprtn
of mix matern &
fetl
origin,
unsp
O334XX1 Matern care for disproprtn of mix matern &
origin,
fts1
O334XX2 fetl
Matern
care
for disproprtn of mix matern &
765
765
765
765
origin,
fts2
O334XX3 fetl
Matern
care
origin,
fts3
O334XX4 fetl
Matern
care
fetl
origin,
fts4
O334XX5 Matern care for disproprtn of mix matern &
origin,
fts5
O334XX9 fetl
Matern
care
765
765
765
765
origin,
oth
O335XX0 fetl
Matern
care
for disproprtn d/t unusually
fetus,
O335XX1 large
Matern
careunsp
large
fetus,
fts1
O335XX2 Matern care for disproprtn d/t unusually
765
765
765
fetus,
O335XX3 large
Matern
carefts2
fetus,
O335XX4 large
Matern
carefts3
large
fetus,
fts4
O335XX5 Matern care for disproprtn d/t unusually
765
765
765
fetus,
O335XX9 large
Matern
carefts5
for disproprtn due to
unusually
large
fetus, oth due to
O336XX0 Matern care for disproprtn
hydrocephalic fetus, unsp
765
765
O330
O331
O332
Page 2558 of 6734

O336XX1 Matern care for disproprtn due to
fts1 due to
O336XX2 hydrocephalic
Matern care forfetus,
disproprtn
fts2 due to
disproprtn
765
765
765
fts3 due to
disproprtn
fts4 due to
disproprtn
fetus,
fts5
Maternal care for
disproprtn
due to
765
765
O337
O338
O339
O3400
O3401
O3402
O3403
O3410
O3411
O3412
O3413
O3421
O3429
O3430
O3431
O3432
O3433
765
hydrocephalic
fetus,
oth
Maternal care for
disproportion
due to oth
fetal
deformities
Maternal
care for disproportion of other
origin
Maternal care for disproportion,
765
765
765
unspecified
Maternal care for unsp congen malform of
uterus,
unsp
Maternal
caretrifor unsp congen malform of
uterus,
first
trifor unsp congen malform of
Maternal
care
uterus,
second
tri unsp congen malform of
Maternal
care for
761
765
765
765
uterus,
third
Maternal
caretrifor benign tumor of corpus
uteri,
unsp
tri for benign tumor of corpus
Maternal
care
uteri,
firstcare
tri for benign tumor of corpus
Maternal
uteri,
second
Maternal
caretri
for benign tumor of corpus
761
765
765
765
uteri,
third
tri for scar from previous
Maternal
care
cesarean
delivery
Maternal care
due to uterine scar from oth
previous
surgery
Maternal care for cervical incompetence,
765
765
761
unsp
trimester
Maternal
care for cervical incompetence,
first
trimester
Maternal care for cervical incompetence,
second
trimester
Maternal
care for cervical incompetence,
765
765
765
761
765
765
765
765
765
trimester
O3440 third
Maternal
care for oth abnlt of cervix, unsp
trimester
O3441 Maternal care for oth abnlt of cervix, first
O3442 trimester
Maternal care for oth abnlt of cervix,
trimester
O3443 second
Maternal
care for oth abnlt of cervix, third
trimester
O34511 Maternal care for incarceration of gravid
first
trifor incarceration of gravid
O34512 uterus,
Maternal
care
uterus, second tri
Page 2559 of 6734

O34513 Maternal care for incarceration of gravid
third
O34519 uterus,
Maternal
caretrifor incarceration of gravid
unsp
O34521 uterus,
Maternal
caretrifor prolapse of gravid
765
761
765
first
trimester
O34522 uterus,
Maternal
care
for prolapse of gravid
uterus,
second
tri prolapse of gravid
O34523 Maternal care for
third
O34529 uterus,
Maternal
caretrimester
for prolapse of gravid
765
765
761
unsp
O34531 uterus,
Maternal
caretrimester
for retroversion of gravid
first
trifor retroversion of gravid
O34532 uterus,
Maternal
care
second
tri retroversion of gravid
O34533 uterus,
Maternal
care for
765
765
765
third
O34539 uterus,
Maternal
caretrifor retroversion of gravid
unsp
O34591 uterus,
Maternal
caretrifor oth abnlt of gravid
first
trifor oth abnlt of gravid
O34592 uterus,
Maternal
care
761
765
765
second
tri oth abnlt of gravid
O34593 uterus,
Maternal
care for
third
O34599 uterus,
Maternal
caretrifor oth abnlt of gravid
unsp
O3460 uterus,
Maternal
caretrimester
for abnormality of vagina,
765
761
761
unsp
trimester
Maternal
care for abnormality of vagina,
first
trimester
Maternal care for abnormality of vagina,
second
trimester
Maternal
care for abnormality of vagina,
third
trimester
Maternal
care for abnlt of vulva and
765
765
765
761
perineum,
unsp
Maternal care
fortriabnlt of vulva and
perineum,
firstfor
tri abnlt of vulva and
Maternal care
perineum,
second
tri of vulva and
Maternal care
for abnlt
perineum,
third
Maternal care
fortrioth abnlt of pelvic
765
765
765
761
organs,
Maternalunsp
caretrimester
for oth abnlt of pelvic
organs,
first
tri
Maternal care for oth abnlt of pelvic
organs,
trioth abnlt of pelvic
Maternalsecond
care for
765
765
765
organs,
Maternalthird
caretri
for abnlt of pelvic organ,
unsp,
unsp
tri
Maternal care for abnlt of pelvic organ,
unsp,
firstcare
tri for abnlt of pelvic organ,
Maternal
unsp, second tri
761
765
765
O3461
O3462
O3463
O3470
O3471
O3472
O3473
O3480
O3481
O3482
O3483
O3490
O3491
O3492
Page 2560 of 6734

O3493
Maternal care for abnlt of pelvic organ,

third
tri for (suspected) cnsl malform
O350XX0 unsp,
Maternal
care
fetus, unsp
O350XX1 in
Maternal
care for (suspected) cnsl malform
765
765
765
fetus, fetus
1 (suspected) cnsl malform
O350XX2 in
Maternal
care for
fetus, fetus
O350XX3 in
Maternal
care for
fetus, fetus
O350XX4 in
Maternal
care for
fetus, fetus
O350XX5 in
Maternal
care for
765
765
765
765
fetus, fetus
O350XX9 in
Maternal
care for
fetus, oth
O351XX0 in
Maternal
care for chromosomal
abnormality
infor
fetus,
unsp
O351XX1 Maternal care
chromosomal
765
765
765
infor
fetus,
fetus 1
O351XX2 abnormality
Maternal care
chromosomal
infor
fetus,
fetus 2
O351XX3 abnormality
Maternal care
chromosomal
infor
fetus,
fetus 3
O351XX4 abnormality
Maternal care
chromosomal
765
765
765
infor
fetus,
fetus 4
O351XX5 abnormality
Maternal care
chromosomal
infor
fetus,
fetus 5
O351XX9 abnormality
Maternal care
chromosomal
infor
fetus,
oth
O352XX0 abnormality
Maternal care
hereditary
disease in
fetus,
unsp
O352XX1 Maternal care for hereditary disease in
765
765
765
765
fetus
1 for hereditary disease in
O352XX2 fetus,
Maternal
care
fetus
O352XX3 fetus,
Maternal
care
fetus
O352XX4 fetus,
Maternal
care
fetus
O352XX5 fetus,
Maternal
care
765
765
765
765
fetus
O352XX9 fetus,
Maternal
care
O353XX0 fetus,
Maternoth
care for damag to fts from viral dis
in
mother,
O353XX1 Matern careunsp
for damag to fts from viral dis
765
765
765
mother,
O353XX2 in
Matern
carefts1
for damag to fts from viral
mother,
O353XX3 in
Matern
carefts2
in
mother,
fts3
O353XX4 Matern care for damag to fts from viral
mother,
O353XX5 in
Matern
carefts4
dis
765
dis
765
dis
765
dis
in
mother,
fts5
O353XX9 Matern care for damag to fetus from viral
dis in mother, oth
765
765
Page 2561 of 6734

O354XX0 Maternal care for damage to fetus from
O354XX1 alcohol,
Maternalunsp
care for damage to fetus from
alcohol,
fetus
O354XX2 Maternal care 1for damage to fetus from
O354XX3 alcohol,
Maternalfetus
care 2for damage to fetus from
765
765
765
765
O354XX4 alcohol,
Maternalfetus
O354XX5 alcohol,
Maternalfetus
O354XX9 alcohol,
Maternalfetus
O355XX0 alcohol,
Maternaloth
care for (suspected) damage to
765
765
765
765
by drugs,
unsp
O355XX1 fetus
Maternal
care for
damage to fetus by
drugs,
fetus
1
O355XX2 Maternal care for damage to fetus by
fetus
2 for damage to fetus by
O355XX3 drugs,
Maternal
care
fetus
O355XX4 drugs,
Maternal
care
765
765
765
765
fetus
O355XX5 drugs,
Maternal
care
fetus
5 for (suspected) damage to
O355XX9 drugs,
Maternal
care
by drugs,
oth
O356XX0 fetus
Maternal
care for
damage to fetus by
765
765
765
unspfor damage to fetus by

O356XX1 radiation,
Maternal care
fetusfor
1 damage to fetus by
O356XX2 radiation,
Maternal care
fetusfor
O356XX3 radiation,
Maternal care
fetusfor
O356XX4 radiation,
Maternal care
765
765
765
765
fetusfor
O356XX5 radiation,
Maternal care
fetusfor
O356XX9 radiation,
Maternal care
oth for damage to fetus by oth
O357XX0 radiation,
Maternal care
proc,for
unsp
O357XX1 medical
Matern care
damage to fetus by oth
765
765
765
765
proc,for
fetus
1
O357XX2 medical
Matern care
damage
to fetus by oth
medical
proc,
fetus
2
O357XX3 Matern care for damage to fetus by oth
proc,for
fetus
3
O357XX4 medical
Matern care
damage
to fetus by oth
medical
proc,
fetus
4
O357XX5 Matern care for damage to fetus by oth
765
765
765
765
5
O357XX9 medical
Maternalproc,
care fetus
for damage
to fetus by oth
medical
proc,
oth
O358XX0 Maternal care for oth fetal abnormality and
damage, unsp
765
765
Page 2562 of 6734

O358XX1 Maternal care for oth fetal abnormality and
1 oth fetal abnormality and
O358XX2 damage,
Maternal fetus
care for
O358XX3 damage,
Maternal fetus
care for
O358XX4 damage,
Maternal fetus
care for
765
765
765
765
O358XX5 damage,
Maternal
O358XX9 damage,
Maternal
O359XX0 damage,
Maternal
765
765
765
unsp
O359XX1 damage,
Maternal unsp,
care for
fetal abnlt and damage,
unsp,
fetus
1
O359XX2 Maternal care for fetal abnlt and damage,
fetus
2 for fetal abnlt and damage,
O359XX3 unsp,
Maternal
care
fetus
O359XX4 unsp,
Maternal
care
765
765
765
765
fetus
O359XX5 unsp,
Maternal
care
fetus
5 for fetal abnormality and
O359XX9 unsp,
Maternal
care
oth
O360110 damage,
Maternal unsp,
care for
anti-D antibodies, first
765
765
765
unspfor anti-D antibodies, first

O360111 trimester,
Maternal care
fetus 1care for anti-D antibodies, first
O360112 tri,
Maternal
O360113 tri,
Maternal
O360114 tri,
Maternal
765
765
765
765

O360115 tri,
Maternal
O360119 tri,
Maternal
oth for anti-D antibodies,
O360120 trimester,
Maternal care
trimester,
unsp antibodies,
O360121 second
Maternal
care for anti-D
765
765
765
765
tri,
fetus
O360122 second
Maternal
care
for1anti-D antibodies,
tri,
fetus
O360123 second
Maternal
care
tri,
fetus
O360124 second
Maternal
care
765
765
765
tri,
fetus
O360125 second
Maternal
care
tri,
fetus
O360129 second
Maternal
care
trimester,
oth antibodies, third
O360130 second
Maternal
care for anti-D
unspfor anti-D antibodies, third
O360131 trimester,
Maternal care
765
765
765
765
fetus
care for
fetus
care for
oth
care for fetal abnormality and
tri, fetus 1
Page 2563 of 6734

O360132 Maternal care for anti-D antibodies, third
fetus 2care for anti-D antibodies, third
O360133 tri,
Maternal
O360134 tri,
Maternal
O360135 tri,
Maternal
765
765
765
765

O360139 tri,
Maternal
oth for anti-D antibodies, unsp
O360190 trimester,
Maternal care
unspfor anti-D antibodies, unsp
O360191 trimester,
Maternal care
fetus
O360192 trimester,
Maternal care
for1 anti-D antibodies, unsp
765
765
765
765
fetus
O360193 trimester,
Maternal care
fetus
O360194 trimester,
Maternal care
fetus
O360195 trimester,
Maternal care
765
765
765
fetus
O360199 trimester,
Maternal care
oth for oth rhesus isoimmun,
O360910 trimester,
Maternal care
765
765
trimester,
unsp
O360911 first
Maternal
care for
oth rhesus isoimmun,
tri, fetus
O360912 first
Maternal
care1for oth rhesus isoimmun,
tri, fetus
O360913 first
Maternal
765
765
765
tri, fetus
O360914 first
Maternal
tri, fetus
O360915 first
Maternal
tri, fetus
O360919 first
Maternal
trimester,
othoth rhesus isoimmun,
O360920 first
Maternal
care for
765
765
765
765
tri,
unsp
O360921 second
Maternal
care
for oth rhesus isoimmun,
second
tri,
fetus
O360922 Maternal care for1oth rhesus isoimmun,
tri,
fetus
O360923 second
Maternal
care
for2oth rhesus isoimmun,
765
765
765
tri,
fetus
O360924 second
Maternal
care
tri,
fetus
O360925 second
Maternal
care
tri,
fetus
O360929 second
Maternal
care
765
765
765
trimester,
O360930 second
Maternal
care for oth
trimester,
unsp
O360931 third
Maternal
care for
third
tri,
fetus
1
O360932 Maternal care for oth rhesus isoimmun,
765
765
765
third tri, fetus 2

Page 2564 of 6734

tri, fetus
3 oth rhesus isoimmun,
O360934 third
Maternal
care for
tri, fetus
O360935 third
Maternal
care for
tri, fetus
O360939 third
Maternal
care for
765
765
765
765
trimester,
oth
O360990 third
Maternal
care for
unsp
trimester,
unsp
tri, fetus
O360992 unsp
Maternal
care for
765
765
765
tri, fetus
O360993 unsp
Maternal
care for
tri, fetus
O360994 unsp
Maternal
care for
tri, fetus
O360995 unsp
Maternal
care for
tri, fetus
O360999 unsp
Maternal
care for
765
765
765
765
trimester,
oth
O361110 unsp
Maternal
care for
Anti-A sensitization, first
tri,
unsp
O361111 Maternal care for Anti-A sensitization, first
fetus 1care for Anti-A sensitization, first
O361112 tri,
Maternal
765
765
765

O361113 tri,
Maternal
O361114 tri,
Maternal
O361115 tri,
Maternal
O361119 tri,
Maternal
765
765
765
765
oth for Anti-A sensitization,

O361120 trimester,
Maternal care
tri,
unsp
O361121 second
Maternal
care
for Anti-A sensitization,
second
tri,
fetus
O361122 Maternal care for1Anti-A sensitization,
765
765
765
tri,
fetus
O361123 second
Maternal
care
for2Anti-A sensitization,
tri,
fetus
O361124 second
Maternal
care
tri,
fetus
O361125 second
Maternal
care
765
765
765
tri,
fetus
O361129 second
Maternal
care
tri,
othfor Anti-A sensitization, third
O361130 second
Maternal
care
unsp care for Anti-A sensitization, third
O361131 tri,
Maternal
765
765
765
fetus 1care for Anti-A sensitization, third

O361132 tri,
Maternal
O361133 tri,
Maternal
tri, fetus 3
765
765
Page 2565 of 6734

O361134 Maternal care for Anti-A sensitization, third
O361135 tri,
Maternal
O361139 tri,
Maternal
oth for Anti-A sensitization, unsp
O361190 trimester,
Maternal care
765
765
765
765
unspfor Anti-A sensitization, unsp

O361191 trimester,
Maternal care
fetus 1care for Anti-A sensitization, unsp
O361192 tri,
Maternal
O361193 tri,
Maternal
O361194 tri,
Maternal
765
765
765
765

O361195 tri,
Maternal
O361199 tri,
Maternal
oth for oth isoimmunization,
O361910 trimester,
Maternal care
765
765
765
trimester,
unsp
O361911 first
Maternal
care for
oth isoimmun, first
trimester,
fetus
1
O361912 Maternal care for oth isoimmun, first
fetus
O361913 trimester,
Maternal care
for2 oth isoimmun, first
765
765
765
fetus
O361914 trimester,
Maternal care
fetus
O361915 trimester,
Maternal care
fetus
O361919 trimester,
Maternal care
for5 oth isoimmunization,
765
765
765
trimester,
othoth isoimmun, second
O361920 first
Maternal
care for
unspfor oth isoimmun, second
O361921 trimester,
Maternal care
fetus
O361922 trimester,
Maternal care
for1 oth isoimmun, second
765
765
765
fetus
O361923 trimester,
Maternal care
fetus
O361924 trimester,
Maternal care
fetus
O361925 trimester,
Maternal care
765
765
765
fetus
O361929 trimester,
Maternal care
trimester,
oth isoimmunization,
O361930 second
Maternal
care for oth
trimester,
unsp
O361931 third
Maternal
care for
oth isoimmun, third
765
765
765
fetus
O361932 trimester,
Maternal care
for1 oth isoimmun, third
fetus
O361933 trimester,
Maternal care
fetus
O361934 trimester,
Maternal care
765
765
765
trimester, fetus 4
Page 2566 of 6734

O361935 Maternal care for oth isoimmun, third
fetus
O361939 trimester,
Maternal care
trimester,
oth
O361990 third
Maternal
care for
oth isoimmunization,
765
765
765
trimester,
unsp
O361991 unsp
Maternal
care for
oth isoimmun, unsp
trimester,
fetus
1
O361992 Maternal care for oth isoimmun, unsp
fetus
O361993 trimester,
Maternal care
for2 oth isoimmun, unsp
765
765
765
fetus
O361994 trimester,
Maternal care
fetus
O361995 trimester,
Maternal care
fetus
O361999 trimester,
Maternal care
765
765
765
trimester,
oth
O3620X0 unsp
Maternal
care for
hydrops fetalis, unsp
trimester,
unsp
O3620X1 Maternal care for hydrops fetalis, unsp
fetus
O3620X2 trimester,
Maternal care
for1 hydrops fetalis, unsp
765
765
765
fetus
O3620X3 trimester,
Maternal care
fetus
O3620X4 trimester,
Maternal care
fetus
O3620X5 trimester,
Maternal care
765
765
765
fetus
O3620X9 trimester,
Maternal care
oth for
fetus
O3621X0 trimester,
Maternal care
hydrops fetalis, first
trimester,
unsp
O3621X1 Maternal care for hydrops fetalis, first
765
765
765
fetus
O3621X2 trimester,
Maternal care
for1 hydrops fetalis, first
fetus
O3621X3 trimester,
Maternal care
fetus
O3621X4 trimester,
Maternal care
765
765
765
fetus
O3621X5 trimester,
Maternal care
fetus
O3621X9 trimester,
Maternal care
oth for hydrops fetalis, second
O3622X0 trimester,
Maternal care
765
765
765
unspfor hydrops fetalis, second

O3622X1 trimester,
Maternal care
fetus
O3622X2 trimester,
Maternal care
for1 hydrops fetalis, second
fetus
O3622X3 trimester,
Maternal care
765
765
765
fetus
O3622X4 trimester,
Maternal care
fetus
O3622X5 trimester,
Maternal care
trimester, fetus 5
765
765
Page 2567 of 6734

O3622X9 Maternal care for hydrops fetalis, second
oth for hydrops fetalis, third
O3623X0 trimester,
Maternal care
unspfor hydrops fetalis, third
O3623X1 trimester,
Maternal care
fetus
O3623X2 trimester,
Maternal care
for1 hydrops fetalis, third
765
765
765
765
fetus
O3623X3 trimester,
Maternal care
fetus
O3623X4 trimester,
Maternal care
fetus
O3623X5 trimester,
Maternal care
765
765
765
fetus
O3623X9 trimester,
Maternal care
oth for intrauterine death, not
O364XX0 trimester,
Maternal care
765
765
or unsp
O364XX1 applicable
Maternal care
for intrauterine death, fetus
1
O364XX2 Maternal care for intrauterine death, fetus
O364XX3 2
Maternal care for intrauterine death, fetus
765
765
765
O364XX4 3
O364XX5 4
O364XX9 5
Maternal care for intrauterine death, other
O365110 fetus
Matern care for known or susp placntl
765
765
765
765
tri,for
unsp
O365111 insuff,
Matern1st
care
known or susp placntl
insuff,
1st
tri,
fts1
O365112 Matern care for known or susp placntl
tri,for
fts2
O365113 insuff,
Matern1st
care
insuff,
1st
tri,
fts3
765
765
765
765
tri,for
fts4
O365115 insuff,
Matern1st
care
insuff,
1st
tri,
fts5
O365120 insuff,
Maternfirst
caretri,
foroth
insuff,
2nd
tri,
unsp
765
765
765
765
O365122 insuff,
Matern2nd
caretri,
forfts1
O365123 insuff,
Matern2nd
caretri,
forfts2
insuff,
2nd
tri,
fts3
O365125 insuff,
Matern2nd
caretri,
forfts4
765
765
765
765
O365129 insuff,
Matern2nd
caretri,
forfts5
insuff, 2nd tri, oth
765
Page 2568 of 6734

O365130 Matern care for or susp placntl insuff,
unspcare for or susp placntl insuff,
O365131 tri,
Matern
fts1 care for or susp placntl insuff,
O365132 tri,
Matern
fts2 care for or susp placntl insuff,
O365133 tri,
Matern
third
765
third
765
third
765
third
tri,
fts3
O365134 Matern care for or susp placntl insuff, third
fts4 care for or susp placntl insuff, third
O365135 tri,
Matern
fts5 care for known or susp placntl
O365139 tri,
Matern
765
765
765
765
O365190 insuff,
Maternthird
care tri,
for oth
insuff,
unsp
tri,
unsp
O365192 insuff,
Maternunsp
care tri,
for fts1
insuff,
unsp
tri,
fts2
765
765
765
765
O365194 insuff,
Maternunsp
care tri,
for fts3
insuff,
unsp
tri,
fts4
O365199 insuff,
Maternunsp
care tri,
for fts5
O365910 insuff,
Maternunsp
care tri,
for oth
oth or susp poor fetl grth,
765
765
765
765
tri, unsp
O365911 1st
Matern
care for oth or susp poor fetl
1st
tri,
fts1
O365912 Matern care for oth or susp poor fetl
tri, fts2
O365913 1st
Matern
tri, fts3
O365914 1st
Matern
grth,
765
grth,
765
grth,
765
grth,
765
tri, fts4
O365915 1st
Matern
care for oth or susp poor
1st
tri,
fts5
O365919 Matern care for oth or susp poor
tri, oth
O365920 1st
Matern
care for oth or susp poor
tri, care
unspfor oth or susp poor
O365921 2nd
Matern
fetl grth,
765
fetl grth,
765
fetl grth,
765
fetl grth,
765
tri, care
fts1 for oth or susp poor
O365922 2nd
Matern
tri, care
O365923 2nd
Matern
tri, care
O365924 2nd
Matern
tri, care
O365925 2nd
Matern
fetl grth,
765
fetl grth,
765
fetl grth,
765
fetl grth,
2nd
tri,
fts5
O365929 Matern care for oth or susp poor fetl grth,
tri, care
oth for oth or susp poor fetl grth,
O365930 2nd
Matern
third tri, unsp
765
765
765
Page 2569 of 6734

O365931 Matern care for oth or susp poor fetl
tri,care
fts1 for oth or susp poor fetl
O365932 third
Matern
tri,care
O365933 third
Matern
tri,care
O365934 third
Matern
grth,
765
grth,
765
grth,
765
grth,
765
tri,care
O365935 third
Matern
tri,care
O365939 third
Matern
tri,care
oth for oth or susp poor fetl
O365990 third
Matern
tri,care
unsp
O365991 unsp
Matern
for oth or susp poor fetl
grth,
765
grth,
765
grth,
765
grth,
765
tri,care
fts1for oth or susp poor fetl
O365992 unsp
Matern
tri,care
O365993 unsp
Matern
tri,care
O365994 unsp
Matern
tri,care
O365995 unsp
Matern
grth,
765
grth,
765
grth,
765
grth,
unsp
tri,
fts5
O365999 Matern care for oth or susp poor fetl grth,
tri, oth
O3660X0 unsp
Maternal
care for excess fetal growth,
trimester,
unsp
O3660X1 unsp
Maternal
care for
excess fetal growth,
765
765
765
765
tri, fetus
1 excess fetal growth,
O3660X2 unsp
Maternal
care for
tri, fetus
O3660X3 unsp
Maternal
care for
tri, fetus
O3660X4 unsp
Maternal
care for
tri, fetus
O3660X5 unsp
Maternal
care for
765
765
765
765
tri, fetus
O3660X9 unsp
Maternal
care for
trimester,
oth
O3661X0 unsp
Maternal
care for
excess fetal growth, first
trimester,
unsp
O3661X1 Maternal care for excess fetal growth, first
fetus 1care for excess fetal growth, first
O3661X2 tri,
Maternal
765
765
765
765

O3661X3 tri,
Maternal
O3661X4 tri,
Maternal
O3661X5 tri,
Maternal
O3661X9 tri,
Maternal
765
765
765
765
oth for excess fetal growth,

O3662X0 trimester,
Maternal care
tri,
unsp
O3662X1 second
Maternal
care
for excess fetal growth,
second tri, fetus 1
765
765
Page 2570 of 6734

O3662X2 Maternal care for excess fetal growth,
tri,
fetus
O3662X3 second
Maternal
care
for2excess fetal growth,
tri,
fetus
O3662X4 second
Maternal
care
765
765
765
tri,
fetus
O3662X5 second
Maternal
care
tri,
fetus
O3662X9 second
Maternal
care
trimester,
oth
O3663X0 second
Maternal
care for excess
fetal growth, third
trimester,
unsp
O3663X1 Maternal care for excess fetal growth, third
765
765
765
765
fetus 1care for excess fetal growth, third

O3663X2 tri,
Maternal
O3663X3 tri,
Maternal
O3663X4 tri,
Maternal
O3663X5 tri,
Maternal
765
765
765
765

O3663X9 tri,
Maternal
oth for viable fetus in abd preg,
O3670X0 trimester,
Maternal care
tri,care
unsp
O3670X1 unsp
Matern
for viable fetus in abd preg,
765
765
765
tri,care
fetus
O3670X2 unsp
Matern
for1 viable fetus in abd preg,
tri,care
fetus
O3670X3 unsp
Matern
tri,care
fetus
O3670X4 unsp
Matern
tri,care
fetus
O3670X5 unsp
Matern
765
765
765
765
tri, fetus
5 viable fetus in abd preg,
O3670X9 unsp
Maternal
care for
tri, oth
O3671X0 unsp
Maternal
care for viable fetus in abd preg,
first
tri,
unsp
O3671X1 Matern care for viable fetus in abd preg,
765
765
765
tri, care
fetusfor
O3671X2 first
Matern
tri, care
fetusfor
O3671X3 first
Matern
tri, care
fetusfor
O3671X4 first
Matern
tri, care
fetusfor
O3671X5 first
Matern
765
765
765
765
tri, fetus
O3671X9 first
Maternal
care5for viable fetus in abd preg,
tri, oth
O3672X0 first
Maternal
care for viable fetus in abd preg,
second
tri,
O3672X1 Matern careunsp
765
765
765
tri, fts1
O3672X2 second
Matern care
second tri, fts2
765
Page 2571 of 6734

tri, fts3
O3672X4 second
Matern care
second
tri,
fts4
tri,
fts5for viable fetus in abd preg,
O3672X9 second
Maternal
care
765
765
765
765
tri,
othfor viable fetus in abd preg,
O3673X0 second
Maternal
care
tri,care
unspfor viable fetus in abd preg,
O3673X1 third
Matern
tri,care
fetus
O3673X2 third
Matern
765
765
765
tri,care
fetus
O3673X3 third
Matern
tri,care
fetus
O3673X4 third
Matern
tri,care
fetus
O3673X5 third
Matern
tri, fetus
O3673X9 third
Maternal
care for
765
765
765
765
tri, othw inconclusive fetal viability,

O3680X0 third
Pregnancy
O3680X1 unsp
Pregnancy with inconclusive fetal viability,
765
765
1
O3680X2 fetus
Pregnancy
with inconclusive fetal viability,
2
O3680X3 fetus
Pregnancy
fetus
3
O3680X4 Pregnancy with inconclusive fetal viability,
4
O3680X5 fetus
Pregnancy
765
765
765
765
5
O3680X9 fetus
Pregnancy
fetus fetal movements, second
O368120 other
Decreased
O368121 trimester,
Decreasedunsp
fetal movements, second
765
765
765
O368122 trimester,
Decreasedfetus
fetal 1
movements, second
trimester,
fetus
2
O368123 Decreased fetal movements, second
O368124 trimester,
Decreasedfetus
fetal 3
movements, second
765
765
765
O368125 trimester,
Decreasedfetus
fetal 4
movements, second
trimester,
fetus
5
O368129 Decreased fetal movements, second
fetus
O368130 trimester,
Decreasedother
fetal movements,
third
765
765
765
O368131 trimester,
Decreasedunsp
fetal movements, third
trimester,
fetus
O368132 Decreased fetal 1
movements, third
trimester,
fetus
2
O368133 Decreased fetal movements, third
765
765
765
trimester, fetus 3
Page 2572 of 6734

O368135 trimester,
Decreasedfetus
fetal 4
movements, third
trimester,
fetus
5
765
765
765
fetus
O368190 trimester,
Decreasedother
fetal movements,
unsp
trimester,
unsp
O368191 Decreased fetal movements, unspecified
O368192 trimester,
Decreasedfetus
fetal 1
movements, unspecified
765
765
765
O368193 trimester,
Decreasedfetus
fetal 2
O368194 trimester,
Decreasedfetus
fetal 3
trimester,
fetus
4
O368195 Decreased fetal movements, unspecified
765
765
765
O368199 trimester,
Decreasedfetus
fetal 5
movements, unsp
trimester,
other
O368210 Fetal anemia andfetus
thrombocytopenia, first
unsp
O368211 trimester,
Fetal anemia
and thrombocytopenia, first
765
765
765
fetus
1 thrombocytopenia, first
O368212 trimester,
Fetal anemia
and
fetus
O368213 trimester,
Fetal anemia
and
fetus
O368214 trimester,
Fetal anemia
and
765
765
765
fetus
O368215 trimester,
Fetal anemia
and
fetus
O368219 trimester,
Fetal anemia
and
othand thrombocytopenia,
O368220 trimester,
Fetal anemia
765
765
765
trimester,
unsp
O368221 second
Fetal anemia
and thrombocytopenia,
trimester,
fetus 1
O368222 second
Fetal anemia
765
765
trimester,
fetus 2
O368223 second
Fetal anemia
trimester,
fetus 3
O368224 second
Fetal anemia
trimester,
fetus 4
O368225 second
Fetal anemia
765
765
765
trimester,
fetus 5
O368229 second
Fetal anemia
trimester,
oth
O368230 second
Fetal anemia
third
unsp
O368231 trimester,
Fetal anemia
and thrombocytopenia, third
765
765
765
fetus
1 thrombocytopenia, third
O368232 trimester,
Fetal anemia
and
fetus
O368233 trimester,
Fetal anemia
and
fetus
O368234 trimester,
Fetal anemia
and
765
765
765
trimester, fetus 4
Page 2573 of 6734

O368235 Fetal anemia and thrombocytopenia, third
fetus
O368239 trimester,
Fetal anemia
and
othand thrombocytopenia, unsp
O368290 trimester,
Fetal anemia
765
765
765
unsp
O368291 trimester,
Fetal anemia
and thrombocytopenia, unsp
trimester,
fetus
1 thrombocytopenia, unsp
O368292 Fetal anemia and
fetus
O368293 trimester,
Fetal anemia
and
765
765
765
fetus
O368294 trimester,
Fetal anemia
and
fetus
O368295 trimester,
Fetal anemia
and
fetus
O368299 trimester,
Fetal anemia
and
765
765
765
oth for
fetus
O368910 trimester,
Maternal care
oth fetal problems, first
trimester,
unsp
O368911 Maternal care for oth fetal problems, first
fetus 1care for oth fetal problems, first
O368912 tri,
Maternal
O368913 tri,
Maternal
765
765
765
765

O368914 tri,
Maternal
O368915 tri,
Maternal
O368919 tri,
Maternal
oth for oth fetal problems,
O368920 trimester,
Maternal care
765
765
765
765
trimester,
unsp
O368921 second
Maternal
care for oth
fetal problems,
tri,
fetus
O368922 second
Maternal
care
for1oth fetal problems,
tri,
fetus
O368923 second
Maternal
care
765
765
765
tri,
fetus
O368924 second
Maternal
care
tri,
fetus
O368925 second
Maternal
care
tri,
fetus
O368929 second
Maternal
care
765
765
765
trimester,
oth fetal problems, third
O368930 second
Maternal
care for oth
unspfor oth fetal problems, third
O368931 trimester,
Maternal care
fetus 1care for oth fetal problems, third
O368932 tri,
Maternal
765
765
765

O368933 tri,
Maternal
O368934 tri,
Maternal
O368935 tri,
Maternal
tri, fetus 5
765
765
765
Page 2574 of 6734

O368939 Maternal care for oth fetal problems, third
oth for oth fetal problems, unsp
O368990 trimester,
Maternal care
unspfor oth fetal problems, unsp
O368991 trimester,
Maternal care
fetus 1care for oth fetal problems, unsp
O368992 tri,
Maternal
765
765
765
765

O368993 tri,
Maternal
O368994 tri,
Maternal
O368995 tri,
Maternal
O368999 tri,
Maternal
765
765
765
765
oth for fetal problem, unsp,

O3690X0 trimester,
Maternal care
trimester,
unsp
O3690X1 unsp
Maternal
care for
fetal problem, unsp,
unsp
tri,
fetus
1
O3690X2 Maternal care for fetal problem, unsp,
765
765
765
tri, fetus
2 fetal problem, unsp,
O3690X3 unsp
Maternal
care for
tri, fetus
O3690X4 unsp
Maternal
care for
tri, fetus
O3690X5 unsp
Maternal
care for
tri, fetus
O3690X9 unsp
Maternal
care for
765
765
765
765
trimester,
oth
O3691X0 unsp
Maternal
care for
fetal problem, unsp, first
trimester,
unsp
O3691X1 Maternal care for fetal problem, unsp, first
fetus 1care for fetal problem, unsp, first
O3691X2 tri,
Maternal
O3691X3 tri,
Maternal
765
765
765
765

O3691X4 tri,
Maternal
O3691X5 tri,
Maternal
O3691X9 tri,
Maternal
oth for fetal problem, unsp,
O3692X0 trimester,
Maternal care
765
765
765
765
tri,
unsp
O3692X1 second
Maternal
care
for fetal problem, unsp,
second
tri,
fetus
O3692X2 Maternal care for1fetal problem, unsp,
tri,
fetus
O3692X3 second
Maternal
care
for2fetal problem, unsp,
765
765
765
tri,
fetus
O3692X4 second
Maternal
care
tri,
fetus
O3692X5 second
Maternal
care
tri,
fetus
O3692X9 second
Maternal
care
765
765
765
second trimester, oth

Page 2575 of 6734

O3693X0 Maternal care for fetal problem, unsp, third
unspfor fetal problem, unsp, third
O3693X1 trimester,
Maternal care
fetus 1care for fetal problem, unsp, third
O3693X2 tri,
Maternal
O3693X3 tri,
Maternal
765
765
765
765

O3693X4 tri,
Maternal
O3693X5 tri,
Maternal
O3693X9 tri,
Maternal
oth
O401XX0 trimester,
Polyhydramnios,
first trimester, not
765
765
765
765
or unsp
O401XX1 applicable
Polyhydramnios,
first trimester, fetus 1
765
O401XX2 Polyhydramnios, first trimester, fetus 2
765
765
765
765
O401XX9 Polyhydramnios, first trimester, other fetus
765
O402XX0 Polyhydramnios, second trimester, not

or unsp
O402XX1 applicable
Polyhydramnios,
second trimester, fetus 1
765
765
O402XX2 Polyhydramnios, second trimester, fetus 2
765
765
765
765
O402XX9 Polyhydramnios, second trimester, other

O403XX0 fetus
Polyhydramnios, third trimester, not
or unsp
O403XX1 applicable
Polyhydramnios,
third trimester, fetus 1
765
765
765
O403XX2 Polyhydramnios, third trimester, fetus 2
765
765
765
765
O403XX9 Polyhydramnios, third trimester, other

O409XX0 fetus
Polyhydramnios, unsp trimester, not
applicable or unsp
765
765
Page 2576 of 6734

O409XX1 Polyhydramnios, unspecified trimester,
1
O409XX2 fetus
Polyhydramnios,
unspecified trimester,
fetus
2
765
765
765
3
O409XX4 fetus
Polyhydramnios,
fetus
4
5
O409XX9 fetus
Polyhydramnios,
765
765
765
fetus
O4100X0 other
Oligohydramnios,
unsp trimester, not
or unspunspecified trimester,
O4100X1 applicable
Oligohydramnios,
1
O4100X2 fetus
Oligohydramnios,
765
765
765
2
O4100X3 fetus
Oligohydramnios,
fetus
3
O4100X4 Oligohydramnios, unspecified trimester,
4
O4100X5 fetus
Oligohydramnios,
765
765
765
5
O4100X9 fetus
Oligohydramnios,
other
fetus
O4101X0 Oligohydramnios, first trimester, not
or unspfirst trimester, fetus 1
O4101X1 applicable
Oligohydramnios,
765
765
765
O4101X2 Oligohydramnios, first trimester, fetus 2
765
765
765
765
O4101X9 Oligohydramnios, first trimester, other

O4102X0 fetus
Oligohydramnios, second trimester, not
or unspsecond trimester, fetus
O4102X1 applicable
Oligohydramnios,
765
765
765
O4102X2 1
Oligohydramnios, second trimester, fetus
O4102X3 2
O4102X4 3
O4102X5 4
765
765
765
765
O4102X9 5
Oligohydramnios, second trimester, other
O4103X0 fetus
Oligohydramnios, third trimester, not
or unspthird trimester, fetus 1
O4103X1 applicable
Oligohydramnios,
765
765
765
Page 2577 of 6734

O4103X2 Oligohydramnios, third trimester, fetus 2
765
765
765
765
O4103X9 Oligohydramnios, third trimester, other

O411010 fetus
Infct of amniotic sac and membrns, unsp,
765
765
unsp
O411011 first
Infct tri,
of amniotic
sac and membrns, unsp,
fetus 1 sac and membrns, unsp,
O411012 first
Infct tri,
of amniotic
O411013 first
Infct tri,
of amniotic
O411014 first
Infct tri,
of amniotic
765
765
765
765

O411015 first
Infct tri,
of amniotic
O411019 first
Infct tri,
of amniotic
oth
O411020 first
Infct tri,
of amniotic
second
tri,
unsp
O411021 Infct of amniotic sac and membrns, unsp,
765
765
765
765
tri, fetus 1
O411022 second
Infct of amniotic
second
tri,
fetus
2
tri, fetus 3
O411024 second
Infct of amniotic
second
tri,
fetus
4
765
765
765
765
tri, fetus 5
O411029 second
Infct of amniotic
second
tri,
oth
tri,amniotic
unsp
O411031 third
Infct of
third
tri,
fetus
1
765
765
765
765
tri,amniotic
O411033 third
Infct of
tri,amniotic
O411034 third
Infct of
tri,amniotic
O411035 third
Infct of
tri,amniotic
O411039 third
Infct of
765
765
765
765
tri,amniotic
oth
O411090 third
Infct of
unsp
tri,
unsp
tri,amniotic
O411092 unsp
Infct of
unsp tri, fetus 2
765
765
765
Page 2578 of 6734

tri,amniotic
O411094 unsp
Infct of
tri,amniotic
O411095 unsp
Infct of
tri,amniotic
O411099 unsp
Infct of
765
765
765
765
trimester, oth
O411210 unsp
Chorioamnionitis,
first trimester, not
applicable
or
unsp
O411211 Chorioamnionitis, first trimester, fetus 1
765
765
765
765
765
765
O411219 Chorioamnionitis, first trimester, other

O411220 fetus
Chorioamnionitis, second trimester, not
or unspsecond trimester, fetus
O411221 applicable
Chorioamnionitis,
765
765
765
O411222 1
Chorioamnionitis, second trimester, fetus
O411223 2
O411224 3
O411225 4
765
765
765
765
O411229 5
Chorioamnionitis, second trimester, other
O411230 fetus
Chorioamnionitis, third trimester, not
or unspthird trimester, fetus 1
O411231 applicable
Chorioamnionitis,
765
765
765
O411232 Chorioamnionitis, third trimester, fetus 2
765
765
765
765
O411239 Chorioamnionitis, third trimester, other

O411290 fetus
Chorioamnionitis, unsp trimester, not
or unspunspecified trimester,
O411291 applicable
Chorioamnionitis,
765
765
765
1
O411292 fetus
Chorioamnionitis,
fetus
2
O411293 Chorioamnionitis, unspecified trimester,
fetus 3
765
765
Page 2579 of 6734

4
O411295 fetus
Chorioamnionitis,
fetus
5
765
765
765
fetus first trimester, not applicable

O411410 other
Placentitis,
unspecified
O411411 or
Placentitis,
first trimester, fetus 1
765
765
O411412 Placentitis, first trimester, fetus 2
765
765
765
765
O411419 Placentitis, first trimester, other fetus
765
O411420 Placentitis, second trimester, not

unspecified
O411421 applicable
Placentitis,or
second
trimester, fetus 1
765
765
O411422 Placentitis, second trimester, fetus 2
765
765
765
765
O411429 Placentitis, second trimester, other fetus
765
O411430 Placentitis, third trimester, not applicable

unspecified
O411431 or
Placentitis,
third trimester, fetus 1
765
765
O411432 Placentitis, third trimester, fetus 2
765
765
765
765
O411439 Placentitis, third trimester, other fetus
765
O411490 Placentitis, unsp trimester, not applicable

unspecified
O411491 or
Placentitis,
unspecified trimester, fetus 1
765
765
O411492 Placentitis, unspecified trimester, fetus 2
765
765
765
Page 2580 of 6734

765
O411499 Placentitis, unspecified trimester, other

O418X10 fetus
Oth disrd of amniotic fluid and membrns,
765
765
tri, unsp
O418X11 first
Oth disrd
of amniotic fluid and membrns,
first
tri,
fetus
1
O418X12 Oth disrd of amniotic
fluid and membrns,
first
tri,
fetus
2
O418X13 Oth disrd of amniotic fluid and membrns,
tri, fetus
3
O418X14 first
Oth disrd
of amniotic
fluid and membrns,
765
765
765
765
tri, fetus
4
O418X15 first
Oth disrd
of amniotic
fluid and membrns,
first
tri,
fetus
5
tri, oth
O418X20 first
Oth disrd
second
tri,
O418X21 Oth disrd ofunsp
amniotic fluid and membrns,
765
765
765
765
tri,offetus
1
O418X22 second
Oth disrd
amniotic
fluid and membrns,
second
tri,
fetus
2
tri,offetus
3
O418X24 second
Oth disrd
amniotic
fluid and membrns,
tri,offetus
4
O418X25 second
Oth disrd
amniotic
fluid and membrns,
765
765
765
765
tri,offetus
5
O418X29 second
Oth disrd
amniotic
fluid and membrns,
second
tri,
oth
tri, unsp
O418X31 third
Oth disrd
tri, fetus
1
O418X32 third
Oth disrd
of amniotic
fluid and membrns,
765
765
765
765
tri, fetus
2
O418X33 third
Oth disrd
of amniotic
fluid and membrns,
third
tri,
fetus
3
tri, fetus
4
O418X35 third
Oth disrd
of amniotic
fluid and membrns,
tri, fetus
5
O418X39 third
Oth disrd
of amniotic
fluid and membrns,
765
765
765
765
tri, oth
O418X90 third
Oth disrd
unsp
tri,
unsp
tri, fetus
1
O418X92 unsp
Oth disrd
of amniotic
fluid and membrns,
unsp
tri,
fetus
2
765
765
765
765
tri, fetus
3
O418X94 unsp
Oth disrd
of amniotic
fluid and membrns,
unsp
tri,
fetus
4
unsp tri, fetus 5
765
765
Page 2581 of 6734

trimester,
oth fluid and membrns,
O4190X0 unsp
Disorder
of amniotic
765
765
unsp
unsp
O4190X1 unsp,
Disorder
of tri,
amnio
fluid and membrns,
unsp
fetus
1 and membrns,
O4190X2 unsp,
Disorder
of tri,
amnio
fluid
unsp
fetus
2 and membrns,
O4190X3 unsp,
Disorder
of tri,
amnio
fluid
765
765
765
unsp
fetus
3 and membrns,
O4190X4 unsp,
Disorder
of tri,
amnio
fluid
unsp
fetus
4 and membrns,
O4190X5 unsp,
Disorder
of tri,
amnio
fluid
unsp
fetus 5
O4190X9 unsp,
Disorder
of tri,
amniotic
fluid and membrns,
765
765
765
unsp
O4191X0 unsp,
Disorder
of tri,
amnio
tri, unsp
O4191X1 unsp,
Disordfirst
of amnio
fluid and membrns, unsp,
first
tri,
fetus
1
O4191X2 Disord of amnio fluid and membrns, unsp,
765
765
765
tri,of
fetus
2 fluid and membrns, unsp,
O4191X3 first
Disord
amnio
tri,of
fetus
O4191X4 first
Disord
amnio
tri,of
fetus
O4191X5 first
Disord
amnio
tri, fetus
5
O4191X9 first
Disorder
of amniotic
fluid and membrns,
765
765
765
765
firstoftri,
O4192X0 unsp,
Disorder
amnio
tri,fluid
unspand membrns, unsp,
O4192X1 unsp,
Disordsecond
of amnio
tri,amnio
fetus fluid
1
O4192X2 second
Disord of
and membrns, unsp,
765
765
765
tri,amnio
fetus fluid
2
O4192X3 second
Disord of
and membrns, unsp,
second
tri,
fetus
3
tri,amnio
fetus fluid
4
O4192X5 second
Disord of
and membrns, unsp,
second
tri,
fetus
5
O4192X9 Disorder of amnio fluid and membrns,
765
765
765
765
second
tri, oth
O4193X0 unsp,
Disorder
of amnio
fluid and membrns,
unsp,
third
tri,
unsp
765
765
tri,
O4193X2 third
Disord
offetus
amnio
tri,
O4193X3 third
Disord
offetus
amnio
tri,
O4193X4 third
Disord
offetus
amnio
tri,
O4193X5 third
Disord
offetus
amnio
765
765
765
765
tri, fetus
5
O4193X9 third
Disorder
of amniotic
fluid and membrns,
unsp, third tri, oth
765
Page 2582 of 6734

O4200
Prem ROM, onset labor w/n 24 hr of rupt,

weeks
gestonset labor w/n 24
O42011 unsp
Pretrm
premof
ROM,
rupt,ROM,
first tri
O42012 hours
Pretrmofprem
onset labor w/n 24
765
765
765
rupt,ROM,
2nd tri
O42013 hours
Pretrmofprem
onset labor w/n 24
hours
of
rupt,
third
tri
O42019 Pretrm prem ROM, onset
labor w/n 24
hours
of
rupt,
unsp
tri
O4202 Full-term prem ROM, onset labor within 24
of rupture
O4210 hours
Prem ROM,
onset labor > 24 hr fol rupt,
765
765
760
VAGINAL DELIVERY
765
weeks
gestonset labor > 24 hours
O42111 unsp
Pretrm
premof
ROM,
rupt,prem
first tri
O42112 fol
Pretrm
ROM, onset labor > 24 hours
fol
rupt,
second
tri onset labor > 24 hours
O42113 Pretrm prem ROM,
rupt,prem
thirdROM,
tri
O42119 fol
Pretrm
onset labor > 24 hours
765
765
765
765
760
VAGINAL DELIVERY
O4212
O4290
fol
rupt, unsp
tri
Full-term
premature
ROM, onset labor >
24
hours
fol
rupture
Prem ROM, 7th0 betw rupt & onst labr,
765
weeks
gestunsp time betw rupt
O42911 unsp
Pretrm
premof
ROM,
onset
labr,
1st unsp
tri
O42912 and
Pretrm
prem
ROM,
time betw rupt
and
onset
labr,
2nd
tri
O42913 Pretrm prem ROM, unsp time betw rupt
onst
labr,ROM,
3rd tri
O42919 and
Pretrm
prem
unsp time betw rupt
765
765
765
765
onst labr,
O4292 and
Full-term
premunsp
ROM,triunsp time betw
and onset
labortransfusion
O43011 rupture
Fetomaternal
placental
first
trimester
O43012 syndrome,
Fetomaternal
placental
transfuse
765
765
765
second
trimester
O43013 syndrome,
Fetomaternal
placental
transfusion
syndrome,
third
trimester
O43019 Fetomaternal placental transfusion
unsp
trimester
O43021 syndrome,
Fetus-to-fetus
placental
transfuse
765
765
765
firstplacntl
trimester
O43022 syndrome,
Fetus-to-fetus
transfuse syndrome,
second
trimester
O43023 Fetus-to-fetus placental transfuse
third
trimester
O43029 syndrome,
Fetus-to-fetus
placental
transfuse
765
765
765
unsp
trimester unspecified, first
O43101 syndrome,
Malformation
of placenta,
O43102 trimester
Malformation of placenta, unspecified,
trimester
O43103 second
Malformation
of placenta, unspecified,
765
765
765
third trimester
Page 2583 of 6734

O43109 Malformation of placenta, unspecified,
trimester
O43111 unspecified
Circumvallate
placenta, first trimester
765
765
O43112 Circumvallate placenta, second trimester
765
O43113 Circumvallate placenta, third trimester
765
O43119 Circumvallate placenta, unspecified

O43121 trimester
Velamentous insertion of umbilical cord,
765
765
trimesterinsertion of umbilical cord,

O43122 first
Velamentous
trimester
O43123 second
Velamentous
insertion of umbilical cord,
third
trimester
O43129 Velamentous insertion of umbilical cord,
O43191 unsp
Othertrimester
malformation of placenta, first
765
765
765
765
O43192 trimester
Other malformation of placenta, second
O43193 trimester
Other malformation of placenta, third
O43199 trimester
Other malformation of placenta,
765
765
765
trimester
O43211 unspecified
Placenta accreta,
first trimester
760
VAGINAL DELIVERY
O43212 Placenta accreta, second trimester
760
VAGINAL DELIVERY
O43213 Placenta accreta, third trimester
760
VAGINAL DELIVERY
O43219 Placenta accreta, unspecified trimester
761
O43221 Placenta increta, first trimester
760
VAGINAL DELIVERY
O43222 Placenta increta, second trimester
760
VAGINAL DELIVERY
O43223 Placenta increta, third trimester
760
VAGINAL DELIVERY
O43229 Placenta increta, unspecified trimester
761
O43231 Placenta percreta, first trimester
760
VAGINAL DELIVERY
O43232 Placenta percreta, second trimester
760
VAGINAL DELIVERY
O43233 Placenta percreta, third trimester
760
VAGINAL DELIVERY
O43239 Placenta percreta, unspecified trimester
761
O43811 Placental infarction, first trimester
765
O43812 Placental infarction, second trimester
765
O43813 Placental infarction, third trimester
765
O43819 Placental infarction, unspecified trimester
765
Page 2584 of 6734

O43891 Other placental disorders, first trimester
765
O43892 Other placental disorders, second

O43893 trimester
Other placental disorders, third trimester
765
765
O43899 Other placental disorders, unspecified

O4390 trimester
Unspecified placental disorder, unspecified
765
O4391
O4392
O4393
O4400
O4401
O4402
O4403
O4410
O4411
O4412
765
trimester
Unspecified placental disorder, first
trimester
Unspecified placental disorder, second
trimester
Unspecified placental disorder, third
trimester
Placenta previa specified as w/o
765
765
765
765
hemorrhage,
unsp
trimester
Placenta previa
specified
as w/o
hemorrhage,
first
trimester
Placenta previa specified as w/o hemor,
second
Placentatrimester
previa specified as w/o
765
765
765
hemorrhage,
third
trimester
Placenta previa
with
hemorrhage,
unspecified
trimester
Placenta previa with hemorrhage, first
trimester
Placenta previa with hemorrhage, second
765
765
765
O4413 trimester
Placenta previa with hemorrhage, third
O45001 trimester
Prem separtn of placenta w coag defect,
first tri of placenta w coag defect,
O45002 unsp,
Prem separtn
765
765
765
second tri
O45003 unsp,
Prem separtn
of placenta w coag defect,
unsp,
third
tri
O45009 Prem separtn of placenta w coag defect,
unsp trimester
O45011 unsp,
Prem separtn
of placenta w
765
765
765
first trimester
O45012 afibrinogenemia,
Prem separtn of placenta
w
second trimester
w
afibrinogenemia,
third
trimester
O45019 Prem separtn of placenta w
765
765
765
unsp trimester
w dissem
coag,
tri
O45022 intravasc
Prem separtn
offirst
placenta
w dissem
intravasc
coag,
second
tri
O45023 Prem separtn of placenta w dissem
765
765
765
coag,
tri w dissem
O45029 intravasc
Prem separtn
ofthird
placenta
coag,
tri w oth coag
O45091 intravasc
Prem separtn
ofunsp
placenta
defect, first trimester
765
765
Page 2585 of 6734

