CPT Groups E&M: Established Patient Complaint Codes ESTAB PT W/ COMPLAINT HIGH COMPLEXITY ESTAB PT W/ COMPLAINT LOW COMPLEXITY ESTAB

Transcription

1 CPT Groups E&M: Established Patient Complaint Codes ESTAB PT W/ COMPLAINT HIGH COMPLEXITY ESTAB PT W/ COMPLAINT LOW COMPLEXITY ESTAB PT W/ COMPLAINT MINOR ESTAB PT W/ COMPLAINT MOD COMPLEXITY ESTAB PT W/ COMPLAINT STRAIGHTFORWARD E&M: Established Patient Prevention Codes ESTAB PT, PREVENTIVE VISIT AGE < ESTAB PT, PREVENTIVE VISIT AGE ESTAB PT, PREVENTIVE VISIT AGE ESTAB PT, PREVENTIVE VISIT AGE E&M: Inpatient Initial oberservation care E&M: New & Established Consult Codes E&M non specific NEW/ESTAB PT CONSULT HIGH COMPLEXITY NEW/ESTAB PT CONSULT LOW COMPLEXITY NEW/ESTAB PT CONSULT MINOR COMPLAINT NEW/ESTAB PT CONSULT MODERATE COMPLEXITY NEW/ESTAB PT CONSULT STRAIGHTFORWARD E&M: New Patient Complaint Codes NEW PT W/ COMPLAINT HIGH COMPLEXITY NEW PT W/ COMPLAINT LOW COMPLEXITY NEW PT W/ COMPLAINT MINOR NEW PT W/ COMPLAINT MOD COMPLEXITY NEW PT W/ COMPLAINT STRAIGHTFORWARD E&M: New Patient Prevention Codes NEW PT, PREVENTIVE VISIT AGE < NEW PT, PREVENTIVE VISIT AGE > NEW PT, PREVENTIVE VISIT AGE NEW PT, PREVENTIVE VISIT AGE E&M: Non-Face-to-Face or NOC by MD E&M NOC Online Contact by MD Telephone Contact by MD, min Telephone Contact by MD, min Telephone Contact by MD, min Telephone Contact by MD, 21-30min Telephone Contact by MD, 5-10 min Telephone Contact by MD, 5-10 min E&M: Risk reduction admin & interp of health assessment instrument E&M Alcohol and/or substance (other than tobacco) abuse screening (15-30 mins) E&M Alcohol and/or substance (other than tobacco) abuse screening and brief Intervention (over 30 mins)

2 E&M Preventive med counseling and/or risk factor reduction intervent.-individ.; 30 min E&M Preventive med counseling and/or risk factor reduction intervent.-individ.; 60 min E&M Preventive med counseling and/or risk factor reduction intervent.-individ; 45 min E&M Smoking and tobacco counseling visit; intermed.,> than 3 mins, up to 10 mins E&M Smoking and tobacco use cessation counseling visit; intensive, >10 minutes Preventive medicine counseling Medicine: Allergy Prophylaxis: 2 codes allergy injection single allergy shot Medicine: Allergy tests percutaneous allergen test Medicine: Non-Face-to-Face by non-md: 4 codes Online Contact by Non-MD Phone Contact by Non-MD (10-20 MIN., NO APPOINTMENT) Phone Contact by Non-MD (20-30 MIN., NO APPOINTMENT) Phone Contact by Non-MD (5-10 MIN. NO APPOINTMENT) Medicine: Nutrition: 3 Codes NUTRITION FOLLOW-UP NUTRITION INITIAL ASSESSMENT NUTRITION, GROUP Medicine: Ophthalmology: 4 codes ophthalmologic exam & eval with dx or tx program ophthalmological services: new patient ophthalmological services: new patient, 1+ visits Rx of optical equipment Medicine: Other: 3 codes consult on X-ray made elsewhere handling or conveyance of specimen inhalation treatment injection supplies & materials provided by MD Medicine: Path & Lab: 18 codes aerobic bacterial culture automated hemogram basic metabolic panel blood glucose test chlamydia trachomatis, amplified probe technique complete (CBC), automated (Hgb, Hct, RBC,WBC and platelet count) and automated differential WBC count comprehensive metabolic panel culture typing, immunologic method culture, bacterial; quantitative colony count, urine culture, presumptive, pathogenic organisms, screening only EKG 12 lead interpretation and report EKG 12 lead interpretation and report only EKG 12 Lead tracing only, without interpretation and report fungal smear and culture

3 gram stain Hep B surface antibody test HIV testing HIV-1 and HIV-2, single assay immunoassay for infectious agent influenza testing iron lipid panel neisseria gonorrhoeae, amplified probe technique Pap test Pap test phosphorus inorganic PPD pulse oximetry Quantiferon Gold test for TB screen for mono smear for infectious agent streptococcus streptozym titer syphilis test, non-treponemal antibody; qualitative thyroid function test thyroid stimulating hormone uric acid; blood urinalaysis urinalaysis urinalaysis urinalaysis urinalysis urine culture urine pregnancy test Medicine: PT & Rehab: 6 codes application of a modality; hot or cold packs electrical stimulation (unattended) manual therapy techniques massage therapy neuromuscular reeducation PT eval therapeutic procedure; therapeutic exercises to develop strength and endurance, range of motion and flexibility ultrasound Medicine: Vaccines: 32 codes Anthrax Vaccination BCG Bexsero MenB vaccine Boostrix TDaP Vaccine/ Tetanus, Diptheria, Pertussis Cholera Vaccination DTP Vaccination

