Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations guide provides you with the latest changes. This guide is not an all-inclusive list of National Coverage Documents (NCD) and Local Coverage Documents (LCD). You can search by LCD or NCD or keyword and region on the CMS website at: https://www.cms.gov/medicare-coveragedatabase/overview-and-quicksearch.aspx?clickon=search. CMS will deny payment if the correct diagnosis codes are not entered on the order form, and your patient s test or procedure will not be covered. We compiled this information in one location to make it easier for you to find the proper codes for medically necessary diagnoses. It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination. We will continue to update this list as new CMS limitations are announced. You can always find the most current list at: www.munsonhealthcare.org/medicalnecessity. If you have any questions, please contact Kari Smith, Office Coordinator, at (231) 935-2296, or Karen Popa, Director, Patient Access Services, at (231) 935-7493.
(L34639) Bone Mass Measurement Bone Density (77080) Group 1 Paragraph: Note: CPT codes 78350 and 78351 are non-covered procedures under Medicare CPT Code Description 76977 Ultrasound bone density measurement and interpretation, peripheral site(s), any method 77078 Computed tomography, bone mineral density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) 77080 Dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) (Bone Density) 77081 Dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) 77085 Dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral assessment 78350 Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry 78351 Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites G0130 Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) ICD-10 Codes That Support Medical Necessity and Covered by Medicare Program: Group 1 Paragraph: Note: ICD-10 codes must be coded to the highest level of specificity. When 77078, 77080, 77081, 77085, 76977 or G0130 is done as an initial diagnostic test that determines a diagnosis of E24.0 E24.9, code as a secondary diagnosis the reason for the bone mass density test. Patients who qualify by statute for osteoporosis screening may be evaluated by studies that are characterized by CPT codes 77078, 77080, 77081, 77085, 76977, and G0130. The following is a list of ICD-10-CM codes that support the medical necessity of osteoporosis screening. or Use with CPT Codes 77078, 77080, 77081, 77085, 76977, G0130 Group 1 Codes: Code Description E05.00 Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm E05.01 Thyrotoxicosis with diffuse goiter with thyrotoxic crisis or storm E05.10 Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm E05.11 Thyrotoxicosis with toxic single thyroid nodule with thyrotoxic crisis or storm E05.20 Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm E05.21 Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm E05.30 Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm E05.31 Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm E05.40 Thyrotoxicosis factitia without thyrotoxic crisis or storm E05.41 Thyrotoxicosis factitia with thyrotoxic crisis or storm
E05.80 Other thyrotoxicosis without thyrotoxic crisis or storm E05.81 Other thyrotoxicosis with thyrotoxic crisis or storm E07.0 Hypersecretion of calcitonin E20.1 Pseudohypoparathyroidism E21.0 Primary hyperparathyroidism E21.1 Secondary hyperparathyroidism, not elsewhere classified E21.2 Other hyperparathyroidism E23.0 Hypopituitarism E28.310 Symptomatic premature menopause E28.319 Asymptomatic premature menopause E28.39 Other primary ovarian failure E29.1 Testicular hypofunction E34.2 Ectopic hormone secretion, not elsewhere classified E43 Unspecified severe protein-calorie malnutrition E44.0 Moderate protein-calorie malnutrition E44.1 Mild protein-calorie malnutrition E45 Retarded development following protein-calorie malnutrition E46 Unspecified protein-calorie malnutrition E55.9 Vitamin D deficiency, unspecified E64.0 Sequelae of protein-calorie malnutrition E83.50 Unspecified disorder of calcium metabolism E83.51 Hypocalcemia E83.52 Hypercalcemia E83.59 Other disorders of calcium metabolism E89.40 Asymptomatic postprocedural ovarian failure E89.41 Symptomatic postprocedural ovarian failure K50.00 Crohn's disease of small intestine without complications K50.011 Crohn's disease of small intestine with rectal bleeding K50.012 Crohn's disease of small intestine with intestinal obstruction K50.013 Crohn's disease of small intestine with fistula K50.014 Crohn's disease of small intestine with abscess K50.018 Crohn's disease of small intestine with other complication K50.10 Crohn's disease of large intestine without complications K50.111 Crohn's disease of large intestine with rectal bleeding K50.112 Crohn's disease of large intestine with intestinal obstruction K50.113 Crohn's disease of large intestine with fistula K50.114 Crohn's disease of large intestine with abscess
K50.118 Crohn's disease of large intestine with other complication K50.80 Crohn's disease of both small and large intestine without complications K50.811 Crohn's disease of both small and large intestine with rectal bleeding K50.812 Crohn's disease of both small and large intestine with intestinal obstruction K50.813 Crohn's disease of both small and large intestine with fistula K50.814 Crohn's disease of both small and large intestine with abscess K50.818 Crohn's disease of both small and large intestine with other complication K50.918 Crohn's disease, unspecified, with other complication K51.00 Ulcerative (chronic) pancolitis without complications K51.011 Ulcerative (chronic) pancolitis with rectal bleeding K51.012 Ulcerative (chronic) pancolitis with intestinal obstruction K51.013 Ulcerative (chronic) pancolitis with fistula K51.014 Ulcerative (chronic) pancolitis with abscess K51.018 Ulcerative (chronic) pancolitis with other complication K51.20 Ulcerative (chronic) proctitis without complications K51.211 Ulcerative (chronic) proctitis with rectal bleeding K51.212 Ulcerative (chronic) proctitis with intestinal obstruction K51.213 Ulcerative (chronic) proctitis with fistula K51.214 Ulcerative (chronic) proctitis with abscess K51.218 Ulcerative (chronic) proctitis with other complication K51.30 Ulcerative (chronic) rectosigmoiditis without complications K51.311 Ulcerative (chronic) rectosigmoiditis with rectal bleeding K51.312 Ulcerative (chronic) rectosigmoiditis with intestinal obstruction K51.313 Ulcerative (chronic) rectosigmoiditis with fistula K51.314 Ulcerative (chronic) rectosigmoiditis with abscess K51.318 Ulcerative (chronic) rectosigmoiditis with other complication K51.40 Inflammatory polyps of colon without complications K51.411 Inflammatory polyps of colon with rectal bleeding K51.412 Inflammatory polyps of colon with intestinal obstruction K51.413 Inflammatory polyps of colon with fistula K51.414 Inflammatory polyps of colon with abscess K51.418 Inflammatory polyps of colon with other complication K51.50 Left sided colitis without complications K51.511 Left sided colitis with rectal bleeding K51.512 Left sided colitis with intestinal obstruction K51.513 Left sided colitis with fistula K51.514 Left sided colitis with abscess
K51.518 Left sided colitis with other complication K51.818 Other ulcerative colitis with other complication K51.918 Ulcerative colitis, unspecified with other complication K90.0 Celiac disease K90.1 Tropical sprue K90.2 Blind loop syndrome, not elsewhere classified K90.3 Pancreatic steatorrhea K90.4 Malabsorption due to intolerance, not elsewhere classified K90.89 Other intestinal malabsorption K90.9 Intestinal malabsorption, unspecified K91.2 Postsurgical malabsorption, not elsewhere classified M40.00 Postural kyphosis, site unspecified M40.03 Postural kyphosis, cervicothoracic region M40.04 Postural kyphosis, thoracic region M40.05 Postural kyphosis, thoracolumbar region M40.202 Unspecified kyphosis, cervical region M40.203 Unspecified kyphosis, cervicothoracic region M40.204 Unspecified kyphosis, thoracic region M40.205 Unspecified kyphosis, thoracolumbar region M83.0 Puerperal osteomalacia M83.1 Senile osteomalacia M83.2 Adult osteomalacia due to malabsorption M83.3 Adult osteomalacia due to malnutrition M83.4 Aluminum bone disease M83.5 Other drug-induced osteomalacia in adults M83.8 Other adult osteomalacia M88.0 Osteitis deformans of skull M88.1 Osteitis deformans of vertebrae M88.811 Osteitis deformans of right shoulder M88.812 Osteitis deformans of left shoulder M88.821 Osteitis deformans of right upper arm M88.822 Osteitis deformans of left upper arm M88.831 Osteitis deformans of right forearm M88.832 Osteitis deformans of left forearm M88.841 Osteitis deformans of right hand M88.842 Osteitis deformans of left hand M88.851 Osteitis deformans of right thigh
M88.852 Osteitis deformans of left thigh M88.861 Osteitis deformans of right lower leg M88.862 Osteitis deformans of left lower leg M88.871 Osteitis deformans of right ankle and foot M88.872 Osteitis deformans of left ankle and foot M88.89 Osteitis deformans of multiple sites M88.9 Osteitis deformans of unspecified bone N18.1 Chronic kidney disease, stage 1 N18.2 Chronic kidney disease, stage 2 (mild) N18.3 Chronic kidney disease, stage 3 (moderate) N18.4 Chronic kidney disease, stage 4 (severe) N18.5 Chronic kidney disease, stage 5 N18.6 End stage renal disease N25.0 Renal osteodystrophy N25.81 Secondary hyperparathyroidism of renal origin N25.89 Other disorders resulting from impaired renal tubular function N91.0 Primary amenorrhea N91.1 Secondary amenorrhea N91.2 Amenorrhea, unspecified N92.4 Excessive bleeding in the premenopausal period N95.0 Postmenopausal bleeding N95.1 Menopausal and female climacteric states N95.2 Postmenopausal atrophic vaginitis N95.8 Other specified menopausal and perimenopausal disorders Q61.02 Congenital multiple renal cysts Q61.11 Cystic dilatation of collecting ducts Q61.19 Other polycystic kidney, infantile type Q61.2 Polycystic kidney, adult type Q61.3 Polycystic kidney, unspecified Q61.4 Renal dysplasia Q61.5 Medullary cystic kidney Q61.8 Other cystic kidney diseases Q96.0 Karyotype 45, X Q96.1 Karyotype 46, X iso (Xq) Q96.2 Karyotype 46, X with abnormal sex chromosome, except iso (Xq) Q96.3 Mosaicism, 45, X/46, XX or XY Q96.4 Mosaicism, 45, X/other cell line(s) with abnormal sex chromosome
Q96.8 Other variants of Turner's syndrome Q96.9 Turner's syndrome, unspecified R29.890 Loss of height Z40.02 Encounter for prophylactic removal of ovary Z78.0 Asymptomatic menopausal state Z79.51 Long term (current) use of inhaled steroids Z79.52 Long term (current) use of systemic steroids Z90.721 Acquired absence of ovaries, unilateral Z90.722 Acquired absence of ovaries, bilateral Group 2 Paragraph: For use with CPT Codes 77080 (DXA) and 77085 (DXA and vertebral assessment). Once the diagnosis of osteoporosis has been established, the effectiveness of treatment can ONLY be monitored using a dual energy x-ray absorptiometry. Group 2 Codes: Code Description E24.0 Pituitary-dependent Cushing's disease E24.2 Drug-induced Cushing's syndrome E24.3 Ectopic ACTH syndrome E24.4 Alcohol-induced pseudo-cushing's syndrome E24.8 Other Cushing's syndrome E24.9 Cushing's syndrome, unspecified M81.0 Age-related osteoporosis without current pathological M81.6 Localized osteoporosis [Lequesne] M81.8 Other osteoporosis without current pathological M85.9 Disorder of bone density and structure, unspecified M89.9 Disorder of bone, unspecified M94.9 Disorder of cartilage, unspecified Q78.0 Osteogenesis imperfecta Z09 Z79.51* Z79.52* Z79.83* Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Long term (current) use of inhaled steroids Long term (current) use of systemic steroids Long term (current) use of bisphosphonates Group 2 Medical Necessity ICD-10 Codes Asterisk Explanation: *Group 2 Medically Necessary ICD-10, Z79.51, Z79.52, and Z79.83 when used to monitor effectiveness of drug treatment, require a primary ICD-10 -CM diagnosis code from the list directly above.
