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OIG Reports Hospital Billing Issues - Adding Modifier 59 for RHC when Heart Biopsy is performed on the same day


In one of the recent reports, the Office of Inspector General (OIG) cites significant issues in which hospitals are making coding errors on Medicare claims. Correct coding of claims is important for hospitals to avoid improper payments, which can lead to recoveries of overpayments. The Centers for Medicare & Medicaid Services (CMS) encourages hospital billing and coding personnel to review the OIG reports and take steps to avoid the problems identified in those reports. It is also very important that claims submitted are supported by documentation in the beneficiary's medical records. 

In the report, “Hospitals Nationwide Generally Did Not Comply with Medicare Requirements for Billing Outpatient Right Heart Catheterizations with Heart Biopsies,” the OIG analyzed claims to determine if hospitals were correctly reporting modifier -59 for RHCs and heart biopsies. The OIG found that in billing for outpatient RHCs with heart biopsies, hospitals often use modifier -59 inappropriately, which leads to significant overpayments and overpayment recoveries on claims for these services. 

For detail information on OIG audits & findings, visit: https://oig.hhs.gov/oas/reports/region1/11300511.pdf

Part B Biosimilar Biological Product Payment and Required Modifiers


Modifiers that identify the manufacturer of a biosimilar biological product are required on Part B claims. CMS updates assignment of modifiers to specific HCPCS codes quarterly. In situations where a HCPCS code is already associated with one or more modifiers and a new biosimilar biological product becomes available before its corresponding manufacturer’s modifier becomes effective, a not otherwise classified (NOC) code without a modifier may be used to bill for the new biosimilar product.

Below is the list of current biosimilar HCPCS Codes, the product(s) that are associated with each code and the corresponding required modifier that is used to identify the product. The table will be updated quarterly when new permanent HCPCS codes and modifiers are available for biosimilar products that appear on the ASP price file.

Q5101 Injection, Filgrastim (G-CSF), Biosimilar, 1 microgram Product Brand names - Zarxio Modifier - ZA - Novartis/Sandoz
Q5102 Injection, infliximab, biosimilar, 10 mg Product Brand names - Inflectra Modifier - ZB - Pfizer/Hospira
Q5102 Injection, infliximab, biosimilar, 10 mg Product Brand names - Renflexis Modifier - ZC –Merck/Samsung Bioepis

Note: The ZC modifier will become effective, that is, valid for claims submitted beginning October 1, 2017 and applies retroactively to dates of service on or after July 24, 2017.

For more information: https://go.usa.gov/xRQgQ

Annual Clotting Factor Furnishing Fee Update 2018


The Centers for Medicare and Medicaid Services (CMS) includes the clotting factor furnishing fee in the published national payment limits for clotting factor billing codes. When the national payment limit for a clotting factor is not included on the Average Sales Price (ASP) Medicare Part B Drug Pricing File or the Not Otherwise Classified (NOC) Pricing File, the MACs make payment for the clotting factor as well as payment for the furnishing fee. For dates of service from January 1, 2018, through December 31, 2018, the clotting factor furnishing fee of $0.215 per unit is added to the payment limit for the clotting factor. 


ICD 10 CM New Changes Effective from October 1, 2017


The 2018 ICD 10 CM codes has been published and it is effective from October 1, 2017. These 2018 ICD-10-CM codes are to be used for discharges occurring from October 1, 2017 through September 30, 2018 and for patient encounters occurring from October 1, 2017 through September 30, 2018. There is an increase in the total number of ICD 10 codes for the year 2018 compared to 2017. The total number of ICD 10 codes for the year 2017 is 71486 and for the year 2018 is 71704.