4 Flu Shot FluMist Immunization Fluvirin (vendor specific immunization) - Q2037 Fluzone Intradermal Haemophilus Influenzae B Immunization HBIG Hepatitis A Vaccine Hepatitis B Vaccine HPV Vaccine (Cervarix) HPV Vaccine (Gardasil) immunization IXIARO Japanese Encephalitis Menactra Meningitis Vaccine Menomune Meningitis Vaccine Menveo Meningitis Vaccine MMR Vaccine Pneumococcal Vaccine Polio Booster Rabies IM Vaccine Rabies immune globulin (Rig) Rabies immune globulin heat-treated (Rig-HT) Smallpox Vaccination Td (tetanus Vaccine) Trumenba MenB vaccine Twinrix Booster (Hep A & B) Typhoid Varicella Booster Varicella Vaccine Yellow Fever Vaccine Mental Health/Counseling Codes: >80 codes group psychotherapy Mental Health/Counseling - Family therapy w/ patient Mental Health/Counseling - Family therapy w/ patient A Mental Health/Counseling - Family therapy w/ patient B Mental Health/Counseling - Family therapy w/ patient C Mental Health/Counseling - Family therapy w/ patient D Mental Health/Counseling - Family therapy w/ patient E Mental Health/Counseling - Family Therapy w/ patient F Mental Health/Counseling - Family therapy w/ patient G Mental Health/Counseling - Family therapy w/ patient H Mental Health/Counseling - Family therapy w/ patient I Mental Health/Counseling - Family therapy w/ patient I Mental Health/Counseling - Family therapy w/ patient J Mental Health/Counseling - Family therapy w/ patient K Mental Health/Counseling - Family therapy without patient Mental Health/Counseling - Indivdual therapy: minutes Mental Health/Counseling - Indivdual therapy: minutes A

5 Mental Health/Counseling - Indivdual therapy: minutes B Mental Health/Counseling - Indivdual therapy: minutes C Mental Health/Counseling - Indivdual therapy: minutes D Mental Health/Counseling - Indivdual therapy: minutes E Mental Health/Counseling - Indivdual therapy: minutes F Mental Health/Counseling - Indivdual therapy: minutes G Mental Health/Counseling - Individual therapy w/ med management Mental Health/Counseling - Individual therapy w/ med management A Mental Health/Counseling - Individual therapy w/ med management Mental Health/Counseling - Individual therapy w/ med management A Mental Health/Counseling - Individual therapy with med mgt Mental Health/Counseling - Individual therapy: minutes Mental Health/Counseling - Individual therapy: minutes A Mental Health/Counseling - Individual therapy: minutes B Mental Health/Counseling - Individual therapy: minutes C Mental Health/Counseling - Individual therapy: minutes D Mental Health/Counseling - Individual therapy: minutes E Mental Health/Counseling - Individual therapy: minutes F Mental Health/Counseling - Individual therapy: minutes G Mental Health/Counseling - Individual therapy: minutes Mental Health/Counseling - Individual therapy: minutes A Mental Health/Counseling - Initial Evaluation Mental Health/Counseling - Initial Evaluation A Mental Health/Counseling - Initial Evaluation B Mental Health/Counseling - Initial Evaluation C Mental Health/Counseling - Initial Evaluation D Mental Health/Counseling - Initial Evaluation E Mental Health/Counseling - Initial Evaluation F Mental Health/Counseling - Initial Evaluation G Mental Health/Counseling - Initial Evaluation H Mental Health/Counseling - Initial Evaluation I Mental Health/Counseling - Interactive Group Psychotherapy Mental Health/Counseling - Interactive Group Psychotherapy C Mental Health/Counseling - Interactive Initial Evaluation Mental Health/Counseling - Multiple Family Group Mental Health/Counseling - Psychiatric Service/Therapy A Mental Health/Counseling - Psychiatric Service/Therapy B Mental Health/Counseling - Psychiatric Service/Therapy C Mental Health/Counseling - Psychiatric Service/Therapy D Mental Health/Counseling - Psychiatric Service/Therapy E Mental Health/Counseling - Psychiatric Service/Therapy F Mental Health/Counseling - Psychiatric Service/Therapy P Mental Health/Counseling - Psychological Testing Administered by Computer Mental Health/Counseling - Psychological Testing by Psychologist or Physician Mental Health/Counseling - Psychological Testing by Psychologist or Physician A Mental Health/Counseling - Psychological Testing by Psychologist or Physician B Mental Health/Counseling - Psychological Testing by Psychologist or Physician C Mental Health/Counseling - Psychological Testing by Psychologist or Physician D

6 Mental Health/Counseling - Psychological Testing by Psychologist or Physician E Mental Health/Counseling - Psychophysiological Therapy: mins Mental Health/Counseling - Psychophysiological Therapy: minutes A Mental Health/Counseling - Psychophysiological Therapy: minutes B Mental Health/Counseling - Psychophysiological Therapy: minutes C Mental Health/Counseling - Psychophysiological Therapy: minutes Mental Health/Counseling - Psychophysiological Therapy: minutes A Mental Health/Counseling - Psychophysiological Therapy: minutes B Mental Health/Counseling - Psychophysiological Therapy: minutes C Mental Health/Counseling-Psychiatric Service/Therapy psych eval by MD psych eval by non-md psychiatric pharmacologic management psychotherapy, 30 min psychotherapy, 45 min psychotherapy, 60 min Radiology chest xray foot xray xray of ankle Surgery: 4 codes cerumen removal collection of venous blood by venipuncture destructn of benign lesions other than skin tags or cutaneous vascular invalid code in surgery/female genital system group

