LCD for Serum Magnesium Testing

LCD for Serum Magnesium Testing Applicable CPT Code(s): 83735 Magnesium ICD-9 Codes that Support Medical Necessity: Code Description 781.0 ABNORMAL INVOLUNTARY MOVEMENTS 796.1 ABNORMAL REFLEX 659.73 ABNORMALITY IN FETAL HEART RATE OR RHYTHM ANTEPARTUM CONDITION OR 763.81 ABNORMALITY IN FETAL HEART RATE OR RHYTHM BEFORE THE ONSET OF LABOR 659.71 ABNORMALITY IN FETAL HEART RATE OR RHYTHM DELIVERED WITH OR WITHOUT ANTEPARTUM CONDITION 763.82 ABNORMALITY IN FETAL HEART RATE OR RHYTHM DURING LABOR 659.70 ABNORMALITY IN FETAL HEART RATE OR RHYTHM UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE 763.83 ABNORMALITY IN FETAL HEART RATE OR RHYTHM UNSPECIFIED AS TO TIME OF ONSET 781.2 ABNORMALITY OF GAIT 572.0 ABSCESS OF LIVER 276.2 ACIDOSIS 571.1 ACUTE ALCOHOLIC HEPATITIS 303.01 ACUTE ALCOHOLIC INTOXICATION IN ALCOHOLISM CONTINUOUS DRINKING BEHAVIOR 303.02 ACUTE ALCOHOLIC INTOXICATION IN ALCOHOLISM EPISODIC DRINKING BEHAVIOR 303.00 ACUTE ALCOHOLIC INTOXICATION IN ALCOHOLISM UNSPECIFIED DRINKING BEHAVIOR 428.41 ACUTE COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 411.81 ACUTE CORONARY OCCLUSION WITHOUT MYOCARDIAL INFARCTION 428.31 ACUTE DIASTOLIC HEART FAILURE 070.41 ACUTE HEPATITIS C WITH HEPATIC COMA

070.51 ACUTE HEPATITIS C WITHOUT MENTION OF HEPATIC COMA 669.32 ACUTE KIDNEY FAILURE FOLLOWING LABOR AND DELIVERY, DELIVERED, WITH MENTION OF POSTPARTUM 669.34 ACUTE KIDNEY FAILURE FOLLOWING LABOR AND DELIVERY, POSTPARTUM CONDITION OR 669.30 ACUTE KIDNEY FAILURE FOLLOWING LABOR AND DELIVERY, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE 584.6 ACUTE KIDNEY FAILURE WITH LESION OF RENAL CORTICAL NECROSIS 584.7 ACUTE KIDNEY FAILURE WITH LESION OF RENAL MEDULLARY [PAPILLARY] NECROSIS 584.5 ACUTE KIDNEY FAILURE WITH LESION OF TUBULAR NECROSIS 584.8 ACUTE KIDNEY FAILURE WITH OTHER SPECIFIED PATHOLOGICAL LESION IN KIDNEY 584.9 ACUTE KIDNEY FAILURE, UNSPECIFIED 410.00 ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL EPISODE OF CARE UNSPECIFIED 410.01 ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL INITIAL EPISODE OF CARE 410.02 ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL SUBSEQUENT EPISODE OF CARE 410.20 ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL EPISODE OF CARE UNSPECIFIED 410.21 ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL INITIAL EPISODE OF CARE 410.22 ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL SUBSEQUENT EPISODE OF CARE 410.30 ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL EPISODE OF CARE UNSPECIFIED 410.31 ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL INITIAL EPISODE OF CARE 410.32 ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL SUBSEQUENT EPISODE OF CARE 410.10 ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL EPISODE OF CARE UNSPECIFIED 410.11 ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL INITIAL EPISODE OF CARE

410.12 ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL SUBSEQUENT EPISODE OF CARE 410.40 ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL EPISODE OF CARE UNSPECIFIED 410.41 ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL INITIAL EPISODE OF CARE 410.42 ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL SUBSEQUENT EPISODE OF CARE 410.50 ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL EPISODE OF CARE UNSPECIFIED 410.51 ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL INITIAL EPISODE OF CARE 410.52 ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL SUBSEQUENT EPISODE OF CARE 410.80 ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES EPISODE OF CARE UNSPECIFIED 410.81 ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES INITIAL EPISODE OF CARE 410.82 ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES SUBSEQUENT EPISODE OF CARE 410.90 ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE EPISODE OF CARE UNSPECIFIED 410.91 ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE INITIAL EPISODE OF CARE 410.92 ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE SUBSEQUENT EPISODE OF CARE 428.43 ACUTE ON CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 428.33 ACUTE ON CHRONIC DIASTOLIC HEART FAILURE 428.23 ACUTE ON CHRONIC SYSTOLIC HEART FAILURE 577.0 ACUTE PANCREATITIS 590.11 ACUTE PYELONEPHRITIS WITH LESION OF RENAL MEDULLARY NECROSIS 590.10 ACUTE PYELONEPHRITIS WITHOUT LESION OF RENAL MEDULLARY NECROSIS 428.21 ACUTE SYSTOLIC HEART FAILURE 557.0 ACUTE VASCULAR INSUFFICIENCY OF INTESTINE 783.7 ADULT FAILURE TO THRIVE V56.0 AFTERCARE INVOLVING EXTRACORPOREAL DIALYSIS V56.8 AFTERCARE INVOLVING OTHER DIALYSIS 291.0 ALCOHOL WITHDRAWAL DELIRIUM 571.2 ALCOHOLIC CIRRHOSIS OF LIVER

571.0 ALCOHOLIC FATTY LIVER 571.3 ALCOHOLIC LIVER DAMAGE UNSPECIFIED 291.1 ALCOHOL-INDUCED PERSISTING AMNESTIC DISORDER 291.2 ALCOHOL-INDUCED PERSISTING DEMENTIA 291.3 ALCOHOL-INDUCED PSYCHOTIC DISORDER WITH HALLUCINATIONS 276.3 ALKALOSIS 558.3 ALLERGIC GASTROENTERITIS AND COLITIS 780.09 ALTERATION OF CONSCIOUSNESS OTHER 294.0 AMNESTIC DISORDER IN CONDITIONS CLASSIFIED ELSEWHERE 426.7 ANOMALOUS ATRIOVENTRICULAR EXCITATION 783.0 ANOREXIA 307.1 ANOREXIA NERVOSA 642.03 ANTEPARTUM BENIGN ESSENTIAL HYPERTENSION 648.03 ANTEPARTUM DIABETES MELLITUS 641.33 ANTEPARTUM HEMORRHAGE ASSOCIATED WITH COAGULATION DEFECTS 641.30 ANTEPARTUM HEMORRHAGE ASSOCIATED WITH COAGULATION DEFECTS UNSPECIFIED AS TO EPISODE OF CARE 641.31 ANTEPARTUM HEMORRHAGE ASSOCIATED WITH COAGULATION DEFECTS WITH DELIVERY 669.13 ANTEPARTUM OBSTETRIC SHOCK 642.33 ANTEPARTUM TRANSIENT HYPERTENSION 493.90 ASTHMA UNSPECIFIED 493.91 ASTHMA UNSPECIFIED TYPE WITH STATUS ASTHMATICUS 493.92 ASTHMA UNSPECIFIED WITH (ACUTE) EXACERBATION 427.31 ATRIAL FIBRILLATION 427.32 ATRIAL FLUTTER 426.10 ATRIOVENTRICULAR BLOCK UNSPECIFIED 571.42 AUTOIMMUNE HEPATITIS 255.13 BARTTER'S SYNDROME 642.00 BENIGN ESSENTIAL HYPERTENSION COMPLICATING PREGNANCY CHILDBIRTH AND THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 642.01 BENIGN ESSENTIAL HYPERTENSION WITH DELIVERY 642.02 BENIGN ESSENTIAL HYPERTENSION WITH DELIVERY WITH POSTPARTUM 402.11 BENIGN HYPERTENSIVE HEART DISEASE WITH HEART FAILURE 571.6 BILIARY CIRRHOSIS

