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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 Crohn’s Disease, sometimes abbreviated CROHNS, 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 Crohn’s Disease 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 Crohn’s Disease 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 Diagnosis | Typical 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 Pharmacy | All 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) |
SubTypes | Episode 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: Crohn’s Disease with abscessFistula GI trackHigh dose steroids |
Code Tables
Table 1: Trigger Codes
Trigger Type | Code Value |
ICD-10-CM (DX) Triggers | K5000, K50011, K50012, K50013, K50014, K50018, K50019, K5010, K50111, K50112, K50113, K50114, K50118, K50119, K5080, K50811, K50812, K50813, K50814, K50818, K50819, K5090, K50911, K50912, K50913, K50914, K50918, K50919 |
Table 2: ICD-10 Typical Diagnosis
Group ID | Group Name | Code Value |
DXX0019 | Skin and subcutaneous tissue infections | L0889 |
DXX01159 | NS – myopathy | G713, G718, G719, G7249, G7281, G7289, G729 |
DXX01378 | Othr – other | R99 |
DXX0201 | ID – tuberculosis | A1854 |
DXX02129 | Acute iridocyclitis | H2000, H20021, H20022, H20023, H20029, H20041, H20042, H20043, H20049 |
DXX02137 | Optic & Retrobulbar Neuritis | H4600, H4601, H4602, H4603, H4610, H4611, H4612, H4613, H463, H468, H469 |
DXX02149 | Endophthalmitis, other deep eye infections | H44111, H44112, H44113, H44119, H44131, H44132, H44133, H44139 |
DXX02170 | Chronic Iridocyclitis | H2010, H2011, H2012, H2013, H209 |
DXX0311 | ID – other | A690 |
DXX03153 | Oral – stomatitis / mucositis – d/t rx | K1231, K1233 |
DXX03154 | Oral – stomatitis / mucositis – nec / nos | K121, K1230, K1239 |
DXX03156 | Oral – oral aphthae | K120 |
DXX03157 | Oral – oral soft tissues ds – nec / nos | K1321, K133 |
DXX05123 | CV – other arteritis | I776 |
DXX05124 | CV – other arterial ds | I773, I7789, I779 |
DXX05297 | Hypotension / Syncope | I9589 |
DXX05345 | Orthostatic Hypotension / Dizziness | I950, I951, R42 |
DXX06160 | Gastroenteritis | K5289 |
DXX06162 | GI – diarrhea | R197 |
DXX06206 | GI – abdominal pain | R1012, R1032, R1083 |
DXX06207 | GI – flatulence / gas pain | R140, R141, R142, R143 |
DXX06208 | GI – symptoms – nec / nos | R194, R198 |
DXX06213 | GI – abnormal feces | R195 |
DXX06214 | GI – abdominal tenderness | R10812, R10822 |
DXX06216 | GI – abdominal mass | R1902, R1904 |
DXX06218 | GI – abnormal abdominal imaging study | R935 |
DXX06219 | GI – abnormal gi imaging study | R933 |
DXX06221 | GI – personal hx of GI disease | Z8719 |
DXX06276 | Anal and rectal conditions | R151, R152, R159 |
DXX06277 | Irritable Bowel and other functional GI disor | K634, K6389, K9289 |
DXX06285 | Previous bowel surgery, ostomy status | Z431, Z432, Z433, Z434, Z4651, Z4659, Z932, Z933, Z934, Z980 |
DXX06287 | Hx of colon polyps, family Hx of colon cancer | Z800, Z8371, Z86010 |
DXX06306 | GI Bleed | K625, K921, K922 |
DXX06307 | Intestinal Obstruction | R1113 |
DXX06315 | Fistula GI tract | K316, K632, N321, N822, N823, N824 |
DXX06335 | Retroperitoneal Abscess | K6812, K6819, K689 |
DXX06336 | Diverticulitis with hemorrhage | K5701, K5721, K5741, K5781 |
DXX06340 | GI inflammation from chemotherapy | K9281 |
DXX06341 | Crohn’s Disease | K5000, K5010, K5080, K5090 |
DXX06348 | Ulceration of Intestine | K633 |
DXX06352 | Hemoperitoneum | K661 |
DXX06353 | Perforation, Peritonitis, Abd Abscess | K630, K631, K650, K651, K654, K658, K659, R1930, R1931, R1932, R1933, R1934, R1935, R1936, R1937 |
DXX06354 | Perianal disease | K600, K601, K602, K603, K604, K605, K610, K611, K612, K613, K614, K620, K621, K624, K626, K627, K6281, K6289, K629, L0501, L0502, L0591, L0592 |
DXX06365 | Abdominal pain | R100, R1010, R1011, R1013, R102, R1030, R1031, R1033, R1084, R109 |