7 ICD9 Groups ABDOMINAL PAIN Abdominal Pain Epigastric Abdominal pain, generalized Abdominal pain, other specified site Abdominal pain, right lower quadrant Abdominal pain, unspecified site Hernia, Diaphragmatic Other abnormal cytological findings on specimens from vagina - R Other symptoms involving abdomen and pelvis ABNORMAL FINDINGS IN OTHER BODY SUBSTANCES Abnormal findings in body substances, other nonspecific (vaginal fluids) Abnormal findings in other body fluids and substances - R888 Abnormal findings in other body substances, nonspecific Abnormal histological findings in specimens from other organs, systems and tissues - R897 Abnormal immunological finding in serum, unspecified - R769 Abnormal level of blood mineral - R790 Abnormal microbiological findings in specimens from other organs, systems and tissues - R895 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (asc-h) - R87611 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (asc-h) - R87621 Atypical squamous cells of undetermined significance on cytologic smear of cervix (asc-us) - R87610 Atypical squamous cells of undetermined significance on cytologic smear of vagina (asc-us) - R87620 Cerebrospinal fluid, abnormal findings Cervical high risk human papillomavirus (hpv) dna test positive - R87810 Cervical low risk human papillomavirus (hpv) dna test positive - R87820 Cytologic evidence of malignancy on smear of cervix - R87614 Cytologic evidence of malignancy on smear of vagina - R87624 Elevated cancer antigen 125 [ca 125] - R971 Elevated carcinoembryonic antigen [cea] - R970 Finding of other specified substances, not normally found in blood - R7889 Finding of unspecified substance, not normally found in blood - R789 High grade squamous intraepithelial lesion on cytologic smear of cervix (hgsil) - R87613 High grade squamous intraepithelial lesion on cytologic smear of vagina (hgsil) - R87623 Inconclusive laboratory evidence of human immunodeficiency virus [hiv] - R75 Low grade squamous intraepithelial lesion on cytologic smear of cervix (lgsil) - R87612 Low grade squamous intraepithelial lesion on cytologic smear of vagina (lgsil) - R87622 Non-specific Positive Blood Test Nonspecific reaction to tuberculin skin test without active tuberculosis - R7611 other & NOS abnormal test findings Other abnormal blood chemistry Other abnormal clinical findings Other abnormal cytological findings on specimens from vagina - R87628 Other abnormal findings in specimens from other organs, systems and tissues - R898

8 Other abnormal tumor markers - R978 Other fecal abnormalities - R195 Other general symptoms and signs - R6889 Other specified abnormal findings of blood chemistry - R7989 Other specified abnormal immunological findings in serum - R768 Raised antibody titer - R760 Saliva, Abnormal findings Satisfactory cervical smear but lacking transformation zone - R87616 Semen, abnormal findings Stool content, abnormal findings Unsatisfactory cytologic smear of cervix - R87615 Unsatisfactory cytologic smear of vagina - R87625 Unspecified abnormal cytological findings in specimens from cervix uteri - R87619 Unspecified abnormal finding in cerebrospinal fluid - R839 Unspecified abnormal finding in specimens from digestive organs and abdominal cavity - R859 Unspecified abnormal finding in specimens from female genital organs - R879 Unspecified abnormal finding in specimens from male genital organs - R869 Unspecified abnormal finding in specimens from other organs, systems and tissues - R899 Unspecified abnormal finding in specimens from respiratory organs and thorax - R849 Vaginal high risk human papillomavirus (hpv) dna test positive - R87811 ACUTE UPPER RESPIRATORY INFECTIONS Abscess, furuncle and carbuncle of nose - J340 Abscess, furuncle and carbuncle of nose - J341 Acute frontal sinusitis Acute frontal sinusitis, unspecified - J0110 Acute laryngopharyngitis - J060 acute maxillary sinusitis Acute maxillary sinusitis, unspecified - J0100 Acute nasopharyngitis Acute nasopharyngitis [common cold] - J00 Acute pansinusitis, unspecified - J0140 Acute pharyngitis Acute pharyngitis, unspecified - J029 acute sinusitis Acute sinusitis, unspecified - J0190 Acute tonsillitis, unspecified - J0390 Acute upper respiratory infection, unspecified - J069 Chronic rhinitis Chronic rhinitis - J310 Chronic sinusitis, unspecified - J329 Laryngopharyngitis, Acute Other acute sinusitis Other disease of nasal cavity & sinuses Other specified disorders of nose and nasal sinuses - J3489 Pain in throat - R070 Peritonsillar Abscess Peritonsillar abscess - J36

9 Pharyngitis, acute Post Nasal Drip Postnasal drip - R0982 Sinusitis Unspec Chronic Sinusitis, acute Throat Pain Tonsillitis, acute Upper respiratory infection other multiple site Upper respiratory infection, Unspecified site, Acute (URI NOS) Upper respiratory infections of multiple or unspecified sites, acute ADHD/ADD & CONDUCT DISORDERS ADHD Predominantly Hyperactive-Compulsive ADHD, Predominantly Inattentive Type Attention Deficit/Hyperactivity Disorder NOS Hyperkinesis of childhood with developmental delay Hyperkinetic syndrome of childhood Hyperkinetic syndrome of childhood Impulse control disorder Impulse control disorder unspecified ADJUSTMENT REACTION DISORDERS Adjustment depressive reaction, Prolonged Adjustment disorder with anxiety Adjustment disorder with anxiety - F4322 Adjustment disorder with depressed mood Adjustment disorder with depressed mood - F4321 Adjustment disorder with disturbance of conduct Adjustment disorder with disturbance of conduct - F4324 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with mixed anxiety and depressed mood - F4323 Adjustment disorder with mixed disturbance of emotions and conduct Adjustment disorder with mixed disturbance of emotions and conduct - F4325 Adjustment disorder with other symptoms - F4329 Adjustment disorder, Emancipation disorder of adolescence and early adult life Adjustment disorder, Separation anxiety disorder Adjustment disorder, Specific academic or work inhibition Adjustment reaction Adjustment reaction Adjustment reaction with physical symptoms Adjustment reaction with predominant disturbance of other emotions Adjustment reaction with predominant disturbance of other emotions (culture shock), Other Adjustment reaction with withdrawl Adjustment reaction,unspecified Adjustment reactions, other Adjustment reactions,other specified Other childhood disorders of social functioning - F948 Other reactions to severe stress - F438

