Michigan Department of Health and Human Services

ICD-10 CSHCS-Qualifying Diagnosis Codes Effective 10/1/2017

ICD-10 Code A1854 A507 A925 B20 B259 B393 B399 B900 B902 B909 B91 B941 B942 B948 C029 C039 C051 C080 C089 C118 C119 C169 C179 C188 C189 C19 C210 C220 C222 C223 C224 C227 C228 C229 C249 C252 C254 C259 C300

Medical Review Code End Code Begin Period Date Date 2 5 2 10/1/2016 5 5 2 2 5 3 3 5 5 2 2 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

Description Tuberculous iridocyclitis Late congenital syphilis, unspecified Zika virus disease Human immunodeficiency virus [HIV] disease Cytomegaloviral disease, unspecified Disseminated histoplasmosis capsulati Histoplasmosis, unspecified Sequelae of central nervous system tuberculosis Sequelae of tuberculosis of bones and joints Sequelae of respiratory and unspecified tuberculosis Sequelae of poliomyelitis Sequelae of viral encephalitis Sequelae of viral hepatitis Sequelae of other specified infectious and parasitic diseases Malignant neoplasm of tongue, unspecified Malignant neoplasm of gum, unspecified Malignant neoplasm of soft palate Malignant neoplasm of submandibular gland Malignant neoplasm of major salivary gland, unspecified Malignant neoplasm of overlapping sites of nasopharynx Malignant neoplasm of nasopharynx, unspecified Malignant neoplasm of stomach, unspecified Malignant neoplasm of small intestine, unspecified Malignant neoplasm of overlapping sites of colon Malignant neoplasm of colon, unspecified Malignant neoplasm of rectosigmoid junction Malignant neoplasm of anus, unspecified Liver cell carcinoma Hepatoblastoma Angiosarcoma of liver Other sarcomas of liver Other specified carcinomas of liver Malignant neoplasm of liver, primary, unspecified as to type Malignant neoplasm of liver, not specified as primary or secondary Malignant neoplasm of biliary tract, unspecified Malignant neoplasm of tail of pancreas Malignant neoplasm of endocrine pancreas Malignant neoplasm of pancreas, unspecified Malignant neoplasm of nasal cavity

1


C319 C329 C3490 C380 C383 C384 C4010 C4020 C4030

Malignant neoplasm of acessory sinus, unspecified Malignant neoplasm of larynx, unspecified Malignant neoplasm of unspecified part of unspecified bronchus or lung Malignant neoplasm of heart Malignant neoplasm of mediastinum, part unspecified Malignant neoplasm of pleura Malignant neoplasm of short bones of unspecified upper limb Malignant neoplasm of long bones of unspecified lower limb Malignant neoplasm of short bones of unspecified lower limb

5 5 5 5 5 5 5 5 5

C4080 C410 C411 C412 C413 C414 C419 C4370 C439 C44201

Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb Malignant neoplasm of bones of skull and face Malignant neoplasm of mandible Malignant neoplasm of vertebral column Malignant neoplasm of ribs, sternum and clavicle Malignant neoplasm of pelvic bones, sacrum and coccyx Malignant neoplasm of bone and articular cartilage, unspecified Malignant melanoma of unspecified lower limb, including hip Malignant melanoma of skin, unspecified Unspecified malignant neoplasm of skin of unspecified ear and external auricular canal

5 5 5 5 5 5 5 5 5 5

C44291 C44300 C44301 C44309 C44390 C44391 C44399 C4490 C4491 C4492 C4499 C457 C459 C470 C4710 C4720 C473 C474 C475 C476

Other specified malignant neoplasm of skin of unspecified ear and external auricular canal Unspecified malignant neoplasm of skin of unspecified part of face Unspecified malignant neoplasm of skin of nose Unspecified malignant neoplasm of skin of other parts of face Other specified malignant neoplasm of skin of unspecified parts of face Other specified malignant neoplasm of skin of nose Other specified malignant neoplasm of skin of other parts of face Unspecified malignant neoplasm of skin, unspecified Basal cell carcinoma of skin, unspecified Squamous cell carcinoma of skin, unspecified Other specified malignant neoplasm of skin, unspecified Mesothelioma of other sites Mesothelioma, unspecified Malignant neoplasm of peripheral nerves of head, face and neck Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip Malignant neoplasm of peripheral nerves of thorax Malignant neoplasm of peripheral nerves of abdomen Malignant neoplasm of peripheral nerves of pelvis Malignant neoplasm of peripheral nerves of trunk, unspecified

5 5 5 5 5 5 5 5 5 5 5 5 2 5 5 5 5 5 5 5

2


5 5 5 5

C4910 C4920 C493 C494 C495 C496 C498 C499 C50919 C519 C52 C538 C539 C569 C574 C58

Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified Malignant neoplasm of retroperitoneum Malignant neoplasm of connective and soft tissue of head, face and neck Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip Malignant neoplasm of connective and soft tissue of thorax Malignant neoplasm of connective and soft tissue of abdomen Malignant neoplasm of connective and soft tissue of pelvis Malignant neoplasm of connective and soft tissue of trunk, unspecified Malignant neoplasm of overlapping sites of connective and soft tissue Malignant neoplasm of connective and soft tissue, unspecified Malignant neoplasm of unspecified site of unspecified female breast Malignant neoplasm of vulva, unspecified Malignant neoplasm of vagina Malignant neoplasm of overlapping sites of cervix uteri Malignant neoplasm of cervix uteri, unspecified Malignant neoplasm of unspecified ovary Malignant neoplasm of uterine adnexa, unspecified Malignant neoplasm of placenta

C6290 C639 C649 C679 C6920 C6960 C6980 C6990 C701 C710 C717 C718 C719 C720 C7230 C7250 C7259 C729

Malignant neoplasm of unspecified testis, unspecified whether descended or undescended Malignant neoplasm of male genital organ, unspecified Malignant neoplasm of unspecified kidney, except renal pelvis Malignant neoplasm of bladder, unspecified Malignant neoplasm of unspecified retina Malignant neoplasm of unspecified orbit Malignant neoplasm of overlapping sites of unspecified eye and adnexa Malignant neoplasm of unspecified site of unspecified eye Malignant neoplasm of spinal meninges Malignant neoplasm of cerebrum, except lobes and ventricles Malignant neoplasm of brain stem Malignant neoplasm of overlapping sites of brain Malignant neoplasm of brain, unspecified Malignant neoplasm of spinal cord Malignant neoplasm of unspecified optic nerve Malignant neoplasm of unspecified cranial nerve Malignant neoplasm of other cranial nerves Malignant neoplasm of central nervous system, unspecified

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

C478 C479 C480 C490

3

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5


C73 C7400 C7410 C7490 C751 C752 C753 C755 C760 C761 C762 C763 C7640 C7650 C768 C775 C778 C779 C7800 C787 C7931 C7989 C799 C7A090 C7A095 C800 C801 C8100 C8109 C8110 C8121 C8130 C8140 C8190 C8200 C8210 C8220 C8230 C8240 C8250 C8260

Malignant neoplasm of thyroid gland Malignant neoplasm of cortex of unspecified adrenal gland Malignant neoplasm of medulla of unspecified adrenal gland Malignant neoplasm of unspecified part of unspecified adrenal gland Malignant neoplasm of pituitary gland Malignant neoplasm of craniopharyngeal duct Malignant neoplasm of pineal gland Malignant neoplasm of aortic body and other paraganglia Malignant neoplasm of head, face and neck Malignant neoplasm of thorax Malignant neoplasm of abdomen Malignant neoplasm of pelvis Malignant neoplasm of unspecified upper limb Malignant neoplasm of unspecified lower limb Malignant neoplasm of other specified ill-defined sites Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions Secondary and unspecified malignant neoplasm of lymph node, unspecified Secondary malignant neoplasm of unspecified lung Secondary malignant neoplasm of liver and intrahepatic bile duct Secondary malignant neoplasm of brain Secondary malignant neoplasm of other specified sites Secondary malignant neoplasm of unspecified site Malignant carcinoid tumor of the bronchus and lung Malignant carcinoid tumor of the midgut NOS Disseminated malignant neoplasm, unspecified Malignant (primary) neoplasm, unspecified Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites Nodular sclerosis classical Hodgkin lymphoma, unspecified site Mixed cellular classical Hodgkin lymphoma, lymph nodes of head, face, and neck Lymphocyte depleted classical Hodgkin lymphoma, unspecified site Lymphocyte-rich classical Hodgkin lymphoma, unspecified site Hodgkin lymphoma, unspecified, unspecified site Follicular lymphoma grade I, unspecified site Follicular lymphoma grade II, unspecified site Follicular lymphoma grade III, unspecified, unspecified site Follicular lymphoma grade IIIa, unspecified site Follicular lymphoma grade IIIb, unspecified site Diffuse follicle center lymphoma, unspecified site Cutaneous follicle center lymphoma, unspecified site

4

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 2 5 5 5 5 5 5 5 5 5 5 5 5 5 5


C8280 C8290 C8300 C8330 C8350 C8351 C8352 C8370 C8378 C8380 C8390 C8400 C8408 C8410 C8440 C8448 C8460 C8470 C8490 C84A0 C84Z0 C8510 C8520 C8580 C8590 C860 C861 C862 C863 C864 C865 C866 C882 C883 C884 C888 C889 C9000 C9001 C9002

Other types of follicular lymphoma, unspecified site Follicular lymphoma, unspecified, unspecified site Small cell B-cell lymphoma, unspecified site Diffuse large B-cell lymphoma, unspecified site Lymphoblastic (diffuse) lymphoma, unspecified site Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck Lymphoblastic (diffuse) lymphoma, intrathoracic lymph nodes Burkitt lymphoma, unspecified site Burkitt lymphoma, lymph nodes of multiple sites Other non-follicular lymphoma, unspecified site Non-follicular (diffuse) lymphoma, unspecified, unspecified site Mycosis fungoides, unspecified site Mycosis fungoides, lymph nodes of multiple sites Sezary disease, unspecified site Peripheral T-cell lymphoma, not classified, unspecified site Peripheral T-cell lymphoma, not classified, lymph nodes of multiple sites Anaplastic large cell lymphoma, ALK-positive, unspecified site Anaplastic large cell lymphoma, ALK-negative, unspecified site Mature T/NK-cell lymphomas, unspecified, unspecified site Cutaneous T-cell lymphoma, unspecified, unspecified site Other mature T/NK-cell lymphomas, unspecified site Unspecified B-cell lymphoma, unspecified site Mediastinal (thymic) large B-cell lymphoma, unspecified site Other specified types of non-Hodgkin lymphoma, unspecified site Non-Hodgkin lymphoma, unspecified, unspecified site Extranodal NK/T-cell lymphoma, nasal type Hepatosplenic T-cell lymphoma Enteropathy-type (intestinal) T-cell lymphoma Subcutaneous panniculitis-like T-cell lymphoma Blastic NK-cell lymphoma Angioimmunoblastic T-cell lymphoma Primary cutaneous CD30-positive T-cell proliferations Heavy chain disease Immunoproliferative small intestinal disease Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALTlymphoma] Other malignant immunoproliferative diseases Malignant immunoproliferative disease, unspecified Multiple myeloma not having achieved remission Multiple myeloma in remission Multiple myeloma in relapse

5

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 2 5 5 5 5


C9010 C9011 C9012 C9020 C9021 C9022 C9030 C9031 C9032 C9100 C9101 C9102 C9110 C9111 C9112 C9130 C9131 C9132 C9140 C9141 C9142 C9190 C9191 C9192 C91Z0 C9200 C9201 C9202 C9210 C9211 C9212 C9220 C9221 C9222 C9230 C9240 C9241 C9242 C9250 C9251 C9252

Plasma cell leukemia not having achieved remission Plasma cell leukemia in remission Plasma cell leukemia in relapse Extramedullary plasmacytoma not having achieved remission Extramedullary plasmacytoma in remission Extramedullary plasmacytoma in relapse Solitary plasmacytoma not having achieved remission Solitary plasmacytoma in remission Solitary plasmacytoma in relapse Acute lymphoblastic leukemia not having achieved remission Acute lymphoblastic leukemia, in remission Acute lymphoblastic leukemia, in relapse Chronic lymphocytic leukemia of B-cell type not having achieved remission Chronic lymphocytic leukemia of B-cell type in remission Chronic lymphocytic leukemia of B-cell type in relapse Prolymphocytic leucemia of B-cell tympe not having achieved remission Prolymphocytic leukemia of B-cell type, in remission Prolymphocytic leukemia of B-cell type, in relapse Hairy cell leukemia, not having achieved remission Hairy cell leukemia, in remission Hairy cell leukemia, in relapse Lymphoid leukemia, unspecified not having achieved remission Lymphoid leukemia, unspecified, in remission Lymphoid leukemia, uspecified, in relapse Other lymphoid leukemia not having achieved remission Acute myeloblastic leukemia, not having achieved remission Acute myeloblastic leukemia, in remission Acute myeloblastic leukemia, in relapse Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission Chronic myeloid leukemia, BCR/ABL-positive, in remission Chronic myeloid leukemia, BCR/ABL-positive in relapse Atypical chronic myeloid leukemia BCR/ABL-negative, not having achieved remission Atypical chronic myeloid leukemia BCR/ABL-negative, in remission Atypical chronic myeloid leukemia BCR/ABL-negative, in relapse Myeloid sarcoma, not having achieved remission Acute promyelocytic leukemia, not having achieved remission Acute promyelocytic leukemia, in remission Acute promyelocytic leukemia, in relapse Acute myelomonocytic leukemia, not having achieved remission Acute myelomonocytic leukemia, in remission Acute myelomonocytic leukemia, in relapse

6

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5


C9260 C9261 C9262 C9290 C9291 C9292 C92A0 C92A1 C92A2 C92Z0 C92Z1 C9300 C9301 C9302 C9390 C9391 C9392 C9400 C9401 C9402 C9420 C9421 C9422 C9430 C9431 C9432 C9440 C9441 C9442 C946 C9480 C9481 C9482 C9500 C9501 C9502 C9510 C9511 C9512 C9590 C9591

Acute myeloid leukemia with 11q23-abnormality not having achieved remission Acute myeloid leukemia with 11q23-abnormality in remission Acute myeloid leukemia with 11q23-abnormality in relapse Myeloid leukemia, unspecified, not having achieved remission Myeloid leukemia, unspecified in remission Myeloid leukemia, unspecified in relapse Acute myeloid leukemia with multilineage dysplasia, not having achieved remission Acute myeloid leukemia with multilineage dysplasia, in remission Acute myeloid leukemia with multilineage dysplasia, in relapse Other myeloid leukemia not having achieved remission Other myeloid leukemia, in remission Acute monoblastic/monocytic leukemia, not having achieved remission Acute monoblastic/monocytic leukemia, in remission Acute monoblastic/monocytic leukemia, in relapse Monocytic leukemia, unspecified, not having achieved remission Monocytic leukemia, unspecified, in remission Monocytic leukemia, unspecified, in relapse Acute erythroid leukemia, not having achieved remission Acute erythroid leukemia, in remission Acute erythroid leukemia, in relapse Acute megakaryoblastic leukemia not having achieved remission Acute megakaryoblastic leukemia, in remission Acute megakaryoblastic leukemia, in relapse Mast cell leukemia not having achieved remission Mast cell leukemia, in remission Mast cell leukemia, in relapse Acute panmyelosis with myelofibrosis not having achieved remission Acute panmyelosis with myelofibrosis, in remission Acute panmyelosis with myelofibrosis, in relapse Myelodysplastic disease, not classified Other specified leukemias not having achieved remission Other specified leukemias, in remission Other specified leukemias, in relapse Acute leukemia of unspecified cell type not having achieved remission Acute leukemia of unspecified cell type, in remission Acute leukemia of unspecified cell type, in relapse Chronic leukemia of unspecified cell type, not having achieved remission Chronic leukemia of unspecified cell type, in remission Chronic leukemia of unspecified cell type, in relapse Leukemia, unspecified not having achieved remission Leukemia, unspecified, in remission

7

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 2 2 2 2 5 5 5 5 5 5 5 5 5 5 5


C9592 C960 C962 C9620 C9622 C9629 C964 C965 C966 C969 C96A C96Z D0000 D019 D024 D039 D049 D0590 D0730 D0760 D099 D1030 D107 D109 D119 D126 D1330 D139 D140 D141 D142 D144 D169 D1800 D1801 D1802 D1803 D1809 D181 D215 D219