Group 3 Paragraph: For use with CPT Code 77080 (DXA). Use of other letters as the 7th character, not listed in the table, are not covered. Group 3 Codes: Code M48.40XA M48.41XA M48.42XA M48.43XA M48.44XA M48.45XA M48.46XA M48.47XA M48.48XA M48.50XA M48.51XA M48.52XA M48.53XA M48.54XA M48.55XA M48.56XA M48.57XA M48.58XA M80.00XA M80.011A M80.012A M80.021A M80.022A M80.031A M80.032A M80.041A M80.042A M80.051A M80.052A Description Fatigue of vertebra, site unspecified, initial encounter for Fatigue of vertebra, occipito-atlanto-axial region, initial encounter for Fatigue of vertebra, cervical region, initial encounter for Fatigue of vertebra, cervicothoracic region, initial encounter for Fatigue of vertebra, thoracic region, initial encounter for Fatigue of vertebra, thoracolumbar region, initial encounter for Fatigue of vertebra, lumbar region, initial encounter for Fatigue of vertebra, lumbosacral region, initial encounter for Fatigue of vertebra, sacral and sacrococcygeal region, initial encounter for Collapsed vertebra, not elsewhere classified, site unspecified, initial encounter for Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for Collapsed vertebra, not elsewhere classified, thoracic region, initial encounter for Collapsed vertebra, not elsewhere classified, thoracolumbar region, initial encounter for Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for Collapsed vertebra, not elsewhere classified, lumbosacral region, initial encounter for Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region, initial encounter for Age-related osteoporosis with current pathological, unspecified site, initial encounter for Age-related osteoporosis with current pathological, right shoulder, initial encounter for Age-related osteoporosis with current pathological, left shoulder, initial encounter for Age-related osteoporosis with current pathological, right humerus, initial encounter for Age-related osteoporosis with current pathological, left humerus, initial encounter for Age-related osteoporosis with current pathological, right forearm, initial encounter for Age-related osteoporosis with current pathological, left forearm, initial encounter for Age-related osteoporosis with current pathological, right hand, initial encounter for Age-related osteoporosis with current pathological, left hand, initial encounter for Age-related osteoporosis with current pathological, right femur, initial encounter for Age-related osteoporosis with current pathological, left femur, initial encounter for
M80.061A M80.062A M80.071A M80.072A M80.08XA M80.80XA M80.811A M80.812A M80.821A M80.822A M80.831A M80.832A M80.841A M80.842A M80.851A M80.852A M80.861A M80.862A M80.871A M80.872A M80.88XA M84.311A M84.312A M84.321A M84.322A M84.331A M84.332A M84.333A M84.334A M84.341A M84.342A M84.344A Age-related osteoporosis with current pathological, right lower leg, initial encounter for Age-related osteoporosis with current pathological, left lower leg, initial encounter for Age-related osteoporosis with current pathological, right ankle and foot, initial encounter for Age-related osteoporosis with current pathological, left ankle and foot, initial encounter for Age-related osteoporosis with current pathological, vertebra(e), initial encounter for Other osteoporosis with current pathological, unspecified site, initial encounter for Other osteoporosis with current pathological, right shoulder, initial encounter for Other osteoporosis with current pathological, left shoulder, initial encounter for Other osteoporosis with current pathological, right humerus, initial encounter for Other osteoporosis with current pathological, left humerus, initial encounter for Other osteoporosis with current pathological, right forearm, initial encounter for Other osteoporosis with current pathological, left forearm, initial encounter for Other osteoporosis with current pathological, right hand, initial encounter for Other osteoporosis with current pathological, left hand, initial encounter for Other osteoporosis with current pathological, right femur, initial encounter for Other osteoporosis with current pathological, left femur, initial encounter for Other osteoporosis with current pathological, right lower leg, initial encounter for Other osteoporosis with current pathological, left lower leg, initial encounter for Other osteoporosis with current pathological, right ankle and foot, initial encounter for Other osteoporosis with current pathological, left ankle and foot, initial encounter for Other osteoporosis with current pathological, vertebra(e), initial encounter for Stress, right shoulder, initial encounter for Stress, left shoulder, initial encounter for Stress, right humerus, initial encounter for Stress, left humerus, initial encounter for Stress, right ulna, initial encounter for Stress, left ulna, initial encounter for Stress, right radius, initial encounter for Stress, left radius, initial encounter for Stress, right hand, initial encounter for Stress, left hand, initial encounter for Stress, right finger(s), initial encounter for
M84.345A M84.361A M84.362A M84.363A M84.364A M84.371A M84.372A M84.374A M84.375A M84.377A M84.378A M84.38XA M84.40XA M84.411A M84.412A M84.421A M84.422A M84.431A M84.432A M84.433A M84.434A M84.441A M84.442A M84.444A M84.445A M84.451A M84.452A M84.454A M84.459A M84.461A M84.462A M84.463A M84.464A M84.471A M84.472A M84.474A M84.475A Stress, left finger(s), initial encounter for Stress, right tibia, initial encounter for Stress, left tibia, initial encounter for Stress, right fibula, initial encounter for Stress, left fibula, initial encounter for Stress, right ankle, initial encounter for Stress, left ankle, initial encounter for Stress, right foot, initial encounter for Stress, left foot, initial encounter for Stress, right toe(s), initial encounter for Stress, left toe(s), initial encounter for Stress, other site, initial encounter for Pathological, unspecified site, initial encounter for Pathological, right shoulder, initial encounter for Pathological, left shoulder, initial encounter for Pathological, right humerus, initial encounter for Pathological, left humerus, initial encounter for Pathological, right ulna, initial encounter for Pathological, left ulna, initial encounter for Pathological, right radius, initial encounter for Pathological, left radius, initial encounter for Pathological, right hand, initial encounter for Pathological, left hand, initial encounter for Pathological, right finger(s), initial encounter for Pathological, left finger(s), initial encounter for Pathological, right femur, initial encounter for Pathological, left femur, initial encounter for Pathological, pelvis, initial encounter for Pathological, hip, unspecified, initial encounter for Pathological, right tibia, initial encounter for Pathological, left tibia, initial encounter for Pathological, right fibula, initial encounter for Pathological, left fibula, initial encounter for Pathological, right ankle, initial encounter for Pathological, left ankle, initial encounter for Pathological, right foot, initial encounter for Pathological, left foot, initial encounter for