DXX06366 | Abdominal mass | R1900, R1901, R1903, R1905, R1906, R1907, R1909 |
DXX06367 | Abdominal tenderness | R10811, R10813, R10814, R10815, R10816, R10817, R10819, R10821, R10823, R10824, R10825, R10826, R10827, R10829 |
DXX06370 | Crohn’s Disease w Fistula | K50013, K50113, K50813, K50913 |
DXX06371 | Crohn’s Disease w Abscess | K50014, K50114, K50814, K50914 |
DXX06373 | Ulc Colitis w Fistula | K51413 |
DXX06374 | Ulc Colitis w Abscess | K51414 |
DXX06375 | Allergic, Dietetic, Eosinophilic Gastroenteritis | K522, K5229 |
DXX06376 | Diverticulitis w Perf, Abscess | K5700, K5720, K5740, K5780 |
DXX06383 | Crohn’s disease w rectal bleeding | K50011, K50111, K50811, K50911 |
DXX06384 | Crohn’s disease w other complications | K50018, K50019, K50118, K50119, K50818, K50819, K50918, K50919 |
DXX06394 | Premalignancy anus/rectum | K6282 |
DXX06396 | Crohn’s disease w intestinal obstruction | K50012, K50112, K50812, K50912 |
DXX0658 | Neoplsm – screening – colon – nos | Z1211 |
DXX07103 | Cholangitis, Cholelithiasis with Obstruction | K8030, K8031, K8032, K8033, K8034, K8035, K8036, K8037, K830 |
DXX07114 | Hepatotoxicity | R740, R748, R749, R945 |
DXX081061 | Osteoporosis, ostetits deformans | M810, M816, M818 |
DXX081062 | Other arthropathies | M0760, M07611, M07612, M07619, M07621, M07622, M07629, M07631, M07632, M07639, M07641, M07642, M07649, M07651, M07652, M07659, M07661, M07662, M07669, M07671, M07672, M07679, M0768, M0769, M1280, M12811, M12812, M12819, M12821, M12822, M12829, M12831, M12832, M12839, M12841, M12842, M12849, M12851, M12852, M12859, M12861, M12862, M12869, M12871, M12872, M12879, M1288, M1289, M129 |
DXX08869 | MS – bone – nos – osteoporosis | Z13820 |
DXX09192 | Dermatitis, Urticaria | T7841XA |
DXX09193 | Cellulitis, Skin Infection | K122 |
DXX09202 | Pyoderma | L080, L0881, L88 |
DXX0988 | Skin – other | L52 |
DXX10119 | Mild-mod malnutrition | E440, E441, E46, E640 |
DXX16248 | Blood – other white blood cell ds | D761, D763 |
DXX16256 | Blood – hypercoagulable state | D6869 |
DXX16289 | Prvn – screening – other | Z130 |
DXX16293 | Iron deficiency and other anemias | D500, D501, D508, D509, D510, D511, D512, D513, D518, D519, D520, D521, D528, D529, D530, D531, D532, D538, D539, D638, D644, D6489, D649 |
DXX16294 | Neutropenia | D703 |
DXX16295 | Acute post-hemorrhagic anemia | D62 |
DXX16296 | Hemorrhage | R58, R710 |
DXX16297 | Bone Marrow Suppression | D611, D612, D613, D61810, D61811, D61818, D6189, D619, D6481, D696, D701, D702, D708, D709, D72810, D72818, D72819 |
DXX16302 | White Blood Cell Disorders | D762 |
DXX1849 | Other bacterial infections | R899 |
DXX1963 | Anxiety Disorders | F064 |
DXX2165 | Toxic Myopathy, Neuropathy | G720, G721, G722 |
DXX2171 | Adverse effects of drugs | K1232, R502 |
DXX2328 | Sxs – malaise / fatigue | G933, R530, R531, R5381, R5383 |
DXX2332 | Sxs – symptoms -other | R6889, R69 |
DXX2340 | Prvn – pre-op exam | Z01812 |
DXX2342 | Prvn – encounter for lab test | Z0184 |
DXX2352 | Othr – other | Z92241 |
DXX2356 | Othr – long-term use other medication | Z793, Z7984, Z79891, Z79899 |
DXX2362 | complications of medical care | K5641, K5649 |
DXX2369 | Abnormal weight loss | R634 |
DXX2370 | Fever & Chills | R5081, R509, R6883 |
DXX2379 | Observation/Examination | Z0000, Z0189 |
DXX2380 | Follow up after cancer treatment | Z08 |
DXX2381 | Aftercare | Z09 |
Table 3: ICD-10 Actionable Adverse Events
Group ID | Group Name | Code Value |
DXX01384 | Hemorrhagic Stroke | I60, I600, I6000, I6001, I6002, I601, I6010, I6011, I6012, I602, I6020, I6021, I6022, I603, I6030, I6031, I6032, I604, I605, I6050, I6051, I6052, I606, I607, I608, I609, I610, I611, I612, I613, I614, I615, I616, I618, I619, I6200, I6201, I6202, I6203, I621, I629 |