Leukemiaunspecified, in relapse Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis Malignant mast cell tumor Malignant mast cell neoplasm, unspecified Mast cell sarcoma Other malignant mast cell neoplasm Sarcoma of dendritic cells (accessory cells) Multifocal and unisystemic Langerhans-cell histiocytosis Unifocal Langerhans-cell histiocytosis Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified Histiocytic sarcoma Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue Carcinoma in situ of oral cavity, unspecified site Carcinoma in situ of digestive oragan, unspecified Carcinoma in situ of respiratory system, unspecified Melanoma in situ, unspecified Carcinoma in situ of skin, unspecified Unspecified type of carcinoma in situ of unspecified breast Carcinoma in situ of unspecified female genital organs Carcinoma in situ of unspecified male genital organs Carcinoma in situ, unspecified Benign neoplasm of unspecified part of mouth Benign neoplasm of the hypopharynx, unspecified Benign neoplasm of pharynx, unspecified Benign neoplasm of major salivary gland, unspecified Benign neoplasm of colon, unspecified Benign neoplasm of unspecified part of small intestine Benign neoplasm of ill-defined sites within the digestive system Benign neoplasm of middle ear, nasal cavity and accessory sinuses Benign neoplasm of larynx Benign neoplasm of trachea Benign neoplasm of respiratory system, unspecified Benign neoplasm of bone and articular cartilage, unspecified Hemangioma unspecified sites Hemangioma of skin and subcutaneous tissue Hemangioma of intracranial structures Hemangioma of intra-abdominal structures Hemangioma of other sites Lymphangioma, any site Benign neoplasm of connective and other soft tissue of pelvis Benign neoplasm of connective and other soft tissue, unspecified

8

5 5 5 5 5 5 5 3 3 5 5 5 5 5 5 5 5 5 5 5 5 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

9/30/2017 10/1/2017 10/1/2017 10/1/2017


D309 D3120 D3140 D3160 D3190 D320 D321 D329 D330 D331 D332 D333 D334 D337 D339 D3500 D352 D353 D354 D359 D3610 D433 D438 D439 D440 D4410 D442 D443 D444 D445 D446 D447 D449 D45 D469 D4702 D473 D47Z1 D47Z9 D481

Benign neoplasm of urinary organ, unspecified Benign neoplasm of unspecified retina Benign neoplasm of unspecified ciliary body Benign neoplasm of unspecified site of unspecified orbit Benign neoplasm of unspecified part of unspecified eye Benign neoplasm of cerebral meninges Benign neoplasm of spinal meninges Benign neoplasm of meninges, unspecified Benign neoplasm of brain, supratentorial Benign neoplasm of brain, infratentorial Benign neoplasm of brain, unspecified Benign neoplasm of cranial nerves Benign neoplasm of spinal cord Benign neoplasm of other specified parts of central nervous system Benign neoplasm of central nervous system, unspecified Benign neoplasm of unspecified adrenal gland Benign neoplasm of pituitary gland Benign neoplasm of craniopharyngeal duct Benign neoplasm of pineal gland Benign neoplasm of endocrine gland, unspecified Benign neoplasm of peripheral nerves and autonomic nervous system, unspecified Neoplasm of uncertain behavior of cranial nerves Neoplasm of uncertain behavior of other specified parts of central nervous system Neoplasm of uncertain behavior of central nervous system, unspecified Neoplasm of uncertain behavior of thyroid gland Neoplasm of uncertain behavior of unspecified adrenal gland Neoplasm of uncertain behavior of parathyroid gland Neoplasm of uncertain behavior of pituitary gland Neoplasm of uncertain behavior of craniopharyngeal duct Neoplasm of uncertain behavior of pineal gland Neoplasm of uncertain behavior of carotid body Neoplasm of uncertain behavior of aortic body and other paraganglia Neoplasm of uncertain behavior of unspecified endocrine gland Polycythemia vera Myelodysplastic syndrome, unspecified Systemic mastocytosis Essential (hemorrhagic) thrombocythemia Post-transplant lymphoproliferative disorder (PTLD) Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue Neoplasm of uncertain behavior of connective and other soft tissue

9

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 2 2 2 2 2 5 2 2 2 2

10/1/2017


D487 D489 D4989 D499 D519 D550 D551 D558 D559 D560 D561 D568 D571 D5720 D5740 D57419 D5780 D580 D581 D582 D590 D591 D593 D594 D595 D600 D608 D609 D6101 D6109 D611 D612 D613 D61818 D6189 D619 D631 D643 D65 D66 D67

Neoplasm of uncertain behavior of other specified sites Neoplasm of uncertain behavior, unspecified Neoplasm of unspecified behavior of other specified sites Neoplasm of unspecified behavior of unspecified site Vitamin B12 deficiency anemia, unspecified Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency Anemia due to other disorders of glutathione metabolism Other anemias due to enzyme disorders Anemia due to enzyme disorder, unspecified Alpha thalassemia Beta thalassemia Other thalassemias Sickle-cell disease without crisis Sickle-cell/Hb-C disease without crisis Sickle-cell thalassemia without crisis Sickle-cell thalassemia with crisis, unspecified Other sickle-cell disorders without crisis Hereditary spherocytosis Hereditary elliptocytosis Other hemoglobinopathies Drug-induced autoimmune hemolytic anemia Other autoimmune hemolytic anemias Hemolytic-uremic syndrome Other nonautoimmune hemolytic anemias Paroxysmal nocturnal hemoglobinuria Chronic acquired pure red cell aplasia Other acquired pure red cell aplasias Acquired pure red cell aplasia, unspecified Constitutional (pure) red blood cell aplasia Other constitutional aplastic anemia Drug-induced aplastic anemia Aplastic anemia due to other external agents Idiopathic aplastic anemia Other pancytopenia Other specified aplastic anemias and other bone marrow failure syndromes Aplastic anemia, unspecified Anemia in chronic kidney disease Other sideroblastic anemias Disseminated intravascular coagulation [defibrination syndrome] Hereditary factor VIII deficiency Hereditary factor IX deficiency

2 1 2 2 2 3 3 5 5 5 5 5 5 5 5 5 5 3 3 2 2 2 2 2 2 5 5 5 5 5 5 5 5 5 5 2 3 3 3 5 5

10


D680 D681 D682 D6832 D684 D6851 D6852 D6859 D6861 D6862 D688 D689 D693 D6941 D6942 D6949 D699 D700 D704 D708 D709 D71 D761 D762 D800 D801 D802 D803 D804 D805 D806 D807 D808 D809 D810 D811 D812 D813 D815 D816 D817

Von Willebrand's disease Hereditary factor XI deficiency Hereditary deficiency of other clotting factors Hemorrhagic disorder due to extrinsic circulating anticoagulants Acquired coagulation factor deficiency Activated protein C resistance Prothrombin gene mutation Other primary thrombophilia Antiphospholipid syndrome Lupus anticoagulant syndrome Other specified coagulation defects Coagulation defect, unspecified Immune thrombocytopenic purpura Evans syndrome Congenital and hereditary thrombocytopenia purpura Other primary thrombocytopenia Hemorrhagic condition, unspecified Congenital agranulocytosis Cyclic neutropenia Other neutropenia Neutropenia, unspecified Functional disorders of polymorphonuclear neutrophils Hemophagocytic lymphohistiocytosis Hemophagocytic syndrome, infection associated Hereditary hypogammaglobulinemia Nonfamilial hypogammaglobulinemia Selective deficiency of immunoglobulin A [IgA] Selective deficiency of immunoglobulin G [IgG] subclasses Selective deficiency of immunoglobulin M [IgM] Immunodeficiency with increased immunoglobulin M [IgM] Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia Transient hypogammaglobulinemia of infancy Other immunodeficiencies with predominantly antibody defects Immunodeficiency with predominantly antibody defects, unspecified Severe combined immunodeficiency [SCID] with reticular dysgenesis Severe combined immunodeficiency [SCID] with low T- and B-cell numbers Severe combined immunodeficiency [SCID] with low or normal B-cell numbers Adenosine deaminase [ADA] deficiency Purine nucleoside phosphorylase [PNP] deficiency Major histocompatibility complex class I deficiency Major histocompatibility complex class II deficiency

11

5 5 5 3 3 5 5 5 5 5 3 3 2 2 2 2 2 2 2 2 2 3 2 2 3 3 3 3 3 3 2 2 2 2 5 5 5 3 3 5 5


3 5 5 5 5 2

D830 D831 D832 D838 D839 D848 D849 D869 D89811 D89813 D8982 D8989 D899 E009 E030 E031 E039 E0510 E0520 E0590 E063 E0840

Biotinidase deficiency Other combined immunodeficiencies Combined immunodeficiency, unspecified Wiskott-Aldrich syndrome Di George's syndrome Hyperimmunoglobulin E syndrome Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function Common variable immunodeficiency with predominant immunoregulatory T-cell disorders Common variable immunodeficiency with autoantibodies to B- or T-cells Other common variable immunodeficiencies Common variable immunodeficiency, unspecified Other specified immunodeficiencies Immunodeficiency, unspecified Sarcoidosis, unspecified Chronic graft-versus-host disease Graft-versus-host disease, unspecified Autoimmune lymphoproliferative syndrome [ALPS] Other specified disorders involving the immune mechanism, not elsewhere classified Disorder involving the immune mechanism, unspecified Congenital iodine-deficiency syndrome, unspecified Congenital hypothyroidism with diffuse goiter Congenital hypothyroidism without goiter Hypothyroidism, unspecified Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm Thyrotoxicosis, unspecified without thyrotoxic crisis or storm Autoimmune thyroiditis Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified

E0849 E08610 E088 E1021 E1022 E1029 E1039 E1040 E1043 E1049 E1059

Diabetes mellitus due to underlying condition with other diabetic neurological complication Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy Diabetes mellitus due to underlying condition with unspecified complications Type 1 diabetes mellitus with diabetic nephropathy Type 1 diabetes mellitus with diabetic chronic kidney disease Type 1 diabetes mellitus with other diabetic kidney complication Type 1 diabetes mellitus with other diabetic ophthalmic complication Type 1 diabetes mellitus with diabetic neuropathy, unspecified Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy Type 1 diabetes mellitus with other diabetic neurological complication Type 1 diabetes mellitus with other circulatory complications

3 2 2 5 5 5 5 3 5 3 5

D81810 D8189 D819 D820 D821 D824

12

3 2 3 3 2 2 2 3 5 5 2 2 2 5 5 5 3 3 3 3 2 3


E1069 E108 E109 E1140 E118 E161 E200 E201 E208 E209 E210 E211 E213 E215 E220 E221 E228 E229 E230 E232 E233 E236 E237 E240 E248 E249 E250 E258 E259 E2609 E2681 E269 E271 E2740 E2749 E275 E2839 E299 E301 E309 E310

Type 1 diabetes mellitus with other specified complication Type 1 diabetes mellitus with unspecified complications Type 1 diabetes mellitus without complications Type 2 diabetes mellitus with diabetic neuropathy, unspecified Type 2 diabetes mellitus with unspecified complications Other hypoglycemia Idiopathic hypoparathyroidism Pseudohypoparathyroidism Other hypoparathyroidism Hypoparathyroidism, unspecified Primary hyperparathyroidism Secondary hyperparathyroidism, not elsewhere classified Hyperparathyroidism, unspecified Disorder of parathyroid gland, unspecified Acromegaly and pituitary gigantism Hyperprolactinemia Other hyperfunction of pituitary gland Hyperfunction of pituitary gland, unspecified Hypopituitarism Diabetes insipidus Hypothalamic dysfunction, not elsewhere classified Other disorders of pituitary gland Disorder of pituitary gland, unspecified Pituitary-dependent Cushing's disease Other Cushing's syndrome Cushing's syndrome, unspecified Congenital adrenogenital disorders associated with enzyme deficiency Other adrenogenital disorders Adrenogenital disorder, unspecified Other primary hyperaldosteronism Bartter's Syndrome Hyperaldosteronism, unspecified Primary adrenocortical insufficiency Unspecified adrenocortical insufficiency Other adrenocortical insufficiency Adrenomedullary hyperfunction Other primary ovarian failure Testicular dysfunction, unspecified Precocious puberty Disorder of puberty, unspecified Autoimmune polyglandular failure

5 2 5 3 2 2 3 3 3 3 5 2 1 2 5 3 3 3 3 5 3 3 3 3 3 3 5 5 5 3 2 3 3 3 3 3 3 3 2 3 3

13



Polyglandular hyperfunction Multiple endocrine neoplasia [MEN] syndrome, unspecified Multiple endocrine neoplasia [MEN] type I Multiple endocrine neoplasia [MEN] type IIA Multiple endocrine neoplasia [MEN] type IIB Other polyglandular dysfunction Polyglandular dysfunction, unspecified Carcinoid syndrome Short stature due to endocrine disorder Androgen insensitivity syndrome, unspecified Other specified endocrine disorders Endocrine disorder, unspecified Unspecified severe protein-calorie malnutrition Moderate protein-calorie malnutrition Unspecified protein-calorie malnutrition Deficiency of other specified nutrient elements Deficiency of nutrient element, unspecified Other specified nutritional deficiencies Nutritional deficiency, unspecified Sequelae of protein-calorie malnutrition Sequelae of rickets Sequelae of other nutritional deficiencies Sequelae of unspecified nutritional deficiency Morbid (severe) obesity with alveolar hypoventilation Classical phenylketonuria Other hyperphenylalaninemias Disorder of tyrosine metabolism, unspecified Tyrosinemia Other disorders of tyrosine metabolism Albinism, unspecified Ocular albinism, unspecified Oculocutaneous albinism, unspecified Other specified albinism Disorders of tryptophan metabolism Other disorders of aromatic amino-acid metabolism Disorder of aromatic amino-acid metabolism, unspecified Maple-syrup-urine disease Isovaleric acidemia 3-methylglutaconic aciduria Other branched-chain organic acidurias Methylmalonic acidemia

3 3 3 3 3 3 3 3 3 2 2 3 2 2 2 3 1 3 1 2 3 3 1 2 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

14



Propionic acidemia Other disorders of propionate metabolism Other disorders of branched-chain amino-acid metabolism Disorder of branched-chain amino-acid metabolism, unspecified Disorder of fatty-acid metabolism, unspecified Long chain/very long chain acyl CoA dehydrogenase deficiency Medium chain acyl CoA dehydrogenase deficiency Short chain acyl CoA dehydrogenase deficiency Glutaric aciduria type II Muscle carnitine palmitoyltransferase deficiency Other disorders of fatty-acid oxidation Disorders of ketone metabolism Other disorders of fatty-acid metabolism Primary carnitine deficiency Carnitine deficiency due to inborn errors of metabolism Peroxisomal disorder, unspecified Zellweger syndrome Neonatal adrenoleukodystrophy Other disorders of peroxisome biogenesis Childhood cerebral X-linked adrenoleukodystrophy Adolescent X-linked adrenoleukodystrophy Adrenomyeloneuropathy Other X-linked adrenoleukodystrophy X-linked adrenoleukodystrophy, unspecified type Other group 2 peroxisomal disorders Rhizomelic chondrodysplasia punctata Zellweger-like syndrome Other group 3 peroxisomal disorders Other peroxisomal disorders Disorders of amino-acid transport, unspecified Cystinuria Hartnup's disease Lowe's syndrome Cystinosis Other disorders of amino-acid transport Disorders of sulfur-bearing amino-acid metabolism, unspecified Homocystinuria Methylenetetrahydrofolate reductase deficiency Other disorders of sulfur-bearing amino-acid metabolism Disorder of urea cycle metabolism, unspecified Argininemia

5 5 5 5 3 5 5 5 5 5 5 5 3 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 3 3 3 5 3 3 5 5 5 5 5 5

15



Arginosuccinic aciduria Citrullinemia Other disorders of urea cycle metabolism Disorders of lysine and hydroxylysine metabolism Disorders of ornithine metabolism Disorder of glycine metabolism, unspecified Non-ketotic hyperglycinemia Hyperoxaluria Other disorders of glycine metabolism Other specified disorders of amino-acid metabolism Disorder of amino-acid metabolism, unspecified Glycogen storage disease, unspecified von Gierke disease Pompe disease Cori disease McArdle disease Other glycogen storage disease Disorders of galactose metabolism, unspecified Galactosemia Other disorders of galactose metabolism Disorders of pyruvate metabolism and gluconeogenesis Other specified disorders of carbohydrate metabolism Disorder of carbohydrate metabolism, unspecified GM2 gangliosidosis, unspecified Sandhoff disease Tay-Sachs disease Other GM2 gangliosidosis Unspecified gangliosidosis Mucolipidosis IV Other gangliosidosis Fabry (-Anderson) disease Gaucher disease Niemann-Pick disease type A Niemann-Pick disease type B Niemann-Pick disease type C Niemann-Pick disease type D Other Niemann-Pick disease Niemann-Pick disease, unspecified Sphingolipidosis, unspecified Neuronal ceroid lipofuscinosis Other lipid storage disorders

5 5 5 5 5 5 5 3 5 5 3 5 5 5 5 5 5 5 5 5 3 3 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 3