O45092 Prem separtn of placenta w oth coag
secondoftrimester
O45093 defect,
Prem separtn
placenta w oth coag
defect,
third
trimester
O45099 Prem separtn of placenta w oth coag
unsp trimester
O458X1 defect,
Other premature
separation of placenta,
765
765
765
765
trimester
O458X2 first
Other
premature separation of placenta,
second
trimester separation of placenta,
O458X3 Other premature
O458X9 third
Othertrimester
premature separation of placenta,
765
765
765
unsp
trimester
Premature
separation of placenta, unsp,
unsp
trimester
Premature separation of placenta, unsp,
first
trimester
Premature
separation of placenta, unsp,
second
trimester
Premature separation of placenta, unsp,
765
765
765
765
trimester
O46001 third
Antepartum
hemorrhage w coag defect,
unsp,
first
trimester
O46002 Antepartum hemorrhage w coag defect,
secondhemorrhage
trimester w coag defect,
O46003 unsp,
Antepartum
third trimester
O46009 unsp,
Antepartum
hemorrhage w coag defect,
765
765
765
765
unsp trimester
O46011 unsp,
Antepartum
hemorrhage with
afibrinogenemia,
first trimester
O46012 Antepartum hemorrhage
with
afibrinogenemia,
second
trimester
O46013 Antepartum hemorrhage with
765
765
765
third trimester
Antepartum hemorrhage
with
afibrinogenemia,
unsp
trimester
O46021 Antepart hemorrhage w dissem intravasc
765
765
firsthemor
trimester
O46022 coag,
Antepart
w dissem intravasc coag,
second
trimester
O46023 Antepart hemorrhage w dissem intravasc
third
trimester w dissem intravasc
O46029 coag,
Antepart
hemorrhage
765
765
765
unsp trimester
O46091 coag,
Antepartum
hemorrhage w oth coag
defect,
first
trimester
O46092 Antepartum hemorrhage w oth coag
second
trimester w oth coag
O46093 defect,
Antepartum
hemorrhage
third hemorrhage
trimester
O46099 defect,
Antepartum
w oth coag
765
765
765
765
unsp trimester
O468X1 defect,
Other antepartum
hemorrhage, first
trimester
O468X2 Other antepartum hemorrhage, second
trimester
765
765
O4590
O4591
O4592
O4593
Page 2586 of 6734

O468X3 Other antepartum hemorrhage, third
O468X9 trimester
Other antepartum hemorrhage,
O4690 unspecified
Antepartum trimester
hemorrhage, unspecified,
765
765
765
unspecified
Antepartum trimester
hemorrhage, unspecified, first
trimester
Antepartum hemorrhage, unspecified,
second
trimester
Antepartum
hemorrhage, unspecified,
765
765
765
764
FALSE LABOR
764
FALSE LABOR
764
FALSE LABOR
O471
third
False trimester
labor before 37 completed weeks of
gest,
False unsp
labor tri
before 37 completed weeks of
gest,
second
tri 37 completed weeks of
False labor before
gest,
False third
labor tri
at or after 37 completed weeks
764
FALSE LABOR
O479
of
gestation
False
labor, unspecified
764
FALSE LABOR
O480
Post-term pregnancy
765
O481
Prolonged pregnancy
765
Preterm labor without delivery, unspecified

O6002 trimester
Preterm labor without delivery, second
O6003 trimester
Preterm labor without delivery, third
O6010X0 trimester
Preterm labor w preterm delivery, unsp
unsp
O6010X1 trimester,
Preterm labor
with preterm delivery, unsp
762
THREATENED ABORTION
762
THREATENED ABORTION
762
THREATENED ABORTION
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
1 preterm delivery, unsp
O6010X2 trimester,
Preterm labor
with
fetus
O6010X3 trimester,
Preterm labor
with
fetus
O6010X4 trimester,
Preterm labor
with
fetus
O6010X5 trimester,
Preterm labor
with
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
O6010X9 trimester,
Preterm labor
w 5preterm delivery, unsp
oth second
fetus tri w preterm
O6012X0 trimester,
Preterm labor
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
second
tri, unsp
O6012X1 delivery
Preterm labor
second
tri w preterm del
fetus
1
O6012X2 second
Pretermtri,
labor
second
tri w preterm del
second
tri,
fetus
2
O6012X3 Preterm labor second tri w preterm del
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
3
O6012X4 second
Pretermtri,
labor
second
tri w preterm del
second
tri,
fetus
4
second tri, fetus 5
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
O4691
O4692
O4693
O4700
O4702
O4703
O6000
Page 2587 of 6734

O6012X9 Preterm labor second tri w preterm
second
tri, oth
O6013X0 delivery
Preterm labor
second
tri w preterm
delivery
third
tri,
unsp
tri, labor
fetus second
1
O6013X2 third
Preterm
tri w preterm del
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
tri, labor
fetus second
2
O6013X3 third
Preterm
tri w preterm del
third
tri,
fetus
3
tri, labor
fetus second
4
O6013X5 third
Preterm
tri w preterm del
tri, labor
fetus second
5
O6013X9 third
Preterm
tri w preterm
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
third tri,
oth
O6014X0 delivery
Preterm labor
third
tri w preterm delivery
third
tri,
unsp
O6014X1 Preterm labor third tri w preterm del third
fetus labor
1
O6014X2 tri,
Preterm
third tri w preterm del third
fetus labor
2
O6014X3 tri,
Preterm
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus labor
3
O6014X4 tri,
Preterm
tri,
fetus
4
O6014X5 Preterm labor third tri w preterm del third
fetus labor
5
O6014X9 tri,
Preterm
third tri w preterm delivery
third
tri,
oth
O6020X0 Term delivery w preterm labor, unsp
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
unsp
O6020X1 trimester,
Term delivery
with preterm labor, unsp
trimester,
fetus
1 preterm labor, unsp
O6020X2 Term delivery with
fetus
O6020X3 trimester,
Term delivery
with
fetus
O6020X4 trimester,
Term delivery
with
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
O6020X5 trimester,
Term delivery
with
fetus
O6020X9 trimester,
Term delivery
with
oth w
fetus
O6022X0 trimester,
Term delivery
preterm labor, second
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
unsp
O6022X1 trimester,
Term delivery
with preterm labor, second
trimester,
fetus
1 preterm labor, second
O6022X2 Term delivery with
fetus
O6022X3 trimester,
Term delivery
with
fetus
O6022X4 trimester,
Term delivery
with
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
O6022X5 trimester,
Term delivery
with
fetus
O6022X9 trimester,
Term delivery
w5
preterm labor, second
trimester, oth fetus
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
Page 2588 of 6734

O6023X0 Term delivery w preterm labor, third
unsp
O6023X1 trimester,
Term delivery
with preterm labor, third
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
1 preterm labor, third
O6023X2 trimester,
Term delivery
with
fetus
O6023X3 trimester,
Term delivery
with
fetus
O6023X4 trimester,
Term delivery
with
fetus
O6023X5 trimester,
Term delivery
with
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
O6023X9 trimester,
Term delivery
with
trimester,
oth fetus
O610
Failed medical
induction of labor
760
VAGINAL DELIVERY
765
O611
Failed instrumental induction of labor
765
O618
Other failed induction of labor
765
O619
Failed induction of labor, unspecified
765
O620
Primary inadequate contractions
765
O621
Secondary uterine inertia
765
O622
Other uterine inertia
765
O623
Precipitate labor
765
O624
765
O628
Hypertonic, incoordinate, and prolonged

uterine
contractions of forces of labor
Other abnormalities
765
O629
Abnormality of forces of labor, unspecified
765
O630
Prolonged first stage (of labor)
765
O631
Prolonged second stage (of labor)
765
O632
Delayed delivery of second twin, triplet,

etc.
Long labor, unspecified
765
765
O640XX0 Obstructed labor due to incmpl rotation of

unspto incmpl rotation of fetal
O640XX1 fetal
Obst head,
labor due
765
760
VAGINAL DELIVERY
fetusdue
1 to incmpl rotation of fetal
O640XX2 head,
Obst labor
fetusdue
O640XX3 head,
Obst labor
fetusdue
O640XX4 head,
Obst labor
fetusdue
O640XX5 head,
Obst labor
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus labor
5
O640XX9 head,
Obstructed
due to incmpl rotation of
fetal head, oth
760
VAGINAL DELIVERY
O639
Page 2589 of 6734

O641XX0 Obstructed labor due to breech
unsp
Obstructed labor
due to breech
presentation,
fetus
1 to breech
O641XX2 Obstructed labor due
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
2 to breech
Obstructed labor
due
fetus
3 to breech
Obstructed labor
due
fetus
4 to breech
Obstructed labor
due
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
5 to breech
Obstructed labor
due
other
fetus
Obstructed labor
due
to face presentation,
unsp
O642XX1 Obstructed labor due to face presentation,
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
1
O642XX2 fetus
Obstructed
labor due to face presentation,
fetus
2
3
O642XX4 fetus
Obstructed
fetus
4
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
5
O642XX9 fetus
Obstructed
fetus labor due to brow
O643XX0 other
Obstructed
unsp
Obstructed labor
due to brow
presentation,
fetus
1 to brow
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
2 to brow
Obstructed labor
due
fetus
3 to brow
Obstructed labor
due
fetus
4 to brow
Obstructed labor
due
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
5 to brow
Obstructed labor
due
other
fetus
Obstructed labor
due
to shoulder
unsp
Obstructed labor
due to shoulder
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
1 to shoulder
Obstructed labor
due
fetus
2 to shoulder
Obstructed labor
due
fetus
3 to shoulder
Obstructed labor
due
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
4 to shoulder
Obstructed labor
due
fetus
5 to shoulder
Obstructed labor
due
other
fetus
Obstructed labor
due
to compound
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
presentation, unsp
Page 2590 of 6734

O645XX1 Obstructed labor due to compound
fetus
1 to compound
Obstructed labor
due
fetus
2 to compound
Obstructed labor
due
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
3 to compound
Obstructed labor
due
fetus
4 to compound
Obstructed labor
due
fetus
5 to compound
Obstructed labor
due
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
other
fetus
Obstructed labor
due
to oth malposition
malpresent,
O648XX1 and
Obstructed
labor unsp
due to oth malpos and
malpresent,
fetus
1 to oth malpos and
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetusdue
2 to oth malpos and
O648XX3 malpresent,
Obstructed labor
fetusdue
3 to oth malpos and
O648XX4 malpresent,
Obstructed labor
fetusdue
4 to oth malpos and
O648XX5 malpresent,
Obstructed labor
fetusdue
5 to oth malposition
O648XX9 malpresent,
Obstructed labor
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
malpresent,
O649XX0 and
Obstructed
labor oth
due to malpos and
unsp,due
unsp
O649XX1 malpresent,
Obstructed labor
to malpos and
malpresent,
unsp,
fetus
O649XX2 Obstructed labor due to 1
malpos and
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
unsp,due
fetus
O649XX3 malpresent,
Obstructed labor
to 2
malpos and
malpresent,
unsp,
fetus
3
O649XX4 Obstructed labor due to malpos and
unsp,due
fetus
O649XX5 malpresent,
Obstructed labor
to 4
malpos and
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
unsp,due
fetus
O649XX9 malpresent,
Obstructed labor
to 5
malpos and
malpresent,
unsp,
oth
O650
Obstructed labor due to deformed pelvis
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
Obstructed labor due to generally

contracted
Obstructed pelvis
labor due to pelvic inlet
contraction
Obst labor due to pelvic outlet and mid-
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
cavity
contrctn
Obstructed
labor due to fetopelvic
disproportion,
unsp
Obstructed labor
due to abnlt of maternal
pelvic
organs
Obstructed labor due to other maternal
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
pelvic
abnormalities
Obstructed
labor due to maternal pelvic
abnormality,
unspdue to shoulder dystocia
Obstructed labor
765
765
O651
O652
O653
O654
O655
O658
O659
O660
Page 2591 of 6734

O661
Obstructed labor due to locked twins
765
O662
Obstructed labor due to unusually large

fetus
Obstructed labor due to other
abnormalities
of fetus
Failed trial of labor,
unspecified
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
765
Failed attempt vaginal birth after previous

cesarean
Attempteddel
application of vacuum extractor
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
O668
and
forcepslabor due to other multiple
Obstructed
fetuses
Other specified obstructed labor
765
O669
Obstructed labor, unspecified
765
O670
760
VAGINAL DELIVERY
O678
Intrapartum hemorrhage with coagulation

defect
Other intrapartum hemorrhage
760
VAGINAL DELIVERY
O679
Intrapartum hemorrhage, unspecified
760
VAGINAL DELIVERY
Labor and delivery comp by abnlt of fetal

O690XX0 acid-base
Labor and balance
delivery complicated by
cord, unsp
O690XX1 prolapse
Labor andofdelivery
complicated by
760
VAGINAL DELIVERY
765
760
VAGINAL DELIVERY
cord, fetus
1
O690XX2 prolapse
Labor andofdelivery
complicated
by
prolapse
of
cord,
fetus
2
O690XX3 Labor and delivery complicated by
cord, fetus
3
O690XX4 prolapse
Labor andofdelivery
complicated
by
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
cord, fetus
4
O690XX5 prolapse
Labor andofdelivery
complicated
by
prolapse
of
cord,
fetus
5
O690XX9 Labor and delivery complicated by
cord, oth
O691XX0 prolapse
Labor andofdelivery
comp by cord around
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
765
comprsn,
unsp
O691XX1 neck,
Labor w
and
del comp
by cord around neck,
comprsn,
fetus
1 by cord around neck,
O691XX2 w
Labor
and del
comp
comprsn,
fetus
O691XX3 w
Labor
and del
comp
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
comprsn,
fetus
O691XX4 w
Labor
and del
comp
comprsn,
fetus
O691XX5 w
Labor
and del
comp
comprsn,
fetus 5 comp by cord around
O691XX9 w
Labor
and delivery
comprsn,
othby oth cord entangle,
O692XX0 neck,
Labor w
and
del comp
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
765
comprsn,
unsp
O692XX1 w
Labor
and del
comp by oth cord entangle,
w comprsn, fetus 1
760
VAGINAL DELIVERY
O663
O6640
O6641
O665
O666
O68
Page 2592 of 6734

O692XX2 Labor and del comp by oth cord entangle,
comprsn,
fetus
2 by oth cord entangle,
O692XX3 w
Labor
and del
comp
comprsn,
fetus
O692XX4 w
Labor
and del
comp
comprsn,
fetus
O692XX5 w
Labor
and del
comp
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
comprsn,
fetus 5 comp by oth cord
O692XX9 w
Labor
and delivery
comprsn,
oth
O693XX0 entangle,
Labor and w
delivery
complicated
by short
cord,
unsp
O693XX1 Labor and delivery complicated by short
760
VAGINAL DELIVERY
765
760
VAGINAL DELIVERY
1
O693XX2 cord,
Laborfetus
and delivery
complicated by short
cord,
fetus
2
3
O693XX4 cord,
Laborfetus
and delivery
cord,
fetus
4
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
5
O693XX9 cord,
Laborfetus
and delivery
cord,
other
fetus
O694XX0 Labor and delivery complicated by vasa
unsp
O694XX1 previa,
Labor and
delivery complicated by vasa
fetus
1
O694XX2 previa,
Labor and
delivery
complicated by vasa
760
VAGINAL DELIVERY
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
fetus
2
O694XX3 previa,
Labor and
delivery
complicated by vasa
previa,
fetus
3
O694XX4 Labor and delivery complicated by vasa
fetus
4
O694XX5 previa,
Labor and
delivery
complicated by vasa
fetus
5
O694XX9 previa,
Labor and
delivery
complicated by vasa
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
other
fetus comp by vascular
O695XX0 previa,
Labor and
delivery
of cord,
unspcomp by vascular
O695XX1 lesion
Labor and
delivery
of cord,
fetuscomp
1
O695XX2 lesion
Labor and
delivery
by vascular
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
of cord,
fetuscomp
2
O695XX3 lesion
Labor and
delivery
by vascular
lesion
of
cord,
fetus
3
O695XX4 Labor and delivery comp by vascular
of cord,
fetuscomp
4
O695XX5 lesion
Labor and
delivery
by vascular
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
of cord,
fetuscomp
5
O695XX9 lesion
Labor and
delivery
by vascular
lesion
of
cord,
oth
O6981X0 Labor and del comp by cord around neck,
comprsn,
O6981X1 w/o
Labor
and del unsp
comp by cord around neck,
760
VAGINAL DELIVERY
765
760
VAGINAL DELIVERY
comprsn,
O6981X2 w/o
Labor
and del fetus
comp1by cord around neck,
w/o comprsn, fetus 2
760
VAGINAL DELIVERY
Page 2593 of 6734

O6981X3 Labor and del comp by cord around neck,
comprsn,
O6981X4 w/o
Labor
and del fetus
comprsn,
O6981X5 w/o
Labor
and del fetus
comprsn,
O6981X9 w/o
Labor
and del fetus
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
comprsn,
O6982X0 w/o
Labor
and del oth
w/o
comprsn,
unsp
O6982X1 Labor and del comp by oth cord entangle,
comprsn,
O6982X2 w/o
Labor
and del fts1
comprsn,
O6982X3 w/o
Labor
and del fts2
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
comprsn,
O6982X4 w/o
Labor
and del fts3
w/o
comprsn,
fts4
O6982X5 Labor and del comp by oth cord entangle,
comprsn,
O6982X9 w/o
Labor
and del fts5
comprsn,
oth complicated by oth
O6989X0 w/o
Labor
and delivery
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
765
unsp complicated by oth

O6989X1 cord
Laborcomp,
and delivery
fetus 1 complicated by oth
O6989X2 cord
Laborcomp,
and delivery
O6989X3 cord
Laborcomp,
and delivery
O6989X4 cord
Laborcomp,
and delivery
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY

O6989X5 cord
Laborcomp,
and delivery
O6989X9 cord
Laborcomp,
and delivery
oth
O699XX0 cord
Laborcomp,
and delivery
complicated by cord
comp,
unsp,
unsp
O699XX1 Labor and delivery complicated by cord
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
765
760
VAGINAL DELIVERY
unsp,
fetus 1complicated by cord
O699XX2 comp,
Labor and
delivery
unsp,
O699XX3 comp,
Labor and
delivery
unsp,
O699XX4 comp,
Labor and
delivery
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
unsp,
O699XX5 comp,
Labor and
delivery
unsp,
O699XX9 comp,
Labor and
delivery
comp,
unsp, perineal
oth
O700
First degree
laceration during
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
O701
O702
O703
760
VAGINAL DELIVERY
delivery
Second degree perineal laceration during
delivery
Third degree perineal laceration during
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
delivery
Fourth degree perineal laceration during
delivery
760
VAGINAL DELIVERY
Page 2594 of 6734

O704
Anal sphincter tear comp del, not assoc w

third
degree
lac
Perineal
laceration
during delivery,
761
760
VAGINAL DELIVERY
761
765
765
O711
unspecified
Rupture of uterus before onset of labor,
unsp
trimester
Rupture
of uterus before onset of labor,
second
trimester
Rupture of uterus before onset of labor,
third
trimester
Rupture
of uterus during labor
760
VAGINAL DELIVERY
O712
Postpartum inversion of uterus
761
O713
Obstetric laceration of cervix
760
VAGINAL DELIVERY
O714
Obstetric high vaginal laceration alone
760
VAGINAL DELIVERY
O715
Other obstetric injury to pelvic organs
760
VAGINAL DELIVERY
O716
Obstetric damage to pelvic joints and

ligaments
Obstetric hematoma of pelvis
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
Laceration of uterus, not elsewhere

classified
Other specified trauma to perineum and
vulva
Other specified obstetric trauma
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
O719
Obstetric trauma, unspecified
760
VAGINAL DELIVERY
O720
Third-stage hemorrhage
761
O721
Other immediate postpartum hemorrhage
761
O722
761
O723
Delayed and secondary postpartum

hemorrhage
Postpartum coagulation defects
761
O730
Retained placenta without hemorrhage
761
O731
Retained portions of placenta and

membranes,
w/o hemorrhage
Aspirat pneumonitis
labor
and
delivery
Oth pulmonary comp of anesthesia during
761
760
VAGINAL DELIVERY
765
labor
and
delivery
Cardiac
comp
of anesthesia during labor
and
Cnsl delivery
complications of anesthesia during
765
765
labor
and delivery
Toxic reaction
to local anesthesia during
labor
and
delivery
Spinal and epidur anesthesia-induced
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
hdache
duroflabr
andand
delepidural anesth
Oth comp
spinal
during labor and del
760
VAGINAL DELIVERY
O709
O7100
O7102
O7103
O717
O7181
O7182
O7189
O740
O741
O742
O743
O744
O745
O746
Page 2595 of 6734

O747
Failed or difficult intubation for anesth dur

labor
del
Otherand
complications
of anesthesia during
760
VAGINAL DELIVERY
765
labor
and delivery
Complication
of anesthesia during labor
and
delivery,
unspduring labor and delivery
Maternal
distress
765
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
O752
Shock during or following labor and

delivery
Pyrexia during labor, not elsewhere
765
O753
classified
Other infection during labor
765
O754
Other complications of obstetric surgery

and
procedures
Delayed
delivery after artificial rupture of
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
membranes
Maternal exhaustion complicating labor
and
delivery
Onset
labor 37-39 weeks, w del by
765
760
VAGINAL DELIVERY
(planned)
cesarean
section
Other specified
complications
of labor and
delivery
Complication of labor and delivery,
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
unspecified
Abnlt in fetal heart rate and rhythm comp
labor
Labor and
and delivery
delivery complicated by
765
760
VAGINAL DELIVERY
meconium
fluid
Fetal stressin
inamniotic
labor or delivery
due to drug
administration
Labor and delivery comp by oth evidence
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
of
fetaland
stress
Labor
delivery complicated by fetal
stress,
unspecified
Encounter
for full-term uncomplicated
760
VAGINAL DELIVERY
760
VAGINAL DELIVERY
delivery
Encounter for cesarean delivery without
indication
Puerperal sepsis
760
VAGINAL DELIVERY
761
Infection of obstetric surgical wound
761
O8611
Cervicitis following delivery
761
O8612
Endometritis following delivery
761
O8613
Vaginitis following delivery
761
O8619
761
O8620
Other infection of genital tract following

delivery
Urinary tract infection following delivery,
761
O8621
unspecified
Infection of kidney following delivery
761
O8622
Infection of bladder following delivery
761
O748
O749
O750
O751
O755
O7581
O7582
O7589
O759
O76
O770
O771
O778
O779
O80
O82
O85
O860
Page 2596 of 6734

O8629
Other urinary tract infection following

delivery
Pyrexia of unknown origin following
761
761
O8681
delivery
Puerperal septic thrombophlebitis
761
O8689
Other specified puerperal infections
761
761
O871
Superficial thrombophlebitis in the

puerperium
Deep phlebothrombosis in the puerperium
761
O872
Hemorrhoids in the puerperium
761
O873
Cerebral venous thrombosis in the

puerperium
Varicose veins of lower extremity in the
puerperium
Other venous complications in the
761
761
O864
O870
O874
O878
761
puerperium
O879
Venous complication in the puerperium,
O88011 unspecified
Air embolism in pregnancy, first trimester
761
765
O88012 Air embolism in pregnancy, second

O88013 trimester
Air embolism in pregnancy, third trimester
765
765
O88019 Air embolism in pregnancy, unspecified

O8802 trimester
Air embolism in childbirth
761
760
VAGINAL DELIVERY
761
765
765
765
O8803
Air embolism in the puerperium
O88111 Amniotic fluid embolism in pregnancy, first

O88112 trimester
Amniotic fluid embolism in pregnancy,
trimester
O88113 second
Amniotic
fluid embolism in pregnancy,
third
trimester
O88119 Amniotic fluid embolism in pregnancy,
761
O8812
unspecified
trimester
Amniotic fluid
embolism in childbirth
760
VAGINAL DELIVERY
O8813
Amniotic fluid embolism in the puerperium
761
O88211 Thromboembolism in pregnancy, first

O88212 trimester
Thromboembolism in pregnancy, second
O88213 trimester
Thromboembolism in pregnancy, third
O88219 trimester
Thromboembolism in pregnancy,
765
765
765
761
O8822
unspecified
trimester
Thromboembolism
in childbirth
760
VAGINAL DELIVERY
O8823
Thromboembolism in the puerperium
761
Page 2597 of 6734

O88311 Pyemic and septic embolism in pregnancy,
trimester
O88312 first
Pyemic
and septic embolism in pregnancy,
second
trimester
O88313 Pyemic and septic embolism in pregnancy,
trimester
O88319 third
Pyemic
and septic embolism in pregnancy,
765
765
765
761
760
VAGINAL DELIVERY
Pyemic and septic embolism in the

O88811 puerperium
Other embolism in pregnancy, first
O88812 trimester
Other embolism in pregnancy, second
761
765
765
O88813 trimester
Other embolism in pregnancy, third
O88819 trimester
Other embolism in pregnancy, unspecified
O8882 trimester
Other embolism in childbirth
765
761
760
VAGINAL DELIVERY
O8832
unsp
trimester
Pyemic
and septic embolism in childbirth
O8833
O8883
Other embolism in the puerperium
761
O8901
Aspiration pneumonitis due to anesth

during
the puerperium
Oth pulmonary
comp of anesthesia during
761
761
the
puerperium
Cardiac
complications of anesthesia during
the
puerperium
Cnsl complications of anesthesia during
761
761
the
Toxicpuerperium
reaction to local anesthesia during
the
puerperium
Spinal and epidur anesthesia-induced
761
761
hdache
during
the puerp
Oth comp
of spinal
and epidural anesth
during
the
puerperium
Failed or difficult intubation for anesth
761
761
761
O899
during
the puerp
Other complications
of anesthesia during
the
puerperium
Complication of anesthesia during the
761
O900
puerperium,
Disruption of unsp
cesarean delivery wound
761
O901
Disruption of perineal obstetric wound
761
O902
Hematoma of obstetric wound
760
VAGINAL DELIVERY
O903
Peripartum cardiomyopathy
761
O904
Postpartum acute kidney failure
761
O905
Postpartum thyroiditis
761
O906
Postpartum mood disturbance
761
O8909
O891
O892
O893
O894
O895
O896
O898
Page 2598 of 6734

O9081
Anemia of the puerperium
761
O9089
Oth complications of the puerperium, NEC
761
Complication of the puerperium,

O91011 unspecified
Infection of nipple associated w
trimester
O91012 pregnancy,
Infection of first
nipple
associated w
761
765
765
trimester w
O91013 pregnancy,
Infection of second
nipple associated
O91019 pregnancy,
Infection of third
nippletrimester
associated w
O9102 pregnancy,
Infection of unsp
nippletrimester
associated with the
puerperium
O9103 Infection of nipple associated with
765
761
761
761
O91111 lactation
Abscess of breast associated with
first trimester
O91112 pregnancy,
Abscess of breast
associated w pregnancy,
O91113 second
Abscesstrimester
of breast associated with
765
765
765
third trimester
O91119 pregnancy,
Abscess of breast
associated with
pregnancy,
unsp
trimester
O9112 Abscess of breast associated with the
O9113 puerperium
Abscess of breast associated with lactation
761
761
761
O91211 Nonpurulent mastitis associated w

trimester
O91212 pregnancy,
Nonpurulentfirst
mastitis
assoc w pregnancy,
765
765
trimester
O91213 second
Nonpurulent
mastitis associated w
trimester
O91219 pregnancy,
Nonpurulentthird
mastitis
associated w
pregnancy,
unsp
trimester
O9122 Nonpurulent mastitis associated with the
O9123 puerperium
Nonpurulent mastitis associated with
765
761
761
761
O92011 lactation
Retracted nipple associated with
first trimester
O92012 pregnancy,
Retracted nipple
associated with
pregnancy,
second
trimesterwith
O92013 Retracted nipple associated
765
765
765
third trimester
O92019 pregnancy,
Retracted nipple
associated with
unsp associated
trimester with the
O9202 pregnancy,
Retracted nipple
O9203 puerperium
Retracted nipple associated with lactation
761
761
761
O92111 Cracked nipple associated with pregnancy,

trimester
O92112 first
Cracked
nipple associated with pregnancy,
second trimester
765
765
O909
Page 2599 of 6734

O92113 Cracked nipple associated with pregnancy,
trimester
O92119 third
Cracked
nipple associated with pregnancy,
unsp
trimester
O9212 Cracked nipple associated with the
O9213 puerperium
Cracked nipple associated with lactation
765
761
761
761
Unsp disorder of breast assoc w pregnancy

and
the puerperium
Oth disorders
of breast assoc w pregnancy
761
761
O923
and
the puerperium
Agalactia
761
O924
Hypogalactia
761
O925
Suppressed lactation
761
O926
Galactorrhea
761
O9270
Unspecified disorders of lactation
761
O9279
Other disorders of lactation
761
Sequelae of comp of pregnancy, chldbrth,

the puerperium
O98011 and
Tuberculosis
complicating pregnancy, first
O98012 trimester
Tuberculosis complicating pregnancy,
761
765
765
trimester
O98013 second
Tuberculosis
complicating pregnancy, third
trimester
O98019 Tuberculosis complicating pregnancy,
O9802 unspecified
Tuberculosistrimester
complicating childbirth
765
765
760
VAGINAL DELIVERY
761
O98111 Syphilis complicating pregnancy, first

O98112 trimester
Syphilis complicating pregnancy, second
O98113 trimester
Syphilis complicating pregnancy, third
765
765
765
O98119 trimester
Syphilis complicating pregnancy,
trimester childbirth
O9812 unspecified
Syphilis complicating
765
760
VAGINAL DELIVERY
761
765
765
765
765
O9220
O9229
O94
O9803
O9813
Tuberculosis complicating the puerperium
Syphilis complicating the puerperium
O98211 Gonorrhea complicating pregnancy, first

O98212 trimester
Gonorrhea complicating pregnancy,
trimester
O98213 second
Gonorrhea
complicating pregnancy, third
trimester
O98219 Gonorrhea complicating pregnancy,
Page 2600 of 6734

O9822
Gonorrhea complicating childbirth
760
VAGINAL DELIVERY
O9823
Gonorrhea complicating the puerperium
761
O98311 Oth infect w sexl mode of transmiss comp

first tri
O98312 preg,
Oth infect
w sexl mode of transmiss comp
preg,
second
tri mode of transmiss comp
O98313 Oth infect w sexl
third w
trisexl mode of transmiss comp
O98319 preg,
Oth infect
765
765
765
765
unsp tri w sexl mode of transmiss

O9832 preg,
Oth infections
childbirthw sexl mode of transmiss
O9833 comp
Oth infections
the puerperium
O98411 comp
Viral hepatitis
complicating pregnancy,
first
trimester
O98412 Viral hepatitis complicating pregnancy,
760
VAGINAL DELIVERY
761
765
765
trimester
O98413 second
Viral hepatitis
trimestercomplicating pregnancy,
O98419 third
Viral hepatitis
trimestercomplicating childbirth
O9842 unsp
Viral hepatitis
765
765
760
VAGINAL DELIVERY
Viral hepatitis complicating the

O98511 puerperium
Other viral diseases complicating
first trimester
O98512 pregnancy,
Oth viral diseases
761
765
765
trimester
O98513 second
Other viral
diseases complicating
pregnancy,
third trimester
O98519 Other viral diseases
complicating
unsp trimester
O9852 pregnancy,
Other viral diseases
complicating
765
765
760
VAGINAL DELIVERY
O9853 childbirth
Other viral diseases complicating the
O98611 puerperium
Protozoal diseases complicating
first trimester
O98612 pregnancy,
Protozoal diseases
complicating
761
765
765
second complicating
trimester
O98613 pregnancy,
Protozoal diseases
third trimester
O98619 pregnancy,
Protozoal diseases
complicating
765
765
760
VAGINAL DELIVERY
Protozoal diseases complicating the

O98711 puerperium
Human immunodef virus disease comp
first
trimester virus disease comp
O98712 preg,
Human
immunodef
761
765
765
second
trimester
O98713 preg,
Human
immunodef
virus disease comp
preg, third trimester
765
O9843
O9862
pregnancy,
unsp trimester
Protozoal diseases
O9863
Page 2601 of 6734

O98719 Human immunodef virus disease comp
unsp trimester virus disease
O9872 pregnancy,
Human immunodeficiency
765
760
VAGINAL DELIVERY
childbirth
O9873 complicating
Human immunodef
virus disease
puerperium
O98811 complicating
Oth maternal the
infec/parastc
diseases comp
preg,
first
tri
O98812 Oth maternal infec/parastc diseases comp
761
765
765
second tri
O98813 preg,
Oth maternal
infec/parastc diseases comp
preg,
third
tri
O98819 Oth maternal infec/parastc diseases comp
unsp tri infec/parastc diseases
O9882 preg,
Oth maternal
765
765
760
VAGINAL DELIVERY
O9883 complicating
Oth maternal childbirth
infec/parastc diseases comp
the
puerperium
O98911 Unsp maternal infec/parastc disease comp
first tri infec/parastc disease comp
O98912 preg,
Unsp maternal
761
765
765
second triinfec/parastc disease comp

O98913 preg,
Unsp maternal
third tri infec/parastc disease comp
O98919 preg,
Unsp maternal
unsp tri infec/parastc disease
O9892 preg,
Unsp maternal
765
761
760
VAGINAL DELIVERY
complicating
childbirth
Unsp maternal
infec/parastc disease comp
the
puerperium
O99011 Anemia complicating pregnancy, first
O99012 trimester
Anemia complicating pregnancy, second
761
765
765
O99013 trimester
Anemia complicating pregnancy, third
O99019 trimester
Anemia complicating pregnancy,
trimester childbirth
O9902 unspecified
Anemia complicating
765
765
760
VAGINAL DELIVERY
761
O99111 Oth dis of bld/bld-form org/immun

comp preg, 1st
tri
O99112 mechnsm
Oth dis of bld/bld-form
org/immun
765
765
comp preg, 2nd

tri
O99113 mechnsm
org/immun
comp preg, 3rd
tri
O99119 mechnsm
org/immun
comp
preg,unsp org/immun
tri
O9912 mechnsm
Oth dis of the
bld/bld-form
765
765
761
comp
chldbrth org/immun
O9913 mechnsm
Oth dis of the
bld/bld-form
comp the puerp
O99210 mechnsm
Obesity complicating
pregnancy,
unspecified
trimester
O99211 Obesity complicating pregnancy, first
761
765
765
O9893
O9903
Anemia complicating the puerperium
trimester
Page 2602 of 6734

O99212 Obesity complicating pregnancy, second
O99213 trimester
Obesity complicating pregnancy, third
O99214 trimester
Obesity complicating childbirth
765
765
761
O99215 Obesity complicating the puerperium
761
O99280 Endo, nutritional and metab diseases

unsp and
tri metab diseases
O99281 comp
Endo, preg,
nutritional
first tri
O99282 comp
Endo, preg,
nutritional
and metab diseases
765
765
765
second
trimetab diseases
O99283 comp
Endo, preg,
nutritional
and
preg,nutritional
third tri and metabolic
O99284 comp
Endocrine,
765
760
VAGINAL DELIVERY
comp
chldbrth
O99285 diseases
Endocrine,
nutritional
and metabolic
diseases
comp
the
puerp
O99310 Alcohol use complicating pregnancy,
trimester
O99311 unspecified
Alcohol use complicating
pregnancy, first
trimester
O99312 Alcohol use complicating pregnancy,
761
765
765
765
O99313 second
Alcohol trimester
use complicating pregnancy, third
O99314 trimester
Alcohol use complicating childbirth
765
760
VAGINAL DELIVERY
O99315 Alcohol use complicating the puerperium
761
O99320 Drug use complicating pregnancy,

trimester pregnancy, first
O99321 unspecified
Drug use complicating
O99322 trimester
Drug use complicating pregnancy, second
765
765
765
O99323 trimester
Drug use complicating pregnancy, third
O99324 trimester
Drug use complicating childbirth
765
760
VAGINAL DELIVERY
O99325 Drug use complicating the puerperium
761
O99330 Smoking (tobacco) complicating

unsp trimester
O99331 pregnancy,
Smoking (tobacco)
complicating
765
765
first trimester
O99332 pregnancy,
Smoking (tobacco)
complicating
second complicating
trimester
O99333 pregnancy,
Smoking (tobacco)
third trimester
O99334 pregnancy,
Smoking (tobacco)
765
765
761
O99335 Smoking (tobacco) complicating the

O99340 puerperium
Oth mental disorders complicating
761
765

Page 2603 of 6734

O99341 Oth mental disorders complicating
trimester
O99342 pregnancy,
Oth mental first
disorders
comp pregnancy,
765
765
trimester
O99343 second
Oth mental
disorders complicating
third
trimester
O99344 pregnancy,
Other mental
disorders
complicating
childbirth
O99345 Other mental disorders complicating the
O99350 puerperium
Diseases of the nervous sys comp
765
760
VAGINAL DELIVERY
761
765
trimester
O99351 pregnancy,
Diseases of unsp
the nervous
sys comp
trimestersys comp
O99352 pregnancy,
Diseases of first
the nervous
trimester
O99353 pregnancy,
Diseases of second
the nervous
sys comp
765
765
765
trimester
O99354 pregnancy,
Diseases of third
the nervous
system
complicating
childbirth
O99355 Diseases of the nervous system
thecirc
puerperium
O99411 complicating
Diseases of the
sys comp pregnancy,
760
VAGINAL DELIVERY
761
765
trimester
O99412 first
Diseases
of the circ sys comp pregnancy,
second
trimester
O99413 Diseases of the circ sys comp pregnancy,
trimester
O99419 third
Diseases
of the circ sys comp pregnancy,
unsp
trimester
O9942 Diseases of the circulatory system
765
765
765
760
VAGINAL DELIVERY
childbirth
O9943 complicating
Diseases of the
circ sys complicating the
puerperium
O99511 Diseases of the resp sys comp pregnancy,
trimester
O99512 first
Diseases
of the resp sys comp pregnancy,
761
765
765
trimester
O99513 second
Diseases
of the resp sys comp pregnancy,
third
trimester
O99519 Diseases of the resp sys comp pregnancy,
trimester
O9952 unsp
Diseases
of the respiratory system
765
765
760
VAGINAL DELIVERY
complicating
childbirth
Diseases of the
resp sys complicating the
puerperium
O99611 Diseases of the dgstv sys comp
trimester
O99612 pregnancy,
Diseases of first
the dgstv
sys comp
761
765
765
trimester
O99613 pregnancy,
Diseases of second
the dgstv
sys comp
pregnancy,
third
trimester
O99619 Diseases of the dgstv sys comp
765
765
760
VAGINAL DELIVERY
761
O9953
O9962
O9963
pregnancy,
trimestersystem
Diseases of unsp
the digestive
complicating
childbirth
Diseases of the
digestive system
complicating the puerperium
Page 2604 of 6734

O99711 Diseases of the skin, subcu comp
trimester
O99712 pregnancy,
Diseases of first
the skin,
subcu comp
pregnancy,
second
trimester
O99713 Diseases of the skin, subcu comp
765
765
765
trimester
O99719 pregnancy,
Diseases of third
the skin,
subcu comp
pregnancy,
unsp
trimester
O9972 Diseases of the skin, subcu complicating
O9973 childbirth
Diseases of the skin, subcu complicating
765
760
VAGINAL DELIVERY
761
puerperium
O99810 the
Abnormal
glucose complicating pregnancy
765
O99814 Abnormal glucose complicating childbirth
760
VAGINAL DELIVERY
O99815 Abnormal glucose complicating the

O99820 puerperium
Streptococcus B carrier state complicating
761
765
O99824 pregnancy
O99825 childbirth
puerperium
O99830 the
Other
infection carrier state complicating
761
761
765
O99834 pregnancy
Other infection carrier state complicating
O99835 childbirth
Other infection carrier state complicating
puerperium
O99840 the
Bariatric
surgery status comp pregnancy,
760
VAGINAL DELIVERY
761
765
trimester
O99841 unsp
Bariatric
first
trimester
O99842 Bariatric surgery status comp pregnancy,
O99843 second
Bariatrictrimester
third
trimester
O99844 Bariatric surgery status complicating
765
765
765
761
O99845 childbirth
Bariatric surgery status complicating the
O9989 puerperium
Oth diseases and conditions compl
O9A111 preg/chldbrth
Malignant neoplasm complicating
761
765
765
first trimester
O9A112 pregnancy,
Malignant neoplasm
complicating
pregnancy,
second
trimester
O9A113 Malignant neoplasm complicating
third trimester
O9A119 pregnancy,
Malignant neoplasm
complicating
765
765
765
unsp trimester
O9A12 pregnancy,
Malignant neoplasm
complicating
childbirth
O9A13 Malignant neoplasm complicating the
O9A211 puerperium
Inj/poisn/oth conseq of external causes
comp preg, first tri
760
VAGINAL DELIVERY
761
765
Page 2605 of 6734

O9A212 Inj/poisn/oth conseq of extrn causes comp
second conseq
tri
O9A213 preg,
Inj/poisn/oth
of external causes
comp
preg,
third
tri
O9A219 Inj/poisn/oth conseq of external causes
765
765
765
comp
preg, unsp
tri of external causes
Inj/poisn/oth
conseq
childbirth
O9A23 comp
Inj/poisn/oth
conseq of external causes
comp
the
puerperium
O9A311 Physical abuse complicating pregnancy,
trimester
O9A312 first
Physical
abuse complicating pregnancy,
760
VAGINAL DELIVERY
761
765
765
O9A313 second
Physicaltrimester
third
trimester
O9A319 Physical abuse complicating pregnancy,
trimester
O9A32 unspecified
Physical abuse
765
765
760
VAGINAL DELIVERY
Physical abuse complicating the

O9A411 puerperium
Sexual abuse complicating pregnancy, first
O9A412 trimester
Sexual abuse complicating pregnancy,
761
765
765
trimester
O9A413 second
Sexual abuse
trimester
O9A419 third
Sexual
unspecified
trimester
O9A42 Sexual abuse
765
765
760
VAGINAL DELIVERY
761
O9A511 Psychological abuse complicating

first
trimester
O9A512 pregnancy,
Psychological
abuse
complicating
765
765
second
O9A513 pregnancy,
Psychological
abusetrimester
complicating
pregnancy,
third
trimester
O9A519 Psychological abuse complicating
unsp
trimester
O9A52 pregnancy,
Psychological
abuse
complicating
765
765
760
VAGINAL DELIVERY
childbirth
Psychological abuse complicating the
puerperium
Newborn affected by maternal
761
772
hypertensive
disorders
Newborn aff by
maternal renal and urinary
tract
diseases
Newborn
affected by maternal
772
772
infec/parastc
diseases
Newborn affected
by oth maternal circ and
resp
diseases
Newborn affected by maternal nutritional
772
771
disorders
Newborn (suspected to be) affected by
maternal injury
771
O9A22
O9A33
O9A43
O9A53
P000
P001
P002
P003
P004
P005
Sexual abuse complicating the puerperium
Page 2606 of 6734

P006
P007
P0081
P0089
P009
P010
P011
P012
P013
P014
P015
P016
P017
P018
P019
P020
P021
P0220
P0229
P023
P024
P025
P0260
P0269
P027
P028
P029
P030
P031
Newborn affected by surgical procedure on

mother
Newborn affected by oth medical
procedures
on mother,
NEC
Newborn affected
by periodontal
disease
771
771
771
in
motheraffected by oth maternal
Newborn
conditions
Newborn affected by unsp maternal
condition
incompetent
cervix to be) affected by
Newborn (suspected
771
771
771
771
premature
ROM
Newborn (suspected
to be) affected by
oligohydramnios
polyhydramnios
ectopic
pregnancy
Newborn
(suspected to be) affected by
772
772
772
771
multiple
Newbornpregnancy
(suspected to be) affected by
maternal
death by malpresentation
Newborn affected
772
771
before
labor
Newborn
affected by oth maternal
complications
of pregnancy
Newborn affected
by maternal
771
771
complication
of pregnancy,
unsp
Newborn (suspected
to be) affected
by
placenta
previa
Newborn affected by oth placental
772
772
separation
Newborn affand
by hemorrhage
unsp morpholog and
functn
abnlt
Newborn
aff of
by placenta
oth morpholog and functn
772
772
abnlt
of placenta
Newborn
affected by placental transfusion
syndromes
772
772
prolapsed
cord
Newborn affected
by oth compression of
umbilical
cord
Newborn affected
by unsp conditions of
umbilical
cord
Newborn affected by oth conditions of
772
772
772
umbilical
cord
Newborn (suspected
to be) affected by
chorioamnionitis
Newborn affected by oth abnormalities of
membranes
Newborn affected by abnormality of
772
772
772
membranes,
unsp by breech delivery and
Newborn affected
extraction
NB aff by oth malpresent, malpos &
772
772
disproprtn dur labr & del

Page 2607 of 6734

P032

forceps
Newborndelivery
affected by delivery by vacuum
772
772
extractor
Cesarean
delivery
Newborn (suspected
to be) affected by
precipitate
delivery
Newborn affected by abnormal uterine
772
772
772
contractions
NB aff by abnlt in fetl heart rate or rhythm
bef
onset
labor in fetal heart rate or
NB aff
by abnlt
rhythm
during
NB aff by
abnltlabor
in fetl hrt rate or rhythm,
771
771
771
P0382
unsp
time onset
Meconium
passage during delivery
772
P0389
Newborn affected by oth complications of

labor
andaffected
delivery by complication of labor
Newborn
and
delivery,
unspanesth and analgesia in
NB aff
by matern
771
772
772
preg,
labor
and delby oth maternal
Newborn
affected
medication
Newborn affected by maternal use of
tobacco
alcohol
843
851
842
841
cocaine
drugs
of addiction
Newborn
aff by maternal use of nutritional
843
851
chemical
substnc
Newborn aff
by maternal exposure to
environ
chemical
Newborn affectedsubstnc
by oth maternal noxious
851
851
substances
Newborn affected by maternal noxious
substance,
unsp
Newborn light
for gestational age,
772
873
NEONATAL AFTERCARE
unspecified
weight
Newborn light
for gestational age, less
than
500
grams
Newborn light for gestational age, 500-749
grams
Newborn light for gestational age, 750-999
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
grams
Newborn light for gestational age, 10001249
grams
Newborn
light for gestational age, 12501499
grams
grams
Newborn
light for gestational age, 1750-
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
P033
P034
P035
P036
P03810
P03811
P03819
P039
P040
P041
P042
P043
P0441
P0449
P045
P046
P048
P049
P0500
P0501
P0502
P0503
P0504
P0505
P0506
P0507
1999 grams
Page 2608 of 6734

P0508
P0510
P0511
P0512
P0513
P0514
P0515
P0516
P0517
P0518
P052
P059
P0700
P0701
P0702
P0703
P0710
P0714
P0715
P0716
P0717
P0718
P0720
P0721
P0722
P0723
P0724
P0725
P0726

grams
Newborn
small for gestational age,
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
unspecified
weight
Newborn small
for gestational age, less
than
500 small
gramsfor gestational age, 500Newborn
749
grams
Newborn
small for gestational age, 750-
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
999
grams
Newborn
small for gestational age, 10001249
grams
Newborn small for gestational age, 12501499
grams
Newborn
grams
Newborn small for gestational age, 1750-
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
1999
grams
Newborn
grams
NB aff by fetal malnut not light or small for
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
gestatnl
Newbornage
affected by slow intrauterine
growth,
unspecified
Extremely low birth weight newborn,
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
unspecified
weight
Extremely low
birth weight newborn, less
than
500 grams
Extremely
low birth weight newborn, 500749
grams
Extremely low birth weight newborn, 750999
grams
Other
low birth weight newborn,
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
unspecified
weight
Other low birth
weight newborn, 10001249
Othergrams
grams
Other low birth weight newborn, 1500-
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
1749
Othergrams
grams
Other low birth weight newborn, 20002499
grams
Extreme
immaturity of newborn, unsp
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
weeks
of immaturity
gestation of NB, gestatnl age <
Extreme
23
completed
weeksof NB, gestatnl age 23
Extreme
immaturity
completed
weeks
Extreme immaturity
of NB, gestatnl age 24
completed
weeks
Extreme immaturity of NB, gestatnl age 25
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
completed
weeks
Extreme immaturity
of NB, gestatnl age 26
completed
weeks
Extreme immaturity of NB, gestatnl age 27
completed weeks
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
Page 2609 of 6734

P0730
Preterm newborn, unspecified weeks of

gestation
Preterm newborn, gestational age 28
completed
weeks gestational age 29
Preterm newborn,
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
completed
Preterm newborn,
completed
Preterm newborn,
completed
Preterm newborn,
completed
Preterm newborn,
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
873
NEONATAL AFTERCARE
P080
completed
Preterm newborn,
completed
Preterm newborn,
completed
Preterm newborn,
completed
weeks
Exceptionally
large newborn baby
770
NORMAL NEONATE
P081
Other heavy for gestational age newborn
770
NORMAL NEONATE
P0821
Post-term newborn
770
NORMAL NEONATE
P0822
Prolonged gestation of newborn
770
NORMAL NEONATE
P09
Abnormal findings on neonatal screening
871
P100
Subdural hemorrhage due to birth injury
535
P101
Cerebral hemorrhage due to birth injury
535
P102
535
P103
Intraventricular hemorrhage due to birth

injury
Subarachnoid hemorrhage due to birth
535
P104
injury
Tentorial tear due to birth injury
535
P108
535
P109
Oth intcrn lacerations and hemorrhages

due
birth laceration
injury
Unsptointcrn
and hemorrhage
535
P110
due
to birth
injury
Cerebral
edema
due to birth injury
535
P111
853
OTHER INJURY, POISONING & TOXIC EFFEC
P112
Other specified brain damage due to birth

injury
Unspecified brain damage due to birth
535
P113
injury
Birth injury to facial nerve
527
P114
Birth injury to other cranial nerves
527
P115
Birth injury to spine and spinal cord
520
P119
Birth injury to central nervous system,

unspecified
535
P0731
P0732
P0733
P0734
P0735
P0736
P0737
P0738
P0739
Page 2610 of 6734

P120
Cephalhematoma due to birth injury
564
P121
564
P122
Chignon (from vacuum extraction) due to

birth
injurysubaponeurotic hemorrhage due
Epicranial
564
P123
to
birth injury
Bruising
of scalp due to birth injury
564
P124
564
P1281
Injury of scalp of newborn due to

monitoring
equipment
Caput succedaneum
564
P1289
Other birth injuries to scalp
564
P129
Birth injury to scalp, unspecified
564
P130
Fracture of skull due to birth injury
652
P131
Other birth injuries to skull
652
P132
Birth injury to femur
652
P133
Birth injury to other long bones
652
P134
Fracture of clavicle due to birth injury
652
P138
Birth injuries to other parts of skeleton
652
P139
Birth injury to skeleton, unspecified
652
P140
Erb's paralysis due to birth injury
527
P141
Klumpke's paralysis due to birth injury
527
P142
Phrenic nerve paralysis due to birth injury
527
P143
Other brachial plexus birth injuries
527
P148
527
P149
Birth injuries to other parts of peripheral

nervous
system
Birth injury
to peripheral nervous system,
527
P150
unspecified
Birth injury to liver
853
P151
Birth injury to spleen
853
P152
Sternomastoid injury due to birth injury
853
P153
Birth injury to eye
853
P154
Birth injury to face
853
P155
Birth injury to external genitalia
853
P156
Subcutaneous fat necrosis due to birth

injury
Other specified birth injuries
853
853
P158
Page 2611 of 6734

P159
Birth injury, unspecified
853
P190
772
772
P192
Metabolic acidemia in newborn first noted

before
onset
labor in newborn first noted
Metabolic
acidemia
during
labor
Metabolic
acidemia noted at birth
771
P199
Metabolic acidemia, unspecified
771
P220
Respiratory distress syndrome of newborn
577
P221
Transient tachypnea of newborn
771
P228
Other respiratory distress of newborn
576
P229
576
P230
Respiratory distress of newborn,

unspecified
Congenital pneumonia due to viral agent
577
P231
Congenital pneumonia due to Chlamydia
577
P232
Congenital pneumonia due to

staphylococcus
streptococcus,
group B due to Escherichia
Congenital pneumonia
coli
577
577
577
577
Pseudomonas
Congenital pneumonia due to other
bacterial
agents
Congenital
pneumonia due to other
organisms
Congenital pneumonia, unspecified
577
577
577
Meconium aspiration without respiratory

symptoms
Meconium aspiration with respiratory
symptoms
Neonatal aspirat of amnio fluid and mucus
577
577
577
w/o
resp symp
Neonatal
aspirat of amnio fluid and mucus
w
resp symp
Neonatal
aspiration of blood without
577
577
respiratory
symptoms
Neonatal aspiration
of blood with
respiratory
symptoms
Neonatal aspirat of milk and regurgitated
food
w/o resp
symp
Neonatal
aspirat
of milk and regurgitated
577
577
577
food
resp symp
Otherwneonatal
aspiration without
respiratory
symptoms
Other neonatal aspiration with respiratory
symptoms
Neonatal aspiration, unspecified
577
577
577
P191
P233
P234
P235
P236
P238
P239
P2400
P2401
P2410
P2411
P2420
P2421
P2430
P2431
P2480
P2481
P249
Page 2612 of 6734

P250
Interstitial emphysema originating in the

perinatal
periodoriginating in the perinatal
Pneumothorax
577
577
period
Pneumomediastinum originating in the
perinatal
period
Pneumopericardium
originating in the
577
577
perinatal
Oth cond period
rel to interstit emphysema origin
in
perinat
period hemorrhage origin in the
Tracheobronchial
577
577
perinatal
period
Massive pulmonary
hemorrhage origin in
the
period
Oth perinatal
pulmonary
hemorrhages origin in the
577
577
perinatal
period hemorrhage origin in the
Unsp pulmonary
perinatal
period
Wilson-Mikity
syndrome
577
577
Bronchopulmonary dysplasia origin in the

perinatal
period
Oth chronic
resp diseases origin in the
577
577
perinatal
period
Unsp chronic
resp disease origin in the
perinatal
period
Primary atelectasis of newborn
577
577
P2810
Unspecified atelectasis of newborn
577
P2811
Resorption atelectasis without respiratory

distress
syndromeof newborn
Other atelectasis
577
577
P282
Cyanotic attacks of newborn
576
P283
Primary sleep apnea of newborn
510
P284
Other apnea of newborn
510
P285
Respiratory failure of newborn
577
P2881
Respiratory arrest of newborn
772
P2889
576
P289
Other specified respiratory conditions of

newborn
Respiratory condition of newborn,
576
P290
unspecified
Neonatal cardiac failure
871
P2911
Neonatal tachycardia
601
P2912
Neonatal bradycardia
601
P292
Neonatal hypertension
871
P293
Persistent fetal circulation
592
P251
P252
P253
P258
P260
P261
P268
P269
P270
P271
P278
P279
P280
P2819
Page 2613 of 6734

P294
Transient myocardial ischemia in newborn
871
P2981
Cardiac arrest of newborn
772
P2989
871
P299
Oth cardiovasc disorders originating in the

perinatal
period
Cardiovasc
disorder origin in the perinatal
871
P350
period,
unsp
Congenital
rubella syndrome
808
VIRAL ILLNESS
P351
Congenital cytomegalovirus infection
808
VIRAL ILLNESS
P352
809
P353
Congenital herpesviral [herpes simplex]

infection
Congenital viral hepatitis
809
P358
Other congenital viral diseases
809
P359
Congenital viral disease, unspecified
809
P360
Sepsis of newborn due to streptococcus,

group
SepsisBof newborn due to unspecified
streptococci
Sepsis of newborn due to other
streptococci
Sepsis of newborn due to Staphylococcus
805
805
805
805
805
805
P364
aureus
Sepsis of newborn due to unspecified
staphylococci
Sepsis of newborn due to other
staphylococci
Sepsis of newborn due to Escherichia coli
805
P365
Sepsis of newborn due to anaerobes
805
P368
Other bacterial sepsis of newborn
805
P369
Bacterial sepsis of newborn, unspecified
805
P370
Congenital tuberculosis
809
P371
Congenital toxoplasmosis
809
P372
Neonatal (disseminated) listeriosis
809
P373
Congenital falciparum malaria
809
P374
Other congenital malaria
809
P375
Neonatal candidiasis
809
P378
809
P379
Other specified congenital infectious and

parasitic
diseases
Congenital
infectious or parasitic disease,
809
P381
unspecified
Omphalitis with mild hemorrhage
673
P3610
P3619
P362
P3630
P3639
Page 2614 of 6734