10 Posttraumatic stress disorder Post-traumatic stress disorder, chronic - F4312 Post-traumatic stress disorder, unspecified - F4310 Separation anxiety disorder of childhood - F930 ADMINISTRATIVE Administrative encounter, unspecified - V68.9 Issue of med certificates - V68.0 Medical certificates, other issues - V68.09 ALCOHOL-RELATED DISORDERS Acute alcoholism Alcohol Abuse continuous Alcohol Abuse Episodic Alcohol Abuse Remission Alcohol abuse with alcohol-induced anxiety disorder - F10180 Alcohol abuse with alcohol-induced psychotic disorder, unspecified - F10159 Alcohol abuse with alcohol-induced sexual dysfunction - F10181 Alcohol abuse with alcohol-induced sleep disorder - F10182 Alcohol abuse with other alcohol-induced disorder - F10188 Alcohol abuse, uncomplicated - F1010 Alcohol Abuse, unspecified Alcohol abuse, unspecified Alcohol dependence Alcohol Dependence - continuous drinking Alcohol Dependence - episodic drinking Alcohol Dependence unspecified drinking behavior Alcohol dependence with alcohol-induced anxiety disorder - F10280 Alcohol dependence with alcohol-induced persisting dementia - F1027 Alcohol dependence with alcohol-induced psychotic disorder, unspecified - F10259 Alcohol dependence with alcohol-induced sexual dysfunction - F10281 Alcohol dependence with alcohol-induced sleep disorder - F10282 Alcohol dependence with intoxication, unspecified - F10229 Alcohol dependence with other alcohol-induced disorder - F10288 Alcohol dependence with withdrawal delirium - F10231 Alcohol dependence with withdrawal, unspecified - F10239 Alcohol dependence, in remission - F1021 Alcohol Dependence, other in remission Alcohol dependence, uncomplicated - F1020 Alcohol Induced Mental disorders Alcohol induced sleep disorders Alcohol intoxication, idiosyncratic Alcohol use, unspecified with alcohol-induced anxiety disorder - F10980 Alcohol use, unspecified with alcohol-induced persisting amnestic disorder - F1096 Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions - F10950 Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations - F10951 Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified - F10959 Alcohol use, unspecified with alcohol-induced sleep disorder - F10982 Alcohol use, unspecified with intoxication, unspecified - F10929

11 Alcohol use, unspecified with unspecified alcohol-induced disorder - F1099 Alcohol withdrawal Alcohol withdrawal delirium Alcohol, accidental poisoning - E860.0 Alcohol, accidental poisoning. - E860 Alcohol, acute intoxication Alcohol, toxic effect of Alcohol, toxic effect of Alcoholic gastritis without bleeding - K2920 Alcohol-induced mental disorders, 0ther, Other specified Alcohol-induced mental disorders, other specified Alcohol-induced mental disorders, unspecified Alcohol-induced persisting amnestic disorder Alcohol-induced persisting dementia Alcohol-induced psychotic disorder with delusions Alcohol-induced psychotic disorder with hallucinations Elevated blood alcohol Finding of alcohol in blood - R780 Gastritis due to alcohol Hx of alcohol abuse - V11.3 Other specified problems related to psychosocial circumstances - Z658 Toxic effect of ethanol, accidental (unintentional), initial encounter - T510X1A Toxic effect of ethanol, assault, initial encounter - T510X3A Toxic effect of ethanol, intentional self-harm, initial encounter - T510X2A Toxic effect of ethanol, undetermined, initial encounter - T510X4A ALLERGIES Allergic rhinitis due to animal (cat) (dog) hair and dander Allergic rhinitis due to other allergen Allergic Rhinitis Due To Pollen Allergic rhinitis/hayfever Allergy - v15.09 Allergy Unspecified ALLERGY SHOTS & PROPHYLACTIC TRTMNTS XCPT VACCINES Allergy Shot - v07.1 Other prophylactic measure - v07.8 Prophylactic Immunotherapy - v07.2 ANAL FISSURE OR FISTULA Anal Fissure Anal Fissure and fistula Anal fissure, unspecified - K602 Anal fistula Anal fistula - K603 Anorectal fistula - K605 Rectal fistula - K604 ANAPHYLAXIS Anaphylaxis due to allergy immunization Anaphylaxis due to food

12 Anaphylaxis due to sting or venom Anaphylaxis, NOS late effect Anaphylaxis, NOS or allergic ANXIETY, DISSOCIATIVE AND SOMATOFORM DISORDERS Acrophobia - F40241 Acute reaction to stress Acute reaction to stress, unspecified Acute reactive stress Acute stress reaction - F430 Agoraphobia with panic attacks Agoraphobia with panic disorder - F4001 Anxiety D/o NOS Anxiety disorder due to known physiological condition - F064 Anxiety disorder in conditions classified elsewhere Anxiety disorder, unspecified - F419 Anxiety states Anxiety, dissociative and somatoform disorders Anxiety, other Body dysmorphic disorder - F4522 Claustrophobia - F40240 Dissociative and conversion disorder, unspecified - F449 Dissociative disorder or reaction unspecified Generalized Anxiety Disorder Generalized anxiety disorder - F411 Hypochondriasis - F4521 Hypochondriasis, Body dysmorphic disorder, Identity disorder Mental disorder, not otherwise specified - F99 Nonpsychotic mental disorder, unspecified - F489 Obsessive Compulsive Disorder Obsessive-complusive disorder Obsessive-compulsive disorder - F42 Other animal type phobia - F40218 Other phobic anxiety disorders - F408 Other specified anxiety disorders - F418 Panic D/o W/o Agoraphobia Panic disorder [episodic paroxysmal anxiety] without agoraphobia - F410 Phobia, isolated or specific Phobia, unspecified Phobic anxiety disorder, unspecified - F409 Predominant disturbance of emotions Social Phobia Social phobia, unspecified - F4010 Tourette's disorder Tourette's disorder - F952 Unspecified nonpsychotic mental disorder