2018 ICD 10 CM updates:

Additions - 360 
Deletions - 142 
Revisions - 226 


Revised ICD 10 CM codes for the year 2018


F410 Panic disorder [episodic paroxysmal anxiety]
H02051 Trichiasis without entropion right upper eyelid
H02052 Trichiasis without entropion right lower eyelid
H02053 Trichiasis without entropion right eye, unspecified eyelid
H02054 Trichiasis without entropion left upper eyelid
H02055 Trichiasis without entropion left lower eyelid
H02056 Trichiasis without entropion left eye, unspecified eyelid
H02059 Trichiasis without entropion unspecified eye, unspecified eyelid
I501 Left ventricular failure, unspecified
I63211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I6322 Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
I63323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63333 Cerebral infarction to thrombosis of bilateral posterior cerebral arteries
I63513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
I63523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
I63533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
I82811 Embolism and thrombosis of superficial veins of right lower extremity
I82812 Embolism and thrombosis of superficial veins of left lower extremity
I82819 Embolism and thrombosis of superficial veins of unspecified lower extremity
I83811 Varicose veins of right lower extremity with pain
I83812 Varicose veins of left lower extremity with pain
I83819 Varicose veins of unspecified lower extremity with pain
I83891 Varicose veins of right lower extremity with other complications
I83892 Varicose veins of left lower extremity with other complications
I83899 Varicose veins of unspecified lower extremity with other complications
J156 Pneumonia due to other Gram-negative bacteria
M3300 Juvenile dermatomyositis, organ involvement unspecified
M3301 Juvenile dermatomyositis with respiratory involvement
M3302 Juvenile dermatomyositis with myopathy
M3309 Juvenile dermatomyositis with other organ involvement
M3310 Other dermatomyositis, organ involvement unspecified
M3311 Other dermatomyositis with respiratory involvement
M3312 Other dermatomyositis with myopathy
M3319 Other dermatomyositis with other organ involvement
N35112 Postinfective bulbous urethral stricture, not elsewhere classified, male
N35113 Postinfective membranous urethral stricture, not elsewhere classified, male
N35114 Postinfective anterior urethral stricture, not elsewhere classified, male
N99111 Postprocedural bulbous urethral stricture, male
N99112 Postprocedural membranous urethral stricture, male
N99113 Postprocedural anterior bulbous urethral stricture, male
Q6412 Cloacal exstrophy of urinary bladder
Q822 Congenital cutaneous mastocytosis
S04031A Injury of optic tract and pathways, right side, initial encounter
S04031D Injury of optic tract and pathways, right side, subsequent encounter
S04031S Injury of optic tract and pathways, right side, sequela
S04032A Injury of optic tract and pathways, left side, initial encounter
S04032D Injury of optic tract and pathways, left side, subsequent encounter
S04032S Injury of optic tract and pathways, left side, sequela
S04039A Injury of optic tract and pathways, unspecified side, initial encounter
S04039D Injury of optic tract and pathways, unspecified side, subsequent encounter
S04039S Injury of optic tract and pathways, unspecified side, sequela
S04041A Injury of visual cortex, right side, initial encounter
S04041D Injury of visual cortex, right side, subsequent encounter
S04041S Injury of visual cortex, right side, sequela
S04042A Injury of visual cortex, left side, initial encounter
S04042D Injury of visual cortex, left side, subsequent encounter
S04042S Injury of visual cortex, left side, sequela
S04049A Injury of visual cortex, unspecified side, initial encounter
S04049D Injury of visual cortex, unspecified side, subsequent encounter
S04049S Injury of visual cortex, unspecified side, sequela
S62311A Displaced fracture of base of second metacarpal bone, left hand, initial encounter for closed fracture
S62311B Displaced fracture of base of second metacarpal bone, left hand, initial encounter for open fracture
S62311D Displaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with routine healing
S62311G Displaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with delayed healing
S62311K Displaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with nonunion
S62311P Displaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with malunion
S62311S Displaced fracture of base of second metacarpal bone, left hand, sequela
S62317A Displaced fracture of base of fifth metacarpal bone, left hand, initial encounter for closed fracture
S62317B Displaced fracture of base of fifth metacarpal bone, left hand, initial encounter for open fracture
S62317D Displaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing
S62317G Displaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing
S62317K Displaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion
S62317P Displaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion
S62317S Displaced fracture of base of fifth metacarpal bone, left hand, sequela
S62341A Nondisplaced fracture of base of second metacarpal bone, left hand, initial encounter for closed fracture
S62341B Nondisplaced fracture of base of second metacarpal bone, left hand, initial encounter for open fracture
S62341D Nondisplaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with routine healing
S62341G Nondisplaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with delayed healing
S62341K Nondisplaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with nonunion
S62341P Nondisplaced fracture of base of second metacarpal bone, left hand, subsequent encounter for fracture with malunion
S62341S Nondisplaced fracture of base of second metacarpal bone, left hand, sequela
S62347A Nondisplaced fracture of base of fifth metacarpal bone, left hand, initial encounter for closed fracture
S62347B Nondisplaced fracture of base of fifth metacarpal bone, left hand, initial encounter for open fracture
S62347D Nondisplaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with routine healing
S62347G Nondisplaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with delayed healing