DXX01385 | Thromboembolic Stroke | I6300, I63011, I63012, I63013, I63019, I6302, I63031, I63032, I63033, I63039, I6309, I6310, I63111, I63112, I63113, I63119, I6312, I63131, I63132, I63133, I63139, I6319, I6320, I63211, I63212, I63213, I63219, I6322, I63231, I63232, I63233, I63239, I6329, I6330, I63311, I63312, I63313, I63319, I63321, I63322, I63323, I63329, I63331, I63332, I63333, I63339, I63341, I63342, I63343, I63349, I6339, I6340, I63411, I63412, I63413, I63419, I63421, I63422, I63423, I63429, I63431, I63432, I63433, I63439, I63441, I63442, I63443, I63449, I6349, I6350, I63511, I63512, I63513, I63519, I63521, I63522, I63523, I63529, I63531, I63532, I63533, I63539, I63541, I63542, I63543, I63549, I6359, I636, I638, I639 |
DXX01388 | Transient cerebral ischemia, TIA | G450, G451, G452, G458, G459, G460, G461, G462, I67841, I67848 |
DXX01391 | Meningitis / Encephalitis | B375, B384, B451, G000, G001, G002, G003, G008, G009, G02, G030, G031, G038, G039, G0400, G0401, G042, G0430, G0431, G0439, G0481, G053, G054 |
DXX01392 | Delirium, Encephalopathy | F05, G92, G9340, G9341, G9349, I6783 |
DXX01404 | Seizures / Convulsions | R5600, R5601, R569 |
DXX02169 | Retinitis | H32 |
DXX04130 | Aspiration Pneumonia | J690, J691, J698 |
DXX04138 | Viral Pneumonia | B012, J120, J122, J123, J1289, J129 |
DXX04142 | Respiratory Failure | J80, J9584, J9600, J9601, J9602, J9610, J9611, J9612, J9620, J9621, J9622, J9690, J9691, J9692, R092 |
DXX04154 | Respiratory Insufficiency | R0681, R0901, R0902, Y654, Z9981 |
DXX04164 | Chronic Fungal and Other Pneumonias | A70, B390, B391, B392, B440, B7781 |
DXX04170 | Ventilator Associated Pneumonia | J95851 |
DXX04172 | Gram Negative Pneumonia | J155, J156 |
DXX04173 | MRSA Pneumonia | J15212 |
DXX04174 | Other Staph Pneumonia | J1520, J15211, J1529 |
DXX04175 | Lung disease from opportunistic infections | B380, B381, B382, B583 |
DXX04177 | Ventilator Dependence | Z9911, Z9912 |
DXX04187 | Other lung problems | J182, R063 |
DXX04188 | Other Bacterial Pneumonia | J158, J159, J17, J188, J189 |
DXX04189 | Debilitating Viral Pneumonia | J09X1 |
DXX04190 | Influenza with Pneumonia | J1000, J1001, J1008, J1100, J1108 |
DXX05272 | dic, coagulation, hemorrhagic disorders | D65, D7582 |
DXX05274 | Transfusion, Infusion related complications | D6951, E8771, R5084, T8029XA, T8030XA, T80310A, T80311A, T80319A, T8039XA, T8040XA, T80410A, T80411A, T80419A, T8049XA, T8051XA, T8059XA, T8061XA, T8069XA, T80818A, T8089XA, T8090XA, T80910A, T80911A, T80919A, T8092XA, T80A0XA, T80A10A, T80A11A, T80A19A, T80A9XA, Y620, Y621, Y623, Y630, Y631, Y640, Y650, Y651 |
DXX05275 | Phlebitis, 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 |
DXX05281 | STEMI | I2101, I2102, I2109, I2111, I2119, I2121, I2129, I213 |
DXX05289 | Subendocardial infarct | I214 |
DXX05291 | Recent AMI | I220, I221, I222, I228, I229 |
DXX05297 | Hypotension / Syncope | I952, I9581, I959, R55 |
DXX05298 | Fluid Electrolyte Acid Base Problems | E8330, E8339, E8340, E8341, E8342, E8349, E870, E871, E872, E873, E874, E875, E876, E8770, E8779, E878 |
DXX05299 | Shock / Cardiac Arrest | I462, I468, I469, I4901, I4902, R570, R571, R578, R579, T782XXA, T882XXA, T886XXA |
DXX05308 | Pulmonary Embolism | I2690, I2692, I2699 |
DXX05309 | IVC & other intra-abd venous thrombosis | I82220, I82221, I823 |
DXX05311 | Other Phlebitis, Lymphangitis, varices | I808, I891 |
DXX05314 | Myocarditis | B5881 |
DXX05342 | Acute cor pulmonale | I2601, I2602, I2609 |
DXX05373 | Shock during or post-procedure | T8110XA, T8111XA, T8112XA, T8119XA |
DXX05375 | Dehydration | E860, E861, E869 |
DXX06160 | Gastroenteritis | A080, A0811, A0819, A082, A0831, A0832, A0839, A084, A088, A09, K529 |
DXX06305 | C-Difficile Infection | A047 |
DXX06307 | Intestinal Obstruction | K315, K560, K561, K562, K565, K5660, K5669, K567 |
DXX06314 | Digestive system complications | K592, K593, K5931, K5939, K913, K9181, K9182, K9183 |
DXX06337 | Toxic Gastroenteritis | K521 |