787.04 BILIOUS EMESIS 579.2 BLIND LOOP SYNDROME V58.2 BLOOD TRANSFUSION WITHOUT REPORTED DIAGNOSIS 307.51 BULIMIA NERVOSA 426.50 BUNDLE BRANCH BLOCK UNSPECIFIED 799.4 CACHEXIA 427.5 CARDIAC ARREST 997.1 CARDIAC S NOT ELSEWHERE CLASSIFIED 668.13 CARDIAC S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY ANTEPARTUM 668.11 CARDIAC S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED 668.12 CARDIAC S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED WITH POSTPARTUM 668.14 CARDIAC S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY POSTPARTUM 668.10 CARDIAC S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 427.9 CARDIAC DYSRHYTHMIA UNSPECIFIED 785.51 CARDIOGENIC SHOCK 344.61 CAUDA EQUINA SYNDROME WITH NEUROGENIC BLADDER 344.60 CAUDA EQUINA SYNDROME WITHOUT NEUROGENIC BLADDER 579.0 CELIAC DISEASE 429.79 CERTAIN SEQUELAE OF MYOCARDIAL INFARCTION NOT ELSEWHERE CLASSIFIED OTHER 995.51 CHILD EMOTIONAL/PSYCHOLOGICAL ABUSE 995.52 CHILD NEGLECT (NUTRITIONAL) 428.42 CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 428.32 CHRONIC DIASTOLIC HEART FAILURE 780.71 CHRONIC FATIGUE SYNDROME 070.44 CHRONIC HEPATITIS C WITH HEPATIC COMA 070.54 CHRONIC HEPATITIS C WITHOUT HEPATIC COMA 571.40 CHRONIC HEPATITIS UNSPECIFIED 458.1 CHRONIC HYPOTENSION 585.1 CHRONIC KIDNEY DISEASE, STAGE I 585.2 CHRONIC KIDNEY DISEASE, STAGE II (MILD) 585.3 CHRONIC KIDNEY DISEASE, STAGE III (MODERATE) 585.4 CHRONIC KIDNEY DISEASE, STAGE IV (SEVERE)

585.5 CHRONIC KIDNEY DISEASE, STAGE V 585.9 CHRONIC KIDNEY DISEASE, UNSPECIFIED 307.22 CHRONIC MOTOR OR VOCAL TIC DISORDER 493.20 CHRONIC OBSTRUCTIVE ASTHMA UNSPECIFIED 493.22 CHRONIC OBSTRUCTIVE ASTHMA WITH (ACUTE) EXACERBATION 493.21 CHRONIC OBSTRUCTIVE ASTHMA WITH STATUS ASTHMATICUS 577.1 CHRONIC PANCREATITIS 573.0 CHRONIC PASSIVE CONGESTION OF LIVER 571.41 CHRONIC PERSISTENT HEPATITIS 590.01 CHRONIC PYELONEPHRITIS WITH LESION OF RENAL MEDULLARY NECROSIS 590.00 CHRONIC PYELONEPHRITIS WITHOUT LESION OF RENAL MEDULLARY NECROSIS 428.22 CHRONIC SYSTOLIC HEART FAILURE 557.1 CHRONIC VASCULAR INSUFFICIENCY OF INTESTINE 070.23 CHRONIC VIRAL HEPATITIS B WITH HEPATIC COMA WITH HEPATITIS DELTA 070.22 CHRONIC VIRAL HEPATITIS B WITH HEPATIC COMA WITHOUT HEPATITIS DELTA 070.33 CHRONIC VIRAL HEPATITIS B WITHOUT HEPATIC COMA WITH HEPATITIS DELTA 070.32 CHRONIC VIRAL HEPATITIS B WITHOUT HEPATIC COMA WITHOUT HEPATITIS DELTA 571.5 CIRRHOSIS OF LIVER WITHOUT ALCOHOL 780.01 COMA 331.3 COMMUNICATING HYDROCEPHALUS 780.32 COMPLEX FEBRILE CONVULSIONS 996.83 S OF TRANSPLANTED HEART 996.81 S OF TRANSPLANTED KIDNEY 426.9 CONDUCTION DISORDER UNSPECIFIED 428.0 CONGESTIVE HEART FAILURE UNSPECIFIED 255.12 CONN'S SYNDROME 493.82 COUGH VARIANT ASTHMA 729.82 CRAMP OF LIMB 359.81 CRITICAL ILLNESS MYOPATHY 276.51 DEHYDRATION 666.24 DELAYED AND SECONDARY POSTPARTUM HEMORRHAGE 666.20 DELAYED AND SECONDARY POSTPARTUM HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE

666.22 DELAYED AND SECONDARY POSTPARTUM HEMORRHAGE WITH DELIVERY 639.1 DELAYED OR EXCESSIVE HEMORRHAGE FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES 293.0 DELIRIUM DUE TO CONDITIONS CLASSIFIED ELSEWHERE 294.11 DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITH BEHAVIORAL DISTURBANCE 294.10 DEMENTIA IN CONDITIONS CLASSIFIED ELSEWHERE WITHOUT BEHAVIORAL DISTURBANCE 648.00 DIABETES MELLITUS OF MOTHER COMPLICATING PREGNANCY CHILDBIRTH OR THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 648.01 DIABETES MELLITUS OF MOTHER WITH DELIVERY 648.02 DIABETES MELLITUS OF MOTHER WITH DELIVERY WITH POSTPARTUM 250.01 DIABETES MELLITUS WITHOUT MENTION OF, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.03 DIABETES MELLITUS WITHOUT MENTION OF, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.00 DIABETES MELLITUS WITHOUT MENTION OF, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.02 DIABETES MELLITUS WITHOUT MENTION OF, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.21 DIABETES WITH HYPEROSMOLARITY, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.23 DIABETES WITH HYPEROSMOLARITY, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.20 DIABETES WITH HYPEROSMOLARITY, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.22 DIABETES WITH HYPEROSMOLARITY, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.11 DIABETES WITH KETOACIDOSIS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.13 DIABETES WITH KETOACIDOSIS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.10 DIABETES WITH KETOACIDOSIS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED

250.12 DIABETES WITH KETOACIDOSIS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.60 DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.51 DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.53 DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.50 DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.52 DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.31 DIABETES WITH OTHER COMA, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.33 DIABETES WITH OTHER COMA, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.30 DIABETES WITH OTHER COMA, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.32 DIABETES WITH OTHER COMA, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.81 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.83 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.80 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.82 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.71 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.73 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.70 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.72 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED

250.41 DIABETES WITH RENAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.43 DIABETES WITH RENAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.40 DIABETES WITH RENAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.42 DIABETES WITH RENAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.91 DIABETES WITH UNSPECIFIED, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.93 DIABETES WITH UNSPECIFIED, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.90 DIABETES WITH UNSPECIFIED, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.92 DIABETES WITH UNSPECIFIED, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 787.91 DIARRHEA 344.2 DIPLEGIA OF UPPER LIMBS 275.2 DISORDERS OF MAGNESIUM METABOLISM 275.3 DISORDERS OF PHOSPHORUS METABOLISM 781.1 DISTURBANCES OF SENSATION OF SMELL AND TASTE 292.85 DRUG INDUCED SLEEP DISORDERS 292.0 DRUG WITHDRAWAL 292.81 DRUG-INDUCED DELIRIUM 292.84 DRUG-INDUCED MOOD DISORDER 292.83 DRUG-INDUCED PERSISTING AMNESTIC DISORDER 292.82 DRUG-INDUCED PERSISTING DEMENTIA 292.11 DRUG-INDUCED PSYCHOTIC DISORDER WITH DELUSIONS 292.12 DRUG-INDUCED PSYCHOTIC DISORDER WITH HALLUCINATIONS 307.50 EATING DISORDER UNSPECIFIED 642.63 ECLAMPSIA ANTEPARTUM 642.60 ECLAMPSIA COMPLICATING PREGNANCY CHILDBIRTH OR THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 642.64 ECLAMPSIA POSTPARTUM 642.61 ECLAMPSIA WITH DELIVERY 642.62 ECLAMPSIA WITH DELIVERY WITH POSTPARTUM 259.3 ECTOPIC HORMONE SECRETION NOT ELSEWHERE CLASSIFIED 990 EFFECTS OF RADIATION UNSPECIFIED