S62347K Nondisplaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with nonunion
S62347P Nondisplaced fracture of base of fifth metacarpal bone, left hand, subsequent encounter for fracture with malunion
S62347S Nondisplaced fracture of base of fifth metacarpal bone, left hand, sequela
S62620A Displaced fracture of middle phalanx of right index finger, initial encounter for closed fracture
S62620B Displaced fracture of middle phalanx of right index finger, initial encounter for open fracture
S62620D Displaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with routine healing
S62620G Displaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with delayed healing
S62620K Displaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with nonunion
S62620P Displaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with malunion
S62620S Displaced fracture of middle phalanx of right index finger, sequela
S62621A Displaced fracture of middle phalanx of left index finger, initial encounter for closed fracture
S62621B Displaced fracture of middle phalanx of left index finger, initial encounter for open fracture
S62621D Displaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with routine healing
S62621G Displaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with delayed healing
S62621K Displaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with nonunion
S62621P Displaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with malunion
S62621S Displaced fracture of middle phalanx of left index finger, sequela
S62622A Displaced fracture of middle phalanx of right middle finger, initial encounter for closed fracture
S62622B Displaced fracture of middle phalanx of right middle finger, initial encounter for open fracture
S62622D Displaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with routine healing
S62622G Displaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with delayed healing
S62622K Displaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with nonunion
S62622P Displaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with malunion
S62622S Displaced fracture of middle phalanx of right middle finger, sequela
S62623A Displaced fracture of middle phalanx of left middle finger, initial encounter for closed fracture
S62623B Displaced fracture of middle phalanx of left middle finger, initial encounter for open fracture
S62623D Displaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with routine healing
S62623G Displaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with delayed healing
S62623K Displaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with nonunion
S62623P Displaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with malunion
S62623S Displaced fracture of middle phalanx of left middle finger, sequela
S62624A Displaced fracture of middle phalanx of right ring finger, initial encounter for closed fracture
S62624B Displaced fracture of middle phalanx of right ring finger, initial encounter for open fracture
S62624D Displaced fracture of middle phalanx of right ring finger, subsequent encounter for fracture with routine healing
S62624G Displaced fracture of middle phalanx of right ring finger, subsequent encounter for fracture with delayed healing
S62624K Displaced fracture of middle phalanx of right ring finger, subsequent encounter for fracture with nonunion
S62624P Displaced fracture of middle phalanx of right ring finger, subsequent encounter for fracture with malunion
S62624S Displaced fracture of middle phalanx of right ring finger, sequela
S62625A Displaced fracture of middle phalanx of left ring finger, initial encounter for closed fracture
S62625B Displaced fracture of middle phalanx of left ring finger, initial encounter for open fracture
S62625D Displaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with routine healing
S62625G Displaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with delayed healing
S62625K Displaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with nonunion
S62625P Displaced fracture of middle phalanx of left ring finger, subsequent encounter for fracture with malunion
S62625S Displaced fracture of middle phalanx of left ring finger, sequela
S62650A Nondisplaced fracture of middle phalanx of right index finger, initial encounter for closed fracture
S62650B Nondisplaced fracture of middle phalanx of right index finger, initial encounter for open fracture
S62650D Nondisplaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with routine healing
S62650G Nondisplaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with delayed healing
S62650K Nondisplaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with nonunion
S62650P Nondisplaced fracture of middle phalanx of right index finger, subsequent encounter for fracture with malunion
S62650S Nondisplaced fracture of middle phalanx of right index finger, sequela
S62651A Nondisplaced fracture of middle phalanx of left index finger, initial encounter for closed fracture
S62651B Nondisplaced fracture of middle phalanx of left index finger, initial encounter for open fracture
S62651D Nondisplaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with routine healing
S62651G Nondisplaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with delayed healing
S62651K Nondisplaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with nonunion
S62651P Nondisplaced fracture of middle phalanx of left index finger, subsequent encounter for fracture with malunion
S62651S Nondisplaced fracture of middle phalanx of left index finger, sequela
S62652A Nondisplaced fracture of middle phalanx of right middle finger, initial encounter for closed fracture
S62652B Nondisplaced fracture of middle phalanx of right middle finger, initial encounter for open fracture
S62652D Nondisplaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with routine healing
S62652G Nondisplaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with delayed healing
S62652K Nondisplaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with nonunion
S62652P Nondisplaced fracture of middle phalanx of right middle finger, subsequent encounter for fracture with malunion
S62652S Nondisplaced fracture of middle phalanx of right middle finger, sequela