16



Lipid storage disorder, unspecified Hurler's syndrome Hurler-Scheie syndrome Scheie's syndrome Mucopolysaccharidosis, type II Morquio A mucopolysaccharidoses Morquio B mucopolysaccharidoses Morquio mucopolysaccharidoses, unspecified Sanfilippo mucopolysaccharidoses Other mucopolysaccharidoses Mucopolysaccharidosis, unspecified Other disorders of glucosaminoglycan metabolism Glucosaminoglycan metabolism disorder, unspecified Defects in post-translational modification of lysosomal enzymes Defects in glycoprotein degradation Other disorders of glycoprotein metabolism Disorder of glycoprotein metabolism, unspecified Pure hypercholesterolemia Pure hypercholesterolemia unspecified Pure hyperglyceridemia Mixed hyperlipidemia Other hyperlipidemia Hyperlipidemia, unspecified Lipoprotein deficiency Disorder of bile acid and cholesterol metabolism, unspecified Barth syndrome Other disorders of bile acid and cholesterol metabolism Lipoid dermatoarthritis Other lipoprotein metabolism disorders Disorder of lipoprotein metabolism, unspecified Lesch-Nyhan syndrome Myoadenylate deaminase deficiency Other disorders of purine and pyrimidine metabolism Disorder of purine and pyrimidine metabolism, unspecified Hereditary erythropoietic porphyria Porphyria cutanea tarda Unspecified porphyria Acute intermittent (hepatic) porphyria Other porphyria Defects of catalase and peroxidase Disorder of copper metabolism, unspecified

3 5 5 5 5 5 5 5 5 5 5 5 5 5 3 5 5 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 5 5 5 5 5 3 5

17

9/30/2016 10/1/2016


E8301 E8309 E83110 E832 E8330 E8331 E8332 E8339 E8350 E8351 E8352 E8359 E8389 E839 E849 E850 E859 E8801 E882 E8840 E8841 E8842 E8889 E889 E892 E896 F842 G009 G032 G039 G0400 G041 G0430 G0490 G0491 G09 G10 G111 G112 G113 G114

Wilson's disease Other disorders of copper metabolism Hereditary Hemochromatosis Disorders of zinc metabolism Disorder of phosphorus metabolism, unspecified Familial hypophosphatemia Hereditary vitamin D-dependent rickets (type 1) (type 2) Other disorders of phosphorus metabolism Unspecified disorder of calcium metabolism Hypocalcemia Hypercalcemia Other disorders of calcium metabolism Other disorders of mineral metabolism Disorder of mineral metabolism, unspecified Cystic fibrosis, unspecified Non-neuropathic heredofamilial amyloidosis Amyloidosis, unspecified Alpha-1-antitrypsin deficiency Lipomatosis, not elsewhere classified Mitochondrial metabolism disorder, unspecified MELAS Syndrome MERRF Syndrome Other specified metabolic disorders Metabolic disorder, unspecified Postprocedural hypoparathyroidism Postprocedural adrenocortical (-medullary) hypofunction Rett's syndrome Bacterial meningitis, unspecified Benign recurrent meningitis [Mollaret] Meningitis, unspecified Acute disseminated encephalitis and encephalomyelitis (ADEM), unspecified Tropical spastic paraplegia Acute necrotizing hemorrhagic encephalopathy, unspecified Encephalitis and encephalomyelitis, unspecified Myelitis, unspecified Sequelae of inflammatory diseases of central nervous system Huntington's disease Early-onset cerebellar ataxia Late-onset cerebellar ataxia Cerebellar ataxia with defective DNA repair Hereditary spastic paraplegia

5 5 2 3 3 3 3 3 2 2 2 3 3 3 5 3 3 3 3 5 5 5 3 2 3 3 5 2 2 2 2 5 2 2 2 3 5 5 3 3 3

18

10/1/2017


G118 G120 G121 G1220 G1221 G1223 G1224 G1225 G1229 G128 G129 G130 G14 G230 G231 G232 G238 G239 G241 G242 G244 G248 G249 G253 G2589 G259 G3181 G3182 G3189 G319

Other hereditary ataxias Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] Other inherited spinal muscular atrophy Motor neuron disease, unspecified Amyotrophic lateral sclerosis Primary lateral sclerosis Familial motor neuron disease Progressive spinal muscle atrophy Other motor neuron disease Other spinal muscular atrophies and related syndromes Spinal muscular atrophy, unspecified Paraneoplastic neuromyopathy and neuropathy Postpolio syndrome Hallervorden-Spatz disease Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski] Striatonigral degeneration Other specified degenerative diseases of basal ganglia Degenerative disease of basal ganglia, unspecified Genetic torsion dystonia Idiopathic nonfamilial dystonia Idiopathic orofacial dystonia Other dystonia Dystonia, unspecified Myoclonus Other specified extrapyramidal and movement disorders Extrapyramidal and movement disorder, unspecified Alpers disease Leigh's disease Other specified degenerative diseases of nervous system Degenerative disease of nervous system, unspecified

3 5 3 2 5 2 2 2 2 5 5 3 5 3 3 3 3 3 3 3 2 2 2 2 3 3 5 5 3 3

G3289 G35 G360 G361 G368 G369 G371 G372 G373 G374

Other specified degenerative disorders of nervous system in diseases classified elsewhere Multiple sclerosis Neuromyelitis optica [Devic] Acute and subacute hemorrhagic leukoencephalitis [Hurst] Other specified acute disseminated demyelination Acute disseminated demyelination, unspecified Central demyelination of corpus callosum Central pontine myelinolysis Acute transverse myelitis in demyelinating disease of central nervous system Subacute necrotizing myelitis of central nervous system

3 5 2 3 3 3 3 3 3 2

19

10/1/2017 10/1/2017 10/1/2017


3 3

G40119 G40209 G40219 G40309

Other specified demyelinating diseases of central nervous system Demyelinating disease of central nervous system, unspecified Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status

G40319

Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus

5

G40409

Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus

3

G40419 G40822 G40824 G43A1 G459 G4730 G4731 G4733 G4735 G508 G509 G510 G512 G514 G518 G519 G527 G529 G53 G540 G600 G601 G602

Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus Epileptic spasms, not intractable, without status epilepticus Epileptic spasms, intractable, without status epilepticus Cyclical vomiting, intractable Transient cerebral ischemic attack, unspecified Sleep apnea, unspecified Primary central sleep apnea Obstructive sleep apnea Congenital central alveolar hypoventilation Other disorders of trigeminal nerve Disorder of trigeminal nerve, unspecified Bell's palsy Melkersson's syndrome Facial myokymia Other disorders of facial nerve Disorder of facial nerve, unspecified Disorders of multiple cranial nerves Cranial nerve disorder, unspecified Cranial nerve disorders in diseases classified elsewhere Brachial plexus disorders Hereditary motor and sensory neuropathy Refsum's disease Neuropathy in association with hereditary ataxia

5 2 5 2 2 2 2 2 5 3 2 2 3 3 3 2 3 2 2 3 3 5 3

G378 G379 G40009 G40019 G40109

20

3 5 3 5 3 5 2


G609 G610 G6181 G629 G63 G7000 G7001 G702 G7089 G709 G710 G7111 G7112 G7119 G712 G718 G723 G729 G800 G801 G802 G803 G804 G808 G809 G8190 G8220 G8250 G8330 G834 G8381 G8382 G8383 G8389 G839 G901 G903 G910 G911 G913 G914

Hereditary and Idiopathic Neuropathy, Unspecified Guillain-Barre syndrome Chronic inflammatory demyelinating polyneuritis Polyneuropathy, unspecified Polyneuropathy in diseases classified elsewhere Myasthenia gravis without (acute) exacerbation Myasthenia gravis with (acute) exacerbation Congenital and developmental myasthenia Other specified myoneural disorders Myoneural disorder, unspecified Muscular dystrophy Myotonic muscular dystrophy Myotonia congenita Other specified myotonic disorders Congenital myopathies Other primary disorders of muscles Periodic paralysis Myopathy, unspecified Spastic quadriplegic cerebral palsy Spastic diplegic cerebral palsy Spastic hemiplegic cerebral palsy Athetoid cerebral palsy Ataxic cerebral palsy Other cerebral palsy Cerebral palsy, unspecified Hemiplegia, unspecified affecting unspecified side Paraplegia, unspecified Quadriplegia, unspecified Monoplegia, unspecified affecting unspecified side Cauda equina syndrome Brown-Sequard syndrome Anterior cord syndrome Posterior cord syndrome Other specified paralytic syndromes Paralytic syndrome, unspecified Familial dysautonomia [Riley-Day] Multi-system degeneration of the autonomic nervous system Communicating hydrocephalus Obstructive hydrocephalus Post-traumatic hydrocephalus, unspecified Hydrocephalus in diseases classified elsewhere

3 2 3 2 3 5 5 5 5 2 5 5 5 5 5 2 5 2 5 5 5 3 3 5 3 3 5 3 3 3 2 2 2 2 2 2 3 3 3 3 3

21

10/1/2017


G918 G919 G930 G931 G935 G9389 G939 G94 G950 G9511 G9519 G9520 G9529 G9581 G9589 G959 G960 G9619 G968 G969 G9781 G9782 G988 G992 G998 H0260 H15849 H1589 H159 H16019 H16079 H16239 H16309 H16409 H16429 H1710 H17829 H1789 H179 H1840 H18449

Other hydrocephalus Hydrocephalus, unspecified Cerebral cysts Anoxic brain damage, not elsewhere classified Compression of brain Other specified disorders of brain Disorder of brain, unspecified Other disorders of brain in diseases classified elsewhere Syringomyelia and syringobulbia Acute infarction of spinal cord (embolic) (nonembolic) Other vascular myelopathies Unspecified cord compression Other cord compression Conus medullaris syndrome Other specified diseases of spinal cord Disease of spinal cord, unspecified Cerebrospinal fluid leak Other disorders of meninges, not elsewhere classified Other specified disorders of central nervous system Disorder of central nervous system, unspecified Other intraoperative complications of nervous system Other postprocedural complications and disorders of nervous system Other disorders of nervous system Myelopathy in diseases classified elsewhere Other specified disorders of nervous system in diseases classified elsewhere Xanthelasma of unspecified eye, unspecified eyelid Scleral ectasia, unspecified eye Other disorders of sclera Unspecified disorder of sclera Central corneal ulcer, unspecified eye Perforated corneal ulcer, unspecified eye Neurotrophic keratoconjunctivitis, unspecified eye Unspecified interstitial keratitis, unspecified eye Unspecified corneal neovascularization, unspecified eye Pannus (corneal), unspecified eye Central corneal opacity, unspecified eye Peripheral opacity of cornea, unspecified eye Other corneal scars and opacities Unspecified corneal scar and opacity Unspecified corneal degeneration Keratomalacia, unspecified eye

3 3 3 2 2 5 2 3 3 2 2 3 3 2 2 3 2 2 3 2 2 3 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

22


H1852 H1853 H1859 H18609 H18719 H18799 H18839 H18899 H189 H209 H211X9 H21259 H21309 H2140 H21539 H21549 H2189 H219 H22 H26009 H26019 H26059 H26069 H2609 H26109 H26129 H26139 H26219 H26229 H2630 H2640 H268 H269 H2700 H2710 H27119 H278 H279 H28 H30149 H3020

Epithelial (juvenile) corneal dystrophy Granular corneal dystrophy Other hereditary corneal dystrophies Keratoconus, unspecified, unspecified eye Corneal ectasia, unspecified eye Other corneal deformities, unspecified eye Recurrent erosion of cornea, unspecified eye Other specified disorders of cornea, unspecified eye Unspecified disorder of cornea Unspecified iridocyclitis Other vascular disorders of iris and ciliary body, unspecified eye Iridoschisis, unspecified eye Idiopathic cysts of iris, ciliary body or anterior chamber, unspecified eye Pupillary membranes, unspecified eye Iridodialysis, unspecified eye Posterior synechiae (iris), unspecified eye Other specified disorders of iris and ciliary body Unspecified disorder of iris and ciliary body Disorders of iris and ciliary body in diseases classified elsewhere Unspecified infantile and juvenile cataract, unspecified eye Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye Posterior subcapsular polar infantile and juvenile cataract, unspecified eye Combined forms of infantile and juvenile cataract, unspecified eye Other infantile and juvenile cataract Unspecified traumatic cataract, unspecified eye Partially resolved traumatic cataract, unspecified eye Total traumatic cataract, unspecified eye Cataract with neovascularization, unspecified eye Cataract secondary to ocular disorders (degenerative) (inflammatory), unspecified eye Drug-induced cataract, unspecified eye Unspecified secondary cataract Other specified cataract Unspecified cataract Aphakia, unspecified eye Unspecified dislocation of lens Subluxation of lens, unspecified eye Other specified disorders of lens Unspecified disorder of lens Cataract in diseases classified elsewhere Acute posterior multifocal placoid pigment epitheliopathy, unspecified eye Posterior cyclitis, unspecified eye

23

3 3 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2


H30819 H30899 H3090 H31119 H3121 H3129 H33009 H33109 H33199 H3320 H3340 H338 H349 H35019 H35029 H35059 H35069 H35109 H35169 H35179 H3520 H3540 H35419 H35429 H35459 H35469 H3550 H3551 H3552 H3553 H3554 H3560 H35739 H3582 H36 H40009 H4010x0 H401190 H4011x0 H401290 H4020x0

Harada's disease, unspecified eye Other chorioretinal inflammations, unspecified eye Unspecified chorioretinal inflammation, unspecified eye Age-related choroidal atrophy, unspecified eye Choroideremia Other hereditary choroidal dystrophy Unspecified retinal detachment with retinal break, unspecified eye Unspecified retinoschisis, unspecified eye Other retinoschisis and retinal cysts, unspecified eye Serous retinal detachment, unspecified eye Traction detachment of retina, unspecified eye Other retinal detachments Unspecified retinal vascular occlusion Changes in retinal vascular appearance, unspecified eye Exudative retinopathy, unspecified eye Retinal neovascularization, unspecified, unspecified eye Retinal vasculitis, unspecified eye Retinopathy of prematurity, unspecified, unspecified eye Retinopathy of prematurity, stage 5, unspecified eye Retrolental fibroplasia, unspecified eye Other non-diabetic proliferative retinopathy, unspecified eye Unspecified peripheral retinal degeneration Lattice degeneration of retina, unspecified eye Microcystoid degeneration of retina, unspecified eye Secondary pigmentary degeneration, unspecified eye Secondary vitreoretinal degeneration, unspecified eye Unspecified hereditary retinal dystrophy Vitreoretinal dystrophy Pigmentary retinal dystrophy Other dystrophies primarily involving the sensory retina Dystrophies primarily involving the retinal pigment epithelium Retinal hemorrhage, unspecified eye Hemorrhagic detachment of retinal pigment epithelium, unspecified eye Retinal ischemia Retinal disorders in diseases classified elsewhere Preglaucoma, unspecified , unspecified eye Unspecified open-angle glaucoma, stage unspecified Primary open-angle glaucoma unspecified eye, stage unspecified Primary open-angle glaucoma, stage unspecified Low-tension glaucoma, unspecified eye, stage unspecified Unspecified primary angle-closure glaucoma, stage unspecified

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 5 2 2 2 2 2 2 2 2 2 2 2 2

24

10/1/2016 9/30/2016


H4030x0 H4040x0 H4050x0 H4089 H409 H42 H4310 H44009 H44119 H44139 H442A9 H442C9 H449 H47019 H47029 H47039 H47099 H4720 H47219 H4722 H47239 H47299 H47319 H47329 H4742 H47529 H47619 H479 H4900 H4910 H4920 H4940 H49889 H499 H5000 H5005 H5006 H5007 H5010 H5015 H5017

Glaucoma secondary to eye trauma, unspecified eye, stage unspecified Glaucoma secondary to eye inflammation, unspecified eye, stage unspecified Glaucoma secondary to other eye disorders, unspecified eye, stage unspecified Other specified glaucoma Unspecified glaucoma Glaucoma in diseases classified elsewhere Vitreous hemorrhage, unspecified eye Unspecified purulent endophthalmitis, unspecified eye Panuveitis, unspecified eye Sympathetic uveitis, unspecified eye Degenerative myopia with choroidal neovascularization, unspecified eye Degenerative myopia with retinal detachment, unspecified eye Unspecified disorder of globe Ischemic optic neuropathy, unspecified eye Hemorrhage in optic nerve sheath, unspecified eye Optic nerve hypoplasia, unspecified eye Other disorders of optic nerve, not elsewhere classified, unspecified eye Unspecified optic atrophy Primary optic atrophy, unspecified eye Hereditary optic atrophy Glaucomatous optic atrophy, unspecified eye Other optic atrophy, unspecified eye Coloboma of optic disc, unspecified eye Drusen of optic disc, unspecified eye Disorders of optic chiasm in (due to) neoplasm Disorders of visual pathways in (due to) neoplasm, unspecified side Cortical blindness, unspecified side of brain Unspecified disorder of visual pathways Third [oculomotor] nerve palsy, unspecified eye Fourth [trochlear] nerve palsy, unspecified eye Sixth [abducent] nerve palsy, unspecified eye Progressive external ophthalmoplegia, unspecified eye Other paralytic strabismus, unspecified eye Unspecified paralytic strabismus Unspecified esotropia Alternating esotropia Alternating esotropia with A pattern Alternating esotropia with V pattern Unspecified exotropia Alternating exotropia Alternating exotropia with V pattern