276.9 ELECTROLYTE AND FLUID DISORDERS NOT ELSEWHERE CLASSIFIED 796.2 ELEVATED BLOOD PRESSURE READING WITHOUT DIAGNOSIS OF HYPERTENSION 639.6 EMBOLISM FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES V56.31 ENCOUNTER FOR ADEQUACY TESTING FOR HEMODIALYSIS V56.32 ENCOUNTER FOR ADEQUACY TESTING FOR PERITONEAL DIALYSIS V58.11 ENCOUNTER FOR ANTINEOPLASTIC CHEMOTHERAPY V58.12 ENCOUNTER FOR IMMUNOTHERAPY FOR NEOPLASTIC CONDITION 585.6 END STAGE RENAL DISEASE 333.1 ESSENTIAL AND OTHER SPECIFIED FORMS OF TREMOR 493.81 EXERCISE-INDUCED BRONCHOSPASM 493.00 EXTRINSIC ASTHMA UNSPECIFIED 493.02 EXTRINSIC ASTHMA WITH (ACUTE) EXACERBATION 493.01 EXTRINSIC ASTHMA WITH STATUS ASTHMATICUS 638.2 FAILED ATTEMPTED ABORTION COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 638.1 FAILED ATTEMPTED ABORTION COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 638.6 FAILED ATTEMPTED ABORTION COMPLICATED BY EMBOLISM 638.0 FAILED ATTEMPTED ABORTION COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 638.4 FAILED ATTEMPTED ABORTION COMPLICATED BY METABOLIC DISORDER 638.3 FAILED ATTEMPTED ABORTION COMPLICATED BY RENAL FAILURE 638.5 FAILED ATTEMPTED ABORTION COMPLICATED BY SHOCK 638.7 FAILED ATTEMPTED ABORTION WITH OTHER SPECIFIED S 638.8 FAILED ATTEMPTED ABORTION WITH UNSPECIFIED 638.9 FAILED ATTEMPTED ABORTION WITHOUT 783.41 FAILURE TO THRIVE 780.31 FEBRILE CONVULSIONS (SIMPLE), UNSPECIFIED 783.3 FEEDING DIFFICULTIES AND MISMANAGEMENT 656.33 FETAL DISTRESS AFFECTING MANAGEMENT OF MOTHER ANTEPARTUM

656.31 FETAL DISTRESS AFFECTING MANAGEMENT OF MOTHER DELIVERED 656.30 FETAL DISTRESS AFFECTING MANAGEMENT OF MOTHER UNSPECIFIED AS TO EPISODE OF CARE 764.24 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 1000-1249 GRAMS 764.25 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 1250-1499 GRAMS 764.26 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 1500-1749 GRAMS 764.27 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 1750-1999 GRAMS 764.28 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 2000-2499 GRAMS 764.29 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 2500 GRAMS AND OVER 764.22 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 500-749 GRAMS 764.23 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES 750-999 GRAMS 764.21 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES LESS THAN 500 GRAMS 764.20 FETAL MALNUTRITION WITHOUT LIGHT-FOR-DATES UNSPECIFIED WEIGHT 656.03 FETAL-MATERNAL HEMORRHAGE ANTEPARTUM CONDITION OR 656.00 FETAL-MATERNAL HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE IN PREGNANCY 656.01 FETAL-MATERNAL HEMORRHAGE WITH DELIVERY 426.11 FIRST DEGREE ATRIOVENTRICULAR BLOCK 576.4 FISTULA OF BILE DUCT 569.81 FISTULA OF INTESTINE EXCLUDING RECTUM AND ANUS 276.6 FLUID OVERLOAD DISORDER V67.2 FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY V67.51 FOLLOW-UP EXAMINATION FOLLOWING COMPLETED TREATMENT WITH HIGH-RISK MEDICATION NOT ELSEWHERE CLASSIFIED 560.31 GALLSTONE ILEUS 558.1 GASTROENTERITIS AND COLITIS DUE TO RADIATION 639.0 GENITAL TRACT AND PELVIC INFECTION FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES 255.41 GLUCOCORTICOID DEFICIENCY

255.11 GLUCOCORTICOID-REMEDIABLE ALDOSTERONISM 345.3 GRAND MAL STATUS EPILEPTIC 428.9 HEART FAILURE UNSPECIFIED V42.1 HEART REPLACED BY TRANSPLANT 641.13 HEMORRHAGE FROM PLACENTA PREVIA ANTEPARTUM 641.10 HEMORRHAGE FROM PLACENTA PREVIA UNSPECIFIED AS TO EPISODE OF CARE 641.11 HEMORRHAGE FROM PLACENTA PREVIA WITH DELIVERY 572.2 HEPATIC ENCEPHALOPATHY 070.52 HEPATITIS DELTA WITHOUT ACTIVE HEPATITIS B DISEASE OR HEPATIC COMA 070.42 HEPATITIS DELTA WITHOUT ACTIVE HEPATITIS B DISEASE WITH HEPATIC COMA HEPATITIS DELTA WITH HEPATITIS B CARRIER STATE 070.43 HEPATITIS E WITH HEPATIC COMA 070.53 HEPATITIS E WITHOUT HEPATIC COMA 572.4 HEPATORENAL SYNDROME 275.5 HUNGRY BONE SYNDROME 255.10 HYPERALDOSTERONISM, UNSPECIFIED 275.42 HYPERCALCEMIA 643.13 HYPEREMESIS GRAVIDARUM WITH METABOLIC DISTURBANCE ANTEPARTUM 643.11 HYPEREMESIS GRAVIDARUM WITH METABOLIC DISTURBANCE DELIVERED 643.10 HYPEREMESIS GRAVIDARUM WITH METABOLIC DISTURBANCE UNSPECIFIED AS TO EPISODE OF CARE 429.82 HYPERKINETIC HEART DISEASE 728.5 HYPERMOBILITY SYNDROME 276.0 HYPEROSMOLALITY AND/OR HYPERNATREMIA 252.00 HYPERPARATHYROIDISM, UNSPECIFIED 276.7 HYPERPOTASSEMIA 642.13 HYPERTENSION SECONDARY TO RENAL DISEASE ANTEPARTUM 642.10 HYPERTENSION SECONDARY TO RENAL DISEASE COMPLICATING PREGNANCY CHILDBIRTH AND THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 642.14 HYPERTENSION SECONDARY TO RENAL DISEASE POSTPARTUM 642.11 HYPERTENSION SECONDARY TO RENAL DISEASE WITH DELIVERY 642.12 HYPERTENSION SECONDARY TO RENAL DISEASE WITH DELIVERY WITH POSTPARTUM

403.11 HYPERTENSIVE CHRONIC KIDNEY DISEASE, BENIGN, WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE 403.01 HYPERTENSIVE CHRONIC KIDNEY DISEASE, MALIGNANT, WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE 403.91 HYPERTENSIVE CHRONIC KIDNEY DISEASE, UNSPECIFIED, WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE 404.13 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, BENIGN, WITH HEART FAILURE AND CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE 404.11 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, BENIGN, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED 404.01 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED 404.03 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, MALIGNANT, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE 404.93 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, UNSPECIFIED, WITH HEART FAILURE AND CHRONIC KIDNEY DISEASE STAGE V OR END STAGE RENAL DISEASE 404.91 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE, UNSPECIFIED, WITH HEART FAILURE AND WITH CHRONIC KIDNEY DISEASE STAGE I THROUGH STAGE IV, OR UNSPECIFIED 278.4 HYPERVITAMINOSIS D 275.41 HYPOCALCEMIA 775.4 HYPOCALCEMIA AND HYPOMAGNESEMIA OF NEWBORN 252.1 HYPOPARATHYROIDISM 276.8 HYPOPOTASSEMIA 276.1 HYPOSMOLALITY AND/OR HYPONATREMIA 458.21 HYPOTENSION OF HEMODIALYSIS 458.9 HYPOTENSION UNSPECIFIED 276.52 HYPOVOLEMIA 415.11 IATROGENIC PULMONARY EMBOLISM AND INFARCTION