DXX06338 | Complications of colostomy, enterostomy | K9400, K9401, K9402, K9403, K9409, K9410, K9411, K9412, K9413, K9419 |
DXX06372 | Ulc Colitis w Obstruction | K51412 |
DXX07114 | Hepatotoxicity | K710, K7110, K712, K713, K714, K7150, K7151, K716, K717, K718, K719 |
DXX07115 | Liver Abscess | K750 |
DXX07117 | Hepatic Encephalopathy | K7111 |
DXX0717 | Acute Pancreatitis, pseudo cyst | K850, K8500, K8501, K8502, K851, K8510, K8511, K8512, K852, K8520, K8521, K8522, K853, K8530, K8531, K8532, K8580, K8581, K8582, K859, K8590, K8591, K8592 |
DXX081043 | Aseptic Necrosis | M8700, M87011, M87012, M87019, M87021, M87022, M87029, M87031, M87032, M87033, M87034, M87035, M87036, M87037, M87038, M87039, M87041, M87042, M87043, M87044, M87045, M87046, M87050, M87051, M87052, M87059, M87061, M87062, M87063, M87064, M87065, M87066, M87071, M87072, M87073, M87074, M87075, M87076, M87077, M87078, M87079, M8708, M8709, M8710, M87111, M87112, M87119, M87121, M87122, M87129, M87131, M87132, M87133, M87134, M87135, M87136, M87137, M87138, M87139, M87141, M87142, M87143, M87144, M87145, M87146, M87150, M87151, M87152, M87159, M87161, M87162, M87163, M87164, M87165, M87166, M87171, M87172, M87173, M87174, M87175, M87176, M87177, M87178, M87179, M87180, M87188, M8719, M8720, M87211, M87212, M87219, M87221, M87222, M87229, M87231, M87232, M87233, M87234, M87235, M87236, M87237, M87238, M87239, M87241, M87242, M87243, M87244, M87245, M87246, M87250, M87251, M87252, M87256, M87261, M87262, M87263, M87264, M87265, M87266, M87271, M87272, M87273, M87274, M87275, M87276, M87277, M87278, M87279, M8728, M8729, M8730, M87311, M87312, M87319, M87321, M87322, M87329, M87331, M87332, M87333, M87334, M87335, M87336, M87337, M87338, M87339, M87341, M87342, M87343, M87344, M87345, M87346, M87350, M87351, M87352, M87353, M87361, M87362, M87363, M87364, M87365, M87366, M87371, M87372, M87373, M87374, M87375, M87376, M87377, M87378, M87379, M8738, M8739, M8780, M87811, M87812, M87819, M87821, M87822, M87829, M87831, M87832, M87833, M87834, M87835, M87836, M87837, M87838, M87839, M87841, M87842, M87843, M87844, M87845, M87849, M87850, M87851, M87852, M87859, M87861, M87862, M87863, M87864, M87865, M87869, M87871, M87872, M87873, M87874, M87875, M87876, M87877, M87878, M87879, M8788, M8789, M879, M90521, M90522, M90529, M90531, M90532, M90539, M90541, M90542, M90549, M90551, M90552, M90559, M90561, M90562, M90569, M90571, M90572, M90579, M9058, M9059 |
DXX081068 | Acute Osteomyelitis | M8600, M86011, M86012, M86019, M86021, M86022, M86029, M86031, M86032, M86039, M86041, M86042, M86049, M86051, M86052, M86059, M86061, M86062, M86069, M86071, M86072, M86079, M8608, M8609, M8610, M86111, M86112, M86119, M86121, M86122, M86129, M86131, M86132, M86139, M86141, M86142, M86149, M86151, M86152, M86159, M86161, M86162, M86169, M86171, M86172, M86179, M8618, M8619, M8620, M86211, M86212, M86219, M86221, M86222, M86229, M86231, M86232, M86239, M86241, M86242, M86249, M86251, M86252, M86259, M86261, M86262, M86269, M86271, M86272, M86279, M8628, M8629 |
DXX081072 | Pyogenic Arthritis | M0010, M00111, M00112, M00119, M00121, M00122, M00129, M00131, M00132, M00139, M00141, M00142, M00149, M00151, M00152, M00159, M00161, M00162, M00169, M00171, M00172, M00179, M0018, M0019 |
DXX081091 | Necrotising Fasciitis | M726 |
DXX09193 | Cellulitis, Skin Infection | B781, E832, L0201, L0211, L02211, L02212, L02213, L02214, L02215, L02216, L02219, L0231, L02415, L02416, L02419, L02811, L02818, L0291, L03115, L03116, L03119, L03125, L03126, L03129, L03211, L03212, L03213, L03221, L03222, L03311, L03312, L03313, L03314, L03315, L03316, L03317, L03319, L03321, L03322, L03323, L03324, L03325, L03326, L03327, L03329, L03811, L03818, L03891, L03898, L0390, L0391, L0882, L089, L928, L980, L983 |
