ICD-10 Code Description Medical Review Period A1854 Tuberculous iridocyclitis 2 A507 Late congenital syphilis, unspecified 5 B20 Human

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1 ICD-10 Code Description Medical Review Period A1854 Tuberculous iridocyclitis 2 A507 Late congenital syphilis, unspecified 5 B20 Human immunodeficiency virus [HIV] disease 5 B259 Cytomegaloviral disease, unspecified 5 B393 Disseminated histoplasmosis capsulati 2 B399 Histoplasmosis, unspecified 2 B900 Sequelae of central nervous system tuberculosis 5 B902 Sequelae of tuberculosis of bones and joints 3 B909 Sequelae of respiratory and unspecified tuberculosis 3 B91 Sequelae of poliomyelitis 5 B941 Sequelae of viral encephalitis 5 B942 Sequelae of viral hepatitis 2 B948 Sequelae of other specified infectious and parasitic diseases 2 C029 Malignant neoplasm of tongue, unspecified 5 C039 Malignant neoplasm of gum, unspecified 5 C051 Malignant neoplasm of soft palate 5 C080 Malignant neoplasm of submandibular gland 5 C089 Malignant neoplasm of major salivary gland, unspecified 5 C118 Malignant neoplasm of overlapping sites of nasopharynx 5 C119 Malignant neoplasm of nasopharynx, unspecified 5 C169 Malignant neoplasm of stomach, unspecified 5 C179 Malignant neoplasm of small intestine, unspecified 5 C188 Malignant neoplasm of overlapping sites of colon 5 C189 Malignant neoplasm of colon, unspecified 5 C19 Malignant neoplasm of rectosigmoid junction 5 C210 Malignant neoplasm of anus, unspecified 5 C220 Liver cell carcinoma 5 C222 Hepatoblastoma 5 C223 Angiosarcoma of liver 5 C224 Other sarcomas of liver 5 C227 Other specified carcinomas of liver 5 C228 Malignant neoplasm of liver, primary, unspecified as to type 5

2 C229 Malignant neoplasm of liver, not specified as primary or secondary 5 C249 Malignant neoplasm of biliary tract, unspecified 5 C252 Malignant neoplasm of tail of pancreas 5 C254 Malignant neoplasm of endocrine pancreas 5 C259 Malignant neoplasm of pancreas, unspecified 5 C300 Malignant neoplasm of nasal cavity 5 C319 Malignant neoplasm of acessory sinus, unspecified 5 C329 Malignant neoplasm of larynx, unspecified 5 C3490 Malignant neoplasm of unspecified part of unspecified bronchus or lung 5 C380 Malignant neoplasm of heart 5 C383 Malignant neoplasm of mediastinum, part unspecified 5 C384 Malignant neoplasm of pleura 5 C4010 Malignant neoplasm of short bones of unspecified upper limb 5 C4020 Malignant neoplasm of long bones of unspecified lower limb 5 C4030 Malignant neoplasm of short bones of unspecified lower limb 5 C4080 Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb 5 C410 Malignant neoplasm of bones of skull and face 5 C411 Malignant neoplasm of mandible 5 C412 Malignant neoplasm of vertebral column 5 C413 Malignant neoplasm of ribs, sternum and clavicle 5 C414 Malignant neoplasm of pelvic bones, sacrum and coccyx 5 C419 Malignant neoplasm of bone and articular cartilage, unspecified 5 C4370 Malignant melanoma of unspecified lower limb, including hip 5 C439 Malignant melanoma of skin, unspecified 5 C44201 Unspecified malignant neoplasm of skin of unspecified ear and external auricular canal 5 C44291 Other specified malignant neoplasm of skin of unspecified ear and external auricular canal 5 C44300 Unspecified malignant neoplasm of skin of unspecified part of face 5 C44301 Unspecified malignant neoplasm of skin of nose 5 C44309 Unspecified malignant neoplasm of skin of other parts of face 5 C44390 Other specified malignant neoplasm of skin of unspecified parts of face 5 C44391 Other specified malignant neoplasm of skin of nose 5 C44399 Other specified malignant neoplasm of skin of other parts of face 5 C4490 Unspecified malignant neoplasm of skin, unspecified 5 C4491 Basal cell carcinoma of skin, unspecified 5

3 C4492 Squamous cell carcinoma of skin, unspecified 5 C4499 Other specified malignant neoplasm of skin, unspecified 5 C457 Mesothelioma of other sites 5 C459 Mesothelioma, unspecified 2 C470 Malignant neoplasm of peripheral nerves of head, face and neck 5 C4710 Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder 5 C4720 Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip 5 C473 Malignant neoplasm of peripheral nerves of thorax 5 C474 Malignant neoplasm of peripheral nerves of abdomen 5 C475 Malignant neoplasm of peripheral nerves of pelvis 5 C476 Malignant neoplasm of peripheral nerves of trunk, unspecified 5 C478 Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system 5 C479 Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified 5 C480 Malignant neoplasm of retroperitoneum 5 C490 Malignant neoplasm of connective and soft tissue of head, face and neck 5 C4910 Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder 5 C4920 Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip 5 C493 Malignant neoplasm of connective and soft tissue of thorax 5 C494 Malignant neoplasm of connective and soft tissue of abdomen 5 C495 Malignant neoplasm of connective and soft tissue of pelvis 5 C496 Malignant neoplasm of connective and soft tissue of trunk, unspecified 5 C498 Malignant neoplasm of overlapping sites of connective and soft tissue 5 C499 Malignant neoplasm of connective and soft tissue, unspecified 5 C50919 Malignant neoplasm of unspecified site of unspecified female breast 5 C519 Malignant neoplasm of vulva, unspecified 5 C52 Malignant neoplasm of vagina 5 C538 Malignant neoplasm of overlapping sites of cervix uteri 5 C539 Malignant neoplasm of cervix uteri, unspecified 5 C569 Malignant neoplasm of unspecified ovary 5 C574 Malignant neoplasm of uterine adnexa, unspecified 5 C58 Malignant neoplasm of placenta 5 C6290 Malignant neoplasm of unspecified testis, unspecified whether descended or undescended 5 C639 Malignant neoplasm of male genital organ, unspecified 5 C649 Malignant neoplasm of unspecified kidney, except renal pelvis 5

