< Episode List

Bipolar Disorder (BIPLR) Episode Description

Version 1

An episode of care, also known as an episode, groups all relevant services provided to a patient for a particular condition within a confined time range. An episode of care serves as a unit of accounting as well as a unit of accountability for providers who take on financial risk for the episode. Defining an episode in such a manner helps to identify sources of variation and to standardize care.

An episode of care for Bipolar Disorder, sometimes abbreviated BIPLR, is a chronic condition episode. There is a 30-day lookback period to capture services rendered prior to the trigger claim, such as diagnostic services, office visits, and ancillary services. The Bipolar Disorder episode does not have an end date regarding the look-forward period, but can be broken into distinct reporting periods for implementations (e.g., 12 months).

Episode Components

Triggers
A Bipolar Disorder episode can be triggered by an inpatient facility claim with a trigger principal diagnosis code for the condition (See Table 1) or an outpatient facility or professional claim with a trigger diagnosis code (in any position) and an E&M procedure code (in any position) on the same claim line. For professional claim triggers a second trigger signal or confirming claim is required that meets the same criteria as any of the initial trigger claims above. The confirming claim must be at least 30 days after the initial trigger claim.
Typical DiagnosisTypical diagnosis codes (ICD 10 DX codes) indicate typical care. Claims with typical diagnosis codes usually associated with an episode help steer services into this episode. However, a relevant procedure code is required on the same claim/claim line for the indicated diagnosis code to be incorporated into the episode. (Table 2)
Actionable adverse events (AAE)Actionable adverse events (AAE) are events that are recognized by diagnosis codes (ICD 10 DX codes) and their timing to indicate potential complications of care. They require a relevant procedure code (ICD 10 PX codes; CPT/HCPCS codes) on the same claim/claim line to assign the claim to the episode. Additional rules are used to identify AAEs in addition to the presence of AAE diagnosis codes.  For example, for chronic episodes, relevant acute inpatient admissions claims are flagged as actionable adverse events regardless of the presence of AAE codes.) (Table 3)
Relevant Procedure Codes
All relevant services within the timeframe of an episode are included within an episode. These include office visits, emergency room visits, inpatient professional or facility services, labs, radiology or ancillary services. Relevant diagnoses and procedure codes help identify which services are included. Some procedure codes are sufficient to stand alone, while others require typical or actionable adverse event (AAE) diagnosis codes on the same claim/claim line to steer services into the episode. (Tables 4 and 5)
Relevant PharmacyAll relevant pharmacy services are included within an episode. These are identified by National Drug Codes (NDC) on a pharmacy claim and are grouped using the RxNorm grouping classification for ease of assigning them into episodes. (Table 6)
SubTypesEpisode subtypes are used to adjust the target price and/or to subset episode type for reporting purposes. They are specific to the episode and identified from the trigger claim or from claims during the look-back period.
Examples of Subtype Groups: Mild/Moderate Bipolar DisorderSevere Bipolar DisorderBipolar Disorder in Remission

Code Tables

Table 1: Trigger Codes
Trigger TypeCode Value
ICD-10-CM (DX) TriggersF3010, F3011, F3012, F3013, F302, F303, F304, F308, F309, F310, F3110, F3111, F3112, F3113, F312, F3130, F3131, F3132, F314, F315, F3160, F3161, F3162, F3163, F3164, F3170, F3171, F3172, F3173, F3174, F3175, F3176, F3177, F3178, F3181, F3189, F319
Table 2: ICD-10 Typical Diagnosis
Group IDGroup NameCode Value
DXX0004Candida InfectionB370, B372, B373, B3783, B379
DXX0008Fungal Infection, skin / nailsB350, B351, B353, B354, B355, B356, B359, B360
DXX0012Other injuries and conditions due to externalT783XXD, T798XXD
DXX01109NS – headache – tensionG44209
DXX01111NS – headache – symptomG441, R51
DXX01155NS – tremor – benign essentialG250, G251, G252
DXX01190Other Neurological SymptomsR250, R251, R252, R253, R258, R259
DXX01196NS – abnormal stimulus responseR94130
DXX01400Persistent Cognitive and Gait AbnormalitiesR260, R261, R2681, R2689, R269, R270, R278, R279, R411, R412, R413
DXX01401DyskinesiaG2581, G2583
DXX01402NarcolepsyG47411, G47419
DXX02147Injury to the eyeS00201D, S00202D, S00209D, S00211D, S00212D, S00219D, S00251D, S00252D, S00259D
DXX03133Oral – dental cariesK029
DXX03136Oral – tooth lossK089
DXX05340Other cardiac arrhythmiasR000, R002
DXX05345Orthostatic Hypotension / DizzinessR42
DXX06160GastroenteritisK5289
DXX06162GI – diarrheaR197
DXX06203GI – anorexiaR630
DXX06277Irritable Bowel and other functional GI disorK580, K581, K582, K588, K589, K5900, K5903, K5904, K591, K634, K6389, K9289
DXX06375Allergic, Dietetic, Eosinophilic GastroenteritisK522, K5229
DXX07114HepatotoxicityK752, K7589, K759, R740, R748, R749, R945
DXX09192Dermatitis, UrticariaL270, L271, L298, L299, L300, L308, L309, L501, L508, L509, T7841XA
DXX0939BH – other dsF424
DXX0988Skin – otherL110, L850, L851, R21
DXX1007OverweightE663
DXX10107ObesityE6609, E661, E668, E669
DXX10108Sleep ApneaG4730
DXX10110Severe Protein Calorie MalnutritionE45
DXX10113Obstructive sleep apneaG4733
DXX10119Mild-mod malnutritionE440, E441, E46, E640
DXX1019Morbid ObesityE6601, Z6841, Z6842
DXX1069Abnormal Weight GainR635
DXX1094Sxs – abnormal findings – lab or examE790, R7871, R7879, R7889, R790, R7989, R799
DXX1096Prvn – screening – otherZ1321, Z13228, Z1329
DXX1265Male infertility, impotenceN5201, N5202, N5203, N521, N522, N528, N529
DXX19103Altered mental statusF060, F062, G454, R400, R401, R404, R410, R4182
DXX19104Other somatoform disordersF458, F459
DXX19106Personality & Conduct DisordersF69
DXX1920BH – personality disorderR4681
DXX1923BH – other dsF489, F5000, F5001, F5002, F59, Z046, Z8659, Z91419, Z9149
DXX1928BH – symptomsR450, R453, R454, R4586, R4587, R4589
DXX1930NS – hypersomniaF5104, F5105, F5111, F5112, F5113, F5119, G4710, G4711, G4712, G4713, G4714, G4719
DXX1931NS – insomniaF5101, F5102, F5103, F5109, F519, G4700, G4701, G4709
DXX1932NS – other sleep dsG4720, G478, G479
DXX1935Sxs – symptoms -other – otherR4583
DXX1949Suicidal ideationR45851
DXX1953Drug induced Mental DisorderF17203, F17208, F17209, F17213, F17218, F17219, F17223, F17228, F17229, F17293, F17298, F17299
DXX1954Mild / Moderate Bipolar DisorderF3010, F3011, F3012, F303, F308, F309, F310, F3110, F3111, F3112, F3130, F3131, F3132, F3160, F3161, F3162, F3170, F3171, F3172, F3173, F3175, F3177, F3181, F3189, F319
DXX1955Severe Bipolar DisorderF3013, F302, F3113, F312, F314, F315, F3163, F3164
DXX1980Bipolar Disorder in RemissionF304, F3174, F3176, F3178
DXX1992Other Cognitive / Execution DeficitsR41840, R41841
DXX1995Miscellaneous disorders    R4689
DXX2004BH – other dsZ91410, Z91411, Z91412
DXX2005Inj – nos – effectsT7401XA, T7402XA, T7411XA, T7412XA, T7421XA, T7422XA, T7431XA, T7432XA, T744XXA, T7491XA, T7601XA, T7602XA, T7611XA, T7612XA, T7621XA, T7622XA, T7631XA, T7632XA, T7691XA, T7692XA
DXX2008Tobacco UseF17200, F17201, F17210, F17211, F17220, F17221, F17290, F17291, Z87891
DXX2113Inj – foot – effectsT69021A, T69022A, T69029A
DXX2116Inj – nos – effectsT670XXA, T671XXA, T672XXA, T673XXA, T674XXA, T675XXA, T676XXA, T677XXA, T678XXA, T679XXA, T69011A, T69012A, T69019A, T698XXA, T699XXA
DXX2119Inj – nos – otherT730XXA, T731XXA, T732XXA, T733XXA, T738XXA, T739XXA, T754XXA
DXX2171Adverse effects of drugsT7840XA, T7849XA
DXX2328Sxs – malaise / fatigueR531, R5381, R5383
DXX2329Sxs – chronic fatigue syndromeR5382
DXX2332Sxs – symptoms -otherR419, R448, R449, R4584, R460, R461, R462, R463, R464, R465, R466, R467, R6889, R69
DXX2334Sxs – symptoms -other – otherR6882
DXX2336Prvn – observationZ0471, Z0472
DXX2337Prvn – routine medical examZ0001
DXX2338Prvn – routine exam – otherZ0070, Z0071
DXX2339Prvn – admin exam / visitZ020, Z021, Z022, Z023, Z024, Z025, Z026, Z0281, Z0282, Z0283, Z0289, Z029, Z760
DXX2344Prvn – counselingR4183, Z322, Z323, Z550, Z551, Z552, Z553, Z554, Z558, Z559, Z560, Z562, Z563, Z564, Z565, Z566, Z5681, Z5682, Z5689, Z569, Z570, Z571, Z572, Z5731, Z5739, Z574, Z575, Z576, Z577, Z579, Z590, Z591, Z592, Z594, Z595, Z596, Z597, Z598, Z599, Z600, Z602, Z608, Z609, Z620, Z621, Z6222, Z6229, Z623, Z626, Z62810, Z62811, Z62812, Z62819, Z62820, Z62821, Z62822, Z62890, Z62891, Z62898, Z629, Z630, Z631, Z6331, Z6332, Z634, Z635, Z636, Z6371, Z6372, Z6379, Z638, Z639, Z644, Z650, Z651, Z652, Z653, Z654, Z659, Z69010, Z69011, Z69020, Z69021, Z6911, Z6912, Z6981, Z6982, Z700, Z701, Z702, Z703, Z708, Z709, Z712, Z713, Z7141, Z7142, Z7151, Z7152, Z716, Z7181, Z7189, Z719, Z736, Z741, Z742, Z743, Z748, Z749, Z755, Z7689
DXX2352Othr – otherZ72820, Z73810, Z73811, Z73812, Z73819, Z7389, Z9111, Z91120, Z91128, Z91130, Z91138, Z9114, Z9119