DXX11143 | Urinary Tract Infection | N10, N110, N111, N118, N119, N12, N136, N151, N159, N16, N2884, N2885, N2886, N3000, N3001, N3010, N3011, N3020, N3021, N3030, N3031, N3080, N3081, N3090, N3091, N340, N341, N342, N343, N35111, N35112, N35113, N35114, N35119, N3512, N37, N390, R309 |
DXX11145 | Urinary Complications | N99520, N99521, N99522, N99523, N99524, N99528, N99530, N99531, N99532, N99533, N99534, N99538, N9981, N9989 |
DXX11147 | Complication of genitourinary device | T83510A, T83510D, T83511A, T83511D, T83512A, T83512D, T83518A, T83518D, T8351XA, T8351XD |
DXX11152 | Urinary Frequency & other symptoms | R300 |
DXX11167 | Acute Kidney Failure | N170, N171, N172, N178, N179, N19, N990 |
DXX1846 | Opportunistic Infections | A072, A312, B250, B251, B252, B258, B259, B3781, B383, B387, B3881, B3889, B389, B393, B394, B395, B399, B441, B442, B447, B4489, B449, B450, B452, B453, B457, B458, B459, B484, B488, B5800, B581, B582, B5882, B5883, B5889, B589 |
DXX1849 | Other bacterial infections | A492, A499, B953, B961, B963, B964, B965, B9689, I76, J201 |
DXX1850 | MRSA, Drug Resistant Infections | A4902, B9562, Z1610, Z1611, Z1612, Z1619, Z1620, Z1621, Z1622, Z1623, Z1624, Z1629, Z1630, Z1631, Z1632, Z1633, Z16341, Z16342, Z1635, Z1639 |
DXX1851 | Sepsis | A400, A401, A403, A408, A409, A4101, A4102, A411, A412, A413, A414, A4150, A4151, A4152, A4153, A4159, A4181, A4189, A419, A5486, B007, B377 |
DXX1852 | Severe Sepsis | A483, R6511, R6520, R6521 |
DXX1853 | Bacteremia, SIRS, no organ dysfunction | R6510, R7881 |
DXX1854 | Parasitic Infections: Amebiasis, Giardiasis | A060, A061, A062, A063, A064, A065, A066, A067, A0681, A0682, A0689, A069, A071 |
DXX1860 | Other Sexually Transmitted Diseases | A5601 |
DXX19103 | Altered mental status | F060, F062, R400, R401 |
DXX1948 | Suicide or Self-inflicted Injury | T413X2A, T413X2D, T4142XA, T4142XD, T424X2A, T424X2D, T426X2A, T426X2D, T4272XA, T4272XD, T43012A, T43012D, T43022A, T43022D, T431X2A, T431X2D, T43202A, T43202D, T43212A, T43212D, T43222A, T43222D, T43292A, T43292D, T433X2A, T433X2D, T434X2A, T434X2D, T440X2A, T440X2D, T441X2A, T441X2D, T443X2A, T443X2D, T444X2A, T444X2D, T445X2A, T445X2D, T446X2A, T446X2D, T447X2A, T447X2D, T448X2A, T448X2D, T44902A, T44902D, T44992A, T44992D, T450X2A, T450X2D, T451X2A, T451X2D, T452X2A, T452X2D, T453X2A, T453X2D, T454X2A, T454X2D, T45512A, T45512D, T45522A, T45522D, T45602A, T45602D, T45612A, T45612D, T45622A, T45622D, T45692A, T45692D, T457X2A, T457X2D, T458X2A, T458X2D, T4592XA, T4592XD, T470X2A, T470X2D, T471X2A, T471X2D, T472X2A, T472X2D, T473X2A, T473X2D, T474X2A, T474X2D, T475X2A, T475X2D, T476X2A, T476X2D, T477X2A, T477X2D, T478X2A, T478X2D, T4792XA, T4792XD, T490X2A, T490X2D, T491X2A, T491X2D, T493X2A, T493X2D, T494X2A, T494X2D, T495X2A, T495X2D, T496X2A, T496X2D, T498X2A, T498X2D, T4992XA, T4992XD, T500X2A, T500X2D, T507X2A, T507X2D, T508X2A, T508X2D, T50Z12A, T50Z12D |
DXX2021 | Sedative, hypnotic or anxiolytic intoxication | F13921 |
DXX2025 | Opioid intoxication | F11921 |
DXX2029 | Stimulant intoxication | F14921, F15921 |
DXX2033 | Inhalant intoxication | F18921 |
DXX2035 | Other psychoactive substance intoxication | F19921 |
DXX2037 | Hallucinogen intoxication | F16921 |
DXX2161 | Complications from Central Line | T80218A, T80218D, T80219A, T80219D, T8022XA |
DXX2165 | Toxic Myopathy, Neuropathy | G620, G7114 |
DXX2171 | Adverse effects of drugs | G4440, G4441, T360X5A, T360X5D, T361X5A, T361X5D, T362X5A, T362X5D, T363X5A, T363X5D, T364X5A, T364X5D, T365X5A, T365X5D, T366X5A, T366X5D, T367X5A, T367X5D, T368X5A, T368X5D, T3695XA, T3695XD, T370X5A, T370X5D, T371X5A, T371X5D, T372X5A, T372X5D, T373X5A, T373X5D, T374X5A, T374X5D, T375X5A, T375X5D, T378X5A, T378X5D, T3795XA, T3795XD, T380X5A, T380X5D, T381X5A, T381X5D, T382X5A, T382X5D, T383X5A, T383X5D, T384X5A, T384X5D, T385X5A, T385X5D, T386X5A, T386X5D, T387X5A, T387X5D, T38805A, T38805D, T38815A, T38815D, T38895A, T38895D, T38905A, T38905D, T38995A, T38995D, T39015A, T39015D, T39095A, T39095D