S62653A Nondisplaced fracture of middle phalanx of left middle finger, initial encounter for closed fracture
S62653B Nondisplaced fracture of middle phalanx of left middle finger, initial encounter for open fracture
S62653D Nondisplaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with routine healing
S62653G Nondisplaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with delayed healing
S62653K Nondisplaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with nonunion
S62653P Nondisplaced fracture of middle phalanx of left middle finger, subsequent encounter for fracture with malunion
S62653S Nondisplaced fracture of middle phalanx of left middle finger, sequela
S63121A Subluxation of interphalangeal joint of right thumb, initial encounter
S63121D Subluxation of interphalangeal joint of right thumb, subsequent encounter
S63121S Subluxation of interphalangeal joint of right thumb, sequela
S63122A Subluxation of interphalangeal joint of left thumb, initial encounter
S63122D Subluxation of interphalangeal joint of left thumb, subsequent encounter
S63122S Subluxation of interphalangeal joint of left thumb, sequela
S63123A Subluxation of interphalangeal joint of unspecified thumb, initial encounter
S63123D Subluxation of interphalangeal joint of unspecified thumb, subsequent encounter
S63123S Subluxation of interphalangeal joint of unspecified thumb, sequela
S63124A Dislocation of interphalangeal joint of right thumb, initial encounter
S63124D Dislocation of interphalangeal joint of right thumb, subsequent encounter
S63124S Dislocation of interphalangeal joint of right thumb, sequela
S63125A Dislocation of interphalangeal joint of left thumb, initial encounter
S63125D Dislocation of interphalangeal joint of left thumb, subsequent encounter
S63125S Dislocation of interphalangeal joint of left thumb, sequela
S63126A Dislocation of interphalangeal joint of unspecified thumb, initial encounter
S63126D Dislocation of interphalangeal joint of unspecified thumb, subsequent encounter
S63126S Dislocation of interphalangeal joint of unspecified thumb, sequela
S92521A Displaced fracture of middle phalanx of right lesser toe(s), initial encounter for closed fracture
S92521B Displaced fracture of middle phalanx of right lesser toe(s), initial encounter for open fracture
S92521D Displaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with routine healing
S92521G Displaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing
S92521K Displaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with nonunion
S92521P Displaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with malunion
S92521S Displaced fracture of middle phalanx of right lesser toe(s), sequela
S92522A Displaced fracture of middle phalanx of left lesser toe(s), initial encounter for closed fracture
S92522B Displaced fracture of middle phalanx of left lesser toe(s), initial encounter for open fracture
S92522D Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing
S92522G Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with delayed healing
S92522K Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with nonunion
S92522P Displaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with malunion
S92522S Displaced fracture of middle phalanx of left lesser toe(s), sequela
S92523A Displaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for closed fracture
S92523B Displaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for open fracture
S92523D Displaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
S92523G Displaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
S92523K Displaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
S92523P Displaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
S92523S Displaced fracture of middle phalanx of unspecified lesser toe(s), sequela
S92524A Nondisplaced fracture of middle phalanx of right lesser toe(s), initial encounter for closed fracture
S92524B Nondisplaced fracture of middle phalanx of right lesser toe(s), initial encounter for open fracture
S92524D Nondisplaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with routine healing
S92524G Nondisplaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with delayed healing
S92524K Nondisplaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with nonunion
S92524P Nondisplaced fracture of middle phalanx of right lesser toe(s), subsequent encounter for fracture with malunion
S92524S Nondisplaced fracture of middle phalanx of right lesser toe(s), sequela
S92525A Nondisplaced fracture of middle phalanx of left lesser toe(s), initial encounter for closed fracture
S92525B Nondisplaced fracture of middle phalanx of left lesser toe(s), initial encounter for open fracture
S92525D Nondisplaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with routine healing
S92525G Nondisplaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with delayed healing
S92525K Nondisplaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with nonunion
S92525P Nondisplaced fracture of middle phalanx of left lesser toe(s), subsequent encounter for fracture with malunion
S92525S Nondisplaced fracture of middle phalanx of left lesser toe(s), sequela
S92526A Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for closed fracture
S92526B Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), initial encounter for open fracture
S92526D Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with routine healing
S92526G Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with delayed healing
S92526K Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with nonunion
S92526P Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), subsequent encounter for fracture with malunion
S92526S Nondisplaced fracture of middle phalanx of unspecified lesser toe(s), sequela
W298XXA Contact with other powered hand tools and household machinery, initial encounter
W298XXD Contact with other powered hand tools and household machinery, subsequent encounter
W298XXS Contact with other powered hand tools and household machinery, sequela
Z315 Encounter for procreative genetic counseling
Z4002 Encounter for prophylactic removal of ovary(s)
Z681 Body mass index (BMI) 19.9 or less, adult
Z79890 Hormone replacement therapy