DXX2354Othr – aftercareS0035XD, S00451D, S00452D, S00459D, S00552D, S1015XD, S30852D, S30853D, S30854D, S30857D, T170XXD, T171XXD, T17200D, T17208D, T17290D, T17298D, T17300D, T17308D, T17390D, T17398D, T17400D, T17408D, T17490D, T17498D, T17500D, T17508D, T17590D, T17598D, T17800D, T17890D, T180XXD, T18108D, T18190D, T18198D, T185XXD, T192XXD, T193XXD, T194XXD, T198XXD, T199XXD, T670XXD, T671XXD, T672XXD, T673XXD, T674XXD, T675XXD, T676XXD, T677XXD, T678XXD, T679XXD, T69011D, T69012D, T69019D, T69021D, T69022D, T69029D, T698XXD, T699XXD, T730XXD, T731XXD, T732XXD, T733XXD, T738XXD, T739XXD, T7401XD, T7402XD, T7411XD, T7412XD, T7421XD, T7422XD, T7431XD, T7432XD, T744XXD, T7491XD, T7492XD, T751XXD, T754XXD, T7601XD, T7602XD, T7611XD, T7612XD, T7621XD, T7622XD, T7631XD, T7632XD, T7691XD, T7692XD
DXX2356Othr – long-term use other medicationZ793, Z7984, Z79891, Z79899
DXX2359Othr – other aftercareZ5181
DXX2362complications of medical careT7840XD, T7841XD, T7849XD
DXX2369Abnormal weight lossR634
DXX2378Pain, unspecifiedR52
DXX2379Observation/ExaminationZ0000, Z008, Z0189, Z0389, Z048, Z049
DXX2381AftercareZ09, Z5189
DXX2382Preventive ScreeningZ1389
DXX2383Medical NoncomplianceZ531
DXX2384Other personal risk factorsZ578, Z658
DXX2505HIV Infection – AsymptomaticZ21

Table 3: ICD-10 Actionable Adverse Events
Group IDGroup NameCode Value
DXX0007Head injuryS060X0A, S060X0D, S060X1A, S060X1D, S060X9A, S060X9D, S06890A, S06890D
DXX0009Open wounds of extremitiesS61011D, S61012D, S61019D, S61021D, S61022D, S61029D, S61111D, S61112D, S61119D, S61121D, S61122D, S61129D, S61210D, S61211D, S61212D, S61213D, S61214D, S61215D, S61218D, S61219D, S61220D, S61221D, S61222D, S61223D, S61224D, S61225D, S61226D, S61227D, S61228D, S61229D, S61310D, S61311D, S61312D, S61313D, S61314D, S61315D, S61316D, S61317D, S61318D, S61319D, S61320D, S61321D, S61322D, S61323D, S61324D, S61325D, S61326D, S61327D, S61328D, S61329D, S61411D, S61412D, S61419D, S61511D, S61512D, S61519D
DXX0010Open wounds of head; neck; and trunkS0912XA
DXX0012Other injuries and conditions due to externalS0912XD
DXX0014PediculosisB850, B852
DXX0016Poisoning by nonmedicinal substancesT535X4A, T560X1A, T560X4A, T573X1A, T573X4A, T590X1A, T590X4A, T591X4A, T593X4A, T594X1A, T594X4A
DXX0017ScabiesB86
DXX0019Skin and subcutaneous tissue infectionsL0100, L0101, L0102, L0103, L0109, L011, L03021, L03022, L03029, L03031, L03032, L03041, L03042, L03049
DXX0020Superficial injury; contusionS0000XA, S0000XD, S0001XA, S0001XD, S0003XA, S0003XD, S0004XA, S0004XD, S0010XA, S0010XD, S0011XA, S0011XD, S0012XA, S0012XD, S0030XA, S0030XD, S0031XA, S0031XD, S0033XA, S0033XD, S0034XA, S0034XD, S00401A, S00401D, S00402A, S00402D, S00409A, S00409D, S00411A, S00411D, S00412A, S00412D, S00419A, S00419D, S00431A, S00431D, S00432A, S00432D, S00439A, S00439D, S00441A, S00441D, S00442A, S00442D, S00449A, S00449D, S00501A, S00501D, S00502A, S00502D, S00511A, S00511D, S00512A, S00512D, S00531A, S00531D, S00532A, S00532D, S00541A, S00541D, S00542A, S00542D, S0080XA, S0080XD, S0081XA, S0081XD, S0083XA, S0083XD, S0084XA, S0084XD, S0090XA, S0090XD, S0091XA, S0091XD, S0093XA, S0093XD, S0094XA, S0094XD, S0510XA, S0510XD, S0511XA, S0511XD, S0512XA, S0512XD, S0590XA, S0590XD, S100XXA, S100XXD, S1010XA, S1010XD, S1011XA, S1011XD, S1014XA, S1014XD, S1080XA, S1080XD, S1081XA, S1081XD, S1083XA, S1083XD, S1084XA, S1084XD, S1090XA, S1090XD, S1091XA, S1091XD, S1093XA, S1093XD, S1094XA, S1094XD, S20111A, S20111D, S20112A, S20112D, S20119A, S20119D, S20211A, S20211D, S20212A, S20212D, S20219A, S20219D, S20311A, S20311D, S20312A, S20312D, S20319A, S20319D, S20411A, S20411D, S20412A, S20412D, S20419A, S20419D, S2091XA, S2091XD, S300XXA, S300XXD, S301XXA, S301XXD, S30810A, S30810D, S30811A, S30811D, S30812A, S30812D, S30813A, S30813D, S30814A, S30814D, S30815A, S30815D, S30816A, S30816D, S30817A, S30817D, S40011A, S40011D, S40012A, S40012D, S40019A, S40019D, S40211A, S40211D, S40212A, S40212D, S40219A, S40219D, S40811A, S40811D, S40812A, S40812D, S40819A, S40819D, S5000XA, S5000XD, S5001XA, S5001XD, S5002XA, S5002XD, S5010XA, S5010XD, S5011XA, S5011XD, S5012XA, S5012XD, S50311A, S50311D, S50312A, S50312D, S50319A, S50319D, S50811A, S50811D, S50812A, S50812D, S50819A, S50819D, S6000XA, S6000XD, S60011A, S60011D, S60012A, S60012D, S60019A, S60019D, S60021A, S60021D, S60022A, S60022D, S60029A, S60029D, S60031A, S60031D, S60032A, S60032D, S60039A, S60039D, S60041A, S60041D, S60042A, S60042D, S60049A, S60049D, S60051A, S60051D, S60052A, S60052D, S60059A, S60059D, S6010XA, S6010XD, S60111A, S60111D, S60112A, S60112D, S60119A, S60119D, S60121A, S60121D, S60122A, S60122D, S60129A, S60129D, S60131A, S60131D, S60132A, S60132D, S60139A, S60139D, S60141A, S60141D, S60142A, S60142D, S60149A, S60149D, S60151A, S60151D, S60152A, S60152D, S60159A, S60159D, S60211A, S60211D, S60212A, S60212D, S60219A, S60219D, S60221A, S60221D, S60222A, S60222D, S60229A, S60229D, S60311A, S60311D, S60312A, S60312D, S60319A, S60319D, S60410A, S60410D, S60411A, S60411D, S60412A, S60412D, S60413A, S60413D, S60414A, S60414D, S60415A, S60415D, S60416A, S60416D, S60417A, S60417D, S60418A, S60418D, S60419A, S60419D, S60511A, S60511D, S60512A, S60512D, S60519A, S60519D, S60811A, S60811D, S60812A, S60812D, S60819A, S60819D, S7000XA, S7000XD, S7001XA, S7001XD, S7002XA, S7002XD, S7010XA, S7010XD, S7011XA, S7011XD, S7012XA, S7012XD, S70211A, S70211D, S70212A, S70212D, S70219A, S70219D, S70311A, S70311D, S70312A, S70312D, S70319A, S70319D, S8000XA, S8000XD, S8001XA, S8001XD, S8002XA, S8002XD, S8010XA, S8010XD, S8011XA, S8011XD, S8012XA, S8012XD, S80211A, S80211D, S80212A, S80212D, S80219A, S80219D, S80811A, S80811D, S80812A, S80812D, S80819A, S80819D, S9000XA, S9000XD, S9001XA, S9001XD, S9002XA, S9002XD, S90111A, S90111D, S90112A, S90112D, S90119A, S90119D, S90121A, S90121D, S90122A, S90122D, S90129A, S90129D, S90211A, S90211D, S90212A, S90212D, S90219A, S90219D, S90221A, S90221D, S90222A, S90222D, S90229A, S90229D, S9030XA, S9030XD, S9031XA, S9031XD, S9032XA, S9032XD, S90411A, S90411D, S90412A, S90412D, S90413A, S90413D, S90414A, S90414D, S90415A, S90415D, S90416A, S90416D, S90511A, S90511D, S90512A, S90512D, S90519A, S90519D, S90811A, S90811D, S90812A, S90812D, S90819A, S90819D
DXX01390Coma, persistent vegetative stateE035, R4020, R402110, R402111, R402112, R402113, R402114, R402120, R402121, R402122, R402123, R402124, R402210, R402211, R402212, R402213, R402214, R402220, R402221, R402222, R402223, R402224, R402310, R402311, R402312, R402313, R402314, R402320, R402321, R402322, R402323, R402324, R402340, R402341, R402342, R402343, R402344
DXX01391Meningitis / EncephalitisG0481, G0490, G0491, G374
DXX01392Delirium, EncephalopathyF05, G92, G9340, G9349
DXX01401DyskinesiaG210, G2401, G2402, G2409, G242, G244, G248, G249, G253, G254, G255, G2570, G2571, G2579, G2589, G259, G26
DXX02107Inj – eyelid / periocular area – open wound – lacerationS01111A, S01112A, S01119A, S01121A, S01122A, S01129A
DXX02147Injury to the eyeS01111D, S01112D, S01119D, S01121D, S01122D, S01129D
DXX03203Inj – external ear – open woundS01311A, S01312A, S01319A, S01321A, S01322A, S01329A
DXX03212Inj – nasal septum – open wound – w/o complctnS0121XA
DXX03213Inj – nasal septum – open wound – w/ complctnS0122XA
DXX03223Inj – jaw – open wound – w/ complctnS01421A, S01422A, S01429A
DXX03226Inj – lip – open wound – w/ complctnS01521A
DXX03227Inj – buccal mucosa – open wound – w/o complctnS01512A
DXX03228Inj – buccal mucosa – open wound – w/ complctnS01522A
DXX03237Inj – mouth / pharynx – open woundS1121XA, S1122XA
DXX03242Inj – larynx / trachea – open woundS11011A, S11012A, S11022A, S11031A, S11032A
DXX04130Aspiration PneumoniaJ690
DXX05274Transfusion, Infusion related complicationsT8029XA, T8029XD, T8030XA, T8030XD, T80310A, T80310D, T80311A, T80311D, T80319A, T80319D, T8039XA, T8039XD, T8040XA, T8040XD, T80410A, T80410D, T80411A, T80411D, T80419A, T80419D, T8049XA, T8049XD, T8061XA, T8061XD, T80818A, T80818D, T8089XA, T8089XD, T8090XA, T8090XD, T80910A, T80910D, T80911A, T80911D, T80919A, T80919D, T8092XA, T8092XD, T80A0XA, T80A0XD, T80A10A, T80A10D, T80A11A, T80A11D, T80A19A, T80A19D, T80A9XA, T80A9XD
DXX05275Phlebitis, Deep vein thrombosis (DVT)I8000, I8001, I8002, I8003, I8010, I8011, I8012, I8013, I80201, I80202, I80203, I80209, I80211, I80212, I80213, I80219, I80221, I80222, I80223, I80229, I80231, I80232, I80233, I80239, I80291, I80292, I80293, I80299, I803, I809, I821, I82401, I82402, I82403, I82409, I82411, I82412, I82413, I82419, I82421, I82422, I82423, I82429, I82431, I82432, I82433, I82439, I82441, I82442, I82443, I82449, I82491, I82492, I82493, I82499, I824Y1, I824Y2, I824Y3, I824Y9, I824Z1, I824Z2, I824Z3, I824Z9, I82811, I82812, I82813, I82819, I82890, I8290, I87001, I87002, I87003, I87009, I87011, I87012, I87013, I87019, I87021, I87022, I87023, I87029, I87031, I87032, I87033, I87039, I87091, I87092, I87093, I87099, T79A0XA, T79A0XD
DXX05291Recent AMII220, I221, I222, I228, I229
DXX05297Hypotension / SyncopeR55
DXX05298Fluid Electrolyte Acid Base ProblemsE870, E871, E872, E875, E876, E8770, E8779, E878
DXX05299Shock / Cardiac ArrestI462, I468, I469, I4901, I4902, R570, T882XXA, T882XXD, T886XXA, T886XXD
DXX05309IVC & other intra-abd venous thrombosisI82220, I823
DXX05311Other Phlebitis, Lymphangitis, varicesI808, I82210, I82290, I82601, I82602, I82603, I82609, I82611, I82612, I82613, I82619, I82621, I82622, I82623, I82629, I82A11, I82A12, I82A13, I82A19, I82B11, I82B12, I82B13, I82B19, I82C11, I82C12, I82C13, I82C19, I891
DXX05375DehydrationE860, E861, E869