4 C679 Malignant neoplasm of bladder, unspecified 5 C6920 Malignant neoplasm of unspecified retina 5 C6960 Malignant neoplasm of unspecified orbit 5 C6980 Malignant neoplasm of overlapping sites of unspecified eye and adnexa 5 C6990 Malignant neoplasm of unspecified site of unspecified eye 5 C701 Malignant neoplasm of spinal meninges 5 C710 Malignant neoplasm of cerebrum, except lobes and ventricles 5 C717 Malignant neoplasm of brain stem 5 C718 Malignant neoplasm of overlapping sites of brain 5 C719 Malignant neoplasm of brain, unspecified 5 C720 Malignant neoplasm of spinal cord 5 C7230 Malignant neoplasm of unspecified optic nerve 5 C7250 Malignant neoplasm of unspecified cranial nerve 5 C7259 Malignant neoplasm of other cranial nerves 5 C729 Malignant neoplasm of central nervous system, unspecified 5 C73 Malignant neoplasm of thyroid gland 5 C7400 Malignant neoplasm of cortex of unspecified adrenal gland 5 C7410 Malignant neoplasm of medulla of unspecified adrenal gland 5 C7490 Malignant neoplasm of unspecified part of unspecified adrenal gland 5 C751 Malignant neoplasm of pituitary gland 5 C752 Malignant neoplasm of craniopharyngeal duct 5 C753 Malignant neoplasm of pineal gland 5 C755 Malignant neoplasm of aortic body and other paraganglia 5 C760 Malignant neoplasm of head, face and neck 5 C761 Malignant neoplasm of thorax 5 C762 Malignant neoplasm of abdomen 5 C763 Malignant neoplasm of pelvis 5 C7640 Malignant neoplasm of unspecified upper limb 5 C7650 Malignant neoplasm of unspecified lower limb 5 C768 Malignant neoplasm of other specified ill-defined sites 5 C775 Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes 5 C778 Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions 5 C779 Secondary and unspecified malignant neoplasm of lymph node, unspecified 5 C7800 Secondary malignant neoplasm of unspecified lung 5

5 C787 Secondary malignant neoplasm of liver and intrahepatic bile duct 5 C7931 Secondary malignant neoplasm of brain 5 C7989 Secondary malignant neoplasm of other specified sites 5 C799 Secondary malignant neoplasm of unspecified site 5 C7A090 Malignant carcinoid tumor of the bronchus and lung 5 C7A095 Malignant carcinoid tumor of the midgut NOS 5 C800 Disseminated malignant neoplasm, unspecified 5 C801 Malignant (primary) neoplasm, unspecified 2 C8100 Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site 5 C8109 Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites 5 C8110 Nodular sclerosis classical Hodgkin lymphoma, unspecified site 5 C8121 Mixed cellularity classical Hodgkin lymphoma, lymph nodes of head, face, and neck 5 C8130 Lymphocyte depleted classical Hodgkin lymphoma, unspecified site USE C C8140 Lymphocyte-rich classical Hodgkin lymphoma, unspecified site 5 C8190 Hodgkin lymphoma, unspecified, unspecified site 5 C8200 Follicular lymphoma grade I, unspecified site 5 C8210 Follicular lymphoma grade II, unspecified site 5 C8220 Follicular lymphoma grade III, unspecified, unspecified site 5 C8230 Follicular lymphoma grade IIIa, unspecified site 5 C8240 Follicular lymphoma grade IIIb, unspecified site 5 C8250 Diffuse follicle center lymphoma, unspecified site 5 C8260 Cutaneous follicle center lymphoma, unspecified site 5 C8280 Other types of follicular lymphoma, unspecified site 5 C8290 Follicular lymphoma, unspecified, unspecified site 5 C8300 Small cell B-cell lymphoma, unspecified site 5 C8330 Diffuse large B-cell lymphoma, unspecified site 5 C8350 Lymphoblastic (diffuse) lymphoma, unspecified site 5 C8351 Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck 5 C8352 Lymphoblastic (diffuse) lymphoma, intrathoracic lymph nodes 5 C8370 Burkitt lymphoma, unspecified site 5 C8378 Burkitt lymphoma, lymph nodes of multiple sites 5 C8380 Other non-follicular lymphoma, unspecified site 5 C8390 Non-follicular (diffuse) lymphoma, unspecified, unspecified site 5 C8400 Mycosis fungoides, unspecified site 5

6 C8408 Mycosis fungoides, lymph nodes of multiple sites 5 C8410 Sezary disease, unspecified site 5 C8440 Peripheral T-cell lymphoma, not classified, unspecified site 5 C8448 Peripheral T-cell lymphoma, not classified, lymph nodes of multiple sites 5 C8460 Anaplastic large cell lymphoma, ALK-positive, unspecified site 5 C8470 Anaplastic large cell lymphoma, ALK-negative, unspecified site 5 C8490 Mature T/NK-cell lymphomas, unspecified, unspecified site 5 C84A0 Cutaneous T-cell lymphoma, unspecified, unspecified site 5 C84Z0 Other mature T/NK-cell lymphomas, unspecified site 5 C8510 Unspecified B-cell lymphoma, unspecified site 5 C8520 Mediastinal (thymic) large B-cell lymphoma, unspecified site 5 C8580 Other specified types of non-hodgkin lymphoma, unspecified site 5 C8590 Non-Hodgkin lymphoma, unspecified, unspecified site 5 C860 Extranodal NK/T-cell lymphoma, nasal type 5 C861 Hepatosplenic T-cell lymphoma 5 C862 Enteropathy-type (intestinal) T-cell lymphoma 5 C863 Subcutaneous panniculitis-like T-cell lymphoma 5 C864 Blastic NK-cell lymphoma 5 C865 Angioimmunoblastic T-cell lymphoma 5 C866 Primary cutaneous CD30-positive T-cell proliferations 5 C882 Heavy chain disease 5 C883 Immunoproliferative small intestinal disease 5 C884 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] 5 C888 Other malignant immunoproliferative diseases 2 C889 Malignant immunoproliferative disease, unspecified 5 C9000 Multiple myeloma not having achieved remission 5 C9001 Multiple myeloma in remission 5 C9002 Multiple myeloma in relapse 5 C9010 Plasma cell leukemia not having achieved remission 5 C9011 Plasma cell leukemia in remission 5 C9012 Plasma cell leukemia in relapse 5 C9020 Extramedullary plasmacytoma not having achieved remission 5 C9021 Extramedullary plasmacytoma in remission 5 C9022 Extramedullary plasmacytoma in relapse 5

7 C9030 Solitary plasmacytoma not having achieved remission 5 C9031 Solitary plasmacytoma in remission 5 C9032 Solitary plasmacytoma in relapse 5 C9100 Acute lymphoblastic leukemia not having achieved remission 5 C9101 Acute lymphoblastic leukemia, in remission 5 C9102 Acute lymphoblastic leukemia, in relapse 5 C9110 Chronic lymphocytic leukemia of B-cell type not having achieved remission 5 C9111 Chronic lymphocytic leukemia of B-cell type in remission 5 C9112 Chronic lymphocytic leukemia of B-cell type in relapse 5 C9130 Prolymphocytic leucemia of B-cell tympe not having achieved remission 5 C9131 Prolymphocytic leukemia of B-cell type, in remission 5 C9132 Prolymphocytic leukemia of B-cell type, in relapse 5 C9140 Hairy cell leukemia, not having achieved remission 5 C9141 Hairy cell leukemia, in remission 5 C9142 Hairy cell leukemia, in relapse 5 C9190 Lymphoid leukemia, unspecified not having achieved remission 5 C9191 Lymphoid leukemia, unspecified, in remission 5 C9192 Lymphoid leukemia, uspecified, in relapse 5 C91Z0 Other lymphoid leukemia not having achieved remission 5 C9200 Acute myeloblastic leukemia, not having achieved remission 5 C9201 Acute myeloblastic leukemia, in remission 5 C9202 Acute myeloblastic leukemia, in relapse 5 C9210 Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission 5 C9211 Chronic myeloid leukemia, BCR/ABL-positive, in remission 5 C9212 Chronic myeloid leukemia, BCR/ABL-positive in relapse 5 C9220 Atypical chronic myeloid leukemia BCR/ABL-negative, not having achieved remission 5 C9221 Atypical chronic myeloid leukemia BCR/ABL-negative, in remission 5 C9222 Atypical chronic myeloid leukemia BCR/ABL-negative, in relapse 5 C9230 Myeloid sarcoma, not having achieved remission 5 C9240 Acute promyelocytic leukemia, not having achieved remission 5 C9241 Acute promyelocytic leukemia, in remission 5 C9242 Acute promyelocytic leukemia, in relapse 5 C9250 Acute myelomonocytic leukemia, not having achieved remission 5 C9251 Acute myelomonocytic leukemia, in remission 5