, T391X5A, T391X5D, T392X5A, T392X5D, T39315A, T39315D, T39395A, T39395D, T394X5A, T394X5D, T398X5A, T398X5D, T3995XA, T3995XD, T400X5A, T400X5D, T402X5A, T402X5D, T403X5A, T403X5D, T404X5A, T404X5D, T40605A, T40605D, T40695A, T40695D, T407X5A, T407X5D, T40905A, T40905D, T40995A, T40995D, T415X5A, T415X5D, T420X5A, T420X5D, T421X5A, T421X5D, T422X5A, T422X5D, T423X5A, T423X5D, T424X5A, T424X5D, T425X5A, T425X5D, T426X5A, T426X5D, T4275XA, T4275XD, T428X5A, T428X5D, T43015A, T43015D, T43025A, T43025D, T431X5A, T431X5D, T43205A, T43205D, T43215A, T43215D, T43225A, T43225D, T43295A, T43295D, T433X5A, T433X5D, T434X5A, T434X5D, T43505A, T43505D, T43595A, T43595D, T43605A, T43605D, T43615A, T43615D, T43625A, T43625D, T43635A, T43635D, T43695A, T43695D, T438X5A, T438X5D, T4395XA, T4395XD, T440X5A, T440X5D, T441X5A, T441X5D, T442X5A, T442X5D, T443X5A, T443X5D, T444X5A, T444X5D, T445X5A, T445X5D, T446X5A, T446X5D, T447X5A, T447X5D, T448X5A, T448X5D, T44905A, T44905D, T44995A, T44995D, T450X5A, T450X5D, T451X5A, T451X5D, T452X5A, T452X5D, T453X5A, T453X5D, T454X5A, T454X5D, T45515A, T45515D, T45525A, T45525D, T45605A, T45605D, T45615A, T45615D, T45625A, T45625D, T45695A, T45695D, T457X5A, T457X5D, T458X5A, T458X5D, T4595XA, T4595XD, T460X5A, T460X5D, T461X5A, T461X5D, T462X5A, T462X5D, T463X5A, T463X5D, T464X5A, T464X5D, T465X5A, T465X5D, T466X5A, T466X5D, T467X5A, T467X5D, T468X5A, T468X5D, T46905A, T46905D, T46995A, T46995D, T470X5A, T470X5D, T471X5A, T471X5D, T472X5A, T472X5D, T473X5A, T473X5D, T474X5A, T474X5D, T475X5A, T475X5D, T476X5A, T476X5D, T477X5A, T477X5D, T478X5A, T478X5D, T4795XA, T4795XD, T480X5A, T480X5D, T481X5A, T481X5D, T48205A, T48205D, T48295A, T48295D, T483X5A, T483X5D, T484X5A, T484X5D, T485X5A, T485X5D, T486X5A, T486X5D, T48905A, T48905D, T48995A, T48995D, T490X5A, T490X5D, T491X5A, T491X5D, T492X5A, T492X5D, T493X5A, T493X5D, T494X5A, T494X5D, T495X5A, T495X5D, T496X5A, T496X5D, T497X5A, T497X5D, T498X5A, T498X5D, T4995XA, T4995XD, T500X5A, T500X5D, T501X5A, T501X5D, T502X5A, T502X5D, T503X5A, T503X5D, T504X5A, T504X5D, T505X5A, T505X5D, T506X5A, T506X5D, T507X5A, T507X5D, T508X5A, T508X5D, T50905A, T50905D, T50995A, T50995D, T50A15A, T50A25A, T50A95A, T50B15A, T50B15D, T50B95A, T50B95D, T50Z15A, T50Z15D, T50Z95A, T50Z95D |
DXX2175 | Complications of anesthesia | T410X5A, T411X5A, T41205A, T41295A, T413X5A, T4145XA, T883XXA, T884XXA, T8852XA, T8853XA, T8859XA, Y653, Y700, Y701, Y702, Y703, Y708 |
DXX2361 | complications of surgical procedures | D7801, D7802, D7811, D7812, D7821, D7822, D7831, D7832, D7833, D7834, E3601, E3602, E3611, E3612, E89810, E89811, E89820, E89821, E89822, E89823, G970, G9731, G9732, G9748, G9749, G9751, G9752, G9761, G9762, G9763, G9764, G9781, G9782, H9521, H9522, H9531, H9532, H9541, H9542, H9551, H9552, H9553, H9554, I97410, I97411, I97418, I9742, I9751, I9752, I97610, I97611, I97618, I9762, I97620, I97621, I97622, I97630, I97631, I97638, I97640, I97641, I97648, I9789, J9561, J9562, J9571, J9572, J95830, J95831, J95860, J95861, J95862, J95863, J9589, K910, K912, K9161, K9162, K9171, K9172, K91840, K91841, K91850, K91858, K91870, K91871, K91872, K91873, K9189, L7601, L7602, L7611, L7612, L7621, L7622, L7631, L7632, L7633, L7634, M96810, M96811, M96820, M96821, M96830, M96831, M96840, M96841, M96842, M96843, N9961, N9962, N9971, N9972, N99820, N99821, N99840, N99841, N99842, N99843, R5082, T81718A, T81719A, T8172XA, T8189XA, T819XXA, T888XXA, Y624, Y626, Y628, Y629, Y652, Y6551, Y6552, Y710, Y711, Y712, Y713, Y718, Y720, Y721, Y722, Y723, Y728, Y730, Y731, Y732, Y733, Y738, Y740, Y741, Y742, Y743, Y748, Y750, Y751, Y752, Y753, Y758, Y760, Y761, Y762, Y763, Y768, Y770, Y771, Y772, Y773, Y778, Y780, Y781, Y782, Y783, Y788, Y790, Y791, Y792, Y793, Y798, Y800, Y801, Y802, Y803, Y808, Y810, Y811, Y812, Y813, Y818, Y828, Y829, Y848 |