Deleted ICD 10 CM codes for the year 2018


A047 Enterocolitis due to Clostridium difficile
C962 Malignant mast cell tumor
D470 Histiocytic and mast cell tumors of uncertain behavior
E858 Other amyloidosis
H540 Blindness, both eyes
H5411 Blindness, right eye, low vision left eye
H5412 Blindness, left eye, low vision right eye
H542 Low vision, both eyes
H5441 Blindness, right eye, normal vision left eye
H5442 Blindness, left eye, normal vision right eye
H5451 Low vision, right eye, normal vision left eye
H5452 Low vision, left eye, normal vision right eye
I272 Other secondary pulmonary hypertension
K060 Gingival recession
K565 Intestinal adhesions [bands] with obstruction (postprocedural) (postinfection)
K5660 Unspecified intestinal obstruction
K5669 Other intestinal obstruction
K913 Postprocedural intestinal obstruction
M4806 Spinal stenosis, lumbar region
N63 Unspecified lump in breast
O0010 Tubal pregnancy without intrauterine pregnancy
O0011 Tubal pregnancy with intrauterine pregnancy
O0020 Ovarian pregnancy without intrauterine pregnancy
O0021 Ovarian pregnancy with intrauterine pregnancy
P293 Persistent fetal circulation
P838 Other specified conditions of integument specific to newborn
P918 Other specified disturbances of cerebral status of newborn
Q5311 Abdominal testis, unilateral
Q5321 Abdominal testis, bilateral
S061X7D Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S061X7S Traumatic cerebral edema with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S061X8D Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S061X8S Traumatic cerebral edema with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S062X7D Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S062X7S Diffuse traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S062X8D Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S062X8S Diffuse traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06307D Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06307S Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06308D Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06308S Unspecified focal traumatic brain injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06317D Contusion and laceration of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06317S Contusion and laceration of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06318D Contusion and laceration of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06318S Contusion and laceration of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06327D Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06327S Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06328D Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06328S Contusion and laceration of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06337D Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06337S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06338D Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06338S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06347D Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06347S Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06348D Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06348S Traumatic hemorrhage of right cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06357D Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06357S Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06358D Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06358S Traumatic hemorrhage of left cerebrum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06367D Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06367S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06368D Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06368S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06377D Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06377S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06378D Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06378S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06387D Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06387S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06388D Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06388S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S064X7D Epidural hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S064X7S Epidural hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S064X8D Epidural hemorrhage with loss of consciousness of any duration with death due to other causes prior to regaining consciousness, subsequent encounter
S064X8S Epidural hemorrhage with loss of consciousness of any duration with death due to other causes prior to regaining consciousness, sequela
S065X7D Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, subsequent encounter
S065X7S Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, sequela
S065X8D Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to other cause before regaining consciousness, subsequent encounter
S065X8S Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to other cause before regaining consciousness, sequela
S066X7D Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S066X7S Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S066X8D Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S066X8S Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06817D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06817S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06818D Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06818S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06827D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06827S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06828D Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06828S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S06897D Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S06897S Other specified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S06898D Other specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S06898S Other specified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S069X7D Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, subsequent encounter
S069X7S Unspecified intracranial injury with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, sequela
S069X8D Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, subsequent encounter
S069X8S Unspecified intracranial injury with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, sequela
S63131A Subluxation of proximal interphalangeal joint of right thumb, initial encounter
S63131D Subluxation of proximal interphalangeal joint of right thumb, subsequent encounter
S63131S Subluxation of proximal interphalangeal joint of right thumb, sequela
S63132A Subluxation of proximal interphalangeal joint of left thumb, initial encounter
S63132D Subluxation of proximal interphalangeal joint of left thumb, subsequent encounter
S63132S Subluxation of proximal interphalangeal joint of left thumb, sequela
S63133A Subluxation of proximal interphalangeal joint of unspecified thumb, initial encounter
S63133D Subluxation of proximal interphalangeal joint of unspecified thumb, subsequent encounter
S63133S Subluxation of proximal interphalangeal joint of unspecified thumb, sequela
S63134A Dislocation of proximal interphalangeal joint of right thumb, initial encounter
S63134D Dislocation of proximal interphalangeal joint of right thumb, subsequent encounter
S63134S Dislocation of proximal interphalangeal joint of right thumb, sequela
S63135A Dislocation of proximal interphalangeal joint of left thumb, initial encounter
S63135D Dislocation of proximal interphalangeal joint of left thumb, subsequent encounter
S63135S Dislocation of proximal interphalangeal joint of left thumb, sequela
S63136A Dislocation of proximal interphalangeal joint of unspecified thumb, initial encounter
S63136D Dislocation of proximal interphalangeal joint of unspecified thumb, subsequent encounter
S63136S Dislocation of proximal interphalangeal joint of unspecified thumb, sequela
S63141A Subluxation of distal interphalangeal joint of right thumb, initial encounter
S63141D Subluxation of distal interphalangeal joint of right thumb, subsequent encounter
S63141S Subluxation of distal interphalangeal joint of right thumb, sequela
S63142A Subluxation of distal interphalangeal joint of left thumb, initial encounter
S63142D Subluxation of distal interphalangeal joint of left thumb, subsequent encounter
S63142S Subluxation of distal interphalangeal joint of left thumb, sequela
S63143A Subluxation of distal interphalangeal joint of unspecified thumb, initial encounter
S63143D Subluxation of distal interphalangeal joint of unspecified thumb, subsequent encounter
S63143S Subluxation of distal interphalangeal joint of unspecified thumb, sequela
S63144A Dislocation of distal interphalangeal joint of right thumb, initial encounter
S63144D Dislocation of distal interphalangeal joint of right thumb, subsequent encounter
S63144S Dislocation of distal interphalangeal joint of right thumb, sequela
S63145A Dislocation of distal interphalangeal joint of left thumb, initial encounter
S63145D Dislocation of distal interphalangeal joint of left thumb, subsequent encounter
S63145S Dislocation of distal interphalangeal joint of left thumb, sequela
S63146A Dislocation of distal interphalangeal joint of unspecified thumb, initial encounter
S63146D Dislocation of distal interphalangeal joint of unspecified thumb, subsequent encounter
S63146S Dislocation of distal interphalangeal joint of unspecified thumb, sequela
T07 Unspecified multiple injuries
T148 Other injury of unspecified body region
T1490 Injury, unspecified
T1491 Suicide attempt
Z36 Encounter for antenatal screening of mother