331.5 IDIOPATHIC NORMAL PRESSURE HYDROCEPHALUS (INPH) 636.22 ILLEGAL ABORTION COMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 636.12 ILLEGAL ABORTION COMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 636.62 ILLEGAL ABORTION COMPLETE COMPLICATED BY EMBOLISM 636.02 ILLEGAL ABORTION COMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 636.42 ILLEGAL ABORTION COMPLETE COMPLICATED BY METABOLIC DISORDER 636.32 ILLEGAL ABORTION COMPLETE COMPLICATED BY RENAL FAILURE 636.52 ILLEGAL ABORTION COMPLETE COMPLICATED BY SHOCK 636.72 ILLEGAL ABORTION COMPLETE WITH OTHER SPECIFIED S 636.82 ILLEGAL ABORTION COMPLETE WITH UNSPECIFIED 636.92 ILLEGAL ABORTION COMPLETE WITHOUT 636.21 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 636.11 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 636.61 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY EMBOLISM 636.01 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 636.41 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY METABOLIC DISORDER 636.31 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY RENAL FAILURE 636.51 ILLEGAL ABORTION INCOMPLETE COMPLICATED BY SHOCK 636.71 ILLEGAL ABORTION INCOMPLETE WITH OTHER SPECIFIED S 636.81 ILLEGAL ABORTION INCOMPLETE WITH UNSPECIFIED 636.91 ILLEGAL ABORTION INCOMPLETE WITHOUT 636.20 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES

636.10 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 636.60 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY EMBOLISM 636.00 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 636.40 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY METABOLIC DISORDER 636.30 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY RENAL FAILURE 636.50 ILLEGAL ABORTION UNSPECIFIED COMPLICATED BY SHOCK 636.70 ILLEGAL ABORTION UNSPECIFIED WITH OTHER SPECIFIED S 636.80 ILLEGAL ABORTION UNSPECIFIED WITH UNSPECIFIED 636.90 ILLEGAL ABORTION UNSPECIFIED WITHOUT 560.30 IMPACTION OF INTESTINE UNSPECIFIED 345.61 INFANTILE SPASMS WITH INTRACTABLE EPILEPSY 345.60 INFANTILE SPASMS WITHOUT INTRACTABLE EPILEPSY 590.9 INFECTION OF KIDNEY UNSPECIFIED 008.45 INTESTINAL INFECTION DUE TO CLOSTRIDIUM DIFFICILE 560.81 INTESTINAL OR PERITONEAL ADHESIONS WITH OBSTRUCTION (POSTOPERATIVE) (POSTINFECTION) 656.43 INTRAUTERINE DEATH AFFECTING MANAGEMENT OF MOTHER ANTEPARTUM 656.41 INTRAUTERINE DEATH AFFECTING MANAGEMENT OF MOTHER DELIVERED 656.40 INTRAUTERINE DEATH AFFECTING MANAGEMENT OF MOTHER UNSPECIFIED AS TO EPISODE OF CARE 493.10 INTRINSIC ASTHMA UNSPECIFIED 493.12 INTRINSIC ASTHMA WITH (ACUTE) EXACERBATION 493.11 INTRINSIC ASTHMA WITH STATUS ASTHMATICUS 560.0 INTUSSUSCEPTION 639.3 KIDNEY FAILURE FOLLOWING ABORTION AND ECTOPIC AND MOLAR PREGNANCIES V42.0 KIDNEY REPLACED BY TRANSPLANT 260 KWASHIORKOR 781.3 LACK OF COORDINATION 775.7 LATE METABOLIC ACIDOSIS OF NEWBORN 643.23 LATE VOMITING OF PREGNANCY ANTEPARTUM

643.21 LATE VOMITING OF PREGNANCY DELIVERED 643.20 LATE VOMITING OF PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 426.2 LEFT BUNDLE BRANCH HEMIBLOCK 556.5 LEFT-SIDED ULCERATIVE (CHRONIC) COLITIS 635.22 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 635.12 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 635.62 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY EMBOLISM 635.02 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 635.42 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY METABOLIC DISORDER 635.32 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY RENAL FAILURE 635.52 LEGALLY INDUCED ABORTION COMPLETE COMPLICATED BY SHOCK 635.72 LEGALLY INDUCED ABORTION COMPLETE WITH OTHER SPECIFIED S 635.82 LEGALLY INDUCED ABORTION COMPLETE WITH UNSPECIFIED 635.92 LEGALLY INDUCED ABORTION COMPLETE WITHOUT 635.21 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 635.11 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 635.61 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY EMBOLISM 635.01 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 635.41 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY METABOLIC DISORDER 635.31 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY RENAL FAILURE 635.51 LEGALLY INDUCED ABORTION INCOMPLETE COMPLICATED BY SHOCK

635.71 LEGALLY INDUCED ABORTION INCOMPLETE WITH OTHER SPECIFIED S 635.81 LEGALLY INDUCED ABORTION INCOMPLETE WITH UNSPECIFIED 635.91 LEGALLY INDUCED ABORTION INCOMPLETE WITHOUT 635.20 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 635.10 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 635.60 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY EMBOLISM 635.00 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 635.40 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY METABOLIC DISORDER 635.30 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY RENAL FAILURE 635.50 LEGALLY INDUCED ABORTION UNSPECIFIED COMPLICATED BY SHOCK 635.70 LEGALLY INDUCED ABORTION UNSPECIFIED WITH OTHER SPECIFIED S 635.80 LEGALLY INDUCED ABORTION UNSPECIFIED WITH UNSPECIFIED 635.90 LEGALLY INDUCED ABORTION UNSPECIFIED WITHOUT 637.22 LEGALLY UNSPECIFIED ABORTION COMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 637.12 LEGALLY UNSPECIFIED ABORTION COMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 637.62 LEGALLY UNSPECIFIED ABORTION COMPLETE COMPLICATED BY EMBOLISM 637.42 LEGALLY UNSPECIFIED ABORTION COMPLETE COMPLICATED BY METABOLIC DISORDER 637.32 LEGALLY UNSPECIFIED ABORTION COMPLETE COMPLICATED BY RENAL FAILURE 637.52 LEGALLY UNSPECIFIED ABORTION COMPLETE COMPLICATED BY SHOCK

637.72 LEGALLY UNSPECIFIED ABORTION COMPLETE WITH OTHER SPECIFIED S 637.82 LEGALLY UNSPECIFIED ABORTION COMPLETE WITH UNSPECIFIED 637.92 LEGALLY UNSPECIFIED ABORTION COMPLETE WITHOUT 637.21 LEGALLY UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 637.11 LEGALLY UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 637.61 LEGALLY UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY EMBOLISM 637.41 LEGALLY UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY METABOLIC DISORDER 637.31 LEGALLY UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY RENAL FAILURE 637.51 LEGALLY UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY SHOCK 637.71 LEGALLY UNSPECIFIED ABORTION INCOMPLETE WITH OTHER SPECIFIED S 637.81 LEGALLY UNSPECIFIED ABORTION INCOMPLETE WITH UNSPECIFIED 637.91 LEGALLY UNSPECIFIED ABORTION INCOMPLETE WITHOUT 637.20 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 637.60 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY EMBOLISM 637.40 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY METABOLIC DISORDER 637.30 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY RENAL FAILURE 637.50 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY SHOCK 637.70 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED WITH OTHER SPECIFIED S 637.80 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED WITH UNSPECIFIED 637.90 LEGALLY UNSPECIFIED TYPE OF ABORTION UNSPECIFIED WITHOUT

764.14 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 1000-1249 GRAMS 764.15 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 1250-1499 GRAMS 764.16 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 1500-1749 GRAMS 764.17 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 1750-1999 GRAMS 764.18 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 2000-2499 GRAMS 764.19 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 2500 GRAMS AND OVER 764.12 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 500-749 GRAMS 764.13 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION 750-999 GRAMS 764.11 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION LESS THAN 500 GRAMS 764.10 LIGHT-FOR-DATES INFANT WITH SIGNS OF FETAL MALNUTRITION UNSPECIFIED WEIGHT 344.81 LOCKED-IN STATE 426.82 LONG QT SYNDROME V58.62 LONG-TERM (CURRENT) USE OF ANTIBIOTICS V58.63 LONG-TERM (CURRENT) USE OF ANTIPLATELETS/ANTITHROMBOTICS V58.64 LONG-TERM (CURRENT) USE OF NONSTEROIDAL ANTI- INFLAMMATORIES V58.69 LONG-TERM (CURRENT) USE OF OTHER MEDICATIONS V58.65 LONG-TERM (CURRENT) USE OF STEROIDS 783.21 LOSS OF WEIGHT 426.81 LOWN-GANONG-LEVINE SYNDROME 402.01 MALIGNANT HYPERTENSIVE HEART DISEASE WITH HEART FAILURE 263.1 MALNUTRITION OF MILD DEGREE 263.0 MALNUTRITION OF MODERATE DEGREE 669.03 MATERNAL DISTRESS COMPLICATING LABOR AND DELIVERY ANTEPARTUM CONDITION OR 669.04 MATERNAL DISTRESS COMPLICATING LABOR AND DELIVERY POSTPARTUM CONDITION OR 669.01 MATERNAL DISTRESS WITH DELIVERY WITH OR WITHOUT ANTEPARTUM CONDITION