DXX2362 | complications of medical care | D7881, D7889, E368, E8989, H95811, H95812, H95813, H95819, H9588, H9589, I973, J95850, L7681, L7682, M9689, R680, T801XXA, T8181XA, T880XXA, T881XXA, T887XXA, T889XXA, Y633, Y635, Y636, Y638, Y639, Y641, Y648, Y649, Y658, Y66, Y69, Y844, Y846, Y847 |
DXX9910 | HAC 02: Air Embolism | T800XXA |
Table 4: ICD-10 Relevant Procedure Codes
Group ID | Group Name | Code Value |
PXX01210 | Other radioisotope scan – 210 | C91B1ZZ, C91BYZZ, C91YYZZ, CF141ZZ, CF14YZZ, CF161ZZ, CF16YZZ, CF1C1ZZ, CF1CYZZ, CF1YYZZ, CF241ZZ, CF24YZZ, CG1YYZZ, CG2YYZZ, CH101ZZ, CH10SZZ, CH10YZZ, CH111ZZ, CH11SZZ, CH11YZZ, CH121ZZ, CH12SZZ, CH12YZZ, CH1YYZZ, CH201ZZ, CH20SZZ, CH20YZZ, CH211ZZ, CH21SZZ, CH21YZZ, CH221ZZ, CH22SZZ, CH22YZZ, CH2YYZZ, CT1H1ZZ, CT1HYZZ, CT1YYZZ, CT2YYZZ, CV191ZZ, CV19YZZ, CV1YYZZ, CW101ZZ, CW10DZZ, CW10FZZ, CW10GZZ, CW10LZZ, CW10SZZ, CW10YZZ, CW111ZZ, CW11DZZ, CW11FZZ, CW11GZZ, CW11LZZ, CW11SZZ, CW11YZZ, CW131ZZ, CW13DZZ, CW13FZZ, CW13GZZ, CW13KZZ, CW13LZZ, CW13SZZ, CW13YZZ, CW141ZZ, CW14DZZ, CW14FZZ, CW14GZZ, CW14LZZ, CW14SZZ, CW14YZZ, CW161ZZ, CW16DZZ, CW16FZZ, CW16GZZ, CW16LZZ, CW16SZZ, CW16YZZ, CW1B1ZZ, CW1BDZZ, CW1BFZZ, CW1BGZZ, CW1BLZZ, CW1BSZZ, CW1BYZZ, CW1D1ZZ, CW1DDZZ, CW1DFZZ, CW1DGZZ, CW1DLZZ, CW1DSZZ, CW1DYZZ, CW1J1ZZ, CW1JDZZ, CW1JFZZ, CW1JGZZ, CW1JLZZ, CW1JSZZ, CW1JYZZ, CW1M1ZZ, CW1MDZZ, CW1MFZZ, CW1MGZZ, CW1MLZZ, CW1MSZZ, CW1MYZZ, CW1YYZZ, CW1ZZZZ, CW201ZZ, CW20DZZ, CW20FZZ, CW20GZZ, CW20KZZ, CW20LZZ, CW20SZZ, CW20YZZ, CW211ZZ, CW21DZZ, CW21FZZ, CW21GZZ, CW21KZZ, CW21LZZ, CW21SZZ, CW21YZZ, CW231ZZ, CW23DZZ, CW23FZZ, CW23GZZ, CW23KZZ, CW23LZZ, CW23SZZ, CW23YZZ, CW241ZZ, CW24DZZ, CW24FZZ, CW24GZZ, CW24KZZ, CW24LZZ, CW24SZZ, CW24YZZ, CW261ZZ, CW26DZZ, CW26FZZ, CW26GZZ, CW26KZZ, CW26LZZ, CW26SZZ, CW26YZZ, CW2B1ZZ, CW2BDZZ, CW2BFZZ, CW2BGZZ, CW2BKZZ, CW2BLZZ, CW2BSZZ, CW2BYZZ, CW2D1ZZ, CW2DDZZ, CW2DFZZ, CW2DGZZ, CW2DKZZ, CW2DLZZ, CW2DSZZ, CW2DYZZ, CW2J1ZZ, CW2JDZZ, CW2JFZZ, CW2JGZZ, CW2JKZZ, CW2JLZZ, CW2JSZZ, CW2JYZZ, CW2M1ZZ, CW2MDZZ, CW2MFZZ, CW2MGZZ, CW2MKZZ, CW2MLZZ, CW2MSZZ, CW2MYZZ, CW2YYZZ |
PXX02220 | Ophthalmologic and otologic diagnosis and treatment – 220 | B30N0ZZ, B30N1ZZ, B30NYZZ, B845ZZZ, B846ZZZ, B847ZZZ |
PXX03231 | Other therapeutic procedures – 231 | 059030Z, 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, 3E030FZ, 3E030HZ, 3E030KZ, 3E030RZ, 3E030WK, 3E0333Z, 3E033FZ, 3E033HZ, 3E033KZ, 3E033RZ, 3E033WK, 3E0403Z, 3E040FZ, 3E040HZ, 3E040KZ, 3E040RZ, 3E040WK, 3E0433Z, 3E043FZ, 3E043HZ, 3E043KZ, 3E043RZ, 3E043WK, 3E0503Z, 3E050FZ, 3E050HZ, 3E050KZ, 3E050RZ, 3E050TZ, 3E050WK, 3E0533Z, 3E053FZ, 3E053HZ, 3E053KZ, 3E053RZ, 3E053TZ, 3E053WK, 3E0603Z, 3E060FZ, 3E060HZ, 3E060RZ, 3E060TZ, 3E060WK, 3E0633Z, 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, 3E0H30M, 3E0H3BZ, 3E0H3GC, 3E0H3HZ, 3E0H3KZ, 3E0H3SF, 3E0H3TZ, 3E0H70M, 3E0H7BZ, 3E0H7HZ, 3E0H7KZ, 3E0H7SF, 3E0H7TZ, 3E0H80M, 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 |
PXX04178 | CT scan chest – 178 | B22600Z, B2260ZZ, B22610Z, B2261ZZ, B226Y0Z, B226YZZ, B226ZZZ, B32S0ZZ, B32S1ZZ, B32SYZZ, B32SZZZ, B32T0ZZ, B32T1ZZ, B32TYZZ, B32TZZZ, BB2400Z, BB240ZZ, BB2410Z, BB241ZZ, BB24Y0Z, BB24YZZ, BB24ZZZ, BP2W0ZZ, BP2W1ZZ, BP2WYZZ, BW2400Z, BW240ZZ, BW2410Z, BW241ZZ, BW24Y0Z, BW24YZZ, BW24ZZZ |
PXX04183 | Routine chest X-ray – 183 | BW03ZZZ |
PXX0442 | Other OR therapeutic procedures on respiratory system – 042 | 0DQ80ZZ, 0DQ83ZZ, 0DQ84ZZ, 0DQ87ZZ, 0DQ88ZZ, 0DQE0ZZ, 0DQE3ZZ, 0DQE4ZZ, 0DQE7ZZ, 0DQE8ZZ |
PXX05190 | Contrast arteriogram of femoral and lower extremity arteries – 190 | B40J0ZZ, B40J1ZZ, B40JYZZ, B41J0ZZ, B41J1ZZ, B41JYZZ |