25

2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

10/1/2017 10/1/2017


H5021 H5030 H5034 H5042 H5043 H5051 H5060 H5069 H50811 H509 H5111 H518 H519 H5501 H61309 H61399 H6520 H6530 H65499 H6610 H6620 H663X9 H68109 H6980 H7010 H70229 H70899 H7190 H7310 H7390 H7409 H7419 H74319 H748X9 H7490 H7500 H7580 H818X9 H829 H8319

Vertical strabismus, right eye Unspecified intermittent heterotropia Intermittent alternating exotropia Monofixation syndrome Accommodative component in esotropia Esophoria Mechanical strabismus, unspecified Other mechanical strabismus Duane's syndrome, right eye Unspecified strabismus Convergence insufficiency Other specified disorders of binocular movement Unspecified disorder of binocular movement Congenital nystagmus Acquired stenosis of external ear canal, unspecified, unspecified ear Other acquired stenosis of external ear canal, unspecified ear Chronic serous otitis media, unspecified ear Chronic mucoid otitis media, unspecified ear Other chronic nonsuppurative otitis media, unspecified ear Chronic tubotympanic suppurative otitis media, unspecified Chronic atticoantral suppurative otitis media, unspecified ear Other chronic suppurative otitis media, unspecified ear Unspecified obstruction of Eustachian tube, unspecified ear Other specified disorders of Eustachian tube, unspecified ear Chronic mastoiditis, unspecified ear Chronic petrositis, unspecified ear Other mastoiditis and related conditions, unspecified ear Unspecified cholesteatoma, unspecified ear Chronic myringitis, unspecified ear Unspecified disorder of tympanic membrane, unspecified ear Tympanosclerosis, unspecified ear Adhesive middle ear disease, unspecified ear Ankylosis of ear ossicles, unspecified ear Other specified disorders of middle ear and mastoid, unspecified ear Unspecified disorder of middle ear and mastoid, unspecified ear Mastoiditis in infectious and parasitic diseases classified elsewhere, unspecified ear Other specified disorders of middle ear and mastoid in diseases classified elsewhere, unspecified ear Other disorders of vestibular function, unspecified ear Vertiginous syndromes in diseases classified elsewhere, unspecified ear Labyrinthine fistula, unspecified ear

26

2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2


H838X9 H902 H905 H908 H93219 H9390 H9500 H95119 H95139 H95199 I018 I019 I020 I029 I050 I051 I052 I058 I059 I061 I070 I071 I072 I078 I079 I080 I089 I10 I110 I119 I120 I129 I1310 I1311 I132 I150

Other specified diseases of inner ear, unspecified ear Conductive hearing loss, unspecified Unspecified sensorineural hearing loss Mixed conductive and sensorineural hearing loss, unspecified Auditory recruitment, unspecified ear Unspecified disorder of ear, unspecified ear Recurrent cholesteatoma of postmastoidectomy cavity, unspecified ear Chronic inflammation of postmastoidectomy cavity, unspecified ear Mucosal cyst of postmastoidectomy cavity, unspecified ear Other disorders following mastoidectomy, unspecified ear Other acute rheumatic heart disease Acute rheumatic heart disease, unspecified Rheumatic chorea with heart involvement Rheumatic chorea without heart involvement Rheumatic mitral stenosis Rheumatic mitral insufficiency Rheumatic mitral stenosis with insufficiency Other rheumatic mitral valve diseases Rheumatic mitral valve disease, unspecified Rheumatic aortic insufficiency Rheumatic tricuspid stenosis Rheumatic tricuspid insufficiency Rheumatic tricuspid stenosis and insufficiency Other rheumatic tricuspid valve diseases Rheumatic tricuspid valve disease, unspecified Rheumatic disorders of both mitral and aortic valves Rheumatic multiple valve disease, unspecified Essential (primary) hypertension Hypertensive heart disease with heart failure Hypertensive heart disease without heart failure Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease Renovascular hypertension

27

2 2 5 1 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 3 2 3 3 3 3 3 2


I151 I152 I158 I159 I21A9 I213 I219 I229 I2541 I255 I256 I2589 I259 I270 I272 I2720 I2721 I2781 I2782 I2783 I2789 I279 I288 I289 I311 I313 I318 I319 I330 I339 I340 I341 I342 I348 I349 I350 I351 I352 I358 I359 I360

Hypertension secondary to other renal disorders Hypertension secondary to endocrine disorders Other secondary hypertension Secondary hypertension, unspecified Other myocardial infarction type ST elevation (STEMI) myocardial infarction of unspecified site Acute myocardial infarction, unspecified Subsequent ST elevation (STEMI) myocardial infarction of unspecified site Coronary artery aneurysm Ischemic cardiomyopathy Silent myocardial ischemia Other forms of chronic ischemic heart disease Chronic ischemic heart disease, unspecified Primary pulmonary hypertension Other secondary pulmonary hypertension Pulmonary hypertension, unspecified Secondary pulmonary arterial hypertension Cor pulmonale (chronic) Chronic pulmonary embolism Eisenmenger's syndrome Other specified pulmonary heart diseases Pulmonary heart disease, unspecified Other diseases of pulmonary vessels Disease of pulmonary vessels, unspecified Chronic constrictive pericarditis Pericardial effusion (noninflammatory) Other specified diseases of pericardium Disease of pericardium, unspecified Acute and subacute infective endocarditis Acute and subacute endocarditis, unspecified Nonrheumatic mitral (valve) insufficiency Nonrheumatic mitral (valve) prolapse Nonrheumatic mitral (valve) stenosis Other nonrheumatic mitral valve disorders Nonrheumatic mitral valve disorder, unspecified Nonrheumatic aortic (valve) stenosis Nonrheumatic aortic (valve) insufficiency Nonrheumatic aortic (valve) stenosis with insufficiency Other nonrheumatic aortic valve disorders Nonrheumatic aortic valve disorder, unspecified Nonrheumatic tricuspid (valve) stenosis

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3

28

10/1/2017 10/1/2017

9/30/2017 10/1/2017 10/1/2017

10/1/2017


I361 I362 I368 I369 I370 I371 I372 I378 I379 I38 I400 I401 I408 I409 I420 I421 I422 I423 I424 I425 I427 I428 I429 I43 I440 I441 I442 I4430 I4439 I450 I4510 I4519 I454 I455 I456 I4589 I459 I471 I480 I481 I482

Nonrheumatic tricuspid (valve) insufficiency Nonrheumatic tricuspid (valve) stenosis with insufficiency Other nonrheumatic tricuspid valve disorders Nonrheumatic tricuspid valve disorder, unspecified Nonrheumatic pulmonary valve stenosis Nonrheumatic pulmonary valve insufficiency Nonrheumatic pulmonary valve stenosis with insufficiency Other nonrheumatic pulmonary valve disorders Nonrheumatic pulmonary valve disorder, unspecified Endocarditis, valve unspecified Infective myocarditis Isolated myocarditis Other acute myocarditis Acute myocarditis, unspecified Dilated cardiomyopathy Obstructive hypertrophic cardiomyopathy Other hypertrophic cardiomyopathy Endomyocardial (eosinophilic) disease Endocardial fibroelastosis Other restrictive cardiomyopathy Cardiomyopathy due to drug and external agent Other cardiomyopathies Cardiomyopathy, unspecified Cardiomyopathy in diseases classified elsewhere Atrioventricular block, first degree Atrioventricular block, second degree Atrioventricular block, complete Unspecified atrioventricular block Other atrioventricular block Right fascicular block Unspecified right bundle-branch block Other right bundle-branch block Nonspecific intraventricular block Other specified heart block Pre-excitation syndrome Other specified conduction disorders Conduction disorder, unspecified Supraventricular tachycardia Paroxysmal atrial fibrillation Persistent atrial fibrillation Chronic atrial fibrillation

3 3 3 3 3 3 3 3 3 3 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 3 3 3 3

29


I483 I484 I4891 I4892 I492 I501 I5020 I5030 I5040 I50810 I5082 I5083 I5084 I5089 I509 I514 I515 I517 I519 I52 I609 I619 I6200 I669 I671 I675 I677 I67841 I67848 I6789 I6900 I69059 I69098 I6910 I69159 I69198 I6920 I69259

Typical atrial flutter Atypical atrial flutter Unspecified atrial fibrillation Unspecified atrial flutter Junctional premature depolarization Left ventricular failure Unspecified systolic (congestive) heart failure Unspecified diastolic (congestive) heart failure Unspecified combined systolic (congestive) and diastolic (congestive) heart failure Right heart failure, unspecified Biventricular heart failure High output heart failure End stage heart failure Other heart failure Heart failure, unspecified Myocarditis, unspecified Myocardial degeneration Cardiomegaly Heart disease, unspecified Other heart disorders in diseases classified elsewhere Nontraumatic subarachnoid hemorrhage, unspecified Nontraumatic intracerebral hemorrhage, unspecified Nontraumatic subdural hemorrhage, unspecified Occlusion and stenosis of unspecified cerebral artery Cerebral aneurysm, nonruptured Moyamoya disease Cerebral arteritis, not elsewhere classified Reversible cerebrovascular vasoconstriction syndrome Other cerebrovascular vasospasm and vasoconstriction Other cerebrovascular disease Unspecified sequelae of nontraumatic subarachnoid hemorrhage Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting unspecified side Other sequelae following nontraumatic subarachnoid hemorrhage Unspecified sequelae of nontraumatic intracerebral hemorrhage Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting unspecified side Other sequelae of nontraumatic intracerebral hemorrhage Unspecified sequelae of other nontraumatic intracranial hemorrhage Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side

30

3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 5 2 2 2 2 2 2 2 2 5 5 2 5

10/1/2017 10/1/2017 10/1/2017 10/1/2017 10/1/2017


I69298 I6930 I69359 I69398 I6980

Other sequelae of other nontraumatic intracranial hemorrhage Unspecified sequelae of cerebral infarction Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side Other sequelae of cerebral infarction Unspecified sequelae of other cerebrovascular disease

I69859 I69898 I6990 I6991 I69919 I69920

Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side 5 Other sequelae of other cerebrovascular disease 5 Unspecified sequelae of unspecified cerebrovascular disease 2 Cognitive deficits following unspecified cerebrovascular disease 2 Unspecified symptoms and signs involving cognitive functions following unspecified cerebrovascular disease 2 Aphasia following unspecified cerebrovascular disease 2 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side 5 Other sequelae following unspecified cerebrovascular disease 5 Aneurysm of other specified arteries 2 Peripheral vascular disease, unspecified 2 Embolism and thrombosis of other arteries 2 Embolism and thrombosis of unspecified artery 2 Arteritis, unspecified 3 Hereditary hemorrhagic telangiectasia 3 Embolism and thrombosis of renal vein 2 Chronic embolism and thrombosis of other specified veins 2 Chronic embolism and thrombosis of unspecified vein 2 Lymphedema, not elsewhere classified 3 Gangrene, not elsewhere classified 2 Paralysis of vocal cords and larynx, unspecified 2 Paralysis of vocal cords and larynx, unilateral 3 Polyp of vocal cord and larynx 2 Stenosis of larynx 2 Unspecified chronic bronchitis 2 Emphysema, unspecified 3 Moderate persistent asthma, uncomplicated 3 Severe persistent asthma, uncomplicated 3 Other asthma 2 Bronchiectasis, uncomplicated 2 Idiopathic pulmonary hemosiderosis 3 Other alveolar and parieto-alveolar conditions 3 Pulmonary fibrosis, unspecified 3 Idiopathic interstitial pneumonia, not otherwise specified 3 Idiopathic pulmonary fibrosis 3

I69959 I69998 I728 I739 I748 I749 I776 I780 I823 I82891 I8291 I890 I96 J3800 J3801 J381 J386 J42 J439 J4540 J4550 J45998 J479 J8403 J8409 J8410 J84111 J84112

31

5 2 5 5 2

9/30/2016 10/1/2016


J84113 J84114 J84115 J84116 J8417 J8489 J853 J860 J869 J9500 J951 J952 J953 J95821 J95822 J982 J984 J989 K000 K004 K005 K0389 K222 K5000 K50019 K5010 K50119 K5080 K50819 K5090 K50919 K5100 K5190 K51919 K522 K5221 K5229 K5281 K5282 K529 K550

Idiopathic non-specific interstitial pneumonitis Acute interstitial pneumonitis Respiratory bronchiolitis interstitial lung disease Cryptogenic organizing pneumonia Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere Other specified interstitial pulmonary diseases Abscess of mediastinum Pyothorax with fistula Pyothorax without fistula Unspecified tracheostomy complication Acute pulmonary insufficiency following thoracic surgery Acute pulmonary insufficiency following nonthoracic surgery Chronic pulmonary insufficiency following surgery Acute postprocedural respiratory failure Acute and chronic postprocedural respiratory failure Interstitial emphysema Other disorders of lung Respiratory disorder, unspecified Anodontia Disturbances in tooth formation Hereditary disturbances in tooth structure, not elsewhere classified Other specified diseases of hard tissues of teeth Esophageal obstruction Crohn's disease of small intestine without complications Crohn's disease of small intestine with unspecified complications Crohn's disease of large intestine without complications Crohn's disease of large intestine with unspecified complications Crohn's disease of both small and large intestine without complications Crohn's disease of both small and large intestine with unspecified complications Crohn's disease, unspecified, without complications Crohn's disease, unspecified, with unspecified complications Ulcerative (chronic) pancolitis without complications Ulcerative colitis, unspecified, without complications Ulcerative colitis, unspecified with unspecified complications Allergic and dietetic gastroenteritis and colitis Allergic & Dietetic Gastroenteritis and Colitis Other allergic dietetic gastroenteritis colitis Eosinophilic gastritis or gastroenteritis Eosinophilic colitis Noninfective gastroenteritis and colitis, unspecified Acute vascular disorders of intestine

32

3 3 3 2 3 3 2 2 2 2 2 2 2 2 2 3 2 2 3 3 3 3 2 3 3 3 3 3 3 3 3 5 3 3 2 2 2 2 2 2 2

9/30/2016 10/1/2017 10/1/2016

9/30/2016


K551 K592 K717 K7290 K7291 K730 K731 K732 K738 K739 K740 K745 K7460 K7469 K754 K766 K835 K838 K861 K868 K8681 K8689 K87 K900 K902 K903 K904 K9049 K9089 K909 K912 L109 L400 L404 L4050 L4059 L408 L409 L511 L512 L518

Chronic vascular disorders of intestine Neurogenic bowel, not elsewhere classified Toxic liver disease with fibrosis and cirrhosis of liver Hepatitic failure, unspecified without coma Hepatitic failure, unspecified with coma Chronic persistent hepatitis, not elsewhere classified Chronic lobular hepatitis, not elsewhere classified Chronic active hepatitis, not elsewhere classified Other chronic hepatitis, not elsewhere classified Chronic hepatitis, unspecified Hepatic fibrosis Biliary cirrhosis, unspecified Unspecified cirrhosis of liver Other cirrhosis of liver Autoimmune hepatitis Portal hypertension Biliary cyst Other specified diseases of biliary tract Other chronic pancreatitis Other specified diseases of pancreas Exocrine pancreatic insufficiency Other specified diseases of pancreas Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere Celiac disease Blind loop syndrome, not elsewhere classified Pancreatic steatorrhea Malabsorption due to intolerance, not elsewhere classified Malabsorption due to intolerance not elswhere classified Other intestinal malabsorption Intestinal malabsorption, unspecified Postsurgical malabsorption, not elsewhere classified Pemphigus, unspecified Psoriasis vulgaris Guttate psoriasis Arthropathic psoriasis, unspecified Other psoriatic arthropathy Other psoriasis Psoriasis, unspecified Stevens-Johnson syndrome Toxic epidermal necrolysis [Lyell] Other erythema multiforme

33

2 1 3 3 3 3 3 3 3 2 3 3 3 3 3 3 2 2 2 2 2 2 2 3 2 3 2 2 2 3 3 5 3 3 5 5 3 3 2 2 3