P389
Omphalitis without hemorrhage
673
P390
Neonatal infective mastitis
673
P391
Neonatal conjunctivitis and dacryocystitis
553
P392
809
P393
Intra-amniotic infection affecting newborn,

NEC
Neonatal urinary tract infection
727
P394
Neonatal skin infection
809
P398
Other specified infections specific to the

perinatal
period to the perinatal period,
Infection specific
809
809
unspecified
Newborn aff by uterin (fetal) blood loss
from
vasaaff
previa
Newborn
by uterin (fetal) blood loss
from
ruptured
cordby uterin (fetal) blood
Newborn affected
772
772
772
loss
from affected
placentaby hemorrhage into coNewborn
twin
Newborn affected by hemorrhage into
maternal
NB aff by circulation
uterin blood loss from cut end of
772
772
772
772
772
P510
co-twin's
cord
Newborn affected
by other intrauterine
(fetal)
blood
loss
Newborn affected by intrauterine (fetal)
blood
loss,
unsp hemorrhage of newborn
Massive
umbilical
785
P518
Other umbilical hemorrhages of newborn
785
P519
Umbilical hemorrhage of newborn,

unspecified
Intraventricular hemorrhage, grade 1, of
newborn
newborn
785
535
535
535
newborn
newborn
Unsp intraventricular (nontraumatic)
535
535
hemorrhage
newborn
Intracerebralof
(nontraumatic)
hemorrhage
of
newborn
Subarachnoid
(nontraumatic) hemorrhage
535
535
of
newbornand posterior fossa hemorrhage
Cerebellar
of
newborn
Other
intracranial (nontraumatic)
535
535
hemorrhages
of newborn hemorrhage of
Intracranial (nontraumatic)
newborn, unsp
535
P399
P500
P501
P502
P503
P504
P505
P508
P509
P520
P521
P5221
P5222
P523
P524
P525
P526
P528
P529
Page 2615 of 6734

P53
Hemorrhagic disease of newborn
781
P540
Neonatal hematemesis
853
P541
Neonatal melena
772
P542
Neonatal rectal hemorrhage
772
P543
772
P544
Other neonatal gastrointestinal

hemorrhage
Neonatal adrenal hemorrhage
772
P545
Neonatal cutaneous hemorrhage
675
P546
Neonatal vaginal hemorrhage
853
P548
Other specified neonatal hemorrhages
853
P549
Neonatal hemorrhage, unspecified
853
P550
Rh isoimmunization of newborn
772
P551
ABO isoimmunization of newborn
772
P558
Other hemolytic diseases of newborn
772
P559
Hemolytic disease of newborn, unspecified
772
P560
Hydrops fetalis due to isoimmunization
780
P5690
780
780
P570
Hydrops fetalis due to unspecified

hemolytic
disease
Hydrops fetalis
due to other hemolytic
disease
Kernicterus due to isoimmunization
524
P578
Other specified kernicterus
524
P579
Kernicterus, unspecified
524
P580
Neonatal jaundice due to bruising
640
P581
Neonatal jaundice due to bleeding
640
P582
Neonatal jaundice due to infection
640
P583
Neonatal jaundice due to polycythemia
640
NB jaund due to drugs or toxins

transmitted
from mother
Neonatal jaundice
due to drugs or toxins
given
to
newborn
Neonatal jaundice due to swallowed
640
640
640
maternal
blood
Neonatal jaundice
due to other specified
excessive
hemolysis
Neonatal jaundice due to excessive
hemolysis, unspecified
640
640
P5699
P5841
P5842
P585
P588
P589
Page 2616 of 6734

P590
Neonatal jaundice associated with preterm

delivery
Inspissated bile syndrome
640
640
Neonatal jaundice from unspecified

hepatocellular
damage
Neonatal jaundice
from other
hepatocellular
damage
Neonatal jaundice from breast milk
640
640
640
inhibitor
Neonatal jaundice from other specified
causes
Neonatal jaundice, unspecified
640
640
781
P610
Disseminated intravascular coagulation of

newborn
Transient neonatal thrombocytopenia
781
P611
Polycythemia neonatorum
785
P612
Anemia of prematurity
785
P613
Congenital anemia from fetal blood loss
785
P614
Other congenital anemias, not elsewhere

classified
Transient neonatal neutropenia
785
780
Other transient neonatal disorders of

coagulation
Other specified perinatal hematological
disorders
Perinatal hematological disorder,
781
785
785
772
P701
unspecified
Syndrome of infant of mother with
gestational
Syndrome ofdiabetes
infant of a diabetic mother
772
P702
Neonatal diabetes mellitus
772
P703
Iatrogenic neonatal hypoglycemia
692
P704
Other neonatal hypoglycemia
692
P708
772
P709
Oth transitory disorders of carbohydrate

metab
of newborn
Transitory
disorder of carbohydrate metab
690
P710
of
newborn,
unsp
Cow's
milk hypocalcemia
in newborn
694
P711
Other neonatal hypocalcemia
694
P712
Neonatal hypomagnesemia
694
P713
Neonatal tetany without calcium or

magnesium
deficiency
Transitory neonatal
hypoparathyroidism
694
694
P591
P5920
P5929
P593
P598
P599
P60
P615
P616
P618
P619
P700
P714
Page 2617 of 6734

P718
694
P719
Oth transitory neonatal disord of calcium

&
magnesium
metab
Transitory
neonatal
disord of calcium &
694
P720
magnesium
metab,unsp
Neonatal goiter,
not elsewhere classified
772
P721
Transitory neonatal hyperthyroidism
772
P722
Oth transitory neonatal disorders of

thyroid
function,transitory
NEC
Other specified
neonatal
772
772
690
P740
endocrine
disordersendocrine disorder,
Transitory neonatal
unspecified
Late metabolic acidosis of newborn
694
P741
Dehydration of newborn
772
P742
772
772
P744
Disturbances of sodium balance of

newborn
Disturbances of potassium balance of
newborn
Other transitory electrolyte disturbances
772
P745
of
newborntyrosinemia of newborn
Transitory
772
P746
Transitory hyperammonemia of newborn
772
P748
772
P749
Other transitory metabolic disturbances of

newborn
Transitory metabolic disturbance of
690
P760
newborn,
Meconiumunspecified
plug syndrome
510
P761
Transitory ileus of newborn
624
P762
Intestinal obstruction due to inspissated

milk
Other specified intestinal obstruction of
625
624
newborn
Intestinal obstruction of newborn,
unspecified
Stage 1 necrotizing enterocolitis in
624
625
625
625
P779
newborn
newborn
newborn
Necrotizing enterocolitis in newborn,
625
P780
unspecified
Perinatal intestinal perforation
510
P781
Other neonatal peritonitis
624
P782
Neonatal hematemesis and melena d/t

swallowed
matern
blood
Noninfective
neonatal
diarrhea
624
624
P728
P729
P743
P768
P769
P771
P772
P773
P783
Page 2618 of 6734

P7881
Congenital cirrhosis (of liver)
624
P7882
Peptic ulcer of newborn
624
P7883
Newborn esophageal reflux
624
P7889
624
P789
Other specified perinatal digestive system

disorders
Perinatal digestive system disorder,
624
P800
unspecified
Cold injury syndrome
853
P808
Other hypothermia of newborn
853
P809
Hypothermia of newborn, unspecified
853
P810
Environmental hyperthermia of newborn
807
FEVER
P818
807
FEVER
807
FEVER
P830
Oth disturbances of temperature

regulation
ofof
newborn
Disturbance
temperature regulation of
newborn,
Sclerema unsp
neonatorum
675
P831
Neonatal erythema toxicum
675
P832
593
P8330
Hydrops fetalis not due to hemolytic

disease
Unspecified edema specific to newborn
592
P8339
Other edema specific to newborn
592
P834
Breast engorgement of newborn
675
P835
Congenital hydrocele
741
P836
Umbilical polyp of newborn
675
P838
Other specified conditions of integument

specific
toof
newborn
Condition
the integument specific to
675
675
P84
newborn,
unspecified
Other problems
with newborn
772
P90
Convulsions of newborn
529
SEIZURE
P910
Neonatal cerebral ischemia
528
P911
Acquired periventricular cysts of newborn
528
P912
Neonatal cerebral leukomalacia
524
P913
Neonatal cerebral irritability
528
P914
Neonatal cerebral depression
528
P915
Neonatal coma
528
P819
P839
Page 2619 of 6734

P9160
Hypoxic ischemic encephalopathy [HIE],

unspecified
Mild hypoxic ischemic encephalopathy
772
772
[HIE]
Moderate hypoxic ischemic
encephalopathy
[HIE]
Severe hypoxic ischemic
encephalopathy
772
528
[HIE]
Other specified disturbances of cerebral
status
of newborn
Disturbance
of cerebral status of newborn,
524
524
P9201
unspecified
Bilious vomiting of newborn
690
P9209
Other vomiting of newborn
690
P921
Regurgitation and rumination of newborn
690
P922
Slow feeding of newborn
690
P923
Underfeeding of newborn
690
P924
Overfeeding of newborn
690
P925
Neonatal difficulty in feeding at breast
690
P926
Failure to thrive in newborn
690
P928
Other feeding problems of newborn
690
P929
Feeding problem of newborn, unspecified
690
P930
Grey baby syndrome
843
P938
843
P940
Oth reactions and intoxications d/t drugs

administered
to NBmyasthenia gravis
Transient neonatal
522
P941
Congenital hypertonia
871
P942
Congenital hypotonia
871
P948
Other disorders of muscle tone of newborn
871
P949
Disorder of muscle tone of newborn,

unspecified
Stillbirth
871
871
P960
Congenital renal failure
871
P961
843
P962
Neonatal w/drawal symp from matern use

of
drugs of addiction
Withdrawal
symptoms from therapeutic
843
P963
use
drugs sutures
in newborn
Wideofcranial
of newborn
871
P965
Comp to newborn due to (fetal)

intrauterine procedure
871
P9161
P9162
P9163
P918
P919
P95
Page 2620 of 6734

P9681
771
P9682
Expsr to (environmental) tobacco smoke in

the
perinat
period of umbilical cord
Delayed
separation
771
P9683
Meconium staining
772
P9689
871
P969
Oth conditions originating in the perinatal

period
Condition originating in the perinatal
871
Q000
period,
unspecified
Anencephaly
524
Q001
Craniorachischisis
524
Q002
Iniencephaly
524
Q010
Frontal encephalocele
524
Q011
Nasofrontal encephalocele
524
Q012
Occipital encephalocele
524
Q018
Encephalocele of other sites
524
Q019
Encephalocele, unspecified
524
Microcephaly
524
Q030
Malformations of aqueduct of Sylvius
524
Q031
524
Q038
Atresia of foramina of Magendie and

Luschka
Other congenital hydrocephalus
524
Q039
Congenital hydrocephalus, unspecified
524
Q040
524
Q041
Congenital malformations of corpus

callosum
Arhinencephaly
524
Q042
Holoprosencephaly
524
Q043
Other reduction deformities of brain
524
Q044
Septo-optic dysplasia of brain
524
Q045
Megalencephaly
524
Q046
Congenital cerebral cysts
524
Q048
524
Q049
Other specified congenital malformations

of
brain
Congenital
malformation of brain,
524
Q050
unspecified
Cervical spina bifida with hydrocephalus
524
Q051
Thoracic spina bifida with hydrocephalus
524
Q02
Page 2621 of 6734

Q052
Lumbar spina bifida with hydrocephalus
524
Q053
Sacral spina bifida with hydrocephalus
524
Q054
Unspecified spina bifida with

hydrocephalus
Cervical spina bifida without
524
524
524
Q057
hydrocephalus
Thoracic spina bifida without
hydrocephalus
Lumbar spina bifida without
524
Q058
hydrocephalus
Sacral spina bifida without hydrocephalus
524
Q059
Spina bifida, unspecified
524
Q060
Amyelia
520
Q061
Hypoplasia and dysplasia of spinal cord
520
Q062
Diastematomyelia
520
Q063
Other congenital cauda equina

malformations
Hydromyelia
520
520

of
spinal cord
Congenital
malformation of spinal cord,
520
524
unspecified
Arnold-Chiari syndrome without spina
bifida
or hydrocephalus
Arnold-Chiari
syndrome with spina bifida
524
524
Arnold-Chiari syndrome with

hydrocephalus
Arnold-Chiari syndrome with spina bifida
and
hydrocephalus
Other
specified congenital malformations
524
524
524
524
Q100
of
nervous system
Congenital
malformation of nervous
system,
unspecified
Congenital ptosis
553
Q101
Congenital ectropion
553
Q102
Congenital entropion
553
Q103
Other congenital malformations of eyelid
553
Q104
Absence and agenesis of lacrimal

apparatus
Congenital stenosis and stricture of
553
553
lacrimal
duct
Other congenital
malformations of lacrimal
apparatus
Congenital malformation of orbit
553
553
Q055
Q056
Q064
Q068
Q069
Q0700
Q0701
Q0702
Q0703
Q078
Q079
Q105
Q106
Q107
Page 2622 of 6734

Q110
Cystic eyeball
553
Q111
Other anophthalmos
553
Q112
Microphthalmos
553
Q113
Macrophthalmos
553
Q120
Congenital cataract
553
Q121
Congenital displaced lens
553
Q122
Coloboma of lens
553
Q123
Congenital aphakia
553
Q124
Spherophakia
553
Q128
Other congenital lens malformations
553
Q129
Congenital lens malformation, unspecified
553
Q130
Coloboma of iris
553
Q131
Absence of iris
553
Q132
Other congenital malformations of iris
553
Q133
Congenital corneal opacity
553
Q134
Other congenital corneal malformations
553
Q135
Blue sclera
553
Q1381
Rieger's anomaly
553
Q1389
Other congenital malformations of anterior

segment
of malformation
eye
Congenital
of anterior
553
553
553
Q141
segment
of malformation
eye, unsp
Congenital
of vitreous
humor
Congenital malformation of retina
553
Q142
Congenital malformation of optic disc
553
Q143
Congenital malformation of choroid
553
Q148
553
Q149
Other congenital malformations of

posterior
segment
of eye of posterior
Congenital
malformation
553
Q150
segment
of glaucoma
eye, unsp
Congenital
552
GLAUCOMA
Q158

of
eye
Congenital
malformation of eye,
553
553
Q139
Q140
Q159
unspecified
Page 2623 of 6734

Q160
Congenital absence of (ear) auricle
564
Q161
564
Q162
Congenital absence, atresia and stricture

of
auditory
Absence
of canal
eustachian tube
564
Q163
Congenital malformation of ear ossicles
564
Q164
Other congenital malformations of middle

ear
Congenital malformation of inner ear
564
564
564
Q170
Congen malform of ear causing

impairment
of hearing, unsp
Accessory auricle
564
Q171
Macrotia
565
Q172
Microtia
565
Q173
Other misshapen ear
564
Q174
Misplaced ear
564
Q175
Prominent ear
564
Q178
564
Q179

of
ear
Congenital
malformation of ear,
564
Q180
unspecified
Sinus, fistula and cyst of branchial cleft
565
Q181
Preauricular sinus and cyst
564
Q182
Other branchial cleft malformations
564
Q183
Webbing of neck
675
Q184
Macrostomia
563
Q185
Microstomia
563
Q186
Macrocheilia
563
Q187
Microcheilia
563
Q188
564
Q189

of
face and malformation
neck
Congenital
of face and neck,
675
Q200
unspecified
Common arterial trunk
600
Q201
Double outlet right ventricle
600
Q202
Double outlet left ventricle
600
Q203
Discordant ventriculoarterial connection
600
Q165
Q169
Page 2624 of 6734

Q204
Double inlet ventricle
600
Q205
Discordant atrioventricular connection
600
Q206
Isomerism of atrial appendages
600
Q208
600
Q209
Oth congenital malform of cardiac

chambers
connections
Congenitaland
malform
of cardiac chambers
600
Q210
and
connections,
Ventricular
septal unsp
defect
600
Q211
Atrial septal defect
600
Q212
Atrioventricular septal defect
600
Q213
Tetralogy of Fallot
600
Q214
Aortopulmonary septal defect
600
Q218
600
Q219
Other congenital malformations of cardiac

septa
Congenital malformation of cardiac
600
Q220
septum,
unspecified
Pulmonary
valve atresia
600
Q221
Congenital pulmonary valve stenosis
600
Q222
Congenital pulmonary valve insufficiency
600
Q223
600
Q224

pulmonary
Congenital valve
tricuspid stenosis
600
Q225
Ebstein's anomaly
600
Q226
Hypoplastic right heart syndrome
600
Q228
600
Q229

tricuspid
valve
Congenital
malformation of tricuspid
600
Q230
valve,
unspecified
Congenital
stenosis of aortic valve
600
Q231
Congenital insufficiency of aortic valve
600
Q232
Congenital mitral stenosis
600
Q233
Congenital mitral insufficiency
600
Q234
Hypoplastic left heart syndrome
600
Q238
600
Q239
Other congenital malformations of aortic

and
mitral valves
Congenital
malformation of aortic and
600
Q240
mitral
valves, unsp
Dextrocardia
600
Page 2625 of 6734

Q241
Levocardia
600
Q242
Cor triatriatum
600
Q243
Pulmonary infundibular stenosis
600
Q244
Congenital subaortic stenosis
600
Q245
Malformation of coronary vessels
600
Q246
Congenital heart block
601
Q248
600
Q249

of
heart
Congenital
malformation of heart,
600
Q250
unspecified
Patent ductus arteriosus
600
Q251
Coarctation of aorta
600
Q252
Atresia of aorta
600
Q253
Supravalvular aortic stenosis
600
Q254
Other congenital malformations of aorta
600
Q255
Atresia of pulmonary artery
600
Q256
Stenosis of pulmonary artery
600
Q2571
Coarctation of pulmonary artery
600
Q2572
Congenital pulmonary arteriovenous

malformation
600
600
600
Q259
pulmonary
arterymalformations of other
Other congenital
great
arteries
Congenital
malformation of great arteries,
600
Q260
unspecified
Congenital stenosis of vena cava
600
Q261
Persistent left superior vena cava
600
Q262
Total anomalous pulmonary venous

connection
Partial anomalous pulmonary venous
600
600
600
Q265
connection
Anomalous pulmonary venous connection,
unspecified
Anomalous portal venous connection
596
Q266
Portal vein-hepatic artery fistula
596
Q268
Other congenital malformations of great

veins
Congenital malformation of great vein,
600
600
Q2579
Q258
Q263
Q264
Q269
unspecified
Page 2626 of 6734

Q270
Congenital absence and hypoplasia of

umbilical
artery
Congenital
renal artery stenosis
596
596
Other congenital malformations of renal

artery
Arteriovenous malformation, site
596
596
596
596
596
Q2734
unspecified
Arteriovenous malformation of vessel of
upper
limb
Arteriovenous
malformation of vessel of
lower
limb
Arteriovenous malformation of digestive
system
vessel malformation of renal vessel
Arteriovenous
596
Q2739
Arteriovenous malformation, other site
596
Q274
Congenital phlebectasia
596
Q278
Oth congenital malformations of

peripheral
system
Congenital vascular
malformation
of peripheral
596
596
vascular
system,
unsp
Arteriovenous
malformation
of precerebral
vessels
Other malformations of precerebral
596
596
vessels
Arteriovenous malformation of cerebral
vessels
Other malformations of cerebral vessels
524
524
596
Q289

circulatory
Congenital system
malformation of circulatory
596
Q300
system,
Choanal unspecified
atresia
564
Q301
Agenesis and underdevelopment of nose
564
Q302
Fissured, notched and cleft nose
564
Q303
Congenital perforated nasal septum
564
Q308
Other congenital malformations of nose
564
Q309
564
Q310
Congenital malformation of nose,

unspecified
Web of larynx
564
Q311
Congenital subglottic stenosis
564
Q312
Laryngeal hypoplasia
564
Q313
Laryngocele
564
Q315
Congenital laryngomalacia
564
Q271
Q272
Q2730
Q2731
Q2732
Q2733
Q279
Q280
Q281
Q282
Q283
Q288
Page 2627 of 6734

Q318
Other congenital malformations of larynx
564
Q319
564
Q320
Congenital malformation of larynx,

unspecified
Congenital tracheomalacia
564
Q321
Other congenital malformations of trachea
564
Q322
Congenital bronchomalacia
564
Q323
Congenital stenosis of bronchus
564
Q324
564
Q330

bronchus
Congenital cystic lung
576
Q331
Accessory lobe of lung
576
Q332
Sequestration of lung
577
Q333
Agenesis of lung
577
Q334
Congenital bronchiectasis
574
Q335
Ectopic tissue in lung
576
Q336
Congenital hypoplasia and dysplasia of

lung
Other congenital malformations of lung
577
576
576
Q340
Congenital malformation of lung,

unspecified
Anomaly of pleura
576
Q341
Congenital cyst of mediastinum
576
Q348
576
Q349

respiratory
system
Congenital malformation
of respiratory
576
Q351
system,
unspecified
Cleft hard
palate
563
Q353
Cleft soft palate
563
Q355
Cleft hard palate with cleft soft palate
563
Q357
Cleft uvula
563
Q359
Cleft palate, unspecified
563
Q360
Cleft lip, bilateral
563
Q361
Cleft lip, median
563
Q369
Cleft lip, unilateral
563
Q370
Cleft hard palate with bilateral cleft lip
563
Q338
Q339
Page 2628 of 6734

Q371
Cleft hard palate with unilateral cleft lip
563
Q372
Cleft soft palate with bilateral cleft lip
563
Q373
Cleft soft palate with unilateral cleft lip
563
Q374
Cleft hard and soft palate with bilateral

cleft
Cleft lip
hard and soft palate with unilateral
cleft
lip
Unspecified cleft palate with bilateral cleft
563
563
563
563
563
Q381
lip
Unspecified cleft palate with unilateral
cleft
lip
Congenital
malformations of lips, not
elsewhere
classified
Ankyloglossia
563
Q382
Macroglossia
563
Q383
Other congenital malformations of tongue
563
Q384
564
624
Q386
Congenital malformations of salivary

glands
and malformations
ducts
Congenital
of palate, not
elsewhere
classified
Other congenital malformations of mouth
563
Q387
Congenital pharyngeal pouch
564
Q388

pharynx
Atresia of esophagus without fistula
564
625
Atresia of esophagus with tracheoesophageal

fistula
Congenital tracheo-esophageal
fistula
625
625
625
Q394
without
atresia
Congenital
stenosis and stricture of
esophagus
Esophageal web
625
Q395
Congenital dilatation of esophagus
625
Q396
Congenital diverticulum of esophagus
625
Q398
625
Q399

esophagus
Congenital malformation of esophagus,
625
Q400
unspecified
Congenital hypertrophic pyloric stenosis
625
Q401
Congenital hiatus hernia
624
Q402

of
stomach malformation of stomach,
Congenital
624
624
Q375
Q378
Q379
Q380
Q385
Q390
Q391
Q392
Q393
Q403
unspecified
Page 2629 of 6734

Q408
Oth congenital malformations of upper

alimentary
tract
of upper
624
624
alimentary
tract, unsp
Congenital absence,
atresia and stenosis
of
duodenum
Congenital
absence, atresia and stenosis
of
jejunum
Congenital absence, atresia and stenosis
625
625
625
of
ileum
Congenital
absence, atresia and stenosis
of
prt
sm
int
Congen absence, atresia and stenosis of
625
625
sm
int, partabsence,
unsp
Congenital
of
rectum
w
fistula
Congen absence, atresia and stenosis of
625
625
rectum
w/o absence,
fistula
Congenital
of
anus
w
fistula
Congenital absence, atresia and stenosis
of
anus w/oabsence,
fistula atresia and stenosis
Congenital
of
prt lg absence,
int
Congen
atresia and stenosis of lg
625
625
625
625
int,
part unsp
Meckel's
diverticulum (displaced)
(hypertrophic)
Hirschsprung's disease
624
625
625
Q433
Other congenital functional disorders of

colon
Congenital malformations of intestinal
625
Q434
fixation
Duplication of intestine
624
Q435
Ectopic anus
624
Q436
Congenital fistula of rectum and anus
624
Q437
Persistent cloaca
624
Q438

of
intestine malformation of intestine,
Congenital
624
624
640
Q441
unspecified
Agenesis, aplasia and hypoplasia of
gallbladder
640
Q442
gallbladder
Atresia of bile ducts
637
Q443
Congenital stenosis and stricture of bile

ducts
Choledochal cyst
637
640
Other congenital malformations of bile

ducts
640
Q409
Q410
Q411
Q412
Q418
Q419
Q420
Q421
Q422
Q423
Q428
Q429
Q430
Q431
Q432
Q439
Q440
Q444
Q445
Page 2630 of 6734

Q446
Cystic disease of liver
640
Q447
Other congenital malformations of liver
640
Q450
635
Q451
Agenesis, aplasia and hypoplasia of

pancreas
Annular pancreas
635
Q452
Congenital pancreatic cyst
635
Q453
Oth congenital malformations of pancreas

and
pancreatic
Other
specified duct
congenital malformations
635
624
624
Q5001
of
digestivemalformation
system
Congenital
of digestive
system,
unspecified
Congenital absence of ovary, unilateral
752
Q5002
Congenital absence of ovary, bilateral
752
Q501
Developmental ovarian cyst
752
Q502
Congenital torsion of ovary
752
Q5031
Accessory ovary
752
Q5032
Ovarian streak
752
Q5039
Other congenital malformation of ovary
752
Q504
Embryonic cyst of fallopian tube
752
Q505
Embryonic cyst of broad ligament
752
Q506
Oth congenital malformations of fallop and

broad
ligament
Agenesis
and aplasia of uterus
752
752
752
752
Q512
Doubling of uterus w doubling of cervix

and
vagina
obst
Doubling
of w/o
uterus
w doubling of cervix
and
vagina
w
obst
Other doubling of uterus
752
Q513
Bicornate uterus
752
Q514
Unicornate uterus
752
Q515
Agenesis and aplasia of cervix
753
Q516
Embryonic cyst of cervix
752
Congen fistulae betw uterus and digestive

urinary
tracts
Q51810 and
Arcuate
uterus
752
752
Q51811 Hypoplasia of uterus
752
Q458
Q459
Q510
Q5110
Q5111
Q517
Page 2631 of 6734

Q51818 Other congenital malformations of uterus
752
Q51820 Cervical duplication
752
Q51821 Hypoplasia of cervix
752
Q51828 Other congenital malformations of cervix
752
Congenital malformation of uterus and

cervix,
unspecified
Congenital
absence of vagina
752
753
Q5210
Doubling of vagina, unspecified
752
Q5211
Transverse vaginal septum
752
Q5212
Longitudinal vaginal septum
752
Q522
Congenital rectovaginal fistula
752
Q523
Imperforate hymen
752
Q524
Other congenital malformations of vagina
752
Q525
Fusion of labia
752
Q526
Congenital malformation of clitoris
752
752
Q5271
Unspecified congenital malformations of

vulva
Congenital absence of vulva
752
Q5279
Other congenital malformations of vulva
752
Q528

of
female genitalia
Congenital
malformation of female
752
752
Q5300
genitalia,
unspecified
Ectopic testis,
unspecified
741
Q5301
Ectopic testis, unilateral
741
Q5302
Ectopic testes, bilateral
741
Q5310
741
Q5311
Unspecified undescended testicle,

unilateral
Abdominal testis, unilateral
741
Q5312
Ectopic perineal testis, unilateral
741
Q5320
741
Q5321
Undescended testicle, unspecified,

bilateral
Abdominal testis, bilateral
741
Q5322
Ectopic perineal testis, bilateral
741
Undescended testicle, unspecified
741
Q519
Q520
Q5270
Q529
Q539
Page 2632 of 6734

Q540
Hypospadias, balanic
741
Q541
Hypospadias, penile
741
Q542
Hypospadias, penoscrotal
741
Q543
Hypospadias, perineal
741
Q544
Congenital chordee
741
Q548
Other hypospadias
741
Q549
Hypospadias, unspecified
741
Q550
Absence and aplasia of testis
741
Q551
Hypoplasia of testis and scrotum
741
741
Q5521
Unspecified congenital malformations of

testis
and scrotum
Polyorchism
741
Q5522
Retractile testis
741
Q5523
Scrotal transposition
741
Q5529
Other congenital malformations of testis

and
scrotum
Atresia
of vas deferens
741
741
Oth congen malform of vas def,epidid,

semnl
vesclabsence
& prostate
Congenital
and aplasia of penis
741
741
Q5561
Curvature of penis (lateral)
741
Q5562
Hypoplasia of penis
741
Q5563
Congenital torsion of penis
741
Q5564
Hidden penis
741
Q5569
Other congenital malformation of penis
741
Q557
Congenital vasocutaneous fistula
741
Q558
741
Q559
Oth congenital malformations of male

genital
organs
Congenital
malformation of male genital
741
Q560
organ,
unspecified not elsewhere classified
Hermaphroditism,
752
Q561
752
Q562
Male pseudohermaphroditism, not

elsewhere
classified
Female pseudohermaphroditism,
not
752
Q563
elsewhere
classified
Pseudohermaphroditism,
unspecified
752
Q5520
Q553
Q554
Q555
Page 2633 of 6734

Q564
Indeterminate sex, unspecified
752
Q600
Renal agenesis, unilateral
726
Q601
Renal agenesis, bilateral
726
Q602
Renal agenesis, unspecified
726
Q603
Renal hypoplasia, unilateral
726
Q604
Renal hypoplasia, bilateral
726
Q605
Renal hypoplasia, unspecified
726
Q606
Potter's syndrome
726
Q6100
Congenital renal cyst, unspecified
726
Q6101
Congenital single renal cyst
726
Q6102
Congenital multiple renal cysts
726
Q6111
Cystic dilatation of collecting ducts
726
Q6119
Other polycystic kidney, infantile type
726
Q612
Polycystic kidney, adult type
726
Q613
Polycystic kidney, unspecified
726
Q614
Renal dysplasia
726
Q615
Medullary cystic kidney
726
Q618
Other cystic kidney diseases
726
Q619
Cystic kidney disease, unspecified
726
Q620
Congenital hydronephrosis
726
Q6210
Congenital occlusion of ureter, unspecified
726
Q6211
Congenital occlusion of ureteropelvic

junction
Congenital occlusion of ureterovesical
orifice
Congenital megaureter
726
726
726
Q6231
Congenital ureterocele, orthotopic
726
Q6232
Cecoureterocele
726
Q6239
726
Q624
Other obstructive defects of renal pelvis

and
ureterof ureter
Agenesis
726
Q625
Duplication of ureter
726
Q6212
Q622
Page 2634 of 6734

Q6260
Malposition of ureter, unspecified
726
Q6261
Deviation of ureter
726
Q6262
Displacement of ureter
726
Q6263
Anomalous implantation of ureter
726
Q6269
Other malposition of ureter
726
Q627
Congenital vesico-uretero-renal reflux
726
Q628
Other congenital malformations of ureter
726
Q630
Accessory kidney
726
Q631
Lobulated, fused and horseshoe kidney
726
Q632
Ectopic kidney
726
Q633
Hyperplastic and giant kidney
726
Q638
726
Q639

of
kidney malformation of kidney,
Congenital
726
Q640
unspecified
Epispadias
741
Q6410
Exstrophy of urinary bladder, unspecified
726
Q6411
Supravesical fissure of urinary bladder
726
Q6412
Cloacal extrophy of urinary bladder
726
Q6419
Other exstrophy of urinary bladder
726
Q642
Congenital posterior urethral valves
726
Q6431
Congenital bladder neck obstruction
726
Q6432
Congenital stricture of urethra
726
Q6433
Congenital stricture of urinary meatus
726
Q6439
726
Q644
Other atresia and stenosis of urethra and

bladder
neck of urachus
Malformation
726
Q645
Congenital absence of bladder and urethra
726
Q646
Congenital diverticulum of bladder
726
726
Q6471
Unspecified congenital malformation of

bladder
andprolapse
urethra of urethra
Congenital
726
Q6472
Congenital prolapse of urinary meatus
726
Q6470
Page 2635 of 6734

Q6473
Congenital urethrorectal fistula
726
Q6474
Double urethra
726
Q6475
Double urinary meatus
726
Q6479
Other congenital malformations of bladder

and
urethra
Other
specified congenital malformations
726
726
726
661
Q6501
of
urinary system
Congenital
malformation of urinary
system,
unspecified
Congenital dislocation of unspecified hip,
unilateral
Congenital dislocation of right hip,
661
Q6502
unilateral
Congenital dislocation of left hip, unilateral
661
Q651
Congenital dislocation of hip, bilateral
661
Q652
Congenital dislocation of hip, unspecified
661
Q6530
Congenital partial dislocation of unsp hip,

unilateral
Congenital partial dislocation of right hip,
unilateral
Congenital partial dislocation of left hip,
unilateral
Congenital partial dislocation of hip,
661
661
661
661
bilateral
Congenital partial dislocation of hip,
unspecified
Congenital unstable hip
661
661
Q6581
Congenital coxa valga
661
Q6582
Congenital coxa vara
661
Q6589
661
Q659
Other specified congenital deformities of

hip
Congenital deformity of hip, unspecified
661
Q660
Congenital talipes equinovarus
661
Q661
Congenital talipes calcaneovarus
661
Q662
Congenital metatarsus (primus) varus
661
Q663
Other congenital varus deformities of feet
661
Q664
Congenital talipes calcaneovalgus
661
Q6650
Congenital pes planus, unspecified foot
661
Q6651
Congenital pes planus, right foot
661
Q6652
Congenital pes planus, left foot
661
Q648
Q649
Q6500
Q6531
Q6532
Q654
Q655
Q656
Page 2636 of 6734

Q666
Other congenital valgus deformities of feet
661
Q667
Congenital pes cavus
661
661
661
661
Q6689
Congenital vertical talus deformity,

unspecified
foot
Congenital vertical
talus deformity, right
foot
Congenital vertical talus deformity, left
foot
Other specified congenital deformities of
661
Q669
feet
Congenital deformity of feet, unspecified
661
Q670
Congenital facial asymmetry
565
Q671
Congenital compression facies
565
Q672
Dolichocephaly
565
Q673
Plagiocephaly
565
Q674
565
Q675
Other congenital deformities of skull, face

and
jaw
Congenital
deformity of spine
661
Q676
Pectus excavatum
576
Q677
Pectus carinatum
576
Q678
Other congenital deformities of chest
661
Q680
661
Q681
Congenital deformity of
sternocleidomastoid
Congenital deformitymuscle
of finger(s) and hand
661
Q682
Congenital deformity of knee
661
Q683
Congenital bowing of femur
661
Q684
Congenital bowing of tibia and fibula
661
Q685
Congenital bowing of long bones of leg,

unspecified
Discoid meniscus
661
652
661
Q690
Other specified congenital musculoskeletal

deformities
Accessory finger(s)
661
Q691
Accessory thumb(s)
661
Q692
Accessory toe(s)
661
Q699
Polydactyly, unspecified
661
Fused fingers, unspecified hand
661
Q6680
Q6681
Q6682
Q686
Q688
Q7000
Page 2637 of 6734

Q7001
Fused fingers, right hand
661
Q7002
Fused fingers, left hand
661
Q7003
Fused fingers, bilateral
661
Q7010
Webbed fingers, unspecified hand
661
Q7011
Webbed fingers, right hand
661
Q7012
Webbed fingers, left hand
661
Q7013
Webbed fingers, bilateral
661
Q7020
Fused toes, unspecified foot
661
Q7021
Fused toes, right foot
661
Q7022
Fused toes, left foot
661
Q7023
Fused toes, bilateral
661
Q7030
Webbed toes, unspecified foot
661
Q7031
Webbed toes, right foot
661
Q7032
Webbed toes, left foot
661
Q7033
Webbed toes, bilateral
661
Q704
Polysyndactyly, unspecified
661
Q709
Syndactyly, unspecified
661
Congenital complete absence of

unspecified
upper limb
Congenital complete
absence of right
upper
limb
Congenital complete absence of left upper
661
661
661
limb
Congenital complete absence of upper
limb,
bilateral
Congen
absence of unsp upper arm and
661
661
forearm
w hand
present
Congenital
absence
of r up arm and
forearm
w
hand
present
Congenital absence of l up arm and
661
661
forearm
w hand present
Congen absence
of upper arm and forearm
w
hand present,
bi of both forearm and
Congenital
absence
661
661
hand,
unsp
upperoflimb
Congen
absence
both forearm and
hand,
right
upper
limb
Congenital absence of both forearm and
661
661
hand,
left upper
limbof both forearm and
Congenital
absence
hand, bilateral
661
Q7100
Q7101
Q7102
Q7103
Q7110
Q7111
Q7112
Q7113
Q7120
Q7121
Q7122
Q7123
Page 2638 of 6734

Q7130
Congenital absence of unspecified hand

and
finger absence of right hand and
Congenital
finger
Congenital absence of left hand and finger
661
661
661
Congenital absence of hand and finger,

bilateral
Longitudinal reduction defect of
661
661
unspecified
Longitudinalradius
reduction defect of right
radius
Longitudinal reduction defect of left radius
661
661
661
661
Q7151
Longitudinal reduction defect of radius,

bilateral
unspecified
Longitudinalulna
reduction defect of right ulna
661
Q7152
Longitudinal reduction defect of left ulna
661
Q7153
661
Q7160
Longitudinal reduction defect of ulna,

bilateral
Lobster-claw hand, unspecified hand
661
Q7161
Lobster-claw right hand
661
Q7162
Lobster-claw left hand
661
Q7163
Lobster-claw hand, bilateral
661
Q71811 Congenital shortening of right upper limb
661
Q71812 Congenital shortening of left upper limb
661
Q71813 Congenital shortening of upper limb,

Q71819 bilateral
Congenital shortening of unspecified
limb
Q71891 upper
Other reduction
defects of right upper limb
661
661
661
Q71892 Other reduction defects of left upper limb
661
Q71893 Other reduction defects of upper limb,

Q71899 bilateral
Other reduction defects of unspecified
limb reduction defect of
Q7190 upper
Unspecified
661
661
661
unspecified
limbdefect of right upper
Unspecified upper
reduction
limb
Unspecified reduction defect of left upper
limb
Unspecified reduction defect of upper
661
661
661
limb,
bilateral
Congenital
complete absence of
unspecified lower limb
661
Q7131
Q7132
Q7133
Q7140
Q7141
Q7142
Q7143
Q7150
Q7191
Q7192
Q7193
Q7200
Page 2639 of 6734

Q7201
Congenital complete absence of right

lower
limb complete absence of left lower
Congenital
limb
Congenital complete absence of lower
limb,
bilateral
Congen
absence of unsp thigh and lower
661
661
661
661
leg
w foot
presentof right thigh and lower
Congen
absence
leg
w foot
presentof left thigh and lower leg
Congen
absence
w
foot present
Congen
absence of thigh and lower leg w
661
661
661
foot
present,
bi of both lower leg and
Congen
absence
foot,
unsp
lower limb
Congen
absence
of both lower leg and
foot,
right
lower
limb
Congen absence of both lower leg and
foot,
left lower
limb of both lower leg and
Congenital
absence
661
661
661
661
661
Q7231
foot,
bilateral
Congenital
absence of unspecified foot
and
toe(s)
Congenital absence of right foot and toe(s)
661
Q7232
Congenital absence of left foot and toe(s)
661
Q7233
Congenital absence of foot and toe(s),

bilateral
661
661
unspecified
Longitudinalfemur
femur
Longitudinal reduction defect of left femur
661
661
661
661
Q7251
Longitudinal reduction defect of femur,

bilateral
unspecified
Longitudinaltibia
reduction defect of right tibia
661
Q7252
Longitudinal reduction defect of left tibia
661
Q7253
Longitudinal reduction defect of tibia,

bilateral
unspecified
Longitudinalfibula
fibula
Longitudinal reduction defect of left fibula
661
661
661
661
661
Q7270
Longitudinal reduction defect of fibula,

bilateral
Split foot, unspecified lower limb
661
Q7271
Split foot, right lower limb
661
Q7202
Q7203
Q7210
Q7211
Q7212
Q7213
Q7220
Q7221
Q7222
Q7223
Q7230
Q7240
Q7241
Q7242
Q7243
Q7250
Q7260
Q7261
Q7262
Q7263
Page 2640 of 6734

Q7272
Split foot, left lower limb
661
Q7273
Split foot, bilateral
661
Q72811 Congenital shortening of right lower limb
661
Q72812 Congenital shortening of left lower limb
661
Q72813 Congenital shortening of lower limb,

Q72819 bilateral
Congenital shortening of unspecified lower
Q72891 limb
Other reduction defects of right lower limb
661
661
661
Q72892 Other reduction defects of left lower limb
661
Q72893 Other reduction defects of lower limb,

Q72899 bilateral
limb reduction defect of
Q7290 lower
Unspecified
661
661
661
661
661
Q7293
unspecified
limbdefect of right lower
Unspecified lower
reduction
limb
Unspecified reduction defect of left lower
limb
Unspecified reduction defect of lower limb,
661
Q730
bilateral
Congenital absence of unspecified limb(s)
661
Q731
Phocomelia, unspecified limb(s)
661
Q738
661
Q740

limb(s)
Oth congen malform of upper limb(s), inc
661
Q741
shoulder
girdle
Congenital
malformation of knee
661
Q742
Oth congen malform of lower limb(s),

including
pelvicmultiplex
girdle
Arthrogryposis
congenita
661
661
661
Q749

of
limb(s) congenital malformation of
Unspecified
661
Q750
limb(s)
Craniosynostosis
564
Q751
Craniofacial dysostosis
564
Q752
Hypertelorism
564
Q753
Macrocephaly
564
Q754
Mandibulofacial dysostosis
564
Q755
Oculomandibular dysostosis
564
Q7291
Q7292
Q743
Q748
Page 2641 of 6734

Q758
564
Q759
Oth congenital malformations of skull and

face
bones malformation of skull and face
Congenital
564
Q760
bones,
unspecified
Spina bifida
occulta
524
Q761
Klippel-Feil syndrome
661
Q762
Congenital spondylolisthesis
656
Congenital scoliosis due to congenital

malformation
Q76411 bony
Congenital
kyphosis, occipito-atlanto-axial
Q76412 region
Congenital kyphosis, cervical region
661
656
656
Q76413 Congenital kyphosis, cervicothoracic

Q76414 region
Congenital kyphosis, thoracic region
656
656
Q76415 Congenital kyphosis, thoracolumbar region
656
Q76419 Congenital kyphosis, unspecified region
656
Q76425 Congenital lordosis, thoracolumbar region
661
Q76426 Congenital lordosis, lumbar region
661
Q76427 Congenital lordosis, lumbosacral region
661
Q76428 Congenital lordosis, sacral and

region
Q76429 sacrococcygeal
Congenital lordosis,
unspecified region
661
661
656
Q765
Oth congenital malform of spine, not

associated
Cervical ribw scoliosis
661
Q766
Other congenital malformations of ribs
576
Q767
Congenital malformation of sternum
576
Q768
576
Q769
Other congenital malformations of bony

thorax
Congenital malformation of bony thorax,
576
Q770
unspecified
Achondrogenesis
661
Q771
Thanatophoric short stature
661
Q772
Short rib syndrome
576
Q773
Chondrodysplasia punctata
661
Q774
Achondroplasia
661
Q775
Diastrophic dysplasia
661
Q763
Q7649
Page 2642 of 6734

Q776
Chondroectodermal dysplasia
661
Q777
Spondyloepiphyseal dysplasia
661
Q778
661
Q779
Oth osteochndrdys w defct of growth of

tublr
bones andwspine
Osteochndrdys
defct of grth of tublr
661
Q780
bones
and spine,
unsp
Osteogenesis
imperfecta
661
Q781
Polyostotic fibrous dysplasia
661
Q782
Osteopetrosis
661
Q783
Progressive diaphyseal dysplasia
661
Q784
Enchondromatosis
661
Q785
Metaphyseal dysplasia
661
Q786
Multiple congenital exostoses
661
Q788
Other specified osteochondrodysplasias
661
Q789
Osteochondrodysplasia, unspecified
661
Q790
Congenital diaphragmatic hernia
577
Q791
577
Q792

diaphragm
Exomphalos
625
Q793
Gastroschisis
625
Q794
Prune belly syndrome
726
Q7951
Congenital hernia of bladder
726
Q7959

abdominal
wallsyndrome
Ehlers-Danlos
625
661
661
Q799

musculoskeletal
system of
661
Q800
musculoskeletal
system, unsp
Ichthyosis vulgaris
671
Q801
X-linked ichthyosis
671
Q802
Lamellar ichthyosis
671
Q803
671
Q804
Congenital bullous ichthyosiform

erythroderma
Harlequin fetus
671
Q808
Other congenital ichthyosis
671
Q796
Q798
Page 2643 of 6734

Q809
Congenital ichthyosis, unspecified
671
Q810
Epidermolysis bullosa simplex
675
Q811
Epidermolysis bullosa letalis
675
Q812
Epidermolysis bullosa dystrophica
675
Q818
Other epidermolysis bullosa
675
Q819
Epidermolysis bullosa, unspecified
675
Q820
Hereditary lymphedema
675
Q821
Xeroderma pigmentosum
675
Q822
Mastocytosis
675
Q823
Incontinentia pigmenti
675
Q824
Ectodermal dysplasia (anhidrotic)
671
Q825
Congenital non-neoplastic nevus
675
Q828

of
skin
Congenital
malformation of skin,
675
675
675
Q831
unspecified
Congenital absence of breast with absent
nipple
Accessory breast
675
Q832
Absent nipple
675
Q833
Accessory nipple
675
Q838
Other congenital malformations of breast
675
Q839
Congenital malformation of breast,

unspecified
Congenital alopecia
675
675
675
Q842
Congenital morphological disturbances of

hair,
OtherNEC
congenital malformations of hair
675
Q843
Anonychia
675
Q844
Congenital leukonychia
675
Q845
Enlarged and hypertrophic nails
675
Q846
Other congenital malformations of nails
675
Q848

of
integument
Congenital
malformation of integument,
675
675
Q829
Q830
Q840
Q841
Q849
unspecified
Page 2644 of 6734

Q8500
Neurofibromatosis, unspecified
525
Q8501
Neurofibromatosis, type 1
525
Q8502
Neurofibromatosis, type 2
525
Q8503
Schwannomatosis
525
Q8509
Other neurofibromatosis
525
Q851
Tuberous sclerosis
524
Q858
804
Q859
Other phakomatoses, not elsewhere

classified
Phakomatosis, unspecified
804
Q860
Fetal alcohol syndrome (dysmorphic)
842
Q861
Fetal hydantoin syndrome
853
Q862
Dysmorphism due to warfarin
851
Q868
Oth congen malform syndromes due to

known
causes
Congenexogenous
malform syndromes
predom
851
564
affecting
facial
appearance
Congenital
malform
syndromes predom
assoc
w short
stature
Congenital
malformation
syndromes
661
661
predom
involving
limbs syndromes
Congenital
malformation
involving
early overgrowth
Marfan's syndrome,
unspecified
661
661
Q87410 Marfan's syndrome with aortic dilation
661
Q87418 Marfan's syndrome with other

manifestations
Q8742 cardiovascular
Marfan's syndrome
with ocular
661
Q870
Q871
Q872
Q873
Q8740
661
manifestations
Marfan's syndrome with skeletal
manifestation
Oth congenital malformation syndromes w
oth
skeletal
changes
Alport
syndrome
661
661
661
661
Q8901
Oth congenital malformation syndromes,

NEC
Asplenia (congenital)
785
Q8909
Congenital malformations of spleen
785
Q891
Congenital malformations of adrenal gland
693
Q892
Congenital malformations of other

endocrine
glands
Situs inversus
693
625
Q8743
Q875
Q8781
Q8789
Q893
Page 2645 of 6734

Q894
Conjoined twins
625
Q897
661
Q898
Multiple congenital malformations, not

elsewhere
classified
Other specified
congenital malformations
661
Q899
Congenital malformation, unspecified
661
Q900
827
Q901
Trisomy 21, nonmosaicism (meiotic

nondisjunction)
Trisomy 21, mosaicism (mitotic
827
Q902
nondisjunction)
Trisomy 21, translocation
827
Q909
Down syndrome, unspecified
827
Q910
827
Q911

nondisjunction)
827
Q912
nondisjunction)
827
Q913
Trisomy 18, unspecified
827
Q914
827
Q915

nondisjunction)
827
Q916
nondisjunction)
827
Q917
Trisomy 13, unspecified
827
Q920
Whole chromosome trisomy, nonmosaic

(meiotic
nondisjunction)
Whole chromosome
trisomy, mosaicism
(mitotic
nondisjunction)
Partial trisomy
871
871
871
Duplications with other complex

rearrangements
Marker chromosomes in normal individual
871
871
Marker chromosomes in abnormal

individual
Triploidy and polyploidy
871
871
Other specified trisomies and partial

trisomies
of autosomes
Trisomy and
partial trisomy of autosomes,
871
871
unspecified
Whole chromosome monosomy,nonmosaic
(meiotic
nondisjunction)
Whole chromosome
monosomy, mosaic
871
871
(mitotic
nondisjunction)
Chromosome
replaced with ring, dicentric
or
isochromosome
Deletion of short arm of chromosome 4
871
827
Q921
Q922
Q925
Q9261
Q9262
Q927
Q928
Q929
Q930
Q931
Q932
Q933
Page 2646 of 6734

Q934
Deletion of short arm of chromosome 5
827
Q935
Other deletions of part of a chromosome
827
Q937
827
Q9381
Deletions with other complex

rearrangements
Velo-cardio-facial syndrome
600
Q9388
Other microdeletions
827
Q9389
Other deletions from the autosomes
827
Q939
Deletion from autosomes, unspecified
827
Q950
Balanced translocation and insertion in

normal
individual
Chromosome
inversion in normal
871
871
individual
Balanced autosomal rearrangement in
abnormal
individual
Balanced sex/autosomal
rearrangement in
abnormal
Individual individual
with autosomal fragile site
871
871
871
871
Q959
Other balanced rearrangements and

structural
markers
Balanced rearrangement
and structural
871
Q960
marker,
unspecified
Karyotype
45, X
871
Q961
Karyotype 46, X iso (Xq)
871
Q962
Karyotype 46, X w abnormal sex

chromosome,
iso or
(Xq)
Mosaicism, 45,except
X/46, XX
XY
871
871
871
Q968
Mosaic, 45, X/other cell line(s) w abnormal

sex
chromosome
Other
variants of Turner's syndrome
871
Q969
Turner's syndrome, unspecified
871
Q970
Karyotype 47, XXX
871
Q971
Female with more than three X

chromosomes
Mosaicism, lines with various numbers of X
chromosomes
Female with 46, XY karyotype
752
871
752
752
Q979
Oth sex chromosome abnormalities,

female
phenotypeabnormality, female
Sex chromosome
752
Q980
phenotype,
unspecified
Klinefelter syndrome
karyotype 47, XXY
741
Q981
Klinefelter syndrome, male with more than

two X chromosomes
741
Q951
Q952
Q953
Q955
Q958
Q963
Q964
Q972
Q973
Q978
Page 2647 of 6734

Q983
Other male with 46, XX karyotype
741
Q984
Klinefelter syndrome, unspecified
741
Q985
Karyotype 47, XYY
871
Q986
Male with structurally abnormal sex

chromosome
Male with sex chromosome mosaicism
741
741
741
Q989
Other specified sex chromosome

abnormalities,
male
phenotypemale
Sex chromosome
abnormality,
741
Q990
phenotype,
Chimera 46,unspecified
XX/46, XY
871
Q991
46, XX true hermaphrodite
871
Q992
Fragile X chromosome
827
Q998
Other specified chromosome abnormalities
871
Q999
Chromosomal abnormality, unspecified
871
R000
Tachycardia, unspecified
601
R001
Bradycardia, unspecified
601
R002
Palpitations
601
R008
Other abnormalities of heart beat
592
R009
Unspecified abnormalities of heart beat
592
R010
Benign and innocent cardiac murmurs
600
R011
Cardiac murmur, unspecified
600
R012
Other cardiac sounds
592
R030
592
R031
Elevated blood-pressure reading, w/o

diagnosis
of low
htn blood-pressure reading
Nonspecific
592
R040
Epistaxis
564
R041
Hemorrhage from throat
564
R042
Hemoptysis
576
Acute idiopathic pulmonary hemorrhage in

infants
Hemorrhage from other sites in respiratory
577
576
passages
Hemorrhage from respiratory passages,
unspecified
Cough
576
576
Q987
Q988
R0481
R0489
R049
R05
Page 2648 of 6734

R0600
Dyspnea, unspecified
576
R0601
Orthopnea
576
R0602
Shortness of breath
576
R0609
Other forms of dyspnea
576
R061
Stridor
565
R062
Wheezing
576
R063
Periodic breathing
510
R064
Hyperventilation
576
R065
Mouth breathing
871
R066
Hiccough
576
R067
Sneezing
871
R0681
Apnea, not elsewhere classified
510
R0682
Tachypnea, not elsewhere classified
576
R0683
Snoring
576
R0689
Other abnormalities of breathing
576
R069
Unspecified abnormalities of breathing
576
R070
Pain in throat
564
R071
Chest pain on breathing
604
CHEST PAIN
R072
Precordial pain
604
CHEST PAIN
R0781
Pleurodynia
604
CHEST PAIN
R0782
Intercostal pain
604
CHEST PAIN
R0789
Other chest pain
604
CHEST PAIN
Chest pain, unspecified
604
CHEST PAIN
R0901
Asphyxia
510
R0902
Hypoxemia
576
R091
Pleurisy
576
R092
Respiratory arrest
577
R093
Abnormal sputum
576
R0981
Nasal congestion
564
R079
Page 2649 of 6734