669.02 MATERNAL DISTRESS WITH DELIVERY WITH POSTPARTUM 760.0 MATERNAL HYPERTENSIVE DISORDERS AFFECTING FETUS OR NEWBORN 669.23 MATERNAL HYPOTENSION SYNDROME ANTEPARTUM 669.20 MATERNAL HYPOTENSION SYNDROME COMPLICATING LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 669.24 MATERNAL HYPOTENSION SYNDROME POSTPARTUM 669.21 MATERNAL HYPOTENSION SYNDROME WITH DELIVERY WITH OR WITHOUT ANTEPARTUM CONDITION 669.22 MATERNAL HYPOTENSION SYNDROME WITH DELIVERY WITH POSTPARTUM 760.4 MATERNAL NUTRITIONAL DISORDERS AFFECTING FETUS OR NEWBORN 760.1 MATERNAL RENAL AND URINARY TRACT DISEASES AFFECTING FETUS OR NEWBORN 781.6 MENINGISMUS 639.4 METABOLIC DISORDERS FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES 642.43 MILD OR UNSPECIFIED PRE-ECLAMPSIA ANTEPARTUM 642.44 MILD OR UNSPECIFIED PRE-ECLAMPSIA POSTPARTUM 642.40 MILD OR UNSPECIFIED PRE-ECLAMPSIA UNSPECIFIED AS TO EPISODE OF CARE 642.41 MILD OR UNSPECIFIED PRE-ECLAMPSIA WITH DELIVERY 642.42 MILD OR UNSPECIFIED PRE-ECLAMPSIA WITH DELIVERY WITH POSTPARTUM 269.3 MINERAL DEFICIENCY NOT ELSEWHERE CLASSIFIED 255.42 MINERALOCORTICOID DEFICIENCY 632 MISSED ABORTION 276.4 MIXED ACID-BASE BALANCE DISORDER 426.12 MOBITZ (TYPE) II ATRIOVENTRICULAR BLOCK 344.31 MONOPLEGIA OF LOWER LIMB AFFECTING DOMINANT SIDE 344.32 MONOPLEGIA OF LOWER LIMB AFFECTING NONDOMINANT SIDE 344.30 MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE 344.41 MONOPLEGIA OF UPPER LIMB AFFECTING DOMINANT SIDE 344.42 MONOPLEGIA OF UPPER LIMB AFFECTING NONDOMINANT SDE

344.40 MONOPLEGIA OF UPPER LIMB AFFECTING UNSPECIFIED SIDE 203.02 MULTIPLE MYELOMA, IN RELAPSE 203.00 MULTIPLE MYELOMA, WITHOUT MENTION OF HAVING ACHIEVED REMISSION 333.2 MYOCLONUS 359.5 MYOPATHY IN ENDOCRINE DISEASES CLASSIFIED ELSEWHERE 359.9 MYOPATHY UNSPECIFIED 787.02 NAUSEA ALONE 787.01 NAUSEA WITH VOMITING 728.86 NECROTIZING FASCIITIS 588.1 NEPHROGENIC DIABETES INSIPIDUS V45.12 NONCOMPLIANCE WITH RENAL DIALYSIS 305.91 NONDEPENDENT OTHER MIXED OR UNSPECIFIED DRUG ABUSE CONTINUOUS USE 305.92 NONDEPENDENT OTHER MIXED OR UNSPECIFIED DRUG ABUSE EPISODIC USE 305.93 NONDEPENDENT OTHER MIXED OR UNSPECIFIED DRUG ABUSE IN REMISSION 794.31 NONSPECIFIC ABNORMAL ELECTROCARDIOGRAM (ECG) (EKG) 794.4 NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF KIDNEY 796.0 NONSPECIFIC ABNORMAL TOXICOLOGICAL FINDINGS 760.71 NOXIOUS INFLUENCES AFFECTING FETUS OR NEWBORN VIA PLACENTA OR BREAST MILK, ALCOHOL 261 NUTRITIONAL MARASMUS V71.82 OBSERVATION AND EVALUATION FOR SUSPECTED EXPOSURE TO ANTHRAX V71.83 OBSERVATION AND EVALUATION FOR SUSPECTED EXPOSURE TO OTHER BIOLOGICAL AGENT 669.10 OBSTETRIC SHOCK UNSPECIFIED AS TO EPISODE OF CARE 669.11 OBSTETRIC SHOCK WITH DELIVERY WITH OR WITHOUT ANTEPARTUM CONDITION 669.12 OBSTETRIC SHOCK WITH DELIVERY WITH POSTPARTUM 673.23 OBSTETRICAL BLOOD-CLOT EMBOLISM ANTEPARTUM 673.24 OBSTETRICAL BLOOD-CLOT EMBOLISM POSTPARTUM 673.20 OBSTETRICAL BLOOD-CLOT EMBOLISM UNSPECIFIED AS TO EPISODE OF CARE

673.21 OBSTETRICAL BLOOD-CLOT EMBOLISM WITH DELIVERY WITH OR WITHOUT ANTEPARTUM CONDITION 673.22 OBSTETRICAL BLOOD-CLOT EMBOLISM WITH POSTPARTUM 458.0 ORTHOSTATIC HYPOTENSION 731.0 OSTEITIS DEFORMANS WITHOUT BONE TUMOR 268.2 OSTEOMALACIA UNSPECIFIED 733.00 OSTEOPOROSIS UNSPECIFIED 790.6 OTHER ABNORMAL BLOOD CHEMISTRY 303.91 OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE CONTINUOUS DRINKING BEHAVIOR 303.92 OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE EPISODIC DRINKING BEHAVIOR 303.93 OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE IN REMISSION 303.90 OTHER AND UNSPECIFIED ALCOHOL DEPENDENCE UNSPECIFIED DRINKING BEHAVIOR 286.9 OTHER AND UNSPECIFIED COAGULATION DEFECTS 558.9 OTHER AND UNSPECIFIED NONINFECTIOUS GASTROENTERITIS AND COLITIS 579.3 OTHER AND UNSPECIFIED POSTSURGICAL NONABSORPTION 641.83 OTHER ANTEPARTUM HEMORRHAGE 641.80 OTHER ANTEPARTUM HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE 641.81 OTHER ANTEPARTUM HEMORRHAGE WITH DELIVERY 426.53 OTHER BILATERAL BUNDLE BRANCH BLOCK 571.49 OTHER CHRONIC HEPATITIS 571.8 OTHER CHRONIC NONALCOHOLIC LIVER DISEASE 668.83 OTHER S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY ANTEPARTUM 668.81 OTHER S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED 668.82 OTHER S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED WITH POSTPARTUM 668.84 OTHER S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY POSTPARTUM 668.80 OTHER S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 569.79 OTHER S OF INTESTINAL POUCH

669.83 OTHER S OF LABOR AND DELIVERY ANTEPARTUM CONDITION OR 669.81 OTHER S OF LABOR AND DELIVERY DELIVERED WITH OR WITHOUT ANTEPARTUM CONDITION 669.82 OTHER S OF LABOR AND DELIVERY DELIVERED WITH POSTPARTUM 669.84 OTHER S OF LABOR AND DELIVERY POSTPARTUM CONDITION OR 669.80 OTHER S OF LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 669.43 OTHER S OF OBSTETRICAL SURGERY AND PROCEDURES ANTEPARTUM CONDITION OR 669.44 OTHER S OF OBSTETRICAL SURGERY AND PROCEDURES POSTPARTUM CONDITION OR 669.40 OTHER S OF OBSTETRICAL SURGERY AND PROCEDURES UNSPECIFIED AS TO EPISODE OF CARE 669.41 OTHER S OF OBSTETRICAL SURGERY AND PROCEDURES WITH DELIVERY WITH OR WITHOUT ANTEPARTUM CONDITION 669.42 OTHER S OF OBSTETRICAL SURGERY AND PROCEDURES WITH DELIVERY WITH POSTPARTUM 780.39 OTHER CONVULSIONS 648.93 OTHER CURRENT CONDITIONS CLASSIFIABLE ELSEWHERE OF MOTHER ANTEPARTUM 648.90 OTHER CURRENT CONDITIONS CLASSIFIABLE ELSEWHERE OF MOTHER COMPLICATING PREGNANCY CHILDBIRTH OR THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 648.94 OTHER CURRENT CONDITIONS CLASSIFIABLE ELSEWHERE OF MOTHER POSTPARTUM 648.91 OTHER CURRENT CONDITIONS CLASSIFIABLE ELSEWHERE OF MOTHER WITH DELIVERY 648.92 OTHER CURRENT CONDITIONS CLASSIFIABLE ELSEWHERE OF MOTHER WITH DELIVERY WITH POSTPARTUM 333.0 OTHER DEGENERATIVE DISEASES OF THE BASAL GANGLIA 275.49 OTHER DISORDERS OF CALCIUM METABOLISM