M84.477A M84.478A M84.48XA M84.50XA M84.511A M84.512A M84.521A M84.522A M84.531A M84.532A M84.533A M84.534A M84.541A M84.542A M84.550A M84.551A M84.552A M84.561A M84.562A M84.563A M84.564A M84.571A M84.572A M84.574A M84.575A M84.58XA M84.60XA M84.611A M84.612A M84.621A M84.622A M84.631A M84.632A M84.633A M84.634A M84.641A M84.642A Pathological, right toe(s), initial encounter for Pathological, left toe(s), initial encounter for Pathological, other site, initial encounter for Pathological in neoplastic disease, unspecified site, initial encounter for Pathological in neoplastic disease, right shoulder, initial encounter for Pathological in neoplastic disease, left shoulder, initial encounter for Pathological in neoplastic disease, right humerus, initial encounter for Pathological in neoplastic disease, left humerus, initial encounter for Pathological in neoplastic disease, right ulna, initial encounter for Pathological in neoplastic disease, left ulna, initial encounter for Pathological in neoplastic disease, right radius, initial encounter for Pathological in neoplastic disease, left radius, initial encounter for Pathological in neoplastic disease, right hand, initial encounter for Pathological in neoplastic disease, left hand, initial encounter for Pathological in neoplastic disease, pelvis, initial encounter for Pathological in neoplastic disease, right femur, initial encounter for Pathological in neoplastic disease, left femur, initial encounter for Pathological in neoplastic disease, right tibia, initial encounter for Pathological in neoplastic disease, left tibia, initial encounter for Pathological in neoplastic disease, right fibula, initial encounter for Pathological in neoplastic disease, left fibula, initial encounter for Pathological in neoplastic disease, right ankle, initial encounter for Pathological in neoplastic disease, left ankle, initial encounter for Pathological in neoplastic disease, right foot, initial encounter for Pathological in neoplastic disease, left foot, initial encounter for Pathological in neoplastic disease, other specified site, initial encounter for Pathological in other disease, unspecified site, initial encounter for Pathological in other disease, right shoulder, initial encounter for Pathological in other disease, left shoulder, initial encounter for Pathological in other disease, right humerus, initial encounter for Pathological in other disease, left humerus, initial encounter for Pathological in other disease, right ulna, initial encounter for Pathological in other disease, left ulna, initial encounter for Pathological in other disease, right radius, initial encounter for Pathological in other disease, left radius, initial encounter for Pathological in other disease, right hand, initial encounter for Pathological in other disease, left hand, initial encounter for
M84.650A M84.651A M84.652A M84.661A M84.662A M84.663A M84.664A M84.671A M84.672A M84.674A M84.675A M84.68XA S12.01XA S12.01XB S12.02XA S12.02XB S12.030A S12.030B S12.031A S12.031B S12.040A S12.040B S12.041A S12.041B S12.090A S12.090B S12.091A S12.091B S12.110A S12.110B S12.111A S12.111B S12.112A S12.112B S12.120A S12.120B Pathological in other disease, pelvis, initial encounter for Pathological in other disease, right femur, initial encounter for Pathological in other disease, left femur, initial encounter for Pathological in other disease, right tibia, initial encounter for Pathological in other disease, left tibia, initial encounter for Pathological in other disease, right fibula, initial encounter for Pathological in other disease, left fibula, initial encounter for Pathological in other disease, right ankle, initial encounter for Pathological in other disease, left ankle, initial encounter for Pathological in other disease, right foot, initial encounter for Pathological in other disease, left foot, initial encounter for Pathological in other disease, other site, initial encounter for Stable burst of first cervical vertebra, initial encounter for closed Stable burst of first cervical vertebra, initial encounter for open Unstable burst of first cervical vertebra, initial encounter for closed Unstable burst of first cervical vertebra, initial encounter for open Displaced posterior arch of first cervical vertebra, initial encounter for closed Displaced posterior arch of first cervical vertebra, initial encounter for open Nondisplaced posterior arch of first cervical vertebra, initial encounter for closed Nondisplaced posterior arch of first cervical vertebra, initial encounter for open Displaced lateral mass of first cervical vertebra, initial encounter for closed Displaced lateral mass of first cervical vertebra, initial encounter for open Nondisplaced lateral mass of first cervical vertebra, initial encounter for closed Nondisplaced lateral mass of first cervical vertebra, initial encounter for open Other displaced of first cervical vertebra, initial encounter for closed Other displaced of first cervical vertebra, initial encounter for open Other nondisplaced of first cervical vertebra, initial encounter for closed Other nondisplaced of first cervical vertebra, initial encounter for open Anterior displaced Type II dens, initial encounter for closed Anterior displaced Type II dens, initial encounter for open Posterior displaced Type II dens, initial encounter for closed Posterior displaced Type II dens, initial encounter for open Nondisplaced Type II dens, initial encounter for closed Nondisplaced Type II dens, initial encounter for open Other displaced dens, initial encounter for closed Other displaced dens, initial encounter for open