8 C9252 Acute myelomonocytic leukemia, in relapse 5 C9260 Acute myeloid leukemia with 11q23-abnormality not having achieved remission 5 C9261 Acute myeloid leukemia with 11q23-abnormality in remission 5 C9262 Acute myeloid leukemia with 11q23-abnormality in relapse 5 C9290 Myeloid leukemia, unspecified, not having achieved remission 5 C9291 Myeloid leukemia, unspecified in remission 5 C9292 Myeloid leukemia, unspecified in relapse 5 C92A0 Acute myeloid leukemia with multilineage dysplasia, not having achieved remission 5 C92A1 Acute myeloid leukemia with multilineage dysplasia, in remission 5 C92A2 Acute myeloid leukemia with multilineage dysplasia, in relapse 5 C92Z0 Other myeloid leukemia not having achieved remission 5 C92Z1 Other myeloid leukemia, in remission 5 C9300 Acute monoblastic/monocytic leukemia, not having achieved remission 5 C9301 Acute monoblastic/monocytic leukemia, in remission 5 C9302 Acute monoblastic/monocytic leukemia, in relapse 5 C9390 Monocytic leukemia, unspecified, not having achieved remission 5 C9391 Monocytic leukemia, unspecified, in remission 5 C9392 Monocytic leukemia, unspecified, in relapse 5 C9400 Acute erythroid leukemia, not having achieved remission 5 C9401 Acute erythroid leukemia, in remission 5 C9402 Acute erythroid leukemia, in relapse 5 C9420 Acute megakaryoblastic leukemia not having achieved remission 5 C9421 Acute megakaryoblastic leukemia, in remission 5 C9422 Acute megakaryoblastic leukemia, in relapse 5 C9430 Mast cell leukemia not having achieved remission 5 C9431 Mast cell leukemia, in remission 5 C9432 Mast cell leukemia, in relapse 5 C9440 Acute panmyelosis with myelofibrosis not having achieved remission 2 C9441 Acute panmyelosis with myelofibrosis, in remission 2 C9442 Acute panmyelosis with myelofibrosis, in relapse 2 C946 Myelodysplastic disease, not classified 2 C9480 Other specified leukemias not having achieved remission 5 C9481 Other specified leukemias, in remission 5 C9482 Other specified leukemias, in relapse 5

9 C9500 Acute leukemia of unspecified cell type not having achieved remission 5 C9501 Acute leukemia of unspecified cell type, in remission 5 C9502 Acute leukemia of unspecified cell type, in relapse 5 C9510 Chronic leukemia of unspecified cell type, not having achieved remission 5 C9511 Chronic leukemia of unspecified cell type, in remission 5 C9512 Chronic leukemia of unspecified cell type, in relapse 5 C9590 Leukemia, unspecified not having achieved remission 5 C9591 Leukemia, unspecified, in remission 5 C9592 Leukemiaunspecified, in relapse 5 C960 Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis 5 C962 Malignant mast cell tumor 5 C964 Sarcoma of dendritic cells (accessory cells) 5 C965 Multifocal and unisystemic Langerhans-cell histiocytosis 3 C966 Unifocal Langerhans-cell histiocytosis 3 C969 Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified 5 C96A Histiocytic sarcoma 5 C96Z Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue 5 D0000 Carcinoma in situ of oral cavity, unspecified site 5 D019 Carcinoma in situ of digestive oragan, unspecified 5 D024 Carcinoma in situ of respiratory system, unspecified 5 D039 Melanoma in situ, unspecified 5 D049 Carcinoma in situ of skin, unspecified 5 D0590 Unspecified type of carcinoma in situ of unspecified breast 5 D0730 Carcinoma in situ of unspecified female genital organs 5 D0760 Carcinoma in situ of unspecified male genital organs 5 D099 Carcinoma in situ, unspecified 5 D1030 Benign neoplasm of unspecified part of mouth 2 D107 Benign neoplasm of the hypopharynx, unspecified 2 D109 Benign neoplasm of pharynx, unspecified 2 D119 Benign neoplasm of major salivary gland, unspecified 2 D126 Benign neoplasm of colon, unspecified 2 D1330 Benign neoplasm of unspecified part of small intestine 2 D139 Benign neoplasm of ill-defined sites within the digestive system 2 D140 Benign neoplasm of middle ear, nasal cavity and accessory sinuses 2

10 D141 Benign neoplasm of larynx 2 D142 Benign neoplasm of trachea 2 D144 Benign neoplasm of respiratory system, unspecified 2 D169 Benign neoplasm of bone and articular cartilage, unspecified 2 D1800 Hemangioma unspecified sites 2 D1801 Hemangioma of skin and subcutaneous tissue 2 D1802 Hemangioma of intracranial structures 2 D1803 Hemangioma of intra-abdominal structures 2 D1809 Hemangioma of other sites 2 D181 Lymphangioma, any site 2 D215 Benign neoplasm of connective and other soft tissue of pelvis 2 D219 Benign neoplasm of connective and other soft tissue, unspecified 2 D309 Benign neoplasm of urinary organ, unspecified 2 D3120 Benign neoplasm of unspecified retina 2 D3140 Benign neoplasm of unspecified ciliary body 2 D3160 Benign neoplasm of unspecified site of unspecified orbit 2 D3190 Benign neoplasm of unspecified part of unspecified eye 2 D320 Benign neoplasm of cerebral meninges 2 D321 Benign neoplasm of spinal meninges 2 D329 Benign neoplasm of meninges, unspecified 2 D330 Benign neoplasm of brain, supratentorial 2 D331 Benign neoplasm of brain, infratentorial 2 D332 Benign neoplasm of brain, unspecified 2 D333 Benign neoplasm of cranial nerves 2 D334 Benign neoplasm of spinal cord 2 D337 Benign neoplasm of other specified parts of central nervous system 2 D339 Benign neoplasm of central nervous system, unspecified 2 D3500 Benign neoplasm of unspecified adrenal gland 2 D352 Benign neoplasm of pituitary gland 2 D353 Benign neoplasm of craniopharyngeal duct 2 D354 Benign neoplasm of pineal gland 2 D359 Benign neoplasm of endocrine gland, unspecified 2 D3610 Benign neoplasm of peripheral nerves and autonomic nervous system, unspecified 2 D433 Neoplasm of uncertain behavior of cranial nerves 2