R0982
Postnasal drip
871
R0989
Oth symptoms and signs involving the circ

and
resp
systems
Acute
abdomen
592
628
ABDOMINAL PAIN
R1010
Upper abdominal pain, unspecified
628
ABDOMINAL PAIN
R1011
Right upper quadrant pain
628
ABDOMINAL PAIN
R1012
Left upper quadrant pain
628
ABDOMINAL PAIN
R1013
Epigastric pain
628
ABDOMINAL PAIN
Pelvic and perineal pain
752
R1030
Lower abdominal pain, unspecified
628
ABDOMINAL PAIN
R1031
Right lower quadrant pain
628
ABDOMINAL PAIN
R1032
Left lower quadrant pain
628
ABDOMINAL PAIN
R1033
Periumbilical pain
628
ABDOMINAL PAIN
Right upper quadrant abdominal

tenderness
Left upper quadrant abdominal tenderness
628
ABDOMINAL PAIN
628
ABDOMINAL PAIN
628
ABDOMINAL PAIN
R10814
Right lower quadrant abdominal

tenderness
Left lower quadrant abdominal tenderness
628
ABDOMINAL PAIN
R10815
Periumbilic abdominal tenderness
628
ABDOMINAL PAIN
R10816
Epigastric abdominal tenderness
628
ABDOMINAL PAIN
R10817
Generalized abdominal tenderness
628
ABDOMINAL PAIN
R10819
Abdominal tenderness, unspecified site
628
ABDOMINAL PAIN
R10821
Right upper quadrant rebound abdominal

tenderness
Left upper quadrant rebound abdominal
628
ABDOMINAL PAIN
628
ABDOMINAL PAIN
628
ABDOMINAL PAIN
R10824
tenderness
Right lower quadrant rebound abdominal
tenderness
Left lower quadrant rebound abdominal
628
ABDOMINAL PAIN
R10825
tenderness
Periumbilic rebound abdominal tenderness
628
ABDOMINAL PAIN
R10826
Epigastric rebound abdominal tenderness
628
ABDOMINAL PAIN
R10827
Generalized rebound abdominal

tenderness
Rebound abdominal tenderness,
628
ABDOMINAL PAIN
628
ABDOMINAL PAIN
unspecified
site
Colic
628
ABDOMINAL PAIN
R100
R102
R10811
R10812
R10813
R10822
R10823
R10829
R1083
Page 2650 of 6734

R1084
Generalized abdominal pain
628
ABDOMINAL PAIN
R109
Unspecified abdominal pain
628
ABDOMINAL PAIN
R110
Nausea
627
R1110
Vomiting, unspecified
627
R1111
Vomiting without nausea
627
R1112
Projectile vomiting
627
R1113
Vomiting of fecal matter
625
R1114
Bilious vomiting
640
Nausea with vomiting, unspecified
627
Heartburn
624
Aphagia
624
R1310
Dysphagia, unspecified
624
R1311
Dysphagia, oral phase
624
R1312
Dysphagia, oropharyngeal phase
624
R1313
Dysphagia, pharyngeal phase
624
R1314
Dysphagia, pharyngoesophageal phase
624
R1319
Other dysphagia
624
R140
Abdominal distension (gaseous)
624
R141
Gas pain
624
R142
Eructation
624
R143
Flatulence
624
R150
Incomplete defecation
625
R151
Fecal smearing
625
R152
Fecal urgency
624
R159
Full incontinence of feces
625
R160
Hepatomegaly, not elsewhere classified
639
R161
Splenomegaly, not elsewhere classified
785
R162
Hepatomegaly with splenomegaly, not

elsewhere
Unspecifiedclassified
jaundice
785
639
R112
R12
R130
R17
Page 2651 of 6734

R180
Malignant ascites
640
R188
Other ascites
640
Intra-abd and pelvic swelling, mass and

lump,
unsp site
Right upper
quadrant abdominal swelling,
624
624
mass
and lump
Left upper
mass
and
lump
Right lower quadrant abdominal swelling,
624
624
624
R1905
mass
and lump
Left lower
mass
and lump
Periumbilic
swelling, mass or lump
624
R1906
Epigastric swelling, mass or lump
624
R1907
624
R1909
Generalized intra-abd and pelvic swelling,

mass
lump
Other and
intra-abdominal
and pelvic swelling,
624
R1911
mass
and
lump
Absent
bowel
sounds
624
R1912
Hyperactive bowel sounds
624
R1915
Other abnormal bowel sounds
624
Visible peristalsis
624
R1930
Abdominal rigidity, unspecified site
628
ABDOMINAL PAIN
R1931
Right upper quadrant abdominal rigidity
628
ABDOMINAL PAIN
R1932
Left upper quadrant abdominal rigidity
628
ABDOMINAL PAIN
R1933
Right lower quadrant abdominal rigidity
628
ABDOMINAL PAIN
R1934
Left lower quadrant abdominal rigidity
628
ABDOMINAL PAIN
R1935
Periumbilic abdominal rigidity
628
ABDOMINAL PAIN
R1936
Epigastric abdominal rigidity
628
ABDOMINAL PAIN
R1937
Generalized abdominal rigidity
628
ABDOMINAL PAIN
R194
Change in bowel habit
624
R195
Other fecal abnormalities
624
R196
Halitosis
871
R197
Diarrhea, unspecified
627
R198
Oth symptoms and signs involving the

dgstv
sys and
abdomen
Anesthesia
of skin
624
675
R1900
R1901
R1902
R1903
R1904
R192
R200
Page 2652 of 6734

R201
Hypoesthesia of skin
675
R202
Paresthesia of skin
675
R203
Hyperesthesia
675
R208
Other disturbances of skin sensation
675
R209
Unspecified disturbances of skin sensation
675
R21
Rash and other nonspecific skin eruption
675
R220
Localized swelling, mass and lump, head
675
R221
Localized swelling, mass and lump, neck
675
R222
Localized swelling, mass and lump, trunk
675
R2230
Localized swelling, mass and lump,

unspecified
upper limb
Localized swelling,
mass and lump, right
upper
limbswelling, mass and lump, left
Localized
upper
limbswelling, mass and lump, upper
Localized
675
675
675
675
limb,
bilateral
Localized
swelling, mass and lump,
unspecified
lower limb
Localized swelling,
mass and lump, right
lower
limb
Localized swelling, mass and lump, left
lower
limbswelling, mass and lump, lower
Localized
675
675
675
675
675
R230
limb,
bilateral
Localized
swelling, mass and lump,
unspecified
Cyanosis
592
R231
Pallor
871
R232
Flushing
871
R233
Spontaneous ecchymoses
781
R234
Changes in skin texture
675
R238
Other skin changes
675
R239
Unspecified skin changes
675
R250
Abnormal head movements
525
R251
Tremor, unspecified
525
R252
Cramp and spasm
661
R253
Fasciculation
525
R2231
R2232
R2233
R2240
R2241
R2242
R2243
R229
Page 2653 of 6734

R258
Other abnormal involuntary movements
525
R259
525
R260
Unspecified abnormal involuntary

movements
Ataxic gait
525
R261
Paralytic gait
525
R262
661
R2681
Difficulty in walking, not elsewhere

classified
Unsteadiness on feet
525
R2689
Other abnormalities of gait and mobility
525
525
R270
Unspecified abnormalities of gait and

mobility
Ataxia, unspecified
525
R278
Other lack of coordination
525
R279
Unspecified lack of coordination
525
R290
Tetany
690
R291
Meningismus
525
R292
Abnormal reflex
525
R293
Abnormal posture
525
R294
Clicking hip
661
R295
Transient paralysis
525
R296
Repeated falls
525
R29810
Facial weakness
525
R29818
525
R29890
Other symptoms and signs involving the

nervous
system
Loss of height
525
R29891
Ocular torticollis
553
R29898
Oth symptoms and signs involving the

musculoskeletal
systemand signs involving
Unspecified symptoms
661
525
525
R300
the
nervous
system
Unsp
symptoms
and signs involving the
musculoskeletal
system
Dysuria
726
R301
Vesical tenesmus
726
R309
Painful micturition, unspecified
726
R310
Gross hematuria
726
R269
R2990
R2991
Page 2654 of 6734

R311
Benign essential microscopic hematuria
726
R312
Other microscopic hematuria
726
R319
Hematuria, unspecified
726
Unspecified urinary incontinence
726
R330
Drug induced retention of urine
726
R338
Other retention of urine
726
R339
Retention of urine, unspecified
726
Anuria and oliguria
720
RENAL FAILURE
R350
Frequency of micturition
726
R351
Nocturia
726
R358
Other polyuria
726
R360
Urethral discharge without blood
726
R361
Hematospermia
741
R369
Urethral discharge, unspecified
726
R37
Sexual dysfunction, unspecified
831
Extravasation of urine
726
R3911
Hesitancy of micturition
871
R3912
Poor urinary stream
726
R3913
Splitting of urinary stream
726
R3914
Feeling of incomplete bladder emptying
726
R3915
Urgency of urination
726
R3916
Straining to void
871
R3919
Other difficulties with micturition
726
Extrarenal uremia
726
R3981
Functional urinary incontinence
726
R3989
726
R399
Other symptoms and signs involving the

genitourinary
system
Unsp symptoms
and signs involving the
726
R400
genitourinary
Somnolence system
528
R401
Stupor
528
R32
R34
R390
R392
Page 2655 of 6734

R4020
Unspecified coma
528
R402110 Coma scale, eyes open, never, unspecified

R402111 time
Coma scale, eyes open, never, in the field
528
528
R402112 Coma scale, eyes open, never, EMR
528
R402113 Coma scale, eyes open, never, at hospital

R402114 admission
Coma scale, eyes open, never, 24+hrs
528
528
R402120 Coma scale, eyes open, to pain,

R402121 unspecified
Coma scale,time
eyes open, to pain, in the
field
R402122 Coma scale, eyes open, to pain, EMR
528
528
528
R402123 Coma scale, eyes open, to pain, at hospital

R402124 admission
Coma scale, eyes open, to pain, 24+hrs
528
528
R402130 Coma scale, eyes open, to sound,

R402131 unspecified
Coma scale,time
eyes open, to sound, in the
field
R402132 Coma scale, eyes open, to sound, EMR
871
871
871
R402133 Coma scale, eyes open, to sound, at

admission
R402134 hospital
Coma scale,
eyes open, to sound, 24+hrs
871
871
R402140 Coma scale, eyes open, spontaneous,

R402141 unspecified
Coma scale,time
eyes open, spontaneous, in
field
R402142 the
Coma
scale, eyes open, spontaneous, EMR
871
871
871
R402143 Coma scale, eyes open, spontaneous, at

admission
R402144 hospital
Coma scale,
eyes open, spontaneous,
24+hrs
R402210 Coma scale, best verbal response, none,
871
871
528
R402211 unspecified
Coma scale,time
best verbal response, none, in
the
field
R402212 Coma scale, best verbal response, none,
R402213 EMR
Coma scale, best verbal response, none,
R402214 admit
Coma scale, best verbal response, none,
528
528
528
528
R402220 24+hrs
Coma scale, best verb, incomprehensible
unsp time
R402221 words,
Coma scale,
best verb, incomprehensible
words,
in
the
fieldverb, incomprehensible
R402222 Coma scale, best
528
528
528
words, EMR
Page 2656 of 6734

R402223 Coma scale, best verb, incomprehensible
admitbest verb, incomprehensible
R402224 words,
Coma scale,
24+hrs
R402230 words,
Coma scale,
best verb, inappropriate
528
528
871
unsp time
R402231 words,
Coma scale,
best verb, inappropriate
words,
in
the
fieldverbal response,
R402232 Coma scale, best
871
871
words,
EMRresponse,
R402233 inappropriate
Coma scale, best
verbal
words,
admit
R402234 inappropriate
Coma scale, best
verb,
inappropriate
24+hrs
R402240 words,
Coma scale,
best verb, confused
871
871
871
unsp
timeconfused
R402241 conversation,
Coma scale, best
verb,
in the
fieldresponse,
Coma scale, best
verbal
conversation,
EMR
R402243 confused
Coma scale,
best verb, confused
871
871
871
admit
Coma scale, best
verb, confused
conversation,
24+hrs
R402250 Coma scale, best verbal response,
871
871
unspecified
time
R402251 oriented,
Coma scale,
best verbal
response,
in the
field
R402252 oriented,
Coma scale,
best
verbal response,
oriented,
EMR
R402253 Coma scale, best verbal response,
871
871
871
admit
R402254 oriented,
Coma scale,
best verbal response,
oriented,
24+hrs
R402310 Coma scale, best motor response, none,
R402311 unspecified
Coma scale,time
best motor response, none, in
the
field
R402312 Coma scale, best motor response, none,
871
528
528
528
R402313 EMR
Coma scale, best motor response, none, at
admission
R402314 hospital
Coma scale,
best motor response, none,
R402320 24+hrs
Coma scale, best motor response,
528
528
528
unspecified
R402321 extension,
Coma scale,
best motortime
response,
extension,
in
the
field
R402322 Coma scale, best motor response,
EMR
R402323 extension,
Coma scale,
best motor response,
528
528
528
admit
R402324 extension,
Coma scale,
extension,
24+hrs
unspecified
R402331 abnormal,
Coma scale,
best motortime
response,
528
871
871
abnormal, in the field

Page 2657 of 6734

EMR
R402333 abnormal,
Coma scale,
abnormal,
admit
871
871
871
24+hrs
R402340 abnormal,
Coma scale,
best motor, flexion
withdrawal,
unsp
R402341 Coma scale, best time
motor, flexion
withdrawal,
in
the
field response, flexion
R402342 Coma scale, best motor
R402343 withdrawal,
Coma scale,EMR
best motor response, flexion
528
528
528
528
R402344 withdrawal,
Coma scale,admit
best motor response, flexion
withdrawal,
24+hrs
pain,
unsp
time localizes pain, in
R402351 localizes
Coma scale,
best
motor,
528
871
871
field
R402352 the
Coma
scale, best motor response,
pain,
EMR
R402353 localizes
Coma scale,
best
motor response,
localizes
pain,
admit
871
871
871
pain,
24+hrs
R402360 localizes
Coma scale,
best
motor response, obeys
R402361 commands,
Coma scale, unsp
best time
motor, obeys commands,
in
the
field
R402362 Coma scale, best motor response, obeys
871
871
871
R402363 commands,
Coma scale, EMR
best motor response, obeys
commands,
admit
R402364 Coma scale, best motor response, obeys
24+hrs
R40241 commands,
Glasgow coma
scale score 13-15
871
871
871
R40242
Glasgow coma scale score 9-12
871
R40243
Glasgow coma scale score 3-8
871
R40244
871
R403
Oth coma,w/o Glasgow coma scale

score,or
w/part
score report
Persistent
vegetative
state
528
R404
Transient alteration of awareness
528
R410
Disorientation, unspecified
871
R411
Anterograde amnesia
871
R412
Retrograde amnesia
871
R413
Other amnesia
871
R414
Neurologic neglect syndrome
525
Page 2658 of 6734

R4181
Age-related cognitive decline
827
R4182
Altered mental status, unspecified
871
R4183
Borderline intellectual functioning
871
R41840
Attention and concentration deficit
524
R41841
Cognitive communication deficit
524
R41842
Visuospatial deficit
524
R41843
Psychomotor deficit
524
R41844
Frontal lobe and executive function deficit
524
Oth symptoms and signs w cognitive

functions
and awareness
Unsp symptoms
and signs w cognitive
524
871
functions
Dizziness and
and awareness
giddiness
561
R430
Anosmia
525
R431
Parosmia
525
R432
Parageusia
525
R438
Other disturbances of smell and taste
525
R439
525
R440
Unspecified disturbances of smell and

taste
Auditory hallucinations
826
R441
Visual hallucinations
553
R442
Other hallucinations
826
R443
Hallucinations, unspecified
826
R448
871
R449
Oth symptoms and signs w general

sensations
and perceptions
Unsp symptoms
and signs w general
871
R450
sensations
and perceptions
Nervousness
871
R451
Restlessness and agitation
831
R452
Unhappiness
826
R453
Demoralization and apathy
871
R454
Irritability and anger
871
R455
Hostility
826
R456
Violent behavior
826
R4189
R419
R42
Page 2659 of 6734

R457
826
R4581
State of emotional shock and stress,

unspecified
Low self-esteem
831
R4582
Worries
831
R4583
Excessive crying of child, adolescent or

adult
Anhedonia
871
871
R45850
Homicidal ideations
831
R45851
Suicidal ideations
826
R4586
Emotional lability
871
R4587
Impulsiveness
871
R4589
871
R460
Other symptoms and signs involving

emotional
state
Very low level
of personal hygiene
871
R461
Bizarre personal appearance
871
R462
Strange and inexplicable behavior
871
R463
Overactivity
871
R464
Slowness and poor responsiveness
871
R465
Suspiciousness and marked evasiveness
871
R466
Undue concern and preoccupation with

stressful
Verbosityevents
and circumstantial detail
871
871
R4681
obscuring
rsn for cntct behavior
Obsessive-compulsive
871
R4689
871
R4701
Other symptoms and signs involving

appearance
and behavior
Aphasia
525
R4702
Dysphasia
524
Dysarthria and anarthria
524
R4781
Slurred speech
524
R4782
Fluency disorder in conditions classified

elsewhere
Other speech disturbances
524
524
R479
Unspecified speech disturbances
524
R480
Dyslexia and alexia
831
R481
Agnosia
831
R4584
R467
R471
R4789
Page 2660 of 6734

R482
Apraxia
831
R483
Visual agnosia
553
R488
Other symbolic dysfunctions
831
R489
Unspecified symbolic dysfunctions
831
R490
Dysphonia
564
R491
Aphonia
564
R4921
Hypernasality
564
R4922
Hyponasality
564
R498
Other voice and resonance disorders
564
R499
Unspecified voice and resonance disorder
564
R502
Drug induced fever
807
FEVER
807
FEVER
R5082
Fever presenting with conditions classified

elsewhere
Postprocedural fever
807
FEVER
R5083
Postvaccination fever
807
FEVER
R5084
Febrile nonhemolytic transfusion reaction
780
Fever, unspecified
807
FEVER
R51
Headache
530
R52
Pain, unspecified
663
PAIN
R530
Neoplastic (malignant) related fatigue
871
R531
Weakness
871
R532
Functional quadriplegia
525
R5381
Other malaise
871
R5382
Chronic fatigue, unspecified
871
R5383
Other fatigue
871
R54
Age-related physical debility
827
R55
Syncope and collapse
605
SYNCOPE & COLLAPSE
R5600
Simple febrile convulsions
529
SEIZURE
R5601
Complex febrile convulsions
510
Post traumatic seizures
529
SEIZURE
R5081
R509
R561
Page 2661 of 6734

R569
Unspecified convulsions
529
SEIZURE
R570
Cardiogenic shock
595
R571
Hypovolemic shock
805
R578
Other shock
805
R579
Shock, unspecified
595
Hemorrhage, not elsewhere classified
592
R590
Localized enlarged lymph nodes
785
R591
Generalized enlarged lymph nodes
785
R599
Enlarged lymph nodes, unspecified
785
R600
Localized edema
871
R601
Generalized edema
871
R609
Edema, unspecified
871
Generalized hyperhidrosis
675
Delayed milestone in childhood
690
690
R6251
Unsp lack of expected normal physiol dev

in
childhood
Failure
to thrive (child)
690
R6252
Short stature (child)
690
R6259
690
R627
Oth lack of expected normal physiol

development
childhood
Adult failure tointhrive
690
R630
Anorexia
690
R631
Polydipsia
690
R632
Polyphagia
690
R633
Feeding difficulties
690
R634
Abnormal weight loss
690
R635
Abnormal weight gain
690
R636
Underweight
690
R638
Other symptoms and signs concerning

food
and fluid intake
Cachexia
690
871
SIRS of non-infectious origin w/o acute

organ dysfunction
805
R58
R61
R620
R6250
R64
R6510
Page 2662 of 6734

R6511
805
R6520
SIRS of non-infectious origin w acute organ

dysfunction
Severe sepsis without septic shock
805
R6521
Severe sepsis with septic shock
805
871
R6811
Hypothermia, not associated w low

environmental
temperature
Excessive crying
of infant (baby)
871
R6812
Fussy infant (baby)
871
R6813
Apparent life threatening event in infant

(ALTE)
Other nonspecific symptoms peculiar to
871
871
R682
infancy
Dry mouth, unspecified
564
R683
Clubbing of fingers
576
R6881
Early satiety
871
R6882
Decreased libido
871
R6883
Chills (without fever)
871
R6884
Jaw pain
564
R6889
Other general symptoms and signs
871
Illness, unspecified
871
R700
Elevated erythrocyte sedimentation rate
871
R701
Abnormal plasma viscosity
871
R710
Precipitous drop in hematocrit
785
R718
Other abnormality of red blood cells
785
R7301
Impaired fasting glucose
692
R7302
Impaired glucose tolerance (oral)
692
R7309
Other abnormal glucose
692
R739
Hyperglycemia, unspecified
692
R740
Nonspec elev of levels of transamns &

lactic
acid levels
dehydrgnse
Abnormal
of other serum enzymes
871
871
Abnormal serum enzyme level,

unspecified
Inconclusive laboratory evidence of human
immunodef
virustiter
Raised antibody
871
808
VIRAL ILLNESS
785
R680
R6819
R69
R748
R749
R75
R760
Page 2663 of 6734

R7611
Nonspecific reaction to skin test w/o active

tuberculosis
Nonspec reaction to gamma intrfrn respns
576
576
785
R769
w/o
actv
tubrclosis
Other
specified
abnormal immunological
findings
inimmunological
serum
Abnormal
finding in serum,
785
R770
unspecified
Abnormality of albumin
871
R771
Abnormality of globulin
871
R772
Abnormality of alphafetoprotein
871
R778
871
R779
Other specified abnormalities of plasma

proteins
Abnormality of plasma protein, unspecified
871
R780
Finding of alcohol in blood
842
R781
Finding of opiate drug in blood
871
R782
Finding of cocaine in blood
871
R783
Finding of hallucinogen in blood
871
R784
871
R785
Finding of other drugs of addictive

potential
blood
Finding ofinother
psychotropic drug in blood
871
R786
Finding of steroid agent in blood
871
R7871
Abnormal lead level in blood
871
R7879
Finding of abnormal level of heavy metals

in
blood
Bacteremia
871
809
871
R789
Finding of oth substances, not normally

found
Findinginofblood
unsp substance, not normally
871
R790
found
in blood
Abnormal
level of blood mineral
871
R791
Abnormal coagulation profile
871
R7981
Abnormal blood-gas level
871
R7982
Elevated C-reactive protein (CRP)
871
R7989
871
R799
Other specified abnormal findings of blood

chemistry
Abnormal finding of blood chemistry,
871
R800
unspecified
726
R801
Persistent proteinuria, unspecified
726
R7612
R768
R7881
R7889
Page 2664 of 6734

R802
Orthostatic proteinuria, unspecified
726
R803
Bence Jones proteinuria
726
R808
Other proteinuria
726
R809
Proteinuria, unspecified
726
Glycosuria
692
R820
Chyluria
726
R821
Myoglobinuria
871
R822
Biliuria
633
R823
Hemoglobinuria
726
R824
Acetonuria
692
R825
Elevated urine levels of drug/meds/biol

subst
Abnormal urine levels of substances
726
726
chiefly
nonmed
source
Abnormal
findings
on microbiological
examination
of
urine
Abnormal findings on cytolog and histolog
726
726
R8290
exam
of urine
Unspecified
abnormal findings in urine
726
R8291
Other chromoabnormalities of urine
726
R8299
Other abnormal findings in urine
726
Abnormal level of enzymes in

cerebrospinal
Abnormal levelfluid
of hormones in
525
525
cerebrospinal
fluid
Abn lev drug/meds/biol
subst in
cerebrospinal
fluid
Abn lev substances chiefly nonmedicinal
525
525
as
to source
in CSF
Abnormal
immunological
findings in
cerebrospinal
fluid
Abnormal microbiological
findings in
525
525
cerebrospinal
fluid
Abnormal cytological
findings in
cerebrospinal
fluid
Other abnormal findings in cerebrospinal
525
525
fluid
Unspecified abnormal finding in
cerebrospinal
Abnormal levelfluid
of enzymes in specimens
525
871
from
resp org/thrx
Abnormal
level of hormones in specimens
from
resp
org/thrx
Abn lev drug/meds/biol subst in specimens
871
871
R81
R826
R827
R828
R830
R831
R832
R833
R834
R835
R836
R838
R839
R840
R841
R842
from resp org/thrx

Page 2665 of 6734

R843
R844
R845
R846
R847
R848
R849
R850
R851
R852
R853
R854
R855
R85610
R85611
R85612
R85613
R85614
R85615
R85616
R85618
R85619
R8569
R857
R8581
R8582
R8589
R859
R860
Abn lev substnc nonmed source in specmn

from
resp org/thrx
Abnormal
immunolog findings in
871
871
specimens
from resp org/thrx
Abnormal microbiolog
findings in specmn
from
resp org/thrx
Abnormal
cytolog findings in specimens
871
871
from
resp org/thrx
Abnormal
histolog findings in specimens
from
resp
org/thrx
Oth abnormal findings in specimens from
871
871
resp
Unsporg/thrx
abnormal finding in specimens from
resp
org/thrx
Abn lev
enzymes in specimens from dgstv
871
564
org/abd
cav
Abn lev hormones
in specimens from
dgstv
org/abd
cav
Abn lev drug/meds/biol subst in specmn fr
dgstv
org/abd
cav
Abn lev
substnc
nonmed source in specmn
564
871
871
fr
dgstv org/abd
cav findings in specmn
Abnormal
immunolog
from
dgstv org/abd
cav in specmn from
Abn microbiolog
findings
871
871
dgstv
org/abd
cav
Atyp squam
cell
of undet signfc cyto smr
anus
(ASC-US)
Atyp squam
cell not excl hi grd intrepith
624
624
lesn
cyto smr
anus lesion cyto smr anus
Low grade
intrepith
(LGSIL)
High grade intrepith lesion cyto smr anus
624
624
(HGSIL)
Cytologic evidence of malignancy on
smear
of anus cytologic smear of anus
Unsatisfactory
624
624
Satisfactory anal smear but lacking

transformation
Other abnormalzone
cytological findings on
specimens
from
anus
Unsp abnormal cytological
findings in
624
624
624
specimens
anusin specmn from oth
Abn cytologfrom
findings
dgstv
org/abd
cav findings in specmn from
Abnormal
histolog
871
871
dgstv
org/abd
cav
Anal high
risk human
papillomavirus (HPV)
DNA
positive
Anal test
low risk
human papillomavirus (HPV)
624
624
DNA
test positive
Oth abnormal
findings in specimens from
dgstv
org/abd
Unsp abnormalcav
finding in specimens from
871
871
dgstv
org/abd
cavin specimens from male
Abn lev
enzymes
genital organs
741
Page 2666 of 6734

R861
R862
R863
R864
R865
R866
R867
R868
R869
R870
R871
R872
R873
R874
R875
R87610
R87611
R87612
R87613
R87614
R87615
R87616
R87618
R87619
R87620
R87621
R87622
R87623
R87624
Abn lev hormones in specimens from male

genital
Abn levorgans
drug/meds/biol subst in specmn
741
741
from
male
gntl organs
Abn lev
substnc
from
male gntl org
Abn immunolog
findings in specmn from
741
741
male
genital organs
Abn microbiolog
findings in specmn from
male
genital
organs
Abnormal cytolog findings in specmn from
741
741
male
genital findings
organs in specmn from male
Abn histolog
genital
organsfindings in specimens from
Oth abnormal
741
741
male
organs
Unsp genital
abnormal
finding in specimens from
male
genital
organs
Abn lev enzymes in specimens from
741
871
female
organs
Abn levgenital
hormones
in specimens from
female
organs subst in specmn
Abn levgenital
drug/meds/biol
871
871
from
fem
gntl organs
Abn lev
substnc
from
fem
gntl
organs
Abn immunolog findings in specmn from
871
871
female
genital organs
Abn microbiolog
find in specmn from
female
genital
organs
Atyp squam cell of undet signfc cyto smr
crvx
Atyp (ASC-US)
squam cell not excl hi grd intrepith
871
752
752
lesn
cyto smr
crvx lesion cyto smr crvx
Low grade
intrepith
(LGSIL)
High grade intrepith lesion cyto smr crvx
752
752
(HGSIL)
smear
of cervixcytologic smear of cervix
Unsatisfactory
871
752
Satisfactory cervical smear but lacking

transformation
zone findings on
Oth abnormal cytolog
752
871
specimens
fromcytolog
cervix uteri
Unsp abnormal
findings in specmn
from
cervix
uteri
Atyp squam cell of undet signfc cyto smr
752
752
vagn
(ASC-US)
Atyp squam
cell not excl hi grd intrepith
lesn
cyto
smr
vagn lesion cyto smr vagn
Low grade intrepith
752
752
(LGSIL)
High grade intrepith lesion cyto smr vagn
(HGSIL)
752
752
smear of vagina
Page 2667 of 6734

R87625
Unsatisfactory cytologic smear of vagina
752
R87628
Other abnormal cytological findings on

specimens
fromcytological
vagina
Unsp abnormal
findings in
752
871
specimens
Abn cytologfrom
find vagina
in specmn from oth
female
genital
organs
Abn histolog findings in specmn from
871
871
R87810
female
organs
Cervicalgenital
high risk
HPV DNA test positive
752
R87811
Vaginal high risk HPV DNA test positive
752
R87820
Cervical low risk HPV DNA test positive
752
R87821
Vaginal low risk HPV DNA test positive
752
R8789
Oth abnormal findings in specmn from

female
genital organs
Unsp abnormal
finding in specmn from
871
871
female
genital organs (peritoneal) dialysis
Cloudy (hemodialysis)
effluent
Abnormal findings in other body fluids and
726
871
substances
Abnormal level of enzymes in specimens
from
oth org/tiss
Abnormal
level of hormones in specimens
from
oth
org/tiss
Abn lev drug/meds/biol subst in specimens
871
871
871
from
othsubstnc
org/tissnonmed source in specmn
Abn lev
from
oth org/tiss
Abnormal
immunolog findings in
871
871
specimens
from oth org/tiss
Abnormal microbiolog
findings in
specimens
from
oth
org/tiss
Abnormal cytological findings in
871
871
specimens
from oth
org/tissin specimens
Abnormal histolog
findings
from
oth org/tiss
Oth abnormal
findings in specimens from
871
871
oth
org/tiss
Unsp
abnormal finding in specimens from
oth
org/tiss
Intcrn space-occupying lesion found on dx
871
675
R9081
imaging
cnsl
Abnormalofechoencephalogram
525
R9082
White matter disease, unspecified
525
R9089
Oth abnormal findings on diagnostic

imaging
of cnsl
Solitary pulmonary
nodule
871
576
Other nonspecific abnormal finding of lung

field
576
R87629
R8769
R877
R879
R880
R888
R890
R891
R892
R893
R894
R895
R896
R897
R898
R899
R900
R911
R918
Page 2668 of 6734

R920
675
R921
Mammographic microcalcification found on

dx
imaging of brst
Mammographic
calcifcn found on
675
R922
diagnostic
imaging
of breast
Inconclusive
mammogram
871
R928
Oth abn and inconclusive findings on dx

imaging
breast on dx imaging of skull
Abnormaloffindings
675
525
and
head, findings
NEC
Abnormal
on dx imaging of heart
and
cor
circ
Abnormal findings on dx imaging of liver
and
biliaryfindings
tract on dx imaging of prt
Abnormal
digestive
Abnormal tract
findings on diagnostic imaging
592
637
624
726
of
urinary
organs
Abn
findings
on dx imaging of abd regions,
inc
retroperiton
Abnormal findings on diagnostic imaging
624
661
of
limbs findings on diagnostic imaging
Abnormal
of
prt ms sys
Abnormal
findings on diagnostic imaging
of
body
structures
Dx imaging inconclusive due to excess
661
871
871
R9401
body
fat ofelectroencephalogram
patient
Abnormal
[EEG]
525
R9402
Abnormal brain scan
525
R9409
525
R94110
Abnormal results of function studies of

cnsl
Abnormal electro-oculogram [EOG]
553
R94111
Abnormal electroretinogram [ERG]
553
R94112
Abnormal visually evoked potential [VEP]
553
R94113
Abnormal oculomotor study
553
R94118
525
R94120
Abnormal results of other function studies

of
eye
Abnormal
auditory function study
564
R94121
Abnormal vestibular function study
564
R94128
525
R94130
Abn results of function studies of ear and

oth
sp senses
Abnormal
response to nerve stimulation,
525
R94131
unspecified
Abnormal electromyogram [EMG]
661
R94138
Abnormal results of function studies of

prph
nervous
sys of pulmonary function
Abnormal
results
studies
525
576
R930
R931
R932
R933
R934
R935
R936
R937
R938
R939
R942
Page 2669 of 6734

R9430
Abnormal result of cardiovascular function

study,
unsp
Abnormal
electrocardiogram [ECG] [EKG]
592
592
592
R944
Abnormal result of other cardiovascular

function
Abnormalstudy
results of kidney function
726
R945
studies
Abnormal results of liver function studies
633
R946
692
692
692
R970
Abnormal results of thyroid function

studies
Abnormal results of other endocrine
function
Abnormalstudies
results of function studies of
organs
and
systems
Elevated carcinoembryonic
antigen [CEA]
871
R971
Elevated cancer antigen 125 [CA 125]
871
R972
Elevated prostate specific antigen [PSA]
871
R978
Other abnormal tumor markers
871
Ill-defined and unknown cause of mortality
595
S0000XA Unspecified superficial injury of scalp,

encounter
S0000XD initial
Unspecified
superficial injury of scalp, subs
encntr
S0000XS Unspecified superficial injury of scalp,
S0001XA sequela
Abrasion of scalp, initial encounter
674
CONTUSION, OPEN WOUND & OTHER TRAU
674
674
674
S0001XD Abrasion of scalp, subsequent encounter
674
S0001XS Abrasion of scalp, sequela
674
S0002XA Blister (nonthermal) of scalp, initial

S0002XD encounter
Blister (nonthermal) of scalp, subsequent
S0002XS encounter
Blister (nonthermal) of scalp, sequela
675
674
674
S0003XA Contusion of scalp, initial encounter
674
S0003XD Contusion of scalp, subsequent encounter
674
S0003XS Contusion of scalp, sequela
674
S0004XA External constriction of part of scalp, initial

S0004XD encounter
External constriction of part of scalp,
encounter
S0004XS subsequent
External constriction
of part of scalp,
sequela
S0005XA Superficial foreign body of scalp, initial
674
674
674
674
R9431
R9439
R947
R948
R99
encounter
Page 2670 of 6734

S0005XD Superficial foreign body of scalp,
encounter
S0005XS subsequent
Superficial foreign
body of scalp, sequela
674
674
S0006XA Insect bite (nonvenomous) of scalp, initial

S0006XD encounter
Insect bite (nonvenomous) of scalp,
encounter
S0006XS subsequent
Insect bite (nonvenomous)
of scalp,
sequela
S0007XA Other superficial bite of scalp, initial
675
674
674
674
S0007XD encounter
Other superficial bite of scalp, subsequent
S0007XS encounter
Other superficial bite of scalp, sequela
674
674
S0010XA Contusion of unsp eyelid and periocular

init encntr
S0010XD area,
Contusion
of unsp eyelid and periocular
area,
subs
encntr
S0010XS Contusion of
unspecified eyelid and
554
553
674
area,
sequela
S0011XA periocular
Contusion of
right
eyelid and periocular
area,
init
encntr
S0011XD Contusion of right eyelid and periocular
subs of
encntr
S0011XS area,
Contusion
right eyelid and periocular
554
553
674
sequela
S0012XA area,
Contusion
of left eyelid and periocular
area,
init
encntr
S0012XD Contusion of left eyelid and periocular
subs of
encntr
S0012XS area,
Contusion
left eyelid and periocular
area,
sequela
S00201A Unsp superfic inj right eyelid and perioculr
554
553
674
553
init
S00201D area,
Unsp superfic
inj right eyelid and perioculr
area,
subs
S00201S Unsp superfic inj right eyelid and perioculr
sequela injury of left eyelid and
S00202A area,
Unsp superfic
area,injury
init of left eyelid and
S00202D perioculr
Unsp superfic
553
674
553
553
area,inj
subs
S00202S perioculr
Unsp superfic
left eyelid and perioculr
area,
sequela
S00209A Unsp superfic injury of unsp eyelid and
674
553
area,injury
init of unsp eyelid and
S00209D perioculr
Unsp superfic
area,inj
subs
S00209S perioculr
Unsp superfic
unsp eyelid and perioculr
area,
sequela
S00211A Abrasion of right eyelid and periocular
553
674
553
init of
encntr
S00211D area,
Abrasion
area,
subs
encntr
S00211S Abrasion of right eyelid and periocular
area, sequela
553
674
Page 2671 of 6734

S00212A Abrasion of left eyelid and periocular area,
encntrof left eyelid and periocular area,
S00212D init
Abrasion
encntr
S00212S subs
Abrasion
of left eyelid and periocular area,
S00219A sequela
Abrasion of unsp eyelid and periocular
553
553
674
553
init of
encntr
S00219D area,
Abrasion
unsp eyelid and periocular
area,
subs
encntr
S00219S Abrasion of unspecified eyelid and
area,eyelid
sequela
S00221A periocular
Blister of right
and periocular area,
553
674
553
S00221D init
Blister of right eyelid and periocular area,
S00221S subs
Blister of right eyelid and periocular area,
S00222A sequela
Blister of left eyelid and periocular area,
553
674
553
S00222D init
S00222S subs
S00229A sequela
Blister of unsp eyelid and periocular area,
553
674
553
S00229D init
S00229S subs
S00241A sequela
External constrict of right eyelid and
area, init
S00241D periocular
External constrict
of right eyelid and
553
674
553
553
area,ofsubs
S00241S periocular
Extrn constrict
right eyelid and perioculr
sequela
S00242A area,
External
constrict of left eyelid and
periocular
area, init
S00242D External constrict
of left eyelid and
674
553
553
area,ofsubs
S00242S periocular
Extrn constrict
left eyelid and perioculr
area,
sequela
S00249A External constrict of unsp eyelid and
area, init
S00249D periocular
External constrict
of unsp eyelid and
674
553
553
area,ofsubs
S00249S periocular
Extrn constrict
unsp eyelid and perioculr
area,
sequela
S00251A Superficial fb of right eyelid and periocular
init fb of right eyelid and periocular
S00251D area,
Superficial
674
553
553
subs fb of right eyelid and periocular

S00251S area,
Superficial
sequela
S00252A area,
Superficial
fb of left eyelid and periocular
area,
init
S00252D Superficial fb of left eyelid and periocular
674
553
553
area, subs
Page 2672 of 6734

S00252S Superficial fb of left eyelid and periocular
sequela
S00259A area,
Superficial
fb of unsp eyelid and periocular
area,
init
S00259D Superficial fb of unsp eyelid and periocular
674
553
553
subs fb of unsp eyelid and periocular

S00259S area,
Superficial
S00261A area,
Insectsequela
bite of right eyelid and periocular
674
553
S00261D area,
Insectinit
bite of right eyelid and periocular
area,
subs
S00261S Insect bite of right eyelid and periocular
S00262A area,
Insectsequela
bite of left eyelid and periocular
553
674
553
S00262D area,
Insectinit
bite of left eyelid and periocular
area,
subs
S00262S Insect bite of left eyelid and periocular
S00269A area,
Insectsequela
bite of unsp eyelid and periocular
553
674
553
S00269D area,
Insectinit
area,
subs
S00269S Insect bite of unsp eyelid and periocular
sequelabite of right eyelid and
S00271A area,
Oth superfic
553
674
553
area,
S00271D periocular
Oth superfic
biteinit
of right eyelid and
periocular
area,
subs
S00271S Oth superfic bite of right eyelid and
area,
sqla
S00272A perioculr
Oth superfic
bite
of left eyelid and
553
674
553
area,
S00272D periocular
Oth superfic
biteinit
of left eyelid and
area,
S00272S periocular
Oth superfic
bitesubs
of left eyelid and
perioculr
area,
sequela
S00279A Oth superfic bite of unsp eyelid and
553
674
553
area,
S00279D periocular
Oth superfic
biteinit
of unsp eyelid and
periocular
area,
subs
S00279S Oth superfic bite of unsp eyelid and
area,
sequela injury of nose,
S0030XA perioculr
Unspecified
superficial
553
674
674
encounter
S0030XD initial
Unspecified
superficial injury of nose,
subsequent
encounter
S0030XS Unspecified superficial injury of nose,
S0031XA sequela
Abrasion of nose, initial encounter
564
674
674
S0031XD Abrasion of nose, subsequent encounter
564
S0031XS Abrasion of nose, sequela
674
S0032XA Blister (nonthermal) of nose, initial

encounter
675
Page 2673 of 6734

S0032XD Blister (nonthermal) of nose, subsequent
S0032XS encounter
Blister (nonthermal) of nose, sequela
564
674
S0033XA Contusion of nose, initial encounter
674
S0033XD Contusion of nose, subsequent encounter
564
S0033XS Contusion of nose, sequela
674
S0034XA External constriction of nose, initial

S0034XD encounter
External constriction of nose, subsequent
S0034XS encounter
External constriction of nose, sequela
674
564
674
S0035XA Superficial foreign body of nose, initial

S0035XD encounter
Superficial foreign body of nose,
encounter
S0035XS subsequent
Superficial foreign
body of nose, sequela
674
564
674
S0036XA Insect bite (nonvenomous) of nose, initial

S0036XD encounter
Insect bite (nonvenomous) of nose,
encounter
S0036XS subsequent
of nose,
S0037XA sequela
Other superficial bite of nose, initial
675
564
674
674
S0037XD encounter
Other superficial bite of nose, subsequent
S0037XS encounter
Other superficial bite of nose, sequela
564
674
S00401A Unspecified superficial injury of right ear,

encntr superficial injury of right ear,
S00401D init
Unspecified
encntr superficial injury of right ear,
S00401S subs
Unspecified
S00402A sequela
Unspecified superficial injury of left ear,
674
564
674
674
encntr superficial injury of left ear,

S00402D init
Unspecified
encntr superficial injury of left ear,
S00402S subs
Unspecified
S00409A sequela
Unsp superficial injury of unspecified ear,
564
674
674
encntr
S00409D init
Unsp
superficial injury of unspecified ear,
encntr superficial injury of
S00409S subs
Unspecified
ear, sequela
S00411A unspecified
Abrasion of right
ear, initial encounter
564
674
674
S00411D Abrasion of right ear, subsequent

S00411S encounter
Abrasion of right ear, sequela
564
674
Page 2674 of 6734

S00412A Abrasion of left ear, initial encounter
674
S00412D Abrasion of left ear, subsequent encounter
564
S00412S Abrasion of left ear, sequela
674
S00419A Abrasion of unspecified ear, initial

S00419D encounter
Abrasion of unspecified ear, subsequent
S00419S encounter
Abrasion of unspecified ear, sequela
674
564
674
S00421A Blister (nonthermal) of right ear, initial

S00421D encounter
Blister (nonthermal) of right ear,
encounter
S00421S subsequent
Blister (nonthermal)
of right ear, sequela
675
564
674
S00422A Blister (nonthermal) of left ear, initial

S00422D encounter
Blister (nonthermal) of left ear,
encounter
S00422S subsequent
of left ear, sequela
675
564
674
S00429A Blister (nonthermal) of unspecified ear,

S00429D initial
Blisterencounter
(nonthermal) of unspecified ear,
encntr
S00429S subs
Blister
(nonthermal) of unspecified ear,
sequela
S00431A Contusion of right ear, initial encounter
675
564
674
674
S00431D Contusion of right ear, subsequent

S00431S encounter
Contusion of right ear, sequela
564
674
S00432A Contusion of left ear, initial encounter
674
S00432D Contusion of left ear, subsequent

S00432S encounter
Contusion of left ear, sequela
564
674
S00439A Contusion of unspecified ear, initial

S00439D encounter
Contusion of unspecified ear, subsequent
S00439S encounter
Contusion of unspecified ear, sequela
674
564
674
S00441A External constriction of right ear, initial

S00441D encounter
External constriction of right ear,
encounter
S00441S subsequent
of right ear, sequela
674
564
674
S00442A External constriction of left ear, initial

S00442D encounter
External constriction of left ear,
subsequent encounter
674
564
Page 2675 of 6734

S00442S External constriction of left ear, sequela
674
S00449A External constriction of unspecified ear,

encounter
S00449D initial
External
constriction of unspecified ear,
encntr
S00449S subs
External
constriction of unspecified ear,
sequela
S00451A Superficial foreign body of right ear, initial
674
564
674
674
S00451D encounter
Superficial foreign body of right ear,
encounter
S00451S subsequent
Superficial foreign
body of right ear,
S00452A sequela
Superficial foreign body of left ear, initial
564
674
674
S00452D encounter
Superficial foreign body of left ear,
encounter
S00452S subsequent
Superficial foreign
body of left ear,
sequela
S00459A Superficial foreign body of unspecified ear,
encntr foreign body of unspecified ear,
S00459D init
Superficial
564
674
674
564
encntrforeign body of unspecified ear,

S00459S subs
Superficial
S00461A sequela
Insect bite (nonvenomous) of right ear,
S00461D initial
Insect encounter
bite (nonvenomous) of right ear,
674
675
564
encounter
S00461S subsequent
of right ear,
sequela
S00462A Insect bite (nonvenomous) of left ear,
S00462D initial
Insect encounter
bite (nonvenomous) of left ear,
674
675
564
encounter
S00462S subsequent
of left ear,
sequela
S00469A Insect bite (nonvenomous) of unspecified
init
encntr
S00469D ear,
Insect
bite
(nonvenomous) of unspecified
674
675
564
subs
S00469S ear,
Insect
biteencntr
(nonvenomous) of unspecified
sequela
S00471A ear,
Other
superficial bite of right ear, initial
encounter
S00471D Other superficial bite of right ear,
674
674
564
encounter
S00471S subsequent
Other superficial
bite of right ear, sequela
674
S00472A Other superficial bite of left ear, initial

S00472D encounter
Other superficial bite of left ear,
encounter
S00472S subsequent
Other superficial
bite of left ear, sequela
674
564
674
S00479A Other superficial bite of unspecified ear,

initial encounter
674
Page 2676 of 6734

S00479D Other superficial bite of unspecified ear,
S00479S subs
Otherencntr
superficial bite of unspecified ear,
sequela
S00501A Unspecified superficial injury of lip, initial
564
674
674
S00501D encounter
Unspecified superficial injury of lip,
S00501S subsequent
Unspecified encounter
superficial injury of lip,
sequela
S00502A Unspecified superficial injury of oral
init encntr
S00502D cavity,
Unspecified
superficial injury of oral
564
674
674
564
subs superficial
encntr
S00502S cavity,
Unspecified
injury of oral
cavity,
sequela
S00511A Abrasion of lip, initial encounter
674
674
S00511D Abrasion of lip, subsequent encounter
564
S00511S Abrasion of lip, sequela
674
S00512A Abrasion of oral cavity, initial encounter
674
S00512D Abrasion of oral cavity, subsequent

S00512S encounter
Abrasion of oral cavity, sequela
564
674
S00521A Blister (nonthermal) of lip, initial

S00521D encounter
Blister (nonthermal) of lip, subsequent
S00521S encounter
Blister (nonthermal) of lip, sequela
675
564
674
S00522A Blister (nonthermal) of oral cavity, initial

S00522D encounter
Blister (nonthermal) of oral cavity,
encounter
S00522S subsequent
of oral cavity, sequela
675
564
674
S00531A Contusion of lip, initial encounter
674
S00531D Contusion of lip, subsequent encounter
564
S00531S Contusion of lip, sequela
674
S00532A Contusion of oral cavity, initial encounter
674
S00532D Contusion of oral cavity, subsequent

S00532S encounter
Contusion of oral cavity, sequela
564
674
S00541A External constriction of lip, initial

S00541D encounter
External constriction of lip, subsequent
S00541S encounter
External constriction of lip, sequela
674
564
674
Page 2677 of 6734

S00542A External constriction of oral cavity, initial
S00542D encounter
External constriction of oral cavity,
encounter
S00542S subsequent
of oral cavity,
S00551A sequela
Superficial foreign body of lip, initial
674
564
674
674
S00551D encounter
Superficial foreign body of lip, subsequent
S00551S encounter
Superficial foreign body of lip, sequela
564
674
S00552A Superficial foreign body of oral cavity,

encounter
S00552D initial
Superficial
foreign body of oral cavity,
subs
encntr
S00552S Superficial foreign body of oral cavity,
S00561A sequela
Insect bite (nonvenomous) of lip, initial
674
564
674
675
S00561D encounter
Insect bite (nonvenomous) of lip,
encounter
S00561S subsequent
of lip, sequela
564
674
S00562A Insect bite (nonvenomous) of oral cavity,

S00562D initial
Insect encounter
bite (nonvenomous) of oral cavity,
S00562S subs
Insectencntr
bite (nonvenomous) of oral cavity,
sequela
S00571A Other superficial bite of lip, initial
675
564
674
674
S00571D encounter
Other superficial bite of lip, subsequent
S00571S encounter
Other superficial bite of lip, sequela
564
674
S00572A Other superficial bite of oral cavity, initial

S00572D encounter
Other superficial bite of oral cavity,
encounter
S00572S subsequent
Other superficial
bite of oral cavity,
sequela
S0080XA Unsp superficial injury of other part of
674
564
674
674
init encntr injury of other part of

S0080XD head,
Unsp superficial
subs encntr
S0080XS head,
Unsp superficial
injury of other part of
head,
sequela
S0081XA Abrasion of other part of head, initial
S0081XD encounter
Abrasion of other part of head, subsequent
674
674
674
674
S0081XS encounter
Abrasion of other part of head, sequela
674
S0082XA Blister (nonthermal) of other part of head,

encntr
S0082XD init
Blister
(nonthermal) of other part of head,
subs encntr
675
674
Page 2678 of 6734

S0082XS Blister (nonthermal) of other part of head,
S0083XA sequela
Contusion of other part of head, initial
674
674
S0083XD encounter
Contusion of other part of head,
S0083XS subsequent
Contusion ofencounter
other part of head, sequela
674
674
S0084XA External constriction of other part of head,

encntr
S0084XD init
External
constriction of other part of head,
subs
encntr
S0084XS External constriction of other part of head,
S0085XA sequela
Superficial foreign body of other part of
674
674
674
674
init encntr
S0085XD head,
Superficial
foreign body of other part of
head,
subs
encntr body of other part of
S0085XS Superficial foreign
S0086XA head,
Insect sequela
bite (nonvenomous) of other part of
S0086XD head,
Insect init
biteencntr
(nonvenomous) of other part of
674
674
675
674
encntr
S0086XS head,
Insect subs
bite (nonvenomous)
of other part of
head,
sequela
S0087XA Other superficial bite of other part of head,
encntr
S0087XD init
Other
superficial bite of other part of head,
674
674
674
S0087XS subs
Otherencntr
superficial bite of other part of head,
sequela
S0090XA Unsp superficial injury of unsp part of
init encntr injury of unsp part of
S0090XD head,
Unsp superficial
674
674
674
subs encntr
S0090XS head,
Unsp superficial
injury of unspecified part
of
head,
sequela
S0091XA Abrasion of unspecified part of head, initial
S0091XD encounter
Abrasion of unspecified part of head,
674
674
674
encounter part of head,

S0091XS subsequent
Abrasion of unspecified
S0092XA sequela
Blister (nonthermal) of unsp part of head,
encntr
S0092XD init
Blister
(nonthermal) of unsp part of head,
674
675
674
encntr
S0092XS subs
Blister
(nonthermal) of unspecified part of
sequela
S0093XA head,
Contusion
of unspecified part of head,
initial
encounter
S0093XD Contusion of unspecified part of head,
674
674
674
S0093XS subsequent
unspecified part of head,
sequela
S0094XA External constriction of unsp part of head,
init encntr
674
674
Page 2679 of 6734

S0094XD External constriction of unsp part of head,
encntr
S0094XS subs
External
constriction of unspecified part of
head,
sequela
S0095XA Superficial foreign body of unsp part of
674
674
674
init encntr
S0095XD head,
Superficial
foreign body of unsp part of
head,
subs
encntr body of unsp part of
S0096XA head,
Insect sequela
bite (nonvenomous) of unsp part of
head,
init
S0096XD Insect biteencntr
(nonvenomous) of unsp part of
674
674
675
674
encntr
S0096XS head,
Insect subs
bite (nonvenomous)
of unsp part of
head,
sequela
S0097XA Other superficial bite of unsp part of head,
674
674
encntr
S0097XD init
Other
superficial bite of unsp part of head,
subs
encntr
S0097XS Other superficial bite of unspecified part of
sequela
S0100XA head,
Unspecified
open wound of scalp, initial
674
674
674
S0100XD encounter
Unspecified open wound of scalp,
S0100XS subsequent
open wound of scalp, sequela
674
674
S0101XA Laceration without foreign body of scalp,

encounter
S0101XD initial
Laceration
without foreign body of scalp,
subs
encntr
S0101XS Laceration without foreign body of scalp,
S0102XA sequela
Laceration with foreign body of scalp,
674
674
674
674
encounter
S0102XD initial
Laceration
with foreign body of scalp,
subsequent
encounter
S0102XS Laceration with
foreign body of scalp,
sequela
S0103XA Puncture wound without foreign body of
674
674
674
initwound
encntrwithout foreign body of
S0103XD scalp,
Puncture
subs
encntr
S0103XS scalp,
Puncture
wound
without foreign body of
scalp,
sequela
S0104XA Puncture wound with foreign body of
674
674
674
initial
encounter
S0104XD scalp,
Puncture
wound
with foreign body of
subs
encntr
S0104XS scalp,
Puncture
wound
scalp,
sequela
S0105XA Open bite of scalp, initial encounter
674
674
674
S0105XD Open bite of scalp, subsequent encounter
674
S0105XS Open bite of scalp, sequela
674
Page 2680 of 6734

S01101A Unsp open wound of right eyelid and
initof right eyelid and
S01101D periocular
Unsp openarea,
wound
subs
S01101S periocular
Unsp openarea,
wound
of right eyelid and
sequela
S01102A periocular
Unsp openarea,
wound
of left eyelid and
554
553
674
554
initof left eyelid and

S01102D periocular
Unsp openarea,
wound
subs
S01102S periocular
Unsp openarea,
wound
of left eyelid and
periocular
area,
sequela
S01109A Unsp open wound of unsp eyelid and
553
674
554
initof unsp eyelid and

S01109D periocular
Unsp openarea,
wound
subs
S01109S periocular
Unsp openarea,
wound
of unsp eyelid and
periocular
area,
sequela
S01111A Laceration w/o fb of right eyelid and
553
674
554
S01111D periocular
Laceration area,
w/o fbinit
of right eyelid and
subs
S01111S periocular
Lac w/o fb area,
of right
area,
sequela
S01112A Laceration w/o fb of left eyelid and
553
674
554
S01112D periocular
Laceration area,
w/o fbinit
of left eyelid and
S01112S periocular
Lac w/o fb area,
of leftsubs
area,
sequela
S01119A Laceration w/o fb of unsp eyelid and
553
674
554
S01119D periocular
Laceration area,
w/o fbinit
of unsp eyelid and
periocular
area,
subs
S01119S Lac w/o fb of unsp eyelid and periocular
sequela
S01121A area,
Laceration
w fb of right eyelid and
553
674
554
initright eyelid and