13 Asplenia Asplenia acquired - V45.79 Asplenia congenital asplenia with mesocardia ASTHMA Acute bronchospasm - J9801 Asthma Asthma extrinsic Asthma intrinsic Asthma unspecified Asthma, Chronic obstructive Asthma, cough variant Asthma, unspecified Asthma, unspecified type, with (acute) exacerbation Brochospasm, Exercise induced Bronchospasm, Acute Chronic obstructive pulmonary disease, unspecified - J449 Cough variant asthma - J45991 Exercise induced bronchospasm - J45990 Mild intermittent asthma with status asthmaticus - J4522 Mild intermittent asthma, uncomplicated - J4520 Other asthma - J45998 Unspecified asthma with (acute) exacerbation - J45901 Unspecified asthma, uncomplicated - J45909 AZOOSPERMIA Azoospermia Oligospermia Organic azoospermia - N4601 Organic oligospermia - N4611 BACK & OTHER UNSPECIFIED MUSCULOSKELETAL SX Back disorders, other unspecified Back symptoms, other Backache,unspecified Cervicalgia - M542 Coccyx disorder unspecified Coccyx disorder, other Coccyx disorders Coccyx hypermobility Contracture of muscle, unspecified site - M6240 Disorders of back, other and unspecified Dorsalgia, unspecified - M549 Fibromyalgia - M797 Fusion of spine, lumbosacral region - M4327 Fusion of spine, sacral and sacrococcygeal region - M4328 Head & neck symptoms Low back pain - M545 Lumbago

14 muscle spasm Musculoskeletal pain Myalgia - M791 Myositis, unspecified - M609 Neck Pain Orsopathy, unspecified - M539 Other dorsalgia - M5489 Other muscle spasm - M62838 Other specified deforming dorsopathies, site unspecified - M438X9 Pain in thoracic spine Pain in thoracic spine - M546 Panniculitis affecting regions of neck and back, sacral and sacrococcygeal region - M5408 Radiculopathy, lumbar region - M5416 Radiculopathy, lumbosacral region - M5417 Radiculopathy, thoracic region - M5414 Radiculopathy, thoracolumbar region - M5415 Sacrococcygeal disorders, not elsewhere classified - M533 Sacrum disorders Sciatia Sciatica, unspecified side - M5430 SPINAL INSTABILITIES, LUMBOSACRAL REGION - M532X7 Spinal instabilities, sacral and sacrococcygeal region - M532X8 Spinal stenosis, lumbar region Spinal stenosis, lumbar region - M4806 Spinal stenosis, other Spinal stenosis, other than cervical Spinal stenosis, sacral and sacrococcygeal region - M4808 Spinal stenosis, site unspecified - M4800 Spinal stenosis, thoracic region Spinal stenosis, thoracic region - M4804 Spinal stenosis, unspecified region Thoracic or lumbosacral neuritis or radiculitis, unspecified BACTERIAL INFECTION: NOT GROUPED ELSEWHERE Bacterial infection in conditions classified elsewhere and of unspecified site Bullous impetigo - L0103 Impetigo Impetigo, unspecified - L0100 Methicillin resistant staphylococcus aureus infection as the cause of diseases classified elsewhere - B9562 Methicillin susceptible staphylococcus aureus infection as the cause of diseases classified elsewhere - B9561 Other staphylococcus as the cause of diseases classified elsewhere - B957 Staphylococcus Staphylococcus aureas, methicillin resistant (MRSA) Staphylococcus aureus, methicillin susceptible Staphylococcus, Other Staphylococcus, unspecified

15 Unspecified staphylococcus as the cause of diseases classified elsewhere - B958 BIPOLAR & OTHER PSYCHOTIC DISORDERS Affective Psychoses In Partial Remission Bipolar Bipolar 1, depressive episode Bipolar 1, manic episode Bipolar 1, manic episode Bipolar disorder unspecified Bipolar I disorder, most recent episode (or current) depressed Bipolar I disorder, most recent episode (or current) depressed in partial or unspecified remission Bipolar I disorder, most recent episode (or current) depressed in remission Bipolar I disorder, most recent episode (or current) depressed mild degree Bipolar I disorder, most recent episode (or current) manic Bipolar I disorder, most recent episode (or current) manic moderate degree Bipolar I disorder, most recent episode (or current) manic unspecified degree Bipolar I disorder, most recent episode (or current) mixed moderate degree Bipolar I disorder, most recent episode (or current) unspecified Bipolar II Disorder Other and unspecified episodic mood disorder Other reactive psychosis Recurrent Psychosis In Full Remission schizoaffective Schizo-affective type schizophrenia unspecified state BLOOD DISORDERS Anemia, unspecified Epistaxis Iron deficiency anemia, unspecified BRONCHITIS Acute bronchiolitis due to other specified organisms - J218 Acute bronchiolitis due to respiratory syncytial virus - J210 Acute bronchitis Acute bronchitis, unspecified - J209 Acute bronchitis/bronchiolitis Bronchitis NOS Bronchitis, not specified as acute or chronic - J40 Simple chronic bronchitis Simple chronic bronchitis - J410 BURSITIS Achilles bursitis or tendinitis Achilles tendinitis, unspecified leg - M7660 Bursitis NOS Ganglion Cyst, other disorders of synovium, tendon, and bursa, Ganglion, unspecified Ganglion, unspecified site - M6740 Other bursitis, not elsewhere classified, unspecified site - M7150 CARBUNCLE AND FURUNCLE