New ICD 10 CM codes for the year 2018


A0471 Enterocolitis due to Clostridium difficile, recurrent
A0472 Enterocolitis due to Clostridium difficile, not specified as recurrent
C9620 Malignant mast cell neoplasm, unspecified
C9621 Aggressive systemic mastocytosis
C9622 Mast cell sarcoma
C9629 Other malignant mast cell neoplasm
D4701 Cutaneous mastocytosis
D4702 Systemic mastocytosis
D4709 Other mast cell neoplasms of uncertain behavior
E1110 Type 2 diabetes mellitus with ketoacidosis without coma
E1111 Type 2 diabetes mellitus with ketoacidosis with coma
E8581 Light chain (AL) amyloidosis
E8582 Wild-type transthyretin-related (ATTR) amyloidosis
E8589 Other amyloidosis
F1011 Alcohol abuse, in remission
F1111 Opioid abuse, in remission
F1211 Cannabis abuse, in remission
F1311 Sedative, hypnotic or anxiolytic abuse, in remission
F1411 Cocaine abuse, in remission
F1511 Other stimulant abuse, in remission
F1611 Hallucinogen abuse, in remission
F1811 Inhalant abuse, in remission
F1911 Other psychoactive substance abuse, in remission
F5082 Avoidant/restrictive food intake disorder
G1223 Primary lateral sclerosis
G1224 Familial motor neuron disease
G1225 Progressive spinal muscle atrophy
H442A1 Degenerative myopia with choroidal neovascularization, right eye
H442A2 Degenerative myopia with choroidal neovascularization, left eye
H442A3 Degenerative myopia with choroidal neovascularization, bilateral eye
H442A9 Degenerative myopia with choroidal neovascularization, unspecified eye
H442B1 Degenerative myopia with macular hole, right eye
H442B2 Degenerative myopia with macular hole, left eye
H442B3 Degenerative myopia with macular hole, bilateral eye
H442B9 Degenerative myopia with macular hole, unspecified eye
H442C1 Degenerative myopia with retinal detachment, right eye
H442C2 Degenerative myopia with retinal detachment, left eye
H442C3 Degenerative myopia with retinal detachment, bilateral eye
H442C9 Degenerative myopia with retinal detachment, unspecified eye
H442D1 Degenerative myopia with foveoschisis, right eye
H442D2 Degenerative myopia with foveoschisis, left eye
H442D3 Degenerative myopia with foveoschisis, bilateral eye
H442D9 Degenerative myopia with foveoschisis, unspecified eye
H442E1 Degenerative myopia with other maculopathy, right eye
H442E2 Degenerative myopia with other maculopathy, left eye
H442E3 Degenerative myopia with other maculopathy, bilateral eye
H442E9 Degenerative myopia with other maculopathy, unspecified eye
H540X33 Blindness right eye category 3, blindness left eye category 3
H540X34 Blindness right eye category 3, blindness left eye category 4
H540X35 Blindness right eye category 3, blindness left eye category 5
H540X43 Blindness right eye category 4, blindness left eye category 3
H540X44 Blindness right eye category 4, blindness left eye category 4
H540X45 Blindness right eye category 4, blindness left eye category 5
H540X53 Blindness right eye category 5, blindness left eye category 3
H540X54 Blindness right eye category 5, blindness left eye category 4
H540X55 Blindness right eye category 5, blindness left eye category 5
H541131 Blindness right eye category 3, low vision left eye category 1
H541132 Blindness right eye category 3, low vision left eye category 2
H541141 Blindness right eye category 4, low vision left eye category 1
H541142 Blindness right eye category 4, low vision left eye category 2
H541151 Blindness right eye category 5, low vision left eye category 1
H541152 Blindness right eye category 5, low vision left eye category 2
H541213 Low vision right eye category 1, blindness left eye category 3
H541214 Low vision right eye category 1, blindness left eye category 4
H541215 Low vision right eye category 1, blindness left eye category 5
H541223 Low vision right eye category 2, blindness left eye category 3
H541224 Low vision right eye category 2, blindness left eye category 4
H541225 Low vision right eye category 2, blindness left eye category 5
H542X11 Low vision right eye category 1, low vision left eye category 1
H542X12 Low vision right eye category 1, low vision left eye category 2
H542X21 Low vision right eye category 2, low vision left eye category 1
H542X22 Low vision right eye category 2, low vision left eye category 2
H54413A Blindness right eye category 3, normal vision left eye
H54414A Blindness right eye category 4, normal vision left eye
H54415A Blindness right eye category 5, normal vision left eye
H5442A3 Blindness left eye category 3, normal vision right eye
H5442A4 Blindness left eye category 4, normal vision right eye
H5442A5 Blindness left eye category 5, normal vision right eye
H54511A Low vision right eye category 1, normal vision left eye
H54512A Low vision right eye category 2, normal vision left eye
H5452A1 Low vision left eye category 1, normal vision right eye
H5452A2 Low vision left eye category 2, normal vision right eye
I219 Acute myocardial infarction, unspecified
I21A1 Myocardial infarction type 2
I21A9 Other myocardial infarction type
I2720 Pulmonary hypertension, unspecified
I2721 Secondary pulmonary arterial hypertension
I2722 Pulmonary hypertension due to left heart disease
I2723 Pulmonary hypertension due to lung diseases and hypoxia
I2724 Chronic thromboembolic pulmonary hypertension
I2729 Other secondary pulmonary hypertension
I2783 Eisenmenger's syndrome
I50810 Right heart failure, unspecified
I50811 Acute right heart failure
I50812 Chronic right heart failure
I50813 Acute on chronic right heart failure
I50814 Right heart failure due to left heart failure
I5082 Biventricular heart failure
I5083 High output heart failure
I5084 End stage heart failure
I5089 Other heart failure
K06010 Localized gingival recession, unspecified
K06011 Localized gingival recession, minimal
K06012 Localized gingival recession, moderate
K06013 Localized gingival recession, severe
K06020 Generalized gingival recession, unspecified
K06021 Generalized gingival recession, minimal
K06022 Generalized gingival recession, moderate
K06023 Generalized gingival recession, severe
K5650 Intestinal adhesions [bands], unspecified as to partial versus complete obstruction
K5651 Intestinal adhesions [bands], with partial obstruction
K5652 Intestinal adhesions [bands] with complete obstruction
K56600 Partial intestinal obstruction, unspecified as to cause
K56601 Complete intestinal obstruction, unspecified as to cause
K56609 Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction
K56690 Other partial intestinal obstruction
K56691 Other complete intestinal obstruction
K56699 Other intestinal obstruction unspecified as to partial versus complete obstruction
K9130 Postprocedural intestinal obstruction, unspecified as to partial versus complete
K9131 Postprocedural partial intestinal obstruction
K9132 Postprocedural complete intestinal obstruction
L97105 Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis
L97106 Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis
L97108 Non-pressure chronic ulcer of unspecified thigh with other specified severity
L97115 Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis
L97116 Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis
L97118 Non-pressure chronic ulcer of right thigh with other specified severity
L97125 Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis
L97126 Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis
L97128 Non-pressure chronic ulcer of left thigh with other specified severity
L97205 Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis
L97206 Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis
L97208 Non-pressure chronic ulcer of unspecified calf with other specified severity
L97215 Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis
L97216 Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis
L97218 Non-pressure chronic ulcer of right calf with other specified severity
L97225 Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis
L97226 Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis
L97228 Non-pressure chronic ulcer of left calf with other specified severity
L97305 Non-pressure chronic ulcer of unspecified ankle with muscle involvement without evidence of necrosis
L97306 Non-pressure chronic ulcer of unspecified ankle with bone involvement without evidence of necrosis
L97308 Non-pressure chronic ulcer of unspecified ankle with other specified severity
L97315 Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis
L97316 Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis
L97318 Non-pressure chronic ulcer of right ankle with other specified severity
L97325 Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis
L97326 Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis
L97328 Non-pressure chronic ulcer of left ankle with other specified severity
L97405 Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis
L97406 Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis
L97408 Non-pressure chronic ulcer of unspecified heel and midfoot with other specified severity
L97415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis
L97416 Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis
L97418 Non-pressure chronic ulcer of right heel and midfoot with other specified severity
L97425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis
L97426 Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis
L97428 Non-pressure chronic ulcer of left heel and midfoot with other specified severity
L97505 Non-pressure chronic ulcer of other part of unspecified foot with muscle involvement without evidence of necrosis
L97506 Non-pressure chronic ulcer of other part of unspecified foot with bone involvement without evidence of necrosis
L97508 Non-pressure chronic ulcer of other part of unspecified foot with other specified severity
L97515 Non-pressure chronic ulcer of other part of right foot with muscle involvement without evidence of necrosis
L97516 Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis
L97518 Non-pressure chronic ulcer of other part of right foot with other specified severity
L97525 Non-pressure chronic ulcer of other part of left foot with muscle involvement without evidence of necrosis
L97526 Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis
L97528 Non-pressure chronic ulcer of other part of left foot with other specified severity
L97805 Non-pressure chronic ulcer of other part of unspecified lower leg with muscle involvement without evidence of necrosis
L97806 Non-pressure chronic ulcer of other part of unspecified lower leg with bone involvement without evidence of necrosis
L97808 Non-pressure chronic ulcer of other part of unspecified lower leg with other specified severity
L97815 Non-pressure chronic ulcer of other part of right lower leg with muscle involvement without evidence of necrosis
L97816 Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis
L97818 Non-pressure chronic ulcer of other part of right lower leg with other specified severity
L97825 Non-pressure chronic ulcer of other part of left lower leg with muscle involvement without evidence of necrosis
L97826 Non-pressure chronic ulcer of other part of left lower leg with bone involvement without evidence of necrosis
L97828 Non-pressure chronic ulcer of other part of left lower leg with other specified severity
L97905 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with muscle involvement without evidence of necrosis
L97906 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with bone involvement without evidence of necrosis
L97908 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with other specified severity
L97915 Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis
L97916 Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis
L97918 Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity
L97925 Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis
L97926 Non-pressure chronic ulcer of unspecified part of left lower leg with bone involvement without evidence of necrosis
L97928 Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity
L98415 Non-pressure chronic ulcer of buttock with muscle involvement without evidence of necrosis
L98416 Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis
L98418 Non-pressure chronic ulcer of buttock with other specified severity
L98425 Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis
L98426 Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis
L98428 Non-pressure chronic ulcer of back with other specified severity
L98495 Non-pressure chronic ulcer of other sites with muscle involvement without evidence of necrosis
L98496 Non-pressure chronic ulcer of other sites with bone involvement without evidence of necrosis
L98498 Non-pressure chronic ulcer of other sites with other specified severity
M3303 Juvenile dermatomyositis without myopathy
M3313 Other dermatomyositis without myopathy
M3393 Dermatopolymyositis, unspecified without myopathy
M48061 Spinal stenosis, lumbar region without neurogenic claudication
M48062 Spinal stenosis, lumbar region with neurogenic claudication
N630 Unspecified lump in unspecified  breast
N6310 Unspecified lump in the right breast, unspecified quadrant
N6311 Unspecified lump in the right breast, upper outer quadrant
N6312 Unspecified lump in the right breast, upper inner quadrant
N6313 Unspecified lump in the right breast, lower outer quadrant
N6314 Unspecified lump in the right breast, lower inner quadrant
N6320 Unspecified lump in the left breast, unspecified quadrant
N6321 Unspecified lump in the left breast, upper outer quadrant
N6322 Unspecified lump in the left breast, upper inner quadrant
N6323 Unspecified lump in the left breast, lower outer quadrant
N6324 Unspecified lump in the left breast, lower inner quadrant
N6331 Unspecified lump in axillary tail of the right breast
N6332 Unspecified lump in axillary tail of the left breast
N6341 Unspecified lump in right breast, subareolar
N6342 Unspecified lump in left breast, subareolar
O00101 Right tubal pregnancy without intrauterine pregnancy
O00102 Left tubal pregnancy without intrauterine pregnancy
O00109 Unspecified tubal pregnancy without intrauterine pregnancy
O00111 Right tubal pregnancy with intrauterine pregnancy
O00112 Left tubal pregnancy with intrauterine pregnancy
O00119 Unspecified tubal pregnancy with intrauterine pregnancy
O00201 Right ovarian pregnancy without intrauterine pregnancy
O00202 Left ovarian pregnancy without intrauterine pregnancy
O00209 Unspecified ovarian pregnancy without intrauterine pregnancy
O00211 Right ovarian pregnancy with intrauterine pregnancy
O00212 Left ovarian pregnancy without intrauterine pregnancy
O00219 Unspecified ovarian pregnancy with intrauterine pregnancy
O368310 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, not applicable or unspecified
O368311 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 1
O368312 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 2
O368313 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 3
O368314 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 4
O368315 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, fetus 5
O368319 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester, other fetus
O368320 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, not applicable or unspecified
O368321 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 1
O368322 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 2
O368323 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 3
O368324 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 4
O368325 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, fetus 5
O368329 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester, other fetus
O368330 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, not applicable or unspecified
O368331 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 1
O368332 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 2
O368333 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 3