11 D438 Neoplasm of uncertain behavior of other specified parts of central nervous system 2 D439 Neoplasm of uncertain behavior of central nervous system, unspecified 2 D440 Neoplasm of uncertain behavior of thyroid gland 2 D4410 Neoplasm of uncertain behavior of unspecified adrenal gland 2 D442 Neoplasm of uncertain behavior of parathyroid gland 2 D443 Neoplasm of uncertain behavior of pituitary gland 3 D444 Neoplasm of uncertain behavior of craniopharyngeal duct 3 D445 Neoplasm of uncertain behavior of pineal gland 3 D446 Neoplasm of uncertain behavior of carotid body 2 D447 Neoplasm of uncertain behavior of aortic body and other paraganglia 2 D449 Neoplasm of uncertain behavior of unspecified endocrine gland 2 D45 Polycythemia vera 2 D469 Myelodysplastic syndrome, unspecified 2 D473 Essential (hemorrhagic) thrombocythemia 2 D47Z1 Post-transplant lymphoproliferative disorder (PTLD) 2 D47Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue 2 D481 Neoplasm of uncertain behavior of connective and other soft tissue 2 D487 Neoplasm of uncertain behavior of other specified sites 2 D489 Neoplasm of uncertain behavior, unspecified 1 D4989 Neoplasm of unspecified behavior of other specified sites 2 D499 Neoplasm of unspecified behavior of unspecified site 2 D519 Vitamin B12 deficiency anemia, unspecified 2 D550 Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency 3 D551 Anemia due to other disorders of glutathione metabolism 3 D558 Other anemias due to enzyme disorders 5 D559 Anemia due to enzyme disorder, unspecified 5 D560 Alpha thalassemia 5 D561 Beta thalassemia 5 D568 Other thalassemias 5 D571 Sickle-cell disease without crisis 5 D5720 Sickle-cell/Hb-C disease without crisis 5 D5740 Sickle-cell thalassemia without crisis 5 D57419 Sickle-cell thalassemia with crisis, unspecified 5 D5780 Other sickle-cell disorders without crisis 5

12 D580 Hereditary spherocytosis 3 D581 Hereditary elliptocytosis 3 D582 Other hemoglobinopathies 2 D590 Drug-induced autoimmune hemolytic anemia 2 D591 Other autoimmune hemolytic anemias 2 D593 Hemolytic-uremic syndrome 2 D594 Other nonautoimmune hemolytic anemias 2 D595 Paroxysmal nocturnal hemoglobinuria 2 D600 Chronic acquired pure red cell aplasia 5 D608 Other acquired pure red cell aplasias 5 D609 Acquired pure red cell aplasia, unspecified 5 D6101 Constitutional (pure) red blood cell aplasia 5 D6109 Other constitutional aplastic anemia 5 D611 Drug-induced aplastic anemia 5 D612 Aplastic anemia due to other external agents 5 D613 Idiopathic aplastic anemia 5 D61818 Other pancytopenia 5 D6189 Other specified aplastic anemias and other bone marrow failure syndromes 5 D619 Aplastic anemia, unspecified 2 D631 Anemia in chronic kidney disease 3 D643 Other sideroblastic anemias 3 D65 Disseminated intravascular coagulation [defibrination syndrome] 3 D66 Hereditary factor VIII deficiency 5 D67 Hereditary factor IX deficiency 5 D680 Von Willebrand's disease 5 D681 Hereditary factor XI deficiency 5 D682 Hereditary deficiency of other clotting factors 5 D6832 Hemorrhagic disorder due to extrinsic circulating anticoagulants 3 D684 Acquired coagulation factor deficiency 3 D6851 Activated protein C resistance 5 D6852 Prothrombin gene mutation 5 D6859 Other primary thrombophilia 5 D6861 Antiphospholipid syndrome 5 D6862 Lupus anticoagulant syndrome 5

13 D688 Other specified coagulation defects 3 D689 Coagulation defect, unspecified 3 D693 Immune thrombocytopenic purpura 2 D6941 Evans syndrome 2 D6942 Congenital and hereditary thrombocytopenia purpura 2 D6949 Other primary thrombocytopenia 2 D699 Hemorrhagic condition, unspecified 2 D700 Congenital agranulocytosis 2 D704 Cyclic neutropenia 2 D708 Other neutropenia 2 D709 Neutropenia, unspecified 2 D71 Functional disorders of polymorphonuclear neutrophils 3 D761 Hemophagocytic lymphohistiocytosis 2 D762 Hemophagocytic syndrome, infection associated 2 D800 Hereditary hypogammaglobulinemia 3 D801 Nonfamilial hypogammaglobulinemia 3 D802 Selective deficiency of immunoglobulin A [IgA] 3 D803 Selective deficiency of immunoglobulin G [IgG] subclasses 3 D804 Selective deficiency of immunoglobulin M [IgM] 3 D805 Immunodeficiency with increased immunoglobulin M [IgM] 3 D806 Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia 2 D807 Transient hypogammaglobulinemia of infancy 2 D808 Other immunodeficiencies with predominantly antibody defects 2 D809 Immunodeficiency with predominantly antibody defects, unspecified 2 D810 Severe combined immunodeficiency [SCID] with reticular dysgenesis 5 D811 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers 5 D812 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers 5 D813 Adenosine deaminase [ADA] deficiency 3 D815 Purine nucleoside phosphorylase [PNP] deficiency 3 D816 Major histocompatibility complex class I deficiency 5 D817 Major histocompatibility complex class II deficiency 5 D81810 Biotinidase deficiency 3 D8189 Other combined immunodeficiencies 5 D819 Combined immunodeficiency, unspecified 5

14 D820 Wiskott-Aldrich syndrome 5 D821 Di George's syndrome 5 D824 Hyperimmunoglobulin E syndrome 2 D830 Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function 3 D831 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders 2 D832 Common variable immunodeficiency with autoantibodies to B- or T-cells 3 D838 Other common variable immunodeficiencies 3 D839 Common variable immunodeficiency, unspecified 2 D848 Other specified immunodeficiencies 2 D849 Immunodeficiency, unspecified 2 D869 Sarcoidosis, unspecified 3 D89811 Chronic graft-versus-host disease 5 D89813 Graft-versus-host disease, unspecified 5 D8982 Autoimmune lymphoproliferative syndrome [ALPS] 2 D8989 Other specified disorders involving the immune mechanism, not elsewhere classified 2 D899 Disorder involving the immune mechanism, unspecified 2 E009 Congenital iodine-deficiency syndrome, unspecified 5 E030 Congenital hypothyroidism with diffuse goiter 5 E031 Congenital hypothyroidism without goiter 5 E039 Hypothyroidism, unspecified 3 E0510 Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm 3 E0520 Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm 3 E0590 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm 3 E063 Autoimmune thyroiditis 2 E0840 Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified 3 E0849 Diabetes mellitus due to underlying condition with other diabetic neurological complication 3 E08610 Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy 2 E088 Diabetes mellitus due to underlying condition with unspecified complications 2 E1021 Type 1 diabetes mellitus with diabetic nephropathy 5 E1022 Type 1 diabetes mellitus with diabetic chronic kidney disease 5 E1029 Type 1 diabetes mellitus with other diabetic kidney complication 5 E1039 Type 1 diabetes mellitus with other diabetic ophthalmic complication 5 E1040 Type 1 diabetes mellitus with diabetic neuropathy, unspecified 3 E1043 Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy 5