16 Carbuncle and furuncle Carbuncle and Furuncle unspecified site Carbuncle and furuncle, buttock Carbuncle and furuncle, face Carbuncle and furuncle, hand Carbuncle and furuncle, neck Carbuncle and furuncle, other specified sites (excludes genital organs) Carbuncle and furuncle, trunk Carbuncle and furuncle, Upper arm and forearm Carbuncle and furuncle,leg, except foot Carbuncle of abdominal wall - L02231 Carbuncle of back [any part, except buttock] - L02232 Carbuncle of chest wall - L02233 Carbuncle of face - L0203 Carbuncle of groin - L02234 Carbuncle of neck - L0213 Carbuncle of perineum - L02235 Carbuncle of trunk, unspecified - L02239 Carbuncle of umbilicus - L02236 Furuncle of abdominal wall - L02221 Furuncle of back [any part, except buttock] - L02222 Furuncle of chest wall - L02223 Furuncle of face - L0202 Furuncle of groin - L02224 Furuncle of neck - L0212 Furuncle of perineum - L02225 Furuncle of trunk, unspecified - L02229 Furuncle of umbilicus - L02226 CARDIOVASCULAR Benign essential hypertension Dizziness Episode Of Elevated BP Hypertension, unspecified Palpitations Syncope (vasovagal) CHICKENPOX Chicken pox: postvaricella encephalitis Chickenpox Chickenpox w/ other specified complications Chickenpox w/ unspecified complication Chickenpox w/out mention of complication; varicella NOS Chickenpox: postvaricella myelitis Chickenpox: Varicells (hemorrhagic) pneumonitis Other varicella complications - B0189 Varicella encephalitis and encephalomyelitis - B0111 Varicella keratitis - B0181 Varicella meningitis - B010

17 Varicella myelitis - B0112 Varicella pneumonia - B012 Varicella without complication - B019 CHLAMYDIA INFECTION Chlamydia Chlamydial infection of anus and rectum - A563 Chlamydial infection of genitourinary tract, unspecified - A562 Chlamydial infection of lower genitourinary tract, unspecified - A5600 Chlamydial infection of pharynx - A564 Nonspecific urethritis - N341 Other chlamydial genitourinary infection - A5619 Other chlamydial genitourinary infection - A5619 Sexually transmitted chlamydial infection of other sites - A568 Venereal disease due to chlamydia, Other CONGENITAL DISORDERS Congenital anomalies, (other anomalies of larynx, trachea and bronchus) Congenital hypertrophic pyloric stenosis CONJUNCTIVITIS Acute Conjunctivitis NOS Chalazion Chalazion unspecified eye, unspecified eyelid - H0019 Chronic follicular conjunctivitis, unspecified eye - H10439 Conjunctivitis, chronic Conjunctivitis, other chronic allergic Conjunctivitis, other unspecified Conjunctivitis, parasitic Conjunctivitis, unspecified Conjunctivitis, unspecified chronic Conjunctivitis, vernal disorders of conjunctiva Other chronic allergic conjunctivitis - H1045 Other conjunctivitis - H1089 Pingueculitis, unspecified eye - H10819 Simple chronic conjunctivitis, unspecified eye - H10429 Unspecified acute conjunctivitis, bilateral - H1033 Unspecified chronic conjunctivitis, unspecified eye - H10409 Unspecified conjunctivitis - H109 Vernal conjunctivitis - H1044 Viral conjunctivitis NOS Viral conjunctivitis, unspecified - B309 CONTACT DERMATITIS AND OTHER ECZEMA Allergic contact dermatitis due to animal (cat) (dog) dander - L2381 Allergic contact dermatitis due to metals - L230 Contact dermatitis and other ecxema, due to plants (except food) Contact dermatitis and other eczema due to detergents Contact dermatitis and other eczema due to oils and greases Contact dermatitis and other eczema due to solvents

18 Contact dermatitis and other eczema OSA, due to cosmetics Contact dermatitis and other eczema other (excludes allergy NOS) Contact dermatitis and other eczema, due to animal (cat) (dog) dander Contact dermatitis and other eczema, due to drugs and medicines in contact with skin Contact dermatitis and other eczema, due to other chemical products Contact dermatitis and other eczema, due to other radiation (excludes solar radiation) Contact dermatitis and other eczema, due to other specified agents Contact dermatitis and other eczema, Unspecified cause Irritant contact dermatitis due to detergents - L240 Irritant contact dermatitis due to metals - L2481 Irritant contact dermatitis due to oils and greases - L241 Irritant contact dermatitis due to solvents - L242 Other skin changes due to chronic exposure to nonionizing radiation - L578 Radiodermatitis, unspecified - L589 Seborrheic dermatitis, unspecified Seborrheic dermatitis, unspecified - L219 Sunburn Sunburn of first degree - L550 Sunburn, unspecified - L559 Unspecified contact dermatitis due to cosmetics - L250 Unspecified contact dermatitis due to drugs in contact with skin - L251 Unspecified contact dermatitis due to dyes - L252 Unspecified contact dermatitis due to other agents - L258 Unspecified contact dermatitis due to other chemical products - L253 Unspecified contact dermatitis due to plants, except food - L255 Unspecified dermatitis due to sun CONTRACEPTIVE MANAGEMENT Contraceptive Management NOS - V25.9 Counseling on other contraceptive measures - V25.02 Family Planning natural to avoid pregnancy - V25.04 History, contraceptive management - V15.7 Implantable subdermal-checking, reinsertion or removal - V25.43 Implantable subdermal-in situ - V45.52 Implantable subdermal-insertion - V25.5 IUD Checking - V25.42 IUD in situ - V45.51 IUD insertion - V25.11 IUD reinsertion - V25.13 IUD Removal - V25.12 Menstrual Regulation - V25.3 Oral repeat prescription - V25.41 Other specified contraceptive device in situ - V45.59 Other specified contraceptive method - V25.8 Postcoital emergency prescription oruse - V25.03 Prescription or use of oral contraceptives - V25.01 Sterilization - V25.2 Surveillance - V25.40