S12.121A S12.121B S12.14XA S12.14XB S12.150A S12.150B S12.151A S12.151B S12.190A S12.190B S12.191A S12.191B S12.24XA S12.24XB S12.250A S12.250B S12.251A S12.251B S12.290A S12.290B S12.291A S12.291B S12.34XA S12.34XB S12.350A S12.350B S12.351A S12.351B S12.390A S12.390B S12.391A Other nondisplaced dens, initial encounter for closed Other nondisplaced dens, initial encounter for open Type III traumatic spondylolisthesis of second cervical vertebra, initial encounter for closed Type III traumatic spondylolisthesis of second cervical vertebra, initial encounter for open Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for closed Other traumatic displaced spondylolisthesis of second cervical vertebra, initial encounter for open Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for closed Other traumatic nondisplaced spondylolisthesis of second cervical vertebra, initial encounter for open Other displaced of second cervical vertebra, initial encounter for closed Other displaced of second cervical vertebra, initial encounter for open Other nondisplaced of second cervical vertebra, initial encounter for closed Other nondisplaced of second cervical vertebra, initial encounter for open Type III traumatic spondylolisthesis of third cervical vertebra, initial encounter for closed Type III traumatic spondylolisthesis of third cervical vertebra, initial encounter for open Other traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for closed Other traumatic displaced spondylolisthesis of third cervical vertebra, initial encounter for open Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for closed Other traumatic nondisplaced spondylolisthesis of third cervical vertebra, initial encounter for open Other displaced of third cervical vertebra, initial encounter for closed Other displaced of third cervical vertebra, initial encounter for open Other nondisplaced of third cervical vertebra, initial encounter for closed Other nondisplaced of third cervical vertebra, initial encounter for open Type III traumatic spondylolisthesis of fourth cervical vertebra, initial encounter for closed Type III traumatic spondylolisthesis of fourth cervical vertebra, initial encounter for open Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed Other traumatic displaced spondylolisthesis of fourth cervical vertebra, initial encounter for open Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for closed Other traumatic nondisplaced spondylolisthesis of fourth cervical vertebra, initial encounter for open Other displaced of fourth cervical vertebra, initial encounter for closed Other displaced of fourth cervical vertebra, initial encounter for open Other nondisplaced of fourth cervical vertebra, initial encounter for closed
S12.391B S12.44XA S12.44XB S12.450A S12.450B S12.451A S12.451B S12.490A S12.490B S12.491A S12.491B S12.54XA S12.54XB S12.550A S12.550B S12.551A S12.551B S12.590A S12.590B S12.591A S12.591B S12.64XA S12.64XB S12.650A S12.650B S12.651A S12.651B S12.690A S12.690B S12.691A S12.691B S12.9XXA Other nondisplaced of fourth cervical vertebra, initial encounter for open Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for closed Type III traumatic spondylolisthesis of fifth cervical vertebra, initial encounter for open Other traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed Other traumatic displaced spondylolisthesis of fifth cervical vertebra, initial encounter for open Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for closed Other traumatic nondisplaced spondylolisthesis of fifth cervical vertebra, initial encounter for open Other displaced of fifth cervical vertebra, initial encounter for closed Other displaced of fifth cervical vertebra, initial encounter for open Other nondisplaced of fifth cervical vertebra, initial encounter for closed Other nondisplaced of fifth cervical vertebra, initial encounter for open Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for closed Type III traumatic spondylolisthesis of sixth cervical vertebra, initial encounter for open Other traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed Other traumatic displaced spondylolisthesis of sixth cervical vertebra, initial encounter for open Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for closed Other traumatic nondisplaced spondylolisthesis of sixth cervical vertebra, initial encounter for open Other displaced of sixth cervical vertebra, initial encounter for closed Other displaced of sixth cervical vertebra, initial encounter for open Other nondisplaced of sixth cervical vertebra, initial encounter for closed Other nondisplaced of sixth cervical vertebra, initial encounter for open Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for closed Type III traumatic spondylolisthesis of seventh cervical vertebra, initial encounter for open Other traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed Other traumatic displaced spondylolisthesis of seventh cervical vertebra, initial encounter for open Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for closed Other traumatic nondisplaced spondylolisthesis of seventh cervical vertebra, initial encounter for open Other displaced of seventh cervical vertebra, initial encounter for closed Other displaced of seventh cervical vertebra, initial encounter for open Other nondisplaced of seventh cervical vertebra, initial encounter for closed Other nondisplaced of seventh cervical vertebra, initial encounter for open Fracture of neck, unspecified, initial encounter