S01121D periocular
Laceration area,
w fb of
subs
S01121S periocular
Laceration area,
w fb of
right eyelid and
periocular
area,
sequela
S01122A Laceration w fb of left eyelid and
553
674
554
initleft eyelid and

S01122D periocular
Laceration area,
w fb of
subs
S01122S periocular
Laceration area,
w fb of
left eyelid and
periocular
area,
sequela
S01129A Laceration w fb of unsp eyelid and
553
674
554
initunsp eyelid and

S01129D periocular
Laceration area,
w fb of
subs
S01129S periocular
Laceration area,
w fb of
unsp eyelid and
periocular
area,
sequela
S01131A Pnctr w/o fb of right eyelid and periocular
553
674
554
S01131D area,
Pnctr init
w/o fb of right eyelid and periocular
area, subs
553
Page 2681 of 6734

S01131S Pnctr w/o fb of right eyelid and periocular
S01132A area,
Pnctr sequela
w/o fb of left eyelid and periocular
area,
init
S01132D Pnctr w/o fb of left eyelid and periocular
674
554
553
S01132S area,
Pnctr subs
w/o fb of left eyelid and periocular
area,
sequela
S01139A Pnctr w/o fb of unsp eyelid and periocular
S01139D area,
Pnctr init
w/o fb of unsp eyelid and periocular
674
554
553
S01139S area,
Pnctr subs
w/o fb of unsp eyelid and periocular
S01141A area,
Pnctr sequela
w fb of right eyelid and periocular
area,
init
S01141D Pnctr w fb of right eyelid and periocular
674
554
553
S01141S area,
Pnctr subs
w fb of right eyelid and periocular
area,
sequela
S01142A Pnctr w fb of left eyelid and periocular
S01142D area,
Pnctr init
w fb of left eyelid and periocular
674
554
553
S01142S area,
Pnctr subs
w fb of left eyelid and periocular
area,
sequela
S01149A Pnctr w fb of unsp eyelid and periocular
S01149D area,
Pnctr init
w fb of unsp eyelid and periocular
674
554
553
S01149S area,
Pnctr subs
w fb of unsp eyelid and periocular
area,
sequela
S01151A Open bite of right eyelid and periocular
S01151D area,
Open init
biteencntr
of right eyelid and periocular
674
554
553
encntr
S01151S area,
Open subs
bite of
area,
sequela
S01152A Open bite of left eyelid and periocular
674
554
S01152D area,
Open init
biteencntr
of left eyelid and periocular
area,
subs
encntr
S01152S Open bite of
left eyelid and periocular
S01159A area,
Open sequela
553
674
554
S01159D area,
Open init
biteencntr
of unsp eyelid and periocular
area,
subs
encntr
S01159S Open bite of
unspecified eyelid and
S0120XA periocular
Unspecifiedarea,
opensequela
wound of nose, initial
553
674
565
S0120XD encounter
Unspecified open wound of nose,
S0120XS subsequent
open wound of nose, sequela
564
674
S0121XA Laceration without foreign body of nose,

initial encounter
565
Page 2682 of 6734

S0121XD Laceration without foreign body of nose,
encntrwithout foreign body of nose,
S0121XS subs
Laceration
S0122XA sequela
Laceration with foreign body of nose,
564
674
565
encounter
S0122XD initial
Laceration
with foreign body of nose,
subsequent
encounter
foreign body of nose,
sequela
S0123XA Puncture wound without foreign body of
init wound
encntr without foreign body of
S0123XD nose,
Puncture
564
674
565
564
subs
S0123XS nose,
Puncture
wound
sequela
S0124XA nose,
Puncture
wound with foreign body of nose,
674
565
encounter
S0124XD initial
Puncture
wound with foreign body of nose,
subs
encntr
S0124XS Puncture wound with foreign body of nose,
S0125XA sequela
Open bite of nose, initial encounter
564
674
565
S0125XD Open bite of nose, subsequent encounter
564
S0125XS Open bite of nose, sequela
674
S01301A Unspecified open wound of right ear, initial

S01301D encounter
Unspecified open wound of right ear,
S01301S subsequent
open wound of right ear,
sequela
S01302A Unspecified open wound of left ear, initial
565
564
674
565
S01302D encounter
Unspecified open wound of left ear,
S01302S subsequent
open wound of left ear,
sequela
S01309A Unspecified open wound of unspecified
initial encounter
S01309D ear,
Unspecified
open wound of unspecified
564
674
565
564
subs encntr
S01309S ear,
Unspecified
ear,
sequela
S01311A Laceration without foreign body of right
674
565
init encntr
S01311D ear,
Laceration
without foreign body of right
subs encntr
S01311S ear,
Laceration
without foreign body of right
ear,
sequela
S01312A Laceration without foreign body of left ear,
encntr without foreign body of left ear,
S01312D init
Laceration
564
674
565
564
encntrwithout foreign body of left ear,

S01312S subs
Laceration
sequela
674
Page 2683 of 6734

S01319A Laceration without foreign body of unsp
init encntr
S01319D ear,
Laceration
without foreign body of unsp
ear,
subs
encntr
S01319S Laceration without foreign body of
ear,foreign
sequelabody of right ear,
S01321A unspecified
Laceration with
565
564
674
565
encounter
S01321D initial
Laceration
with foreign body of right ear,
subs
encntr
S01321S Laceration with foreign body of right ear,
S01322A sequela
Laceration with foreign body of left ear,
encounter
S01322D initial
Laceration
with foreign body of left ear,
564
674
565
564
encntrwith foreign body of left ear,

S01322S subs
Laceration
S01329A sequela
Laceration with foreign body of
ear,foreign
init encntr
S01329D unspecified
Laceration with
body of
ear,foreign
subs encntr
S01329S unspecified
Laceration with
body of
674
565
564
674
ear, sequela
S01331A unspecified
Puncture wound
w/o foreign body of right
ear,
init
encntr
S01331D Puncture wound w/o foreign body of right
subs wound
encntr without foreign body of
S01331S ear,
Puncture
565
564
674
ear, wound
sequelawithout foreign body of
S01332A right
Puncture
ear, init
encntr
S01332D left
Puncture
wound
left
ear,
subs
encntr
S01332S Puncture wound without foreign body of
ear, sequela
S01339A left
Puncture
wound without foreign body of
565
564
674
565
ear, wound
init encntr
S01339D unsp
Puncture
unsp
ear,
subs
encntr
ear, wound
sequela
S01341A unsp
Puncture
with foreign body of right
564
674
565
init encntr
S01341D ear,
Puncture
wound with foreign body of right
ear,
subs
encntr with foreign body of right
S01341S Puncture wound
sequela
S01342A ear,
Puncture
wound with foreign body of left
init encntr
S01342D ear,
Puncture
564
674
565
564
subs wound
encntr with foreign body of left
S01342S ear,
Puncture
sequela
S01349A ear,
Puncture
wound with foreign body of unsp
ear,
init
encntr
S01349D Puncture wound with foreign body of unsp
ear, subs encntr
674
565
564
Page 2684 of 6734

S01349S Puncture wound with foreign body of
sequela
S01351A unspecified
Open bite ofear,
right
ear, initial encounter
674
565
S01351D Open bite of right ear, subsequent

S01351S encounter
Open bite of right ear, sequela
564
674
S01352A Open bite of left ear, initial encounter
565
S01352D Open bite of left ear, subsequent

S01352S encounter
Open bite of left ear, sequela
564
674
S01359A Open bite of unspecified ear, initial

S01359D encounter
Open bite of unspecified ear, subsequent
S01359S encounter
Open bite of unspecified ear, sequela
565
564
674
S01401A Unsp open wound of right cheek and TMJ

init wound of right cheek and TMJ
S01401D area,
Unsp open
subs wound of right cheek and TMJ
S01401S area,
Unsp open
sequela
S01402A area,
Unsp open
wound of left cheek and TMJ
674
564
674
674
init wound of left cheek and TMJ

S01402D area,
Unsp open
subs wound of left cheek and TMJ
S01402S area,
Unsp open
sequela
S01409A area,
Unsp open
wound of unsp cheek and TMJ
area,
init
S01409D Unsp open wound of unsp cheek and TMJ
564
674
674
564
subs wound of unsp cheek and TMJ

S01409S area,
Unsp open
sequela
S01411A area,
Laceration
w/o fb of right cheek and TMJ
674
674
init w/o fb of right cheek and TMJ

S01411D area,
Laceration
subs w/o fb of right cheek and TMJ
S01411S area,
Laceration
sequela
S01412A area,
Laceration
w/o foreign body of left cheek
564
674
674
TMJ area,
S01412D and
Laceration
w/oinit
foreign body of left cheek
and
TMJ
area,
subs
S01412S Laceration w/o fb of left cheek and TMJ
sequela
S01419A area,
Laceration
w/o foreign body of unsp cheek
564
674
674
TMJ area,
S01419D and
Laceration
w/oinit
foreign body of unsp cheek
and
TMJ
area,
subs
S01419S Laceration w/o fb of unsp cheek and TMJ
sequela
S01421A area,
Laceration
w foreign body of right cheek
564
674
674
and TMJ area, init

Page 2685 of 6734

S01421D Laceration w foreign body of right cheek
TMJ area,
subs
S01421S and
Laceration
w fb
of right cheek and TMJ
564
674
sequela
S01422A area,
Laceration
w foreign body of left cheek
TMJ area,
init
S01422D and
Laceration
w foreign
body of left cheek
and
TMJ
area,
subs
S01422S Laceration w fb of left cheek and TMJ area,
674
564
674
S01429A sequela
Laceration w foreign body of unsp cheek
TMJ area,
init
S01429D and
Laceration
w foreign
body of unsp cheek
TMJ area,
subs
S01429S and
Laceration
w fb
of unsp cheek and TMJ
674
564
674
S01431A area,
Pnctr sequela
w/o foreign body of right cheek and
TMJ
area,
S01431D Pnctr w/o init
foreign body of right cheek and
TMJ
area,
subs
S01431S Pnctr w/o foreign body of right cheek and
S01432A TMJ
Pnctrarea,
w/o sequela
foreign body of left cheek and
674
564
674
674
S01432D TMJ
Pnctrarea,
w/o init
foreign body of left cheek and
TMJ
area,
subs
S01432S Pnctr w/o foreign body of left cheek and
S01439A TMJ
Pnctrarea,
w/o sequela
foreign body of unsp cheek and
TMJ
area,
init
S01439D Pnctr w/o foreign body of unsp cheek and
564
674
674
564
S01439S TMJ
Pnctrarea,
w/o subs
foreign body of unsp cheek and
TMJ
area,
sequela
S01441A Pnctr w foreign body of right cheek and
init body of right cheek and
S01441D TMJ
Pnctrarea,
w foreign
674
674
564
subs body of right cheek and

S01441S TMJ
Pnctrarea,
w foreign
sequela
S01442A TMJ
Pnctrarea,
w foreign
body of left cheek and TMJ
area,
init
S01442D Pnctr w foreign body of left cheek and TMJ
674
674
564
S01442S area,
Pnctr subs
w foreign body of left cheek and TMJ
area,
sequela
S01449A Pnctr w foreign body of unsp cheek and
init body of unsp cheek and
S01449D TMJ
Pnctrarea,
w foreign
subs body of unsp cheek and
S01449S TMJ
Pnctrarea,
w foreign
674
674
564
674
area,
S01451A TMJ
Open
bitesequela
of right cheek and
temporomandibular
area,and
init
S01451D Open bite of right cheek
area,and
subs
S01451S temporomandibular
Open bite of right cheek
674
564
674
temporomandibular area, sequela

Page 2686 of 6734

S01452A Open bite of left cheek and
area,
init
S01452D temporomandibular
Open bite of left cheek
and
674
564
area,
subs
Open bite of left cheek
and
area,and
sequela
S01459A temporomandibular
Open bite of unsp cheek
area,and
init
S01459D temporomandibular
674
674
564
area,and
subs
area,ofsequela
S01501A temporomandibular
Unspecified open wound
lip, initial
S01501D encounter
Unspecified open wound of lip, subsequent
674
563
564
S01501S encounter
Unspecified open wound of lip, sequela
674
S01502A Unspecified open wound of oral cavity,

encounter
S01502D initial
Unspecified
open wound of oral cavity,
S01502S subsequent
open wound of oral cavity,
sequela
S01511A Laceration without foreign body of lip,
563
564
674
563
encounter
S01511D initial
Laceration
without foreign body of lip,
encounter
S01511S subsequent
Laceration without
foreign body of lip,
sequela
S01512A Laceration without foreign body of oral
init encntr
S01512D cavity,
Laceration
without foreign body of oral
564
674
563
564
subswithout
encntr foreign body of oral
S01512S cavity,
Laceration
sequela
S01521A cavity,
Laceration
with foreign body of lip, initial
encounter
S01521D Laceration with foreign body of lip,
674
563
564
encounter
S01521S subsequent
Laceration with
foreign body of lip,
sequela
S01522A Laceration with foreign body of oral cavity,
encntr with foreign body of oral cavity,
S01522D init
Laceration
encntrwith foreign body of oral cavity,
S01522S subs
Laceration
674
563
564
674
S01531A sequela
Puncture wound without foreign body of
init encntr
S01531D lip,
Puncture
wound without foreign body of
lip,
subs
encntr
sequela
S01532A lip,
Puncture
wound w/o foreign body of oral
563
564
674
563
initwound
encntrw/o foreign body of oral
S01532D cavity,
Puncture
cavity, subs encntr
564
Page 2687 of 6734

cavity,
sequela
S01541A oral
Puncture
wound
with foreign body of lip,
674
563
encounter
S01541D initial
Puncture
wound with foreign body of lip,
encntr
S01541S subs
Puncture
wound with foreign body of lip,
sequela
S01542A Puncture wound with foreign body of oral
initwound
encntrwith foreign body of oral
S01542D cavity,
Puncture
564
674
563
564
subs
encntr
S01542S cavity,
Puncture
wound
with foreign body of oral
sequela
S01551A cavity,
Open bite
of lip, initial encounter
674
563
S01551D Open bite of lip, subsequent encounter
564
S01551S Open bite of lip, sequela
674
S01552A Open bite of oral cavity, initial encounter
563
S01552D Open bite of oral cavity, subsequent

S01552S encounter
Open bite of oral cavity, sequela
564
674
S0180XA Unspecified open wound of other part of

init encntr
S0180XD head,
Unspecified
open wound of other part of
head,
subs
encntr
S0180XS Unspecified open wound of other part of
sequela
S0181XA head,
Laceration
w/o foreign body of oth part of
674
674
674
674
init encntr
S0181XD head,
Laceration
subs w/o
encntr
S0181XS head,
Laceration
foreign body of other part
of
head,
sequela
S0182XA Laceration w foreign body of oth part of
674
674
674
init encntr
S0182XD head,
Laceration
w foreign body of oth part of
head,
subs
encntr
foreign body of other part
head, sequela
S0183XA of
Puncture
wound w/o foreign body oth prt
674
674
674
initwound
encntr w/o foreign body oth prt
S0183XD head,
Puncture
subs
encntr
S0183XS head,
Puncture
wound
w/o foreign body of oth
of head,
sequela
S0184XA part
Puncture
wound
w foreign body oth prt
674
674
674
initwound
encntr w foreign body oth prt
S0184XD head,
Puncture
subs
encntr
S0184XS head,
Puncture
wound
w foreign body of oth part
of
head,
sequela
S0185XA Open bite of other part of head, initial
674
674
674
encounter
Page 2688 of 6734

S0185XD Open bite of other part of head,
S0185XS subsequent
Open bite ofencounter
other part of head, sequela
674
674
S0190XA Unsp open wound of unspecified part of

init encntr
S0190XD head,
Unsp open
wound of unspecified part of
head,
subs
S0190XS Unspecifiedencntr
674
674
674
of head,
sequela
S0191XA part
Laceration
w/o
foreign body of unsp part
of
head,
init
S0191XD Laceration w/o foreign body of unsp part
head, subs
S0191XS of
Laceration
w/o foreign body of unsp part
of
head,
sequela
S0192XA Laceration w foreign body of unsp part of
674
674
674
674
init encntr
S0192XD head,
Laceration
w foreign body of unsp part of
head,
subs
encntr
head, sequela
S0193XA of
Puncture
wound w/o foreign body of unsp
674
674
674
of head,
initw/o foreign body of unsp
S0193XD part
Puncture
wound
head,
subsbody of unsp part of
S0193XS part
Pnctrofw/o
foreign
sequela
S0194XA head,
Puncture
wound w foreign body of unsp
674
674
674
of head,
initw foreign body of unsp
S0194XD part
Puncture
wound
of head,
subs
S0194XS part
Puncture
wound
w foreign body of unsp
part
of
head,
sequela
S0195XA Open bite of unspecified part of head,
674
674
674
encounter
S0195XD initial
Open bite
of unspecified part of head,
subsequent
S0195XS Open bite ofencounter
unspecified part of head,
sequela
S020XXA Fracture of vault of skull, init encntr for
674
674
532
HEAD TRAUMA
fracture
S020XXB closed
Fracture
of vault of skull, init encntr for
fracture
S020XXD open
Fracture
of vault of skull, subs for fx w
routn
heal
S020XXG Fracture of vault of skull, subs for fx w
heal
S020XXK delay
Fracture
of vault of skull, subs for fx w
532
HEAD TRAUMA
872
872
661
S020XXS nonunion
Fracture of vault of skull, sequela
525
S0210XA Unsp fracture of base of skull, init for clos

S0210XB fx
Unsp fracture of base of skull, init for opn
S0210XD fx
Unsp fracture of base of skull, subs for fx
w routn heal
532
HEAD TRAUMA
532
HEAD TRAUMA
872
Page 2689 of 6734

S0210XG Unsp fracture of base of skull, subs for fx
delay
heal of base of skull, subs for fx
S0210XK w
Unsp
fracture
nonunion fracture of base of skull,
S0210XS w
Unspecified
872
661
525
S02110A sequela
Type I occipital condyle fracture, init for
S02110B clos
Typefx
I occipital condyle fracture, init for
opn
fx
S02110D Type I occipital condyle fracture, subs for
w routn
heal condyle fracture, subs for
S02110G fx
Type
I occipital
532
HEAD TRAUMA
532
HEAD TRAUMA
872
872
w delay
S02110K fx
Type
I occipital
w nonunion
S02110S fx
Type
I occipital condyle fracture, sequela
661
525
S02111A Type II occipital condyle fracture, init for

S02111B clos
Typefx
II occipital condyle fracture, init for
S02111D opn
Typefx
II occipital condyle fracture, subs for
fx
w
routn
S02111G Type II occipital
532
HEAD TRAUMA
532
HEAD TRAUMA
872
872
w delay
S02111K fx
Type
II occipital
w nonunion
S02111S fx
Type
II occipital condyle fracture, sequela
661
525
S02112A Type III occipital condyle fracture, init for

S02112B clos
Typefx
III occipital condyle fracture, init for
opn
fx
S02112D Type III occipital condyle fx, subs for fx w
heal
S02112G routn
Type III
occipital condyle fx, subs for fx w
532
HEAD TRAUMA
532
HEAD TRAUMA
872
872
S02112K delay
Type IIIheal
occipital condyle fracture, subs for
fx
w
nonunion
S02112S Type III occipital condyle fracture, sequela
661
525
S02113A Unsp occipital condyle fracture, init for

S02113B clos
Unspfxoccipital condyle fracture, init for
S02113D opn
Unspfxoccipital condyle fracture, subs for fx
routn
heal condyle fracture, subs for fx
S02113G w
Unsp
occipital
delay
heal condyle fracture, subs for fx
S02113K w
Unsp
occipital
532
HEAD TRAUMA
532
HEAD TRAUMA
872
872
661
nonunion occipital condyle fracture,

S02113S w
Unspecified
S02118A sequela
Other fracture of occiput, init encntr for
fractureof occiput, init encntr for
S02118B closed
Other fracture
525
532
HEAD TRAUMA
532
HEAD TRAUMA
open fracture
Page 2690 of 6734

S02118D Oth fracture of occiput, subs for fx w routn
S02118G heal
Oth fracture of occiput, subs for fx w delay
S02118K heal
Oth fracture of occiput, subs encntr for
w nonunion
S02118S fracture
Other fracture
of occiput, sequela
872
872
661
525
S02119A Unsp fracture of occiput, init encntr for

fractureof occiput, init encntr for
S02119B closed
Unsp fracture
S02119D open
Unsp fracture
fracture of occiput, subs for fx w
532
HEAD TRAUMA
532
HEAD TRAUMA
872
heal
S02119G routn
Unsp fracture
of occiput, subs for fx w
delay
heal
S02119K Unsp fracture of occiput, subs for fx w
S02119S nonunion
Unspecified fracture of occiput, sequela
872
661
525
S0219XA Oth fracture of base of skull, init for clos fx
532
HEAD TRAUMA
S0219XB Oth fracture of base of skull, init encntr for

fractureof base of skull, subs for fx w
S0219XD open
Oth fracture
heal of base of skull, subs for fx w
S0219XG routn
Oth fracture
heal of base of skull, subs for fx w
S0219XK delay
Oth fracture
532
HEAD TRAUMA
872
872
661
S0219XS nonunion
Other fracture of base of skull, sequela
525
S022XXA Fracture of nasal bones, init encntr for

fracture
S022XXB closed
Fracture
of nasal bones, initial encounter
open of
fracture
S022XXD for
Fracture
nasal bones, subs for fx w
565
565
872
heal
S022XXG routn
Fracture
of nasal bones, subs for fx w
delay
heal
S022XXK Fracture of nasal bones, subs encntr for
S022XXS fracture
Fracture w
ofnonunion
nasal bones, sequela
872
661
525
S023XXA Fracture of orbital floor, init encntr for

fracture
S023XXB closed
Fracture
of orbital floor, init encntr for
open
fracture
S023XXD Fracture of orbital floor, subs for fx w routn
554
554
872
S023XXG heal
Fracture of orbital floor, subs for fx w delay
S023XXK heal
Fracture of orbital floor, subs for fx w
S023XXS nonunion
Fracture of orbital floor, sequela
872
661
525
S02400A Malar fracture unspecified, init encntr for

closed fracture
563
Page 2691 of 6734

S02400B Malar fracture unspecified, init encntr for
S02400D open
Malar fracture
fracture unsp, subs for fx w routn
heal
S02400G Malar fracture unsp, subs for fx w delay
563
872
872
S02400K heal
Malar fracture unsp, subs encntr for
with nonunion
S02400S fracture
Malar fracture
unspecified, sequela
661
525
S02401A Maxillary fracture, unsp, init encntr for

fracture
S02401B closed
Maxillary
fracture, unsp, init encntr for
fracture
S02401D open
Maxillary
fracture, unsp, subs for fx w
563
563
872
healfracture, unsp, subs for fx w

S02401G routn
Maxillary
healfracture, unsp, subs for fx w
S02401K delay
Maxillary
S02401S nonunion
Maxillary fracture, unspecified, sequela
872
661
525
S02402A Zygomatic fracture, unsp, init encntr for

fracture
S02402B closed
Zygomatic
fracture, unsp, init encntr for
open
fracture
S02402D Zygomatic fracture, unsp, subs for fx w
563
563
872
heal fracture, unsp, subs for fx w

S02402G routn
Zygomatic
heal fracture, unsp, subs for fx w
S02402K delay
Zygomatic
S02402S nonunion
Zygomatic fracture, unspecified, sequela
872
661
525
S02411A LeFort I fracture, initial encounter for

S02411B closed
LeFort Ifracture
fracture, initial encounter for open
fracture
S02411D LeFort I fracture, subs for fx w routn heal
563
563
872
S02411G LeFort I fracture, subs for fx w delay heal
872
S02411K LeFort I fracture, subs encntr for fracture

nonunion
S02411S with
LeFort
I fracture, sequela
661
525
S02412A LeFort II fracture, initial encounter for

S02412B closed
LeFort IIfracture
fracture, initial encounter for open
S02412D fracture
LeFort II fracture, subs for fx w routn heal
563
563
872
S02412G LeFort II fracture, subs for fx w delay heal
872
S02412K LeFort II fracture, subs encntr for fracture

nonunion
S02412S with
LeFort
II fracture, sequela
661
525
Page 2692 of 6734

S02413A LeFort III fracture, initial encounter for
fracture
S02413B closed
LeFort III
fracture, initial encounter for
open
fracture
S02413D LeFort III fracture, subs for fx w routn heal
563
563
872
S02413G LeFort III fracture, subs for fx w delay heal
872
S02413K LeFort III fracture, subs encntr for fracture

nonunion
S02413S with
LeFort
III fracture, sequela
661
525
S0242XA Fracture of alveolus of maxilla, init for clos

S0242XB fx
Fracture of alveolus of maxilla, init for opn
S0242XD fx
Fracture of alveolus of maxilla, subs for fx
routn heal
S0242XG w
Fracture
of alveolus of maxilla, subs for fx
565
565
872
872
delay heal
S0242XK w
Fracture
of alveolus of maxilla, subs for fx
nonunion
S0242XS w
Fracture
of alveolus of maxilla, sequela
661
525
S025XXA Fracture of tooth (traumatic), init for clos

S025XXB fx
Fracture of tooth (traumatic), init encntr
open of
fracture
S025XXD for
Fracture
tooth (traumatic), subs for fx w
routn
heal
S025XXG Fracture of tooth (traumatic), subs for fx w
563
563
872
872
heal
S025XXK delay
Fracture
of tooth (traumatic), subs for fx w
nonunion
S025XXS Fracture of tooth (traumatic), sequela
661
525
S02600A Fracture of unsp part of body of mandible,

for clos
fx
S02600B init
Fracture
of unsp
part of body of mandible,
init
for
opn
fx
S02600D Fx unsp part of body of mandible, subs for
563
563
872
routn
heal
S02600G fx
Fx w
unsp
part
of body of mandible, subs for
delay
heal
S02600K fx
Fx w
unsp
part
of body of mandible, subs for
fx
w
nonunion
S02600S Fracture of unspecified part of body of
872
661
525
S02609A mandible,
Fracture ofsequela
mandible, unsp, init encntr for
fracture
S02609B closed
Fracture
of mandible, unsp, init encntr for
open
fracture
S02609D Fracture of mandible, unsp, subs for fx w
563
563
872
heal
S02609G routn
Fracture
of mandible, unsp, subs for fx w
delay
heal
S02609K Fracture of mandible, unsp, subs for fx w
nonunion
872
661
Page 2693 of 6734

S02609S Fracture of mandible, unspecified, sequela
525
S0261XA Fracture of condylar process of mandible,

for clos
fx
S0261XB init
Fracture
of condylar
process of mandible,
for opn fx
S0261XD init
Fx condylar
process of mandible, subs for
563
563
872
routn heal
S0261XG fx
Fx w
condylar
fx
w
delay
heal
S0261XK Fx condylar process of mandible, subs for
w nonunion
S0261XS fx
Fracture
of condylar process of mandible,
872
661
525
S0262XA sequela
Fracture of subcondylar process of
S0262XB mandible,
Fracture ofinit
subcondylar process of
mandible,
init
opn fxof mandible, subs
S0262XD Fx subcondylarfor
process
fx w routn heal
S0262XG for
Fx subcondylar
process of mandible, subs
563
563
872
872
fx w delay heal
S0262XK for
Fx subcondylar
process of mandible, subs
for
fx
w
nonunion
S0262XS Fracture of subcondylar process of
661
525
S0263XA mandible,
Fracture ofsequela
coronoid process of mandible,
for clos
fx
S0263XB init
Fracture
of coronoid
process of mandible,
init
for
opn
fx
S0263XD Fx coronoid process of mandible, subs for
563
563
872
routn heal
S0263XG fx
Fx w
coronoid
fx
w
delay
heal
S0263XK Fx coronoid process of mandible, subs for
w nonunion
S0263XS fx
Fracture
of coronoid process of mandible,
872
661
525
S0264XA sequela
Fracture of ramus of mandible, init for clos
S0264XB fx
Fracture of ramus of mandible, init encntr
open of
fracture
S0264XD for
Fracture
ramus of mandible, subs for fx
routn heal
S0264XG w
Fracture
of ramus of mandible, subs for fx
563
563
872
872
delay heal
S0264XK w
Fracture
of ramus of mandible, subs for fx
w
nonunion
S0264XS Fracture of ramus of mandible, sequela
661
525
S0265XA Fracture of angle of mandible, init for clos

S0265XB fx
Fracture of angle of mandible, init encntr
open of
fracture
S0265XD for
Fracture
angle of mandible, subs for fx
w
routn
heal
S0265XG Fracture of angle of mandible, subs for fx
563
563
872
872
w delay heal
Page 2694 of 6734

S0265XK Fracture of angle of mandible, subs for fx
nonunion
S0265XS w
Fracture
of angle of mandible, sequela
661
525
S0266XA Fracture of symphysis of mandible, init for

fx of symphysis of mandible, init for
S0266XB clos
Fracture
fx of symphysis of mandible, subs
S0266XD opn
Fracture
fx w routn
heal
S0266XG for
Fracture
of symphysis
of mandible, subs
563
563
872
872
fx w delay
heal
S0266XK for
Fracture
of symphysis
of mandible, subs
fx w nonunion
S0266XS for
Fracture
of symphysis of mandible,
sequela
S0267XA Fracture of alveolus of mandible, init for
661
525
563
fx of alveolus of mandible, init for

S0267XB clos
Fracture
fx of alveolus of mandible, subs for
S0267XD opn
Fracture
w routn
S0267XG fx
Fracture
ofheal
alveolus of mandible, subs for
fx
w
delay
heal
S0267XK Fracture of alveolus of mandible, subs for
563
872
872
661
w nonunion
S0267XS fx
Fracture
of alveolus of mandible, sequela
525
S0269XA Fracture of mandible of oth site,

fx of mandible of oth site,
S0269XB clos
Fracture
fx of mandible of oth site,
S0269XD opn
Fracture
routn heal
S0269XG w
Fracture
of mandible of oth site,
init for
563
init for
563
subs for fx
872
subs for fx
872
delay heal
S0269XK w
Fracture
of mandible of oth site, subs for fx
w
nonunion
S0269XS Fracture of mandible of other specified
sequela
S028XXA site,
Fractures
of oth skull and facial bones, init
661
525
565
clos fxof oth skull and facial bones, init

S028XXB for
Fractures
opn
fx and facial bones, subs for fx w
S028XXD for
Fx of
skull
heal and facial bones, subs for fx w
S028XXG routn
Fx of skull
565
872
872
healof skull and facial bones, subs

S028XXK delay
Fractures
fx w nonunion
S028XXS for
Fractures
of other specified skull and facial
bones,
sequela
S0291XA Unsp fracture of skull, init encntr for
661
525
532
HEAD TRAUMA
fracture
S0291XB closed
Unspecified
fracture of skull, init encntr for
open
fracture
S0291XD Unsp fracture of skull, subs for fx w routn
heal
532
HEAD TRAUMA
872
Page 2695 of 6734

S0291XG Unsp fracture of skull, subs for fx w delay
S0291XK heal
Unsp fracture of skull, subs encntr for
w nonunion
S0291XS fracture
Unspecified
fracture of skull, sequela
872
661
525
S0292XA Unsp fracture of facial bones, init for clos

S0292XB fx
Unsp fracture of facial bones, init encntr
open
fracture
S0292XD for
Unsp
fracture
of facial bones, subs for fx w
routn
heal
S0292XG Unsp fracture of facial bones, subs for fx w
565
565
872
872
heal
S0292XK delay
Unsp fracture
of facial bones, subs for fx w
nonunion
S0292XS Unspecified fracture of facial bones,
661
525
S030XXA sequela
Dislocation of jaw, initial encounter
563
S030XXD Dislocation of jaw, subsequent encounter
564
S030XXS Dislocation of jaw, sequela
652
S031XXA Dislocation of septal cartilage of nose,

encounter
S031XXD initial
Dislocation
of septal cartilage of nose,
encntrof septal cartilage of nose,
S031XXS subs
Dislocation
S032XXA sequela
Dislocation of tooth, initial encounter
564
564
652
563
S032XXD Dislocation of tooth, subsequent

S032XXS encounter
Dislocation of tooth, sequela
564
674
S034XXA Sprain of jaw, initial encounter
563
S034XXD Sprain of jaw, subsequent encounter
564
S034XXS Sprain of jaw, sequela
661
S038XXA Sprain of joints and ligaments of oth prt

encntrand ligaments of oth prt
S038XXD head,
Spraininit
of joints
encntr
S038XXS head,
Sprainsubs
of joints
and ligaments of oth parts
of
head,
sequela
S039XXA Sprain of joints and ligaments of unsp
661
564
661
661
S039XXD parts
Sprainofofhead,
jointsinit
and ligaments of unsp
parts
of
head,
subs
S039XXS Sprain of joints and ligaments of unsp
sqla right eye, initial
S04011A parts
Injury of
of head,
optic nerve,
564
661
554
S04011D encounter
Injury of optic nerve, right eye,
554
Page 2696 of 6734

S04011S Injury of optic nerve, right eye, sequela
525
S04012A Injury of optic nerve, left eye, initial

S04012D encounter
Injury of optic nerve, left eye, subsequent
S04012S encounter
Injury of optic nerve, left eye, sequela
554
554
525
S04019A Injury of optic nerve, unspecified eye,

S04019D initial
Injury encounter
of optic nerve, unspecified eye,
subsequent
encounter
S04019S Injury of optic
nerve, unspecified eye,
554
554
525
S0402XA sequela
Injury of optic chiasm, initial encounter
524
S0402XD Injury of optic chiasm, subsequent

S0402XS encounter
Injury of optic chiasm, sequela
554
525
S04031A Injury of optic tract and pathways, right

S04031D eye,
Injuryinit
of encntr
optic tract and pathways, right
eye,
subs
encntr
S04031S Injury of optic
tract and pathways, right
eye,
sequela
S04032A Injury of optic tract and pathways, left eye,
524
554
525
524
encntr
S04032D init
Injury
of optic tract and pathways, left eye,
subs
encntr
S04032S Injury of optic tract and pathways, left eye,
S04039A sequela
Injury of optic tract and pathways, unsp
S04039D eye,
Injuryinit
of encntr
optic tract and pathways, unsp
554
525
524
554
encntr
S04039S eye,
Injurysubs
of optic
tract and pathways,
unspecified
eye,
sequela
S04041A Injury of visual cortex,
right eye, initial
525
524
S04041D encounter
Injury of visual cortex, right eye,
encounter
S04041S subsequent
Injury of visual
cortex, right eye, sequela
554
525
S04042A Injury of visual cortex, left eye, initial

S04042D encounter
Injury of visual cortex, left eye,
encounter
S04042S subsequent
Injury of visual
cortex, left eye, sequela
524
554
525
S04049A Injury of visual cortex, unspecified eye,

S04049D initial
Injury encounter
of visual cortex, unspecified eye,
subs
encntr
S04049S Injury of visual cortex, unspecified eye,
524
554
525
S0410XA sequela
Injury of oculomotor nerve, unspecified
side, init encntr
527
Page 2697 of 6734

S0410XD Injury of oculomotor nerve, unspecified
encntr
S0410XS side,
Injurysubs
of oculomotor
nerve, unspecified
side,
sequela
S0411XA Injury of oculomotor nerve, right side,
527
525
527
S0411XD initial
Injury encounter
of oculomotor nerve, right side,
subsequent
encounter
S0411XS Injury of oculomotor
nerve, right side,
sequela
S0412XA Injury of oculomotor nerve, left side, initial
527
525
527
S0412XD encounter
Injury of oculomotor nerve, left side,
encounter
S0412XS subsequent
Injury of oculomotor
nerve, left side,
sequela
S0420XA Injury of trochlear nerve, unspecified side,
encntr
S0420XD init
Injury
of trochlear nerve, unspecified side,
527
525
527
527
S0420XS subs
Injuryencntr
of trochlear nerve, unspecified side,
S0421XA sequela
Injury of trochlear nerve, right side, initial
S0421XD encounter
Injury of trochlear nerve, right side,
525
527
527
encounter
S0421XS subsequent
Injury of trochlear
nerve, right side,
S0422XA sequela
Injury of trochlear nerve, left side, initial
S0422XD encounter
Injury of trochlear nerve, left side,
525
527
527
encounter
S0422XS subsequent
Injury of trochlear
nerve, left side, sequela
525
S0430XA Injury of trigeminal nerve, unspecified

encntr
S0430XD side,
Injuryinit
of trigeminal
nerve, unspecified
side,
subs
encntr
S0430XS Injury of trigeminal nerve, unspecified
527
527
525
S0431XA side,
Injurysequela
of trigeminal nerve, right side, initial
encounter
S0431XD Injury of trigeminal nerve, right side,
encounter
S0431XS subsequent
Injury of trigeminal
nerve, right side,
sequela
S0432XA Injury of trigeminal nerve, left side, initial
527
527
525
527
S0432XD encounter
Injury of trigeminal nerve, left side,
encounter
S0432XS subsequent
Injury of trigeminal
nerve, left side,
sequela
S0440XA Injury of abducent nerve, unspecified side,
encntr
S0440XD init
Injury
of abducent nerve, unspecified side,
527
525
527
527
S0440XS subs
Injuryencntr
of abducent nerve, unspecified side,
sequela
525
Page 2698 of 6734

S0441XA Injury of abducent nerve, right side, initial
S0441XD encounter
Injury of abducent nerve, right side,
encounter
S0441XS subsequent
Injury of abducent
nerve, right side,
S0442XA sequela
Injury of abducent nerve, left side, initial
527
527
525
527
S0442XD encounter
Injury of abducent nerve, left side,
encounter
S0442XS subsequent
Injury of abducent
527
525
S0450XA Injury of facial nerve, unspecified side,

S0450XD initial
Injury encounter
of facial nerve, unspecified side,
subs
encntr
S0450XS Injury of facial nerve, unspecified side,
527
527
525
S0451XA sequela
Injury of facial nerve, right side, initial
S0451XD encounter
Injury of facial nerve, right side,
encounter
S0451XS subsequent
Injury of facial
nerve, right side, sequela
527
527
525
S0452XA Injury of facial nerve, left side, initial

S0452XD encounter
Injury of facial nerve, left side, subsequent
S0452XS encounter
Injury of facial nerve, left side, sequela
527
527
525
S0460XA Injury of acoustic nerve, unspecified side,

encntr
S0460XD init
Injury
of acoustic nerve, unspecified side,
subs
encntr
S0460XS Injury of acoustic nerve, unspecified side,
S0461XA sequela
Injury of acoustic nerve, right side, initial
565
527
525
565
S0461XD encounter
Injury of acoustic nerve, right side,
encounter
S0461XS subsequent
Injury of acoustic
nerve, right side,
sequela
S0462XA Injury of acoustic nerve, left side, initial
527
525
565
S0462XD encounter
Injury of acoustic nerve, left side,
encounter
S0462XS subsequent
Injury of acoustic
527
525
S0470XA Injury of accessory nerve, unspecified

encntr
S0470XD side,
Injuryinit
of accessory
nerve, unspecified
side,
subs
encntr
S0470XS Injury of accessory nerve, unspecified
527
527
525
S0471XA side,
Injurysequela
of accessory nerve, right side, initial
encounter
S0471XD Injury of accessory nerve, right side,
527
527
Page 2699 of 6734

S0471XS Injury of accessory nerve, right side,
S0472XA sequela
Injury of accessory nerve, left side, initial
S0472XD encounter
Injury of accessory nerve, left side,
encounter
S0472XS subsequent
Injury of accessory
nerve, left side,
525
527
527
525
S04811A sequela
Injury of olfactory nerve, right side, initial
S04811D encounter
Injury of olfactory nerve, right side,
encounter
S04811S subsequent
Injury of olfactory
[1st ] nerve, right side,
527
527
525
S04812A sequela
Injury of olfactory nerve, left side, initial
S04812D encounter
Injury of olfactory nerve, left side,
encounter
S04812S subsequent
Injury of olfactory
[1st ] nerve, left side,
527
527
525
S04819A sequela
Injury of olfactory nerve, unspecified side,
encntr
S04819D init
Injury
of olfactory nerve, unspecified side,
subs
encntr
S04819S Injury of olfactory [1st ] nerve, unspecified
527
527
525
S04891A side,
Injurysequela
of other cranial nerves, right side,
encntr
S04891D init
Injury
of other cranial nerves, right side,
subs
encntr
S04891S Injury of other cranial nerves, right side,
S04892A sequela
Injury of other cranial nerves, left side,
527
527
525
527
S04892D initial
Injury encounter
of other cranial nerves, left side,
S04892S subs
Injuryencntr
of other cranial nerves, left side,
sequela
S04899A Injury of other cranial nerves, unsp side,
527
525
527
encntr
S04899D init
Injury
of other cranial nerves, unsp side,
subs
encntr
S04899S Injury of other cranial nerves, unspecified
S049XXA side,
Injurysequela
of unspecified cranial nerve, initial
527
525
527
S049XXD encounter
Injury of unspecified cranial nerve,
encounter
S049XXS subsequent
Injury of unspecified
cranial nerve, sequela
527
525
S0500XA Inj conjunctiva and corneal abrasion w/o

unsp eye, init
S0500XD fb,
Inj conjunctiva
and corneal abrasion w/o
fb,
unsp
eye,
subs
S0500XS Inj conjunctiva and corneal abras w/o fb,
553
553
674
eye, sequela
S0501XA unsp
Inj conjunctiva
fb, right eye, init
553
Page 2700 of 6734

S0501XD Inj conjunctiva and corneal abrasion w/o
right eye, subs
S0501XS fb,
Inj conjunctiva
fb,
r
eye,
sequela
S0502XA Inj conjunctiva and corneal abrasion w/o
left eye, initand corneal abrasion w/o
S0502XD fb,
Inj conjunctiva
553
674
553
553
left eye, subs

S0502XS fb,
Inj conjunctiva
and corneal abras w/o fb,
left
eye,
sequela
S0510XA Contusion of eyeball and orbital tissues,
eye, init
S0510XD unsp
Contusion
of eyeball and orbital tissues,
674
554
553
eye, subs
S0510XS unsp
Contusion
unsp
eye,
sequela
S0511XA Contusion of eyeball and orbital tissues,
eye, init
S0511XD right
Contusion
right
eye,
subs
S0511XS Contusion of eyeball and orbital tissues,
674
554
553
674
eye, sequela
S0512XA right
Contusion
left
eye,
init
S0512XD Contusion of eyeball and orbital tissues,
eye, subs
S0512XS left
Contusion
sequela
S0520XA left
Oclreye,
lac/rupt
w prolaps/loss of intraoc tiss,
554
553
674
554
eye, initw prolaps/loss of intraoc tiss,

S0520XD unsp
Oclr lac/rupt
eye, subs
S0520XS unsp
Oclr lac/rupt
w prolaps/loss of intraoc tiss,
unsp
eye,
sqla
S0521XA Oclr lac/rupt w prolaps/loss of intraoc
553
674
554
r eye, w
init
S0521XD tissue,
Oclr lac/rupt
prolaps/loss of intraoc
tissue,
r
eye,
subs
S0521XS Oclr lac/rupt w prolaps/loss of intraoc
r eye, w
sqla
S0522XA tissue,
Oclr lac/rupt
553
674
554
l eye, w
init
S0522XD tissue,
Oclr lac/rupt
l eye, w
subs
S0522XS tissue,
Oclr lac/rupt
tissue,
l
eye,
sqla
S0530XA Oclr lac w/o prolaps/loss of intraoc tissue,
553
674
554
eye,
init
S0530XD unsp
Oclr lac
w/o
prolaps/loss of intraoc tissue,
eye,
subs
S0530XS unsp
Oclr lac
w/o
prolaps/loss of intraoc tissue,
unsp
eye,
sqla
S0531XA Ocular lac w/o prolaps/loss of intraoc
553
674
554
S0531XD tissue,
Ocular
S0531XS tissue,
Ocular
tissue,
553
674
r eye,
lac
w/oinit
rlac
eye,
subs
w/o prolaps/loss of intraoc
r eye, sqla
Page 2701 of 6734

S0532XA Ocular lac w/o prolaps/loss of intraoc
l eye,
S0532XD tissue,
Ocular lac
w/oinit
tissue,
l
eye,
subs
S0532XS Ocular lac w/o prolaps/loss of intraoc
l eye,wound
sqla of orbit w or w/o fb,
S0540XA tissue,
Penetrating
554
553
674
554
eye, init
S0540XD unsp
Penetrating
wound of orbit w or w/o
unsp
eye,
subs
S0540XS Penetrating wound of orbit w or w/o
eye, sequela
S0541XA unsp
Penetrating
eye, init
S0541XD right
Penetrating
fb,
553
fb,
674
fb,
554
fb,
553
eye, subs
S0541XS right
Penetrating
right
eye,
sequela
S0542XA Penetrating wound of orbit w or w/o
init
S0542XD eye,
Penetrating
subs wound of orbit w or w/o
S0542XS eye,
Penetrating
fb,
674
fb, left
554
fb, left
553
fb, left
eye,
sequela
S0550XA Penetrating wound w foreign body of unsp
init wound w foreign body of unsp
S0550XD eyeball,
Penetrating
subswound with foreign body of
S0550XS eyeball,
Penetrating
eyeball,
sequela
S0551XA unsp
Penetrating
wound
w foreign body of right
674
554
553
674
554
init wound w foreign body of right

S0551XD eyeball,
Penetrating
subswound w foreign body of right
S0551XS eyeball,
Penetrating
sequela
S0552XA eyeball,
Penetrating
wound w foreign body of left
eyeball,
init
S0552XD Penetrating wound w foreign body of left
553
674
554
553
subswound with foreign body of

S0552XS eyeball,
Penetrating
eyeball, wound
sequelaw/o foreign body of
S0560XA left
Penetrating
eyeball,
init w/o foreign body of
S0560XD unsp
Penetrating
wound
674
554
553
eyeball,
subs w/o foreign body of
S0560XS unsp
Penetrating
wound
eyeball,
sequela
S0561XA unsp
Penetrating
wound
w/o foreign body of
eyeball,
init w/o foreign body of
S0561XD right
Penetrating
wound
eyeball,
subs w/o foreign body of
S0561XS right
Penetrating
wound
674
554
553
674
eyeball,
sequela
S0562XA right
Penetrating
wound
w/o foreign body of left
eyeball,
init
S0562XD Penetrating wound w/o foreign body of left
eyeball, subs
554
553
Page 2702 of 6734

S0562XS Penetrating wound w/o foreign body of left
S0570XA eyeball,
Avulsion sequela
of unspecified eye, initial
encounter
S0570XD Avulsion of unspecified eye, subsequent
674
554
553
S0570XS encounter
Avulsion of unspecified eye, sequela
853
S0571XA Avulsion of right eye, initial encounter
554
S0571XD Avulsion of right eye, subsequent

S0571XS encounter
Avulsion of right eye, sequela
553
853
S0572XA Avulsion of left eye, initial encounter
554
S0572XD Avulsion of left eye, subsequent encounter
553
S0572XS Avulsion of left eye, sequela
853
S058X1A Other injuries of right eye and orbit, initial

S058X1D encounter
Other injuries of right eye and orbit,
encounter
S058X1S subsequent
Other injuries
of right eye and orbit,
sequela
S058X2A Other injuries of left eye and orbit, initial
554
553
853
554
S058X2D encounter
Other injuries of left eye and orbit,
encounter
S058X2S subsequent
Other injuries
of left eye and orbit, sequela
553
853
S058X9A Other injuries of unspecified eye and orbit,

encntr
S058X9D init
Other
injuries of unspecified eye and orbit,
S058X9S subs
Otherencntr
injuries of unspecified eye and orbit,
sequela
S0590XA Unspecified injury of unspecified eye and
554
553
853
553
init encntr
S0590XD orbit,
Unspecified
injury of unspecified eye and
orbit,
subs
encntr
S0590XS Unspecified injury of unspecified eye and
sequela
S0591XA orbit,
Unspecified
injury of right eye and orbit,
553
853
554
encounter
S0591XD initial
Unspecified
injury of right eye and orbit,
subs
encntr
S0591XS Unspecified injury of right eye and orbit,
S0592XA sequela
Unspecified injury of left eye and orbit,
553
853
554
encounter
S0592XD initial
Unspecified
injury of left eye and orbit,
subs
encntr
S0592XS Unspecified injury of left eye and orbit,
S060X0A sequela
Concussion without loss of consciousness,
553
853
532
HEAD TRAUMA
initial encounter
Page 2703 of 6734

S060X0D Concussion without loss of consciousness,
encntr without loss of consciousness,
S060X0S subs
Concussion
S060X1A sequela
Concussion w LOC of 30 minutes or less,
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S060X1D init
S060X1S subs
S060X2A sequela
Concussion w loss of consciousness of 31-
532
HEAD TRAUMA
525
532
HEAD TRAUMA
min, init w loss of consciousness of 31S060X2D 59

Concussion
min, subsw loss of consciousness of 31S060X2S 59
Concussion
min, sequela
S060X3A 59
Concussion
w loss of consciousness of 1-5
hrs
59
min,
init
S060X3D Concussion w loss of consciousness of 1-5
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
59 min, subs
S060X3S hrs
Concussion
w LOC of 1-5 hrs 59 min,
S060X4A sequela
Concussion w LOC of 6 hours to 24 hours,
S060X4D init
S060X4S subs
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S060X5A sequela
Concussion w LOC >24 hr w ret consc lev,
S060X5D init
S060X5S subs
S060X6A sequela
Concussion w LOC >24 hr w/o ret consc w
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
S060X6D surv,
Concussion
w LOC >24 hr w/o ret consc w
surv,
subs
S060X6S Concussion w LOC >24 hr w/o ret consc w
sequela
S060X7A surv,
Concussion
w LOC w death due to brain
injury
bf
consc,
initw death due to brain
S060X7D Concussion w LOC
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
bf consc,
subs
S060X7S injury
Concuss
w LOC w
death due to brain injury
bf
consc,
sequela
S060X8A Concussion w LOC w death due to oth
525
532
HEAD TRAUMA
bf consc,
initw death due to oth
S060X8D cause
Concussion
w LOC
bf consc,
subs
S060X8S cause
Concussion
w LOC
w death due to oth
cause
bf
consc,
sequela
S060X9A Concussion w loss of consciousness of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
duration,
init of consciousness of
S060X9D unsp
Concussion
w loss
duration,
subs
S060X9S unsp
Concussion
w loss
of consciousness of
unsp duration, sequela
532
HEAD TRAUMA
525
Page 2704 of 6734

S061X0A Traumatic cerebral edema w/o loss of
init edema w/o loss of
S061X0D consciousness,
Traumatic cerebral
subsedema w/o loss of
S061X0S consciousness,
Traumatic cerebral
sequela
S061X1A consciousness,
Traumatic cerebral
edema w LOC of 30
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
orcerebral
less, initedema w LOC of 30
S061X1D minutes
Traumatic
or less,edema
subs w LOC of 30
S061X1S minutes
Traum cerebral
orcerebral
less, sequela
S061X2A minutes
Traumatic
edema w LOC of 31-59
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init cerebral edema w LOC of

S061X2D min,
Traumatic
subs cerebral edema w LOC of
S061X2S min,
Traumatic
sequela
S061X3A min,
Traumatic
cerebral edema w LOC of
hrs
59
min,
init
S061X3D Traumatic cerebral
edema w LOC of
31-59
532
HEAD TRAUMA
31-59
525
1-5
532
HEAD TRAUMA
1-5
532
HEAD TRAUMA
59 min,cerebral
subs edema w LOC of 1-5
S061X3S hrs
Traumatic
59 min,cerebral
sequelaedema w LOC of 6
S061X4A hrs
Traumatic
to 24cerebral
hours, init
S061X4D hours
Traumatic
edema w LOC of 6
to 24cerebral
hours, subs
S061X4S hours
Traumatic
edema w LOC of 6-24
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S061X5A hrs,
Traumatic
cerebral edema w LOC >24 hr w
ret
consc
lev,
init edema w LOC >24 hr w
S061X5D Traumatic cerebral
consc
lev, subs
S061X5S ret
Traum
cerebral
edema w LOC >24 hr w ret
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S061X6A consc
Traum lev,
cerebral
edema w LOC >24 hr w/o
ret
consc
w
surv,
init w LOC >24 hr w/o
S061X6D Traum cerebral edema
consc
w surv,
subs
S061X6S ret
Traum
cereb
edema
w LOC >24 hr w/o ret
532
HEAD TRAUMA
532
HEAD TRAUMA
525
surv,edema
sequela
S061X7A consc
Traum w
cereb
w LOC w death d/t
bf consc,
init
S061X7D brain
Trauminj
cereb
edema
w LOC w death d/t
brain
inj
bf
consc,
subs
S061X7S Traum cereb edema w LOC w death d/t
bf consc,
sqla
S061X8A brain
Trauminj
cereb
edema
w LOC w death d/t oth
consc,
init w LOC w death d/t oth
S061X8D cause
Traum bf
cereb
edema
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
consc,
subsw LOC w death d/t oth
S061X8S cause
Traum bf
cereb
edema
bf consc,
sqlaedema w LOC of unsp
S061X9A cause
Traumatic
cerebral
S061X9D duration,
Traumaticinit
cerebral edema w LOC of unsp
525
532
HEAD TRAUMA
532
HEAD TRAUMA
duration, subs
Page 2705 of 6734

S061X9S Traumatic cerebral edema w LOC of unsp
sequela
S062X0A duration,
Diffuse TBI
w/o loss of consciousness, init
525
532
HEAD TRAUMA
S062X0D Diffuse TBI w/o loss of consciousness, subs
532
HEAD TRAUMA
S062X0S Diffuse TBI w/o loss of consciousness,

S062X1A sequela
Diffuse TBI w LOC of 30 minutes or less,
S062X1D init
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S062X1S subs
S062X2A sequela
Diffuse TBI w loss of consciousness of 31min, TBI
initw loss of consciousness of 31S062X2D 59
Diffuse
525
532
HEAD TRAUMA
532
HEAD TRAUMA
min, TBI
subs
S062X2S 59
Diffuse
w loss of consciousness of 3159
min,
sequela
S062X3A Diffuse TBI w loss of consciousness of 1-5
59 min,
init
S062X3D hrs
Diffuse
TBI w
loss of consciousness of 1-5
hrs
59
min,
subs
S062X3S Diffuse TBI w LOC of 1-5 hrs 59 min,
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S062X4A sequela
Diffuse TBI w LOC of 6 hours to 24 hours,
S062X4D init
S062X4S subs
S062X5A sequela
Diffuse TBI w LOC >24 hr w return to
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S062X5D conscious
Diffuse TBIlevels,
w LOCinit
>24 hr w return to
S062X5S conscious
Diffuse TBIlevels,
w LOCsubs
>24 hr w return to
consc
levels,
sequela
S062X6A Diffuse TBI w LOC >24 hr w/o ret consc w
init
S062X6D surv,
Diffuse
TBI w LOC >24 hr w/o ret consc w
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
subs
S062X6S surv,
Diffuse
TBI w LOC >24 hr w/o ret consc w
sequela
S062X7A surv,
Diffuse
TBI w LOC w death due to brain
injury
bf
consc,
initw death due to brain
S062X7D Diffuse TBI
w LOC
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S062X7S injury
Diffus bf
TBIconsc,
w LOCsubs
w death due to brain
consc,
sqla
S062X8A injury
DiffusebfTBI
w LOC
w death due to oth
cause
bf
consc,
init
S062X8D Diffuse TBI w LOC w death due to oth
525
532
HEAD TRAUMA
532
HEAD TRAUMA
consc,
subs
S062X8S cause
DiffusebfTBI
w LOC
w death due to oth
cause
bf
consc,
sequela
S062X9A Diffuse TBI w loss of consciousness of unsp
duration, init
525
532
HEAD TRAUMA
Page 2706 of 6734