19 Surveillance of other contraceptive method - V25.49 Tuboplasty or vasectomy proposed - V25.09 COUGH Acute idiopathic pulmonary hemorrhage in infants - R0481 Cough Cough - R05 Cough or hiccough, psychogenic Cough, with hemorrhage (Hemoptysis) Gastrointestinal, aerophagy Hemoptysis - R042 Hemorrhage from other sites in respiratory passages - R0489 Hemorrhage from respiratory passages, unspecified - R049 Other somatoform disorders - F458 primary cough headache Primary cough headache - G4483 COUNSELING OR CONSULTATION Counseling NOS - v65.40 Counseling on other STDs - V65.45 Counseling Other Spec - v65.49 Dietary Survelliance & Counseling - V65.3 Health Counseling - V65.9 HIV Counseling, pre or post test - V65.44 No Diagnosis Or Condition On Axis I - V71.09 Observation & eval for other condition not found - V71.89 Other reason for consult - V65.8 CYSTITIS Acute cystitis with hematuria - N3001 Acute cystitis without hematuria - N3000 Cystitis Cystitis cystica Cystitis in diseases classified elsewhere Cystitis, Acute (UTI) Cystitis, Chronic interstitial Cystitis, Irradiation Cystitis, other Cystitis, Other chronic Cystitis, Other specified types cystitis, unspecified Cystitis, unspecified with hematuria - N3091 Cystitis, unspecified without hematuria - N3090 Interstitial cystitis (chronic) with hematuria - N3011 Interstitial cystitis (chronic) without hematuria - N3010 Irradiation cystitis with hematuria - N3041 Irradiation cystitis without hematuria - N3040 Other chronic cystitis with hematuria - N3021 Other chronic cystitis without hematuria - N3020 Other cystitis with hematuria - N3081

20 Other cystitis without hematuria - N3080 Trigonitis Trigonitis with hematuria - N3031 Trigonitis without hematuria - N3030 DEATH Death, brain Death, instantaneous, cause unknown Death, Unattended Death, unexplained <= 24 hours from onset of symptoms DEPRESSION Depression, major, full remission Depression, major, mild Depression, major, moderate Depression, major, partial remission Depression, major, severe Depression, not elsewhere classified Depression, unipolar, recurrent, severe Depression, unipolar, recurrent, unspecified Depressive disorder, major, recurrent episode Depressive dissorder, Major, single episode Dysthymic disorder - F341 Major depressive affective disorder recurrent episode severe degree specified as with psychotic behavior Major depressive disorder, recurrent mild Major depressive disorder, recurrent moderate Major depressive disorder, recurrent severe without psychotic features - F332 Major depressive disorder, recurrent, mild - F330 Major depressive disorder, recurrent, moderate - F331 Major depressive disorder, recurrent, severe with psychotic symptoms - F333 Major depressive disorder, recurrent, unspecified - F339 Major depressive disorder, single episode, in full remission - F325 Major depressive disorder, single episode, in partial remission - F324 Major depressive disorder, single episode, mild - F320 Major depressive disorder, single episode, moderate - F321 Major depressive disorder, single episode, severe without psychotic features - F322 Major depressive disorder, single episode, unspecified - F329 Major depressive disorder, unspecified major recurrent depression Mood disorder due to known physiological condition, unspecified - F0630 Mood disorder in conditions classified elsewhere Mood Disorder NOS Neurotic Depression Suicide ideation - V62.84 Unspecified mood [affective] disorder - F39 DEVELOPMENTAL Developmental delay, other specified Other specific developmental learning difficulties

21 Pervasive developmental disorder specific delays in development DIABETES MELLITUS Diabetes (non-insulin dependent) no complication Diabetes Mellitus Diabetes type 1 Insulin Dependent Diabetis II unspecified uncontrolled Type 1 diabetes mellitus without complications - E109 Type 2 diabetes mellitus with hyperglycemia - E1165 Type 2 diabetes mellitus without complications - E119 DIGESTIVE DISORDERS, FUNCTIONAL Constipation Constipation, Other Constipation, Outlet dysfuction Constipation, slow transit Constipation, unspecified Constipation, unspecified - K5900 Digestive disorders, functional; Not elsewhere classified Irritable Bowel Syndrome (IBS) Irritable bowel syndrome without diarrhea - K589 Nausea - R110 Other constipation - K5909 Outlet dysfunction constipation - K5902 Slow transit constipation - K5901 DIGESTIVE SYSTEM SYMPTOMS Aphagia - R130 Bilious vomiting - R1114 Bowel sounds, abnormal Diarrhea Digestive system symptoms Digestive system symptoms, other (change in bowel habits, tenesmus (rectal) digestive system sypmtoms, other Dyspepsia and other specified disorders of function of stomach Dysphagia Dysphagia, oral phase Dysphagia, oral phase - R1311 Dysphagia, oropharyngeal phase Dysphagia, oropharyngeal phase - R1312 Dysphagia, oropharyngeal phase - R13212 Dysphagia, other Dysphagia, pharyngeal phase Dysphagia, pharyngeal phase - R1313 Dysphagia, pharyngoesophageal phase Dysphagia, pharyngoesophageal phase - R1314 Dysphagia, unspecified - R1310 Dysphagia, unspecified (diffculty in swallowing NOS) Feces, abnormal

22 Flatulence, cructation and gas pain Functional dyspepsia - K30 Heartburn Heartburn - R12 Incontinence of feces excludes that of non organinc origin Nausea - R110 Nausea alone Nausea and vomiting Nausea with vomiting Nausea with vomiting Nausea with vomiting, unspecified - R112 Other dysphagia - R1319 Peristalsis, visible Projectile vomiting - R1112 Vomiting alone Vomiting without nausea - R1111 Vomiting, unspecified - R1110 DISEASE OF NAIL Beau's lines - L604 Dermatophytosis of nail Ingrowing nail Ingrowing nail - L600 Nail disorder, unspecified - L609 Nail dystrophy - L603 Nail, diseases of Nail, Other specified diseases of Nail, Unspecified disease of Onychogryphosis - L602 Onycholysis - L601 Other nail disorders - L608 Tinea unguium - B351 DRUG ABUSE (excluding alcohol) Abuse Cannabis, episodic Abuse Cannabis, in remission Abuse Cannibis, continuous Abuse of drugs, nondependent Abuse, amphetamine or related acting sympathomimetic abuse Abuse, antidepressant type Abuse, cannabis Abuse, cannabis unspecified Abuse, cocaine Abuse, hallucinogen Abuse, opioid Abuse, sedative, hypnotic or anxiolytic Abuse, sedative, hypnotic or anxiolytic continuous Abuse, sedative, hypnotic or anxiolytic episodic Abuse, sedative, hypnotic or anxiolytic unspecified