10/1/2016

9/30/2016 10/1/2016 10/1/2016

9/30/2016 10/1/2016


L599 L905 L930 L931 L932 L940 M009

Disorder of the skin and subcutaneous tissue related to radiation, unspecified Scar conditions and fibrosis of skin Discoid lupus erythematosus Subacute cutaneous lupus erythematosus Other local lupus erythematosus Localized scleroderma Pyogenic arthritis, unspecified

2 2 3 3 3 5 2

M01X0 M029 M041 M0520 M0530 M0540 M0550 M0560

Direct infection of unspecified joint in infectious and parasitic diseases classified elsewhere Reactive arthropathy, unspecified Periodic fever syndromes Rheumatoid vasculitis with rheumatoid arthritis of unspecified site Rheumatoid heart disease with rheumatoid arthritis of unspecified site Rheumatoid myopathy with rheumatoid arthritis of unspecified site Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site Rheumatoid arthritis of unspecified site with involvement of other organs and systems Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement Other rheumatoid arthritis with rheumatoid factor of unspecified site Rheumatoid arthritis with rheumatoid factor, unspecified Rheumatoid arthritis without rheumatoid factor, unspecified site Adult-onset Still's disease Rheumatoid bursitis, unspecified site Rheumatoid nodule, unspecified site Inflammatory polyarthropathy Other specified rheumatoid arthritis, unspecified site Rheumatoid arthritis, unspecified Enteropathic arthropathies, unspecified site Unspecified juvenile rheumatoid arthritis of unspecified site Juvenile ankylosing spondylitis Juvenile rheumatoid arthritis with systemic onset, unspecified site Juvenile rheumatoid polyarthritis (seronegative) Pauciarticular juvenile rheumatoid arthritis, unspecified site Other juvenile arthritis, unspecified site Juvenile arthritis, unspecified, unspecified site Other specific arthropathies, not elsewhere classified, unspecified site Charcot's joint, unspecified site Arthropathies in other specified diseases classified elsewhere, unspecified site Heberden's nodes (with arthropathy) Bouchard's nodes (with arthropathy) Unspecified osteoarthritis, unspecified site

2 2 3 3 3 3 3 3

M0570 M0580 M059 M0600 M061 M0620 M0630 M064 M0680 M069 M0760 M0800 M081 M0820 M083 M0840 M0880 M0890 M1280 M1460 M1480 M151 M152 M1990

34

3 3 3 3 3 3 3 2 3 3 2 3 5 3 3 3 3 3 2 2 2 2 3 2

10/1/2016


M1A10x0 M1A10x1 M2100 M21059 M21069 M21129 M21159 M21169 M2120 M21379 M21519 M21539 M21549 M216X9 M2170 M2180 M21859 M21869 M2190 M21939 M21959 M21969 M2410 M2430 M2440 M2450 M24659 M2480 M24859 M2510 M2518 M2520 M2530 M2580 M25859 M25869 M259 M2600 M2610 M2620 M26212

Lead-induced chronic gout, unspecified site, without tophus (tophi) Lead-induced chronic gout, unspecified site, with tophus (tophi) Valgus deformity, not elsewhere classified, unspecified site Valgus deformity, not elsewhere classified, unspecified hip Valgus deformity, not elsewhere classified, unspecified knee Varus deformity, not elsewhere classified, unspecified elbow Varus deformity, not elsewhere classified, unspecified Varus deformity, not elsewhere classified, unspecified knee Flexion deformity, unspecified site Foot drop, unspecified foot Acquired clawhand, unspecified hand Acquired clawfoot, unspecified foot Acquired clubfoot, unspecified foot Other acquired deformities of unspecified foot Unequal limb length (acquired), unspecified site Other specified acquired deformities of unspecified limb Other specified acquired deformities of unspecified thigh Other specified acquired deformities of unspecified lower leg Unspecified acquired deformity of unspecified limb Unspecified acquired deformity of unspecified forearm Unspecified acquired deformity of unspecified thigh Unspecified acquired deformity of unspecified lower leg Other articular cartilage disorders, unspecified site Pathological dislocation of unspecified joint, not elsewhere classified Recurrent dislocation, unspecified joint Contracture, unspecified joint Ankylosis, unspecified hip Other specific joint derangements of unspecified joint, not elsewhere classified Other specific joint derangements of unspecified hip, not elsewhere classified Fistula, unspecified joint Fistula, vertebrae Flail joint, unspecified joint Other instability, unspecified joint Other specified joint disorders, unspecified joint Other specified joint disorders, unspecified hip Other specified joint disorders, unspecified knee Joint disorder, unspecified Unspecified anomaly of jaw size Unspecified anomaly of jaw-cranial base relationship Unspecified anomaly of dental arch relationship Malocclusion, Angle's class II

35

2 2 3 2 2 2 2 2 3 2 2 2 2 2 3 2 2 2 3 2 2 2 2 2 2 2 2 2 3 2 2 2 2 2 2 2 2 3 3 3 3


M26213 M26219 M264 M2650 M2659 M2660 M26609 M2662 M2669 M2689 M269 M300 M301 M302 M303 M311 M3130 M3131 M314 M329 M3300 M3303 M3310 M3313 M3320 M3390 M3393 M340 M341 M3481 M349 M3500 M351 M352 M354 M355 M358 M359 M360 M361 M362

Malocclusion, Angle's class III Malocclusion, Angle's class, unspecified Malocclusion, unspecified Dentofacial functional abnormalities, unspecified Other dentofacial functional abnormalities Temporomandibular joint disorder, unspecified Unspecified temporomandibular joint disorder unspecfied side Arthralgia of temporomandibular joint Other specified disorders of temporomandibular joint Other dentofacial anomalies Dentofacial anomaly, unspecified Polyarteritis nodosa Polyarteritis with lung involvement [Churg-Strauss] Juvenile polyarteritis Mucocutaneous lymph node syndrome [Kawasaki] Thrombotic microangiopathy Wegener's granulomatosis without renal involvement Wegener's granulomatosis with renal involvement Aortic arch syndrome [Takayasu] Systemic lupus erythematosus, unspecified Juvenile dermatopolymyositis, organ involvement unspecified Juvenile dermatomyositis without myopathy Other dermatopolymyositis, organ involvement unspecified Other dermatomyositis without myopathy Polymyositis, organ involvement unspecified Dermatopolymyositis, unspecified, organ involvement unspecified Dermatopolymyositis, unspecified without myopathy Progressive systemic sclerosis CR(E)ST syndrome Systemic sclerosis with lung involvement Systemic sclerosis, unspecified Sicca syndrome (Sjogren), unspecified Other overlap syndromes Behcet's disease Diffuse (eosinophilic) fasciitis Multifocal fibrosclerosis Other specified systemic involvement of connective tissue Systemic involvement of connective tissue, unspecified Dermato(poly)myositis in neoplastic disease Arthropathy in neoplastic disease Hemophilic arthropathy

3 3 3 2 2 2 2 2 2 3 3 5 5 3 2 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 3 2 2 3 3 2 5 2 2

36

9/30/2016 10/1/2016 9/30/2016

10/1/2017 10/1/2017

10/1/2017


M363 M368 M4000 M4010 M40209 M40299 M4100 M41119 M41129 M4120 M4130 M4140 M4150 M4180 M419 M4200 M429 M435X9 M438X9 M439 M459 M4690 M4699 M4720 M47819 M47892 M47897 M47899 M479 M4800 M4840xS M4850xS M488X9 M489 M5106 M5127 M519 M532X9 M5381 M6110 M6220

Arthropathy in other blood disorder Systemic disorders of connective tissue in other diseases classified elsewhere Postural kyphosis, site unspecified Other secondary kyphosis, site unspecified Unspecified kyphosis, site unspecified Other kyphosis, site unspecified Infantile idiopathic scoliosis, site unspecified Juvenile idiopathic scoliosis, site unspecified Adolescent idiopathic scoliosis, site unspecified Other idiopathic scoliosis, site unspecified Thoracogenic scoliosis, site unspecified Neuromuscular scoliosis, site unspecified Other secondary scoliosis, site unspecified Other forms of scoliosis, site unspecified Scoliosis, unspecified Juvenile osteochondrosis of spine, site unspecified Spinal osteochondrosis, unspecified Other recurrent vertebral dislocation, site unspecified Other specified deforming dorsopathies, site unspecified Deforming dorsopathy, unspecified Ankylosing spondylitis of unspecified sites in spine Unspecified inflammatory spondylopathy, site unspecified Unspecified inflammatory spondylopathy, multiple sites in spine Other spondylosis with radiculopathy, site unspecified Spondylosis without myelopathy or radiculopathy, site unspecified Other spondylosis, cervical region Other spondylosis, lumbosacral region Other spondylosis, site unspecified Spondylosis, unspecified Spinal stenosis, site unspecified Fatigue fracture of vertebra, site unspecified, sequela of fracture Collapsed vertebra, not elsewhere classified, site unspecified, sequela of fracture Other specified spondylopathies, site unspecified Spondylopathy, unspecified Intervertebral disc disorders with myelopathy, lumbar region Other intervertebral disc displacement, lumbosacral region Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder Spinal instabilities, site unspecified Other specified dorsopathies, occipito-atlanto-axial region Myositis ossificans progressiva, unspecified site Nontraumatic ischemic infarction of muscle, unspecified site

37

2 2 2 3 2 2 2 2 2 2 2 3 3 2 2 2 2 2 3 2 5 2 2 2 2 2 2 2 2 2 2 2 5 2 2 2 2 2 2 5 2


M623 M6250 M6289 M6700 M8080xK M8430xK M8430xS M8438xK M8440xK M8440xS M84550S M8458xS M8460xK M84669S M84673S M84676S M8560 M8630 M8640 M8650 M8660 M868X9 M8700 M8710 M8720 M8730 M8780 M879 M9058 M910 M9110 M9120 M9130 M9140 M9180 M9190 M9200 M9210 M92209

Immobility syndrome (paraplegic) Muscle wasting and atrophy, not elsewhere classified, unspecified site Other specified disorders of muscle Short Achilles tendon (acquired), unspecified ankle Other osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with nonunion Stress fracture, unspecified site, subsequent encounter for fracture with nonunion Stress fracture, unspecified site, sequela Stress fracture, other site, subsequent encounter for fracture with nonunion Pathological fracture, unspecified site, subsequent encounter for fracture with nonunion Pathological fracture, unspecified site, sequela Pathological fracture in neoplastic disease, pelvis, sequela Pathological fracture in neoplastic disease, vertebrae, sequela Pathological fracture in other disease, unspecified site, subsequent encounter for fracture with nonunion Pathological fracture in other disease, unspecified tibia and fibula, sequela Pathological fracture in other disease, unspecified ankle, sequela Pathological fracture in other disease, unspecified foot, sequela Other cyst of bone, unspecified site Chronic multifocal osteomyelitis, unspecified site Chronic osteomyelitis with draining sinus, unspecified site Other chronic hematogenous osteomyelitis, unspecified site Other chronic osteomyelitis, unspecified site Other osteomyelitis, unspecified sites Idiopathic aseptic necrosis of unspecified bone Osteonecrosis due to drugs, unspecified bone Osteonecrosis due to previous trauma, unspecified bone Other secondary osteonecrosis, unspecified bone Other osteonecrosis, unspecified bone Osteonecrosis, unspecified Osteonecrosis in diseases classified elsewhere, other site Juvenile osteochondrosis of pelvis Juvenile osteochondrosis of head of femur [Legg-Calve-Perthes], unspecified leg Coxa plana, unspecified hip Pseudocoxalgia, unspecified hip Coxa magna, unspecified hip Other juvenile osteochondrosis of hip and pelvis, unspecified leg Juvenile osteochondrosis of hip and pelvis, unspecified, unspecified leg Juvenile osteochondrosis of humerus, unspecified arm Juvenile osteochondrosis of radius and ulna, unspecified arm Unspecified juvenile osteochondrosis, unspecified hand

38

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2


M92219 M92229 M92299 M9230 M9240 M9250 M9260 M9270 M93003 M93013 M93023 M93033 M9320 M9328 M9329 M9390 M950 M959 M963 M9920 M9921 M9923 M9930 M9931 M9933 M9940 M9941 M9943 M9950 M9951 M9953 M9960 M9961 M9963 M9970 M9971 M9973 M999 N019 N020 N025

Osteochondrosis (juvenile) of carpal lunate [Kienbock], unspecified hand Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], unspecified hand Other juvenile osteochondrosis, unspecified hand Other juvenile osteochondrosis, unspecified upper limb Juvenile osteochondrosis of patella, unspecified knee Juvenile osteochondrosis of tibia and fibula, unspecified leg Juvenile osteochondrosis of tarsus, unspecified ankle Juvenile osteochondrosis of metatarsus, unspecified foot Unspecified slipped upper femoral epiphysis (nontraumatic), unspecified hip Acute slipped upper femoral epiphysis (nontraumatic), unspecified hip Chronic slipped upper femoral epiphysis (nontraumatic), unspecified hip Acute on chronic slipped upper femoral epiphysis (nontraumatic), unspecified hip Osteochondritis dissecans of unspecified site Osteochondritis dissecans other site Osteochondritis dissecans multiple sites Osteochondropathy, unspecified of unspecified site Acquired deformity of nose Acquired deformity of musculoskeletal system, unspecified Postlaminectomy kyphosis Subluxation stenosis of neural canal of head region Subluxation stenosis of neural canal of cervical region Subluxation stenosis of neural canal of lumbar region Osseous stenosis of neural canal of head region Osseous stenosis of neural canal of cervical region Osseous stenosis of neural canal of lumbar region Connective tissue stenosis of neural canal of head region Connective tissue stenosis of neural canal of cervical region Connective tissue stenosis of neural canal of lumbar region Intervertebral disc stenosis of neural canal of head region Intervertebral disc stenosis of neural canal of cervical region Intervertebral disc stenosis of neural canal of lumbar region Osseous and subluxation stenosis of intervertebral foramina of head region Osseous and subluxation stenosis of intervertebral foramina of cervical region Osseous and subluxation stenosis of intervertebral foramina of lumbar region Connective tissue and disc stenosis of intervertebral foramina of head region Connective tissue and disc stenosis of intervertebral foramina of cervical region Connective tissue and disc stenosis of intervertebral foramina of lumbar region Biomechanical lesion, unspecified Rapidly progressive nephritic syndrome with unspecified morphologic changes Recurrent and persistent hematuria with minor glomerular abnormality Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis

39

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3


N026 N038 N039 N040 N043 N044 N045 N046 N048 N049 N052 N055 N059 N079 N08 N131 N132 N1330 N1339 N134 N1370 N13729 N13731 N13732 N13739 N138 N139 N159 N171 N178 N179 N181 N182 N183 N184 N185 N186 N189 N19 N250 N251

Recurrent and persistent hematuria with dense deposit disease Chronic nephritic syndrome with other morphologic changes Chronic nephritic syndrome with unspecified morphologic changes Nephrotic syndrome with minor glomerular abnormality Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis Nephrotic syndrome with dense deposit disease Nephrotic syndrome with other morphologic changes Nephrotic syndrome with unspecified morphologic changes Unspecified nephritic syndrome with diffuse membranous glomerulonephritis Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis Unspecified nephritic syndrome with unspecified morphologic changes Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions Glomerular disorders in diseases classified elsewhere Hydronephrosis with ureteral stricture, not elsewhere classified Hydronephrosis with renal and ureteral calculous obstruction Unspecified hydronephrosis Other hydronephrosis Hydroureter Vesicoureteral-reflux, unspecified Vesicoureteral-reflux with reflux nephropathy without hydroureter, unspecified Vesicoureteral-reflux with reflux nephropathy with hydroureter, unilateral Vesicoureteral-reflux with reflux nephropathy with hydroureter, bilateral Vesicoureteral-reflux with reflux nephropathy with hydroureter, unspecified Other obstructive and reflux uropathy Obstructive and reflux uropathy, unspecified Renal tubulo-interstitial disease, unspecified Acute kidney failure with acute cortical necrosis Other acute kidney failure Acute kidney failure, unspecified Chronic kidney disease, stage 1 Chronic kidney disease, stage 2 (mild) Chronic kidney disease, stage 3 (moderate) Chronic kidney disease, stage 4 (severe) Chronic kidney disease, stage 5 End stage renal disease Chronic kidney disease, unspecified Unspecified kidney failure Renal osteodystrophy Nephrogenic diabetes insipidus

40

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 3 2 2 3 2 3 3 2 2 2 5 5 5 5 5 5 5 2 3 2


N2589 N262 N280 N2889 N289 N29 N319 N320 N329 N990 N9981 N9989 P0701 P0702 P0703 P114 P115 P140 P141 P142 P143 P148 P149 P220 P270 P271 P278 P279 P284 P293 P2930 P2938 P350 P351 P352 P353 P359 P370 P371 P372 P373