307.59 OTHER DISORDERS OF EATING 429.81 OTHER DISORDERS OF PAPILLARY MUSCLE 995.27 OTHER DRUG ALLERGY 426.6 OTHER HEART BLOCK 278.8 OTHER HYPERALIMENTATION 252.08 OTHER HYPERPARATHYROIDISM 458.29 OTHER IATROGENIC HYPOTENSION 429.89 OTHER ILL-DEFINED HEART DISEASES 666.14 OTHER IMMEDIATE POSTPARTUM HEMORRHAGE 666.10 OTHER IMMEDIATE POSTPARTUM HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE 666.12 OTHER IMMEDIATE POSTPARTUM HEMORRHAGE WITH DELIVERY 560.39 OTHER IMPACTION OF INTESTINE 655.83 OTHER KNOWN OR SUSPECTED FETAL ABNORMALITY NOT ELSEWHERE CLASSIFIED AFFECTING MANAGEMENT OF MOTHER ANTEPARTUM CONDITION OR 655.80 OTHER KNOWN OR SUSPECTED FETAL ABNORMALITY NOT ELSEWHERE CLASSIFIED AFFECTING MANAGEMENT OF MOTHER UNSPECIFIED AS TO EPISODE OF CARE 655.81 OTHER KNOWN OR SUSPECTED FETAL ABNORMALITY NOT ELSEWHERE CLASSIFIED AFFECTING MANAGEMENT OF MOTHER WITH DELIVERED 426.3 OTHER LEFT BUNDLE BRANCH BLOCK 780.79 OTHER MALAISE AND FATIGUE 305.90 OTHER MIXED OR UNSPECIFIED DRUG ABUSE UNSPECIFIED USE 359.89 OTHER MYOPATHIES 269.8 OTHER NUTRITIONAL DEFICIENCY 294.8 OTHER PERSISTENT MENTAL DISORDERS DUE TO CONDITIONS CLASSIFIED ELSEWHERE 564.4 OTHER POSTOPERATIVE FUNCTIONAL DISORDERS 642.23 OTHER PRE-EXISTING HYPERTENSION ANTEPARTUM 642.20 OTHER PRE-EXISTING HYPERTENSION COMPLICATING PREGNANCY CHILDBIRTH AND THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 642.24 OTHER PRE-EXISTING HYPERTENSION POSTPARTUM 642.21 OTHER PRE-EXISTING HYPERTENSION WITH DELIVERY 642.22 OTHER PRE-EXISTING HYPERTENSION WITH DELIVERY WITH POSTPARTUM 427.69 OTHER PREMATURE BEATS

263.8 OTHER PROTEIN-CALORIE MALNUTRITION 344.09 OTHER QUADRIPLEGIA 426.13 OTHER SECOND DEGREE ATRIOVENTRICULAR BLOCK 255.14 OTHER SECONDARY ALDOSTERONISM 572.8 OTHER SEQUELAE OF CHRONIC LIVER DISEASE 262 OTHER SEVERE PROTEIN-CALORIE MALNUTRITION 785.59 OTHER SHOCK WITHOUT TRAUMA 646.83 OTHER SPECIFIED ANTEPARTUM S 427.89 OTHER SPECIFIED CARDIAC DYSRHYTHMIAS 639.8 OTHER SPECIFIED S FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES 763.89 OTHER SPECIFIED S OF LABOR AND DELIVERY AFFECTING FETUS OR NEWBORN 646.80 OTHER SPECIFIED S OF PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 646.81 OTHER SPECIFIED S OF PREGNANCY WITH DELIVERY 646.82 OTHER SPECIFIED S OF PREGNANCY WITH DELIVERY WITH POSTPARTUM 426.89 OTHER SPECIFIED CONDUCTION DISORDERS 593.89 OTHER SPECIFIED DISORDERS OF KIDNEY AND URETER 275.8 OTHER SPECIFIED DISORDERS OF MINERAL METABOLISM 252.8 OTHER SPECIFIED DISORDERS OF PARATHYROID GLAND 588.89 OTHER SPECIFIED DISORDERS RESULTING FROM IMPAIRED RENAL FUNCTION 292.89 OTHER SPECIFIED DRUG-INDUCED MENTAL DISORDERS 640.83 OTHER SPECIFIED HEMORRHAGE IN EARLY PREGNANCY ANTEPARTUM 640.81 OTHER SPECIFIED HEMORRHAGE IN EARLY PREGNANCY DELIVERED 640.80 OTHER SPECIFIED HEMORRHAGE IN EARLY PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 458.8 OTHER SPECIFIED HYPOTENSION 579.8 OTHER SPECIFIED INTESTINAL MALABSORPTION 560.89 OTHER SPECIFIED INTESTINAL OBSTRUCTION 760.8 OTHER SPECIFIED MATERNAL CONDITIONS AFFECTING FETUS OR NEWBORN 344.89 OTHER SPECIFIED PARALYTIC SYNDROME 646.84 OTHER SPECIFIED POSTPARTUM S 070.49 OTHER SPECIFIED VIRAL HEPATITIS WITH HEPATIC COMA

070.59 OTHER SPECIFIED VIRAL HEPATITIS WITHOUT HEPATIC COMA 783.9 OTHER SYMPTOMS CONCERNING NUTRITION METABOLISM AND DEVELOPMENT 781.99 OTHER SYMPTOMS INVOLVING NERVOUS AND MUSCULOSKELETAL SYSTEMS 556.8 OTHER ULCERATIVE COLITIS 643.83 OTHER VOMITING COMPLICATING PREGNANCY ANTEPARTUM 643.81 OTHER VOMITING COMPLICATING PREGNANCY DELIVERED 643.80 OTHER VOMITING COMPLICATING PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 579.4 PANCREATIC STEATORRHEA 344.9 PARALYSIS UNSPECIFIED 560.1 PARALYTIC ILEUS 344.1 PARAPLEGIA 427.0 PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA 427.2 PAROXYSMAL TACHYCARDIA UNSPECIFIED 427.1 PAROXYSMAL VENTRICULAR TACHYCARDIA 292.2 PATHOLOGICAL DRUG INTOXICATION 780.03 PERSISTENT VEGETATIVE STATE 536.2 PERSISTENT VOMITING 345.2 PETIT MAL STATUS EPILEPTIC 307.52 PICA 641.03 PLACENTA PREVIA WITHOUT HEMORRHAGE ANTEPARTUM 641.00 PLACENTA PREVIA WITHOUT HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE 641.01 PLACENTA PREVIA WITHOUT HEMORRHAGE WITH DELIVERY 962.0 POISONING BY ADRENAL CORTICAL STEROIDS 962.1 POISONING BY ANDROGENS AND ANABOLIC CONGENERS 973.0 POISONING BY ANTACIDS AND ANTIGASTRIC SECRETION DRUGS 962.4 POISONING BY ANTERIOR PITUITARY HORMONES 973.5 POISONING BY ANTIDIARRHEAL DRUGS 963.1 POISONING BY ANTINEOPLASTIC AND IMMUNOSUPPRESSIVE DRUGS 962.8 POISONING BY ANTITHYROID AGENTS 974.2 POISONING BY CARBONIC ACID ANHYDRASE INHIBITORS 972.1 POISONING BY CARDIOTONIC GLYCOSIDES AND DRUGS OF SIMILAR ACTION