S062X9D Diffuse TBI w loss of consciousness of unsp
subs
S062X9S duration,
Diffuse TBI
w LOC of unsp duration,
532
HEAD TRAUMA
525
S06300A sequela
Unsp focal TBI w/o loss of consciousness,
S06300D init
S06300S subs
S06301A sequela
Unsp focal TBI w LOC of 30 minutes or
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06301D less,
Unsp init
focal TBI w LOC of 30 minutes or
S06301S less,
Unsp subs
focal TBI w LOC of 30 minutes or
less,
sequela
S06302A Unsp focal TBI w loss of consciousness of
min, TBI
init w loss of consciousness of
S06302D 31-59
Unsp focal
min, TBI
subs
S06302S 31-59
Unsp focal
w loss of consciousness of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
min, TBI
sequela
S06303A 31-59
Unsp focal
w LOC of 1-5 hrs 59 min,
init
S06303D Unsp focal TBI w LOC of 1-5 hrs 59 min,
S06303S subs
Unsp focal TBI w LOC of 1-5 hrs 59 min,
S06304A sequela
Unsp focal TBI w LOC of 6 hours to 24
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init TBI w LOC of 6 hours to 24

S06304D hours,
Unsp focal
subsTBI w LOC of 6 hours to 24
S06304S hours,
Unsp focal
sequela
S06305A hours,
Unsp focal
TBI w LOC >24 hr w ret consc
S06305D lev,
Unspinit
focal TBI w LOC >24 hr w ret consc
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S06305S lev,
Unspsubs
focal TBI w LOC >24 hr w ret consc
lev,
sequela
S06306A Unsp focal TBI w LOC >24 hr w/o ret consc
surv,
init TBI w LOC >24 hr w/o ret consc
S06306D w
Unsp
focal
surv,
subs
S06306S w
Unsp
focal
TBI w LOC >24 hr w/o ret consc
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
surv,
sequela
S06307A w
Unsp
focal
TBI w LOC w death d/t brain
injury
bf
consc,
S06307D Unsp focal TBI winit
LOC w death d/t brain
bf consc,
S06307S injury
Unsp focal
TBI wsubs
injury
bf
consc,
sqla
S06308A Unsp focal TBI w LOC w death due to oth
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
bf consc,
S06308D cause
Unsp focal
TBI winit
LOC w death due to oth
cause
bf
consc,
subs
S06308S Unsp focal TBI w LOC w death due to oth
cause bf consc, sqla
532
HEAD TRAUMA
525
Page 2707 of 6734

S06309A Unsp focal TBI w LOC of unsp duration, init
532
HEAD TRAUMA
S06309D Unsp focal TBI w LOC of unsp duration,

S06309S subs
Unsp focal TBI w LOC of unsp duration,
S06310A sequela
Contus/lac right cerebrum w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06310D consciousness,
Contus/lac rightinit
cerebrum w/o loss of
consciousness,
subs
S06310S Contus/lac right cerebrum w/o loss of
S06311A consciousness,
Contus/lac rightsequela
cerebrum w LOC of 30
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or right
less, cerebrum
init
S06311D minutes
Contus/lac
w LOC of 30
minutes
or
less,
subs
S06311S Contus/lac r cereb w LOC of 30 minutes or
sequela
S06312A less,
Contus/lac
right cerebrum w LOC of 31-59
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init right cerebrum w LOC of

S06312D min,
Contus/lac
subs right cerebrum w LOC of
S06312S min,
Contus/lac
sequela
S06313A min,
Contus/lac
right cerebrum w LOC of
hrs
59
min,
init cerebrum w LOC of
S06313D Contus/lac right
31-59
532
HEAD TRAUMA
31-59
525
1-5
532
HEAD TRAUMA
1-5
532
HEAD TRAUMA
59 min,right
subscerebrum w LOC of 1-5
S06313S hrs
Contus/lac
59 min,right
sequela
S06314A hrs
Contus/lac
cerebrum w LOC of 6
hours
to
24
hours,
init
S06314D Contus/lac right cerebrum
w LOC of 6
hours
to
24
hours,
subs
S06314S Contus/lac right cerebrum w LOC of 6-24
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S06315A hrs,
Contus/lac
right cerebrum w LOC >24 hr w
ret
consc
lev,
initcerebrum w LOC >24 hr w
S06315D Contus/lac right
consc lev,
subs w LOC >24 hr w ret
S06315S ret
Contus/lac
r cereb
532
HEAD TRAUMA
532
HEAD TRAUMA
525
lev, sequela
S06316A consc
Contus/lac
r cereb w LOC >24 hr w/o ret
w surv,
init w LOC >24 hr w/o ret
S06316D consc
Contus/lac
r cereb
w surv,
subsw LOC >24 hr w/o ret
S06316S consc
Contus/lac
r cereb
w surv,
sqla w LOC w dth d/t brain
S06317A consc
Contus/lac
r cereb
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
bf consc,r
S06317D inj
Contus/lac
bf consc,r
S06317S inj
Contus/lac
brain
532
HEAD TRAUMA
brain
525
oth
532
HEAD TRAUMA
oth
532
HEAD TRAUMA
init
cereb
w LOC w dth d/t
subs
cereb w LOC w dth d/t
inj
bf
consc,
sqla w LOC w dth d/t
S06318A Contus/lac r cereb
bf consc,
initw LOC w dth d/t
S06318D cause
Contus/lac
r cereb
cause bf consc, subs
Page 2708 of 6734

S06318S Contus/lac r cereb w LOC w dth d/t oth
bf consc,
S06319A cause
Contus/lac
right sqla
cerebrum w LOC of unsp
525
532
HEAD TRAUMA
S06319D duration,
Contus/lacinit
right cerebrum w LOC of unsp
S06319S duration,
Contus/lacsubs
right cerebrum w LOC of unsp
duration,
sequela
S06320A Contus/lac left cerebrum w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
Contus/lac left cerebrum
w/o loss of
consciousness,
subs
S06320S Contus/lac left cerebrum w/o loss of
sequela w LOC of 30
Contus/lac left cerebrum
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or left
less,cerebrum
init
S06321D minutes
Contus/lac
w LOC of 30
minutes
or
less,
subs
S06321S Contus/lac l cereb w LOC of 30 minutes or
sequela
S06322A less,
Contus/lac
left cerebrum w LOC of 31-59
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init left cerebrum w LOC of

S06322D min,
Contus/lac
subs left cerebrum w LOC of
S06322S min,
Contus/lac
sequela
S06323A min,
Contus/lac
left cerebrum w LOC of
min, initleft cerebrum w LOC of
S06323D 59
Contus/lac
31-59
532
HEAD TRAUMA
31-59
525
1-5 hrs
532
HEAD TRAUMA
1-5 hrs
59
min,
subs
S06323S Contus/lac left cerebrum w LOC of 1-5 hrs
min, sequela
S06324A 59
Contus/lac
left cerebrum w LOC of 6 hours
to
24
hours,
initcerebrum w LOC of 6 hours
S06324D Contus/lac left
24 hours,left
subs
S06324S to
Contus/lac
cerebrum w LOC of 6-24
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S06325A hrs,
Contus/lac
left cerebrum w LOC >24 hr w
ret
consc
lev,
S06325D Contus/lac leftinit
cerebrum w LOC >24 hr w
ret
consc
lev,
subs
S06325S Contus/lac l cereb w LOC >24 hr w ret
532
HEAD TRAUMA
532
HEAD TRAUMA
525
lev, sequela
S06326A consc
Contus/lac
l cereb w LOC >24 hr w/o ret
consc
w
surv,
S06326D Contus/lac l cereb
w surv,
S06326S consc
Contus/lac
l cereb
w surv,
sqla w LOC w dth d/t brain
S06327A consc
Contus/lac
l cereb
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
bf consc,l cereb
init w LOC w dth d/t brain
S06327D inj
Contus/lac
bf consc,l cereb
subs w LOC w dth d/t brain
S06327S inj
Contus/lac
bf consc,l cereb
sqla w LOC w dth d/t oth
S06328A inj
Contus/lac
cause bf consc, init
532
HEAD TRAUMA
525
532
HEAD TRAUMA
Page 2709 of 6734

S06328D Contus/lac l cereb w LOC w dth d/t oth
bf consc,
subs
S06328S cause
Contus/lac
l cereb
w LOC w dth d/t oth
cause
bf
consc,
sqla
S06329A Contus/lac left cerebrum w LOC of unsp
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06329D duration,
Contus/lacinit
left cerebrum w LOC of unsp
duration,
subs
S06329S Contus/lac left cerebrum w LOC of unsp
S06330A duration,
Contus/lacsequela
cereb, w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
initw/o loss of
Contus/lac cereb,
subs
S06330S consciousness,
Contus/lac cereb,
w/o loss of
consciousness,
sequela
S06331A Contus/lac cereb, w LOC of 30 minutes or
init cereb, w LOC of 30 minutes or
S06331D less,
Contus/lac
subs cereb, w LOC of 30 minutes or
S06331S less,
Contus/lac
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S06332A less,
Contus/lac
cereb, w loss of consciousness
of
31-59
min,
init w loss of consciousness
S06332D Contus/lac cereb,
31-59 min,
subsw LOC of 31-59 min,
S06332S of
Contus/lac
cereb,
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S06333A sequela
Contus/lac cereb, w LOC of 1-5 hrs 59 min,
S06333D init
S06333S subs
S06334A sequela
Contus/lac cereb, w LOC of 6 hours to 24
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init cereb, w LOC of 6 hours to 24

S06334D hours,
Contus/lac
subscereb, w LOC of 6 hours to 24
S06334S hours,
Contus/lac
sequela
S06335A hours,
Contus/lac
cereb, w LOC >24 hr w ret
consc
lev,
init
S06335D Contus/lac cereb, w LOC >24 hr w ret
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
lev, subs
S06335S consc
Contus/lac
consc
lev,
sequela
S06336A Contus/lac cereb, w LOC >24 hr w/o ret
w surv,
S06336D consc
Contus/lac
cereb,
w surv,
S06336S consc
Contus/lac
cereb,
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
w surv,
sequela
S06337A consc
Contus/lac
cereb,
w LOC w death d/t brain
inj
bf
consc,
init
S06337D Contus/lac cereb, w LOC w death d/t brain
bf consc,cereb,
subs w LOC w death d/t brain
S06337S inj
Contus/lac
inj bf consc, sqla
532
HEAD TRAUMA
532
HEAD TRAUMA
525
Page 2710 of 6734

S06338A Contus/lac cereb, w LOC w death d/t oth
bf consc,
init
S06338D cause
Contus/lac
cereb,
cause
bf
consc,
subs
S06338S Contus/lac cereb, w LOC w death d/t oth
bf consc,
sqla
S06339A cause
Contus/lac
cereb,
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06339D init
Contus/lac cereb, w LOC of unsp duration,
S06339S subs
Contus/lac cereb, w LOC of unsp duration,
S06340A sequela
Traum hemor right cerebrum w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init cerebrum w/o loss of

Traum hemor right
subscerebrum w/o LOC,
Traum hemor right
S06341A sequela
Traum hemor right cerebrum w LOC of 30
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or less,
initcerebrum w LOC of 30
S06341D minutes
Traum hemor
right
or less,
subs w LOC of 30 minutes
S06341S minutes
Traum hemor
r cereb
less,hemor
sequela
S06342A or
Traum
right cerebrum w LOC of 31-
532
HEAD TRAUMA
525
532
HEAD TRAUMA
min,hemor
init right cerebrum w LOC of
S06342D 59
Traum
min,hemor
subs right cerebrum w LOC of
S06342S 59
Traum
min,hemor
sequela
S06343A 59
Traum
right cerebrum w LOC of
hrs
59
minutes,
initcerebrum w LOC of
S06343D Traum hemor right
31-
532
HEAD TRAUMA
31-
525
1-5
532
HEAD TRAUMA
1-5
hrs
59
minutes,
subs
S06343S Traum hemor r cereb w LOC of 1-5 hrs 59
sequela
S06344A minutes,
Traum hemor
right cerebrum w LOC of 624
hrs,
init
S06344D Traum hemor right cerebrum w LOC of 6-
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
hrs,hemor
subs right cerebrum w LOC of 6S06344S 24
Traum
hrs,hemor
sequela
S06345A 24
Traum
r cereb w LOC >24 hr w ret
init r cereb w LOC >24 hr w ret
S06345D consc
Traum lev,
hemor
525
532
HEAD TRAUMA
532
HEAD TRAUMA
subs
S06345S consc
Traum lev,
hemor
r cereb w LOC >24 hr w ret
consc
lev,
sequela
S06346A Traum hemor r cereb w LOC >24 hr w/o ret
surv, rinit
S06346D consc
Traum w
hemor
cereb w LOC >24 hr w/o ret
consc
w
surv,
subs
S06346S Traum hemor r cereb w LOC >24 hr w/o ret
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
surv, rsqla
S06347A consc
Traum w
hemor
cereb w LOC w dth d/t
brain
inj
bf
consc,
initw LOC w dth d/t
S06347D Traum hemor r cereb
brain inj bf consc, subs
532
HEAD TRAUMA
532
HEAD TRAUMA
Page 2711 of 6734

S06347S Traum hemor r cereb w LOC w dth d/t
bf consc,
sqlaw LOC w dth d/t oth
S06348A brain
Trauminj
hemor
r cereb
consc,
init w LOC w dth d/t oth
S06348D cause
Traum bf
hemor
r cereb
consc,
subs w LOC w dth d/t oth
S06348S cause
Traum bf
hemor
r cereb
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
consc,
sqlacerebrum w LOC of
S06349A cause
Traum bf
hemor
right
init cerebrum w LOC of
S06349D unsp
Traumduration,
hemor right
subscerebrum w LOC of
S06349S unsp
Traumduration,
hemor right
sequela
S06350A unsp
Traumduration,
hemor left
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
Traum hemor left
consciousness,
subs
S06350S Traum hemor left cerebrum w/o loss of
sequela
Traum hemor left
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or less,
S06351D minutes
Traum hemor
leftinit
minutes
or
less,
subs
S06351S Traum hemor l cereb w LOC of 30 minutes
532
HEAD TRAUMA
525
less,hemor
sequela
S06352A or
Traum
left cerebrum w LOC of 31min,hemor
init left cerebrum w LOC of 31S06352D 59
Traum
min,hemor
subs left cerebrum w LOC of 31S06352S 59
Traum
min,hemor
sequela
S06353A 59
Traum
left cerebrum w LOC of 1-5
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
59 hemor
minutes,
S06353D hrs
Traum
leftinit
cerebrum w LOC of 1-5
59 hemor
minutes,
subs w LOC of 1-5 hrs 59
S06353S hrs
Traum
l cereb
sequela
S06354A minutes,
Traum hemor
left cerebrum w LOC of 6
532
HEAD TRAUMA
525
532
HEAD TRAUMA
24 hours,
init
S06354D hours
Traum to
hemor
left cerebrum
w LOC of 6
hours
to
24
hours,
subs
S06354S Traum hemor left cerebrum w LOC of 6-24
sequela
S06355A hrs,
Traum
hemor left cerebrum w LOC >24 hr
w
ret
consc
lev,
S06355D Traum hemor
leftinit
cerebrum w LOC >24 hr
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
ret consc
lev,
subs w LOC >24 hr w ret
S06355S w
Traum
hemor
l cereb
sequela
S06356A consc
Traum lev,
hemor
l cereb w LOC >24 hr w/o ret
consc
w
surv,
S06356D Traum hemor linit
cereb w LOC >24 hr w/o ret
consc
w
surv,
subs
S06356S Traum hemor l cereb w LOC >24 hr w/o ret
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
surv, lsqla
S06357A consc
Traum w
hemor
cereb w LOC w dth d/t brain
inj bf consc, init
532
HEAD TRAUMA
Page 2712 of 6734

S06357D Traum hemor l cereb w LOC w dth d/t
bf consc,
S06357S inj
Traum
hemorsubs
l cereb w LOC w dth d/t
inj
bf
consc,
sqla
S06358A Traum hemor l cereb w LOC w dth d/t
consc,
init w LOC w dth d/t
S06358D cause
Traum bf
hemor
l cereb
brain
532
HEAD TRAUMA
brain
525
oth
532
HEAD TRAUMA
oth
cause
bf
consc,
subs
S06358S Traum hemor l cereb w LOC w dth d/t oth
consc,
sqla
S06359A cause
Traum bf
hemor
left
cerebrum w LOC of unsp
duration,
init
S06359D Traum hemor left cerebrum w LOC of unsp
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
subsleft cerebrum w LOC of unsp

S06359S duration,
Traum hemor
sequela
S06360A duration,
Traum hemor
cereb, w/o loss of
525
532
HEAD TRAUMA
init w/o loss of

Traum hemor cereb,
subs w/o loss of
Traum hemor cereb,
sequela
Traum hemor cereb,
w LOC of 30 minutes
or
less,
init
S06361D Traum hemor cereb, w LOC of 30 minutes
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
less,hemor
subs cereb, w LOC of 30 minutes
S06361S or
Traum
less,hemor
sequela
S06362A or
Traum
cereb, w LOC of 31-59 min,
init
S06362D Traum hemor cereb, w LOC of 31-59 min,
S06362S subs
Traum hemor cereb, w LOC of 31-59 min,
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S06363A sequela
Traum hemor cereb, w LOC of 1-5 hrs 59
init cereb, w LOC of 1-5 hrs 59
S06363D minutes,
Traum hemor
subscereb, w LOC of 1-5 hrs 59
S06363S minutes,
Traum hemor
sequela
S06364A minutes,
Traum hemor
cereb, w LOC of 6 hours to
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
hours,
init cereb, w LOC of 6 hours to
S06364D 24
Traum
hemor
hours,
subscereb, w LOC of 6 hours to
S06364S 24
Traum
hemor
hours,
sequela
S06365A 24
Traum
hemor
consc
lev,
init
S06365D Traum hemor cereb, w LOC >24 hr w ret
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
subs
S06365S consc
Traum lev,
hemor
consc
lev,
sequela
S06366A Traum hemor cereb, w LOC >24 hr w/o ret
surv, cereb,
init
S06366D consc
Traum w
hemor
consc
w
surv,
subs
S06366S Traum hemor cereb, w LOC >24 hr w/o ret
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
consc w surv, sqla

Page 2713 of 6734

S06367A Traum hemor cereb, w LOC w dth d/t
bf consc,
S06367D inj
Traum
hemorinit
cereb, w LOC w dth d/t
inj
bf
consc,
subs
S06367S Traum hemor cereb, w LOC w dth d/t
bf consc,
S06368A inj
Traum
hemorsqla
cereb, w LOC w dth d/t
brain
532
HEAD TRAUMA
brain
532
HEAD TRAUMA
brain
525
oth
cause
bf
consc,
init
S06368D Traum hemor cereb, w LOC w dth d/t oth
consc,
subs w LOC w dth d/t oth
S06368S cause
Traum bf
hemor
cereb,
consc,
sqla w LOC of unsp
S06369A cause
Traum bf
hemor
cereb,
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init cereb, w LOC of unsp

S06369D duration,
Traum hemor
subscereb, w LOC of unsp
S06369S duration,
Traum hemor
sequela
S06370A duration,
Contus/lac/hem
crblm w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
Contus/lac/heminit
crblm w/o loss of
Contus/lac/hemsubs
crblm w/o loss of
consciousness,
sequela
S06371A Contus/lac/hem crblm w LOC of 30
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or less, crblm
init w LOC of 30
S06371D minutes
Contus/lac/hem
or less, crblm
subs w LOC of 30
S06371S minutes
Contus/lac/hem
or less, crblm
sequela
S06372A minutes
Contus/lac/hem
w LOC of 31-59 min,
init
S06372D Contus/lac/hem crblm w LOC of 31-59 min,
S06372S subs
Contus/lac/hem crblm w LOC of 31-59 min,
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S06373A sequela
Contus/lac/hem crblm w LOC of 1-5 hrs 59
init
S06373D min,
Contus/lac/hem
crblm w LOC of 1-5 hrs 59
min,
subs
S06373S Contus/lac/hem crblm w LOC of 1-5 hrs 59
sequela
S06374A min,
Contus/lac/hem
crblm w LOC of 6 hours to
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
hours, init
S06374D 24
Contus/lac/hem
crblm w LOC of 6 hours to
24
hours,
subs
S06374S Contus/lac/hem crblm w LOC of 6 hours to
hours, sequela
S06375A 24
Contus/lac/hem
crblm w LOC >24 hr w ret
lev, init crblm w LOC >24 hr w ret
S06375D consc
Contus/lac/hem
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
lev, subs crblm w LOC >24 hr w ret

S06375S consc
Contus/lac/hem
lev, sequela
S06376A consc
Contus/lac/hem
crblm w LOC >24 hr w/o
ret
consc
w
surv,
init w LOC >24 hr w/o
S06376D Contus/lac/hem crblm
ret consc w surv, subs
525
532
HEAD TRAUMA
532
HEAD TRAUMA
Page 2714 of 6734

S06376S Contus/lac/hem crblm w LOC >24 hr w/o
consc w surv,crblm
S06377A ret
Contus/lac/hem
inj bf consc,init
S06377D brain
Contus/lac/hem
crblm w LOC w dth d/t
inj bf consc,subs
S06377S brain
Contus/lac/hem
crblm w LOC w dth d/t
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
inj bf consc,sqla
S06378A brain
Contus/lac/hem
crblm w LOC w dth d/t oth
cause
bf
consc,init
S06378D Contus/lac/hem crblm w LOC w dth d/t oth
bf consc,subs
S06378S cause
Contus/lac/hem
crblm w LOC w dth d/t oth
bf consc,sqla
S06379A cause
Contus/lac/hem
crblm w LOC of unsp
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
S06379D duration,
Contus/lac/hem
crblm w LOC of unsp
duration,
subs
S06379S Contus/lac/hem crblm w LOC of unsp
sequela
S06380A duration,
Contus/lac/hem
brainstem w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
Contus/lac/heminit
brainstem w/o loss of
consciousness,
subs
S06380S Contus/lac/hem brainstem w/o loss of
Contus/lac/hemsequela
brainstem w LOC of 30
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or less, brainstem
init
S06381D minutes
Contus/lac/hem
w LOC of 30
minutes
or
less,
subs
S06381S Contus/lac/hem brnst w LOC of 30 minutes
532
HEAD TRAUMA
525
less, sequela brainstem w LOC of 31-59

S06382A or
Contus/lac/hem
init
S06382D min,
Contus/lac/hem
brainstem w LOC of 31-59
subs
S06382S min,
Contus/lac/hem
brainstem w LOC of 31-59
min,
sequela
S06383A Contus/lac/hem brainstem w LOC of 1-5
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
59 min, init brainstem w LOC of 1-5

S06383D hrs
Contus/lac/hem
59 min, subsbrainstem w LOC of 1-5
S06383S hrs
Contus/lac/hem
59 min, sequela
S06384A hrs
Contus/lac/hem
brainstem w LOC of 6
hours
to
24
hours,
init
S06384D Contus/lac/hem brainstem
w LOC of 6
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
to 24 hours,
subs
S06384S hours
Contus/lac/hem
brainstem
w LOC of 6-24
sequela
S06385A hrs,
Contus/lac/hem
brainstem w LOC >24 hr w
ret
consc
lev,
init
S06385D Contus/lac/hem brainstem w LOC >24 hr w
consc lev, subs
S06385S ret
Contus/lac/hem
brnst w LOC >24 hr w ret
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
lev, sequela
S06386A consc
Contus/lac/hem
brnst w LOC >24 hr w/o
ret consc w surv, init
532
HEAD TRAUMA
Page 2715 of 6734

S06386D Contus/lac/hem brnst w LOC >24 hr w/o
consc w surv,brnst
subsw LOC >24 hr w/o
S06386S ret
Contus/lac/hem
consc w surv,brnst
S06387A ret
Contus/lac/hem
532
HEAD TRAUMA
525
532
HEAD TRAUMA
inj bf consc,init
S06387D brain
Contus/lac/hem
brnst w LOC w dth d/t
brain
inj
bf
consc,subs
S06387S Contus/lac/hem brnst w LOC w dth d/t
inj bf consc,sqla
S06388A brain
Contus/lac/hem
brnst w LOC w dth d/t oth
cause
bf
consc,init
S06388D Contus/lac/hem brnst w LOC w dth d/t oth
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
bf consc,subs
S06388S cause
Contus/lac/hem
brnst w LOC w dth d/t oth
cause
bf
consc,sqla
S06389A Contus/lac/hem brainstem w LOC of unsp
525
532
HEAD TRAUMA
init
S06389D duration,
Contus/lac/hem
brainstem w LOC of unsp
duration,
subs
S06389S Contus/lac/hem brainstem w LOC of unsp
sequela
S064X0A duration,
Epidural hemorrhage
w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init encntr
Epidural hemorrhage
w/o loss of
consciousness,
subs
encntr
S064X0S Epidural hemorrhage without loss of
sequela
Epidural hemorrhage
w LOC of 30 minutes
532
HEAD TRAUMA
525
532
HEAD TRAUMA
less, init
S064X1D or
Epidural
hemorrhage w LOC of 30 minutes
or
less,
subs
S064X1S Epidural hemorrhage w LOC of 30 minutes
less, sequela
S064X2A or
Epidural
hemorrhage w LOC of 31-59 min,
S064X2D init
Epidural hemorrhage w LOC of 31-59 min,
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S064X2S subs
Epidural hemorrhage w LOC of 31-59 min,
S064X3A sequela
Epidural hemorrhage w LOC of 1-5 hrs 59
init hemorrhage w LOC of 1-5 hrs 59
S064X3D min,
Epidural
subshemorrhage w LOC of 1-5 hrs 59
S064X3S min,
Epidural
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S064X4A min,
Epidural
hemorrhage w LOC of 6 hours to
24
hours,
init
S064X4D Epidural hemorrhage
w LOC of 6 hours to
hours,hemorrhage
subs
S064X4S 24
Epidural
w LOC of 6 hours to
24
hours,
sequela
S064X5A Epidural hemorrhage w LOC >24 hr w ret
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
lev,
init
S064X5D consc
Epidural
hemorrhage
w LOC >24 hr w ret
consc
lev,
subs
S064X5S Epidural hemorrhage w LOC >24 hr w ret
consc lev, sequela
532
HEAD TRAUMA
525
Page 2716 of 6734

S064X6A Epidural hemorrhage w LOC >24 hr w/o ret
w surv,
init
S064X6D consc
Epidural
hemorrhage
consc
w
surv,
subs
S064X6S Epidural hemor w LOC >24 hr w/o ret
532
HEAD TRAUMA
532
HEAD TRAUMA
525
surv, sequela
S064X7A consc
Epidurwhemor
w LOC w death d/t brain
injury
bf
consc,
S064X7D Epidur hemor winit
injury
bf
consc,
subs
S064X7S Epidur hemor w LOC w death d/t brain
consc,
S064X8A injury
Epidurbf
hemor
wsqla
LOC w death due to oth
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
bf consc,
init w death due to oth
S064X8D causes
Epidur hemor
w LOC
bf consc,
subsw death due to oth
S064X8S causes
Epidur hemor
w LOC
consc, sqla w LOC of unsp
S064X9A causes
Epiduralbfhemorrhage
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
S064X9D duration,
Epidural hemorrhage
w LOC of unsp
subs
S064X9S duration,
Epidural hemorrhage
w LOC of unsp
duration,
sequela
S065X0A Traum subdr hem w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
initw/o loss of
Traum subdr hem
subs
Traum subdr hem
w/o loss of
consciousness,
sequela
S065X1A Traum subdr hem w LOC of 30 minutes or
init
S065X1D less,
Traum
subdr hem w LOC of 30 minutes or
less,
subs
S065X1S Traum subdr hem w LOC of 30 minutes or
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S065X2A less,
Traum
subdr hem w loss of consciousness
of
31-59
min,hem
init w loss of consciousness
S065X2D Traum subdr
31-59
min,hem
subsw LOC of 31-59 min,
S065X2S of
Traum
subdr
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S065X3A sequela
Traum subdr hem w LOC of 1-5 hrs 59 min,
S065X3D init
S065X3S subs
S065X4A sequela
Traum subdr hem w LOC of 6 hours to 24
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
S065X4D hours,
Traum subdr
hem w LOC of 6 hours to 24
hours,
subs
S065X4S Traum subdr hem w LOC of 6 hours to 24
sequela
S065X5A hours,
Traum subdr
hem w LOC >24 hr w ret
consc
lev,
init
S065X5D Traum subdr hem w LOC >24 hr w ret
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
consc lev, subs

Page 2717 of 6734

S065X5S Traum subdr hem w LOC >24 hr w ret
sequela
S065X6A consc
Traum lev,
subdr
hem w LOC >24 hr w/o ret
consc
w
surv,
S065X6D Traum subdr hem
surv,hem
S065X6S consc
Traum w
subdr
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
surv,hem
sequela
S065X7A consc
Traum w
subdr
w LOC w dth d/t brain inj
bef
reg
consc,init
S065X7D Traum subdr hem w LOC w dth d/t brain inj
regsubdr
consc,subs
S065X7S bef
Traum
hem w LOC w dth d/t brain inj
regsubdr
consc,sqla
S065X8A bef
Traum
hem w LOC w dth d/t oth
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
reghem
consc,init
S065X8D cause
Traum bef
subdr
w LOC w dth d/t oth
cause
bef
reg
consc,subs
S065X8S Traum subdr hem w LOC w dth d/t oth
reghem
consc,sqla
S065X9A cause
Traum bef
subdr
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S065X9D init
Traum subdr hem w LOC of unsp duration,
S065X9S subs
Traum subdr hem w LOC of unsp duration,
S066X0A sequela
Traum subrac hem w/o loss of
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init w/o loss of

Traum subrac hem
subs
Traum subrac hem
w/o loss of
consciousness,
sequela
S066X1A Traum subrac hem w LOC of 30 minutes or
init
S066X1D less,
Traum
subrac hem w LOC of 30 minutes or
subs
S066X1S less,
Traum
subrac hem w LOC of 30 minutes or
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S066X2A less,
Traum
subrac hem w loss of consciousness
of
31-59
min, init
S066X2D Traum subrac
hem w loss of consciousness
of
31-59
min,
subs
S066X2S Traum subrac hem w LOC of 31-59 min,
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S066X3A sequela
Traum subrac hem w LOC of 1-5 hrs 59
init
S066X3D min,
Traum
subrac hem w LOC of 1-5 hrs 59
min,
subs
S066X3S Traum subrac hem w LOC of 1-5 hrs 59
sequela
S066X4A min,
Traum
subrac hem w LOC of 6 hours to 24
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
init
S066X4D hours,
Traum subrac
hem w LOC of 6 hours to 24
hours,
subs
S066X4S Traum subrac hem w LOC of 6 hours to 24
sequelahem w LOC >24 hr w ret
S066X5A hours,
Traum subrac
consc lev, init
532
HEAD TRAUMA
525
532
HEAD TRAUMA
Page 2718 of 6734

S066X5D Traum subrac hem w LOC >24 hr w ret
subs
S066X5S consc
Traum lev,
subrac
hem w LOC >24 hr w ret
consc
lev,
sequela
S066X6A Traum subrac hem w LOC >24 hr w/o ret
surv, hem
S066X6D consc
Traum w
subrac
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
surv, hem
subs w LOC >24 hr w/o ret
S066X6S consc
Traum w
subrac
surv, hem
sequela
S066X7A consc
Traum w
subrac
w LOC w death d/t
brain
inj
bf
consc,
init
S066X7D Traum subrac hem w LOC w death d/t
525
532
HEAD TRAUMA
532
HEAD TRAUMA
bf consc,
S066X7S brain
Trauminj
subrac
hemsubs
w LOC w death d/t
brain
inj
bf
consc,
sqla
S066X8A Traum subrac hem w LOC w death d/t oth
consc,
initw LOC w death d/t oth
S066X8D cause
Traum bf
subrac
hem
consc,
subs
S066X8S cause
Traum bf
subrac
hem
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
consc,
sqlaw LOC of unsp duration,
S066X9A cause
Traum bf
subrac
hem
S066X9D init
Traum subrac hem w LOC of unsp duration,
S066X9S subs
Traum subrac hem w LOC of unsp duration,
S06810A sequela
Injury of r int carotid, intcr w/o LOC, init
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06810D Injury of r int carotid, intcr w/o LOC, subs
532
HEAD TRAUMA
S06810S Injury of r int carotid, intcr w/o LOC,

S06811A sequela
Inj r int carotid, intcr w LOC of 30 minutes
525
532
HEAD TRAUMA
init
S06811D or
Inj less,
r int carotid,
intcr w LOC of 30 minutes
or
less,
subs
S06811S Inj r int crtd, intcr w LOC of 30 minutes or
532
HEAD TRAUMA
525
S06812A less,
Injurysequela
of r int carotid, intcr w LOC of
min,
init
S06812D Injury of r int carotid, intcr w LOC of
S06812S min,
Injurysubs
of r int carotid, intcr w LOC of
min,
sequela
S06813A Injury of r int carotid, intcr w LOC of
31-59
532
HEAD TRAUMA
31-59
532
HEAD TRAUMA
31-59
525
1-5
hrs
59
min,
init
S06813D Injury of r int carotid, intcr w LOC of 1-5
subsintcr w LOC of 1-5 hrs 59
S06813S hrs
Inj r59
intmin,
carotid,
S06814A min,
Injurysequela
of r int carotid, intcr w LOC of 6-24
hrs,
init
S06814D Injury of r int carotid, intcr w LOC of 6-24
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
subs
S06814S hrs,
Injury
of r int carotid, intcr w LOC of 6-24
hrs, sequela
525
Page 2719 of 6734

S06815A Inj r int carotid, intcr w LOC >24 hr w ret
init intcr w LOC >24 hr w ret
S06815D consc
Inj r intlev,
carotid,
subs
S06815S consc
Inj r intlev,
crtd,
intcr w LOC >24 hr w ret
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequelaw LOC >24 hr w/o ret

S06816A consc
Inj r intlev,
crtd,intcr
surv, init w LOC >24 hr w/o ret
S06816D consc
Inj r intwcrtd,intcr
surv, subs
S06816S consc
Inj r intwcrtd,intcr
consc
w
surv,
sqla
S06817A Inj r int crtd,intcr w LOC w dth d/t brain inj
S06817D bf
Inj consc,init
r int crtd,intcr w LOC w dth d/t brain inj
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S06817S bf
Inj consc,subs
r int crtd,intcr w LOC w dth d/t
bf
consc,sqla
S06818A Inj r int crtd,intcr w LOC w dth d/t
consc,init
S06818D cause
Inj r intbfcrtd,intcr
w LOC w dth d/t
consc,subs
S06818S cause
Inj r intbfcrtd,intcr
w LOC w dth d/t
brain inj
525
oth
532
HEAD TRAUMA
oth
532
HEAD TRAUMA
oth
cause
bf
consc,sqla
S06819A Injury of r int carotid, intcr w LOC of unsp
S06819D duration,
Injury of rinit
int carotid, intcr w LOC of unsp
subs intcr w LOC of unsp
S06819S duration,
Inj r int carotid,
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S06820A duration,
Injury of l sequela
int carotid, intcr w/o LOC, init
532
HEAD TRAUMA
S06820D Injury of l int carotid, intcr w/o LOC, subs
532
HEAD TRAUMA
S06820S Injury of l int carotid, intcr w/o LOC,

S06821A sequela
Inj l int carotid, intcr w LOC of 30 minutes
525
532
HEAD TRAUMA
init
S06821D or
Inj less,
l int carotid,
intcr w LOC of 30 minutes
or
less,
subs
S06821S Inj l int crtd, intcr w LOC of 30 minutes or
S06822A less,
Injurysequela
of l int carotid, intcr w LOC of 31-59
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06822D min,
Injuryinit
of l int carotid, intcr w LOC of
min,
subs
S06822S Injury of l int carotid, intcr w LOC of
S06823A min,
Injurysequela
of l int carotid, intcr w LOC of
min,
S06823D 59
Injury
ofinit
l int carotid, intcr w LOC of
31-59
532
HEAD TRAUMA
31-59
525
1-5 hrs
532
HEAD TRAUMA
1-5 hrs
59
min,
subs
S06823S Inj l int carotid, intcr w LOC of 1-5 hrs 59
S06824A min,
Injurysequela
of l int carotid, intcr w LOC of 6-24
hrs,
init
S06824D Injury of l int carotid, intcr w LOC of 6-24
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
hrs, subs
Page 2720 of 6734

S06824S Injury of l int carotid, intcr w LOC of 6-24
sequela
S06825A hrs,
Inj l int
carotid, intcr w LOC >24 hr w ret
525
532
HEAD TRAUMA
init intcr w LOC >24 hr w ret

S06825D consc
Inj l intlev,
carotid,
subs
S06825S consc
Inj l intlev,
crtd,
intcr w LOC >24 hr w ret
consc
lev,
sequela
S06826A Inj l int crtd,intcr w LOC >24 hr w/o ret
532
HEAD TRAUMA
525
532
HEAD TRAUMA
surv, initw LOC >24 hr w/o ret

S06826D consc
Inj l intwcrtd,intcr
surv, subs
S06826S consc
surv, sqla
S06827A consc
w LOC w dth d/t brain inj
bf
consc,init
S06827D Inj l int crtd,intcr w LOC w dth d/t brain inj
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S06827S bf
Inj consc,subs
l int crtd,intcr w LOC w dth d/t
bf
consc,sqla
S06828A Inj l int crtd,intcr w LOC w dth d/t
consc,init
S06828D cause
Inj l intbfcrtd,intcr
w LOC w dth d/t
cause
bf
consc,subs
S06828S Inj l int crtd,intcr w LOC w dth d/t
brain inj
525
oth
532
HEAD TRAUMA
oth
532
HEAD TRAUMA
oth
cause
bf
consc,sqla
S06829A Injury of l int carotid, intcr w LOC of unsp
S06829D duration,
Injury of l init
int carotid, intcr w LOC of unsp
duration,
subs
S06829S Inj l int carotid, intcr w LOC of unsp
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S06890A duration,
Intcran injsequela
w/o loss of consciousness, init
encntr
S06890D Intcran inj w/o loss of consciousness, subs
S06890S encntr
Oth intracranial injury w/o loss of
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
Intcran inj w LOC
of 30 minutes or less, init
532
HEAD TRAUMA
S06891D Intcran inj w LOC of 30 minutes or less,

S06891S subs
Intcran inj w LOC of 30 minutes or less,
S06892A sequela
Intcran inj w loss of consciousness of 31min, inj
initw loss of consciousness of 31S06892D 59
Intcran
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
min, inj
subs
S06892S 59
Intcran
w loss of consciousness of 31min, inj
sequela
S06893A 59
Intcran
w loss of consciousness of 1-5
hrs
59
min,
S06893D Intcran inj winit
loss of consciousness of 1-5
hrs
59
min,
subs
S06893S Intcran inj w LOC of 1-5 hrs 59 min,
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
S06894A sequela
Intcran inj w LOC of 6 hours to 24 hours,
init
532
HEAD TRAUMA
Page 2721 of 6734

S06894D Intcran inj w LOC of 6 hours to 24 hours,
S06894S subs
Intcran inj w LOC of 6 hours to 24 hours,
S06895A sequela
Intcran inj w LOC >24 hr w ret consc lev,
S06895D init
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
S06895S subs
S06896A sequela
Intcran inj w LOC >24 hr w/o ret consc w
init
S06896D surv,
Intcran
inj w LOC >24 hr w/o ret consc w
subs
S06896S surv,
Intcran
inj w LOC >24 hr w/o ret consc w
525
532
HEAD TRAUMA
532
HEAD TRAUMA
525
sequela
S06897A surv,
Intcran
inj w LOC w death due to brain
injury
bf
consc,
init
S06897D Intcran inj
w LOC
w death due to brain
injury
bf
consc,
subs
S06897S Intcran inj w LOC w death due to brain
consc,
sqla
S06898A injury
Intcranbfinj
w LOC
w death due to oth cause
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
consc,
S06898D bf
Intcran
injinit
w LOC w death due to oth cause
bf
consc,
subs
S06898S Intcran inj w LOC w death due to oth cause
consc,
S06899A bf
Intcran
injsequela
w loss of consciousness of unsp
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S06899D duration,
Intcran injinit
w loss of consciousness of unsp
duration,
subs
S06899S Intcran inj w LOC of unsp duration, sequela
532
HEAD TRAUMA
525
S069X0A Unsp intracranial injury w/o loss of

init
Unsp intracranial
injury w/o loss of
consciousness,
subs
S069X0S Unsp intracranial injury w/o loss of
sequela
Unsp intracranial
injury w LOC of 30
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
or less, init
S069X1D minutes
Unsp intracranial
injury w LOC of 30
or less,
subs
S069X1S minutes
Unsp intcrn
injury
w LOC of 30 minutes or
less,
sequela
S069X2A Unsp intracranial injury w LOC of 31-59
532
HEAD TRAUMA
525
532
HEAD TRAUMA
S069X2D min,
Unspinit
intracranial injury w LOC of 31-59
S069X2S min,
Unspsubs
intracranial injury w LOC of 31-59
min,
sequela
S069X3A Unsp intracranial injury w LOC of 1-5 hrs
min,
init
S069X3D 59
Unsp
intracranial
injury w LOC of 1-5 hrs
532
HEAD TRAUMA
525
532
HEAD TRAUMA
532
HEAD TRAUMA
min,
subs
S069X3S 59
Unsp
intracranial
injury w LOC of 1-5 hrs
59 min, sequela
525
Page 2722 of 6734

S069X4A Unsp intracranial injury w LOC of 6 hours
24 intracranial
hours, init injury w LOC of 6 hours
S069X4D to
Unsp
24 intracranial
hours, subs injury w LOC of 6-24 hrs,
S069X4S to
Unsp
S069X5A sequela
Unsp intracranial injury w LOC >24 hr w
532
HEAD TRAUMA
532
HEAD TRAUMA
525
532
HEAD TRAUMA
consc
lev, init injury w LOC >24 hr w
S069X5D ret
Unsp
intracranial
consc
lev,
subsw LOC >24 hr w ret
S069X5S ret
Unsp
intcrn
injury
lev, sequela
S069X6A consc
Unsp intcrn
injury w LOC >24 hr w/o ret
532
HEAD TRAUMA
525
532
HEAD TRAUMA
w surv,
S069X6D consc
Unsp intcrn
injury
w surv,
S069X6S consc
Unsp intcrn
injury
w surv,
S069X7A consc
Unsp intcrn
injsqla
w LOC w death d/t brain inj
532
HEAD TRAUMA
525
532
HEAD TRAUMA
consc,
initinj w LOC w death d/t
S069X7D bf
Unsp
intcrn
consc,
subs
S069X7S bf
Unsp
intcrn
inj w LOC w death d/t
bf
consc,
sqla
S069X8A Unsp intcrn inj w LOC w death d/t
bf consc,
S069X8D cause
Unsp intcrn
inj winit
LOC w death d/t
brain inj
532
HEAD TRAUMA
brain inj
525
oth
532
HEAD TRAUMA
oth
532
HEAD TRAUMA
bf consc,
S069X8S cause
Unsp intcrn
inj wsubs
LOC w death d/t oth
cause
bf
consc,
sqla
S069X9A Unsp intracranial injury w LOC of unsp
525
532
HEAD TRAUMA
init
S069X9D duration,
Unsp intracranial
injury w LOC of unsp
duration,
subs
S069X9S Unsp intracranial injury w LOC of unsp
sequela
S070XXA duration,
Crushing injury
of face, initial encounter
532
HEAD TRAUMA
525
565
S070XXD Crushing injury of face, subsequent

S070XXS encounter
Crushing injury of face, sequela
674
674
S071XXA Crushing injury of skull, initial encounter
565
S071XXD Crushing injury of skull, subsequent

S071XXS encounter
Crushing injury of skull, sequela
532
HEAD TRAUMA
674
S078XXA Crushing injury of other parts of head,

encounter
S078XXD initial
Crushing
injury of other parts of head,
subsequent
encounter
S078XXS Crushing injury
of other parts of head,
sequela
S079XXA Crushing injury of head, part unspecified,
565
532
HEAD TRAUMA
674
565
encounter
S079XXD initial
Crushing
injury of head, part unspecified,
subs encntr
532
HEAD TRAUMA
Page 2723 of 6734

S079XXS Crushing injury of head, part unspecified,
S080XXA sequela
Avulsion of scalp, initial encounter
674
674
S080XXD Avulsion of scalp, subsequent encounter
674
S080XXS Avulsion of scalp, sequela
674
S08111A Complete traumatic amputation of right

init encntr
S08111D ear,
Complete
traumatic amputation of right
ear,
subs
encntr
S08111S Complete traumatic amputation of right
sequela
S08112A ear,
Complete
traumatic amputation of left ear,
565
565
674
565
encounter
S08112D initial
Complete
subs
encntr
S08112S Complete traumatic amputation of left ear,
S08119A sequela
Complete traumatic amputation of unsp
init encntr
S08119D ear,
Complete
traumatic amputation of unsp
565
674
565
565
subs encntr
S08119S ear,
Complete
traumatic amputation of
unspecified
ear, sequela
S08121A Partial traumatic
amputation of right ear,
S08121D initial
Partialencounter
traumatic amputation of right ear,
674
565
565
encntr
S08121S subs
Partial
traumatic amputation of right ear,
sequela
S08122A Partial traumatic amputation of left ear,
S08122D initial
Partialencounter
encntr
S08122S subs
Partial
674
565
565
674
S08129A sequela
Partial traumatic amputation of
ear, init
encntr of
S08129D unspecified
Partial traumatic
amputation
ear, subs
encntr of
S08129S unspecified
Partial traumatic
amputation
565
565
674
ear, sequela
S08811A unspecified
Complete traumatic
amputation of nose,
initial
encounter
S08811D Complete traumatic amputation of nose,
encounter
S08811S subsequent
Complete traumatic
amputation of nose,
565
565
674
S08812A sequela
Partial traumatic amputation of nose,
S08812D initial
Partialencounter
traumatic amputation of nose,
subsequent
encounter
S08812S Partial traumatic
amputation of nose,
sequela
S0889XA Traumatic amputation of other parts of
565
565
674
674
head, init encntr

Page 2724 of 6734

S0889XD Traumatic amputation of other parts of
subsamputation
encntr
S0889XS head,
Traumatic
of other parts of
head,
sequela
S090XXA Injury of blood vessels of head, NEC, init
532
HEAD TRAUMA
674
593
S090XXD Injury of blood vessels of head, NEC, subs
532
HEAD TRAUMA
S090XXS Injury of blood vessels of head, NEC,

S0910XA sequela
Unspecified injury of muscle and tendon of
init encntr
S0910XD head,
Unspecified
injury of muscle and tendon of
596
565
532
HEAD TRAUMA
subs encntr
S0910XS head,
Unspecified
injury of muscle and tendon of
head,
sequela
S0911XA Strain of muscle and tendon of head,
S0911XD initial
Strain encounter
of muscle and tendon of head,
853
565
532
HEAD TRAUMA
encounter
S0911XS subsequent
Strain of muscle
and tendon of head,
S0912XA sequela
Laceration of muscle and tendon of head,
encounter
S0912XD initial
Laceration
of muscle and tendon of head,
661
674
532
HEAD TRAUMA
encntrof muscle and tendon of head,

S0912XS subs
Laceration
S0919XA sequela
Oth injury of muscle and tendon of head,
S0919XD init
Oth encntr
injury of muscle and tendon of head,
674
565
532
HEAD TRAUMA
S0919XS subs
Otherencntr
specified injury of muscle and
tendon
of head,
sequela
S0920XA Traumatic
rupture
of unspecified ear drum,
encounter
S0920XD initial
Traumatic
rupture of unspecified ear drum,
853
565
565
encntr
S0920XS subs
Traumatic
rupture of unspecified ear drum,
sequela
S0921XA Traumatic rupture of right ear drum, initial
S0921XD encounter
Traumatic rupture of right ear drum,
853
565
565
encounter
S0921XS subsequent
Traumatic rupture
of right ear drum,
sequela
S0922XA Traumatic rupture of left ear drum, initial
674
565
S0922XD encounter
Traumatic rupture of left ear drum,
encounter
S0922XS subsequent
Traumatic rupture
of left ear drum,
sequela
S09301A Unsp injury of right middle and inner ear,
encntr
S09301D init
Unsp
injury of right middle and inner ear,
565
674
565
565
encntr injury of right middle and

S09301S subs
Unspecified
inner ear, sequela
853
Page 2725 of 6734

S09302A Unspecified injury of left middle and inner
init encntr
S09302D ear,
Unspecified
injury of left middle and inner
ear,
subs
encntr
S09302S Unspecified injury of left middle and inner
S09309A ear,
Unspsequela
injury of unspecified middle and
565
565
853
565
ear, init
S09309D inner
Unsp injury
of encntr
unspecified middle and
inner
ear,
subs
encntr
S09309S Unsp injury of unspecified
middle and
inner
ear,
sequela
S09311A Primary blast injury of right ear, initial
565
853
565
S09311D encounter
Primary blast injury of right ear,
S09311S subsequent
Primary blastencounter
injury of right ear, sequela
565
674
S09312A Primary blast injury of left ear, initial

S09312D encounter
Primary blast injury of left ear, subsequent
S09312S encounter
Primary blast injury of left ear, sequela
565
565
674
S09313A Primary blast injury of ear, bilateral, initial

S09313D encounter
Primary blast injury of ear, bilateral,
S09313S subsequent
Primary blastencounter
injury of ear, bilateral,
sequela
S09319A Primary blast injury of unspecified ear,
565
565
674
565
encounter
S09319D initial
Primary
blast injury of unspecified ear,
subs
encntr
S09319S Primary blast injury of unspecified ear,
S09391A sequela
Oth injury of right middle and inner ear,
565
674
565
S09391D init
Oth encntr
injury of right middle and inner ear,
subs
encntr
S09391S Oth injury
of right middle and inner ear,
sequela
S09392A Oth injury of left middle and inner ear, init
565
853
565
S09392D encntr
Oth injury of left middle and inner ear,
S09392S subs
Otherencntr
specified injury of left middle and
565
853
ear, sequela
S09399A inner
Oth injury
of unspecified middle and inner
init encntr
S09399D ear,
Oth injury
of unspecified middle and inner
ear,
subs
encntr
S09399S Oth injury of unspecified middle and inner
sequela
S098XXA ear,
Other
specified injuries of head, initial
565
565
853
565
S098XXD encounter
Other specified injuries of head,
532
HEAD TRAUMA
Page 2726 of 6734

S098XXS Other specified injuries of head, sequela
853
S0990XA Unspecified injury of head, initial

S0990XD encounter
Unspecified injury of head, subsequent
S0990XS encounter
Unspecified injury of head, sequela
565
532
HEAD TRAUMA
853
S0991XA Unspecified injury of ear, initial encounter
565
S0991XD Unspecified injury of ear, subsequent

S0991XS encounter
Unspecified injury of ear, sequela
564
853
S0992XA Unspecified injury of nose, initial

S0992XD encounter
Unspecified injury of nose, subsequent
S0992XS encounter
Unspecified injury of nose, sequela
565
564
853
S0993XA Unspecified injury of face, initial encounter
674
S0993XD Unspecified injury of face, subsequent

S0993XS encounter
Unspecified injury of face, sequela
674
853
S100XXA Contusion of throat, initial encounter
674
S100XXD Contusion of throat, subsequent encounter
564
S100XXS Contusion of throat, sequela
674
S1010XA Unspecified superficial injuries of throat,

encntr superficial injuries of throat,
S1010XD init
Unspecified
encntr superficial injuries of throat,
S1010XS subs
Unspecified
S1011XA sequela
Abrasion of throat, initial encounter
674
564
674
674
S1011XD Abrasion of throat, subsequent encounter
564
S1011XS Abrasion of throat, sequela
674
S1012XA Blister (nonthermal) of throat, initial

S1012XD encounter
Blister (nonthermal) of throat, subsequent
S1012XS encounter
Blister (nonthermal) of throat, sequela
675
564
674
S1014XA External constriction of part of throat,

encounter
S1014XD initial
External
constriction of part of throat, subs
encntr
S1014XS External constriction of part of throat,
S1015XA sequela
Superficial foreign body of throat, initial
674
564
674
674
encounter
Page 2727 of 6734

S1015XD Superficial foreign body of throat,
encounter
S1015XS subsequent
Superficial foreign
body of throat, sequela
564
674
S1016XA Insect bite (nonvenomous) of throat, initial

S1016XD encounter
Insect bite (nonvenomous) of throat,
encounter
S1016XS subsequent
of throat,
sequela
S1017XA Other superficial bite of throat, initial
675
564
674
674
S1017XD encounter
Other superficial bite of throat,
encounter
S1017XS subsequent
Other superficial
bite of throat, sequela
564
674
S1080XA Unsp superficial injury of oth part of neck,

encntr
S1080XD init
Unsp
superficial injury of oth part of neck,
subs
encntr
S1080XS Unspecified superficial injury of oth part of
674
564
674
sequela
S1081XA neck,
Abrasion
of other specified part of neck,
initial
encounter
S1081XD Abrasion of other specified part of neck,
encntr
S1081XS subs
Abrasion
S1082XA sequela
Blister (nonthermal) of oth part of neck,
674
564
674
675
encntr
S1082XD init
Blister
(nonthermal) of oth part of neck,
subs
encntr
S1082XS Blister (nonthermal) of oth part of neck,
S1083XA sequela
Contusion of other specified part of neck,
564
674
674
encounter
S1083XD initial
Contusion
subs
encntr
S1083XS Contusion of other specified part of neck,
S1084XA sequela
External constriction of oth part of neck,
564
674
674
encntr
S1084XD init
External
constriction of oth part of neck,
encntr
S1084XS subs
External
constriction of oth part of neck,
sequela
S1085XA Superficial foreign body of oth part of
564
674
674
init encntr
S1085XD neck,
Superficial
foreign body of oth part of
subs foreign
encntr body of oth part of
S1085XS neck,
Superficial
S1086XA neck,
Insectsequela
bite of other specified part of neck,
564
674
675
encntr
S1086XD init
Insect
subs
encntr
S1086XS Insect bite of other specified part of neck,
sequela
564
674
Page 2728 of 6734

S1087XA Other superficial bite of oth part of neck,
encntr
S1087XD init
Other
superficial bite of oth part of neck,
subs
encntr
S1087XS Other superficial bite of oth part of neck,
S1090XA sequela
Unsp superficial injury of unsp part of
674
564
674
674
init encntr injury of unsp part of

S1090XD neck,
Unsp superficial
subs encntr
S1090XS neck,
Unsp superficial
injury of unspecified part
of
neck,
sequela
S1091XA Abrasion of unspecified part of neck, initial
564
674
674
S1091XD encounter
Abrasion of unspecified part of neck,
encounter part of neck,
S1091XS subsequent
Abrasion of unspecified
S1092XA sequela
Blister (nonthermal) of unsp part of neck,
564
674
675
encntr
S1092XD init
Blister
(nonthermal) of unsp part of neck,
encntr
S1092XS subs
Blister
(nonthermal) of unspecified part of
neck,
sequela
S1093XA Contusion of unspecified part of neck,
564
674
674
encounter
S1093XD initial
Contusion
of unspecified part of neck,
S1093XS subsequent
unspecified part of neck,
sequela
S1094XA External constriction of unsp part of neck,
564
674
674
encntr
S1094XD init
External
constriction of unsp part of neck,
subs
encntr
S1094XS External constriction of unspecified part of
sequela
S1095XA neck,
Superficial
564
674
674
init encntr
S1095XD neck,
Superficial
neck,
subs
encntr body of unsp part of
S1096XA neck,
Insectsequela
bite of unspecified part of neck,
564
674
675
S1096XD initial
Insect encounter
bite of unspecified part of neck,
subs
encntr
S1096XS Insect bite of unspecified part of neck,
S1097XA sequela
Other superficial bite of unsp part of neck,
564
674
674
encntr
S1097XD init
Other
superficial bite of unsp part of neck,
subs
encntr
S1097XS Other superficial bite of unspecified part of
sequela
S11011A neck,
Laceration
without foreign body of larynx,
564
674
565
encounter
S11011D initial
Laceration
without foreign body of larynx,
subs encntr
577
Page 2729 of 6734

S11011S Laceration without foreign body of larynx,
S11012A sequela
Laceration with foreign body of larynx,
encounter
S11012D initial
Laceration
with foreign body of larynx,
674
565
577
encounter
S11012S subsequent
Laceration with
foreign body of larynx,
sequela
S11013A Puncture wound without foreign body of
674
565
init
encntr
S11013D larynx,
Puncture
wound
larynx,
subs
encntr
sequela
S11014A larynx,
Puncture
wound with foreign body of
577
674
565
init
encntr
S11014D larynx,
Puncture
wound
larynx,
subs
encntr
sequela
S11015A larynx,
Open bite
of larynx, initial encounter
577
674
565
S11015D Open bite of larynx, subsequent encounter
577
S11015S Open bite of larynx, sequela
674
S11019A Unspecified open wound of larynx, initial

S11019D encounter
Unspecified open wound of larynx,
S11019S subsequent
open wound of larynx, sequela
565
577
674
S11021A Laceration without foreign body of

initwithout
encntr foreign body of
S11021D trachea,
Laceration
subs
encntr
S11021S trachea,
Laceration
without
foreign body of
577
577
674
sequela
S11022A trachea,
Laceration
with foreign body of trachea,
initial
encounter
S11022D Laceration with foreign body of trachea,
encntrwith foreign body of trachea,
S11022S subs
Laceration
S11023A sequela
Puncture wound without foreign body of
577
577
674
577
encntr
S11023D trachea,
Punctureinit
wound
trachea,
subs
encntr
S11024A trachea,
Puncturesequela
wound with foreign body of
577
674
577
encntr
S11024D trachea,
Punctureinit
wound
trachea,
subs
encntr
S11025A trachea,
Open bitesequela
of trachea, initial encounter
577
674
577
Page 2730 of 6734

S11025D Open bite of trachea, subsequent
S11025S encounter
Open bite of trachea, sequela
577
674
S11029A Unspecified open wound of trachea, initial

S11029D encounter
Unspecified open wound of trachea,
S11029S subsequent
open wound of trachea,
sequela
S11031A Laceration without foreign body of vocal
577
577
674
565
init encntr
S11031D cord,
Laceration
without foreign body of vocal
subs encntr
S11031S cord,
Laceration
without foreign body of vocal
cord,
sequela
S11032A Laceration with foreign body of vocal cord,
577
674
565
encntr with foreign body of vocal cord,

S11032D init
Laceration
encntrwith foreign body of vocal cord,
S11032S subs
Laceration
S11033A sequela
Puncture wound w/o foreign body of vocal
577
674
565
init encntr
S11033D cord,
Puncture
wound w/o foreign body of vocal
cord,
subs
cord,
sequela
S11034A vocal
Puncture
wound
with foreign body of vocal
577
674
565
init encntr
S11034D cord,
Puncture
wound with foreign body of vocal
cord,
subs
encntrwith foreign body of vocal
S11035A cord,
Open sequela
bite of vocal cord, initial encounter
577
674
565
S11035D Open bite of vocal cord, subsequent

S11035S encounter
Open bite of vocal cord, sequela
577
674
S11039A Unspecified open wound of vocal cord,

encounter
S11039D initial
Unspecified
open wound of vocal cord,
S11039S subsequent
open wound of vocal cord,
sequela
S1110XA Unspecified open wound of thyroid gland,
565
577
674
692
encounter
S1110XD initial
Unspecified
open wound of thyroid gland,
encntr open wound of thyroid gland,
S1110XS subs
Unspecified
S1111XA sequela
Laceration w/o foreign body of thyroid
693
674
692
init encntr
S1111XD gland,
Laceration
w/o foreign body of thyroid
gland,
subs
encntr foreign body of thyroid
S1111XS Laceration without
gland, sequela
693
674
Page 2731 of 6734

S1112XA Laceration with foreign body of thyroid
init encntr
S1112XD gland,
Laceration
with foreign body of thyroid
gland,
subs
encntr
foreign body of thyroid
sequela
S1113XA gland,
Puncture
wound w/o foreign body of
692
693
674
692
gland,
initw/o foreign body of
S1113XD thyroid
Puncture
wound
gland,
subs
S1113XS thyroid
Puncture
wound
w/o foreign body of
thyroid
gland,
sequela
S1114XA Puncture wound w foreign body of thyroid
693
674
692
initwound
encntrw foreign body of thyroid
S1114XD gland,
Puncture
subs
encntr
S1114XS gland,
Puncture
wound
693
674
gland,
sequela
S1115XA thyroid
Open bite
of thyroid
gland, initial
encounter
S1115XD Open bite of thyroid gland, subsequent
S1115XS encounter
Open bite of thyroid gland, sequela
692
693
674
S1120XA Unsp open wound of pharynx and cervical

init
S1120XD esophagus,
Unsp open wound
of pharynx and cervical
subs of pharynx and cervical
S1120XS esophagus,
Unsp open wound
sequela
S1121XA esophagus,
Laceration w/o
fb of pharynx and cervical
565
565
674
565
initfb of pharynx and cervical

S1121XD esophagus,
Laceration w/o
subs
S1121XS esophagus,
Laceration w/o
S1122XA esophagus,
Laceration wsequela
565
674
565
S1122XD esophagus,
Laceration winit
esophagus,
subs
S1122XS Laceration w fb of pharynx and cervical
S1123XA esophagus,
Pnctr w/o fb sequela
565
674
565
S1123XD esophagus,
Pnctr w/o fb init
esophagus,
subs
S1123XS Pnctr w/o fb of pharynx and cervical
sequela
S1124XA esophagus,
Pnctr w foreign
body of pharynx and
565
674
565
esophagus,
S1124XD cervical
Pnctr w foreign
bodyinit
of pharynx and
cervical
esophagus,
subs
S1124XS Pnctr w fb of pharynx and cervical
565
674
S1125XA esophagus,
Open bite ofsequela
pharynx and cervical
esophagus,
init
encntrand cervical
S1125XD Open bite of pharynx
esophagus, subs encntr
565
565
Page 2732 of 6734

S1125XS Open bite of pharynx and cervical
S1180XA esophagus,
Unspecified sequela
open wound of oth part of
neck,
init
encntr
S1180XD Unspecified open wound of oth part of
674
674
565
subs encntr
S1180XS neck,
Unspecified
open wound of oth part of
neck,
sequela
S1181XA Laceration w/o foreign body of oth part of
init encntr
S1181XD neck,
Laceration
674
674
565
subs without
encntr foreign body of oth part
S1181XS neck,
Laceration
neck, sequela
S1182XA of
Laceration
w foreign body of oth part of
neck,
init
encntr
S1182XD Laceration w foreign body of oth part of
674
674
565
subs with
encntr
S1182XS neck,
Laceration
foreign body of oth part of
neck,
sequela
S1183XA Puncture wound w/o foreign body oth prt
init wound
encntr w/o foreign body oth prt
S1183XD neck,
Puncture
674
674
565
subs
encntrw/o foreign body of oth
S1183XS neck,
Puncture
wound
of neck,
sequela
S1184XA part
Puncture
wound
w foreign body oth prt
init wound
encntr w foreign body oth prt
S1184XD neck,
Puncture
674
674
565
subs
encntrw foreign body of oth part
S1184XS neck,
Puncture
wound
neck,
sequela
S1185XA of
Open
bite
initial
encounter
S1185XD Open bite of other specified part of neck,
674
674
565
S1185XS subs
Openencntr
sequela
S1189XA Other open wound of oth part of neck, init
674
674
S1189XD encntr
Other open wound of oth part of neck,
S1189XS subs
Otherencntr
open wound of other specified part
neck,
sequela
S1190XA of
Unsp
open
565
674
674
init encntr
S1190XD neck,
Unsp open
neck,
subs
encntr
S1190XS Unspecified open wound of unspecified
of neck,
sequela
S1191XA part
Laceration
w/o
565
674
674
neck, initw/o foreign body of unsp part

S1191XD of
Laceration
neck, subs
S1191XS of
Laceration
w/o foreign body of unsp part
of
neck,
sequela
S1192XA Laceration w foreign body of unsp part of
565
674
674
neck, init encntr

Page 2733 of 6734

S1192XD Laceration w foreign body of unsp part of
subs with
encntr
S1192XS neck,
Laceration
565
674
neck, sequela
S1193XA of
Puncture
wound w/o foreign body of unsp
of neck,
init w/o foreign body of unsp
S1193XD part
Puncture
wound
neck,
subsbody of unsp part of
S1193XS part
Pnctrofw/o
foreign
674
565
674
sequela
S1194XA neck,
Puncture
wound w foreign body of unsp
part
of
neck,
init w foreign body of unsp
S1194XD Puncture wound
of neck,
subs
S1194XS part
Puncture
wound
w foreign body of unsp
part
of
neck,
sequela
S1195XA Open bite of unspecified part of neck,
674
565
674
674
encounter
S1195XD initial
Open bite
of unspecified part of neck,
subsequent
S1195XS Open bite ofencounter
unspecified part of neck,
S12000A sequela
Unsp disp fx of first cervical vertebra, init
565
674
656
clos
fx fx of first cervical vertebra, init
S12000B for
Unsp
disp
opn
fx fx of first cervcal vert, subs for
S12000D for
Unsp
disp
w routn
heal
S12000G fx
Unsp
disp fx
of first cervcal vert, subs for
fx
w
delay
heal
S12000K Unsp disp fx of first cervcal vert, subs for
656
872
872
661
w nonunion
S12000S fx
Unspecified
disp fx of first cervical
vertebra,
sequela
S12001A Unsp nondisp fx of first cervical vertebra,
fornondisp
clos fx fx of first cervical vertebra,
S12001B init
Unsp
656
656
656
fornondisp
opn fx fx of 1st cervcal vert, 7thD
S12001D init
Unsp
872
S12001G Unsp nondisp fx of 1st cervcal vert, 7thG
872
S12001K Unsp nondisp fx of 1st cervcal vert, subs

fx w nonunion
S12001S for
Unspecified
nondisp fx of first cervical
661
656
sequela
S1201XA vertebra,
Stable burst
fracture of first cervical
vertebra,
init
S1201XB Stable burst fx first cervcal vertebra, init
opnburst
fx
S1201XD for
Stable
fx first cervcal vert, subs for
656
656
872
w routn
heal
S1201XG fx
Stable
burst
fx
w
delay
heal
S1201XK Stable burst fx first cervcal vert, subs for
w nonunion
S1201XS fx
Stable
burst fracture of first cervical
872
661
656
vertebra, sequela
Page 2734 of 6734

S1202XA Unstable burst fracture of first cervical
init fx first cervcal vertebra, init
S1202XB vertebra,
Unstable burst
opnburst
fx
S1202XD for
Unstbl
656
656
872
w routn
heal
S1202XG fx
Unstbl
burst
fx
w
delay
heal
S1202XK Unstbl burst fx first cervcal vert, subs for
w nonunion
S1202XS fx
Unstable
burst fracture of first cervical
872
661
656
S12030A vertebra,
Displacedsequela
posterior arch fx first cervcal
S12030B vertebra,
Displ postinit
arch fx first cervcal vertebra,
init
for
opn
fx fx 1st cervcal vert, 7thD
S12030D Displ post arch
656
656
872
S12030G Displ post arch fx 1st cervcal vert, 7thG
872
S12030K Displ post arch fx 1st cervcal vert, subs for

w nonunion
S12030S fx
Displaced
posterior arch fx first cervcal
661
656
sequela arch fx first cervcal

S12031A vertebra,
Nondisp posterior
init arch fx first cervcal vertebra,
S12031B vertebra,
Nondisp post
for opn
fx arch fx 1st cervcal vert, 7thD
S12031D init
Nondisp
post
656
656
872
S12031G Nondisp post arch fx 1st cervcal vert, 7thG
872
S12031K Nondisp post arch fx 1st cervcal vert, 7thK
661
S12031S Nondisp posterior arch fx first cervcal

S12040A vertebra,
Displacedsequela
lateral mass fx first cervcal
vertebra,
init
S12040B Displ lateral mass fx first cervcal vert, init
opn
fx mass fx 1st cervcal vert, 7thD
S12040D for
Displ
lateral
656
656
656
872
S12040G Displ lateral mass fx 1st cervcal vert, 7thG
872
S12040K Displ lateral mass fx 1st cervcal vert, 7thK
661
S12040S Displaced lateral mass fx first cervcal

sequela
S12041A vertebra,
Nondisp lateral
mass fx first cervcal
656
656
init mass fx first cervcal vert,

S12041B vertebra,
Nondisp lateral
for opn
fx mass fx 1st cervcal vert,
S12041D init
Nondisp
lateral
S12041G 7thD
Nondisp lateral mass fx 1st cervcal vert,
S12041K 7thG
Nondisp lateral mass fx 1st cervcal vert,
656
872
872
661
7thK
Page 2735 of 6734

S12041S Nondisp lateral mass fx first cervcal
sequela
S12090A vertebra,
Oth disp fx
of first cervical vertebra, init
for
clos
fx
S12090B Oth disp fx of first cervical vertebra, init
656
656
656
S12090D for
Othopn
dispfxfx of first cervcal vert, subs for fx
routn
S12090G w
Oth
dispheal
fx of first cervcal vert, subs for fx
w
delay
heal
S12090K Oth disp fx of first cervcal vert, subs for fx
nonunion
S12090S w
Other
displaced fracture of first cervical
872
872
661
656
sequela
S12091A vertebra,
Oth nondisp
fx of first cervical vertebra,
init
for
clos
fx
S12091B Oth nondisp fx of first cervical vertebra,
opn fxfx of 1st cervcal vert, subs for
S12091D init
Oth for
nondisp
656
656
872
w nondisp
routn heal
S12091G fx
Oth
fx of 1st cervcal vert, subs for
w nondisp
delay heal
S12091K fx
Oth
fx of first cervcal vert, subs
for
fx
w
nonunion
S12091S Other nondisp fx of first cervical vertebra,
872
661
656
S12100A sequela
Unsp disp fx of second cervical vertebra,
fordisp
closfxfxof second cervical vertebra,
S12100B init
Unsp
fordisp
opnfxfxof 2nd cervcal vert, subs for
S12100D init
Unsp
656
656
872
w routn
heal
S12100G fx
Unsp
disp fx
of 2nd cervcal vert, subs for
fx
w
delay
heal
S12100K Unsp disp fx of second cervcal vert, subs
fx w nonunion
S12100S for
Unspecified
disp fx of second cervical
872
661
656
sequela
S12101A vertebra,
Unsp nondisp
fx of second cervical
vertebra,
init
S12101B Unsp nondisp fx of second cervical
init for
opn
fx cervcal vert, 7thD
S12101D vertebra,
Unsp nondisp
fx of
2nd
656
656
872
S12101G Unsp nondisp fx of 2nd cervcal vert, 7thG
872
S12101K Unsp nondisp fx of 2nd cervcal vert, subs

fx w nonunion
S12101S for
Unspecified
nondisp fx of second cervical
661
656
sequela Type II dens fracture,

S12110A vertebra,
Anterior displaced
for clos
fx
S12110B init
Anterior
displaced
Type II dens fracture,
init
for
opn
fx
S12110D Ant displ Type II dens fracture, subs for fx
656
656
872
routn
S12110G w
Ant
displheal
Type II dens fracture, subs for fx
w delay heal
872
Page 2736 of 6734

S12110K Anterior displ Type II dens fracture, subs
fx w nonunion
S12110S for
Anterior
displaced Type II dens fracture,
661
656
S12111A sequela
Posterior displaced Type II dens fracture,
for clos
fx
S12111B init
Posterior
displaced
init
for
opn
fx
S12111D Post displ Type II dens fracture, subs for fx
656
656
872
routn
heal
S12111G w
Post
displ
Type II dens fracture, subs for fx
w
delay
heal
S12111K Post displ Type II dens fracture, subs for fx
nonunion
S12111S w
Posterior
displaced Type II dens fracture,
872
661
656
S12112A sequela
Nondisplaced Type II dens fracture, init for
fx
S12112B clos
Nondisplaced
Type II dens fracture, init for
opn
fx
S12112D Nondisplaced Type II dens fracture, subs
fx w routn heal
S12112G for
Nondisplaced
Type II dens fracture, subs
656
656
872
872
fx w delay Type
heal II dens fracture, subs
S12112K for
Nondisplaced
fx w nonunion
S12112S for
Nondisplaced
S12120A sequela
Oth displaced dens fracture, init encntr for
661
656
656
fracture dens fracture, init encntr

S12120B closed
Other displaced
fracture
S12120D for
Othopen
displaced
dens fracture, subs for fx w
routn
heal
S12120G Oth displaced dens fracture, subs for fx w
656
872
872
heal
S12120K delay
Oth displaced
dens fracture, subs for fx w
nonunion
S12120S Other displaced dens fracture, sequela
661
656
S12121A Oth nondisplaced dens fracture, init for

fx
S12121B clos
Oth nondisplaced
dens fracture, init for
fx
S12121D opn
Oth nondisplaced
dens fracture, subs for
fx
w
routn
heal
S12121G Oth nondisplaced dens fracture, subs for
656
656
872
872
w nondisplaced
delay heal
S12121K fx
Oth
dens fracture, subs for
w nonunion
S12121S fx
Other
nondisplaced dens fracture, sequela
661
656
S12130A Unsp traum displ spondylolysis of second

vert,displ
init spondylolysis of 2nd
S12130B cervcal
Unsp traum
vert,displ
7thBspondylolysis of 2nd
S12130D cervcal
Unsp traum
cervcal vert, 7thD
656
656
872
Page 2737 of 6734

S12130G Unsp traum displ spondylolysis of 2nd
vert,displ
7thGspondylolysis of 2nd
S12130K cervcal
Unsp traum
vert,displ
7thKspondylolysis of second
S12130S cervcal
Unsp traum
872
661
656
vert,nondisp
sqla
S12131A cervcal
Unsp traum
spondylolysis of 2nd
cervcal
vert,
init
S12131B Unsp traum nondisp spondylolysis of 2nd
vert,nondisp
7thB
S12131D cervcal
Unsp traum
cervcal
vert,
7thD
S12131G Unsp traum nondisp spondylolysis of 2nd
656
656
872
872
vert,nondisp
7thG spondylolysis of 2nd
S12131K cervcal
Unsp traum
vert,nondisp
7thK
S12131S cervcal
Unsp traum
cervcal
vert,
sqla
S1214XA Type III traum spondylolysis of second
661
656
656
vert, init
S1214XB cervcal
Type III traum
spondylolysis of 2nd cervcal
7thB
S1214XD vert,
Type III
traum spondylolysis of 2nd cervcal
vert,
7thD
S1214XG Type III traum spondylolysis of 2nd cervcal
7thG
S1214XK vert,
Type III
traum spondylolysis of 2nd cervcal
656
872
872
661
7thK
S1214XS vert,
Type III
traum spondylolysis of second
cervcal
vert,
sequela
S12150A Oth traum
displ
spondylolysis of second
656
656
vert,
initspondylolysis of 2nd
S12150B cervcal
Oth traum
displ
vert,
7thB
S12150D cervcal
Oth traum
displ
vert,
7thD
S12150G cervcal
Oth traum
displ
656
872
872
vert,
7thG
S12150K cervcal
Oth traum
displ
cervcal
vert,
7thK
S12150S Oth traum displ spondylolysis of second
vert,
sqla spondylolysis of second
S12151A cervcal
Oth traum
nondisp
661
656
656
vert,
init
S12151B cervcal
Oth traum
nondisp
cervcal
vert,
7thB
S12151D Oth traum nondisp spondylolysis of 2nd
vert,
7thD spondylolysis of 2nd
S12151G cervcal
Oth traum
nondisp
vert,
7thG spondylolysis of 2nd
S12151K cervcal
Oth traum
nondisp
656
872
872
661
vert,
7thK spondylolysis of second
S12151S cervcal
Oth traum
nondisp
S12190A cervcal
Oth dispvert,
fx ofsqla
second cervical vertebra,
init
for
clos
fx
S12190B Oth disp fx of second cervical vertebra,
656
656
656
init for opn fx

Page 2738 of 6734

S12190D Oth disp fx of second cervcal vert, subs for
w disp
routn
S12190G fx
Oth
fxheal
of second cervcal vert, subs for
fx
w
delay
heal
S12190K Oth disp fx of second cervcal vert, subs for
w nonunion
S12190S fx
Other
disp fx of second cervical vertebra,
872
872
661
656
S12191A sequela
Oth nondisp fx of second cervical vertebra,
clos fxfx of second cervical vertebra,
S12191B init
Oth for
nondisp
opn fxfx of 2nd cervcal vert, subs
S12191D init
Oth for
nondisp
656
656
872
w routnfxheal
S12191G for
Othfx
nondisp
of 2nd cervcal vert, subs
for
fx
w
delay
heal
S12191K Oth nondisp fx of 2nd cervcal vert, subs
fx w
nonunion
S12191S for
Other
nondisp
fx of second cervical
872
661
656
S12200A vertebra,
Unsp dispsequela
fx of third cervical vertebra, init
clos
fx fx of third cervical vertebra, init
S12200B for
Unsp
disp
opn
fx fx of third cervcal vert, subs for
S12200D for
Unsp
disp
656
656
872
w routn
heal
S12200G fx
Unsp
disp fx
of third cervcal vert, subs for
w delay
heal
S12200K fx
Unsp
disp fx
of third cervcal vert, subs for
fx
w
nonunion
S12200S Unspecified disp fx of third cervical
872
661
656
sequela
S12201A vertebra,
Unsp nondisp
fx of third cervical vertebra,
init
for
clos
fx
S12201B Unsp nondisp fx of third cervical vertebra,
fornondisp
opn fx fx of 3rd cervcal vert, 7thD
S12201D init
Unsp
656
656
872
S12201G Unsp nondisp fx of 3rd cervcal vert, 7thG
872
S12201K Unsp nondisp fx of 3rd cervcal vert, subs

fx w nonunion
S12201S for
Unspecified
nondisp fx of third cervical
661
656
sequela
S12230A vertebra,
Unsp traum
displ spondylolysis of third
cervcal
vert,
init spondylolysis of 3rd
S12230B Unsp traum displ
vert,displ
7thBspondylolysis of 3rd
S12230D cervcal
Unsp traum
656
656
872
vert,displ
7thDspondylolysis of 3rd
S12230G cervcal
Unsp traum
vert,displ
7thGspondylolysis of 3rd
S12230K cervcal
Unsp traum
vert,displ
7thKspondylolysis of third
S12230S cervcal
Unsp traum
872
661
656
vert,nondisp
sqla
S12231A cervcal
Unsp traum
spondylolysis of third
cervcal vert, init
656
Page 2739 of 6734

S12231B Unsp traum nondisp spondylolysis of 3rd
vert,nondisp
7thB
S12231D cervcal
Unsp traum
spondylolysis of 3rd
cervcal
vert,
7thD
S12231G Unsp traum nondisp spondylolysis of 3rd
vert,nondisp
7thG spondylolysis of 3rd
S12231K cervcal
Unsp traum
656
872
872
661
vert,nondisp
7thK
S12231S cervcal
Unsp traum
cervcal
vert,
sqla
S1224XA Type III traum spondylolysis of third
vertebra,
init
S1224XB cervcal
Type III traum
spondylolysis
of 3rd cervcal
656
656
656
7thB
S1224XD vert,
Type III
traum spondylolysis of 3rd cervcal
vert,
7thD
S1224XG Type III traum spondylolysis of 3rd cervcal
7thG
S1224XK vert,
Type III
traum spondylolysis of 3rd cervcal
vert,
7thK
S1224XS Type III traum spondylolysis of third
872
872
661
656
vert,
sequela
S12250A cervcal
Oth traum
displ
cervcal
vert,
init
S12250B Oth traum displ spondylolysis of 3rd
vert,
7thB
S12250D cervcal
Oth traum
displ
656
656
872
vert,
7thD
S12250G cervcal
Oth traum
displ
cervcal
vert,
7thG
S12250K Oth traum displ spondylolysis of 3rd
vert,
7thK
S12250S cervcal
Oth traum
displ
872
661
656
vert,
sequela
S12251A cervcal
Oth traum
nondisp
vert,
init
S12251B cervcal
Oth traum
nondisp
cervcal
vert,
7thB
S12251D Oth traum nondisp spondylolysis of 3rd
656
656
872
vert,
7thD spondylolysis of 3rd
S12251G cervcal
Oth traum
nondisp
vert,
7thG spondylolysis of 3rd
S12251K cervcal
Oth traum
nondisp
vert,
7thK spondylolysis of third
S12251S cervcal
Oth traum
nondisp
S12290A cervcal
Oth dispvert,
fx ofsqla
third cervical vertebra, init
872
661
656
656
S12290B for
Othclos
dispfxfx of third cervical vertebra, init
S12290D for
Othopn
dispfxfx of third cervcal vert, subs for fx
routn
S12290G w
Oth
dispheal
fx of third cervcal vert, subs for fx
w
delay
heal
S12290K Oth disp fx of third cervcal vert, subs for fx
656
872
872
661
nonunion
S12290S w
Other
displaced fracture of third cervical
vertebra, sequela
656
Page 2740 of 6734

S12291A Oth nondisp fx of third cervical vertebra,
clos fxfx of third cervical vertebra,
S12291B init
Oth for
nondisp
opn fxfx of 3rd cervcal vert, subs for
S12291D init
Oth for
nondisp
656
656
872
w nondisp
routn heal
S12291G fx
Oth
fx of 3rd cervcal vert, subs for
fx
w
delay
heal
S12291K Oth nondisp fx of third cervcal vert, subs
fx w
nonunion
S12291S for
Other
nondisp
fx of third cervical vertebra,
872
661
656
S12300A sequela
Unsp disp fx of fourth cervical vertebra,
fordisp
closfxfxof fourth cervical vertebra,
S12300B init
Unsp
fordisp
opnfxfxof 4th cervcal vert, subs for fx
S12300D init
Unsp
routn
heal
S12300G w
Unsp
disp
fx of 4th cervcal vert, subs for fx
656
656
872
872
delay
heal
S12300K w
Unsp
disp
fx of fourth cervcal vert, subs
fx w nonunion
S12300S for
Unspecified
disp fx of fourth cervical
vertebra,
sequela
S12301A Unsp nondisp fx of fourth cervical
661
656
656
init fx of fourth cervical

S12301B vertebra,
Unsp nondisp
init for
opn
fxcervcal vert, 7thD
S12301D vertebra,
Unsp nondisp
fx of
4th
656
872
S12301G Unsp nondisp fx of 4th cervcal vert, 7thG
872
S12301K Unsp nondisp fx of 4th cervcal vert, subs

fx w nonunion
S12301S for
Unspecified
nondisp fx of fourth cervical
661
656
sequela
S12330A vertebra,
Unsp traum
displ spondylolysis of fourth
cervcal
vert,
init spondylolysis of 4th
vert,displ
7thBspondylolysis of 4th
S12330D cervcal
Unsp traum
656
656
872
vert,displ
7thDspondylolysis of 4th
S12330G cervcal
Unsp traum
vert,displ
7thGspondylolysis of 4th
S12330K cervcal
Unsp traum
vert,displ
7thKspondylolysis of fourth
S12330S cervcal
Unsp traum
872
661
656
vert,nondisp
sqla
S12331A cervcal
Unsp traum
spondylolysis of 4th
vert,nondisp
init
S12331B cervcal
Unsp traum
cervcal
vert,
7thB
S12331D Unsp traum nondisp spondylolysis of 4th
vert,nondisp
7thD spondylolysis of 4th
S12331G cervcal
Unsp traum
656
656
872
872
vert,nondisp
7thG spondylolysis of 4th
S12331K cervcal
Unsp traum
cervcal vert, 7thK
661
Page 2741 of 6734

S12331S Unsp traum nondisp spondylolysis of 4th
vert, sqla
S1234XA cervcal
Type III traum
spondylolysis of fourth
656
656
vert, init
S1234XB cervcal
Type III traum
spondylolysis of 4th cervcal
7thB
S1234XD vert,
Type III
traum spondylolysis of 4th cervcal
vert,
7thD
S1234XG Type III traum spondylolysis of 4th cervcal
7thG
S1234XK vert,
Type III
656
872
872
661
7thK
S1234XS vert,
Type III
traum spondylolysis of fourth
vert,
sequela
S12350A cervcal
Oth traum
displ
cervcal
vert,
init
S12350B Oth traum displ spondylolysis of 4th
656
656
656
vert,
7thB
S12350D cervcal
Oth traum
displ
cervcal
vert,
7thD
S12350G Oth traum displ spondylolysis of 4th
vert,
7thG
S12350K cervcal
Oth traum
displ
872
872
661
vert,
7thK
S12350S cervcal
Oth traum
displ
cervcal
vert,
sqla
S12351A Oth traum nondisp spondylolysis of fourth
vert,
init
S12351B cervcal
Oth traum
nondisp
656
656
656
vert,
7thB spondylolysis of 4th
S12351D cervcal
Oth traum
nondisp
vert,
S12351G cervcal
Oth traum
nondisp
vert,
S12351K cervcal
Oth traum
nondisp
vert,
7thK spondylolysis of fourth
S12351S cervcal
Oth traum
nondisp
872
872
661
656
S12390A cervcal
Oth dispvert,
fx ofsqla
fourth cervical vertebra, init
for
clos
fx
S12390B Oth disp fx of fourth cervical vertebra, init
S12390D for
Othopn
dispfxfx of fourth cervcal vert, subs for
656
656
872
w disp
routn
S12390G fx
Oth
fxheal
of fourth cervcal vert, subs for
fx
w
delay
heal
S12390K Oth disp fx of fourth cervcal vert, subs for
w nonunion
S12390S fx
Other
disp fx of fourth cervical vertebra,
872
661
656
S12391A sequela
Oth nondisp fx of fourth cervical vertebra,
clos fxfx of fourth cervical vertebra,
S12391B init
Oth for
nondisp
opn fxfx of 4th cervcal vert, subs for
S12391D init
Oth for
nondisp
656
656
872
w nondisp
routn heal
S12391G fx
Oth
fx of 4th cervcal vert, subs for
fx w delay heal
872
Page 2742 of 6734

S12391K Oth nondisp fx of 4th cervcal vert, subs for
w nonunion
S12391S fx
Other
nondisp fx of fourth cervical
661
656
S12400A vertebra,
Unsp dispsequela
fx of fifth cervical vertebra, init
clos
fx fx of fifth cervical vertebra, init
S12400B for
Unsp
disp
opn
fx fx of fifth cervcal vert, subs for
S12400D for
Unsp
disp
656
656
872
w routn
heal
S12400G fx
Unsp
disp fx
of fifth cervcal vert, subs for
fx
w
delay
heal
S12400K Unsp disp fx of fifth cervcal vert, subs for
w nonunion
S12400S fx
Unspecified
disp fx of fifth cervical
872
661
656
sequela
S12401A vertebra,
Unsp nondisp
fx of fifth cervical vertebra,
init
for
clos
fx
S12401B Unsp nondisp fx of fifth cervical vertebra,
fornondisp
opn fx fx of 5th cervcal vert, 7thD
S12401D init
Unsp
656
656
872
872

fx w nonunion
S12401S for
Unspecified
nondisp fx of fifth cervical
661
656
sequela
S12430A vertebra,
Unsp traum
displ spondylolysis of fifth
cervcal
vert,
vert,displ
S12430D cervcal
Unsp traum
656
656
872
vert,displ
S12430G cervcal
Unsp traum
vert,displ
S12430K cervcal
Unsp traum
vert,displ
7thKspondylolysis of fifth
S12430S cervcal
Unsp traum
872
661
656
vert,nondisp
sqla
S12431A cervcal
Unsp traum
spondylolysis of fifth
cervcal
vert,
init
S12431B Unsp traum nondisp spondylolysis of 5th
vert,nondisp
7thB
S12431D cervcal
Unsp traum
cervcal
vert,
7thD
S12431G Unsp traum nondisp spondylolysis of 5th
656
656
872
872
vert,nondisp
S12431K cervcal
Unsp traum
vert,nondisp
7thK
S12431S cervcal
Unsp traum
cervcal
vert,
sqla
S1244XA Type III traum spondylolysis of fifth cervcal
661
656
656
init spondylolysis of 5th cervcal

S1244XB vertebra,
Type III traum
7thB
S1244XD vert,
Type III
vert, 7thD
656
872
Page 2743 of 6734

S1244XG Type III traum spondylolysis of 5th cervcal
7thG
S1244XK vert,
Type III
vert,
7thK
S1244XS Type III traum spondylolysis of fifth cervcal
sequela
S12450A vert,
Oth traum
displ spondylolysis of fifth
872
661
656
656
vert,
initspondylolysis of 5th
S12450B cervcal
Oth traum
displ
vert,
7thB
S12450D cervcal
Oth traum
displ
cervcal
vert,
7thD
656
872
872
vert,
7thG
S12450K cervcal
Oth traum
displ
cervcal
vert,
7thK
S12450S Oth traum displ spondylolysis of fifth
vert,
sequela
S12451A cervcal
Oth traum
nondisp
661
656
656
vert,
init
S12451B cervcal
Oth traum
nondisp
vert,
S12451D cervcal
Oth traum
nondisp
vert,
S12451G cervcal
Oth traum
nondisp
vert,
S12451K cervcal
Oth traum
nondisp
656
872
872
661
vert,
7thK spondylolysis of fifth
S12451S cervcal
Oth traum
nondisp
S12490A cervcal
Oth dispvert,
fx ofsqla
fifth cervical vertebra, init
656
656
S12490B for
Othclos
dispfxfx of fifth cervical vertebra, init
S12490D for
Othopn
dispfxfx of fifth cervcal vert, subs for fx
routn
S12490G w
Oth
dispheal
fx of fifth cervcal vert, subs for fx
w
delay
heal
S12490K Oth disp fx of fifth cervcal vert, subs for fx
656
872
872
661
nonunion
S12490S w
Other
displaced fracture of fifth cervical
vertebra,
sequela
S12491A Oth nondisp
clos fxfx of fifth cervical vertebra,
S12491B init
Oth for
nondisp
656
656
656
opn fxfx of 5th cervcal vert, subs for

S12491D init
Oth for
nondisp
w nondisp
routn heal
S12491G fx
Oth
w nondisp
delay heal
S12491K fx
Oth
fx of fifth cervcal vert, subs
872
872
661
fx w
nonunion
S12491S for
Other
nondisp
sequela
S12500A Unsp disp fx of sixth cervical vertebra, init
clos
fx fx of sixth cervical vertebra, init
S12500B for
Unsp
disp
656
656
656
for opn fx
Page 2744 of 6734

S12500D Unsp disp fx of sixth cervcal vert, subs for
w routn
heal
S12500G fx
Unsp
disp fx
of sixth cervcal vert, subs for
fx
w
delay
heal
S12500K Unsp disp fx of sixth cervcal vert, subs for
w nonunion
S12500S fx
Unspecified
disp fx of sixth cervical
872
872
661
656
sequela
S12501A vertebra,
Unsp nondisp
fx of sixth cervical vertebra,
init
for
clos
fx
S12501B Unsp nondisp fx of sixth cervical vertebra,
fornondisp
opn fx fx of sixth cervcal vert, 7thD
S12501D init
Unsp
656
656
872
S12501G Unsp nondisp fx of sixth cervcal vert, 7thG
872
S12501K Unsp nondisp fx of sixth cervcal vert, 7thK
661
S12501S Unspecified nondisp fx of sixth cervical

sequela
S12530A vertebra,
Unsp traum
displ spondylolysis of sixth
656
656
vert,displ
init spondylolysis of sixth
S12530B cervcal
Unsp traum
vert,displ
7thBspondylolysis of sixth
S12530D cervcal
Unsp traum
vert,displ
7thDspondylolysis of sixth
S12530G cervcal
Unsp traum
656
872
872
vert,displ
7thGspondylolysis of sixth
S12530K cervcal
Unsp traum
vert,displ
7thKspondylolysis of sixth
S12530S cervcal
Unsp traum
vert,nondisp
sqla
S12531A cervcal
Unsp traum
spondylolysis of sixth
661
656
656
vert,nondisp
init
S12531B cervcal
Unsp traum
vert,nondisp
7thB
S12531D cervcal
Unsp traum
cervcal
vert,
7thD
S12531G Unsp traum nondisp spondylolysis of sixth
vert,nondisp
7thG spondylolysis of sixth
S12531K cervcal
Unsp traum
656
872
872
661
vert,nondisp
7thK
S12531S cervcal
Unsp traum
vert, sqla
S1254XA cervcal
Type III traum
cervcal
vertebra,
init
S1254XB Type III traum spondylolysis
of sixth
656
656
656
vert, 7thB
S1254XD cervcal
Type III traum
vert, 7thD
S1254XG cervcal
Type III traum
cervcal
vert,
7thG
S1254XK Type III traum spondylolysis of sixth
872
872
661
vert, 7thK
S1254XS cervcal
Type III traum
cervcal
vert,
sequela
S12550A Oth traum displ spondylolysis of sixth
cervcal vert, init
656
656
Page 2745 of 6734

S12550B Oth traum displ spondylolysis of sixth
vert,
7thB
S12550D cervcal
Oth traum
displ
cervcal
vert,
7thD
S12550G Oth traum displ spondylolysis of sixth
656
872
872
vert,
7thG
S12550K cervcal
Oth traum
displ
cervcal
vert,
7thK
S12550S Oth traum displ spondylolysis of sixth
vert,
sequela
S12551A cervcal
Oth traum
nondisp
661
656
656
vert,
init
S12551B cervcal
Oth traum
nondisp
vert,
7thB spondylolysis of sixth
S12551D cervcal
Oth traum
nondisp
vert,
7thD spondylolysis of sixth
S12551G cervcal
Oth traum
nondisp
vert,
7thG spondylolysis of sixth
S12551K cervcal
Oth traum
nondisp
656
872
872
661
vert,
7thK spondylolysis of sixth
S12551S cervcal
Oth traum
nondisp
S12590A cervcal
Oth dispvert,
fx ofsqla
sixth cervical vertebra, init
for
clos
fx
S12590B Oth disp fx of sixth cervical vertebra, init
656
656
656
S12590D for
Othopn
dispfxfx of sixth cervcal vert, subs for fx
routn
S12590G w
Oth
dispheal
fx of sixth cervcal vert, subs for fx
w
delay
heal
S12590K Oth disp fx of sixth cervcal vert, subs for fx
nonunion
S12590S w
Other
displaced fracture of sixth cervical
872
872
661
656
sequela
S12591A vertebra,
Oth nondisp
clos fxfx of sixth cervical vertebra,
S12591B init
Oth for
nondisp
opn fxfx of sixth cervcal vert, 7thD
S12591D init
Oth for
nondisp
656
656
872
S12591G Oth nondisp fx of sixth cervcal vert, 7thG
872
S12591K Oth nondisp fx of sixth cervcal vert, subs

fx w
nonunion
S12591S for
Other
nondisp
661
656
S12600A sequela
Unsp disp fx of seventh cervical vertebra,
fordisp
closfxfxof seventh cervical vertebra,
S12600B init
Unsp
fordisp
opnfxfxof 7th cervcal vert, subs for fx
S12600D init
Unsp
656
656
872
routn
heal
S12600G w
Unsp
disp
w
delay
heal
S12600K Unsp disp fx of seventh cervcal vert, subs
fx w nonunion
S12600S for
Unspecified
disp fx of seventh cervical
872
661
656
vertebra, sequela
Page 2746 of 6734

S12601A Unsp nondisp fx of seventh cervical
init fx of seventh cervcal
S12601B vertebra,
Unsp nondisp
init for
opn
fxcervcal vert, 7thD
S12601D vertebra,
Unsp nondisp
fx of
7th
656
656
872
872

fx w nonunion
S12601S for
Unspecified
nondisp fx of seventh cervical
661
656
sequela
S12630A vertebra,
Unsp traum
displ spondylolysis of seventh
vert,displ
S12630B cervcal
Unsp traum
vert,displ
S12630D cervcal
Unsp traum
656
656
872
vert,displ
S12630G cervcal
Unsp traum
vert,displ
S12630K cervcal
Unsp traum
vert,displ
7thKspondylolysis of seventh
S12630S cervcal
Unsp traum
872
661
656
vert,nondisp
sqla
S12631A cervcal
Unsp traum
cervcal
vert,
init
S12631B Unsp traum nondisp spondylolysis of 7th
vert,nondisp
7thB
S12631D cervcal
Unsp traum
cervcal
vert,
7thD
S12631G Unsp traum nondisp spondylolysis of 7th
656
656
872
872
vert,nondisp
S12631K cervcal
Unsp traum
vert,nondisp
7thK
S12631S cervcal
Unsp traum
vert, sqla
S1264XA cervcal
Type III traum
spondylolysis of seventh
661
656
656
vert, init
S1264XB cervcal
Type III traum
spondylolysis of 7th cervcal
vert,
7thB
S1264XD Type III traum spondylolysis of 7th cervcal
7thD
S1264XG vert,
Type III
7thG
S1264XK vert,
Type III
656
872
872
661
7thK
S1264XS vert,
Type III
traum spondylolysis of seventh
cervcal
vert,
sqlaspondylolysis of seventh
S12650A Oth traum
displ
vert,
initspondylolysis of 7th
S12650B cervcal
Oth traum
displ
656
656
656
vert,
7thB
S12650D cervcal
Oth traum
displ
cervcal
vert,
7thD
vert,
7thG
S12650K cervcal
Oth traum
displ
872
872
661
cervcal vert, 7thK

Page 2747 of 6734

S12650S Oth traum displ spondylolysis of seventh
vert,
sqla spondylolysis of 7th
S12651A cervcal
Oth traum
nondisp
656
656
vert,
init
S12651B cervcal
Oth traum
nondisp
vert,
S12651D cervcal
Oth traum
nondisp
vert,
S12651G cervcal
Oth traum
nondisp
vert,
S12651K cervcal
Oth traum
nondisp
656
872
872
661
vert,
7thK spondylolysis of 7th
S12651S cervcal
Oth traum
nondisp
S12690A cervcal
Oth dispvert,
fx ofsqla
seventh cervical vertebra,
init
for
clos
fx
S12690B Oth disp fx of seventh cervical vertebra,
656
656
656
opn
fx 7th cervcal vert, subs for fx
S12690D init
Oth for
disp
fx of
routn
S12690G w
Oth
dispheal
delay
S12690K w
Oth
dispheal
fx of seventh cervcal vert, subs
872
872
661
fx w
nonunion
S12690S for
Other
disp
fx of seventh cervical vertebra,
sequela
S12691A Oth nondisp fx of seventh cervical
initfx of seventh cervical
S12691B vertebra,
Oth nondisp
656
656
656
initfx
for
S12691D vertebra,
Oth nondisp
ofopn
7th fx
cervcal vert, subs for
fx
w
routn
heal
S12691G Oth nondisp fx of 7th cervcal vert, subs for
w nondisp
delay heal
S12691K fx
Oth
w nonunion
S12691S fx
Other
nondisp fx of seventh cervical
872
872
661
656
S128XXA vertebra,
Fracture ofsequela
other parts of neck, initial
encounter
S128XXD Fracture of other parts of neck,
encounter
S128XXS subsequent
Fracture of other
parts of neck, sequela
565
872
656
S129XXA Fracture of neck, unspecified, initial

S129XXD encounter
Fracture of neck, unspecified, subsequent
S129XXS encounter
Fracture of neck, unspecified, sequela
656
872
656
S130XXA Traumatic rupture of cervical intervertebral

init rupture of cervical intervertebral
S130XXD disc,
Traumatic
subs rupture of cervical intervertebral
S130XXS disc,
Traumatic
sequelaof unspecified cervical
S13100A disc,
Subluxation
656
656
652
656
vertebrae, init encntr

Page 2748 of 6734

S13100D Subluxation of unspecified cervical
encntr
S13100S vertebrae,
Subluxationsubs
of unspecified
cervical
vertebrae,
sequela
S13101A Dislocation of unspecified cervical
656
652
656
encntr
S13101D vertebrae,
Dislocationinit
of unspecified
cervical
vertebrae,
subs
encntr
S13101S Dislocation of unspecified cervical
S13110A vertebrae,
Subluxationsequela
of C0/C1 cervical vertebrae,
656
652
656
encounter
S13110D initial
Subluxation
encntr of C0/C1 cervical vertebrae,
S13110S subs
Subluxation
S13111A sequela
Dislocation of C0/C1 cervical vertebrae,
656
652
656
encounter
S13111D initial
Dislocation
subs
encntr
S13111S Dislocation of C0/C1 cervical vertebrae,
S13120A sequela
Subluxation of C1/C2 cervical vertebrae,
656
652
656
encounter
S13120D initial
Subluxation
subs
encntr
S13120S Subluxation of C1/C2 cervical vertebrae,
S13121A sequela
656
652
656
encounter
S13121D initial
Dislocation
subs
encntr
S13130A sequela
656
652
656
encounter
S13130D initial
Subluxation
subs
encntr
S13131A sequela
656
652
656
encounter
S13131D initial
Dislocation
encntrof C2/C3 cervical vertebrae,
S13131S subs
Dislocation
S13140A sequela
656
652
656
encounter
S13140D initial
Subluxation
S13140S subs
Subluxation
S13141A sequela
656
652
656
encounter
S13141D initial
Dislocation
subs
encntr
sequela
656
652
Page 2749 of 6734

S13150A Subluxation of C4/C5 cervical vertebrae,
encounter
S13150D initial
Subluxation
subs
encntr
656
656
652
S13151A sequela
encounter
S13151D initial
Dislocation
subs
encntr
656
656
652
S13160A sequela
encounter
S13160D initial
Subluxation
subs
encntr
656
656
652
S13161A sequela
encounter
S13161D initial
Dislocation
encntrof C5/C6 cervical vertebrae,
S13161S subs
Dislocation
656
656
652
S13170A sequela
encounter
S13170D initial
Subluxation
S13170S subs
Subluxation
656
656
652
S13171A sequela
encounter
S13171D initial
Dislocation
subs
encntr
656
656
652
S13180A sequela
Subluxation of C7/T1 cervical vertebrae,
encounter
S13180D initial
Subluxation
of C7/T1 cervical vertebrae,
subs
encntr
S13180S Subluxation of C7/T1 cervical vertebrae,
656
656
652
S13181A sequela
Dislocation of C7/T1 cervical vertebrae,
encounter
S13181D initial
Dislocation
of C7/T1 cervical vertebrae,
subs
encntr
S13181S Dislocation of C7/T1 cervical vertebrae,
656
656
652
S1320XA sequela
Dislocation of unspecified parts of neck,
encounter
S1320XD initial
Dislocation
of unspecified parts of neck,
subs
encntr
S1320XS Dislocation of unspecified parts of neck,
S1329XA sequela
Dislocation of other parts of neck, initial
656
656
652
656
S1329XD encounter
Dislocation of other parts of neck,
656
Page 2750 of 6734

S1329XS Dislocation of other parts of neck, sequela
652
S134XXA Sprain of ligaments of cervical spine,

S134XXD initial
Sprainencounter
of ligaments of cervical spine,
encounter
S134XXS subsequent
Sprain of ligaments
of cervical spine,
sequela
S135XXA Sprain of thyroid region, initial encounter
656
656
661
661
S135XXD Sprain of thyroid region, subsequent

S135XXS encounter
Sprain of thyroid region, sequela
656
661
S138XXA Sprain of joints and ligaments of oth prt

encntrand ligaments of oth prt
S138XXD neck,
Spraininit
of joints
encntr
S138XXS neck,
Sprainsubs
of joints
and ligaments of oth parts
of
neck,
sequela
S139XXA Sprain of joints and ligaments of unsp
656
656
661
656
S139XXD parts
Sprainofofneck,
jointsinit
and ligaments of unsp
parts
of
neck,
subs
S139XXS Sprain of joints and ligaments of unsp
of neck,
sqla
S140XXA parts
Concussion
and
edema of cervical spinal
656
661
520
init encntr
S140XXD cord,
Concussion
and edema of cervical spinal
cord,
subs
encntr
S140XXS Concussion and edema of cervical spinal
S14101A cord,
Unsp sequela
injury at C1 level of cervical spinal
656
520
520
encntr
S14101D cord,
Unsp init
injury
at C1 level of cervical spinal
S14101S cord,
Unsp subs
injuryencntr
cord,
sequela
S14102A Unsp injury at C2 level of cervical spinal
encntr
S14102D cord,
Unsp init
injury
520
520
520
520
S14102S cord,
Unsp subs
injuryencntr
S14103A cord,
Unsp sequela
cord,
init
encntr
S14103D Unsp injury
cord,
subs
encntr
S14103S Unsp injury at C3 level of cervical spinal
520
520
520
520
S14104A cord,
Unsp sequela
cord,
init
encntr
S14104D Unsp injury
cord,
subs
encntr
S14105A cord,
Unsp sequela
520
520
520
520
cord, init encntr

Page 2751 of 6734

S14105D Unsp injury at C5 level of cervical spinal
S14105S cord,
Unsp subs
injuryencntr
cord,
sequela
encntr
S14106D cord,
Unsp init
injury
520
520
520
520
S14106S cord,
Unsp subs
injuryencntr
cord,
sequela
encntr
S14107D cord,
Unsp init
injury
S14107S cord,
Unsp subs
injuryencntr
520
520
520
520
S14108A cord,
Unsp sequela
cord,
init
encntr
S14108D Unsp injury
cord,
subs
encntr
S14109A cord,
Unsp sequela
injury at unsp level of cervical spinal
520
520
520
520
S14109D cord,
Unsp init
injury at unsp level of cervical spinal
cord,
subs
S14109S Unsp injury at unsp level of cervical spinal
sequela
S14111A cord,
Complete
lesion at C1 level of cervical
520
520
520
cord,
init at C1 level of cervical
S14111D spinal
Complete
lesion
cord,
subsat C1 level of cervical
S14111S spinal
Complete
lesion
cord,
sequela
S14112A spinal
Complete
lesion
at C2 level of cervical
cord,
S14112D spinal
Complete
lesion
520
520
520
520
cord,
S14112S spinal
Complete
lesion
cord,
sequela
S14113A spinal
Complete
lesion
spinal
cord,
init
S14113D Complete lesion at C3 level of cervical
cord,
S14113S spinal
Complete
lesion
520
520
520
520
cord,
sequela
S14114A spinal
Complete
lesion
spinal
cord,
init
S14114D Complete lesion at C4 level of cervical
cord,
S14114S spinal
Complete
lesion
cord,
sequela
S14115A spinal
Complete
lesion
520
520
520
520
cord,
S14115D spinal
Complete
lesion
cord,
S14115S spinal
Complete
lesion
spinal cord, sequela
520
520
Page 2752 of 6734

S14116A Complete lesion at C6 level of cervical
cord,
S14116D spinal
Complete
lesion
cord,
S14116S spinal
Complete
lesion
cord,
sequela
S14117A spinal
Complete
lesion
520
520
520
520
cord,
S14117D spinal
Complete
lesion
cord,
S14117S spinal
Complete
lesion
cord,
sequela
S14118A spinal
Complete
lesion
cord,
S14118D spinal
Complete
lesion
520
520
520
520
cord,
S14118S spinal
Complete
lesion
cord,
sequela
S14119A spinal
Complete
lesion
at unsp level of cervical
spinal
cord,
init
S14119D Complete lesion at unsp level of cervical
520
520
520
cord,
subsat unsp level of cerv
S14119S spinal
Complete
lesion
S14121A spinal
Centralcord,
cordsequela
syndrome at C1, init
520
520
S14121D Central cord syndrome at C1, subs
520
S14121S Central cord syndrome at C1, sequela
520
S14122A Central cord syndrome at C2, init
520
520
520
520
520
520
520
520
520
520
520
520
520
520
Page 2753 of 6734

520
520
520
520
520
520
520
S14129A Central cord synd at unsp level of cerv

S14129D spinal
Centralcord,
cordinit
synd at unsp level of cerv
spinal
cord,
subs
S14129S Central cord synd at unsp level of cerv
cord,
S14131A spinal
Anterior
cordsequela
520
520
520
520
S14131D Anterior cord syndrome at C1, subs
520
S14131S Anterior cord syndrome at C1, sequela
520
S14132A Anterior cord syndrome at C2, init
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
Page 2754 of 6734

520
520
520
520
520
S14139A Ant cord syndrome at unsp level of cerv

cord,
init
S14139D spinal
Ant cord
syndrome
at unsp level of cerv
cord,
subs at unsp level of cerv
S14139S spinal
Ant cord
syndrome
cord, sequela
S14141A spinal
Brown-Sequard
520
520
520
520
S14141D Brown-Sequard syndrome at C1, subs
520
S14141S Brown-Sequard syndrome at C1, sequela
520
S14142A Brown-Sequard syndrome at C2, init
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
Page 2755 of 6734