15 E1049 Type 1 diabetes mellitus with other diabetic neurological complication 3 E1059 Type 1 diabetes mellitus with other circulatory complications 5 E1069 Type 1 diabetes mellitus with other specified complication 5 E108 Type 1 diabetes mellitus with unspecified complications 2 E109 Type 1 diabetes mellitus without complications 5 E1140 Type 2 diabetes mellitus with diabetic neuropathy, unspecified 3 E118 Type 2 diabetes mellitus with unspecified complications 2 E161 Other hypoglycemia 2 E200 Idiopathic hypoparathyroidism 3 E201 Pseudohypoparathyroidism 3 E208 Other hypoparathyroidism 3 E209 Hypoparathyroidism, unspecified 3 E210 Primary hyperparathyroidism 5 E211 Secondary hyperparathyroidism, not elsewhere classified 2 E213 Hyperparathyroidism, unspecified 1 E215 Disorder of parathyroid gland, unspecified 2 E220 Acromegaly and pituitary gigantism 5 E221 Hyperprolactinemia 3 E228 Other hyperfunction of pituitary gland 3 E229 Hyperfunction of pituitary gland, unspecified 3 E230 Hypopituitarism 3 E232 Diabetes insipidus 5 E233 Hypothalamic dysfunction, not elsewhere classified 3 E236 Other disorders of pituitary gland 3 E237 Disorder of pituitary gland, unspecified 3 E240 Pituitary-dependent Cushing's disease 3 E248 Other Cushing's syndrome 3 E249 Cushing's syndrome, unspecified 3 E250 Congenital adrenogenital disorders associated with enzyme deficiency 5 E258 Other adrenogenital disorders 5 E259 Adrenogenital disorder, unspecified 5 E2609 Other primary hyperaldosteronism 3 E2681 Bartter's Syndrome 2 E269 Hyperaldosteronism, unspecified 3

16 E271 Primary adrenocortical insufficiency 3 E2740 Unspecified adrenocortical insufficiency 3 E2749 Other adrenocortical insufficiency 3 E275 Adrenomedullary hyperfunction 3 E2839 Other primary ovarian failure 3 E299 Testicular dysfunction, unspecified 3 E301 Precocious puberty 2 E309 Disorder of puberty, unspecified 3 E310 Autoimmune polyglandular failure 3 E311 Polyglandular hyperfunction 3 E3120 Multiple endocrine neoplasia [MEN] syndrome, unspecified 3 E3121 Multiple endocrine neoplasia [MEN] type I 3 E3122 Multiple endocrine neoplasia [MEN] type IIA 3 E3123 Multiple endocrine neoplasia [MEN] type IIB 3 E318 Other polyglandular dysfunction 3 E319 Polyglandular dysfunction, unspecified 3 E340 Carcinoid syndrome 3 E343 Short stature due to endocrine disorder 3 E3450 Androgen insensitivity syndrome, unspecified 2 E348 Other specified endocrine disorders 2 E349 Endocrine disorder, unspecified 3 E43 Unspecified severe protein-calorie malnutrition 2 E440 Moderate protein-calorie malnutrition 2 E46 Unspecified protein-calorie malnutrition 2 E618 Deficiency of other specified nutrient elements 3 E619 Deficiency of nutrient element, unspecified 1 E638 Other specified nutritional deficiencies 3 E639 Nutritional deficiency, unspecified 1 E640 Sequelae of protein-calorie malnutrition 2 E643 Sequelae of rickets 3 E648 Sequelae of other nutritional deficiencies 3 E649 Sequelae of unspecified nutritional deficiency 1 E662 Morbid (severe) obesity with alveolar hypoventilation 2 E700 Classical phenylketonuria 5

17 E701 Other hyperphenylalaninemias 5 E7020 Disorder of tyrosine metabolism, unspecified 5 E7021 Tyrosinemia 5 E7029 Other disorders of tyrosine metabolism 5 E7030 Albinism, unspecified 5 E70319 Ocular albinism, unspecified 5 E70329 Oculocutaneous albinism, unspecified 5 E7039 Other specified albinism 5 E705 Disorders of tryptophan metabolism 5 E708 Other disorders of aromatic amino-acid metabolism 5 E709 Disorder of aromatic amino-acid metabolism, unspecified 5 E710 Maple-syrup-urine disease 5 E71110 Isovaleric acidemia 5 E methylglutaconic aciduria 5 E71118 Other branched-chain organic acidurias 5 E71120 Methylmalonic acidemia 5 E71121 Propionic acidemia 5 E71128 Other disorders of propionate metabolism 5 E7119 Other disorders of branched-chain amino-acid metabolism 5 E712 Disorder of branched-chain amino-acid metabolism, unspecified 5 E7130 Disorder of fatty-acid metabolism, unspecified 3 E71310 Long chain/very long chain acyl CoA dehydrogenase deficiency 5 E71311 Medium chain acyl CoA dehydrogenase deficiency 5 E71312 Short chain acyl CoA dehydrogenase deficiency 5 E71313 Glutaric aciduria type II 5 E71314 Muscle carnitine palmitoyltransferase deficiency 5 E71318 Other disorders of fatty-acid oxidation 5 E7132 Disorders of ketone metabolism 5 E7139 Other disorders of fatty-acid metabolism 3 E7141 Primary carnitine deficiency 3 E7142 Carnitine deficiency due to inborn errors of metabolism 5 E7150 Peroxisomal disorder, unspecified 5 E71510 Zellweger syndrome 5 E71511 Neonatal adrenoleukodystrophy 5