DXX06306GI BleedK2901, K2961, K2971, K2981, K2991, K920, K922
DXX06312Injury to GI TractS31621A
DXX07114HepatotoxicityK710, K7110, K712, K716, K717, K718, K719
DXX07117Hepatic EncephalopathyK7111
DXX0717Acute Pancreatitis, pseudo cystK852, K8520, K8521, K8522, K853, K8530, K8531, K8532
DXX081000Inj – uppr extrmty – nos – open woundS41029A
DXX081003Inj – hip / thigh – open woundS71021A, S71022A, S71029A, S71121A, S71122A, S71129A
DXX081009Inj – knee / lower leg / ankle – open woundS81821A, S81822A, S81829A, S91021A, S91022A, S91029A
DXX081011Inj – foot – open woundS91321A, S91322A, S91329A
DXX081014Inj – toe – open woundS91121A, S91122A, S91123A, S91129A, S91221A, S91222A, S91223A, S91225A, S91226A, S91229A
DXX08962Inj – head – nos – open wound – w/ complctnS0192XA
DXX08964Inj – neck – open woundS1181XA, S1182XA, S1191XA, S1192XA
DXX08967Inj – buttock – open woundS31801A, S31802A, S31811A, S31812A, S31821A, S31822A
DXX08971Inj – chest wall – open woundS2191XA
DXX08972Inj – axilla – open woundS41011A, S41012A, S41019A, S41021A, S41022A
DXX08978Inj – shoulder / upper arm – open woundS41111A, S41112A, S41119A, S41121A, S41122A, S41129A
DXX08982Inj – elbow – open woundS51011A, S51012A, S51019A, S51021A, S51022A, S51029A
DXX08984Inj – forearm – open woundS51821A, S51822A, S51829A
DXX08987Inj – wrist – open woundS61521A, S61522A, S61529A
DXX08989Inj – hand – open woundS61421A, S61422A, S61429A
DXX09105Inj – scalp – open wound – w/ complctnS0102XA
DXX09115Inj – trunk – nos – open woundS31831A
DXX09118Inj – breast – open woundS21011A, S21012A, S21019A, S21021A, S21022A, S21029A
DXX09187Wound InfectionsT814XXA, T814XXD, T8183XA, T8183XD
DXX09190Wound DehiscenceT8133XA, T8133XD
DXX09191Decubitus UlcerL89000, L89001, L89002, L89009, L89010, L89011, L89012, L89019, L89020, L89021, L89022, L89029, L89100, L89101, L89102, L89109, L89110, L89111, L89112, L89119, L89120, L89121, L89122, L89129, L89130, L89131, L89132, L89139, L89140, L89141, L89142, L89149, L89150, L89151, L89152, L89159, L89200, L89201, L89202, L89209, L89210, L89211, L89212, L89219, L89220, L89221, L89222, L89229, L89300, L89301, L89302, L89309, L89310, L89311, L89312, L89319, L89320, L89321, L89322, L89329, L8940, L8941, L8942, L8945, L89500, L89501, L89502, L89509, L89510, L89511, L89512, L89519, L89520, L89521, L89522, L89529, L89600, L89601, L89602, L89609, L89610, L89611, L89612, L89619, L89620, L89621, L89622, L89629, L89810, L89811, L89812, L89819, L89890, L89891, L89892, L89899, L8990, L8991, L8992, L8995
DXX09195Toxic ErythemaL1230, L1231, L1235, L511, L512, L513, L530, L531, L532
DXX09205InjuriesS022XXA, S022XXD
DXX0994Inj – forehead – open wound – w/ complctnS0182XA
DXX1030Diabetes, poor controlE160, E161, E162
DXX1091Inj – thyroid gland – open woundS1111XA, S1112XA
DXX11147Complication of genitourinary deviceT83018A, T83018D, T83028A, T83028D, T83098A, T83098D
DXX11166Gonococcal Infection of Genitourinary TractA5402, A5409, A541
DXX1261Inj – penis – open woundS3121XA, S3122XA
DXX1262Inj – scrotum / testes – open woundS3131XA, S3132XA
DXX1385Inj – vulva – open woundS3141XA, S3142XA
DXX1850MRSA, Drug Resistant InfectionsA4902, B9562
DXX1858SyphilisA5141, A5149, A515, A539
DXX1859Other Gonococcal InfectionsA5430, A5431, A5432, A5433, A5439, A545, A5482, A5484, A549
DXX1860Other Sexually Transmitted DiseasesA55, A5601, A5602, A5609, A57, A58, A5900, A5901, A5902, A5903, A5909, A598, A599, A638, A64
DXX1861Herpes Virus InfectionA6000, A6002, A6003, A601, A609
DXX1863Chlamydial infectionsA5600, A5619, A562, A563, A564, A568, A749
DXX19103Altered mental statusR440, R442, R443
DXX1948Suicide or Self-inflicted InjuryT1491, T360X2A, T360X2D, T360X2D, T361X2A, T361X2D, T361X2D, T362X2A, T362X2D, T362X2D, T363X2A, T363X2D, T363X2D, T364X2A, T364X2D, T364X2D, T365X2A, T365X2D, T365X2D, T366X2A, T366X2D, T366X2D, T367X2A, T367X2D, T367X2D, T368X2A, T368X2D, T368X2D, T3692XA, T3692XD, T3692XD, T370X2A, T370X2D, T370X2D, T371X2A, T371X2D, T371X2D, T372X2A, T372X2D, T372X2D, T373X2A, T373X2D, T373X2D, T374X2A, T374X2D, T374X2D, T375X2A, T375X2D, T375X2D, T378X2A, T378X2D, T378X2D, T3792XA, T3792XD, T3792XD, T380X2A, T380X2D, T380X2D, T381X2A, T381X2D, T381X2D, T382X2A, T382X2D, T382X2D, T383X2A, T383X2D, T383X2D, T384X2A, T384X2D, T384X2D, T385X2A, T385X2D, T385X2D, T386X2A, T386X2D, T386X2D, T387X2A, T387X2D, T387X2D, T38802A, T38802D, T38802D, T38812A, T38812D, T38812D, T38892A, T38892D, T38892D, T38902A, T38902D, T38902D, T38992A, T38992D, T38992D, T39012A, T39012D, T39012D, T39092A, T39092D, T39092D, T391X2A, T391X2D, T391X2D, T392X2A, T392X2D, T392X2D, T39312A, T39312D, T39312D, T39392A, T39392D, T39392D, T394X2A, T394X2D, T394X2D, T398X2A, T398X2D, T398X2D, T3992XA, T3992XD, T3992XD, T400X2D, T405X2A, T405X2D, T40602D, T40692D, T407X2D, T408X2D, T40902D, T40992D, T410X2A, T410X2D, T410X2D, T411X2A, T411X2D, T411X2D, T41202A, T41202D, T41202D, T41292A, T41292D, T41292D, T413X2A, T413X2D, T413X2D, T4142XA, T4142XD, T4142XD, T415X2A, T415X2D, T415X2D, T420X2A, T420X2D, T420X2D, T421X2A, T421X2D, T421X2D, T422X2A, T422X2D, T422X2D, T423X2A, T423X2D, T423X2D, T424X2A, T424X2D, T424X2D, T425X2A, T425X2D, T425X2D, T426X2A, T426X2D, T426X2D, T4272XA, T4272XD, T4272XD, T428X2A, T428X2D, T428X2D, T43012A, T43012D, T43012D, T43022A, T43022D, T43022D, T431X2A, T431X2D, T431X2D, T43202A, T43202D, T43202D, T43212A, T43212D, T43212D, T43222A, T43222D, T43222D, T43292A, T43292D, T43292D, T433X2A, T433X2D, T433X2D, T434X2A, T434X2D, T434X2D, T43502A, T43502D, T43502D, T43592A, T43592D, T43592D, T43602D, T43612A, T43612D, T43612D, T43622A, T43622D, T43622D, T43632A, T43632D, T43632D, T43692A, T43692D, T43692D, T438X2A, T438X2D, T438X2D, T4392XA, T4392XD, T4392XD, T440X2A, T440X2D, T440X2D, T441X2A, T441X2D, T441X2D, T442X2A, T442X2D, T442X2D, T443X2A, T443X2D, T443X2D, T444X2A, T444X2D, T444X2D, T445X2A, T445X2D, T445X2D, T446X2A, T446X2D, T446X2D, T447X2A, T447X2D, T447X2D, T448X2A, T448X2D, T448X2D, T44902A, T44902D, T44902D, T44992A, T44992D, T44992D, T450X2A, T450X2D, T450X2D, T451X2A, T451X2D, T451X2D, T452X2A, T452X2D, T452X2D, T453X2A, T453X2D, T453X2D, T454X2A, T454X2D, T454X2D, T45512A, T45512D, T45512D, T45522A, T45522D, T45522D, T45602A, T45602D, T45602D, T45612A, T45612D, T45612D, T45622A, T45622D, T45622D, T45692A, T45692D, T45692D, T457X2A, T457X2D, T457X2D, T458X2A, T458X2D, T458X2D, T4592XA, T4592XD, T4592XD, T460X2A, T460X2D, T460X2D, T461X2A, T461X2D, T461X2D, T462X2A, T462X2D, T462X2D, T463X2A, T463X2D, T463X2D, T464X2A, T464X2D, T464X2D, T465X2A, T465X2D, T465X2D, T466X2A, T466X2D, T466X2D, T467X2A, T467X2D, T467X2D, T468X2A, T468X2D, T468X2D, T46902A, T46902D, T46902D, T46992A, T46992D, T46992D, T470X2A, T470X2D, T470X2D, T471X2A, T471X2D, T471X2D, T472X2A, T472X2D, T472X2D, T473X2A, T473X2D, T473X2D, T474X2A, T474X2D, T474X2D, T475X2A, T475X2D, T475X2D, T476X2A, T476X2D, T476X2D, T477X2A, T477X2D, T477X2D, T478X2A, T478X2D, T478X2D, T4792XA, T4792XD, T4792XD, T480X2A, T480X2D, T480X2D, T481X2A, T481X2D, T481X2D, T48202A, T48202D, T48202D, T48292A, T48292D, T48292D, T483X2A, T483X2D, T483X2D, T484X2A, T484X2D, T484X2D, T485X2A, T485X2D, T485X2D, T486X2A, T486X2D, T486X2D, T48902A, T48902D, T48902D, T48992A, T48992D, T48992D, T490X2A, T490X2D, T490X2D, T491X2A, T491X2D, T491X2D, T492X2A, T492X2D, T492X2D, T493X2A, T493X2D, T493X2D, T494X2A, T494X2D, T494X2D, T495X2A, T495X2D, T495X2D, T496X2A, T496X2D, T496X2D, T497X2A, T497X2D, T497X2D, T498X2A, T498X2D, T498X2D, T4992XA, T4992XD, T4992XD, T500X2A, T500X2D, T500X2D, T501X2A, T501X2D, T501X2D, T502X2A, T502X2D, T502X2D, T503X2A, T503X2D, T503X2D, T504X2A, T504X2D, T504X2D, T505X2A, T505X2D, T505X2D, T506X2A, T506X2D, T506X2D, T507X2A, T507X2D, T507X2D, T508X2A, T508X2D, T508X2D, T50902D, T50992A, T50992D, T50A12A, T50A12D, T50A22A, T50A22D, T50A92A, T50A92D, T50B12A, T50B12D, T50B12D, T50B92A, T50B92D, T50B92D, T50Z12A, T50Z12D, T50Z12D, T50Z92A, T50Z92D, T510X2D, T510X3D, T511X2A, T511X2D, T511X2D, T512X2A, T512X2D, T512X2D, T513X2A, T513X2D, T513X2D, T518X2A, T518X2D, T518X2D, T5192XA, T5192XD, T5192XD, T520X2A, T520X2D, T520X2D, T521X2A, T521X2D, T521X2D, T522X2A, T522X2D, T522X2D, T523X2A, T523X2D, T523X2D, T524X2A, T524X2D, T524X2D, T528X2A, T528X2D, T528X2D, T5292XA, T5292XD, T5292XD, T530X2A, T530X2D, T530X2D, T531X2A, T531X2D, T531X2D, T532X2A, T532X2D, T532X2D, T533X2A, T533X2D, T533X2D, T534X2A, T534X2D, T534X2D, T535X2A, T535X2D, T535X2D, T536X2A, T536X2D, T536X2D, T537X2A, T537X2D, T537X2D, T5392XA, T5392XD, T5392XD, T540X2A, T540X2D, T540X2D, T541X2A, T541X2D, T541X2D, T542X2A, T542X2D, T543X2A, T543X2D, T5492XA, T5492XD, T550X2A, T550X2D, T550X2D, T551X2A, T551X2D, T551X2D, T560X2A, T560X2D, T560X2D, T561X2A, T561X2D, T561X2D, T562X2A, T562X2D, T562X2D, T563X2A, T563X2D, T563X2D, T564X2A, T564X2D, T564X2D, T565X2A, T565X2D, T565X2D, T566X2A, T566X2D, T566X2D, T567X2A, T567X2D, T567X2D, T56812A, T56812D, T56812D, T56892A, T56892D, T56892D, T5692XA, T5692XD, T5692XD, T570X2A, T570X2D, T570X2D, T571X2A, T571X2D, T571X2D, T572X2A, T572X2D, T572X2D, T573X2A, T573X2D, T573X2D, T578X2A, T578X2D, T5792XA, T5792XD, T5802XA, T5802XD, T5802XD, T5812XA, T5812XD, T5812XD, T582X2A, T582X2D, T582X2D, T588X2A, T588X2D, T588X2D, T5892XA, T5892XD, T5892XD, T590X2A, T590X2D, T590X2D, T591X2A, T591X2D, T591X2D, T592X2A, T592X2D, T592X2D, T593X2A, T593X2D, T593X2D, T594X2A, T594X2D, T594X2D, T595X2A, T595X2D, T595X2D, T596X2A, T596X2D, T596X2D, T597X2A, T597X2D, T597X2D, T59812A, T59812D, T59812D, T59892A, T59892D, T59892D, T5992XA, T5992XD, T5992XD, T600X2A, T600X2D, T600X2D, T601X2A, T601X2D, T601X2D, T602X2A, T602X2D, T602X2D, T603X2A, T603X2D, T603X2D, T604X2A, T604X2D, T604X2D, T608X2A, T608X2D, T608X2D, T6092XA, T6092XD, T6092XD, T6102XA, T6102XD, T6102XD, T6112XA, T6112XD, T6112XD, T61772A, T61772D, T61772D, T61782A, T61782D, T61782D, T618X2A, T618X2D, T618X2D, T6192XA, T6192XD, T6192XD, T620X2A, T620X2D, T620X2D, T621X2A, T621X2D, T621X2D, T622X2A, T622X2D, T622X2D, T628X2A, T628X2D, T6292XA, T6292XD, T6292XD, T63002A, T63002D, T63002D, T63012A, T63012D, T63012D, T63022A, T63022D, T63022D, T63032A, T63032D, T63032D, T63042A, T63042D, T63042D, T63062A, T63062D, T63062D, T63072A, T63072D, T63072D, T63082A, T63082D, T63082D, T63092A, T63092D, T63092D, T63112A, T63112D, T63112D, T63122A, T63122D, T63122D, T63192A, T63192D, T63192D, T632X2A, T632X2D, T632X2D, T63302A, T63302D, T63302D, T63312A, T63312D, T63312D, T63322A, T63322D, T63322D, T63332A, T63332D, T63332D, T63392A, T63392D, T63392D, T63412A, T63412D, T63412D, T63422A, T63422D, T63422D, T63432A, T63432D, T63432D, T63442A, T63442D, T63442D, T63452A, T63452D, T63452D, T63462A, T63462D, T63462D, T63482A, T63482D, T63482D, T63512A, T63512D, T63512D, T63592A, T63592D, T63592D, T63612A, T63612D, T63612D, T63622A, T63622D, T63622D, T63632A, T63632D, T63632D, T63692A, T63692D, T63692D, T63712A, T63712D, T63712D, T63792A, T63792D, T63792D, T63812A, T63812D, T63812D, T63822A, T63822D, T63822D, T63832A, T63832D, T63832D, T63892A, T63892D, T63892D, T6392XA, T6392XD, T6392XD, T6402XA, T6402XD, T6402XD, T6482XA, T6482XD, T6482XD, T650X2A, T650X2D, T650X2D, T651X2A, T651X2D, T651X2D, T653X2A, T653X2D, T653X2D, T654X2A, T654X2D, T654X2D, T655X2A, T655X2D, T655X2D, T656X2A, T656X2D, T656X2D, T65812A, T65812D, T65812D, T65822A, T65822D, T65822D, T65832A, T65832D, T65832D, T65892A, T65892D, T6592XA, T6592XD, T71112A, T71112D, T71112D, T71122A, T71122D, T71122D, T71132A, T71132D, T71132D, T71152A, T71152D, T71152D, T71162A, T71162D, T71162D, T71192A, T71192D, T71192D, T71222A, T71222D, T71222D, T71232A, T71232D, T71232D, X710XXA, X710XXD, X710XXD, X711XXA, X711XXD, X711XXD, X712XXA, X712XXD, X712XXD, X713XXA, X713XXD, X713XXD, X718XXA, X718XXD, X718XXD, X719XXA, X719XXD, X719XXD, X72XXXA, X72XXXD, X72XXXD, X730XXA, X730XXD, X730XXD, X731XXA, X731XXD, X731XXD, X732XXA, X732XXD, X732XXD, X738XXA, X738XXD, X738XXD, X739XXA, X739XXD, X739XXD, X7401XA, X7401XD, X7401XD, X7402XA, X7402XD, X7402XD, X7409XA, X7409XD, X7409XD, X748XXA, X748XXD, X748XXD, X749XXA, X749XXD, X749XXD, X75XXXA, X75XXXD, X75XXXD, X76XXXA, X76XXXD, X76XXXD, X770XXA, X770XXD, X770XXD, X771XXA, X771XXD, X771XXD, X772XXA, X772XXD, X772XXD, X773XXA, X773XXD, X773XXD, X778XXA, X778XXD, X778XXD, X779XXA, X779XXD, X779XXD, X780XXA, X780XXD, X780XXD, X781XXA, X781XXD, X781XXD, X782XXA, X782XXD, X782XXD, X788XXA, X788XXD, X788XXD, X789XXA, X789XXD, X789XXD, X79XXXA, X79XXXD, X79XXXD, X80XXXA, X80XXXD, X80XXXD, X810XXA, X810XXD, X810XXD, X811XXA, X811XXD, X811XXD, X818XXA, X818XXD, X818XXD, X820XXA, X820XXD, X820XXD, X821XXA, X821XXD, X821XXD, X822XXA, X822XXD, X822XXD, X828XXA, X828XXD, X828XXD, X830XXA, X830XXD, X830XXD, X831XXA, X831XXD, X831XXD, X832XXA, X832XXD, X832XXD, X838XXA, X838XXD, X838XXD
DXX1950Homicidal ideationR45850
DXX2008Tobacco UseT65211A, T65212A, T65212D, T65214A, T65214D, T65221A, T65221D, T65222A, T65222D, T65224A, T65224D, T65291A, T65291D, T65292A, T65292D, T65294A, T65294D
DXX2010Alcohol induced disordersG621, T510X3A
DXX2021Sedative, hypnotic or anxiolytic intoxicationF13921
DXX2025Opioid intoxicationF11921
DXX2029Stimulant intoxicationF14921, F15921
DXX2033Inhalant intoxicationF18921
DXX2035Other psychoactive substance intoxicationF19921
DXX2037Hallucinogen intoxicationF16921
DXX2040Poisoning by OpiatesT40601A, T40601D, T40604D, T40691A, T40691D, T40694D
DXX2117Inj – nos – poisoningT535X1A, T561X1A, T561X4A, T562X1A, T562X4A, T563X1A, T563X4A, T564X1A, T564X4A, T565X1A, T565X4A, T566X1A, T566X4A, T567X1A, T567X4A, T56811A, T56814A, T56891A, T56894A, T5691XA, T5694XA, T570X1A, T570X4A, T572X1A, T572X4A, T591X1A, T593X1A, T65811A, T65814A, T65894A
DXX2119Inj – nos – otherT71111A, T71114A, T71121A, T71124A, T71131A, T71134A, T71141A, T71143A, T71144A, T71151A, T71154A, T71161A, T71164A
DXX2127Othr – otherT650X1A, T650X4A, T651X1A, T651X4A, T653X1A, T653X4A, T654X1A, T654X4A, T655X1A, T655X4A, T656X1A, T656X4A, T65831A, T65834A, T65891A, T6591XA, T6594XA
DXX2161Complications from Central LineT80211A, T80211D, T80212A, T80212D, T80218A, T80218D, T80219A, T80219D, T8022XA, T8022XD
DXX2164Accidental FallsV00811A, V00811D, V00812A, V00812D, V00818A, V00818D, V00831A, V00831D, W050XXA, W050XXD, W051XXA, W051XXD, W052XXA, W052XXD, W06XXXA, W06XXXD, W07XXXA, W07XXXD, W08XXXA, W08XXXD, W102XXA, W102XXD, W108XXA, W108XXD, W109XXA, W109XXD, W1811XA, W1811XD, W1812XA, W1812XD
DXX2165Toxic Myopathy, NeuropathyG720, G721, G722
DXX2166Toxic Effects of SubstancesT511X1A, T511X1D, T511X4A, T511X4D, T512X1A, T512X1D, T512X4A, T512X4D, T513X1A, T513X1D, T513X4A, T513X4D, T518X1A, T518X1D, T518X4A, T518X4D, T5194XD, T520X1A, T520X1D, T520X4A, T520X4D, T521X1A, T521X1D, T521X4A, T521X4D, T522X1A, T522X1D, T522X4A, T522X4D, T523X1A, T523X1D, T523X4A, T523X4D, T524X1A, T524X1D, T524X4A, T524X4D, T528X1A, T528X1D, T528X4A, T528X4D, T5291XA, T5291XD, T5294XA, T5294XD, T530X1D, T530X4A, T530X4D, T531X1D, T531X4A, T531X4D, T532X1D, T532X4A, T532X4D, T533X1D, T533X4A, T533X4D, T534X1D, T534X4A, T534X4D, T535X1D, T535X4D, T536X1D, T536X3D, T536X4A, T536X4D, T537X1D, T537X3D, T537X4A, T537X4D, T5391XD, T5393XD, T5394XA, T5394XD, T540X1A, T540X1D, T540X4A, T540X4D, T541X1A, T541X1D, T541X4A, T541X4D, T542X1A, T542X1D, T542X3D, T542X4A, T542X4D, T543X1A, T543X1D, T543X3D, T543X4A, T543X4D, T5491XA, T5491XD, T5494XA, T5494XD, T550X1A, T550X1D, T550X4A, T550X4D, T551X1A, T551X1D, T551X4A, T551X4D, T560X1D, T560X4D, T561X1D, T561X4D, T562X1D, T562X4D, T563X1D, T563X4D, T564X1D, T564X4D, T565X1D, T565X4D, T566X1D, T566X4D, T567X1D, T567X4D, T56811D, T56814D, T56891D, T56894D, T5691XD, T5694XD, T570X1D, T570X4D, T571X1A, T571X1D, T571X4A, T571X4D, T572X1D, T572X4D, T573X1D, T573X4D, T578X1A, T578X1D, T578X4A, T578X4D, T5791XA, T5791XD, T5794XA, T5794XD, T5801XA, T5801XD, T5803XD, T5804XA, T5804XD, T5811XA, T5811XD, T5814XA, T5814XD, T582X1A, T582X1D, T582X3D, T582X4A, T582X4D, T588X1A, T588X1D, T588X4A, T588X4D, T5891XA, T5891XD, T5894XA, T5894XD, T590X1D, T590X4D, T591X1D, T591X4D, T592X1D, T592X4D, T593X1D, T593X4D, T594X1D, T594X4D, T595X1D, T595X3D, T595X4D, T596X1A, T596X1D, T596X4D, T597X1D, T597X4D, T59811D, T59814D, T59891D, T59894D, T5991XD, T5994XD, T600X1A, T600X1D, T600X3D, T600X4A, T600X4D, T601X1A, T601X1D, T601X4A, T601X4D, T602X1A, T602X1D, T602X4A, T602X4D, T603X1A, T603X1D, T603X4A, T603X4D, T604X1A, T604X1D, T604X4A, T604X4D, T608X1A, T608X1D, T608X4A, T608X4D, T6091XA, T6091XD, T6094XA, T6094XD, T650X1D, T650X4D, T651X1D, T651X4D, T65211D, T653X1D, T653X3D, T653X4D, T654X1D, T654X4D, T655X1D, T655X3D, T655X4D, T656X1D, T656X4D, T65811D, T65814D, T65831D, T65834D, T65891D, T65894D, T6591XD, T6594XD
DXX2167Accidental Poisoning by AlcoholT5191XA
DXX2169Poisoning by PsychostimulantsT43601A
DXX2170Frostbite ChillblainsT33011A, T33011D, T33012A, T33012D, T33019A, T33019D, T3302XA, T3302XD, T3309XA, T3309XD, T331XXA, T331XXD, T332XXA, T332XXD, T333XXA, T333XXD, T3340XA, T3340XD, T3341XA, T3341XD, T3342XA, T3342XD, T33511A, T33511D, T33512A, T33512D, T33519A, T33519D, T33521A, T33521D, T33522A, T33522D, T33529A, T33529D, T33531A, T33531D, T33532A, T33532D, T33539A, T33539D, T3360XA, T3360XD, T3361XA, T3361XD, T3362XA, T3362XD, T3370XA, T3370XD, T3371XA, T3371XD, T3372XA, T3372XD, T33811A, T33811D, T33812A, T33812D, T33819A, T33819D, T33821A, T33821D, T33822A, T33822D, T33829A, T33829D, T33831A, T33831D, T33832A, T33832D, T33839A, T33839D, T3390XA, T3390XD, T3399XA, T3399XD, T34011A, T34011D, T34012A, T34012D, T34019A, T34019D, T3402XA, T3402XD, T3409XA, T3409XD, T341XXA, T341XXD, T342XXA, T342XXD, T343XXA, T343XXD, T3440XA, T3440XD, T3441XA, T3441XD, T3442XA, T3442XD, T34511A, T34511D, T34512A, T34512D, T34519A, T34519D, T34521A, T34521D, T34522A, T34522D, T34529A, T34529D, T34531A, T34531D, T34532A, T34532D, T34539A, T34539D, T3460XA, T3460XD, T3461XA, T3461XD, T3462XA, T3462XD, T3470XA, T3470XD, T3471XA, T3471XD, T3472XA, T3472XD, T34811A, T34811D, T34812A, T34812D, T34819A, T34819D, T34821A, T34821D, T34822A, T34822D, T34829A, T34829D, T34831A, T34831D, T34832A, T34832D, T34839A, T34839D, T3490XA, T3490XD, T3499XA, T3499XD, T68XXXA, T68XXXD, T691XXA, T691XXD