520
520
520
S14149A Brown-Sequard synd at unsp level of cerv

cord, init synd at unsp level of cerv
S14149D spinal
Brown-Sequard
cord, subssynd at unsp level of cerv
S14149S spinal
Brown-Sequard
cord, sqlalesion at C1, init
S14151A spinal
Oth incomplete
520
520
520
520
S14151D Oth incomplete lesion at C1, subs
520
S14151S Oth incomplete lesion at C1, sequela
520
S14152A Oth incomplete lesion at C2, init
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
520
Page 2756 of 6734

520
S14159A Oth incmpl lesion at unsp level of cerv

cord,lesion
init at unsp level of cerv
S14159D spinal
Oth incmpl
cord,lesion
subs at unsp level of cerv
S14159S spinal
Oth incmpl
cord,
sequela
S142XXA spinal
Injury of
nerve
root of cervical spine, initial
520
520
520
527
S142XXD encounter
Injury of nerve root of cervical spine,
encounter
S142XXS subsequent
Injury of nerve
root of cervical spine,
S143XXA sequela
Injury of brachial plexus, initial encounter
520
525
527
S143XXD Injury of brachial plexus, subsequent

S143XXS encounter
Injury of brachial plexus, sequela
527
525
S144XXA Injury of peripheral nerves of neck, initial

S144XXD encounter
Injury of peripheral nerves of neck,
encounter
S144XXS subsequent
Injury of peripheral
nerves of neck,
sequela
S145XXA Injury of cervical sympathetic nerves,
527
527
525
527
S145XXD initial
Injury encounter
of cervical sympathetic nerves,
subsequent
encounter
S145XXS Injury of cervical
sympathetic nerves,
sequela
S148XXA Injury of other specified nerves of neck,
527
525
527
S148XXD initial
Injury encounter
of other specified nerves of neck,
S148XXS subs
Injuryencntr
of other specified nerves of neck,
sequela
S149XXA Injury of unspecified nerves of neck, initial
527
525
527
S149XXD encounter
Injury of unspecified nerves of neck,
encounter
S149XXS subsequent
Injury of unspecified
nerves of neck,
S15001A sequela
Unspecified injury of right carotid artery,
527
525
524
encntr injury of right carotid artery,

S15001D init
Unspecified
encntr injury of right carotid artery,
S15001S subs
Unspecified
S15002A sequela
Unspecified injury of left carotid artery,
encounter
S15002D initial
Unspecified
injury of left carotid artery,
593
596
524
593
encntr injury of left carotid artery,

S15002S subs
Unspecified
S15009A sequela
Unsp injury of unspecified carotid artery,
init encntr
596
593
Page 2757 of 6734

S15009D Unsp injury of unspecified carotid artery,
encntr injury of unspecified carotid
S15009S subs
Unspecified
593
596
sequela of right carotid artery,

S15011A artery,
Minor laceration
S15011D initial
Minor encounter
laceration of right carotid artery,
subs
encntr
S15011S Minor laceration of right carotid artery,
S15012A sequela
Minor laceration of left carotid artery,
524
593
596
524
S15012D initial
Minor encounter
laceration of left carotid artery, subs
S15012S encntr
Minor laceration of left carotid artery,
S15019A sequela
Minor laceration of unspecified carotid
593
596
524
init encntrof unspecified carotid

S15019D artery,
Minor laceration
subs encntr
S15019S artery,
Minor laceration
of unspecified carotid
sequela of right carotid artery,
S15021A artery,
Major laceration
593
596
524
S15021D initial
Major encounter
laceration of right carotid artery,
subs
encntr
S15021S Major laceration of right carotid artery,
S15022A sequela
Major laceration of left carotid artery,
593
596
524
S15022D initial
Major encounter
laceration of left carotid artery, subs
encntr
S15022S Major laceration of left carotid artery,
S15029A sequela
Major laceration of unspecified carotid
593
596
524
init encntrof unspecified carotid

S15029D artery,
Major laceration
subs encntr
S15029S artery,
Major laceration
of unspecified carotid
artery,
sequela
S15091A Other specified injury of right carotid
593
596
524
init encntr
S15091D artery,
Other specified
injury of right carotid
subs encntr
S15091S artery,
Other specified
injury of right carotid
artery,
sequela
S15092A Other specified injury of left carotid artery,
593
596
524
encntr
S15092D init
Other
specified injury of left carotid artery,
S15092S subs
Otherencntr
specified injury of left carotid artery,
sequela
S15099A Oth injury of unspecified carotid artery,
593
596
524
S15099D init
Oth encntr
injury of unspecified carotid artery,
subs
encntr
S15099S Oth injury
of unspecified carotid artery,
sequela
593
596
Page 2758 of 6734

S15101A Unspecified injury of right vertebral artery,
encntr injury of right vertebral artery,
S15101D init
Unspecified
encntr injury of right vertebral artery,
S15101S subs
Unspecified
S15102A sequela
Unspecified injury of left vertebral artery,
524
593
596
524
encntr injury of left vertebral artery,

S15102D init
Unspecified
encntr injury of left vertebral artery,
S15102S subs
Unspecified
S15109A sequela
Unsp injury of unspecified vertebral artery,
593
596
524
encntr
S15109D init
Unsp
injury of unspecified vertebral artery,
subs
encntr
S15109S Unspecified injury of unspecified vertebral
593
596
sequela of right vertebral artery,

S15111A artery,
Minor laceration
encntr
S15111D init
Minor
laceration of right vertebral artery,
S15111S subs
Minorencntr
sequela
S15112A Minor laceration of left vertebral artery,
524
593
596
524
S15112D initial
Minor encounter
laceration of left vertebral artery,
S15112S subs
Minorencntr
sequela
S15119A Minor laceration of unsp vertebral artery,
593
596
524
encntr
S15119D init
Minor
laceration of unsp vertebral artery,
subs
encntr
S15119S Minor laceration of unspecified vertebral
sequela of right vertebral artery,
S15121A artery,
Major laceration
593
596
524
encntr
S15121D init
Major
subs
encntr
S15121S Major laceration of right vertebral artery,
S15122A sequela
Major laceration of left vertebral artery,
593
596
524
S15122D initial
Major encounter
subs
encntr
S15122S Major laceration of left vertebral artery,
S15129A sequela
Major laceration of unsp vertebral artery,
593
596
524
encntr
S15129D init
Major
laceration of unsp vertebral artery,
subs
encntr
S15129S Major laceration of unspecified vertebral
sequela
S15191A artery,
Oth injury
of right vertebral artery, init
593
596
524
S15191D encntr
Oth injury of right vertebral artery, subs
encntr
593
Page 2759 of 6734

S15191S Other specified injury of right vertebral
sequela injury of left vertebral
S15192A artery,
Other specified
init encntr
S15192D artery,
Other specified
injury of left vertebral
subs encntr
S15192S artery,
Other specified
injury of left vertebral
596
524
593
596
sequela
S15199A artery,
Oth injury
of unspecified vertebral artery,
init
encntr
S15199D Oth injury of unspecified vertebral artery,
encntr
S15199S subs
Oth injury
of unspecified vertebral artery,
524
593
596
S15201A sequela
Unsp injury of right external jugular vein,
encntr
S15201D init
Unsp
injury of right external jugular vein,
subs
encntr
S15201S Unspecified injury of right external jugular
524
593
596
S15202A vein,
Unsp sequela
injury of left external jugular vein,
encntr
S15202D init
Unsp
injury of left external jugular vein,
subs
encntr
S15202S Unspecified injury of left external jugular
524
593
596
S15209A vein,
Unsp sequela
injury of unsp external jugular vein,
encntr
S15209D init
Unsp
injury of unsp external jugular vein,
subs
encntr
S15209S Unsp injury of unspecified external jugular
524
593
596
S15211A vein,
Minorsequela
laceration of right external jugular
vein,
init
encntr of right external jugular
S15211D Minor laceration
encntrof right external jugular
S15211S vein,
Minorsubs
laceration
S15212A vein,
Minorsequela
laceration of left external jugular
524
593
596
524
encntr of left external jugular

S15212D vein,
Minorinit
laceration
encntrof left external jugular
S15212S vein,
Minorsubs
laceration
S15219A vein,
Minorsequela
laceration of unsp external jugular
593
596
524
encntr of unsp external jugular

S15219D vein,
Minorinit
laceration
encntrof unsp external jugular
S15219S vein,
Minorsubs
laceration
S15221A vein,
Majorsequela
laceration of right external jugular
593
596
524
encntr of right external jugular

S15221D vein,
Majorinit
laceration
encntrof right external jugular
S15221S vein,
Majorsubs
laceration
S15222A vein,
Majorsequela
laceration of left external jugular
593
596
524
vein, init encntr

Page 2760 of 6734

S15222D Major laceration of left external jugular
encntrof left external jugular
S15222S vein,
Majorsubs
laceration
S15229A vein,
Majorsequela
laceration of unsp external jugular
593
596
524
encntr of unsp external jugular

S15229D vein,
Majorinit
laceration
encntrof unsp external jugular
S15229S vein,
Majorsubs
laceration
sequela
S15291A vein,
Oth injury
of right external jugular vein,
593
596
524
S15291D init
Oth encntr
injury of right external jugular vein,
encntr
S15291S subs
Oth injury
of right external jugular vein,
sequela
S15292A Oth injury of left external jugular vein, init
593
596
524
S15292D encntr
Oth injury of left external jugular vein,
encntr
S15292S subs
Oth injury
of left external jugular vein,
S15299A sequela
Oth injury of unspecified external jugular
593
596
524
init encntr
S15299D vein,
Oth injury
of unspecified external jugular
vein,
subs
encntr
S15299S Oth injury of
unspecified external jugular
S15301A vein,
Unsp sequela
injury of right internal jugular vein,
593
596
524
encntr
S15301D init
Unsp
injury of right internal jugular vein,
subs
encntr
S15301S Unspecified injury of right internal jugular
S15302A vein,
Unsp sequela
injury of left internal jugular vein, init
593
596
524
S15302D encntr
Unsp injury of left internal jugular vein,
encntr injury of left internal jugular
S15302S subs
Unspecified
593
596
S15309A vein,
Unsp sequela
injury of unsp internal jugular vein,
init
encntr
S15309D Unsp injury of unsp internal jugular vein,
S15309S subs
Unsp encntr
injury of unspecified internal jugular
524
593
596
S15311A vein,
Minorsequela
laceration of right internal jugular
vein,
init
encntr of right internal jugular
S15311D Minor laceration
encntrof right internal jugular
S15311S vein,
Minorsubs
laceration
S15312A vein,
Minorsequela
laceration of left internal jugular
524
593
596
524
encntr of left internal jugular

S15312D vein,
Minorinit
laceration
encntrof left internal jugular
S15312S vein,
Minorsubs
laceration
vein, sequela
593
596
Page 2761 of 6734

S15319A Minor laceration of unsp internal jugular
encntr of unsp internal jugular
S15319D vein,
Minorinit
laceration
encntrof unsp internal jugular
S15319S vein,
Minorsubs
laceration
S15321A vein,
Majorsequela
laceration of right internal jugular
524
593
596
524
encntr of right internal jugular

S15321D vein,
Majorinit
laceration
encntrof right internal jugular
S15321S vein,
Majorsubs
laceration
S15322A vein,
Majorsequela
laceration of left internal jugular
593
596
524
encntr of left internal jugular

S15322D vein,
Majorinit
laceration
encntrof left internal jugular
S15322S vein,
Majorsubs
laceration
S15329A vein,
Majorsequela
laceration of unsp internal jugular
593
596
524
encntr of unsp internal jugular

S15329D vein,
Majorinit
laceration
encntrof unsp internal jugular
S15329S vein,
Majorsubs
laceration
sequela
S15391A vein,
Oth injury
of right internal jugular vein, init
593
596
524
S15391D encntr
Oth injury of right internal jugular vein,
encntr
S15391S subs
Oth injury
of right internal jugular vein,
sequela
S15392A Oth injury of left internal jugular vein, init
593
596
524
S15392D encntr
Oth injury of left internal jugular vein, subs
S15392S encntr
Oth injury of left internal jugular vein,
S15399A sequela
Oth injury of unspecified internal jugular
593
596
524
init encntr
S15399D vein,
Oth injury
of unspecified internal jugular
vein,
subs
encntr
S15399S Oth injury of
unspecified internal jugular
vein,
sequela
S158XXA Injury of oth blood vessels at neck level,
593
596
593
encntr
S158XXD init
Injury
of oth blood vessels at neck level,
subs
encntr
S158XXS Injury of oth blood vessels at neck level,
S159XXA sequela
Injury of unsp blood vessel at neck level,
593
596
593
encntr
S159XXD init
Injury
of unsp blood vessel at neck level,
subs
encntr
S159XXS Injury of unspecified blood vessel at neck
593
596
S161XXA level,
Strain sequela
of muscle, fascia and tendon at
neck
level,
init fascia and tendon at
S161XXD Strain of muscle,
neck level, subs
656
656
Page 2762 of 6734

S161XXS Strain of muscle, fascia and tendon at
level, of
sequela
S162XXA neck
Laceration
muscle, fascia and tendon at
neck
level,
init
S162XXD Laceration of muscle, fascia and tendon at
661
674
656
level, of
subs
S162XXS neck
Laceration
musc/fasc/tend at neck level,
sequela
S168XXA Inj muscle, fascia and tendon at neck
674
565
init encntr
S168XXD level,
Inj muscle,
fascia and tendon at neck
level,
subs
encntr
S168XXS Inj muscle, fascia and tendon at neck
sequela
S169XXA level,
Unsp injury
of muscle, fascia and tendon
656
853
565
neck
level,
S169XXD at
Unsp
injury
of init
muscle, fascia and tendon
at
neck
level,
subs
S169XXS Unsp injury of musc/fasc/tend at neck
sequela
S170XXA level,
Crushing
injury of larynx and trachea,
656
853
565
encounter
S170XXD initial
Crushing
injury of larynx and trachea,
subsequent
encounter
S170XXS Crushing injury
of larynx and trachea,
sequela
S178XXA Crushing injury of oth parts of neck, init
577
674
565
S178XXD encntr
Crushing injury of oth parts of neck, subs
S178XXS encntr
Crushing injury of other specified parts of
sequela
S179XXA neck,
Crushing
injury of neck, part unspecified,
initial
encounter
S179XXD Crushing injury of neck, part unspecified,
565
674
565
565
encntr
S179XXS subs
Crushing
injury of neck, part unspecified,
sequela
S1980XA Oth injuries of unspecified part of neck,
674
565
S1980XD init
Oth encntr
injuries of unspecified part of neck,
subs
encntr of unspecified part of neck,
S1980XS Oth injuries
S1981XA sequela
Other specified injuries of larynx, initial
565
853
565
S1981XD encounter
Other specified injuries of larynx,
encounter
S1981XS subsequent
Other specified
injuries of larynx, sequela
577
853
S1982XA Other specified injuries of cervical trachea,

encntr
S1982XD init
Other
specified injuries of cervical trachea,
subs
encntr
S1982XS Other specified injuries of cervical trachea,
S1983XA sequela
Other specified injuries of vocal cord,
565
577
853
565
initial encounter
Page 2763 of 6734

S1983XD Other specified injuries of vocal cord,
encounter
S1983XS subsequent
Other specified
injuries of vocal cord,
sequela
S1984XA Other specified injuries of thyroid gland,
577
853
565
S1984XD initial
Other encounter
specified injuries of thyroid gland,
subs
encntr
S1984XS Other specified injuries of thyroid gland,
S1985XA sequela
Oth injuries of pharynx and cervical
693
853
565
encntr and cervical

S1985XD esophagus,
Oth injuries init
of pharynx
encntrand cervical
S1985XS esophagus,
Oth injuries subs
of pharynx
S1989XA esophagus,
Oth injuries sequela
init
encntr
S1989XD Oth injuries of other specified part of neck,
565
853
565
565
encntr of other specified part of neck,

S1989XS subs
Oth injuries
S199XXA sequela
Unspecified injury of neck, initial
S199XXD encounter
Unspecified injury of neck, subsequent
853
565
565
S199XXS encounter
Unspecified injury of neck, sequela
853
S2000XA Contusion of breast, unspecified breast,

encounter
S2000XD initial
Contusion
of breast, unspecified breast,
subs
encntr
S2000XS Contusion of breast, unspecified breast,
674
674
674
S2001XA sequela
Contusion of right breast, initial encounter
674
S2001XD Contusion of right breast, subsequent

S2001XS encounter
Contusion of right breast, sequela
674
674
S2002XA Contusion of left breast, initial encounter
674
S2002XD Contusion of left breast, subsequent

S2002XS encounter
Contusion of left breast, sequela
674
674
S20101A Unsp superficial injuries of breast, right

init
S20101D breast,
Unsp superficial
injuries of breast, right
subs
S20101S breast,
Unsp superficial
injuries of breast, right
breast,
sequela
S20102A Unsp superficial injuries of breast, left
674
674
674
674
init
S20102D breast,
Unsp superficial
injuries of breast, left
breast,
subs
S20102S Unsp superficial injuries of breast, left
breast, sequela
674
674
Page 2764 of 6734

S20109A Unsp superficial injuries of breast, unsp
init
S20109D breast,
Unsp superficial
injuries of breast, unsp
breast,
subs
S20109S Unsp superficial injuries of breast, unsp
sequela
S20111A breast,
Abrasion
of breast, right breast, initial
674
674
674
674
S20111D encounter
Abrasion of breast, right breast,
encounter
S20111S subsequent
Abrasion of breast,
right breast, sequela
674
674
S20112A Abrasion of breast, left breast, initial

S20112D encounter
Abrasion of breast, left breast, subsequent
S20112S encounter
Abrasion of breast, left breast, sequela
674
674
674
S20119A Abrasion of breast, unspecified breast,

encounter
S20119D initial
Abrasion
of breast, unspecified breast,
encounter
S20119S subsequent
Abrasion of breast,
unspecified breast,
674
674
674
S20121A sequela
Blister (nonthermal) of breast, right breast,
encntr
S20121D init
Blister
(nonthermal) of breast, right breast,
encntr
S20121S subs
Blister
(nonthermal) of breast, right breast,
sequela
S20122A Blister (nonthermal) of breast, left breast,
675
674
674
675
encntr
S20122D init
Blister
(nonthermal) of breast, left breast,
subs
encntr
S20122S Blister (nonthermal) of breast, left breast,
S20129A sequela
Blister (nonthermal) of breast, unsp
init encntr of breast, unsp
S20129D breast,
674
674
675
674
subs encntr of breast, unspecified

S20129S breast,
S20141A breast,
Externalsequela
constriction of part of breast,
breast,
init
S20141D right
External
constriction
of part of breast,
674
674
674
breast,
subs of part of breast, right
S20141S right
External
constrict
S20142A breast,
Externalsequela
constriction of part of breast, left
S20142D breast,
Externalinit
constriction of part of breast, left
674
674
674
S20142S breast,
Externalsubs
constrict of part of breast, left
breast,
sequela
S20149A External constriction of part of breast,
breast,
init
S20149D unsp
External
constriction
of part of breast,
674
674
674
unsp breast, subs

Page 2765 of 6734

S20149S External constrict of part of breast, unsp
sequela
S20151A breast,
Superficial
foreign body of breast, right
674
674
init foreign body of breast, right

S20151D breast,
Superficial
subs
S20151S breast,
Superficial
foreign body of breast, right
breast,
sequela
S20152A Superficial foreign body of breast, left
init foreign
encntr body of breast, left
S20152D breast,
Superficial
674
674
674
674
subs
encntrbody of breast, left
S20152S breast,
Superficial
foreign
sequela
S20159A breast,
Superficial
foreign body of breast, unsp
breast,
init
encntr body of breast, unsp
S20159D Superficial foreign
subs
encntrbody of breast, unsp
S20159S breast,
Superficial
foreign
674
674
674
674
sequela
S20161A breast,
Insect bite
(nonvenomous) of breast, right
init (nonvenomous) of breast, right
S20161D breast,
Insect bite
subs
S20161S breast,
Insect bite
(nonvenomous) of breast, right
breast,
sequela
S20162A Insect bite (nonvenomous) of breast, left
675
674
674
675
init (nonvenomous) of breast, left

S20162D breast,
Insect bite
subs
S20162S breast,
Insect bite
(nonvenomous) of breast, left
breast,
sequela
S20169A Insect bite (nonvenomous) of breast, unsp
init (nonvenomous) of breast, unsp
S20169D breast,
Insect bite
674
674
675
674
subs
S20169S breast,
Insect bite
(nonvenomous) of breast, unsp
breast,
sequela
S20171A Other superficial bite of breast, right
674
674
init encntrbite of breast, right

S20171D breast,
Other superficial
subs encntr
S20171S breast,
Other superficial
bite of breast, right
sequela bite of breast, left breast,
S20172A breast,
Other superficial
encntr
S20172D init
Other
superficial bite of breast, left breast,
674
674
674
674
S20172S subs
Otherencntr
superficial bite of breast, left breast,
S20179A sequela
Other superficial bite of breast, unsp
init encntrbite of breast, unsp
S20179D breast,
Other superficial
subs encntr
S20179S breast,
Other superficial
bite of breast, unsp
674
674
674
674
sequela
S2020XA breast,
Contusion
of thorax, unspecified, initial
encounter
674
Page 2766 of 6734

S2020XD Contusion of thorax, unspecified,
S2020XS subsequent
thorax, unspecified, sequela
674
674
S20211A Contusion of right front wall of thorax,

encounter
S20211D initial
Contusion
of right front wall of thorax,
subs
encntr
S20211S Contusion of right front wall of thorax,
S20212A sequela
Contusion of left front wall of thorax, initial
674
674
674
674
S20212D encounter
Contusion of left front wall of thorax,
S20212S subsequent
left front wall of thorax,
sequela
S20219A Contusion of unspecified front wall of
674
674
674
initof
encntr
S20219D thorax,
Contusion
unspecified front wall of
thorax,
subs
encntr
S20219S Contusion of unspecified front wall of
sequela
S20221A thorax,
Contusion
of right back wall of thorax,
674
674
674
encounter
S20221D initial
Contusion
of right back wall of thorax,
subsequent
S20221S Contusion ofencounter
right back wall of thorax,
S20222A sequela
Contusion of left back wall of thorax, initial
674
674
674
S20222D encounter
Contusion of left back wall of thorax,
S20222S subsequent
left back wall of thorax,
sequela
S20229A Contusion of unspecified back wall of
674
674
674
initof
encntr
S20229D thorax,
Contusion
unspecified back wall of
thorax,
subs
encntr
S20229S Contusion of unspecified back wall of
sequela injuries of r frnt wl of
S20301A thorax,
Unsp superficial
674
674
674
init
S20301D thorax,
Unsp superficial
injuries of r frnt wl of
subs
S20301S thorax,
Unsp superficial
injuries of r frnt wl of
thorax,
sequela
S20302A Unsp superficial injuries of left front wall of
init
S20302D thorax,
Unsp superficial
injuries of left front wall of
subs
S20302S thorax,
Unsp superficial
injuries of l frnt wl of
674
674
674
674
674
sequela injuries of unsp front wall

S20309A thorax,
Unsp superficial
thorax,
init
S20309D of
Unsp
superficial
injuries of unsp front wall
of
thorax,
subs
S20309S Unsp superfic injuries of unsp front wall of
674
674
674
thorax, sequela
Page 2767 of 6734

S20311A Abrasion of right front wall of thorax, initial
S20311D encounter
Abrasion of right front wall of thorax,
encounter
S20311S subsequent
Abrasion of right
front wall of thorax,
S20312A sequela
Abrasion of left front wall of thorax, initial
674
674
674
674
S20312D encounter
Abrasion of left front wall of thorax,
encounter
S20312S subsequent
Abrasion of left
front wall of thorax,
sequela
S20319A Abrasion of unspecified front wall of
674
674
674
S20319D thorax,
Abrasioninit
of encntr
unspecified front wall of
thorax,
subs
encntr
S20319S Abrasion of unspecified
front wall of
thorax,
sequela
S20321A Blister (nonthermal) of right front wall of
init
S20321D thorax,
of right front wall of
674
674
675
674
subs
S20321S thorax,
of right front wall of
thorax,
sequela
S20322A Blister (nonthermal) of left front wall of
init
S20322D thorax,
of left front wall of
674
675
674
subs
S20322S thorax,
of left front wall of
thorax,
sequela
S20329A Blister (nonthermal) of unsp front wall of
init
S20329D thorax,
of unsp front wall of
674
675
674
subs
S20329S thorax,
of unsp front wall of
S20341A thorax,
Externalsequela
constriction of right front wall of
thorax,
init
S20341D External constriction of right front wall of
674
674
674
S20341S thorax,
Externalsubs
constriction of right front wall of
thorax,
sequela
S20342A External constriction of left front wall of
S20342D thorax,
Externalinit
constriction of left front wall of
674
674
674
S20342S thorax,
Externalsubs
constriction of left front wall of
thorax,
sequela
S20349A External constriction of unsp front wall of
S20349D thorax,
Externalinit
constriction of unsp front wall of
674
674
674
S20349S thorax,
Externalsubs
constriction of unsp front wall of
thorax,
sequela
S20351A Superficial foreign body of right front wall
thorax, init
S20351D of
Superficial
foreign body of right front wall
674
674
674
of thorax, subs
Page 2768 of 6734

S20351S Superficial foreign body of r frnt wl of
sequela
S20352A thorax,
Superficial
foreign body of left front wall of
thorax,
init
S20352D Superficial foreign body of left front wall of
subs
S20352S thorax,
Superficial
foreign body of l frnt wl of
674
674
674
674
sequela
S20359A thorax,
Superficial
foreign body of unsp front wall
of
thorax,
init
S20359D Superficial foreign body of unsp front wall
thorax, subs
S20359S of
Superficial
fb of unsp front wall of thorax,
674
674
674
S20361A sequela
Insect bite (nonvenomous) of r frnt wl of
init (nonvenomous) of r frnt wl of
S20361D thorax,
Insect bite
subs
S20361S thorax,
Insect bite
(nonvenomous) of r frnt wl of
thorax,
sequela
S20362A Insect bite (nonvenomous) of left front
675
674
674
675
of bite
thorax,
init
S20362D wall
Insect
(nonvenomous)
of left front
wall
of
thorax,
subs
S20362S Insect bite (nonvenomous) of l frnt wl of
sequela
S20369A thorax,
Insect bite
(nonvenomous) of unsp front
674
674
675
of bite
thorax,
init
S20369D wall
Insect
(nonvenomous)
of unsp front
wall
of
thorax,
subs
S20369S Insect bite of unsp front wall of thorax,
674
674
S20371A sequela
Oth superficial bite of right front wall of
init
S20371D thorax,
Oth superficial
bite of right front wall of
subs bite of right front wall of
S20371S thorax,
Oth superficial
sequelabite of left front wall of
S20372A thorax,
Oth superficial
674
674
674
674
init
S20372D thorax,
Oth superficial
bite of left front wall of
thorax,
subs
S20372S Other superficial bite of left front wall of
sequelabite of unsp front wall of
S20379A thorax,
Oth superficial
674
674
674
init
S20379D thorax,
Oth superficial
bite of unsp front wall of
thorax,
subs
S20379S Other superficial bite of unsp front wall of
sequela injuries of right back wall
S20401A thorax,
Unsp superficial
674
674
674
thorax,
init
S20401D of
Unsp
superficial
injuries of right back wall
of
thorax,
subs
S20401S Unsp superficial injuries of r bk wl of
sequela injuries of left back wall of
S20402A thorax,
Unsp superficial
thorax, init
674
674
674
Page 2769 of 6734

S20402D Unsp superficial injuries of left back wall of
subs
S20402S thorax,
Unsp superficial
injuries of l bk wl of
thorax,
sequela
S20409A Unsp superficial injuries of unsp back wall
thorax,
init
S20409D of
Unsp
superficial
injuries of unsp back wall
674
674
674
674
thorax,
subsinjuries of unsp back wall of
S20409S of
Unsp
superfic
S20411A thorax,
Abrasionsequela
of right back wall of thorax, initial
encounter
S20411D Abrasion of right back wall of thorax,
674
674
674
encounter
S20411S subsequent
Abrasion of right
back wall of thorax,
sequela
S20412A Abrasion of left back wall of thorax, initial
674
674
S20412D encounter
Abrasion of left back wall of thorax,
encounter
S20412S subsequent
Abrasion of left
back wall of thorax,
S20419A sequela
Abrasion of unspecified back wall of
674
674
674
S20419D thorax,
Abrasioninit
of encntr
unspecified back wall of
thorax,
subs
encntr
S20419S Abrasion of unspecified
back wall of
sequela
S20421A thorax,
of right back wall of
thorax,
init
S20421D Blister (nonthermal) of right back wall of
674
674
675
674
subs
S20421S thorax,
of right back wall of
thorax,
sequela
S20422A Blister (nonthermal) of left back wall of
init
S20422D thorax,
of left back wall of
674
675
674
subs
S20422S thorax,
of left back wall of
thorax,
sequela
S20429A Blister (nonthermal) of unsp back wall of
init
S20429D thorax,
of unsp back wall of
674
675
674
subs
S20429S thorax,
of unsp back wall of
thorax,
sequela
S20441A External constriction of right back wall of
674
674
S20441D thorax,
Externalinit
constriction of right back wall of
S20441S thorax,
Externalsubs
constriction of right back wall of
thorax,
sequela
S20442A External constriction of left back wall of
674
674
674
S20442D thorax,
Externalinit
constriction of left back wall of
thorax,
subs
S20442S External constriction of left back wall of
thorax, sequela
674
674
Page 2770 of 6734

S20449A External constriction of unsp back wall of
S20449D thorax,
Externalinit
constriction of unsp back wall of
thorax,
subs
S20449S External constriction of unsp back wall of
sequela
S20451A thorax,
Superficial
foreign body of right back wall
674
674
674
674
thorax, init
S20451D of
Superficial
foreign body of right back wall
of
thorax,
subs
S20451S Superficial foreign body of r bk wl of
sequela
S20452A thorax,
Superficial
foreign body of left back wall of
init foreign body of left back wall of
S20452D thorax,
Superficial
674
674
674
674
subs
S20452S thorax,
Superficial
foreign body of l bk wl of
thorax,
sequela
S20459A Superficial foreign body of unsp back wall
thorax, init
S20459D of
Superficial
foreign body of unsp back wall
thorax, subs
S20459S of
Superficial
fb of unsp back wall of thorax,
674
674
674
674
S20461A sequela
Insect bite (nonvenomous) of right back
of bite
thorax,
init
S20461D wall
Insect
(nonvenomous)
of right back
of bite
thorax,
subs
S20461S wall
Insect
(nonvenomous)
of r bk wl of
675
674
674
sequela
S20462A thorax,
Insect bite
(nonvenomous) of left back
wall
of
thorax,
init
S20462D Insect bite (nonvenomous)
of left back
wall
of
thorax,
subs
S20462S Insect bite (nonvenomous) of l bk wl of
675
674
674
sequela
S20469A thorax,
Insect bite
(nonvenomous) of unsp back
wall
of
thorax,
init
S20469D Insect bite (nonvenomous)
of unsp back
wall
of
thorax,
subs
S20469S Insect bite of unsp back wall of thorax,
675
674
674
S20471A sequela
Oth superficial bite of right back wall of
init
S20471D thorax,
Oth superficial
bite of right back wall of
thorax,
subs
S20471S Other superficial bite of right back wall of
674
674
674
sequelabite of left back wall of

S20472A thorax,
Oth superficial
init
S20472D thorax,
Oth superficial
bite of left back wall of
thorax,
subs
S20472S Other superficial bite of left back wall of
674
674
674
sequelabite of unsp back wall of

S20479A thorax,
Oth superficial
init
S20479D thorax,
Oth superficial
bite of unsp back wall of
thorax, subs
674
674
Page 2771 of 6734

S20479S Other superficial bite of unsp back wall of
sequela injury of unsp parts of
S2090XA thorax,
Unsp superficial
674
674
init encntr
S2090XD thorax,
Unsp superficial
injury of unsp parts of
subs encntr
S2090XS thorax,
Unsp superficial
injury of unsp parts of
thorax,
sequela
S2091XA Abrasion of unspecified parts of thorax,
674
674
674
encounter
S2091XD initial
Abrasion
of unspecified parts of thorax,
subs
encntr
S2091XS Abrasion of unspecified parts of thorax,
S2092XA sequela
Blister (nonthermal) of unsp parts of
674
674
675
init encntr of unsp parts of

S2092XD thorax,
subs encntr of unspecified parts of
S2092XS thorax,
S2094XA thorax,
Externalsequela
constriction of unsp parts of
674
674
674
encntr
S2094XD thorax,
Externalinit
constriction
of unsp parts of
thorax,
subs
encntr
S2094XS External constriction of unsp parts of
sequela
S2095XA thorax,
Superficial
foreign body of unsp parts of
init foreign body of unsp parts of
S2095XD thorax,
Superficial
674
674
674
674
subs
S2095XS thorax,
Superficial
foreign body of unsp parts of
thorax,
sequela
S2096XA Insect bite (nonvenomous) of unsp parts of
init (nonvenomous) of unsp parts of
S2096XD thorax,
Insect bite
674
675
674
subs
S2096XS thorax,
Insect bite
(nonvenomous) of unsp parts of
thorax,
sequela
S2097XA Other superficial bite of unsp parts of
674
674
init encntrbite of unsp parts of

S2097XD thorax,
Other superficial
subs encntr
S2097XS thorax,
Other superficial
bite of unsp parts of
sequela
S21001A thorax,
Unspecified
open wound of right breast,
674
674
674
encounter
S21001D initial
Unspecified
open wound of right breast,
subsequent
encounter
S21001S Unspecified open wound of right breast,
S21002A sequela
Unspecified open wound of left breast,
674
674
674
encounter
S21002D initial
Unspecified
open wound of left breast,
subsequent
encounter
S21002S Unspecified open wound of left breast,
S21009A sequela
Unspecified open wound of unspecified
674
674
674
breast, init encntr

Page 2772 of 6734

S21009D Unspecified open wound of unspecified
subs open
encntr
S21009S breast,
Unspecified
wound of unspecified
breast,
sequela
S21011A Laceration without foreign body of right
674
674
674
init without
encntr foreign body of right
S21011D breast,
Laceration
subs
encntrforeign body of right
S21011S breast,
Laceration
without
sequela
S21012A breast,
Laceration
without foreign body of left
breast,
init
encntr foreign body of left
S21012D Laceration without
674
674
674
674
subs
encntrforeign body of left
S21012S breast,
Laceration
without
sequela
S21019A breast,
Laceration
without foreign body of unsp
breast,
init
encntr foreign body of unsp
S21019D Laceration without
subs
encntrforeign body of unsp
S21019S breast,
Laceration
without
674
674
674
674
sequela
S21021A breast,
Laceration
with foreign body of right
breast,
init
encntr
S21021D Laceration with
foreign body of right
breast,
subs
encntr
S21021S Laceration with foreign body of right
sequela
S21022A breast,
Laceration
with foreign body of left breast,
674
674
674
674
encntr with foreign body of left breast,

S21022D init
Laceration
encntrwith foreign body of left breast,
S21022S subs
Laceration
S21029A sequela
Laceration with foreign body of unsp
init with
encntr
S21029D breast,
Laceration
foreign body of unsp
674
674
674
674
subs
encntr
S21029S breast,
Laceration
with
foreign body of
unspecified
breast,
S21031A Puncture wound w/osequela
foreign body of right
breast,
init
encntr
S21031D Puncture wound w/o foreign body of right
subs
encntr
S21031S breast,
Puncture
wound
674
674
674
674
breast,
sequela
S21032A right
Puncture
wound
w/o foreign body of left
breast,
init
encntr
S21032D Puncture wound w/o foreign body of left
subs
encntr
S21032S breast,
Puncture
wound
674
674
674
breast,
sequela
S21039A left
Puncture
wound
w/o foreign body of unsp
breast,
init
encntr
S21039D Puncture wound w/o foreign body of unsp
subs
encntr
S21039S breast,
Puncture
wound
674
674
674
unsp breast, sequela

Page 2773 of 6734

S21041A Puncture wound w foreign body of right
init
encntr
S21041D breast,
Puncture
wound
w foreign body of right
breast,
subs
encntr
S21041S Puncture wound with foreign body of right
674
674
674
sequela
S21042A breast,
Puncture
breast,
init
encntr
S21042D Puncture wound
with foreign body of left
breast,
subs
encntr
S21042S Puncture wound with foreign body of left
sequela
S21049A breast,
Puncture
wound with foreign body of unsp
674
674
674
674
init
encntr
S21049D breast,
Puncture
wound
with foreign body of unsp
breast,
subs
encntr
S21049S Puncture wound with foreign body of unsp
sequela
S21051A breast,
Open bite
of right breast, initial encounter
674
674
674
S21051D Open bite of right breast, subsequent

S21051S encounter
Open bite of right breast, sequela
674
674
S21052A Open bite of left breast, initial encounter
674
S21052D Open bite of left breast, subsequent

S21052S encounter
Open bite of left breast, sequela
674
674
S21059A Open bite of unspecified breast, initial

S21059D encounter
Open bite of unspecified breast,
S21059S subsequent
Open bite ofencounter
unspecified breast, sequela
674
674
674
S21101A Unsp opn wnd r frnt wl of thorax w/o penet

initr frnt wl of thorax w/o penet
S21101D thor
Unspcavity,
opn wnd
subs
S21101S thor
Unspcavity,
opn wnd
r frnt wl of thorax w/o penet
thor
cavity,
sqla
S21102A Unsp opn wnd l frnt wl of thorax w/o penet
674
674
674
674
initl frnt wl of thorax w/o penet

S21102D thor
Unspcavity,
opn wnd
subs
S21102S thor
Unspcavity,
opn wnd
l frnt wl of thorax w/o penet
thor
cavity,
sqla
S21109A Unsp opn wnd unsp frnt wall of thrx w/o
674
674
674
thorwnd
cav,unsp
init frnt wall of thrx w/o
S21109D penet
Unsp opn
thorwnd
cav,unsp
subsfrnt wall of thrx w/o
S21109S penet
Unsp opn
thor
cav,
sqlawl of thorax w/o penet
S21111A penet
Lac w/o
fb of
r frnt
674
674
674
cav,fbinit
S21111D thor
Lac w/o
of r frnt wl of thorax w/o penet
thor cav, subs
674
Page 2774 of 6734

S21111S Lac w/o fb of r frnt wl of thorax w/o penet
cav,fbsqla
S21112A thor
Lac w/o
of l frnt wl of thorax w/o penet
674
674
cav,fbinit
S21112D thor
Lac w/o
cav,fbsubs
S21112S thor
Lac w/o
thor
cav,
sqla
S21119A Lac w/o fb of unsp frnt wl of thrx w/o penet
674
674
674
cav,fbinit
S21119D thor
Lac w/o
of unsp frnt wl of thrx w/o penet
thor
cav,
subs
S21119S Lac w/o fb of unsp frnt wl of thrx w/o penet
sqla
S21121A thor
Lac wcav,
fb of
674
674
674
S21121D thor
Lac wcavity,
fb of rinit
frnt wl of thorax w/o penet
thor
cavity,
subs
S21121S Lac w fb of r frnt wl of thorax w/o penet
S21122A thor
Lac wcavity,
fb of lsqla
674
674
674
S21122D thor
Lac wcavity,
fb of linit
thor
cavity,
subs
S21122S Lac w fb of l frnt wl of thorax w/o penet
sqla front wall of thrx w/o
S21129A thor
Lac wcavity,
fb of unsp
674
674
674
thor
S21129D penet
Lac w fb
of cav,
unspinit
front wall of thrx w/o
penet
thor
cav,
subs
S21129S Lac w fb of unsp front wall of thrx w/o
thorfbcav,
S21131A penet
Pnctr w/o
of rsqla
674
674
674
S21131D thor
Pnctrcav,
w/o init
fb of r frnt wl of thorax w/o penet
S21131S thor
Pnctrcav,
w/o subs
fb of r frnt wl of thorax w/o penet
thor
cav,
sqla
S21132A Pnctr w/o fb of l frnt wl of thorax w/o penet
674
674
674
S21132D thor
Pnctrcav,
w/o init
fb of l frnt wl of thorax w/o penet
thor
cav,
subs
S21132S Pnctr w/o fb of l frnt wl of thorax w/o penet
S21139A thor
Pnctrcav,
w/o sqla
fb of unsp frnt wl of thrx w/o
674
674
674
thorfbcav,init
S21139D penet
Pnctr w/o
of unsp frnt wl of thrx w/o
penet
thor
cav,subs
S21139S Pnctr w/o fb of unsp frnt wl of thrx w/o
cav,sqla
S21141A penet
Pnctr wthor
fb of
674
674
674
S21141D thor
Pnctrcav,
w fbinit
thor
cav,
subs
S21141S Pnctr w fb of r frnt wl of thorax w/o penet
S21142A thor
Pnctrcav,
w fbsqla
674
674
674
thor cav, init

Page 2775 of 6734

S21142D Pnctr w fb of l frnt wl of thorax w/o penet
S21142S thor
Pnctrcav,
w fbsubs
thor
cav,
sqla
S21149A Pnctr w fb of unsp frnt wl of thrx w/o penet
674
674
674
S21149D thor
Pnctrcav,
w fbinit
of unsp frnt wl of thrx w/o penet
thor
cav,
subs
S21149S Pnctr w fb of unsp frnt wl of thrx w/o penet
S21151A thor
Opencav,
bitesqla
674
674
674
S21151D thor
Opencavity,
bite ofinit
S21151S thor
Opencavity,
bite ofsubs
thor
cavity,
sqla
S21152A Open bite of l frnt wl of thorax w/o penet
674
674
674
S21152D thor
Opencavity,
bite ofinit
l frnt wl of thorax w/o penet
thor
cavity,
subs
S21152S Open bite of l frnt wl of thorax w/o penet
S21159A thor
Opencavity,
bite ofsqla
unsp frnt wall of thrx w/o
674
674
674
thorof
cav,
initfrnt wall of thrx w/o
S21159D penet
Open bite
unsp
thorof
cav,
subs
S21159S penet
Open bite
unsp
frnt wall of thrx w/o
thorwnd
cav,r sqla
S21201A penet
Unsp opn
bk wl of thorax w/o penet
674
674
674
initr bk wl of thorax w/o penet

S21201D thor
Unspcavity,
opn wnd
subs
S21201S thor
Unspcavity,
opn wnd
r bk wl of thorax w/o penet
thor
cavity,
sqla
S21202A Unsp opn wnd l bk wl of thorax w/o penet
674
674
674
initl bk wl of thorax w/o penet

S21202D thor
Unspcavity,
opn wnd
subs
S21202S thor
Unspcavity,
opn wnd
l bk wl of thorax w/o penet
thor
cavity,
sqla
S21209A Unsp opn wnd unsp bk wl of thorax w/o
674
674
674
thorwnd
cav,unsp
init bk wl of thorax w/o
S21209D penet
Unsp opn
thorwnd
cav,unsp
subsbk wl of thorax w/o
S21209S penet
Unsp opn
thor
cav,
sqla
S21211A penet
Lac w/o
fb of
r bk
wl of thorax w/o penet
674
674
674
cavity,
S21211D thor
Lac w/o
fb ofinit
cavity,
S21211S thor
Lac w/o
fb ofsubs
thor
cavity,
sqla
S21212A Lac w/o fb of l bk wl of thorax w/o penet
674
674
674
cavity,
S21212D thor
Lac w/o
fb ofinit
thor
cavity,
subs
S21212S Lac w/o fb of l bk wl of thorax w/o penet
thor cavity, sqla
674
674
Page 2776 of 6734

S21219A Lac w/o fb of unsp bk wl of thorax w/o
thor
cav,
initbk wl of thorax w/o
S21219D penet
Lac w/o
fb of
unsp
thor
cav,
subs
S21219S penet
Lac w/o
fb of
unsp
bk wl of thorax w/o
thor
S21221A penet
Lac w fb
of cav,
r bk sqla
wl of thorax w/o penet thor
cavity,
init
S21221D Lac w fb of r bk wl of thorax w/o penet thor
674
674
674
674
674
subs
S21221S cavity,
Lac w fb
of r bk wl of thorax w/o penet thor
cavity,
sequela
S21222A Lac w fb of l bk wl of thorax w/o penet thor
init
S21222D cavity,
Lac w fb
of l bk wl of thorax w/o penet thor
674
674
674
subs
S21222S cavity,
Lac w fb
of l bk wl of thorax w/o penet thor
cavity,
sequela
S21229A Lac w fb of unsp bk wl of thorax w/o penet
init bk wl of thorax w/o penet
S21229D thor
Lac wcavity,
fb of unsp
674
674
674
subs bk wl of thorax w/o penet

S21229S thor
Lac wcavity,
fb of unsp
S21231A thor
Pnctrcavity,
w/o fb sqla
of r bk wl of thorax w/o penet
674
674
S21231D thor
Pnctrcav,
w/o init
fb of r bk wl of thorax w/o penet
S21231S thor
Pnctrcav,
w/o subs
fb of r bk wl of thorax w/o penet
thor
cav,
sqla
S21232A Pnctr w/o fb of l bk wl of thorax w/o penet
674
674
674
S21232D thor
Pnctrcav,
w/o init
fb of l bk wl of thorax w/o penet
thor
cav,
subs
S21232S Pnctr w/o fb of l bk wl of thorax w/o penet
S21239A thor
Pnctrcav,
w/o sqla
fb of unsp bk wl of thrx w/o
674
674
674
thorfbcav,
init bk wl of thrx w/o
S21239D penet
Pnctr w/o
of unsp
thorfbcav,
subsbk wl of thrx w/o
S21239S penet
Pnctr w/o
of unsp
cav,
sqla
S21241A penet
Pnctr wthor
fb of
r bk
674
674
674
S21241D thor
Pnctrcavity,
w fb ofinit
thor
cavity,
subs
S21241S Pnctr w fb of r bk wl of thorax w/o penet
S21242A thor
Pnctrcavity,
w fb ofsqla
674
674
674
S21242D thor
Pnctrcavity,
w fb ofinit
thor
cavity,
subs
S21242S Pnctr w fb of l bk wl of thorax w/o penet
S21249A thor
Pnctrcavity,
w fb ofsqla
unsp bk wl of thorax w/o
674
674
674
cav,
S21249D penet
Pnctr wthor
fb of
unsp
penet thor cav, subs
674
Page 2777 of 6734

S21249S Pnctr w fb of unsp bk wl of thorax w/o
thorof
cav,
sqla
S21251A penet
Open bite
r bk
674
674
S21251D thor
Opencavity,
bite ofinit
S21251S thor
Opencavity,
bite ofsubs
thor
cavity,
sqla
S21252A Open bite of l bk wl of thorax w/o penet
674
674
674
S21252D thor
Opencavity,
bite ofinit
thor
cavity,
subs
S21252S Open bite of l bk wl of thorax w/o penet
S21259A thor
Opencavity,
bite ofsqla
unsp bk wl of thorax w/o
674
674
674
thorof
cav,
S21259D penet
Open bite
unsp
thorof
cav,
subs
S21259S penet
Open bite
unsp
bk wl of thorax w/o
penet
thor
cav,
sqla
S21301A Unsp opn wnd r frnt wl of thorax w penet
674
674
593
initr frnt wl of thorax w penet

S21301D thor
Unspcavity,
opn wnd
subs
S21301S thor
Unspcavity,
opn wnd
r frnt wl of thorax w penet
thor
cavity,
sqla
S21302A Unsp opn wnd l frnt wl of thorax w penet
674
674
593
initl frnt wl of thorax w penet

S21302D thor
Unspcavity,
opn wnd
subs
S21302S thor
Unspcavity,
opn wnd
l frnt wl of thorax w penet
thor
cavity,
sqla
S21309A Unsp opn wnd unsp front wall of thrx w
674
674
593
thorwnd
cav,unsp
init front wall of thrx w
S21309D penet
Unsp opn
thorwnd
cav,unsp
subsfront wall of thrx w
S21309S penet
Unsp opn
thor
cav,
sqlawl of thorax w penet
S21311A penet
Lac w/o
fb of
r frnt
674
674
593
cavity,
S21311D thor
Lac w/o
fb ofinit
thor
cavity,
subs
S21311S Lac w/o fb of r frnt wl of thorax w penet
cavity,
S21312A thor
Lac w/o
fb ofsqla
674
674
593
cavity,
S21312D thor
Lac w/o
fb ofinit
thor
cavity,
subs
S21312S Lac w/o fb of l frnt wl of thorax w penet
cavity,
S21319A thor
Lac w/o
fb ofsqla
unsp front wall of thrx w
674
674
593
thor
cav,
initfront wall of thrx w
S21319D penet
Lac w/o
fb of
unsp
thor
cav,
subs
S21319S penet
Lac w/o
fb of
unsp
front wall of thrx w
penet
thor
cav,
sqla
S21321A Lac w fb of r frnt wl of thorax w penet thor
cavity, init
674
674
593
Page 2778 of 6734

S21321D Lac w fb of r frnt wl of thorax w penet thor
subs
S21321S cavity,
Lac w fb
of r frnt wl of thorax w penet thor
cavity,
sequela
S21322A Lac w fb of l frnt wl of thorax w penet thor
674
674
593
init
S21322D cavity,
Lac w fb
of l frnt wl of thorax w penet thor
cavity,
subs
S21322S Lac w fb of l frnt wl of thorax w penet thor
sequela
S21329A cavity,
Lac w fb
of unsp front wall of thorax w
674
674
593
thor
S21329D penet
Lac w fb
of cav,
unspinit
front wall of thorax w
thor
S21329S penet
Lac w fb
of cav,
unspsubs
front wall of thorax w
penet
thor
cav,
sqla
S21331A Pnctr w/o fb of r frnt wl of thorax w penet
674
674
593
S21331D thor
Pnctrcav,
w/o init
fb of r frnt wl of thorax w penet
thor
cav,
subs
S21331S Pnctr w/o fb of r frnt wl of thorax w penet
S21332A thor
Pnctrcav,
w/o sqla
fb of l frnt wl of thorax w penet
674
674
593
S21332D thor
Pnctrcav,
w/o init
fb of l frnt wl of thorax w penet
thor
cav,
subs
S21332S Pnctr w/o fb of l frnt wl of thorax w penet
S21339A thor
Pnctrcav,
w/o sqla
fb of unsp frnt wl of thrx w penet
674
674
593
S21339D thor
Pnctrcav,
w/o init
fb of unsp frnt wl of thrx w penet
thor
cav,
subs
S21339S Pnctr w/o fb of unsp frnt wl of thrx w penet
S21341A thor
Pnctrcav,
w fbsqla
of r frnt wl of thorax w penet
674
674
593
S21341D thor
Pnctrcavity,
w fb ofinit
thor
cavity,
subs
S21341S Pnctr w fb of r frnt wl of thorax w penet
S21342A thor
Pnctrcavity,
w fb ofsqla
674
674
593
S21342D thor
Pnctrcavity,
w fb ofinit
S21342S thor
Pnctrcavity,
w fb ofsubs
thor
cavity,
sqla
S21349A Pnctr w fb of unsp front wall of thrx w
674
674
593
cav,
initfront wall of thrx w
S21349D penet
Pnctr wthor
fb of
unsp
cav,
subs
S21349S penet
Pnctr wthor
fb of
unsp
front wall of thrx w
penet
thor
cav,
sqla
S21351A Open bite of r frnt wl of thorax w penet
674
674
CONTUSION,

New York Medicaid APG Crosswalk

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New York Medicaid APG Crosswalk

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EAPG Listing (version 3.

SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION

LEVEL I SKIN INCISION AND DRAINAGE

LEVEL II SKIN INCISION AND DRAINAGE

LEVEL I SKIN DEBRIDEMENT AND DESTRUCTION

LEVEL II SKIN DEBRIDEMENT AND DESTRUCTION

LEVEL III SKIN DEBRIDEMENT AND DESTRUCTION

LEVEL I EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE

LEVEL II EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE

LEVEL III EXCISION AND BIOPSY OF SKIN AND SOFT TISSUE

LEVEL I SKIN REPAIR

LEVEL II SKIN REPAIR

LEVEL III SKIN REPAIR

LEVEL IV SKIN REPAIR

LEVEL I BREAST PROCEDURES

LEVEL II BREAST PROCEDURES

LEVEL III BREAST PROCEDURES

LEVEL I MUSCULOSKELETAL PROCEDURES EXCLUDING HAND

LEVEL II HAND PROCEDURES

LEVEL I FOOT PROCEDURES

LEVEL II FOOT PROCEDURES

Copyright 3M Health Information Systems, 2016

EAPG Listing (version 3.11)

SPLINT, STRAPPING AND CAST REMOVAL

CLOSED TREATMENT FX & DISLOCATION OF FINGER, TOE &

BONE OR JOINT MANIPULATION UNDER ANESTHESIA

HAND AND FOOT TENOTOMY

ARTHROCENTESIS AND LIGAMENT OR TENDON INJECTION

NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND

LEVEL II ENDOSCOPY OF THE UPPER AIRWAY

ENDOSCOPY OF THE LOWER AIRWAY

VENTILATION ASSISTANCE AND MANAGEMENT

EXERCISE TOLERANCE TESTS

CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING

PLACEMENT OF TRANSVENOUS CATHETERS

DIAGNOSTIC CARDIAC CATHETERIZATION

PERIPHERAL TRANSCATHETER AND REVASCULARIZATION

REMOVAL AND REVISION OF PACEMAKER AND VASCULAR DEVICE

LEVEL I CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR DE

LEVEL II CARDIOTHORACIC PROCEDURES W OR W/O VASCULAR

VASCULAR LIGATION AND RECONSTRUCTION

ATRIAL AND VENTRICULAR RECORDING AND PACING

PHARMACOTHERAPY BY EXTENDED INFUSION

PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION

Copyright 3M Health Information Systems, 2016

EAPG Listing (version 3.11)

LEVEL I BLOOD AND BLOOD PRODUCT EXCHANGE

LEVEL II BLOOD AND BLOOD PRODUCT EXCHANGE

DEEP LYMPH STRUCTURE AND THYROID PROCEDURES

ALIMENTARY TESTS AND SIMPLE TUBE PLACEMENT

ESOPHAGEAL DILATION WITHOUT ENDOSCOPY

ANOSCOPY WITH BIOPSY AND DIAGNOSTIC

DIAGNOSTIC UPPER GI ENDOSCOPY OR INTUBATION

THERAPEUTIC UPPER GI ENDOSCOPY OR INTUBATION

DIAGNOSTIC LOWER GASTROINTESTINAL ENDOSCOPY

ERCP AND MISCELLANEOUS GI ENDOSCOPY PROCEDURES

LEVEL I HERNIA REPAIR

LEVEL II HERNIA REPAIR

LEVEL I ANAL AND RECTAL PROCEDURES

LEVEL II ANAL AND RECTAL PROCEDURES

LEVEL I GASTROINTESTINAL PROCEDURES

LEVEL II GASTROINTESTINAL PROCEDURES

LEVEL III LAPAROSCOPY