18 E71518 Other disorders of peroxisome biogenesis 5 E71520 Childhood cerebral X-linked adrenoleukodystrophy 5 E71521 Adolescent X-linked adrenoleukodystrophy 5 E71522 Adrenomyeloneuropathy 5 E71528 Other X-linked adrenoleukodystrophy 5 E71529 X-linked adrenoleukodystrophy, unspecified type 5 E7153 Other group 2 peroxisomal disorders 5 E71540 Rhizomelic chondrodysplasia punctata 5 E71541 Zellweger-like syndrome 5 E71542 Other group 3 peroxisomal disorders 5 E71548 Other peroxisomal disorders 5 E7200 Disorders of amino-acid transport, unspecified 3 E7201 Cystinuria 3 E7202 Hartnup's disease 3 E7203 Lowe's syndrome 5 E7204 Cystinosis 3 E7209 Other disorders of amino-acid transport 3 E7210 Disorders of sulfur-bearing amino-acid metabolism, unspecified 5 E7211 Homocystinuria 5 E7212 Methylenetetrahydrofolate reductase deficiency 5 E7219 Other disorders of sulfur-bearing amino-acid metabolism 5 E7220 Disorder of urea cycle metabolism, unspecified 5 E7221 Argininemia 5 E7222 Arginosuccinic aciduria 5 E7223 Citrullinemia 5 E7229 Other disorders of urea cycle metabolism 5 E723 Disorders of lysine and hydroxylysine metabolism 5 E724 Disorders of ornithine metabolism 5 E7250 Disorder of glycine metabolism, unspecified 5 E7251 Non-ketotic hyperglycinemia 5 E7253 Hyperoxaluria 3 E7259 Other disorders of glycine metabolism 5 E728 Other specified disorders of amino-acid metabolism 5 E729 Disorder of amino-acid metabolism, unspecified 3

19 E7400 Glycogen storage disease, unspecified 5 E7401 von Gierke disease 5 E7402 Pompe disease 5 E7403 Cori disease 5 E7404 McArdle disease 5 E7409 Other glycogen storage disease 5 E7420 Disorders of galactose metabolism, unspecified 5 E7421 Galactosemia 5 E7429 Other disorders of galactose metabolism 5 E744 Disorders of pyruvate metabolism and gluconeogenesis 3 E748 Other specified disorders of carbohydrate metabolism 3 E749 Disorder of carbohydrate metabolism, unspecified 3 E7500 GM2 gangliosidosis, unspecified 5 E7501 Sandhoff disease 5 E7502 Tay-Sachs disease 5 E7509 Other GM2 gangliosidosis 5 E7510 Unspecified gangliosidosis 5 E7511 Mucolipidosis IV 5 E7519 Other gangliosidosis 5 E7521 Fabry (-Anderson) disease 5 E7522 Gaucher disease 5 E75240 Niemann-Pick disease type A 5 E75241 Niemann-Pick disease type B 5 E75242 Niemann-Pick disease type C 5 E75243 Niemann-Pick disease type D 5 E75248 Other Niemann-Pick disease 5 E75249 Niemann-Pick disease, unspecified 5 E753 Sphingolipidosis, unspecified 5 E754 Neuronal ceroid lipofuscinosis 5 E755 Other lipid storage disorders 3 E756 Lipid storage disorder, unspecified 3 E7601 Hurler's syndrome 5 E7602 Hurler-Scheie syndrome 5 E7603 Scheie's syndrome 5

20 E761 Mucopolysaccharidosis, type II 5 E76210 Morquio A mucopolysaccharidoses 5 E76211 Morquio B mucopolysaccharidoses 5 E76219 Morquio mucopolysaccharidoses, unspecified 5 E7622 Sanfilippo mucopolysaccharidoses 5 E7629 Other mucopolysaccharidoses 5 E763 Mucopolysaccharidosis, unspecified 5 E768 Other disorders of glucosaminoglycan metabolism 5 E769 Glucosaminoglycan metabolism disorder, unspecified 5 E770 Defects in post-translational modification of lysosomal enzymes 5 E771 Defects in glycoprotein degradation 3 E778 Other disorders of glycoprotein metabolism 5 E779 Disorder of glycoprotein metabolism, unspecified 5 E780 Pure hypercholesterolemia 3 E781 Pure hyperglyceridemia 3 E782 Mixed hyperlipidemia 3 E784 Other hyperlipidemia 3 E785 Hyperlipidemia, unspecified 3 E786 Lipoprotein deficiency 3 E7870 Disorder of bile acid and cholesterol metabolism, unspecified 3 E7871 Barth syndrome 3 E7879 Other disorders of bile acid and cholesterol metabolism 3 E7881 Lipoid dermatoarthritis 3 E7889 Other lipoprotein metabolism disorders 3 E789 Disorder of lipoprotein metabolism, unspecified 3 E791 Lesch-Nyhan syndrome 3 E792 Myoadenylate deaminase deficiency 3 E798 Other disorders of purine and pyrimidine metabolism 3 E799 Disorder of purine and pyrimidine metabolism, unspecified 3 E800 Hereditary erythropoietic porphyria 5 E801 Porphyria cutanea tarda 5 E8020 Unspecified porphyria 5 E8021 Acute intermittent (hepatic) porphyria 5 E8029 Other porphyria 5

21 E803 Defects of catalase and peroxidase 3 E8300 Disorder of copper metabolism, unspecified 5 E8301 Wilson's disease 5 E8309 Other disorders of copper metabolism 5 E832 Disorders of zinc metabolism 3 E8330 Disorder of phosphorus metabolism, unspecified 3 E8331 Familial hypophosphatemia 3 E8332 Hereditary vitamin D-dependent rickets (type 1) (type 2) 3 E8339 Other disorders of phosphorus metabolism 3 E8350 Unspecified disorder of calcium metabolism 2 E8351 Hypocalcemia 2 E8352 Hypercalcemia 2 E8359 Other disorders of calcium metabolism 3 E8389 Other disorders of mineral metabolism 3 E839 Disorder of mineral metabolism, unspecified 3 E849 Cystic fibrosis, unspecified 5 E850 Non-neuropathic heredofamilial amyloidosis 3 E859 Amyloidosis, unspecified 3 E8801 Alpha-1-antitrypsin deficiency 3 E882 Lipomatosis, not elsewhere classified 3 E8840 Mitochondrial metabolism disorder, unspecified 5 E8841 MELAS Syndrome 5 E8842 MERRF Syndrome 5 E8889 Other specified metabolic disorders 3 E889 Metabolic disorder, unspecified 2 E892 Postprocedural hypoparathyroidism 3 E896 Postprocedural adrenocortical (-medullary) hypofunction 3 F842 Rett's syndrome 5 G009 Bacterial meningitis, unspecified 2 G032 Benign recurrent meningitis [Mollaret] 2 G039 Meningitis, unspecified 2 G0400 Acute disseminated encephalitis and encephalomyelitis (ADEM), unspecified 2 G041 Tropical spastic paraplegia 5 G0430 Acute necrotizing hemorrhagic encephalopathy, unspecified 2