DXX2171Adverse effects of drugsT39015A, T39015D, T39095A, T39095D, T391X5A, T391X5D, T392X5A, T392X5D, T39315A, T39315D, T39395A, T39395D, T394X5A, T394X5D, T398X5A, T398X5D, T398X5D, T3995XA, T3995XD, T3995XD, T400X5A, T400X5D, T402X5A, T402X5D, T402X5D, T403X5A, T403X5D, T404X5A, T404X5D, T404X5D, T405X5A, T405X5D, T405X5D, T40605A, T40605D, T40605D, T40695A, T40695D, T40695D, T407X5A, T407X5D, T407X5D, T40905A, T40905D, T40905D, T40995A, T40995D, T40995D, T410X5D, T411X5D, T41205D, T41295D, T413X5D, T4145XD, T415X5A, T415X5D, T423X5A, T423X5D, T423X5D, T424X5A, T424X5D, T424X5D, T426X5A, T426X5D, T426X5D, T4275XA, T4275XD, T4275XD, T43015A, T43015D, T43015D, T43025A, T43025D, T43025D, T431X5A, T431X5D, T431X5D, T43205A, T43205D, T43205D, T43215A, T43215D, T43215D, T43225A, T43225D, T43225D, T43295A, T43295D, T43295D, T433X5A, T433X5D, T433X5D, T434X5A, T434X5D, T434X5D, T43505A, T43505D, T43505D, T43595A, T43595D, T43595D, T43605A, T43605D, T43605D, T43615A, T43615D, T43625A, T43625D, T43625D, T43635A, T43635D, T43635D, T43695A, T43695D, T43695D, T438X5A, T438X5D, T438X5D, T4395XA, T4395XD, T4395XD, T452X5A, T452X5D, T454X5A, T454X5D, T470X5A, T470X5D, T471X5A, T471X5D, T472X5A, T472X5D, T473X5A, T473X5D, T474X5A, T474X5D, T476X5A, T476X5D, T476X5D, T477X5A, T477X5D, T483X5A, T483X5D, T484X5A, T484X5D, T485X5A, T485X5D, T490X5A, T490X5D, T491X5A, T491X5D, T492X5A, T492X5D, T493X5A, T493X5D, T494X5A, T494X5D, T505X5A, T505X5D, T506X5A, T506X5D, T506X5D, T507X5A, T507X5D, T507X5D, T508X5A, T508X5D
DXX2172Overdose, PoisoningsT39011A, T39011D, T39014A, T39014D, T39091A, T39091D, T39094A, T39094D, T39391A, T39391D, T39394A, T39394D, T394X1A, T394X1D, T394X4A, T394X4D, T398X1A, T398X1D, T398X4A, T398X4D, T3991XA, T3991XD, T3994XA, T3994XD, T410X1A, T410X1D, T410X4A, T410X4D, T411X1A, T411X1D, T411X4A, T411X4D, T41201A, T41201D, T41204A, T41204D, T41291A, T41291D, T41294A, T41294D, T413X1A, T413X1D, T413X4A, T413X4D, T4141XA, T4141XD, T4144XA, T4144XD, T415X1A, T415X1D, T415X4A, T415X4D, T423X1A, T423X1D, T423X4A, T423X4D, T424X1A, T424X1D, T424X4A, T424X4D, T426X1A, T426X1D, T426X4A, T426X4D, T4271XA, T4271XD, T4274XA, T4274XD, T43011A, T43011D, T43014A, T43014D, T43021A, T43021D, T43024A, T43024D, T431X1A, T431X1D, T431X4A, T431X4D, T43201A, T43201D, T43204A, T43204D, T43211A, T43211D, T43214A, T43214D, T43221A, T43221D, T43224A, T43224D, T43291A, T43291D, T43294A, T43294D, T433X1A, T433X1D, T433X4A, T433X4D, T434X1A, T434X1D, T434X4A, T434X4D, T43501A, T43501D, T43504A, T43504D, T43591A, T43591D, T43594A, T43594D, T43621A, T43621D, T43624A, T43624D, T43631A, T43631D, T43634A, T43634D, T43691A, T43691D, T43694A, T43694D, T438X1A, T438X1D, T438X4A, T438X4D, T4391XA, T4391XD, T4394XA, T4394XD, T506X1A, T506X1D, T506X4A, T506X4D, T507X1A, T507X1D, T507X4A, T507X4D, T530X1A, T531X1A, T532X1A, T533X1A, T534X1A, T536X1A, T537X1A, T5391XA, T592X1A, T592X4A, T595X1A, T595X4A, T596X4A, T597X1A, T597X4A, T59811A, T59814A, T59891A, T59894A, T5991XA, T5994XA
DXX2175Complications of anesthesiaT410X5A, T411X5A, T41205A, T41295A, T413X5A, T4145XA, T883XXA, T883XXD, T884XXA, T884XXD, T8851XA, T8851XD, T8852XA, T8852XD, T8853XA, T8853XD, T8859XA, T8859XD
DXX22274BurnsT2000XA, T2000XD, T20011D, T20012D, T20019D, T2002XD, T2003XD, T2004XD, T2005XD, T2006XD, T2007XD, T2009XD, T2010XA, T2010XD, T20111A, T20111D, T20112A, T20112D, T20119A, T20119D, T2012XA, T2012XD, T2013XA, T2013XD, T2014XD, T2015XD, T2016XD, T2017XD, T2019XD, T2020XA, T2020XD, T20211A, T20211D, T20212A, T20212D, T20219A, T20219D, T2022XA, T2022XD, T2023XA, T2023XD, T2024XD, T2025XD, T2026XD, T2027XD, T2029XD, T2030XD, T20311D, T20312D, T20319D, T2032XD, T2033XD, T2034XD, T2035XD, T2036XD, T2037XD, T2039XD, T2040XA, T2040XD, T20411D, T20412D, T20419D, T2042XD, T2043XD, T2044XD, T2045XD, T2046XD, T2047XD, T2049XD, T2050XA, T2050XD, T20511A, T20511D, T20512A, T20512D, T20519A, T20519D, T2052XA, T2052XD, T2053XA, T2053XD, T2054XD, T2055XD, T2056XD, T2057XD, T2059XD, T2060XA, T2060XD, T20611A, T20611D, T20612A, T20612D, T20619A, T20619D, T2062XA, T2062XD, T2063XA, T2063XD, T2064XD, T2065XD, T2066XD, T2067XD, T2069XD, T2070XD, T20711D, T20712D, T20719D, T2072XD, T2073XD, T2074XD, T2075XD, T2076XD, T2077XD, T2079XD, T2100XD, T2101XD, T2102XD, T2103XD, T2104XD, T2105XD, T2106XD, T2107XD, T2109XD, T2110XD, T2111XD, T2112XD, T2113XD, T2114XD, T2115XD, T2116XD, T2117XD, T2119XD, T2120XD, T2121XD, T2122XD, T2123XD, T2124XD, T2125XD, T2126XD, T2127XD, T2129XD, T2130XD, T2131XD, T2132XD, T2133XD, T2134XD, T2135XD, T2136XD, T2137XD, T2139XD, T2140XD, T2141XD, T2142XD, T2143XD, T2144XD, T2145XD, T2146XD, T2147XD, T2149XD, T2150XD, T2151XD, T2152XD, T2153XD, T2154XD, T2155XD, T2156XD, T2157XD, T2159XD, T2160XD, T2161XD, T2162XD, T2163XD, T2164XD, T2165XD, T2166XD, T2167XD, T2169XD, T2170XD, T2171XD, T2172XD, T2173XD, T2174XD, T2175XD, T2176XD, T2177XD, T2179XD, T2200XD, T22011D, T22012D, T22019D, T22021D, T22022D, T22029D, T22031D, T22032D, T22039D, T22041D, T22042D, T22049D, T22051D, T22052D, T22059D, T22061D, T22062D, T22069D, T22091D, T22092D, T22099D, T2210XD, T22111D, T22112D, T22119D, T22121D, T22122D, T22129D, T22131D, T22132D, T22139D, T22141D, T22142D, T22149D, T22151D, T22152D, T22159D, T22161D, T22162D, T22169D, T22191D, T22192D, T22199D, T2220XD, T22211D, T22212D, T22219D, T22221D, T22222D, T22229D, T22231D, T22232D, T22239D, T22241D, T22242D, T22249D, T22251D, T22252D, T22259D, T22261D, T22262D, T22269D, T22291D, T22292D, T22299D, T2230XD, T22311D, T22312D, T22319D, T22321D, T22322D, T22329D, T22331D, T22332D, T22339D, T22341D, T22342D, T22349D, T22351D, T22352D, T22359D, T22361D, T22362D, T22369D, T22391D, T22392D, T22399D, T2240XD, T22411D, T22412D, T22419D, T22421D, T22422D, T22429D, T22431D, T22432D, T22439D, T22441D, T22442D, T22449D, T22451D, T22452D, T22459D, T22461D, T22462D, T22469D, T22491D, T22492D, T22499D, T2250XD, T22511D, T22512D, T22519D, T22521D, T22522D, T22529D, T22531D, T22532D, T22539D, T22541D, T22542D, T22549D, T22551D, T22552D, T22559D, T22561D, T22562D, T22569D, T22591D, T22592D, T22599D, T2260XD, T22611D, T22612D, T22619D, T22621D, T22622D, T22629D, T22631D, T22632D, T22639D, T22641D, T22642D, T22649D, T22651D, T22652D, T22659D, T22661D, T22662D, T22669D, T22691D, T22692D, T22699D, T2270XD, T22711D, T22712D, T22719D, T22721D, T22722D, T22729D, T22731D, T22732D, T22739D, T22741D, T22742D, T22749D, T22751D, T22752D, T22759D, T22761D, T22762D, T22769D, T22791D, T22792D, T22799D, T23001D, T23002D, T23009D, T23011D, T23012D, T23019D, T23021D, T23022D, T23029D, T23031D, T23032D, T23039D, T23041D, T23042D, T23049D, T23051D, T23052D, T23059D, T23061D, T23062D, T23069D, T23071D, T23072D, T23079D, T23091D, T23092D, T23099D, T23101D, T23102D, T23109D, T23111D, T23112D, T23119D, T23121D, T23122D, T23129D, T23131D, T23132D, T23139D, T23141D, T23142D, T23149D, T23151D, T23152D, T23159D, T23161D, T23162D, T23169D, T23171D, T23172D, T23179D, T23191D, T23192D, T23199D, T23201D, T23202D, T23209D, T23211D, T23212D, T23219D, T23221D, T23222D, T23229D, T23231D, T23232D, T23239D, T23241D, T23242D, T23249D, T23251D, T23252D, T23259D, T23261D, T23262D, T23269D, T23271D, T23272D, T23279D, T23291D, T23292D, T23299D, T23301D, T23302D, T23309D, T23311D, T23312D, T23319D, T23321D, T23322D, T23329D, T23331D, T23332D, T23339D, T23341D, T23342D, T23349D, T23351D, T23352D, T23359D, T23361D, T23362D, T23369D, T23371D, T23372D, T23379D, T23391D, T23392D, T23399D, T23401D, T23402D, T23409D, T23411D, T23412D, T23419D, T23421D, T23422D, T23429D, T23431D, T23432D, T23439D, T23441D, T23442D, T23449D, T23451D, T23452D, T23459D, T23461D, T23462D, T23469D, T23471D, T23472D, T23479D, T23491D, T23492D, T23499D, T23501D, T23502D, T23509D, T23511D, T23512D, T23519D, T23521D, T23522D, T23529D, T23531D, T23532D, T23539D, T23541D, T23542D, T23549D, T23551D, T23552D, T23559D, T23561D, T23562D, T23569D, T23571D, T23572D, T23579D, T23591D, T23592D, T23599D, T23601D, T23602D, T23609D, T23611D, T23612D, T23619D, T23621D, T23622D, T23629D, T23631D, T23632D, T23639D, T23641D, T23642D, T23649D, T23651D, T23652D, T23659D, T23661D, T23662D, T23669D, T23671D, T23672D, T23679D, T23691D, T23692D, T23699D, T23701D, T23702D, T23709D, T23711D, T23712D, T23719D, T23721D, T23722D, T23729D, T23731D, T23732D, T23739D, T23741D, T23742D, T23749D, T23751D, T23752D, T23759D, T23761D, T23762D, T23769D, T23771D, T23772D, T23779D, T23791D, T23792D, T23799D, T24001D, T24002D, T24009D, T24011D, T24012D, T24019D, T24021D, T24022D, T24029D, T24031D, T24032D, T24039D, T24091D, T24092D, T24099D, T24101D, T24102D, T24109D, T24111D, T24112D, T24119D, T24121D, T24122D, T24129D, T24131D, T24132D, T24139D, T24191D, T24192D, T24199D, T24201D, T24202D, T24209D, T24211D, T24212D, T24219D, T24221D, T24222D, T24229D, T24231D, T24232D, T24239D, T24291D, T24292D, T24299D, T24301D, T24302D, T24309D, T24311D, T24312D, T24319D, T24321D, T24322D, T24329D, T24331D, T24332D, T24339D, T24391D, T24392D, T24399D, T24401D, T24402D, T24409D, T24411D, T24412D, T24419D, T24421D, T24422D, T24429D, T24431D, T24432D, T24439D, T24491D, T24492D, T24499D, T24501D, T24502D, T24509D, T24511D, T24512D, T24519D, T24521D, T24522D, T24529D, T24531D, T24532D, T24539D, T24591D, T24592D, T24599D, T24601D, T24602D, T24609D, T24611D, T24612D, T24619D, T24621D, T24622D, T24629D, T24631D, T24632D, T24639D, T24691D, T24692D, T24699D, T24701D, T24702D, T24709D, T24711D, T24712D, T24719D, T24721D, T24722D, T24729D, T24731D, T24732D, T24739D, T24791D, T24792D, T24799D, T25011D, T25012D, T25019D, T25021D, T25022D, T25029D, T25031D, T25032D, T25039D, T25091D, T25092D, T25099D, T25111D, T25112D, T25119D, T25121D, T25122D, T25129D, T25131D, T25132D, T25139D, T25191D, T25192D, T25199D, T25211D, T25212D, T25219D, T25221D, T25222D, T25229D, T25231D, T25232D, T25239D, T25291D, T25292D, T25299D, T25311D, T25312D, T25319D, T25321D, T25322D, T25329D, T25331D, T25332D, T25339D, T25391D, T25392D, T25399D, T25411D, T25412D, T25419D, T25421D, T25422D, T25429D, T25431D, T25432D, T25439D, T25491D, T25492D, T25499D, T25511D, T25512D, T25519D, T25521D, T25522D, T25529D, T25531D, T25532D, T25539D, T25591D, T25592D, T25599D, T25611D, T25612D, T25619D, T25621D, T25622D, T25629D, T25631D, T25632D, T25639D, T25691D, T25692D, T25699D, T25711D, T25712D, T25719D, T25721D, T25722D, T25729D, T25731D, T25732D, T25739D, T25791D, T25792D, T25799D, T2600XA, T2600XD, T2601XA, T2601XD, T2602XA, T2602XD, T2610XD, T2611XD, T2612XD, T2620XD, T2621XD, T2622XD, T2630XD, T2631XD, T2632XD, T2640XA, T2640XD, T2641XA, T2641XD, T2642XA, T2642XD, T2650XA, T2650XD, T2651XA, T2651XD, T2652XA, T2652XD, T2660XD, T2661XD, T2662XD, T2670XD, T2671XD, T2672XD, T2680XD, T2681XD, T2682XD, T2690XD, T2691XD, T2692XD, T270XXD, T271XXD, T272XXD, T273XXD, T274XXD, T275XXD, T276XXD, T277XXD, T280XXD, T281XXD, T282XXD, T283XXD, T2840XD, T28411D, T28412D, T28419D, T2849XD, T285XXD, T286XXD, T287XXD, T288XXD, T2890XD, T28911D, T28912D, T28919D, T2899XD, T300, T304, T310, T320