973.4 POISONING BY DIGESTANTS 974.5 POISONING BY ELECTROLYTIC CALORIC AND WATER- BALANCE AGENTS 973.6 POISONING BY EMETICS 973.2 POISONING BY EMOLLIENT CATHARTICS 962.3 POISONING BY INSULINS AND ANTIDIABETIC AGENTS 973.1 POISONING BY IRRITANT CATHARTICS 974.0 POISONING BY MERCURIAL DIURETICS 962.9 POISONING BY OTHER AND UNSPECIFIED HORMONES AND SYNTHETIC SUBSTITUTES 973.3 POISONING BY OTHER CATHARTICS INCLUDING INTESTINAL ATONIA 974.4 POISONING BY OTHER DIURETICS 974.6 POISONING BY OTHER MINERAL SALTS NOT ELSEWHERE CLASSIFIED 973.8 POISONING BY OTHER SPECIFIED AGENTS PRIMARILY AFFECTING THE GASTROINTESTINAL SYSTEM 960.8 POISONING BY OTHER SPECIFIED ANTIBIOTICS 962.2 POISONING BY OVARIAN HORMONES AND SYNTHETIC SUBSTITUTES 962.6 POISONING BY PARATHYROID AND PARATHYROID DERIVATIVES 962.5 POISONING BY POSTERIOR PITUITARY HORMONES 974.1 POISONING BY PURINE DERIVATIVE DIURETICS 974.3 POISONING BY SALURETICS 962.7 POISONING BY THYROID AND THYROID DERIVATIVES 973.9 POISONING BY UNSPECIFIED AGENT PRIMARILY AFFECTING THE GASTROINTESTINAL SYSTEM 974.7 POISONING BY URIC ACID METABOLISM DRUGS 572.3 PORTAL HYPERTENSION 572.1 PORTAL PYEMIA 564.2 POSTGASTRIC SURGERY SYNDROMES 998.0 POSTOPERATIVE SHOCK NOT ELSEWHERE CLASSIFIED 642.04 POSTPARTUM BENIGN ESSENTIAL HYPERTENSION 648.04 POSTPARTUM DIABETES MELLITUS 669.14 POSTPARTUM OBSTETRIC SHOCK 642.34 POSTPARTUM TRANSIENT HYPERTENSION 569.71 POUCHITIS 642.73 PRE-ECLAMPSIA OR ECLAMPSIA SUPERIMPOSED ON PRE- EXISTING HYPERTENSION ANTEPARTUM

642.70 PRE-ECLAMPSIA OR ECLAMPSIA SUPERIMPOSED ON PRE- EXISTING HYPERTENSION COMPLICATING PREGNANCY CHILDBIRTH OR THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 642.74 PRE-ECLAMPSIA OR ECLAMPSIA SUPERIMPOSED ON PRE- EXISTING HYPERTENSION POSTPARTUM 642.71 PRE-ECLAMPSIA OR ECLAMPSIA SUPERIMPOSED ON PRE- EXISTING HYPERTENSION WITH DELIVERY 642.72 PRE-ECLAMPSIA OR ECLAMPSIA SUPERIMPOSED ON PRE- EXISTING HYPERTENSION WITH DELIVERY WITH POSTPARTUM 427.60 PREMATURE BEATS UNSPECIFIED 641.23 PREMATURE SEPARATION OF PLACENTA ANTEPARTUM 641.20 PREMATURE SEPARATION OF PLACENTA UNSPECIFIED AS TO EPISODE OF CARE 641.21 PREMATURE SEPARATION OF PLACENTA WITH DELIVERY 252.01 PRIMARY HYPERPARATHYROIDISM 556.4 PSEUDOPOLYPOSIS OF COLON 668.03 PULMONARY S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY ANTEPARTUM 668.01 PULMONARY S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED 668.02 PULMONARY S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED WITH POSTPARTUM 668.04 PULMONARY S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY POSTPARTUM 668.00 PULMONARY S OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 590.81 PYELITIS OR PYELONEPHRITIS IN DISEASES CLASSIFIED ELSEWHERE 590.80 PYELONEPHRITIS UNSPECIFIED 590.3 PYELOURETERITIS CYSTICA 344.01 QUADRIPLEGIA C1-C4 COMPLETE 344.02 QUADRIPLEGIA C1-C4 INCOMPLETE 344.03 QUADRIPLEGIA C5-C7 COMPLETE 344.04 QUADRIPLEGIA C5-C7 INCOMPLETE 344.00 QUADRIPLEGIA UNSPECIFIED 555.1 REGIONAL ENTERITIS OF LARGE INTESTINE 555.0 REGIONAL ENTERITIS OF SMALL INTESTINE

555.2 REGIONAL ENTERITIS OF SMALL INTESTINE WITH LARGE INTESTINE 555.9 REGIONAL ENTERITIS OF UNSPECIFIED SITE 590.2 RENAL AND PERINEPHRIC ABSCESS V45.11 RENAL DIALYSIS STATUS 586 RENAL FAILURE UNSPECIFIED 588.0 RENAL OSTEODYSTROPHY 398.91 RHEUMATIC HEART FAILURE (CONGESTIVE) 426.4 RIGHT BUNDLE BRANCH BLOCK 426.52 RIGHT BUNDLE BRANCH BLOCK AND LEFT ANTERIOR FASCICULAR BLOCK 426.51 RIGHT BUNDLE BRANCH BLOCK AND LEFT POSTERIOR FASCICULAR BLOCK 588.81 SECONDARY HYPERPARATHYROIDISM (OF RENAL ORIGIN) 252.02 SECONDARY HYPERPARATHYROIDISM, NON-RENAL 642.53 SEVERE PRE-ECLAMPSIA ANTEPARTUM 642.54 SEVERE PRE-ECLAMPSIA POSTPARTUM 642.50 SEVERE PRE-ECLAMPSIA UNSPECIFIED AS TO EPISODE OF CARE 642.51 SEVERE PRE-ECLAMPSIA WITH DELIVERY 642.52 SEVERE PRE-ECLAMPSIA WITH DELIVERY WITH POSTPARTUM 995.55 SHAKEN BABY SYNDROME 995.4 SHOCK DUE TO ANESTHESIA NOT ELSEWHERE CLASSIFIED 639.5 SHOCK FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES 785.50 SHOCK UNSPECIFIED 427.81 SINOATRIAL NODE DYSFUNCTION 728.85 SPASM OF MUSCLE 634.22 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 634.12 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 634.62 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY EMBOLISM 634.02 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 634.42 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY METABOLIC DISORDER

634.32 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY RENAL FAILURE 634.52 SPONTANEOUS ABORTION COMPLETE COMPLICATED BY SHOCK 634.72 SPONTANEOUS ABORTION COMPLETE WITH OTHER SPECIFIED S 634.82 SPONTANEOUS ABORTION COMPLETE WITH UNSPECIFIED 634.92 SPONTANEOUS ABORTION COMPLETE WITHOUT 634.21 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 634.11 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 634.61 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY EMBOLISM 634.01 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 634.41 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY METABOLIC DISORDER 634.31 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY RENAL FAILURE 634.51 SPONTANEOUS ABORTION INCOMPLETE COMPLICATED BY SHOCK 634.71 SPONTANEOUS ABORTION INCOMPLETE WITH OTHER SPECIFIED S 634.81 SPONTANEOUS ABORTION INCOMPLETE WITH UNSPECIFIED 634.91 SPONTANEOUS ABORTION INCOMPLETE WITHOUT 634.20 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY DAMAGE TO PELVIC ORGANS OR TISSUES 634.10 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 634.60 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY EMBOLISM 634.00 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 634.40 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY METABOLIC DISORDER 634.30 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY RENAL FAILURE