S22.000A S22.000B S22.001A S22.001B S22.002A S22.002B S22.008A S22.008B S22.010A S22.010B S22.011A S22.011B S22.012A S22.012B S22.018A S22.018B S22.020A S22.020B S22.021A S22.021B S22.022A S22.022B S22.028A S22.028B S22.030A S22.030B S22.031A S22.031B S22.032A S22.032B S22.038A S22.038B S22.040A S22.040B S22.041A S22.041B Wedge compression of unspecified thoracic vertebra, initial encounter for closed Wedge compression of unspecified thoracic vertebra, initial encounter for open Stable burst of unspecified thoracic vertebra, initial encounter for closed Stable burst of unspecified thoracic vertebra, initial encounter for open Unstable burst of unspecified thoracic vertebra, initial encounter for closed Unstable burst of unspecified thoracic vertebra, initial encounter for open Other of unspecified thoracic vertebra, initial encounter for closed Other of unspecified thoracic vertebra, initial encounter for open Wedge compression of first thoracic vertebra, initial encounter for closed Wedge compression of first thoracic vertebra, initial encounter for open Stable burst of first thoracic vertebra, initial encounter for closed Stable burst of first thoracic vertebra, initial encounter for open Unstable burst of first thoracic vertebra, initial encounter for closed Unstable burst of first thoracic vertebra, initial encounter for open Other of first thoracic vertebra, initial encounter for closed Other of first thoracic vertebra, initial encounter for open Wedge compression of second thoracic vertebra, initial encounter for closed Wedge compression of second thoracic vertebra, initial encounter for open Stable burst of second thoracic vertebra, initial encounter for closed Stable burst of second thoracic vertebra, initial encounter for open Unstable burst of second thoracic vertebra, initial encounter for closed Unstable burst of second thoracic vertebra, initial encounter for open Other of second thoracic vertebra, initial encounter for closed Other of second thoracic vertebra, initial encounter for open Wedge compression of third thoracic vertebra, initial encounter for closed Wedge compression of third thoracic vertebra, initial encounter for open Stable burst of third thoracic vertebra, initial encounter for closed Stable burst of third thoracic vertebra, initial encounter for open Unstable burst of third thoracic vertebra, initial encounter for closed Unstable burst of third thoracic vertebra, initial encounter for open Other of third thoracic vertebra, initial encounter for closed Other of third thoracic vertebra, initial encounter for open Wedge compression of fourth thoracic vertebra, initial encounter for closed Wedge compression of fourth thoracic vertebra, initial encounter for open Stable burst of fourth thoracic vertebra, initial encounter for closed Stable burst of fourth thoracic vertebra, initial encounter for open
S22.042A S22.042B S22.048A S22.048B S22.050A S22.050B S22.051A S22.051B S22.052A S22.052B S22.058A S22.058B S22.060A S22.060B S22.061A S22.061B S22.062A S22.062B S22.068A S22.068B S22.070A S22.070B S22.071A S22.071B S22.072A S22.072B S22.078A S22.078B S22.080A S22.080B S22.081A S22.081B S22.082A S22.082B S22.088A S22.088B S32.000A Unstable burst of fourth thoracic vertebra, initial encounter for closed Unstable burst of fourth thoracic vertebra, initial encounter for open Other of fourth thoracic vertebra, initial encounter for closed Other of fourth thoracic vertebra, initial encounter for open Wedge compression of T5-T6 vertebra, initial encounter for closed Wedge compression of T5-T6 vertebra, initial encounter for open Stable burst of T5-T6 vertebra, initial encounter for closed Stable burst of T5-T6 vertebra, initial encounter for open Unstable burst of T5-T6 vertebra, initial encounter for closed Unstable burst of T5-T6 vertebra, initial encounter for open Other of T5-T6 vertebra, initial encounter for closed Other of T5-T6 vertebra, initial encounter for open Wedge compression of T7-T8 vertebra, initial encounter for closed Wedge compression of T7-T8 vertebra, initial encounter for open Stable burst of T7-T8 vertebra, initial encounter for closed Stable burst of T7-T8 vertebra, initial encounter for open Unstable burst of T7-T8 vertebra, initial encounter for closed Unstable burst of T7-T8 vertebra, initial encounter for open Other of T7-T8 thoracic vertebra, initial encounter for closed Other of T7-T8 thoracic vertebra, initial encounter for open Wedge compression of T9-T10 vertebra, initial encounter for closed Wedge compression of T9-T10 vertebra, initial encounter for open Stable burst of T9-T10 vertebra, initial encounter for closed Stable burst of T9-T10 vertebra, initial encounter for open Unstable burst of T9-T10 vertebra, initial encounter for closed Unstable burst of T9-T10 vertebra, initial encounter for open Other of T9-T10 vertebra, initial encounter for closed Other of T9-T10 vertebra, initial encounter for open Wedge compression of T11-T12 vertebra, initial encounter for closed Wedge compression of T11-T12 vertebra, initial encounter for open Stable burst of T11-T12 vertebra, initial encounter for closed Stable burst of T11-T12 vertebra, initial encounter for open Unstable burst of T11-T12 vertebra, initial encounter for closed Unstable burst of T11-T12 vertebra, initial encounter for open Other of T11-T12 vertebra, initial encounter for closed Other of T11-T12 vertebra, initial encounter for open Wedge compression of unspecified lumbar vertebra, initial encounter for closed
S32.000B S32.001A S32.001B S32.010A S32.010B S32.011A S32.011B S32.012A S32.012B S32.018A S32.018B S32.020A S32.020B S32.021A S32.021B S32.022A S32.022B S32.028A S32.028B S32.030A S32.030B S32.031A S32.031B S32.032A S32.032B S32.038A S32.038B S32.040A S32.040B S32.041A S32.041B S32.042A S32.042B S32.048A S32.048B S32.050A Wedge compression of unspecified lumbar vertebra, initial encounter for open Stable burst of unspecified lumbar vertebra, initial encounter for closed Stable burst of unspecified lumbar vertebra, initial encounter for open Wedge compression of first lumbar vertebra, initial encounter for closed Wedge compression of first lumbar vertebra, initial encounter for open Stable burst of first lumbar vertebra, initial encounter for closed Stable burst of first lumbar vertebra, initial encounter for open Unstable burst of first lumbar vertebra, initial encounter for closed Unstable burst of first lumbar vertebra, initial encounter for open Other of first lumbar vertebra, initial encounter for closed Other of first lumbar vertebra, initial encounter for open Wedge compression of second lumbar vertebra, initial encounter for closed Wedge compression of second lumbar vertebra, initial encounter for open Stable burst of second lumbar vertebra, initial encounter for closed Stable burst of second