DXX2354Othr – aftercareS0102XD, S0121XD, S0122XD, S01311D, S01312D, S01319D, S01321D, S01322D, S01329D, S01421D, S01422D, S01429D, S01512D, S01521D, S01522D, S0182XD, S0192XD, S11011D, S11012D, S11021D, S11022D, S11031D, S11032D, S1111XD, S1112XD, S1121XD, S1122XD, S1181XD, S1182XD, S1191XD, S1192XD, S21011D, S21012D, S21019D, S21021D, S21022D, S21029D, S2191XD, S2192XD, S3121XD, S3122XD, S3131XD, S3132XD, S3141XD, S3142XD, S31521D, S31621D, S31801D, S31802D, S31811D, S31812D, S31821D, S31822D, S31831D, S31832D, S41011D, S41012D, S41019D, S41021D, S41022D, S41029D, S41111D, S41112D, S41119D, S41121D, S41122D, S41129D, S51011D, S51012D, S51019D, S51021D, S51022D, S51029D, S51821D, S51822D, S51829D, S61421D, S61422D, S61429D, S61521D, S61522D, S61529D, S71021D, S71022D, S71029D, S71121D, S71122D, S71129D, S81821D, S81822D, S81829D, S91021D, S91022D, S91029D, S91121D, S91122D, S91123D, S91129D, S91221D, S91222D, S91223D, S91225D, S91226D, S91229D, S91321D, S91322D, S91329D, T71111D, T71114D, T71121D, T71124D, T71131D, T71134D, T71141D, T71143D, T71144D, T71151D, T71154D, T71161D, T71164D
DXX2360Complication of Implanted device, graftT8572XA, T8572XD
DXX2362complications of medical careI973, L7681, L7682, M9689, R680, T782XXD, T801XXA, T801XXD, T8181XA, T8181XD, T880XXA, T880XXD, T881XXA, T881XXD, T887XXA, T887XXD, T889XXA, T889XXD, Y633, Y634, Y658, Y66, Y69, Y847
DXX2411Inj – larynx / trachea – open woundS11021A
DXX2414Inj – trunk – nos – open woundS31832A
DXX2415Inj – chest wall – open woundS2192XA
DXX2428Inj – external genitalia – open woundS31521A
DXX9910HAC 02: Air EmbolismT800XXA, T800XXD
DXX9912HAC 04: Stage III and IV Pressure UlcersL89003, L89004, L89013, L89014, L89023, L89024, L89103, L89104, L89113, L89114, L89123, L89124, L89133, L89134, L89143, L89144, L89153, L89154, L89203, L89204, L89213, L89214, L89223, L89224, L89303, L89304, L89313, L89314, L89323, L89324, L8943, L8944, L89503, L89504, L89513, L89514, L89523, L89524, L89603, L89604, L89613, L89614, L89623, L89624, L89813, L89814, L89893, L89894, L8993, L8994
XX0000Ungrouped CodesT1491XA, T1491XD, T1491XS

Table 4: ICD-10 Relevant Procedure Codes
Group IDGroup NameCode Value
PXX01177Computerized axial tomography (CT) scan head – 177B92FZZZ, B92JZZZ
PXX01199Electroencephalogram (EEG) – 1994A0004Z, 4A0034Z, 4A00X4Z, 4A0104Z, 4A0134Z, 4A01X4Z, 4A1004Z, 4A1034Z, 4A10X4Z, 4A1104Z, 4A1134Z, 4A11X4Z
PXX03231Other therapeutic procedures – 231059030Z, 05903ZZ, 059040Z, 05904ZZ, 059130Z, 05913ZZ, 059140Z, 05914ZZ, 059330Z, 05933ZZ, 059340Z, 05934ZZ, 059430Z, 05943ZZ, 059440Z, 05944ZZ, 059530Z, 05953ZZ, 059540Z, 05954ZZ, 059630Z, 05963ZZ, 059640Z, 05964ZZ, 059730Z, 05973ZZ, 059740Z, 05974ZZ, 059830Z, 05983ZZ, 059840Z, 05984ZZ, 059930Z, 05993ZZ, 059940Z, 05994ZZ, 059A30Z, 059A3ZZ, 059A40Z, 059A4ZZ, 059B30Z, 059B3ZZ, 059B40Z, 059B4ZZ, 059C30Z, 059C3ZZ, 059C40Z, 059C4ZZ, 059D30Z, 059D3ZZ, 059D40Z, 059D4ZZ, 059F30Z, 059F3ZZ, 059F40Z, 059F4ZZ, 059G30Z, 059G3ZZ, 059G40Z, 059G4ZZ, 059H30Z, 059H3ZZ, 059H40Z, 059H4ZZ, 059L30Z, 059L3ZZ, 059L40Z, 059L4ZZ, 059M30Z, 059M3ZZ, 059M40Z, 059M4ZZ, 059N30Z, 059N3ZZ, 059N40Z, 059N4ZZ, 059P30Z, 059P3ZZ, 059P40Z, 059P4ZZ, 059Q30Z, 059Q3ZZ, 059Q40Z, 059Q4ZZ, 059R30Z, 059R3ZZ, 059R40Z, 059R4ZZ, 059S30Z, 059S3ZZ, 059S40Z, 059S4ZZ, 059T30Z, 059T3ZZ, 059T40Z, 059T4ZZ, 059V30Z, 059V3ZZ, 059V40Z, 059V4ZZ, 059Y30Z, 059Y3ZZ, 059Y40Z, 059Y4ZZ, 069030Z, 06903ZZ, 069040Z, 06904ZZ, 069130Z, 06913ZZ, 069140Z, 06914ZZ, 069230Z, 06923ZZ, 069240Z, 06924ZZ, 069430Z, 06943ZZ, 069440Z, 06944ZZ, 069530Z, 06953ZZ, 069540Z, 06954ZZ, 069630Z, 06963ZZ, 069640Z, 06964ZZ, 069730Z, 06973ZZ, 069740Z, 06974ZZ, 069830Z, 06983ZZ, 069840Z, 06984ZZ, 069930Z, 06993ZZ, 069940Z, 06994ZZ, 069B30Z, 069B3ZZ, 069B40Z, 069B4ZZ, 069C30Z, 069C3ZZ, 069C40Z, 069C4ZZ, 069D30Z, 069D3ZZ, 069D40Z, 069D4ZZ, 069F30Z, 069F3ZZ, 069F40Z, 069F4ZZ, 069G30Z, 069G3ZZ, 069G40Z, 069G4ZZ, 069H30Z, 069H3ZZ, 069H40Z, 069H4ZZ, 069J30Z, 069J3ZZ, 069J40Z, 069J4ZZ, 069M30Z, 069M3ZZ, 069M40Z, 069M4ZZ, 069N30Z, 069N3ZZ, 069N40Z, 069N4ZZ, 069P30Z, 069P3ZZ, 069P40Z, 069P4ZZ, 069Q30Z, 069Q3ZZ, 069Q40Z, 069Q4ZZ, 069R30Z, 069R3ZZ, 069R40Z, 069R4ZZ, 069S30Z, 069S3ZZ, 069S40Z, 069S4ZZ, 069T30Z, 069T3ZZ, 069T40Z, 069T4ZZ, 069V30Z, 069V3ZZ, 069V40Z, 069V4ZZ, 069Y30Z, 069Y3ZZ, 069Y40Z, 069Y4ZZ, 3E013GC, 3E0303Z, 3E0307Z, 3E030FZ, 3E030HZ, 3E030KZ, 3E030RZ, 3E030WK, 3E0333Z, 3E0337Z, 3E033FZ, 3E033HZ, 3E033KZ, 3E033RZ, 3E033WK, 3E0403Z, 3E0407Z, 3E040FZ, 3E040HZ, 3E040KZ, 3E040RZ, 3E040WK, 3E0433Z, 3E0437Z, 3E043FZ, 3E043HZ, 3E043KZ, 3E043RZ, 3E043WK, 3E0503Z, 3E0507Z, 3E050FZ, 3E050HZ, 3E050KZ, 3E050RZ, 3E050TZ, 3E050WK, 3E0533Z, 3E0537Z, 3E053FZ, 3E053HZ, 3E053KZ, 3E053RZ, 3E053TZ, 3E053WK, 3E0603Z, 3E0607Z, 3E060FZ, 3E060HZ, 3E060RZ, 3E060TZ, 3E060WK, 3E0633Z, 3E0637Z, 3E063FZ, 3E063HZ, 3E063RZ, 3E063TZ, 3E063WK, 3E09329, 3E0933Z, 3E0934Z, 3E093BZ, 3E093GC, 3E093HZ, 3E093KZ, 3E093TZ, 3E09729, 3E0973Z, 3E0974Z, 3E097BZ, 3E097GC, 3E097HZ, 3E097KZ, 3E097TZ, 3E09X29, 3E09X3Z, 3E09X4Z, 3E09XBZ, 3E09XHZ, 3E09XKZ, 3E09XTZ, 3E0D329, 3E0D33Z, 3E0D34Z, 3E0D36Z, 3E0D37Z, 3E0D3BZ, 3E0D3GC, 3E0D3HZ, 3E0D3KZ, 3E0D3RZ, 3E0D3TZ, 3E0D729, 3E0D73Z, 3E0D74Z, 3E0D76Z, 3E0D77Z, 3E0D7BZ, 3E0D7GC, 3E0D7HZ, 3E0D7KZ, 3E0D7RZ, 3E0D7TZ, 3E0DX29, 3E0DX3Z, 3E0DX4Z, 3E0DX6Z, 3E0DX7Z, 3E0DXBZ, 3E0DXHZ, 3E0DXKZ, 3E0DXRZ, 3E0DXTZ, 3E0F3SF, 3E0F7SF, 3E0F8SF, 3E0G3BZ, 3E0G3HZ, 3E0G3KZ, 3E0G3SF, 3E0G3TZ, 3E0G7BZ, 3E0G7HZ, 3E0G7KZ, 3E0G7SF, 3E0G7TZ, 3E0G8BZ, 3E0G8HZ, 3E0G8KZ, 3E0G8SF, 3E0G8TZ, 3E0H3BZ, 3E0H3GC, 3E0H3HZ, 3E0H3KZ, 3E0H3SF, 3E0H3TZ, 3E0H7BZ, 3E0H7HZ, 3E0H7KZ, 3E0H7SF, 3E0H7TZ, 3E0H8BZ, 3E0H8HZ, 3E0H8KZ, 3E0H8SF, 3E0H8TZ, 3E0J3SF, 3E0J7SF, 3E0J8SF, 3E0K3BZ, 3E0K3HZ, 3E0K3KZ, 3E0K3SF, 3E0K3TZ, 3E0K7BZ, 3E0K7GC, 3E0K7HZ, 3E0K7KZ, 3E0K7SF, 3E0K7TZ, 3E0K8BZ, 3E0K8GC, 3E0K8HZ, 3E0K8KZ, 3E0K8SF, 3E0K8TZ, 3E0N73Z, 3E0N76Z, 3E0N77Z, 3E0N7BZ, 3E0N7GC, 3E0N7HZ, 3E0N7KZ, 3E0N7SF, 3E0N7TZ, 3E0N83Z, 3E0N86Z, 3E0N87Z, 3E0N8BZ, 3E0N8GC, 3E0N8HZ, 3E0N8KZ, 3E0N8SF, 3E0N8TZ, 3E0P3GC, 3E0P3SF, 3E0P7SF, 3E0P8SF, 3E0W33Z, 3E0W36Z, 3E0W37Z, 3E0W3BZ, 3E0W3GC, 3E0W3HZ, 3E0W3KZ, 3E0W3TZ, XW03331, XW03372, XW04331, XW04372
PXX05202Electrocardiogram – 2024A0204Z, 4A02X4A, 4A02X4Z
PXX11180Other CT scan – 180B22100Z, B2210ZZ, B22110Z, B2211ZZ, B221Y0Z, B221YZZ, B221ZZZ, B22300Z, B2230ZZ, B22310Z, B2231ZZ, B223Y0Z, B223YZZ, B223ZZZ, B3200ZZ, B3201ZZ, B320YZZ, B320ZZZ, B3250ZZ, B3251ZZ, B325YZZ, B325ZZZ, B3280ZZ, B3281ZZ, B328YZZ, B328ZZZ, B32G0ZZ, B32G1ZZ, B32GYZZ, B32GZZZ, B4200ZZ, B4201ZZ, B420YZZ, B420ZZZ, B4210ZZ, B4211ZZ, B421YZZ, B421ZZZ, B4240ZZ, B4241ZZ, B424YZZ, B424ZZZ, B4280ZZ, B4281ZZ, B428YZZ, B428ZZZ, B42C0ZZ, B42C1ZZ, B42CYZZ, B42CZZZ, B42F0ZZ, B42F1ZZ, B42FYZZ, B42FZZZ, B42G0ZZ, B42G1ZZ, B42GYZZ, B42GZZZ, B42H0ZZ, B42H1ZZ, B42HYZZ, B42HZZZ, B42M0ZZ, B42M1ZZ, B42MYZZ, B42MZZZ, B52200Z, B5220ZZ, B52210Z, B5221ZZ, B522Y0Z, B522YZZ, B522ZZZ, B52800Z, B5280ZZ, B52810Z, B5281ZZ, B528Y0Z, B528YZZ, B528ZZZ, B52900Z, B5290ZZ, B52910Z, B5291ZZ, B529Y0Z, B529YZZ, B529ZZZ, B52J00Z, B52J0ZZ, B52J10Z, B52J1ZZ, B52JY0Z, B52JYZZ, B52JZZZ, B52K00Z, B52K0ZZ, B52K10Z, B52K1ZZ, B52KY0Z, B52KYZZ, B52KZZZ, B52L00Z, B52L0ZZ, B52L10Z, B52L1ZZ, B52LY0Z, B52LYZZ, B52LZZZ, B52Q00Z, B52Q0ZZ, B52Q10Z, B52Q1ZZ, B52QY0Z, B52QYZZ, B52QZZZ, B52R00Z, B52R0ZZ, B52R10Z, B52R1ZZ, B52RY0Z, B52RYZZ, B52RZZZ, B52S00Z, B52S0ZZ, B52S10Z, B52S1ZZ, B52SY0Z, B52SYZZ, B52SZZZ, B52T00Z, B52T0ZZ, B52T10Z, B52T1ZZ, B52TY0Z, B52TYZZ, B52TZZZ, B82500Z, B8250ZZ, B82510Z, B8251ZZ, B825Y0Z, B825YZZ, B825ZZZ, B82600Z, B8260ZZ, B82610Z, B8261ZZ, B826Y0Z, B826YZZ, B826ZZZ, B82700Z, B8270ZZ, B82710Z, B8271ZZ, B827Y0Z, B827YZZ, B827ZZZ, B92F00Z, B92F0ZZ, B92F10Z, B92F1ZZ, B92FY0Z, B92FYZZ, B92J00Z, B92J0ZZ, B92J10Z, B92J1ZZ, B92JY0Z, B92JYZZ, BB2700Z, BB270ZZ, BB2710Z, BB271ZZ, BB27Y0Z, BB27YZZ, BB27ZZZ, BB2800Z, BB280ZZ, BB2810Z, BB281ZZ, BB28Y0Z, BB28YZZ, BB28ZZZ, BB2900Z, BB290ZZ, BB2910Z, BB291ZZ, BB29Y0Z, BB29YZZ, BB29ZZZ, BB2F00Z, BB2F0ZZ, BB2F10Z, BB2F1ZZ, BB2FY0Z, BB2FYZZ, BB2FZZZ, BG2200Z, BG220ZZ, BG2210Z, BG221ZZ, BG22Y0Z, BG22YZZ, BG22ZZZ, BG2300Z, BG230ZZ, BG2310Z, BG231ZZ, BG23Y0Z, BG23YZZ, BG23ZZZ, BG2400Z, BG240ZZ, BG2410Z, BG241ZZ, BG24Y0Z, BG24YZZ, BG24ZZZ, BP200ZZ, BP201ZZ, BP20YZZ, BP210ZZ, BP211ZZ, BP21YZZ, BP220ZZ, BP221ZZ, BP22YZZ, BP22ZZZ, BP230ZZ, BP231ZZ, BP23YZZ, BP23ZZZ, BP240ZZ, BP241ZZ, BP24YZZ, BP24ZZZ, BP250ZZ, BP251ZZ, BP25YZZ, BP25ZZZ, BP280ZZ, BP281ZZ, BP28YZZ, BP28ZZZ, BP290ZZ, BP291ZZ, BP29YZZ, BP29ZZZ, BP2A0ZZ, BP2A1ZZ, BP2AYZZ, BP2AZZZ, BP2B0ZZ, BP2B1ZZ, BP2BYZZ, BP2BZZZ, BP2E0ZZ, BP2E1ZZ, BP2EYZZ, BP2EZZZ, BP2F0ZZ, BP2F1ZZ, BP2FYZZ, BP2FZZZ, BP2G0ZZ, BP2G1ZZ, BP2GYZZ, BP2GZZZ, BP2H0ZZ, BP2H1ZZ, BP2HYZZ, BP2HZZZ, BP2J0ZZ, BP2J1ZZ, BP2JYZZ, BP2JZZZ, BP2K0ZZ, BP2K1ZZ, BP2KYZZ, BP2KZZZ, BP2N0ZZ, BP2N1ZZ, BP2NYZZ, BP2NZZZ, BP2P0ZZ, BP2P1ZZ, BP2PYZZ, BP2PZZZ, BP2T0ZZ, BP2T1ZZ, BP2TYZZ, BP2TZZZ, BP2U0ZZ, BP2U1ZZ, BP2UYZZ, BP2UZZZ, BP2V0ZZ, BP2V1ZZ, BP2VYZZ, BP2VZZZ, BP2X0ZZ, BP2X1ZZ, BP2XYZZ, BP2XZZZ, BP2Y0ZZ, BP2Y1ZZ, BP2YYZZ, BP2YZZZ, BQ200ZZ, BQ201ZZ, BQ20YZZ, BQ20ZZZ, BQ210ZZ, BQ211ZZ, BQ21YZZ, BQ21ZZZ, BQ230ZZ, BQ231ZZ, BQ23YZZ, BQ23ZZZ, BQ240ZZ, BQ241ZZ, BQ24YZZ, BQ24ZZZ, BQ270ZZ, BQ271ZZ, BQ27YZZ, BQ27ZZZ, BQ280ZZ, BQ281ZZ, BQ28YZZ, BQ28ZZZ, BQ2B0ZZ, BQ2B1ZZ, BQ2BYZZ, BQ2C0ZZ, BQ2C1ZZ, BQ2CYZZ, BQ2D0ZZ, BQ2D1ZZ, BQ2DYZZ, BQ2DZZZ, BQ2F0ZZ, BQ2F1ZZ, BQ2FYZZ, BQ2FZZZ, BQ2L0ZZ, BQ2L1ZZ, BQ2LYZZ, BQ2LZZZ, BQ2M0ZZ, BQ2M1ZZ, BQ2MYZZ, BQ2MZZZ, BQ2R0ZZ, BQ2R1ZZ, BQ2RYZZ, BQ2RZZZ, BQ2S0ZZ, BQ2S1ZZ, BQ2SYZZ, BQ2SZZZ, BQ2V0ZZ, BQ2V1ZZ, BQ2VYZZ, BQ2VZZZ, BQ2W0ZZ, BQ2W1ZZ, BQ2WYZZ, BQ2WZZZ, BR200ZZ, BR201ZZ, BR20YZZ, BR20ZZZ, BR270ZZ, BR271ZZ, BR27YZZ, BR27ZZZ, BR290ZZ, BR291ZZ, BR29YZZ, BR29ZZZ, BR2C0ZZ, BR2C1ZZ, BR2CYZZ, BR2CZZZ, BR2D0ZZ, BR2D1ZZ, BR2DYZZ, BR2DZZZ, BR2F0ZZ, BR2F1ZZ, BR2FYZZ, BR2FZZZ, BT2000Z, BT200ZZ, BT2010Z, BT201ZZ, BT20Y0Z, BT20YZZ, BT20ZZZ, BV2300Z, BV230ZZ, BV2310Z, BV231ZZ, BV23Y0Z, BV23YZZ, BV23ZZZ, BW2100Z, BW210ZZ, BW2110Z, BW211ZZ, BW21Y0Z, BW21YZZ, BW21ZZZ, BW2500Z, BW250ZZ, BW2510Z, BW251ZZ, BW25Y0Z, BW25YZZ, BW25ZZZ, BW2F00Z, BW2F0ZZ, BW2F10Z, BW2F1ZZ, BW2FY0Z, BW2FYZZ, BW2FZZZ
PXX19218Psychological and psychiatric evaluation and therapy – 2188E0ZXY5, GZ10ZZZ, GZ11ZZZ, GZ12ZZZ, GZ13ZZZ, GZ14ZZZ, GZ2ZZZZ, GZ3ZZZZ, GZ50ZZZ, GZ51ZZZ, GZ52ZZZ, GZ53ZZZ, GZ54ZZZ, GZ55ZZZ, GZ56ZZZ, GZ58ZZZ, GZ60ZZZ, GZ61ZZZ, GZ63ZZZ, GZ72ZZZ, GZB0ZZZ, GZB1ZZZ, GZB2ZZZ, GZB3ZZZ, GZB4ZZZ, GZC9ZZZ, GZFZZZZ, GZHZZZZ, GZJZZZZ, HZ30ZZZ, HZ31ZZZ, HZ32ZZZ, HZ33ZZZ, HZ34ZZZ, HZ35ZZZ, HZ36ZZZ, HZ37ZZZ, HZ38ZZZ, HZ39ZZZ, HZ3BZZZ, HZ3CZZZ, HZ40ZZZ, HZ41ZZZ, HZ42ZZZ, HZ43ZZZ, HZ44ZZZ, HZ45ZZZ, HZ46ZZZ, HZ47ZZZ, HZ48ZZZ, HZ49ZZZ, HZ4BZZZ, HZ4CZZZ
Table 5: Relevant Procedure Codes CPT/HCPCS
Group IDGroup NameCode Value
CT0025Preventive Medicine, Care Coordination2000F, 2001F, 2028F, 4000F, 4001F, 4004F, 93790, 98960, 98961, 98962, 98966, 98967, 98968, 99078, 99361, 99362, 99366, 99367, 99368, 99371, 99372, 99373, 99382, 99383, 99384, 99385, 99386, 99387, 99392, 99393, 99394, 99395, 99396, 99397, 99398, 99399, 99400, 99401, 99402, 99403, 99404, 99411, 99412, 99429, 99441, 99442, 99443, 99446, 99447, 99448, 99449, 99499, G0108, G0109, G0175, G0245, G0246, G0247, G0402, G0406, G0407, G0408, G0425, G0426, G0427, G8402, G8453, G8686, G8688, G8690, G8692, G9458, H0034, H0039, H0040, S0220, S0221, S0315, S0316, S0317, S0320, S0390, S9140, S9141, S9145
CT0026Medication Assisted Management (MAT)4063F, 4064F, 80159, 80342, 80343, 80344, C9497, J0400, J0401, J0780, J1630, J1631, J2310, J2358, J2426, J2680, J2794, J3230, J3486, S0136, S0166
CT0028Depression Screening1040F, 1220F, 2060F, 3085F, 3351F, 3352F, 3353F, 3354F, 3725F, 96127, G0444, G8431, G8432, G8433, G8510, G8511, G8930, G8932, G8940, G8959, G8960, G9212, G9213, G9232
CT0043Counseling Services90832, 90834, 90837, 90849, 90853, G0396, G0397, H0005
CT0079Toxicology ScreeningG0480, G0481, G0482, G0483
CT0080Imaging Abdomen74000, 74020, 74176, 74177, 74178
CT0082Opioid Administration / Dispensing (OTP)96372, H0020, H0033, J2315
CT0085Developmental Milestones96110
CT0089Metabolic Renal Hepatic Chemistry Panel80010, 80047, 80048, 80049, 80050, 80051, 80052, 80053, 80069, 80074, 80076, 82040, 82247, 82248, 82310, 82330, 82374, 82435, 82565, 82947, 84132, 84155, 84295, 84450, 84460, 84520, 84550
CT0090Physical Therapy / Rehab97001, 97002, 97003, 97110, 97530, S9131
CT0091Physician Services – Outpatient 99050, 99051, 99053, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99271, 99272, 99273, 99274, 99275, 99354, 99355, 99381, 99391, T1015
CT0092Physician Services – Inpatient99221, 99222, 99223, 99238, 99239, 99252, 99253, 99254, 99255
CT0098Occult blood82270
CT0136Rx – central nervous system – antidepressantsS0106
CT0137Rx – central nervous system – tranq/antipsychoticsJ1790, J2950, J3310, J3400, Q0171, Q0172, Q0175, Q0176
CT01395DME and suppliesE1012
CT0140Rx – central nervous system – barbituratesJ0300, J2515, J2560
CT0141Rx – central nervous system – benzodiazepinesJ1990, J2060, J2250, J3360
CT0142Rx – central nervous system – anxiolytic/sedative/hypnot necJ3410, Q0177, Q0178
CT0144Imaging – ct – head / brain70450, 70460, 70470
CT0149Imaging – mri – brain70551, 70552, 70553, 70554, 70555, 70557, 70558, 70559
CT0155Imaging – x-ray – skull70240, 70250, 70260
CT0160Tests – neuro – eeg95812, 95813, 95816, 95819, 95822, 95824, 95827, 95830, 95950, 95951, 95953, 95954, 95955, 95956, 95957, 95958, 95961, 95962
CT0163Tests – neuro – evoked potentials95925, 95926, 95927, 95928, 95929, 95930, 95933, 95934, 95936, 95937
CT0164Tests – neuro – cognitive testing96020, 96101, 96102, 96103, 96111
CT0165Tests – neuro – other95999, 96004
CT03395Other therapeutic ear procedures69209
CT0349Therapy – speech therapy92506
CT04280Lung Function Tests94010, 94060, 94150, 94375, 94620
CT04281Blood Gases, Pulse Oximetry94760, 94761
CT04282Chest X-Ray71010, 71020
CT05307Electrocardiogram – EKG monitoring93000, 93005, 93010, 93040, 93041, 93042, 93224
CT0659Procedure – other lower gi procedures – other non – or rx99175
CT0694Rx – gi – antiemeticsJ2405, J2550, J2765
CT0697Rx – gi – ppisC9113
CT0859Rx – muscle relaxants – muscle relax, neuromusc blockJ0330
CT1017Rx – vitamins – vitamin b / b complexJ3420
CT1026Other care – diabetes care – glucose monitoring – lancetA4259
CT10295Thyroid Function Tests84432, 84436, 84439, 84442, 84443, 84445, 84479, 84480, 84481, 84482
CT10296Low dose steroidsJ7506
CT1031Other care – diabetes care – shoesA5500
CT1036Other care – nutrition – assessment97802, 97803, G0270, G0271
CT1166Lab – urinalysis81015
CT1221Imaging – us – scrotum76870
CT1620Therapy – phlebotomy99195
CT16296Lipid Level Monitoring80061, 82465, 83695, 83698, 83700, 83701, 83704, 83718, 83719, 83721, 84478
CT16297Blood Count82728, 83540, 83550, 85004, 85007, 85008, 85009, 85013, 85014, 85018, 85025, 85027, 85032, 85041, 85044, 85045, 85046, 85048, 85049, 85060, G0306, G0307
CT16298Finger stick82948
CT16299Bleeding Status85610
CT1638Rx – administration – injection96373, 96374, 96375, 96376, 99506
CT1639Rx – administration – infusion96361, 96365, 96366, 96367, 99601, 99602
CT1647Lab – hematology – blood count85055
CT1648Lab – hematology – blood count – eosinophil countS3630
CT1649Lab – other hematology85660
CT1651Lab – immunology86038, 86039, 86480, 86580, 86592, 86593
CT1807Rx – antibiotics – cephalosporinsJ0690, J0696
CT1821Lab – infectious agent antigen87340, 87350, 87430
CT1822Lab – infectious agent antibody86695, 86696, 86701, 86703, 86704, 86705, 86706, 86707, 86708, 86709, 86780, 86787, 86803
CT1823Lab – infectious agent dna87480, 87510, 87517, 87522, 87536, 87590, 87591, 87621, 87660, 87798, 87800, 87804, 87880, 87901, 87902
CT1824Lab – microbiology – other87177
CT1825Lab – microbiology – c & s87147, 87184, 87186
CT1826Lab – microbiology – microscopic exam87205, 87210
CT1828Lab – microbiologyP7001
CT18300Microscopic examination (bacterial smear, culture, toxicology)87389
CT18302CHLAMYDIA SCREENING87490, 87491
CT1901Therapy – behavior – evaluation and therapy90875, 90876, 90880, 96150, 96151, 96152, 96153, 96154, 96155
CT1902Therapy – behavior – electroconvulsive therapy90870
CT1903Therapy – behavior – medication managementM0064
CT1904Therapy – behavior – residentialH0017, H0018, H0019
CT1905Therapy – behavior – partial hospitalizationH0035, S0201, S9480
CT1907Tests – neuro – sleep studiesG0398, G0399, G0400
CT19303Psychiatry Evaluations90785, 90791, 90792, 90801, 90802, 96118, 96119, 96120, 96125, T1023
CT19304Psychiatry Services90804, 90805, 90806, 90807, 90808, 90809, 90810, 90811, 90812, 90813, 90814, 90815, 90816, 90817, 90818, 90819, 90821, 90822, 90823, 90824, 90826, 90827, 90828, 90829, 90833, 90836, 90838, 90839, 90840, 90845, 90846, 90847, 90857, 90862, 90863, 90865, 90882, 90885, 90887, 90889, 90899, 97532, 97535, G0410, G0411, G8126, G8127, G8129, H0004, H0031, H0032, H0036, H0037, H0046, H2010, H2011, H2012, H2013, H2015, H2016, H2017, H2018, H2021, H2022, H2027, H2030, H2031, S3005, S9454, S9482, S9484, S9485, T2034
CT19380Residential ServicesT2048
CT19381Smoking / Tobacco Cessation99406, 99407
CT19382High Risk Behavior Screening4293F
CT19383Sexual Behavior CounselingG0445
CT19384Peer ServicesH0038
CT2004Lab – chemistry82055
CT2006Alcohol / Drug Use ManagementH0002, H0015, H0045, H0048
CT2009Alcohol / Drug Use Screening3016F, 4158F, 4290F, 4320F, 80100, 80101, 80102, 80103, 80300, 80301, 80302, 80303, 80304, 80320, 80321, 80322, 80375, 80376, 80377, 82009, 82010, 82075, 99408, 99409, G0430, G0431, G0442, G0443, G9621, G9622, H0001, H0003, H0006, H0007, H0008, H0009, H0014, H0021, H0022, H0029, H0047, H0049, H0050, H2035, T1006, T1007, T1012
CT20376Other LaboratoryG0477, G0478, G0479
CT2101Lab – therapeutic drug assay80152, 80154, 80156, 80157, 80158, 80160, 80164, 80166, 80168, 80173, 80174, 80178, 80182, 80184, 80185, 80186, 80196, 80198, 80201, 80299