O368334 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 4
O368335 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, fetus 5
O368339 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester, other fetus
O368390 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, not applicable or unspecified
O368391 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 1
O368392 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 2
O368393 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 3
O368394 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 4
O368395 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, fetus 5
O368399 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester, other fetus
P2930 Pulmonary hypertension of newborn
P2938 Other persistent fetal circulation
P7884 Gestational alloimmune liver disease
P8381 Umbilical granuloma
P8388 Other specified conditions of integument specific to newborn
P91811 Neonatal encephalopathy in diseases classified elsewhere
P91819 Neonatal encephalopathy, unspecified
P9188 Other specified disturbances of cerebral status of newborn
Q53111 Unilateral intraabdominal testis
Q53112 Unilateral inguinal testis
Q5313 Unilateral high scrotal testis
Q53211 Bilateral intraabdominal testes
Q53212 Bilateral inguinal testes
Q5323 Bilateral high scrotal testes
R0603 Acute respiratory distress
R3983 Unilateral non-palpable testicle
R3984 Bilateral non-palpable testicles
T07XXXA Unspecified multiple injuries, initial encounter
T07XXXD Unspecified multiple injuries, subsequent encounter
T07XXXS Unspecified multiple injuries, sequela
T148XXA Other injury of unspecified body region, initial encounter
T148XXD Other injury of unspecified body region, subsequent encounter
T148XXS Other injury of unspecified body region, sequela
T1490XA Injury, unspecified, initial encounter
T1490XD Injury, unspecified, subsequent encounter
T1490XS Injury, unspecified, sequela
T1491XA Suicide attempt, initial encounter
T1491XD Suicide attempt, subsequent encounter
T1491XS Suicide attempt, sequela
V8605XA Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter
V8605XD Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter
V8605XS Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela
V8606XA Driver of dirt bike or motor/cross bike injured in traffic accident, initial encounter
V8606XD Driver of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter
V8606XS Driver of dirt bike or motor/cross bike injured in traffic accident, sequela
V8615XA Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter
V8615XD Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter
V8615XS Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela
V8616XA Passenger of dirt bike or motor/cross bike injured in traffic accident, initial encounter
V8616XD Passenger of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter
V8616XS Passenger of dirt bike or motor/cross bike injured in traffic accident, sequela
V8625XA Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter
V8625XD Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter
V8625XS Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela
V8626XA Person on outside of dirt bike or motor/cross bike injured in traffic accident, initial encounter
V8626XD Person on outside of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter
V8626XS Person on outside of dirt bike or motor/cross bike injured in traffic accident, sequela
V8635XA Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, initial encounter
V8635XD Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, subsequent encounter
V8635XS Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident, sequela
V8636XA Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, initial encounter
V8636XD Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, subsequent encounter
V8636XS Unspecified occupant of dirt bike or motor/cross bike injured in traffic accident, sequela
V8645XA Person injured while boarding or alighting from a 3- or 4- wheeled all-terrain vehicle (ATV), initial encounter
V8645XD Person injured while boarding or alighting from a 3- or 4- wheeled all-terrain vehicle (ATV), subsequent encounter
V8645XS Person injured while boarding or alighting from a 3- or 4- wheeled all-terrain vehicle (ATV), sequela
V8646XA Person injured while boarding or alighting from a dirt bike or motor/cross bike, initial encounter
V8646XD Person injured while boarding or alighting from a dirt bike or motor/cross bike, subsequent encounter
V8646XS Person injured while boarding or alighting from a dirt bike or motor/cross bike, sequela
V8655XA Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter
V8655XD Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter
V8655XS Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, sequela
V8656XA Driver of dirt bike or motor/cross bike injured in nontraffic accident, initial encounter
V8656XD Driver of dirt bike or motor/cross bike injured in nontraffic accident, subsequent encounter
V8656XS Driver of dirt bike or motor/cross bike injured in nontraffic accident, sequela
V8665XA Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter
V8665XD Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter
V8665XS Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, sequela
V8666XA Passenger of dirt bike or motor/cross bike injured in nontraffic accident, initial encounter
V8666XD Passenger of dirt bike or motor/cross bike injured in nontraffic accident, subsequent encounter
V8666XS Passenger of dirt bike or motor/cross bike injured in nontraffic accident, sequela
V8675XA Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter
V8675XD Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter
V8675XS Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, sequela
V8676XA Person on outside of dirt bike or motor/cross bike injured in nontraffic accident, initial encounter
V8676XD Person on outside of dirt bike or motor/cross bike injured in nontraffic accident, subsequent encounter
V8676XS Person on outside of dirt bike or motor/cross bike injured in nontraffic accident, sequela
V8695XA Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter
V8695XD Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter
V8695XS Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, sequela
V8696XA Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident, initial encounter
V8696XD Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident, subsequent encounter
V8696XS Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident, sequela
Z360 Encounter for antenatal screening for chromosomal anomalies
Z361 Encounter for antenatal screening for raised alphafetoprotein level
Z362 Encounter for other antenatal screening follow-up
Z363 Encounter for antenatal screening for malformations
Z364 Encounter for antenatal screening for fetal growth retardation
Z365 Encounter for antenatal screening for isoimmunization
Z3681 Encounter for antenatal screening for hydrops fetalis
Z3682 Encounter for antenatal screening for nuchal translucency
Z3683 Encounter for fetal screening for congenital cardiac abnormalities
Z3684 Encounter for antenatal screening for fetal lung maturity
Z3685 Encounter for antenatal screening for Streptococcus B
Z3686 Encounter for antenatal screening for cervical length
Z3687 Encounter for antenatal screening for uncertain dates
Z3688 Encounter for antenatal screening for fetal macrosomia
Z3689 Encounter for other specified antenatal screening
Z368A Encounter for antenatal screening for other genetic defects
Z369 Encounter for antenatal screening, unspecified
Z4003 Encounter for prophylactic removal of fallopian tube(s )
Z7182 Exercise counseling
Z7183 Encounter for nonprocreative genetic counseling
Z91841 Risk for dental caries, low
Z91842 Risk for dental caries, moderate
Z91843 Risk for dental caries, high
Z91849 Unspecified risk for dental caries

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