22 G0490 Encephalitis and encephalomyelitis, unspecified 2 G0491 Myelitis, unspecified 2 G09 Sequelae of inflammatory diseases of central nervous system 3 G10 Huntington's disease 5 G111 Early-onset cerebellar ataxia 5 G112 Late-onset cerebellar ataxia 3 G113 Cerebellar ataxia with defective DNA repair 3 G114 Hereditary spastic paraplegia 3 G118 Other hereditary ataxias 3 G120 Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] 5 G121 Other inherited spinal muscular atrophy 3 G1220 Motor neuron disease, unspecified 2 G1221 Amyotrophic lateral sclerosis 5 G1229 Other motor neuron disease 2 G128 Other spinal muscular atrophies and related syndromes 5 G129 Spinal muscular atrophy, unspecified 5 G130 Paraneoplastic neuromyopathy and neuropathy 3 G14 Postpolio syndrome 5 G230 Hallervorden-Spatz disease 3 G231 Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski] 3 G232 Striatonigral degeneration 3 G238 Other specified degenerative diseases of basal ganglia 3 G239 Degenerative disease of basal ganglia, unspecified 3 G241 Genetic torsion dystonia 3 G242 Idiopathic nonfamilial dystonia 3 G244 Idiopathic orofacial dystonia 2 G248 Other dystonia 2 G249 Dystonia, unspecified 2 G253 Myoclonus 2 G2589 Other specified extrapyramidal and movement disorders 3 G259 Extrapyramidal and movement disorder, unspecified 3 G3181 Alpers disease 5 G3182 Leigh's disease 5 G3189 Other specified degenerative diseases of nervous system 3

23 G319 Degenerative disease of nervous system, unspecified 3 G3289 Other specified degenerative disorders of nervous system in diseases classified elsewhere 3 G35 Multiple sclerosis 5 G360 Neuromyelitis optica [Devic] 2 G361 Acute and subacute hemorrhagic leukoencephalitis [Hurst] 3 G368 Other specified acute disseminated demyelination 3 G369 Acute disseminated demyelination, unspecified 3 G371 Central demyelination of corpus callosum 3 G372 Central pontine myelinolysis 3 G373 Acute transverse myelitis in demyelinating disease of central nervous system 3 G374 Subacute necrotizing myelitis of central nervous system 2 G378 Other specified demyelinating diseases of central nervous system 3 G379 Demyelinating disease of central nervous system, unspecified 3 G40009 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, 3 not intractable, without sta G40019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, 5 intractable, without status G40109 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, 3 not intractable, without sta G40119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, 5 intractable, without status e G40209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, 3 not intractable, without s G40219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, 5 intractable, without statu G40309 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus 2 G40319 Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus 5 G40409 Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 3 G40419 Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus 5 G40822 Epileptic spasms, not intractable, without status epilepticus 2 G40824 Epileptic spasms, intractable, without status epilepticus 5 G43A1 Cyclical vomiting, intractable 2 G459 Transient cerebral ischemic attack, unspecified 2 G4730 Sleep apnea, unspecified 2 G4731 Primary central sleep apnea 2 G4733 Obstructive sleep apnea 2 G4735 Congenital central alveolar hypoventilation 5 G508 Other disorders of trigeminal nerve 3 G509 Disorder of trigeminal nerve, unspecified 2 G510 Bell's palsy 2

24 G512 Melkersson's syndrome 3 G514 Facial myokymia 3 G518 Other disorders of facial nerve 3 G519 Disorder of facial nerve, unspecified 2 G527 Disorders of multiple cranial nerves 3 G529 Cranial nerve disorder, unspecified 2 G53 Cranial nerve disorders in diseases classified elsewhere 2 G540 Brachial plexus disorders 3 G600 Hereditary motor and sensory neuropathy 3 G601 Refsum's disease 5 G602 Neuropathy in association with hereditary ataxia 3 G610 Guillain-Barre syndrome 2 G6181 Chronic inflammatory demyelinating polyneuritis 3 G629 Polyneuropathy, unspecified 2 G63 Polyneuropathy in diseases classified elsewhere 3 G7000 Myasthenia gravis without (acute) exacerbation 5 G7001 Myasthenia gravis with (acute) exacerbation 5 G702 Congenital and developmental myasthenia 5 G7089 Other specified myoneural disorders 5 G709 Myoneural disorder, unspecified 2 G710 Muscular dystrophy 5 G7111 Myotonic muscular dystrophy 5 G7112 Myotonia congenita 5 G7119 Other specified myotonic disorders 5 G712 Congenital myopathies 5 G718 Other primary disorders of muscles 2 G723 Periodic paralysis 5 G729 Myopathy, unspecified 2 G800 Spastic quadriplegic cerebral palsy 5 G801 Spastic diplegic cerebral palsy 2 G802 Spastic hemiplegic cerebral palsy 5 G803 Athetoid cerebral palsy 3 G804 Ataxic cerebral palsy 2 G808 Other cerebral palsy 2

25 G809 Cerebral palsy, unspecified 3 G8190 Hemiplegia, unspecified affecting unspecified side 3 G8220 Paraplegia, unspecified 5 G8250 Quadriplegia, unspecified 3 G8330 Monoplegia, unspecified affecting unspecified side 3 G834 Cauda equina syndrome 3 G8381 Brown-Sequard syndrome 2 G8382 Anterior cord syndrome 2 G8383 Posterior cord syndrome 2 G8389 Other specified paralytic syndromes 2 G839 Paralytic syndrome, unspecified 2 G901 Familial dysautonomia [Riley-Day] 2 G903 Multi-system degeneration of the autonomic nervous system 3 G910 Communicating hydrocephalus 3 G911 Obstructive hydrocephalus 3 G913 Post-traumatic hydrocephalus, unspecified 3 G914 Hydrocephalus in diseases classified elsewhere 3 G918 Other hydrocephalus 3 G919 Hydrocephalus, unspecified 3 G930 Cerebral cysts 3 G931 Anoxic brain damage, not elsewhere classified 2 G935 Compression of brain 2 G9389 Other specified disorders of brain 5 G939 Disorder of brain, unspecified 2 G94 Other disorders of brain in diseases classified elsewhere 3 G950 Syringomyelia and syringobulbia 3 G9511 Acute infarction of spinal cord (embolic) (nonembolic) 2 G9519 Other vascular myelopathies 2 G9520 Unspecified cord compression 3 G9529 Other cord compression 3 G9581 Conus medullaris syndrome 2 G9589 Other specified diseases of spinal cord 2 G959 Disease of spinal cord, unspecified 3 G960 Cerebrospinal fluid leak 2

26 G9619 Other disorders of meninges, not elsewhere classified 2 G968 Other specified disorders of central nervous system 3 G969 Disorder of central nervous system, unspecified 2 G9781 Other intraoperative complications of nervous system 2 G9782 Other postprocedural complications and disorders of nervous system 3 G988 Other disorders of nervous system 2 G992 Myelopathy in diseases classified elsewhere 2 G998 Other specified disorders of nervous system in diseases classified elsewhere 3 H0260 Xanthelasma of unspecified eye, unspecified eyelid 2 H15849 Scleral ectasia, unspecified eye 2 H1589 Other disorders of sclera 2 H159 Unspecified disorder of sclera 2 H16019 Central corneal ulcer, unspecified eye 2 H16079 Perforated corneal ulcer, unspecified eye 2 H16239 Neurotrophic keratoconjunctivitis, unspecified eye 2 H16309 Unspecified interstitial keratitis, unspecified eye 2 H16409 Unspecified corneal neovascularization, unspecified eye 2 H16429 Pannus (corneal), unspecified eye 2 H1710 Central corneal opacity, unspecified eye 2 H17829 Peripheral opacity of cornea, unspecified eye 2 H1789 Other corneal scars and opacities 2 H179 Unspecified corneal scar and opacity 2 H1840 Unspecified corneal degeneration 2 H18449 Keratomalacia, unspecified eye 2 H1852 Epithelial (juvenile) corneal dystrophy 3 H1853 Granular corneal dystrophy 3 H1859 Other hereditary corneal dystrophies 2 H18609 Keratoconus, unspecified, unspecified eye 2 H18719 Corneal ectasia, unspecified eye 2 H18799 Other corneal deformities, unspecified eye 3 H18839 Recurrent erosion of cornea, unspecified eye 2 H18899 Other specified disorders of cornea, unspecified eye 2 H189 Unspecified disorder of cornea 2 H209 Unspecified iridocyclitis 2