Other disorders resulting from impaired renal tubular function Page kidney Ischemia and infarction of kidney Other specified disorders of kidney and ureter Disorder of kidney and ureter, unspecified Other disorders of kidney and ureter in diseases classified elsewhere Neuromuscular dysfunction of bladder, unspecified Bladder-neck obstruction Bladder disorder, unspecified Postprocedural (acute) (chronic) kidney failure Other intraoperative complications of genitourinary system Other postprocedural complications and disorders of genitourinary system Extremely low birth weight newborn, less than 500 grams Extremely low birth weight newborn, 500-749 grams Extremely low birth weight newborn, 750-999 grams Birth injury to other cranial nerves Birth injury to spine and spinal cord Erb's paralysis due to birth injury Klumpke's paralysis due to birth injury Phrenic nerve paralysis due to birth injury Other brachial plexus birth injuries Birth injuries to other parts of peripheral nervous system Birth injury to peripheral nervous system, unspecified Respiratory distress syndrome of newborn Wilson-Mikity syndrome Bronchopulmonary dysplasia originating in the perinatal period Other chronic respiratory diseases originating in the perinatal period Unspecified chronic respiratory disease originating in the perinatal period Other apnea of newborn Persistent fetal circulation Pulmonary hypertension of newborn Other persistent fetal circulation Congenital rubella syndrome Congenital cytomegalovirus infection Congenital herpesviral [herpes simplex] infection Congenital viral hepatitis Congenital viral disease, unspecified Congenital tuberculosis Congenital toxoplasmosis Neonatal (disseminated) listeriosis Congenital falciparum malaria

2 2 3 2 2 2 3 3 2 2 2 2 1 1 1 2 5 3 3 2 3 2 2 1 2 2 2 2 1 1 1 1 5 2 2 2 2 2 2 2 2

41

9/30/2017 10/1/2017 10/1/2017


P374 P378 P379 P399 P5221 P5222 P591 P5920 P60 P704 P771 P772 P773 P779 P8388 P84 P9160 P9163 P940 Q019 Q039 Q040 Q042 Q043 Q044 Q045 Q046 Q048 Q049 Q050 Q051 Q052 Q053 Q054 Q055 Q056 Q057 Q058 Q059 Q060 Q061

Other congenital malaria Other specified congenital infectious and parasitic diseases Congenital infectious or parasitic disease, unspecified Infection specific to the perinatal period, unspecified Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn Inspissated bile syndrome Neonatal jaundice from unspecified hepatocellular damage Disseminated intravascular coagulation of newborn Other neonatal hypoglycemia Stage 1 necrotizing enterocolitis in newborn Stage 2 necrotizing enterocolitis in newborn Stage 3 necrotizing enterocolitis in newborn Necrotizing enterocolitis in newborn, unspecified Other specified conditions of integument specific to newborn Other problems with newborn Hypoxic ischemic encephalopathy [HIE], unspecified Severe hypoxic ischemic encephalopathy [HIE] Transient neonatal myasthenia gravis Encephalocele, unspecified Congenital hydrocephalus, unspecified Congenital malformations of corpus callosum Holoprosencephaly Other reduction deformities of brain Septo-optic dysplasia of brain Megalencephaly Congenital cerebral cysts Other specified congenital malformations of brain Congenital malformation of brain, unspecified Cervical spina bifida with hydrocephalus Thoracic spina bifida with hydrocephalus Lumbar spina bifida with hydrocephalus Sacral spina bifida with hydrocephalus Unspecified spina bifida with hydrocephalus Cervical spina bifida without hydrocephalus Thoracic spina bifida without hydrocephalus Lumbar spina bifida without hydrocephalus Sacral spina bifida without hydrocephalus Spina bifida, unspecified Amyelia Hypoplasia and dysplasia of spinal cord

2 2 2 1 1 1 2 2 2 2 2 2 2 2 1 2 1 2 2 5 3 3 3 3 2 2 2 2 3 5 5 5 5 5 5 5 5 5 5 3 3

42

10/1/2017


Q062 Q063 Q064 Q069 Q0701 Q0702 Q0703 Q078 Q079 Q100 Q103 Q107 Q110 Q111 Q112 Q113 Q120 Q121 Q122 Q123 Q124 Q128 Q129 Q130 Q131 Q132 Q133 Q134 Q1381 Q139 Q140 Q141 Q142 Q143 Q148 Q149 Q150 Q158 Q159 Q160 Q161

Diastematomyelia Other congenital cauda equina malformations Hydromyelia Congenital malformation of spinal cord, unspecified Arnold-Chiari syndrome with spina bifida Arnold-Chiari syndrome with hydrocephalus Arnold-Chiari syndrome with spina bifida and hydrocephalus Other specified congenital malformations of nervous system Congenital malformation of nervous system, unspecified Congenital ptosis Other congenital malformations of eyelid Congenital malformation of orbit Cystic eyeball Other anophthalmos Microphthalmos Macrophthalmos Congenital cataract Congenital displaced lens Coloboma of lens Congenital aphakia Spherophakia Other congenital lens malformations Congenital lens malformation, unspecified Coloboma of iris Absence of iris Other congenital malformations of iris Congenital corneal opacity Other congenital corneal malformations Rieger's anomaly Congenital malformation of anterior segment of eye, unspecified Congenital malformation of vitreous humor Congenital malformation of retina Congenital malformation of optic disc Congenital malformation of choroid Other congenital malformations of posterior segment of eye Congenital malformation of posterior segment of eye, unspecified Congenital glaucoma Other specified congenital malformations of eye Congenital malformation of eye, unspecified Congenital absence of (ear) auricle Congenital absence, atresia and stricture of auditory canal (external)

2 3 2 3 5 5 5 2 3 3 2 2 3 3 3 2 2 3 3 3 3 3 3 3 3 3 2 2 3 2 2 2 2 2 2 2 2 2 3 5 5

43



Absence of eustachian tube Congenital malformation of ear ossicles Other congenital malformations of middle ear Congenital malformation of inner ear Congenital malformation of ear causing impairment of hearing, unspecified Microtia Other specified congenital malformations of ear Sinus, fistula and cyst of branchial cleft Microstomia Other specified congenital malformations of face and neck Congenital malformation of face and neck, unspecified Common arterial trunk Double outlet right ventricle Double outlet left ventricle Discordant ventriculoarterial connection Double inlet ventricle Discordant atrioventricular connection Other congenital malformations of cardiac chambers and connections Congenital malformation of cardiac chambers and connections, unspecified Ventricular septal defect Atrial septal defect Atrioventricular septal defect Tetralogy of Fallot Other congenital malformations of cardiac septa Congenital malformation of cardiac septum, unspecified Pulmonary valve atresia Congenital pulmonary valve stenosis Congenital pulmonary valve insufficiency Other congenital malformations of pulmonary valve Congenital tricuspid stenosis Ebstein's anomaly Hypoplastic right heart syndrome Other congenital malformations of tricuspid valve Congenital malformation of tricuspid valve, unspecified Congenital stenosis of aortic valve Congenital insufficiency of aortic valve Congenital mitral stenosis Congenital mitral insufficiency Hypoplastic left heart syndrome Other congenital malformations of aortic and mitral valves Congenital malformation of aortic and mitral valves, unspecified

2 2 2 2 3 5 2 2 2 2 3 5 5 5 5 5 5 5 5 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

44



Cor triatriatum Pulmonary infundibular stenosis Congenital subaortic stenosis Malformation of coronary vessels Congenital heart block Other specified congenital malformations of heart Congenital malformation of heart, unspecified Patent ductus arteriosus Coarctation of aorta Atresia of aorta Interruption of aortic arch Other atresia of aorta Supravalvular aortic stenosis Other congenital malformations of aorta Other congenital malformations of aorta Atresia of pulmonary artery Stenosis of pulmonary artery Coarctation of pulmonary artery Congenital pulmonary arteriovenous malformation Other congenital malformations of pulmonary artery Other congenital malformations of other great arteries Congenital malformation of great arteries, unspecified Congenital stenosis of vena cava Persistent left superior vena cava Total anomalous pulmonary venous connection Anomalous pulmonary venous connection, unspecified Anomalous portal venous connection Portal vein-hepatic artery fistula Congenital renal artery stenosis Other congenital malformations of renal artery Arteriovenous malformation, site unspecified Arteriovenous malformation of vessel of upper limb Arteriovenous malformation of vessel of lower limb Congenital phlebectasia Other specified congenital malformations of peripheral vascular system Congenital malformation of peripheral vascular system, unspecified Arteriovenous malformation of precerebral vessels Other malformations of precerebral vessels Arteriovenous malformation of cerebral vessels Other malformations of cerebral vessels Other specified congenital malformations of circulatory system

5 5 5 5 5 5 5 3 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

45

9/30/2016 10/1/2016 10/1/2016 9/30/2016 10/1/2016



Choanal atresia Web of larynx Congenital malformation of larynx, unspecified Other congenital malformations of trachea Congenital stenosis of bronchus Other congenital malformations of bronchus Congenital cystic lung Sequestration of lung Agenesis of lung Congenital bronchiectasis Ectopic tissue in lung Congenital hypoplasia and dysplasia of lung Other congenital malformations of lung Congenital malformation of lung, unspecified Anomaly of pleura Congenital cyst of mediastinum Congenital malformation of respiratory system, unspecified Cleft palate, unspecified Cleft lip, bilateral Cleft lip, median Cleft lip, unilateral Unspecified cleft palate with bilateral cleft lip Unspecified cleft palate with unilateral cleft lip Other congenital malformations of tongue Other congenital malformations of mouth Other congenital malformations of pharynx Atresia of esophagus without fistula Atresia of esophagus with tracheo-esophageal fistula Congenital tracheo-esophageal fistula without atresia Congenital stenosis and stricture of esophagus Esophageal web Congenital malformation of esophagus, unspecified Congenital absence, atresia and stenosis of small intestine, part unspecified Congenital absence, atresia and stenosis of large intestine, part unspecified Hirschsprung's disease Other congenital functional disorders of colon Congenital malformation of intestine, unspecified Other congenital malformations of gallbladder Atresia of bile ducts Congenital stenosis and stricture of bile ducts Choledochal cyst

2 2 2 2 2 2 3 3 3 3 3 3 3 2 2 2 3 5 5 5 5 5 5 2 2 3 5 5 5 5 5 2 2 2 5 5 2 2 5 5 2

46



Other congenital malformations of bile ducts Other congenital malformations of liver Other specified congenital malformations of digestive system Other congenital malformations of fallopian tube and broad ligament Other specified congenital malformations of female genitalia Congenital malformation of female genitalia, unspecified Undescended testicle, unspecified Other hypospadias Hypospadias, unspecified Unspecified congenital malformations of testis and scrotum Other congenital malformations of testis and scrotum Other congenital malformation of penis Congenital malformation of male genital organ, unspecified Hermaphroditism, not elsewhere classified Pseudohermaphroditism, unspecified Indeterminate sex, unspecified Renal agenesis, unspecified Renal hypoplasia, unspecified Congenital renal cyst, unspecified Congenital single renal cyst Other polycystic kidney, infantile type Polycystic kidney, adult type Polycystic kidney, unspecified Renal dysplasia Medullary cystic kidney Other cystic kidney diseases Cystic kidney disease, unspecified Other obstructive defects of renal pelvis and ureter Epispadias Exstrophy of urinary bladder, unspecified Cloacal extrophy of urinary bladder Malformation of urachus Congenital absence of bladder and urethra Congenital diverticulum of bladder Unspecified congenital malformation of bladder and urethra Other congenital malformations of bladder and urethra Other specified congenital malformations of urinary system Congenital malformation of urinary system, unspecified Congenital dislocation of unspecified hip, unilateral Congenital dislocation of hip, bilateral Congenital dislocation of hip, unspecified

2 2 2 2 2 2 1 3 3 2 2 2 2 3 3 3 5 5 3 2 5 5 5 5 5 5 3 2 3 5 5 2 2 2 2 2 2 2 2 2 2

47



Congenital partial dislocation of unspecified hip, unilateral Congenital partial dislocation of hip, bilateral Congenital partial dislocation of hip, unspecified Other specified congenital deformities of hip Congenital talipes equinovarus Congenital talipes calcaneovarus Other congenital varus deformities of feet Congenital talipes calcaneovalgus Other congenital valgus deformities of feet Congenital pes cavus Other specified congenital deformities of feet Congenital deformity of feet, unspecified Congenital facial asymmetry Other congenital deformities of skull, face and jaw Congenital deformity of spine Pectus excavatum Other congenital deformities of chest Congenital deformity of sternocleidomastoid muscle Congenital deformity of finger(s) and hand Congenital deformity of knee Other specified congenital musculoskeletal deformities Accessory finger(s) Accessory thumb(s) Accessory toe(s) Polydactyly, unspecified Fused fingers, unspecified hand Webbed fingers, unspecified hand Fused toes, unspecified foot Webbed toes, unspecified foot Polysyndactyly, unspecified Syndactyly, unspecified Congenital complete absence of unspecified upper limb Congenital absence of unspecified upper arm and forearm with hand present Congenital absence of unspecified hand and finger Longitudinal reduction defect of unspecified radius Longitudinal reduction defect of unspecified ulna Lobster-claw hand, unspecified hand Congenital shortening of unspecified upper limb Other reduction defects of unspecified upper limb Unspecified reduction defect of unspecified upper limb Congenital complete absence of unspecified lower limb

48

2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 2 3 2 3 2 2 2 2 2 2 2 2 2 2 2 2 5 5 5 3 5 5 5 5 5 5



Congenital absence of unspecified thigh and lower leg with foot present Congenital absence of both lower leg and foot, unspecified lower limb Congenital absence of unspecified foot and toe(s) Longitudinal reduction defect of unspecified femur Longitudinal reduction defect of unspecified tibia Longitudinal reduction defect of unspecified fibula Split foot, unspecified lower limb Congenital shortening of unspecified lower limb Other reduction defects of unspecified lower limb Unspecified reduction defect of unspecified lower limb Congenital absence of unspecified limb(s) Phocomelia, unspecified limb(s) Other reduction defects of unspecified limb(s) Other congenital malformations of upper limb(s), including shoulder girdle Other congenital malformations of lower limb(s), including pelvic girdle Arthrogryposis multiplex congenita Unspecified congenital malformation of limb(s) Craniosynostosis Other specified congenital malformations of skull and face bones Congenital malformation of skull and face bones, unspecified Spina bifida occulta Klippel-Feil syndrome Congenital spondylolisthesis Congenital kyphosis, unspecified region Other congenital malformations of spine, not associated with scoliosis Achondrogenesis Thanatophoric short stature Chondrodysplasia punctata Achondroplasia Chondroectodermal dysplasia Other osteochondrodysplasia with defects of growth of tubular bones and spine Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified Osteogenesis imperfecta Polyostotic fibrous dysplasia Osteopetrosis Progressive diaphyseal dysplasia Enchondromatosis Multiple congenital exostoses Other specified osteochondrodysplasias Osteochondrodysplasia, unspecified Congenital diaphragmatic hernia

49

5 5 5 5 5 5 5 5 5 5 2 2 2 3 3 3 2 5 5 5 3 5 3 3 3 5 5 3 5 5 5 5 5 3 5 5 5 3 3 3 2


Q791 Q792 Q793 Q794 Q7959 Q796 Q798 Q799 Q819 Q820 Q821 Q822 Q823 Q824 Q828 Q829 Q848 Q8500 Q8501 Q8502 Q8503 Q851 Q858 Q859 Q870 Q871 Q873 Q8740 Q8781 Q897 Q898 Q899 Q969 R0681 R0689 R1310 R1319 R17 R4701 R4702 R75

Other congenital malformations of diaphragm Exomphalos Gastroschisis Prune belly syndrome Other congenital malformations of abdominal wall Ehlers-Danlos syndrome Other congenital malformations of musculoskeletal system Congenital malformation of musculoskeletal system, unspecified Epidermolysis bullosa, unspecified Hereditary lymphedema Xeroderma pigmentosum Mastocytosis Incontinentia pigmenti Ectodermal dysplasia (anhidrotic) Other specified congenital malformations of skin Congenital malformation of skin, unspecified Other specified congenital malformations of integument Neurofibromatosis, unspecified Neurofibromatosis, type 1 Neurofibromatosis, type 2 Schwannomatosis Tuberous sclerosis Other phakomatoses, not elsewhere classified Phakomatosis, unspecified Congenital malformation syndromes predominantly affecting facial appearance Congenital malformation syndromes predominantly associated with short stature Congenital malformation syndromes involving early overgrowth Marfan's syndrome, unspecified Alport syndrome Multiple congenital malformations, not elsewhere classified Other specified congenital malformations Congenital malformation, unspecified Turner's syndrome, unspecified Apnea, not elsewhere classified Other abnormalities of breathing Dysphagia, unspecified Other dysphagia Unspecified jaundice Aphasia Dysphasia Inconclusive laboratory evidence of human immunodeficiency virus [HIV]