CT2302Therapy – behavior – otherG0177, H0024, H0025, H0030, H2000, H2019, H2020, H2033
CT2308Therapy – biofeedback90901
CT2309Therapy – activity therapyG0176, H2032
CT2315Therapy – vaccination – hepatitis b90746
CT23309Markers for Inflammation85651, 85652, 86140, 86141
CT2331Other care – observationG0379
CT23311Current Tobacco / Cigarette SmokerG8455
CT23398Ancillary Services0403T, 99415, 99416, G9473, G9474, G9475, G9476, G9477, G9478, G9479
CT2352DME – mobility aidsE0100, E0114, E0143
CT9902E & M – consultationQ3014, T1014
CT9903E & M – hospital99217, 99218, 99219, 99220, 99231, 99232, 99233, 99234, 99235, 99236, G0378, S0310
CT9904E & M – emergency care99058, 99281, 99282, 99283, 99284, 99285, G0380, G0381, G0382, G0383, G0384, S9083, S9088
CT9905E & M – home visit99224, 99225, 99226, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, S0273
CT9907E & M – prevention99420, S0302
CT9908E & M – other99026, 99027, 99056, 99060, 99150, 99288, 99360, 99450, 99455, 99456, 99485, 99488, S0260, S0265
CT99102Other care – otherH0043, H0044, H2023, H2024, H2025, H2026, S9900
CT9911Procedure – sedation99143, 99144, 99145, 99148, 99149
CT99110Imaging – us – head / neck76536
CT99111Imaging – us – retroperitoneum76770, 76775
CT99112Imaging – us – pelvic76856, 76857
CT99141Imaging – supplies – ultrasound relatedA4559
CT99143Lab – chemistry82000, 82003, 82140, 82145, 82150, 82172, 82205, 82272, 82274, 82306, 82307, 82520, 82528, 82530, 82533, 82540, 82542, 82550, 82553, 82570, 82600, 82607, 82627, 82646, 82649, 82651, 82652, 82654, 82670, 82677, 82746, 82784, 82785, 82946, 82950, 82951, 82952, 82962, 82977, 83015, 83018, 83605, 83615, 83690, 83735, 83789, 83805, 83840, 83858, 83874, 83880, 83925, 83992, 84075, 84100, 84144, 84146, 84156, 84165, 84270, 84311, 84402, 84403, 84425, 84430, 84466, 84600
CT99169Lab – specimen collection – blood – venous – venipuncture36410, 36415, S9529
CT99173Lab – specimen collection – specimen handling99000
CT99176Lab – stat requestS3600, S3601
CT99182Transportation – paramedicS0207, S0208
CT99183Transportation – other transportationA0021, A0080, A0090, A0100, A0110, A0120, A0130, A0140, A0160, A0170, A0180, A0190, A0200, A0210, A0380, A0382, A0384, A0390, A0392, A0394, A0396, A0398, A0420, A0422, A0424, A0425, A0426, A0427, A0428, A0429, A0430, A0431, A0432, A0433, A0434, A0435, A0436, A0888, A0998, A0999, P9603, P9604, S0209, S0215, S9992, T2001, T2002, T2003, T2004, T2005, T2007, T2049
CT99187DME – safety equipmentE0700, E0705
CT99191SuppliesA4206, A4207, A4208, A4209, A4210, A4211, A4212, A4213, A4215, A4216, A4217, A4218, A4244, A4245, A4246, A4247, A4248, A4265, A4280, A4450, A4452, A4455, A4456, A4458, A4461, A4463, A4465, A4562, A4601, A4649, A4651, A4652, A6000, A6010, A6011, A6021, A6022, A6023, A6024, A6025, A6154, A6196, A6197, A6198, A6199, A6203, A6204, A6205, A6206, A6207, A6208, A6209, A6210, A6211, A6212, A6213, A6214, A6215, A6216, A6217, A6218, A6219, A6220, A6221, A6222, A6223, A6224, A6228, A6229, A6230, A6231, A6232, A6233, A6234, A6235, A6236, A6237, A6238, A6239, A6240, A6241, A6242, A6243, A6244, A6245, A6246, A6247, A6248, A6250, A6251, A6252, A6253, A6254, A6255, A6256, A6257, A6258, A6259, A6260, A6261, A6262, A6266, A6402, A6403, A6404, A6407, A6410, A6411, A6412, A6413, A6441, A6442, A6443, A6444, A6445, A6446, A6447, A6448, A6449, A6450, A6451, A6452, A6453, A6454, A6455, A6456, A6457, A6550, A7000, A7001, A7002, A9155, J1642, S8430, S8431, T2028
CT99197Other – non – coveredA9270
CT99198PQRIG8128, G8420
CT9929Therapy – rehabilitationH2001
CT99309Physician Services99251
CT9931Therapy – rehabilitation – otherH2014
CT99311Urine Protein81000, 81001, 81002, 81003, 82042, 82043
CT99312HbA1C83036, 83037
CT99316Physician Services – Inpatient99356, 99357
CT99392Other diagnostic procedures (interview, evaluation, consultation)0074T, 0188T, 0189T, 0203T, 0204T, G0436, G0437, G0438, G0439, G0447, G0454, G9156, Q5010
CT99400Advance care planning1123F, 1124F, 1157F, 1158F, 4553F, 99497, 99498, S0255, S0257, S0311
CT99401Bundled Payment / Medical HomeG9187, S0280, S0281
CT99402Care Plan Oversight94005, 99339, 99340, 99374, 99375, 99377, 99378, 99379, 99380
CT99403Case Management Services0513F, 0518F, 0545F, 0557F, 4050F, 5050F, G0162, G0463, G9012, S0250, T1001, T1016, T1017, T2022, T2023, T2024
CT99404Case Management Services – Behavioral96116, G0503, G0507, H0023, H1011
CT99405Case Management Services – EducationalT1018
CT99408Chronic Care Management99487, 99489, 99490, G0506
CT99409Home Health / HospiceG0179, G0180, G0181, G0182
CT9941Rx – allergy – antihistamines / combJ1200
CT99410Coordinated Care Fees/ServicesG9001, G9002, G9003, G9004, G9005, G9006, G9007, G9008, G9009, G9010, G9011
CT99411Medication Therapy Management Services99605, 99606, 99607
CT99412Online Management98969, 99444
CT99413Personal Care ServicesT1019, T1020
CT99415Physician Services – Outpatient 99358, 99359
CT99416Procedures and Reporting99080, 99090, 99091
CT99417Risk AssessmentG9316
CT99418Transitional Care Management99495, 99496
CT99419Wellness Assessment S5190
CT99420LEAD SCREENING83655
CT9945Rx – autonomic rx – nicotine prepsS4990, S4991, S4995
CT9951Rx – electrolytic, caloric, water – multi-mineral prepJ7120
CT9952Rx – electrolytic, caloric, water – sodium chlor prepsJ7030, J7040, J7050
CT9956Rx – electrolytic, caloric, water – hydration – unspecified90760, 90761
CT9959Rx – miscellaneous rx – heavy metal antagonistsJ0470, J0600, J0895, J1190, J3520
CT9964Other care – home care – specialized visit99507, 99509, 99510, 99511
CT9965Other care – home care – physician supervisionG0372, S0270, S0272
CT9966Other care – home care – nursing careT1000, T1002, T1003, T1004
CT9967Other care – home care – nursing care – rnG0154, S9123, T1030
CT9968Other care – home care – nursing care – lpnS9124, T1031
CT9969Other care – home care – nursing care – npS0274
CT9973Other care – home care – social workerG0155
CT9974Other care – home care – home health aideG0156, S9122, T1021
CT9975Other care – home care – other care – day careS5100, S5101, S5102, S5105
CT9976Other care – home care – other care – chore careS5120, S5121
CT9977Other care – home care – other care – attendant careS5125, S5126
CT9978Other care – home care – other care – homemakerS5130, S5131
CT9979Other care – home care – other care – companion careS5135, S5136
CT9980Other care – home care – other care – respite careS5150, S5151, S9125, T1005
CT9981Other care – home care – other careS5165, S5175, S5185, S5199, T1022
CT9984Other care – home care – mealsS5170
CT9986Other care – hospiceG0337, Q5008
CT9987Other care – long term care – residential careT2010, T2011, T2032, T2033
CT9988Other care – long term care – assisted livingT2030, T2031
CT9990Other care – other – ancillary services97804
CT9997Other care – other – mealsT1010
XX0000Ungrouped Codes0002M, 0003M, 0359T, 0360T, 0361T, 0362T, 0363T, 0364T, 0365T, 0366T, 0367T, 0368T, 0369T, 0370T, 0371T, 0372T, 0373T, 0374T, 1000F, 3008F, 33952, 33954, 33958, 33962, 33966, 33984, 4019F, 80104, 80323, 80324, 80325, 80326, 80327, 80328, 80329, 80330, 80331, 80332, 80333, 80334, 80335, 80336, 80337, 80338, 80339, 80340, 80341, 80345, 80346, 80347, 80348, 80349, 80350, 80351, 80352, 80353, 80354, 80355, 80356, 80357, 80358, 80359, 80360, 80361, 80362, 80363, 80364, 80365, 80366, 80367, 80368, 80369, 80370, 96360, 99052, 99054, 99151, C9443, C9444, C9446, C9801, C9802, G0299, G0300, G0344, G0434, G0449, G0459, G0466, G0467, G0468, G0469, G0470, G0472, G0473, G6030, G6031, G6032, G6034, G6036, G6037, G6040, G6041, G6042, G6043, G6044, G6050, G6051, G6052, G6053, G6054, G6055, G6056, G6057, G6058, G8130, G8131, G8155, G8156, G8157, G8214, G8217, G8219, G8220, G8221, G8466, G8467, G8553, G8790, G8791, G8792, G8793, G8794, G8795, G8931, G8933, G8947, G9165, G9166, G9167, G9168, G9169, G9170, G9193, G9194, G9195, G9199, G9200, G9201, G9369, G9370, G9393, G9394, G9395, G9396, G9507, G9508, G9509, G9510, G9511, G9518, G9539, G9541, G9542, G9543, G9544, G9572, G9573, G9574, G9593, G9594, G9595, G9596, G9597, G9635, G9642, G9662, G9663, G9664, G9665, G9666, G9667, G9668, G9673, G9675, G9676, G9677, Q0162, S9901

Table 6: Relevant Typical Drug Groups
Group IDGroup Name
RX0110psychostimulants  agents used for adhd and nootropics
RX013anti-dementia drugs
RX014anti-parkinson drugs
RX015antiepileptics
RX016antimigraine preparations
RX017hypnotics and sedatives
RX018other nervous system drugs
RX0645antacids
RX0646antidiarrheals intestinal adsorbents
RX0647antiemetics and antinauseants
RX0648digestives  incl. enzymes
RX0649drugs for constipation
RX0650drugs for functional gastrointestinal disorders
RX0651drugs for peptic ulcer and gerd
RX0652intestinal antiinfectives
RX0860muscle relaxants
RX0861opioids
RX0862other analgesics and antipyretics
RX1082antiobesity preparations  excl. diet products
RX16109vitamin b12 and folic acid
RX18122antivirals for systemic use
RX19123antidepressants
RX19124antipsychotics
RX19125anxiolytics
RX19126drugs used in addictive disorders
RX19128Drugs for Rx of Mania
RX21127Drugs for poisoning & Antidotes
RX23136Smoking Cessation Agents

These materials represent Version 1 of Signify Health Episode Definition Library and are comprised of copyrighted material of Signify Health and Health Care Incentives Improvement Institute, Inc.

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