lumbar vertebra, initial encounter for open Unstable burst of second lumbar vertebra, initial encounter for closed Unstable burst of second lumbar vertebra, initial encounter for open Other of second lumbar vertebra, initial encounter for closed Other of second lumbar vertebra, initial encounter for open Wedge compression of third lumbar vertebra, initial encounter for closed Wedge compression of third lumbar vertebra, initial encounter for open Stable burst of third lumbar vertebra, initial encounter for closed Stable burst of third lumbar vertebra, initial encounter for open Unstable burst of third lumbar vertebra, initial encounter for closed Unstable burst of third lumbar vertebra, initial encounter for open Other of third lumbar vertebra, initial encounter for closed Other of third lumbar vertebra, initial encounter for open Wedge compression of fourth lumbar vertebra, initial encounter for closed Wedge compression of fourth lumbar vertebra, initial encounter for open Stable burst of fourth lumbar vertebra, initial encounter for closed Stable burst of fourth lumbar vertebra, initial encounter for open Unstable burst of fourth lumbar vertebra, initial encounter for closed Unstable burst of fourth lumbar vertebra, initial encounter for open Other of fourth lumbar vertebra, initial encounter for closed Other of fourth lumbar vertebra, initial encounter for open Wedge compression of fifth lumbar vertebra, initial encounter for closed
S32.050B S32.051A S32.051B S32.052A S32.052B S32.058A S32.058B S32.110A S32.110B S32.111A S32.111B S32.112A S32.112B S32.120A S32.120B S32.121A S32.121B S32.122A S32.122B S32.130A S32.130B S32.131A S32.131B S32.132A S32.132B S32.14XA S32.14XB S32.15XA S32.15XB S32.16XA S32.16XB S32.17XA S32.17XB S32.19XA S32.19XB S32.2XXA S32.2XXB Wedge compression of fifth lumbar vertebra, initial encounter for open Stable burst of fifth lumbar vertebra, initial encounter for closed Stable burst of fifth lumbar vertebra, initial encounter for open Unstable burst of fifth lumbar vertebra, initial encounter for closed Unstable burst of fifth lumbar vertebra, initial encounter for open Other of fifth lumbar vertebra, initial encounter for closed Other of fifth lumbar vertebra, initial encounter for open Nondisplaced Zone I of sacrum, initial encounter for closed Nondisplaced Zone I of sacrum, initial encounter for open Minimally displaced Zone I of sacrum, initial encounter for closed Minimally displaced Zone I of sacrum, initial encounter for open Severely displaced Zone I of sacrum, initial encounter for closed Severely displaced Zone I of sacrum, initial encounter for open Nondisplaced Zone II of sacrum, initial encounter for closed Nondisplaced Zone II of sacrum, initial encounter for open Minimally displaced Zone II of sacrum, initial encounter for closed Minimally displaced Zone II of sacrum, initial encounter for open Severely displaced Zone II of sacrum, initial encounter for closed Severely displaced Zone II of sacrum, initial encounter for open Nondisplaced Zone III of sacrum, initial encounter for closed Nondisplaced Zone III of sacrum, initial encounter for open Minimally displaced Zone III of sacrum, initial encounter for closed Minimally displaced Zone III of sacrum, initial encounter for open Severely displaced Zone III of sacrum, initial encounter for closed Severely displaced Zone III of sacrum, initial encounter for open Type 1 of sacrum, initial encounter for closed Type 1 of sacrum, initial encounter for open Type 2 of sacrum, initial encounter for closed Type 2 of sacrum, initial encounter for open Type 3 of sacrum, initial encounter for closed Type 3 of sacrum, initial encounter for open Type 4 of sacrum, initial encounter for closed Type 4 of sacrum, initial encounter for open Other of sacrum, initial encounter for closed Other of sacrum, initial encounter for open Fracture of coccyx, initial encounter for closed Fracture of coccyx, initial encounter for open
S72.001A S72.001B S72.001C S72.002A S72.002B S72.002C S72.011A S72.011B S72.011C S72.012A S72.012B S72.012C S72.021A S72.021B S72.021C S72.022A S72.022B S72.022C S72.024A S72.024B S72.024C S72.025A S72.025B S72.025C S72.026A S72.031A S72.031B S72.031C S72.032A S72.032B S72.032C Fracture of unspecified part of neck of right femur, initial encounter for closed Fracture of unspecified part of neck of right femur, initial encounter for open type I or II Fracture of unspecified part of neck of right femur, initial encounter for open type IIIA, Fracture of unspecified part of neck of left femur, initial encounter for closed Fracture of unspecified part of neck of left femur, initial encounter for open type I or II Fracture of unspecified part of neck of left femur, initial encounter for open type IIIA, Unspecified intracapsular of right femur, initial encounter for closed Unspecified intracapsular of right femur, initial encounter for open type I or II Unspecified intracapsular of right femur, initial encounter for open type IIIA, Unspecified intracapsular of left femur, initial encounter for closed Unspecified intracapsular of left femur, initial encounter for open type I or II Unspecified intracapsular of left femur, initial encounter for open type IIIA, IIIB, or IIIC Displaced of epiphysis (separation) (upper) of right femur, initial encounter for closed Displaced of epiphysis (separation) (upper) of right femur, initial encounter for open type I or II Displaced of epiphysis (separation) (upper) of right femur, initial encounter for open type IIIA, Displaced of epiphysis (separation) (upper) of left femur, initial encounter for closed Displaced of epiphysis (separation) (upper) of left femur, initial encounter for open type I or II Displaced of epiphysis (separation) (upper) of left femur, initial encounter for open type IIIA, Nondisplaced of epiphysis (separation) (upper) of right femur, initial encounter for closed Nondisplaced of epiphysis (separation) (upper) of right femur, initial encounter for open type I or II Nondisplaced of epiphysis (separation) (upper) of right femur, initial encounter for open type IIIA, Nondisplaced of epiphysis (separation) (upper) of left femur, initial encounter for closed Nondisplaced of epiphysis (separation) (upper) of left femur, initial encounter for open type I or II Nondisplaced of epiphysis (separation) (upper) of left femur, initial encounter for open type IIIA, Nondisplaced of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed Displaced midcervical of right femur, initial encounter for closed Displaced midcervical of right femur, initial encounter for open type I or II Displaced midcervical of right femur, initial encounter for open type IIIA, IIIB, or IIIC Displaced midcervical of left femur, initial encounter for closed Displaced midcervical of left femur, initial encounter for open type I or II Displaced midcervical of left femur, initial encounter for open type IIIA, IIIB, or