23 Alcohol abuse counseling and surveillance of alcoholic - Z7141 Cannabis abuse with cannabis-induced anxiety disorder - F12180 Cannabis abuse with intoxication with perceptual disturbance - F12122 Cannabis abuse with other cannabis-induced disorder - F12188 Cannabis abuse with psychotic disorder, unspecified - F12159 Cannabis abuse, uncomplicated - F1210 Cannabis dependence Cannabis dependence unspecified use Cannabis dependence with cannabis-induced anxiety disorder - F12280 Cannabis dependence with intoxication with perceptual disturbance - F12222 Cannabis dependence with other cannabis-induced disorder - F12288 Cannabis dependence with psychotic disorder, unspecified - F12259 Cannabis dependence, in remission - F1221 Cannabis dependence, uncomplicated - F1220 Cannabis use, unspecified with anxiety disorder - F12980 Cannabis use, unspecified with intoxication with perceptual disturbance - F12922 Cannabis use, unspecified with other cannabis-induced disorder - F12988 Cannabis use, unspecified with psychotic disorder, unspecified - F12959 Cannabis use, unspecified, uncomplicated - F1290 Cocaine abuse with cocaine-induced psychotic disorder, unspecified - F14180 Cocaine abuse with cocaine-induced sexual dysfunction - F14181 Cocaine abuse with intoxication with perceptual disturbance - F14122 Cocaine abuse with other cocaine-induced disorder - F14188 Cocaine abuse, uncomplicatedd - F1410 Cocaine dependence with cocaine-induced anxiety disorder - F14281 Cocaine dependence with cocaine-induced psychotic disorder, unspecified - F14259 Cocaine dependence with intoxication with perceptual disturbance - F14222 Cocaine dependence with other cocaine-induced disorder - F14288 Cocaine use, unspecified with cocaine-induced anxiety disorder - F14980 Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified - F14959 Cocaine use, unspecified with cocaine-induced sexual dysfunction - F14981 Cocaine use, unspecified with intoxication with perceptual disturbance - F14922 Cocaine use, unspecified with other cocaine-induced disorder - F14988 Combinations of drug dependence excluding opioid type drug unspecified use Drug dependence on multiple, excluding opiods drug induced mental disorder Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks) - F16183 Hallucinogen abuse with hallucinogen-induced anxiety disorder - F16180 Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified - F16159 Hallucinogen abuse with intoxication with perceptual disturbance - F16122 Hallucinogen abuse with other hallucinogen-induced disorder - F16188 Hallucinogen abuse, uncomplicated - F1610 Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks) - F16283 Hallucinogen dependence with hallucinogen-induced anxiety disorder - F16280 Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified - F16259 Hallucinogen dependence with other hallucinogen-induced disorder - F16288 Hallucinogen use, unspecified with hallucinogen persisting perception disorder (flashbacks) - F16983

24 Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder - F16980 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified - F16959 Hallucinogen use, unspecified with other hallucinogen-induced disorder - F16988 Inhalant abuse with inhalant-induced anxiety disorder - F18180 Inhalant abuse with inhalant-induced psychotic disorder, unspecified - F18159 Inhalant abuse with other inhalant-induced disorder - F18188 Inhalant abuse, uncomplicated - F1810 Inhalant dependence with inhalant-induced anxiety disorder - F18280 Inhalant dependence with inhalant-induced psychotic disorder, unspecified - F18259 Inhalant dependence with other inhalant-induced disorder - F18288 Inhalant use, unspecified with inhalant-induced anxiety disorder - F18980 Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified - F18959 Inhalant use, unspecified with other inhalant-induced disorder - F18988 Long term (current) use of opiate analgesic - Z79891 Long term current drug use - V58.69 Nicotine dependence, chewing tobacco, with other nicotine-induced disorders - F17228 Nicotine dependence, cigarettes, with other nicotine-induced disorders - F17218 Nicotine dependence, other tobacco product, with other nicotine-induced disorders - F17298 Nicotine dependence, unspecified, uncomplicated - F17200 Nicotine dependence, unspecified, with other nicotine-induced disorders - F17208 Nondependent other mixed or unspecified drug abuse Opioid abuse with opioid-induced psychotic disorder, unspecified - F11159 Opioid abuse with opioid-induced sexual dysfunction - F11181 Opioid abuse with other opioid-induced disorder - F11188 Opioid abuse, uncomplicated - F1110 Opioid dependence with intoxication with perceptual disturbance - F11222 Opioid dependence with opioid-induced psychotic disorder, unspecified - F11259 Opioid dependence with opioid-induced sexual dysfunction - F11281 Opioid dependence with other opioid-induced disorder - F11288 Opioid type dependence unspecified use Opioid use, unspecified with intoxication with perceptual disturbance - F11922 Opioid use, unspecified with opioid-induced psychotic disorder, unspecified - F11959 Opioid use, unspecified with opioid-induced sexual dysfunction - F11981 Opioid use, unspecified with opioid-induced sexual dysfunction - F11988 Other long term (current) drug therapy - Z79899 Other mixed or unspecified drug abuse unspecified use Other psychoactive substance abuse with intoxication with perceptual disturbances - F19122 Other psychoactive substance abuse with other psychoactive substance-induced disorder - F19188 Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder - F19180 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified - F19159 Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction - F19181 Other psychoactive substance abuse, uncomplicated - F1910 Other psychoactive substance dependence with intoxication with perceptual disturbance -