634.50 SPONTANEOUS ABORTION UNSPECIFIED COMPLICATED BY SHOCK 634.70 SPONTANEOUS ABORTION UNSPECIFIED WITH OTHER SPECIFIED S 634.80 SPONTANEOUS ABORTION UNSPECIFIED WITH UNSPECIFIED 634.90 SPONTANEOUS ABORTION UNSPECIFIED WITHOUT 293.1 SUBACUTE DELIRIUM 410.70 SUBENDOCARDIAL INFARCTION EPISODE OF CARE UNSPECIFIED 410.71 SUBENDOCARDIAL INFARCTION INITIAL EPISODE OF CARE 410.72 SUBENDOCARDIAL INFARCTION SUBSEQUENT EPISODE OF CARE 427.61 SUPRAVENTRICULAR PREMATURE BEATS 780.2 SYNCOPE AND COLLAPSE 710.1 SYSTEMIC SCLEROSIS 785.0 TACHYCARDIA UNSPECIFIED 429.83 TAKOTSUBO SYNDROME 781.7 TETANY 666.04 THIRD-STAGE POSTPARTUM HEMORRHAGE 666.00 THIRD-STAGE POSTPARTUM HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE 666.02 THIRD-STAGE POSTPARTUM HEMORRHAGE WITH DELIVERY 640.03 THREATENED ABORTION ANTEPARTUM 640.01 THREATENED ABORTION DELIVERED 640.00 THREATENED ABORTION UNSPECIFIED AS TO EPISODE OF CARE 307.20 TIC DISORDER UNSPECIFIED 333.3 TICS OF ORGANIC ORIGIN 989.5 TOXIC EFFECT OF VENOM 558.2 TOXIC GASTROENTERITIS AND COLITIS 780.02 TRANSIENT ALTERATION OF AWARENESS 642.30 TRANSIENT HYPERTENSION OF PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 642.31 TRANSIENT HYPERTENSION OF PREGNANCY WITH DELIVERY 642.32 TRANSIENT HYPERTENSION OF PREGNANCY WITH DELIVERY WITH POSTPARTUM 781.4 TRANSIENT PARALYSIS OF LIMB

958.5 TRAUMATIC ANURIA 958.4 TRAUMATIC SHOCK 426.54 TRIFASCICULAR BLOCK 579.1 TROPICAL SPRUE 410.60 TRUE POSTERIOR WALL INFARCTION EPISODE OF CARE UNSPECIFIED 410.61 TRUE POSTERIOR WALL INFARCTION INITIAL EPISODE OF CARE 410.62 TRUE POSTERIOR WALL INFARCTION SUBSEQUENT EPISODE OF CARE 556.0 ULCERATIVE (CHRONIC) ENTEROCOLITIS 556.1 ULCERATIVE (CHRONIC) ILEOCOLITIS 556.2 ULCERATIVE (CHRONIC) PROCTITIS 556.3 ULCERATIVE (CHRONIC) PROCTOSIGMOIDITIS 556.9 ULCERATIVE COLITIS UNSPECIFIED 783.22 UNDERWEIGHT 556.6 UNIVERSAL ULCERATIVE (CHRONIC) COLITIS 637.02 UNSPECIFIED ABORTION COMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 637.01 UNSPECIFIED ABORTION INCOMPLETE COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 995.22 UNSPECIFIED ADVERSE EFFECT OF ANESTHESIA 995.29 UNSPECIFIED ADVERSE EFFECT OF OTHER DRUG, MEDICINAL AND BIOLOGICAL SUBSTANCE 995.20 UNSPECIFIED ADVERSE EFFECT OF UNSPECIFIED DRUG, MEDICINAL AND BIOLOGICAL SUBSTANCE 646.93 UNSPECIFIED ANTEPARTUM 641.93 UNSPECIFIED ANTEPARTUM HEMORRHAGE 641.90 UNSPECIFIED ANTEPARTUM HEMORRHAGE UNSPECIFIED AS TO EPISODE OF CARE 641.91 UNSPECIFIED ANTEPARTUM HEMORRHAGE WITH DELIVERY 642.93 UNSPECIFIED ANTEPARTUM HYPERTENSION 646.23 UNSPECIFIED ANTEPARTUM RENAL DISEASE 571.9 UNSPECIFIED CHRONIC LIVER DISEASE WITHOUT ALCOHOL 428.40 UNSPECIFIED COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 639.9 UNSPECIFIED FOLLOWING ABORTION OR ECTOPIC AND MOLAR PREGNANCIES 668.93 UNSPECIFIED OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY ANTEPARTUM

668.91 UNSPECIFIED OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED 668.92 UNSPECIFIED OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY DELIVERED WITH POSTPARTUM 668.94 UNSPECIFIED OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY POSTPARTUM 668.90 UNSPECIFIED OF ANESTHESIA OR OTHER SEDATION IN LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 763.9 UNSPECIFIED OF LABOR AND DELIVERY AFFECTING FETUS OR NEWBORN 669.93 UNSPECIFIED OF LABOR AND DELIVERY ANTEPARTUM CONDITION OR 669.94 UNSPECIFIED OF LABOR AND DELIVERY POSTPARTUM CONDITION OR 669.90 UNSPECIFIED OF LABOR AND DELIVERY UNSPECIFIED AS TO EPISODE OF CARE 669.91 UNSPECIFIED OF LABOR AND DELIVERY WITH DELIVERY WITH OR WITHOUT ANTEPARTUM CONDITION 669.92 UNSPECIFIED OF LABOR AND DELIVERY WITH DELIVERY WITH POSTPARTUM 646.90 UNSPECIFIED OF PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 646.91 UNSPECIFIED OF PREGNANCY WITH DELIVERY 428.30 UNSPECIFIED DIASTOLIC HEART FAILURE 275.40 UNSPECIFIED DISORDER OF CALCIUM METABOLISM 593.9 UNSPECIFIED DISORDER OF KIDNEY AND URETER 728.9 UNSPECIFIED DISORDER OF MUSCLE LIGAMENT AND FASCIA 252.9 UNSPECIFIED DISORDER OF PARATHYROID GLAND 588.9 UNSPECIFIED DISORDER RESULTING FROM IMPAIRED RENAL FUNCTION 292.9 UNSPECIFIED DRUG-INDUCED MENTAL DISORDER 775.9 UNSPECIFIED ENDOCRINE AND METABOLIC DISTURBANCES SPECIFIC TO THE FETUS AND NEWBORN 640.93 UNSPECIFIED HEMORRHAGE IN EARLY PREGNANCY ANTEPARTUM 640.91 UNSPECIFIED HEMORRHAGE IN EARLY PREGNANCY DELIVERED

640.90 UNSPECIFIED HEMORRHAGE IN EARLY PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 642.90 UNSPECIFIED HYPERTENSION COMPLICATING PREGNANCY CHILDBIRTH OR THE PUERPERIUM UNSPECIFIED AS TO EPISODE OF CARE 642.91 UNSPECIFIED HYPERTENSION WITH DELIVERY 642.92 UNSPECIFIED HYPERTENSION WITH DELIVERY WITH POSTPARTUM 402.91 UNSPECIFIED HYPERTENSIVE HEART DISEASE WITH HEART FAILURE 579.9 UNSPECIFIED INTESTINAL MALABSORPTION 560.9 UNSPECIFIED INTESTINAL OBSTRUCTION 344.5 UNSPECIFIED MONOPLEGIA 294.9 UNSPECIFIED PERSISTENT MENTAL DISORDERS DUE TO CONDITIONS CLASSIFIED ELSEWHERE 642.94 UNSPECIFIED POSTPARTUM HYPERTENSION 646.24 UNSPECIFIED POSTPARTUM RENAL DISEASE 263.9 UNSPECIFIED PROTEIN-CALORIE MALNUTRITION 298.9 UNSPECIFIED PSYCHOSIS 646.20 UNSPECIFIED RENAL DISEASE IN PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 646.21 UNSPECIFIED RENAL DISEASE IN PREGNANCY WITH DELIVERY 646.22 UNSPECIFIED RENAL DISEASE IN PREGNANCY WITH DELIVERY WITH POSTPARTUM 655.93 UNSPECIFIED SUSPECTED FETAL ABNORMALITY AFFECTING MANAGEMENT OF MOTHER ANTEPARTUM CONDITION OR 655.91 UNSPECIFIED SUSPECTED FETAL ABNORMALITY AFFECTING MANAGEMENT OF MOTHER DELIVERED 655.90 UNSPECIFIED SUSPECTED FETAL ABNORMALITY AFFECTING MANAGEMENT OF MOTHER UNSPECIFIED AS TO EPISODE OF CARE 428.20 UNSPECIFIED SYSTOLIC HEART FAILURE 637.10 UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY DELAYED OR EXCESSIVE HEMORRHAGE 637.00 UNSPECIFIED TYPE OF ABORTION UNSPECIFIED COMPLICATED BY GENITAL TRACT AND PELVIC INFECTION 070.71 UNSPECIFIED VIRAL HEPATITIS C WITH HEPATIC COMA 070.70 UNSPECIFIED VIRAL HEPATITIS C WITHOUT HEPATIC COMA