50

2 1 1 2 2 2 2 2 2 3 3 3 3 3 2 2 2 5 5 5 5 5 3 3 5 3 2 3 3 3 3 2 3 1 2 1 1 2 2 2 2

10/1/2016


S0100xS S01109S S0120xS S01309S S01409S S01501S S01502S S0180xS S0190xS S020xxS acne S0210xS S02113S S02118S S022xxS S0230XS S023xxS S02400S S02401S S02402S S025xxS S02609S S0280XS S028xxS S0291xK S0291xS S0292xK S0292xS S032xxS S04019S S0402xS S04039S S04049S S0410xS S0420xS S0430xS S0440xS S0450xS S0460xS S0470xS S04819S

Unspecified open wound of scalp, sequela Unspecified open wound of unspecified eyelid and periocular area, sequela Unspecified open wound of nose, sequela Unspecified open wound of unspecified ear, sequela Unspecified open wound of unspecified cheek and temporomandibular area, sequela Unspecified open wound of lip, sequela Unspecified open wound of oral cavity, sequela Unspecified open wound of other part of head, sequela Unspecified open wound of unspecified part of head, sequela Fracture of vault of skull, sequela Fracture base of skull unspecified side sequela Unspecified fracture of base of skull, sequela Unspecified occipital condyle fracture, sequela Other fracture of occiput, sequela Fracture of nasal bones, sequela Fracture of orbital floor unspecified side sequela Fracture of orbital floor, sequela Malar fracture unspecified, sequela Maxillary fracture, unspecified, sequela Zygomatic fracture, unspecified, sequela Fracture of tooth (traumatic), sequela Fracture of mandible, unspecified, sequela Fractures other specified skull facial bones unspecified side sequela Fractures of other specified skull and facial bones, sequela Unspecified fracture of skull, subsequent encounter for fracture with nonunion Unspecified fracture of skull, sequela Unspecified fracture of facial bones, subsequent encounter for fracture with nonunion Unspecified fracture of facial bones, sequela Dislocation of tooth, sequela Injury of optic nerve, unspecified eye, sequela Injury of optic chiasm, sequela Injury of optic tract and pathways, unspecified eye, sequela Injury of visual cortex, unspecified eye, sequela Injury of oculomotor nerve, unspecified side, sequela Injury of trochlear nerve, unspecified side, sequela Injury of trigeminal nerve, unspecified side, sequela Injury of abducent nerve, unspecified side, sequela Injury of facial nerve, unspecified side, sequela Injury of acoustic nerve, unspecified side, sequela Injury of accessory nerve, unspecified side, sequela Injury of olfactory [1st ] nerve, unspecified side, sequela

51

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

10/1/2016 9/30/2016

10/1/2016 9/30/2016

10/1/2016 9/30/2016


S04899S S049xxS S0590xS S064X0A S065X0A S065X7A S065X9A S066X0A S066X9A S069X0S S069X9S S070xxS S071xxS S078xxS S080xxS S08119S S08129S S08811S S08812S S0889xS S0910xS S0920xS S09309S S0990xS S0991xS S0992xS S0993xS S11019S S11029S S11039S S1110xS S1120xS S1180xS S1190xS S128xxS S129xxA S129xxS S140xxS

Injury of other cranial nerves, unspecified side, sequela Injury of unspecified cranial nerve, sequela Unspecified injury of unspecified eye and orbit, sequela Epidural hemorrhage without loss of consciousness, initial encounter Traumatic subdural hemorrhage without loss of consciousness, initial encounter Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, initial encounter Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter Unspecified intracranial injury without loss of consciousness, sequela Unspecified intracranial injury with loss of consciousness of unspecified duration, sequela Crushing injury of face, sequela Crushing injury of skull, sequela Crushing injury of other parts of head, sequela Avulsion of scalp, sequela Complete traumatic amputation of unspecified ear, sequela Partial traumatic amputation of unspecified ear, sequela Complete traumatic amputation of nose, sequela Partial traumatic amputation of nose, sequela Traumatic amputation of other parts of head, sequela Unspecified injury of muscle and tendon of head, sequela Traumatic rupture of unspecified ear drum, sequela Unspecified injury of unspecified middle and inner ear, sequela Unspecified injury of head, sequela Unspecified injury of ear, sequela Unspecified injury of nose, sequela Unspecified injury of face, sequela Unspecified open wound of larynx, sequela Unspecified open wound of trachea, sequela Unspecified open wound of vocal cord, sequela Unspecified open wound of thyroid gland, sequela Unspecified open wound of pharynx and cervical esophagus, sequela Unspecified open wound of other specified part of neck, sequela Unspecified open wound of unspecified part of neck, sequela Fracture of other parts of neck, sequela Fracture of neck, unspecified, initial encounter Fracture of neck, unspecified, sequela Concussion and edema of cervical spinal cord, sequela

52

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 5 2 2


S14109S S14115A S14116A S14117A S14119S S14121A S14122A S14123A S14124A S14129S S14139S S14149S S14159S S143xxS S149xxS S15001S S15002S S15009S S15101S S15102S S15109S S15199S S15201S S15202S S15209S S15301S S15302S S15309S S159xxS S169xxS S179xxS S1980xS S199xxS S21009S S21109S S21209S S21309S

Unspecified injury at unspecified level of cervical spinal cord, sequela Complete lesion at C5 level of cervical spinal cord, initial encounter Complete lesion at C6 level of cervical spinal cord, initial encounter Complete lesion at C7 level of cervical spinal cord, initial encounter Complete lesion at unspecified level of cervical spinal cord, sequela Central cord syndrome at C1 level of cervical spinal cord, initial encounter Central cord syndrome at C2 level of cervical spinal cord, initial encounter Central cord syndrome at C3 level of cervical spinal cord, initial encounter Central cord syndrome at C4 level of cervical spinal cord, initial encounter Central cord syndrome at unspecified level of cervical spinal cord, sequela Anterior cord syndrome at unspecified level of cervical spinal cord, sequela Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequela Other incomplete lesion at unspecified level of cervical spinal cord, sequela Injury of brachial plexus, sequela Injury of unspecified nerves of neck, sequela Unspecified injury of right carotid artery, sequela Unspecified injury of left carotid artery, sequela Unspecified injury of unspecified carotid artery, sequela Unspecified injury of right vertebral artery, sequela Unspecified injury of left vertebral artery, sequela Unspecified injury of unspecified vertebral artery, sequela Other specified injury of unspecified vertebral artery, sequela Unspecified injury of right external jugular vein, sequela Unspecified injury of left external jugular vein, sequela Unspecified injury of unspecified external jugular vein, sequela Unspecified injury of right internal jugular vein, sequela Unspecified injury of left internal jugular vein, sequela Unspecified injury of unspecified internal jugular vein, sequela Injury of unspecified blood vessel at neck level, sequela Unspecified injury of muscle, fascia and tendon at neck level, sequela Crushing injury of neck, part unspecified, sequela Other specified injuries of unspecified part of neck, sequela Unspecified injury of neck, sequela Unspecified open wound of unspecified breast, sequela Unspecified open wound of unspecified front wall of thorax without penetration into thoracic cavity, sequela Unspecified open wound of unspecified back wall of thorax without penetration into thoracic cavity, sequela Unspecified open wound of unspecified front wall of thorax with penetration into thoracic cavity, sequela

53

2 5 1 1 2 5 5 5 5 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2


S22009K S22009S S2220xS S2221xS S2222xS S2223xS S2224xS S2249xS S225xxS

Unspecified open wound of unspecified back wall of thorax with penetration into thoracic cavity, sequela Unspecified open wound of unspecified part of thorax, sequela Unspecified fracture of unspecified thoracic vertebra, initial encounter for closed fracture Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fracture Unspecified fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion Unspecified fracture of unspecified thoracic vertebra, sequela Unspecified fracture of sternum, sequela Fracture of manubrium, sequela Fracture of body of sternum, sequela Sternal manubrial dissociation, sequela Fracture of xiphoid process, sequela Multiple fractures of ribs, unspecified side, sequela Flail chest, sequela

S229xxK S229xxS S240xxS S24103A S24104A S24109S S24111A S24112A S24119S S24139S S24149S S24159S S25809S S2690xS S279xxS S280xxS S281xxS S28219S S28229S S29001S S29002S S29009S S29029S S29099S S298xxS

Fracture of bony thorax, part unspecified, subsequent encounter for fracture with nonunion Fracture of bony thorax, part unspecified, sequela Concussion and edema of thoracic spinal cord, sequela Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter Unspecified injury at unspecified level of thoracic spinal cord, sequela Complete lesion at T1 level of thoracic spinal cord, initial encounter Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter Complete lesion at unspecified level of thoracic spinal cord, sequela Anterior cord syndrome at unspecified level of thoracic spinal cord, sequela Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela Other incomplete lesion at unspecified level of thoracic spinal cord, sequela Unspecified injury of other blood vessels of thorax, unspecified side, sequela Unspecified injury of heart, unspecified with or without hemopericardium, sequela Injury of unspecified intrathorarcic organ, sequela Crushed chest, sequela Traumatic amputation (partial) of part of thorax, except breast, sequela Complete traumatic amputation of unspecified breast, sequela Partial traumatic amputation of unspecified breast, sequela Unspecified injury of muscle and tendon of front wall of thorax, sequela Unspecified injury of muscle and tendon of back wall of thorax, sequela Unspecified injury of muscle and tendon of unspecified wall of thorax, sequela Laceration of muscle and tendon of unspecified wall of thorax, sequela Other injury of muscle and tendon of unspecified wall of thorax, sequela Other specified injuries of thorax, sequela

S21409S S2190xS S22009A S22009B

54

2 2 5 5 2 2 2 2 2 2 2 2 2 2 2 2 5 5 2 5 5 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2


S299xxS S31000S S31001S S31102S S31105S S31109S S3120xS S3130xS S3140xS S31602S S31605S S31609S S31801S S31809S S31839S S32000S S32009K S32009S S3210xK S3210xS S322xxK S322xxS S32309K S32309S S32409K S32409S S32509S S32519S S32609S S32810S S32811S

Unspecified injury of thorax, sequela Unspecified open wound of lower back and pelvis without penetration into retroperitoneum, Unspecified open wound of lower back and pelvis with penetration into retroperitoneum, sequela Unspecified open wound of abdominal wall, epigastric region without penetration into peritoneal cavity, sequela Unspecified open wound of abdominal wall, periumbilic region without penetration into peritoneal cavity, sequela Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, sequela Unspecified open wound of penis, sequela Unspecified open wound of scrotum and testes, sequela Unspecified open wound of vagina and vulva, sequela Unspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity, sequela Unspecified open wound of abdominal wall, periumbilic region with penetration into peritoneal cavity, sequela Unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, sequela Laceration without foreign body of unspecified buttock, sequela Unspecified open wound of unspecified buttock, sequela Unspecified open wound of anus, sequela Wedge compression fracture of unspecified lumbar vertebra, sequela Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion Unspecified fracture of unspecified lumbar vertebra, sequela Unspecified fracture of sacrum, subsequent encounter for fracture with nonunion Unspecified fracture of sacrum, sequela Fracture of coccyx, subsequent encounter for fracture with nonunion Fracture of coccyx, sequela

2 2

Unspecified fracture of unspecified ilium, subsequent encounter for fracture with nonunion Unspecified fracture of unspecified ilium, sequela Unspecified fracture of unspecified acetabulum, subsequent encounter for fracture with nonunion Unspecified fracture of unspecified acetabulum, sequela Unspecified fracture of unspecified pubis, sequela Fracture of superior rim of unspecified pubis, sequela Unspecified fracture of unspecified ischium, sequela Multiple fractures of pelvis with stable disruption of pelvic ring, sequela Multiple fractures of pelvis with unstable disruption of pelvic ring, sequela

2 2

55

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

2 2 2 2 2 2 2


S3282xS S3289xS S329xxS S3401xS S3402xS S34109A S34109S S34119A S34129A S34139S S358X9S S3600xS S36112S S36113S S36118S S36119S S36129S S3613xS S36209S S3630xS S36400S S36409S S36509S S3660xS S3681xS S3690xS S37009S S38001S S38002S S381xxS S39001S S39002S S39003S S3991xS S3992xS S3993xS S3994xS S41009S S41109S S42009S S42109S

Multiple fractures of pelvis without disruption of pelvic ring, sequela Fracture of other parts of pelvis, sequela Fracture of unspecified parts of lumbosacral spine and pelvis, sequela Concussion and edema of lumbar spinal cord, sequela Concussion and edema of sacral spinal cord, sequela Unspecified injury to unspecified level of lumbar spinal cord, initial encounter Unspecified injury to unspecified level of lumbar spinal cord, sequela Complete lesion of unspecified level of lumbar spinal cord, initial encounter Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter Unspecified injury to sacral spinal cord, sequela Unspecified injury of other blood vessels at abdomen, lower back and pelvis level, sequela Unspecified injury of spleen, sequela Contusion of liver, sequela Laceration of liver, unspecified degree, sequela Other injury of liver, sequela Unspecified injury of liver, sequela Unspecified injury of gallbladder, sequela Injury of bile duct, sequela Unspecified injury of unspecified part of pancreas, sequela Unspecified injury of stomach, sequela Unspecified injury of duodenum, sequela Unspecified injury of unspecified part of small intestine, sequela Unspecified injury of unspecified part of colon, sequela Unspecified injury of rectum, sequela Injury of peritoneum, sequela Unspecified injury of unspecified intra-abdominal organ, sequela Unspecified injury of unspecified kidney, sequela Crushing injury of unspecified external genital organs, male, sequela Crushing injury of unspecified external genital organs, female, sequela Crushing injury of abdomen, lower back, and pelvis, sequela Unspecified injury of muscle, fascia and tendon of abdomen, sequela Unspecified injury of muscle, fascia and tendon of lower back, sequela Unspecified injury of muscle, fascia and tendon of pelvis, sequela Unspecified injury of abdomen, sequela Unspecified injury of lower back, sequela Unspecified injury of pelvis, sequela Unspecified injury of external genitals, sequela Unspecified open wound of unspecified shoulder, sequela Unspecified open wound of unspecified upper arm, sequela Fracture of unspecified part of unspecified clavicle, sequela Fracture of unspecified part of scapula, unspecified shoulder, sequela

56

2 2 2 2 2 2 2 5 5 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2


S42209S S42309S S42409S S4290xS S4490xS S45109S S45209S S45909S S46009S S46109S S46229S S46309S S46909S S479xxS S48019S S48029S S48119A S48129A S48911A S48912A S48919A S48929A S49009S S49109S S4990xS S51009S S51809S S52009S S52209S S52309S S52509S S52609S S5290xS

Unspecified fracture of upper end of unspecified humerus, sequela Unspecified fracture of shaft of humerus, unspecified arm, sequela Unspecified fracture of lower end of unspecified humerus, sequela Fracture of unspecified shoulder girdle, part unspecified, sequela Injury of unspecified nerve at shoulder and upper arm level, unspecified arm, sequela Unspecified injury of brachial artery, unspecified side, sequela Unspecified injury of axillary or brachial vein, unspecified side, sequela Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, sequela Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, sequela Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela Crushing injury of shoulder and upper arm, unspecified arm, sequela Complete traumatic amputation at unspecified shoulder joint, sequela Partial traumatic amputation at unspecified shoulder joint, sequela Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter Partial traumatic amputation at level between unspecified shoulder and elbow, initial encounter Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter Unspecified physeal fracture of upper end of humerus, unspecified arm, sequela Unspecified physeal fracture of lower end of humerus, unspecified arm, sequela Unspecified injury of shoulder and upper arm, unspecified arm, sequela Unspecified open wound of unspecified elbow, sequela Unspecified open wound of unspecified forearm, sequela Unspecified fracture of upper end of unspecified ulna, sequela Unspecified fracture of shaft of unspecified ulna, sequela Unspecified fracture of shaft of unspecified radius, sequela Unspecified fracture of the lower end of unspecified radius, sequela Unspecified fracture of lower end of unspecified ulna, sequela Unspecified fracture of unspecified forearm, sequela

57

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 5 5 5 1 5 5 2 2 2 2 2 2 2 2 2 2 2


Injury of unspecified nerve at forearm level, unspecified arm, sequela Unspecified injury of unspecified blood vessel at forearm level, unspecified arm, sequela Unspecified injury of flexor muscle, fascia and tendon of unspecified thumb at forearm level, sequela Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at forearm level, sequela Unspecified injury of unspecified muscles, fascia and tendons at forearm level, unspecified arm, sequela Complete traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter Partial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter

2 2

1 1 2 2 2 2 2 2 2 2

S65909S S68019A S68029A

Complete traumatic amputation of unspecified forearm, level unspecified, initial encounter Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter Unspecified physeal fracture of lower end of ulna, unspecified arm, sequela Unspecified physeal fracture of upper end of radius, unspecified arm, sequela Unspecified physeal fracture of lower end of radius, unspecified arm, sequela Unspecified injury of unspecified elbow, sequela Unspecified injury of unspecified forearm, sequela Unspecified open wound of unspecified wrist, sequela Unspecified fracture of unspecified wrist and hand, sequela Unspecified injury of superficial palmar arch of unspecified hand, sequela Unspecified injury of unspecified blood vessel at wrist and hand level of unspecified arm, sequela Complete traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter Partial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter

S68119A S68129A S68419A S68429A S68519A S68529A S68619A S68629A S68719A S68729A S6990xS S71009S S71109S

Complete traumatic metacarpophalangeal amputation of unspecified finger, initial encounter Partial traumatic metacarpophalangeal amputation of unspecified finger, initial encounter Complete traumatic amputation of unspecified hand at wrist level, initial encounter Partial traumatic amputation of unspecified hand at wrist level, initial encounter Complete traumatic transphalangeal amputation of unspecified thumb, initial encounter Partial traumatic transphalangeal amputation of unspecified thumb, initial encounter Complete traumatic transphalangeal amputation of unspecified finger, initial encounter Partial traumatic transphalangeal amputation of unspecified finger, initial encounter Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter Unspecified injury of unspecified wrist, hand and finger(s), sequela Unspecified open wound, unspecified hip, sequela Unspecified open wound, unspecified thigh, sequela

2 1 1 1 1 1 1 1 1 1 2 2 2

S5490xS S55909S S56009S S56109S S56909S S58119A S58129A S58919A S58929A S59009S S59109S S59209S S59909S S59919S S61509S S6290xS S65209S

58

2 2 2 5 1

2 5 1


S72309S S7290xS S7400xS S7410xS S7490xA S7490xS S75999S S76909S S78019A S78029A S78119A S78129A S78919A S78929A S82009S S82209S S82409S S8290xS S8410xA S8490xA S8490xS S85909S S86009S S86909S S88019A S88029A S88119A S88129A S88911A S88912A S88919S S88929A S88929S

Unspecified fracture of shaft of unspecified femur, sequela Unspecified fracture of unspecified femur, sequela Injury of sciatic nerve at hip and thigh level, unspecified leg, sequela Injury of femoral nerve at hip and thigh level, unspecified leg, sequela Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela Other specified injury of unspecified blood vessel at hip and thigh level, unspecified leg, sequela Unspecified injury of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, sequela Complete traumatic amputation at unspecified hip joint, initial encounter Partial traumatic amputation at unspecified hip joint, initial encounter

2 2 2 2 2 2

Complete traumatic amputation at level between unspecified hip and knee, initial encounter Partial traumatic amputation at level between unspecified hip and knee, initial encounter Complete traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter

1 1

Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter Unspecified fracture of unspecified patella, sequela Unspecified fracture of shaft of unspecified tibia, sequela Unspecified fracture of shaft of unspecified fibula, sequela Unspecified fracture of unspecified lower leg, sequela Injury of peroneal nerve at lower leg level, unspecified leg, initial encounter Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter Injury of unspecified nerve at lower leg level, unspecified leg, sequela Unspecified injury of unspecified blood vessel at lower leg level, unspecified leg, sequela Unspecified injury of unspecified Achilles tendon, sequela Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, sequela Complete traumatic amputation at knee level, unspecified lower leg, initial encounter Partial traumatic amputation at knee level, unspecified lower leg, initial encounter Complete traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter Partial traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter Complete traumatic amputation of right lower leg, level unspecified, initial encounter Complete traumatic amputation of left lower leg, level unspecified, initial encounter Complete traumatic amputation of unspecified lower leg, level unspecified, sequela Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter Partial traumatic amputation of unspecified lower leg, level unspecified, sequela

1 2 2 2 2 2 1 2 2 2

59

2 2 1 1

5

2 1 1 5 1 5 1 2 5 2


S8990xS S92909S S98911A S98912A S98919A S98921A S98922A S98929A S99919S S99929S T1490 T1490XS T2000xS T20019S T2002xS T2003xS T2004xS T2005xS T2006xS T2007xS T2009xS T2030xA T2070xA T2100xS T2101xS T2102xS T2103xS T2104xS T2105xS T2106xS T2107xS T2109xA T2109xS T2130xA T2170xA T2200xS T22019S T22029S T22039S T22049S T22059S

Unspecified injury of unspecified lower leg, sequela Unspecified fracture of unspecified foot, sequela Complete traumatic amputation of right foot, level unspecified, initial encounter Complete traumatic amputation of left foot, level unspecified, initial encounter Complete traumatic amputation of unspecified foot, level unspecified, initial encounter Partial traumatic amputation of right foot, level unspecified, initial encounter Partial traumatic amputation of left foot, level unspecified, initial encounter Partial traumatic amputation of unspecified foot, level unspecified, initial encounter Unspecified injury of unspecified ankle, sequela Unspecified injury of unspecified foot, sequela Injury, unspecified Injury, unspecified, sequela Burn of unspecified degree of head, face, and neck, unspecified site, sequela Burn of unspecified degree of unspecified ear [any part, except ear drum], sequela Burn of unspecified degree of lip(s), sequela Burn of unspecified degree of chin, sequela Burn of unspecified degree of nose (septum), sequela Burn of unspecified degree of scalp [any part], sequela Burn of unspecified degree of forehead and cheek, sequela Burn of unspecified degree of neck, sequela Burn of unspecified degree of multiple sites of head, face, and neck, sequela Burn of third degree of head, face, and neck, unspecified site, initial encounter Corrosion of third degree of head, face, and neck, unspecified site, initial encounter Burn of unspecified degree of trunk, unspecified site, sequela Burn of unspecified degree of chest wall, sequela Burn of unspecified degree of abdominal wall, sequela Burn of unspecified degree of upper back, sequela Burn of unspecified degree of lower back, sequela Burn of unspecified degree of buttock, sequela Burn of unspecified degree of male genital region, sequela Burn of unspecified degree of female genital region, sequela Burn of unspecified degree of other site of trunk, initial encounter Burn of unspecified degree of other site of trunk, sequela Burn of third degree of trunk, unspecified site, initial encounter Corrosion of third degree of trunk, unspecified site, initial encounter Burn of unspecified degree of shoulder and upper limb, except wrist and hand, unspecified Burn of unspecified degree of unspecified forearm, sequela Burn of unspecified degree of unspecified elbow, sequela Burn of unspecified degree of unspecified upper arm, sequela Burn of unspecified degree of unspecified axilla, sequela Burn of unspecified degree of unspecified shoulder, sequela

60

2 2 5 1 5 1 1 1 2 2 2 1 2 2 2 2 2 2 2 2 2 5 5 2 2 2 2 2 2 2 2 5 2 5 5 2 2 2 2 2 2

9/30/2017 10/1/2017


T22069S T22099A T22099S T2230xA T22329A T22499A T2270xA T22729A T23009S T23079S T23099A T23099S T23309A T23329A T23339A T23349A T23709A T23729A T23739A T23749A T24009S T24019S T24029S T24039S T24099A T24099S T24309A T24339A

Burn of unspecified degree of unspecified scapular region, sequela Burn of unspecified degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, initial encounter Burn of unspecified degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, sequela Burn of third degree of shoulder and upper limb, except wrist and hand, unspecified site, initial encounter Burn of third degree of unspecified elbow, initial encounter Corrosion of unspecified degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, initial encounter Corrosion of third degree of shoulder and upper limb, except wrist and hand, unspecified site, initial encounter Corrosion of third degree of unspecified elbow, initial encounter Burn of unspecified degree of unspecified hand, unspecified site, sequela Burn of unspecified degree of unspecified wrist, sequela

2

Burn of unspecified degree of multiple sites of unspecified wrist and hand, initial encounter Burn of unspecified degree of multiple sites of unspecified wrist and hand, sequela Burn of third degree of unspecified hand, unspecified site, initial encounter Burn of third degree of unspecified single finger (nail) except thumb, initial encounter Burn of third degree of unspecified multiple fingers (nail), not including thumb, initial encounter

5 2 5 5

Burn of third degree of unspecified multiple fingers (nail), including thumb, initial encounter Corrosion of third degree of unspecified hand, unspecified site, initial encounter Corrosion of third degree of unspecified single finger (nail) except thumb, initial encounter Corrosion of third degree of unspecified multiple fingers (nail), not including thumb, initial Corrosion of third degree of unspecified multiple fingers (nail), including thumb, initial encounter Burn of unspecified degree of unspecified site of unspecified lower limb, except ankle and foot, sequela Burn of unspecified degree of unspecified thigh, sequela Burn of unspecified degree of unspecified knee, sequela Burn of unspecified degree of unspecified lower leg, sequela Burn of unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter Burn of unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, sequela Burn of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter Burn of third degree of unspecified lower leg, initial encounter

5 1 1 1

61

5 2 5 5 1 5 1 2 2

5

1 2 2 2 2 5 2 5 5


T24399A T24499A T24709A T24739A T25019S T25029S T25099A T25099S T25319A T25329A T25399A T25499A T25729A T25799A T2600xS T2610xS T2640xS T273xxA T277xxA T280xxS T281xxS T282xxS T283xxS T2840xA T2840xS T28419S T2849xS T2890xA T300 T304 T3111 T3122 T3143 T3151 T3155 T3164

Burn of third degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter Corrosion of unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter Corrosion of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter Corrosion of third degree of unspecified lower leg, initial encounter Burn of unspecified degree of unspecified ankle, sequela Burn of unspecified degree of unspecified foot, sequela Burn of unspecified degree of multiple sites of unspecified ankle and foot, initial encounter Burn of unspecified degree of multiple sites of unspecified ankle and foot, sequela Burn of third degree of unspecified ankle, initial encounter Burn of third degree of unspecified foot, initial encounter Burn of third degree of multiple sites of unspecified ankle and foot, initial encounter Corrosion of unspecified degree of multiple sites of unspecified ankle and foot, initial encounter Corrosion of third degree of unspecified foot, initial encounter Corrosion of third degree of multiple sites of unspecified ankle and foot, initial encounter Burn of unspecified eyelid and periocular area, sequela Burn of cornea and conjunctival sac, unspecified eye, sequela Burn of unspecified eye and adnexa, part unspecified, sequela Burn of respiratory tract, part unspecified, initial encounter Corrosion of respiratory tract, part unspecified, initial encounter Burn of mouth and pharynx, sequela Burn of esophagus, sequela Burn of other parts of alimentary tract, sequela Burn of internal genitourinary organs, sequela Burn of unspecified internal organ, initial encounter Burn of unspecified internal organ, sequela Burn of unspecified ear drum, sequela Burn of other internal organ, sequela Corrosions of unspecified internal organs, initial encounter Burn of unspecified body region, unspecified degree Corrosion of unspecified body region, unspecified degree Burns involving 10-19% of body surface with 10-19% third degree burns Burns involving 20-29% of body surface with 20-29% third degree burns Burns involving 40-49% of body surface with 30-39% third degree burns Burns involving 50-59% of body surface with 10-19% third degree burns Burns involving 50-59% of body surface with 50-59% third degree burns Burns involving 60-69% of body surface with 40-49% third degree burns

62

5 5 5 1 2 2 5 2 5 5 5 5 5 5 2 2 2 5 5 2 2 2 2 5 2 2 2 5 2 2 5 5 5 5 5 5


5 5 5 1 1 5 5 1 2 2 2 2 2

T38801S

Burns involving 60-69% of body surface with 60-69% third degree burns Corrosions involving 10-19% of body surface with 10-19% third degree corrosion Corrosions involving 20-29% of body surface with 20-29% third degree corrosion Corrosions involving 40-49% of body surface with 30-39% third degree corrosion Corrosions involving 50-59% of body surface with 10-19% third degree corrosion Corrosions involving 50-59% of body surface with 50-59% third degree corrosion Corrosions involving 60-69% of body surface with 40-49% third degree corrosion Corrosions involving 60-69% of body surface with 60-69% third degree corrosion Frostbite with tissue necrosis of unspecified sites, sequela Poisoning by unspecified systemic antibiotic, accidental (unintentional), sequela Poisoning by unspecified systemic antibiotic, intentional self-harm, sequela Poisoning by unspecified systemic antibiotic, assault, sequela Poisoning by unspecified systemic antibiotic, undetermined, sequela Poisoning by unspecified systemic anti-infective and antiparasitics, accidental (unintentional), sequela Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm, sequela Poisoning by unspecified systemic anti-infective and antiparasitics, assault, sequela Poisoning by unspecified systemic anti-infective and antiparasitics, undetermined, sequela Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), sequela

T38802S T38803S T38804S T40902S T40903S T40904S T410X4S T41204S T413X4S T423X4S T424X4S

Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, sequela Poisoning by unspecified hormones and synthetic substitutes, assault, sequela Poisoning by unspecified hormones and synthetic substitutes, undetermined, sequela Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, sequela Poisoning by unspecified psychodysleptics [hallucinogens], assault, sequela Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, sequela Poisoning by inhaled anesthetics, undetermined, sequela Poisoning by unspecified general anesthetics, undetermined, sequela Poisoning by local anesthetics, undetermined, sequela Poisoning by barbiturates, undetermined, sequela Poisoning by benzodiazepines, undetermined, sequela

2 2 2 2 2 2 2 2 2 2 2

T4274xS

Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, sequela Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, undetermined, sequela Poisoning by tetracyclic antidepressants, undetermined, sequela Poisoning by monoamine-oxidase-inhibitor antidepressants, undetermined, sequela Poisoning by unspecified antidepressants, undetermined, sequela Poisoning by vitamins, undetermined, sequela

2

T3166 T3211 T3222 T3243 T3251 T3255 T3264 T3266 T3490xS T3691xS T3692xS T3693xS T3694xS T3791xS T3792xS T3793xS T3794xS

T428X4S T43024S T431X4S T43204S T452X4S

63

2 2 2 2 2

2 2 2 2 2


T4994xS T50904S T543X4A T560X4A T66xxxS T68xxxS T700xxS T701xxS T7020xS T719xxS T730xxS T744xxS T7500xS T7692xS T7800xA T7801xA T7802xA T7803xA T7804xA T7805xA T7807xA T7808xA T7809xA T782xxA T79A0xS T819xxA T827xxA T8460xA T84619A T84629A T8463xA T847xxA T8579xA

Poisoning by unspecified topical agent, undetermined, sequela Poisoning by unspecified drugs, medicaments and biological substances, undetermined, sequela Toxic effect of corrosive alkalis and alkali-like substances, undetermined, initial encounter Toxic effect of lead and its compounds, undetermined, initial encounter Radiation sickness, unspecified, sequela Hypothermia, sequela Otitic barotrauma, sequela Sinus barotrauma, sequela Unspecified effects of high altitude, sequela Asphyxiation due to unspecified cause, sequela Starvation, sequela Shaken infant syndrome, sequela Unspecified effects of lightning, sequela Unspecified child maltreatment, suspected, sequela Anaphylactic reaction due to unspecified food, initial encounter Anaphylactic reaction due to peanuts, initial encounter Anaphylactic reaction due to shellfish (crustaceans), initial encounter Anaphylactic reaction due to other fish, initial encounter Anaphylactic reaction due to fruits and vegetables, initial encounter Anaphylactic reaction due to tree nuts and seeds, initial encounter Anaphylactic reaction due to milk and dairy products, initial encounter Anaphylactic reaction due to eggs, initial encounter Anaphylactic reaction due to other food products, initial encounter Anaphylactic shock, unspecified, initial encounter Compartment syndrome, unspecified, sequela Unspecified complication of procedure, initial encounter Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter Infection and inflammatory reaction due to internal fixation device of unspecified bone of arm, initial encounter Infection and inflammatory reaction due to internal fixation device of unspecified bone of leg, initial encounter

2

Infection and inflammatory reaction due to internal fixation device of spine, initial encounter Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter

2

64

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2 2

2 3


T8600 T8610 T8620 T8630 T8640 T865 T86819 T86839 T86842 T86859 T86890 T8690 T8699 T879 T889xxS

Unspecified complication of bone marrow transplant Unspecified complication of kidney transplant Unspecified complication of heart transplant Unspecified complication of heart-lung transplant Unspecified complication of liver transplant Complications of stem cell transplant Unspecified complication of lung transplant Unspecified complication of bone graft Corneal transplant infection Unspecified complication of intestine transplant Other transplanted tissue rejection Unspecified complication of unspecified transplanted organ and tissue Other complications of unspecified transplanted organ and tissue Unspecified complications of amputation stump Complication of surgical and medical care, unspecified, sequela

5 5 5 5 5 5 5 2 2 5 5 2 2 3 2

65