IIIC S72.034A S72.034B S72.034C S72.035A S72.035B S72.035C S72.041A S72.041B S72.041C S72.042A S72.042B S72.042C S72.044A S72.044B S72.044C S72.045A S72.045B S72.045C S72.051A S72.051B S72.051C S72.052A S72.052B S72.052C S72.061A S72.061B S72.061C S72.062A S72.062B S72.062C S72.064A S72.064B Nondisplaced midcervical of right femur, initial encounter for closed Nondisplaced midcervical of right femur, initial encounter for open type I or II Nondisplaced midcervical of right femur, initial encounter for open type IIIA, Nondisplaced midcervical of left femur, initial encounter for closed Nondisplaced midcervical of left femur, initial encounter for open type I or II Nondisplaced midcervical of left femur, initial encounter for open type IIIA, IIIB, or IIIC Displaced of base of neck of right femur, initial encounter for closed Displaced of base of neck of right femur, initial encounter for open type I or II Displaced of base of neck of right femur, initial encounter for open type IIIA, Displaced of base of neck of left femur, initial encounter for closed Displaced of base of neck of left femur, initial encounter for open type I or II Displaced of base of neck of left femur, initial encounter for open type IIIA, IIIB, or IIIC Nondisplaced of base of neck of right femur, initial encounter for closed Nondisplaced of base of neck of right femur, initial encounter for open type I or II Nondisplaced of base of neck of right femur, initial encounter for open type IIIA, Nondisplaced of base of neck of left femur, initial encounter for closed Nondisplaced of base of neck of left femur, initial encounter for open type I or II Nondisplaced of base of neck of left femur, initial encounter for open type IIIA, Unspecified of head of right femur, initial encounter for closed Unspecified of head of right femur, initial encounter for open type I or II Unspecified of head of right femur, initial encounter for open type IIIA, IIIB, or IIIC Unspecified of head of left femur, initial encounter for closed Unspecified of head of left femur, initial encounter for open type I or II Unspecified of head of left femur, initial encounter for open type IIIA, Displaced articular of head of right femur, initial encounter for closed Displaced articular of head of right femur, initial encounter for open type I or II Displaced articular of head of right femur, initial encounter for open type IIIA, Displaced articular of head of left femur, initial encounter for closed Displaced articular of head of left femur, initial encounter for open type I or II Displaced articular of head of left femur, initial encounter for open type IIIA, Nondisplaced articular of head of right femur, initial encounter for closed Nondisplaced articular of head of right femur, initial encounter for open type I or II
S72.064C S72.065A S72.065B S72.065C S72.091A S72.091B S72.091C S72.092A S72.092B S72.092C S72.111A S72.111B S72.111C S72.112A S72.112B S72.112C S72.114A S72.114B S72.114C S72.115A S72.115B S72.115C S72.121A S72.121B S72.121C S72.122A S72.122B S72.122C S72.124A S72.124B S72.124C Nondisplaced articular of head of right femur, initial encounter for open type IIIA, Nondisplaced articular of head of left femur, initial encounter for closed Nondisplaced articular of head of left femur, initial encounter for open type I or II Nondisplaced articular of head of left femur, initial encounter for open type IIIA, Other of head and neck of right femur, initial encounter for closed Other of head and neck of right femur, initial encounter for open type I or II Other of head and neck of right femur, initial encounter for open type IIIA, IIIB, or IIIC Other of head and neck of left femur, initial encounter for closed Other of head and neck of left femur, initial encounter for open type I or II Other of head and neck of left femur, initial encounter for open type IIIA, IIIB, or IIIC Displaced of greater trochanter of right femur, initial encounter for closed Displaced of greater trochanter of right femur, initial encounter for open type I or II Displaced of greater trochanter of right femur, initial encounter for open type IIIA, Displaced of greater trochanter of left femur, initial encounter for closed Displaced of greater trochanter of left femur, initial encounter for open type I or II Displaced of greater trochanter of left femur, initial encounter for open type IIIA, Nondisplaced of greater trochanter of right femur, initial encounter for closed Nondisplaced of greater trochanter of right femur, initial encounter for open type I or II Nondisplaced of greater trochanter of right femur, initial encounter for open type IIIA, Nondisplaced of greater trochanter of left femur, initial encounter for closed Nondisplaced of greater trochanter of left femur, initial encounter for open type I or II Nondisplaced of greater trochanter of left femur, initial encounter for open type IIIA, Displaced of lesser trochanter of right femur, initial encounter for closed Displaced of lesser trochanter of right femur, initial encounter for open type I or II Displaced of lesser trochanter of right femur, initial encounter for open type IIIA, Displaced of lesser trochanter of left femur, initial encounter for closed Displaced of lesser trochanter of left femur, initial encounter for open type I or II Displaced of lesser trochanter of left femur, initial encounter for open type IIIA, Nondisplaced of lesser trochanter of right femur, initial encounter for closed Nondisplaced of lesser trochanter of right femur, initial encounter for open type I or II Nondisplaced of lesser trochanter of right femur, initial encounter for open type