27 H211X9 Other vascular disorders of iris and ciliary body, unspecified eye 2 H21259 Iridoschisis, unspecified eye 2 H21309 Idiopathic cysts of iris, ciliary body or anterior chamber, unspecified eye 2 H2140 Pupillary membranes, unspecified eye 2 H21539 Iridodialysis, unspecified eye 2 H21549 Posterior synechiae (iris), unspecified eye 2 H2189 Other specified disorders of iris and ciliary body 2 H219 Unspecified disorder of iris and ciliary body 2 H22 Disorders of iris and ciliary body in diseases classified elsewhere 2 H26009 Unspecified infantile and juvenile cataract, unspecified eye 2 H26019 Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye 2 H26059 Posterior subcapsular polar infantile and juvenile cataract, unspecified eye 2 H26069 Combined forms of infantile and juvenile cataract, unspecified eye 2 H2609 Other infantile and juvenile cataract 2 H26109 Unspecified traumatic cataract, unspecified eye 2 H26129 Partially resolved traumatic cataract, unspecified eye 2 H26139 Total traumatic cataract, unspecified eye 2 H26219 Cataract with neovascularization, unspecified eye 2 H26229 Cataract secondary to ocular disorders (degenerative) (inflammatory), unspecified eye 2 H2630 Drug-induced cataract, unspecified eye 2 H2640 Unspecified secondary cataract 2 H268 Other specified cataract 2 H269 Unspecified cataract 2 H2700 Aphakia, unspecified eye 3 H2710 Unspecified dislocation of lens 2 H27119 Subluxation of lens, unspecified eye 2 H278 Other specified disorders of lens 2 H279 Unspecified disorder of lens 2 H28 Cataract in diseases classified elsewhere 2 H30149 Acute posterior multifocal placoid pigment epitheliopathy, unspecified eye 2 H3020 Posterior cyclitis, unspecified eye 2 H30819 Harada's disease, unspecified eye 2 H30899 Other chorioretinal inflammations, unspecified eye 2 H3090 Unspecified chorioretinal inflammation, unspecified eye 2

28 H31119 Age-related choroidal atrophy, unspecified eye 2 H3121 Choroideremia 2 H3129 Other hereditary choroidal dystrophy 2 H33009 Unspecified retinal detachment with retinal break, unspecified eye 2 H33109 Unspecified retinoschisis, unspecified eye 2 H33199 Other retinoschisis and retinal cysts, unspecified eye 2 H3320 Serous retinal detachment, unspecified eye 2 H3340 Traction detachment of retina, unspecified eye 2 H338 Other retinal detachments 2 H349 Unspecified retinal vascular occlusion 2 H35019 Changes in retinal vascular appearance, unspecified eye 2 H35029 Exudative retinopathy, unspecified eye 2 H35059 Retinal neovascularization, unspecified, unspecified eye 2 H35069 Retinal vasculitis, unspecified eye 2 H35109 Retinopathy of prematurity, unspecified, unspecified eye 2 H35169 Retinopathy of prematurity, stage 5, unspecified eye 2 H35179 Retrolental fibroplasia, unspecified eye 2 H3520 Other non-diabetic proliferative retinopathy, unspecified eye 2 H3540 Unspecified peripheral retinal degeneration 2 H35419 Lattice degeneration of retina, unspecified eye 2 H35429 Microcystoid degeneration of retina, unspecified eye 2 H35459 Secondary pigmentary degeneration, unspecified eye 2 H35469 Secondary vitreoretinal degeneration, unspecified eye 2 H3550 Unspecified hereditary retinal dystrophy 2 H3551 Vitreoretinal dystrophy 2 H3552 Pigmentary retinal dystrophy 5 H3553 Other dystrophies primarily involving the sensory retina 2 H3554 Dystrophies primarily involving the retinal pigment epithelium 2 H3560 Retinal hemorrhage, unspecified eye 2 H35739 Hemorrhagic detachment of retinal pigment epithelium, unspecified eye 2 H3582 Retinal ischemia 2 H36 Retinal disorders in diseases classified elsewhere 2 H40009 Preglaucoma, unspecified, unspecified eye 2 H4010x0 Unspecified open-angle glaucoma, stage unspecified 2

29 H4011x0 Primary open-angle glaucoma, stage unspecified 2 H Low-tension glaucoma, unspecified eye, stage unspecified 2 H4020x0 Unspecified primary angle-closure glaucoma, stage unspecified 2 H4030x0 Glaucoma secondary to eye trauma, unspecified eye, stage unspecified 2 H4040x0 Glaucoma secondary to eye inflammation, unspecified eye, stage unspecified 2 H4050x0 Glaucoma secondary to other eye disorders, unspecified eye, stage unspecified 2 H4089 Other specified glaucoma 2 H409 Unspecified glaucoma 2 H42 Glaucoma in diseases classified elsewhere 3 H4310 Vitreous hemorrhage, unspecified eye 2 H44009 Unspecified purulent endophthalmitis, unspecified eye 2 H44119 Panuveitis, unspecified eye 2 H44139 Sympathetic uveitis, unspecified eye 2 H449 Unspecified disorder of globe 2 H47019 Ischemic optic neuropathy, unspecified eye 2 H47029 Hemorrhage in optic nerve sheath, unspecified eye 2 H47039 Optic nerve hypoplasia, unspecified eye 2 H47099 Other disorders of optic nerve, not elsewhere classified, unspecified eye 2 H4720 Unspecified optic atrophy 2 H47219 Primary optic atrophy, unspecified eye 2 H4722 Hereditary optic atrophy 2 H47239 Glaucomatous optic atrophy, unspecified eye 2 H47299 Other optic atrophy, unspecified eye 2 H47319 Coloboma of optic disc, unspecified eye 2 H47329 Drusen of optic disc, unspecified eye 2 H4742 Disorders of optic chiasm in (due to) neoplasm 2 H47529 Disorders of visual pathways in (due to) neoplasm, unspecified side 2 H47619 Cortical blindness, unspecified side of brain 2 H479 Unspecified disorder of visual pathways 2 H4900 Third [oculomotor] nerve palsy, unspecified eye 2 H4910 Fourth [trochlear] nerve palsy, unspecified eye 2 H4920 Sixth [abducent] nerve palsy, unspecified eye 2 H4940 Progressive external ophthalmoplegia, unspecified eye 2 H49889 Other paralytic strabismus, unspecified eye 2