PXX05191 | Arterio- or venogram (not heart and head) – 191 | B3030ZZ, B3031ZZ, B303YZZ, B3040ZZ, B3041ZZ, B304YZZ, B3050ZZ, B3051ZZ, B305YZZ, B3090ZZ, B3091ZZ, B309YZZ, B30B0ZZ, B30B1ZZ, B30BYZZ, B30C0ZZ, B30C1ZZ, B30CYZZ, B30H0ZZ, B30H1ZZ, B30HYZZ, B30J0ZZ, B30J1ZZ, B30JYZZ, B30K0ZZ, B30K1ZZ, B30KYZZ, B30M0ZZ, B30M1ZZ, B30MYZZ, B30Q0ZZ, B30Q1ZZ, B30QYZZ, B3130ZZ, B3131ZZ, B313YZZ, B3140ZZ, B3141ZZ, B314YZZ, B3150ZZ, B3151ZZ, B315YZZ, B3190ZZ, B3191ZZ, B319YZZ, B31B0ZZ, B31B1ZZ, B31BYZZ, B31C0ZZ, B31C1ZZ, B31CYZZ, B31H0ZZ, B31H1ZZ, B31HYZZ, B31J0ZZ, B31J1ZZ, B31JYZZ, B31K0ZZ, B31K1ZZ, B31KYZZ, B31M0ZZ, B31M1ZZ, B31MYZZ, B31N0ZZ, B31N1ZZ, B31NYZZ, B31Q0ZZ, B31Q1ZZ, B31QYZZ, B4020ZZ, B4021ZZ, B402YZZ, B4030ZZ, B4031ZZ, B403YZZ, B4040ZZ, B4041ZZ, B404YZZ, B4050ZZ, B4051ZZ, B405YZZ, B4090ZZ, B4091ZZ, B409YZZ, B40B0ZZ, B40B1ZZ, B40BYZZ, B40C0ZZ, B40C1ZZ, B40CYZZ, B4120ZZ, B4121ZZ, B412YZZ, B4130ZZ, B4131ZZ, B413YZZ, B4140ZZ, B4141ZZ, B414YZZ, B4150ZZ, B4151ZZ, B415YZZ, B4190ZZ, B4191ZZ, B419YZZ, B41B0ZZ, B41B1ZZ, B41BYZZ, B41C0ZZ, B41C1ZZ, B41CYZZ |
PXX05197 | Other diagnostic ultrasound – 197 | B04BZZZ, B341ZZZ, B342ZZZ, B343ZZZ, B344ZZZ, B345ZZZ, B346ZZZ, B347ZZZ, B348ZZZ, B34HZZZ, B34JZZZ, B34KZZZ, B34RZZZ, B34SZZZ, B34TZZZ, B34VZZZ, B440ZZZ, B444ZZZ, B445ZZZ, B446ZZZ, B447ZZZ, B448ZZZ, B44BZZZ, B44FZZZ, B44GZZZ, B44HZZZ, B44KZZZ, B44LZZZ, B44NZZZ, B543ZZZ, B544ZZZ, B546ZZZ, B547ZZZ, B548ZZZ, B549ZZZ, B54BZZZ, B54CZZZ, B54DZZZ, B54JZZZ, B54KZZZ, B54LZZZ, B54MZZZ, B54NZZZ, B54PZZZ, B54TZZZ, BG40ZZZ, BG41ZZZ, BG42ZZZ, BG43ZZZ, BG44ZZZ, BH47ZZZ, BH48ZZZ, BH49ZZZ, BH4BZZZ, BL40ZZZ, BL41ZZZ, BL42ZZZ, BL43ZZZ, BP48ZZZ, BP49ZZZ, BP4GZZZ, BP4HZZZ, BP4NZZZ, BP4PZZZ, BQ40ZZZ, BQ41ZZZ, BQ42ZZZ, BQ47ZZZ, BQ48ZZZ, BQ49ZZZ, BR40ZZZ, BR47ZZZ, BR49ZZZ, BR4FZZZ, BU40YZZ, BU40ZZZ, BU41YZZ, BU41ZZZ, BU42YZZ, BU42ZZZ, BU43YZZ, BU43ZZZ, BU44YZZ, BU44ZZZ, BU45YZZ, BU45ZZZ, BU46YZZ, BU46ZZZ, BU4CYZZ, BU4CZZZ, BV44ZZZ, BV49ZZZ, BV4BZZZ, BW41ZZZ, BW4GZZZ |
PXX05202 | Electrocardiogram – 202 | 4A0204Z, 4A02X4A, 4A02X4Z |
PXX05226 | Other diagnostic radiology and related techniques – 226 | B300ZZZ, B301ZZZ, B302ZZZ, B303ZZZ, B304ZZZ, B305ZZZ, B306ZZZ, B307ZZZ, B308ZZZ, B309ZZZ, B30BZZZ, B30CZZZ, B30DZZZ, B30FZZZ, B30GZZZ, B30HZZZ, B30JZZZ, B30KZZZ, B30LZZZ, B30MZZZ, B30NZZZ, B30PZZZ, B30QZZZ, B30SZZZ, B30TZZZ, B310ZZZ, B311ZZZ, B312ZZZ, B313ZZZ, B314ZZZ, B315ZZZ, B316ZZZ, B317ZZZ, B318ZZZ, B319ZZZ, B31BZZZ, B31CZZZ, B31DZZZ, B31FZZZ, B31GZZZ, B31HZZZ, B31JZZZ, B31KZZZ, B31LZZZ, B31MZZZ, B31NZZZ, B31PZZZ, B31QZZZ, B31SZZZ, B31TZZZ, B410ZZZ, B412ZZZ, B413ZZZ, B414ZZZ, B415ZZZ, B416ZZZ, B417ZZZ, B418ZZZ, B419ZZZ, B41BZZZ, B41CZZZ, B41DZZZ, B41FZZZ, B41GZZZ, B41JZZZ, B510ZZA, B510ZZZ, B511ZZA, B511ZZZ, B512ZZA, B512ZZZ, B513ZZA, B513ZZZ, B514ZZA, B514ZZZ, B515ZZA, B515ZZZ, B516ZZA, B517ZZA, B518ZZZ, B519ZZZ, B51BZZA, B51BZZZ, B51CZZA, B51CZZZ, B51DZZA, B51DZZZ, B51FZZA, B51FZZZ, B51GZZA, B51GZZZ, B51HZZA, B51HZZZ, B51JZZA, B51JZZZ, B51KZZA, B51KZZZ, B51LZZA, B51LZZZ, B51MZZA, B51MZZZ, B51NZZA, B51NZZZ, B51PZZA, B51PZZZ, B51QZZA, B51QZZZ, B51RZZA, B51RZZZ, B51SZZA, B51SZZZ, B51TZZA, B51TZZZ, B51VZZA, B51VZZZ, B51WZZA, B51WZZZ, BT140ZZ, BT141ZZ, BT14YZZ, BT14ZZZ, BT1D0ZZ, BT1D1ZZ, BT1DYZZ, BT1DZZZ, BT1F0ZZ, BT1F1ZZ, BT1FYZZ, BT1FZZZ, BW00ZZZ, BW01ZZZ, BW0KZZZ, BW0LZZZ, BW0MZZZ, BW11ZZZ |
PXX0554 | Other vascular catheterization, not heart – 054 | 02H633Z, 02HK33Z, 02HP03Z, 02HP33Z, 02HP43Z, 02HQ03Z, 02HQ33Z, 02HQ43Z, 02HR03Z, 02HR33Z, 02HR43Z, 02HS03Z, 02HS33Z, 02HS43Z, 02HT03Z, 02HT33Z, 02HT43Z, 02HV03Z, 02HV33Z, 02HV43Z, 02HW03Z, 02HW33Z, 02HW43Z, 02HX03Z, 02HX33Z, 02HX43Z, 03H003Z, 03H033Z, 03H043Z, 03H103Z, 03H133Z, 03H143Z, 03H203Z, 03H233Z, 03H243Z, 03H303Z, 03H333Z, 03H343Z, 03H403Z, 03H433Z, 03H443Z, 03H503Z, 03H533Z, 03H543Z, 03H603Z, 03H633Z, 03H643Z, 03H703Z, 03H733Z, 03H743Z, 03H803Z, 03H833Z, 03H843Z, 03H903Z, 03H933Z, 03H943Z, 03HA03Z, 03HA33Z, 03HA43Z, 03HB03Z, 03HB33Z, 03HB43Z, 03HC03Z, 03HC33Z, 03HC43Z, 03HD03Z, 03HD33Z, 03HD43Z, 03HF03Z, 03HF33Z, 03HF43Z, 03HG03Z, 03HG33Z, 03HG43Z, 03HH03Z, 03HH33Z, 03HH43Z, 03HJ03Z, 03HJ33Z, 03HJ43Z, 03HK03Z, 03HK33Z, 03HK43Z, 03HL03Z, 03HL33Z, 03HL43Z, 03HM03Z, 03HM33Z, 03HM43Z, 03HN03Z, 03HN33Z, 03HN43Z, 03HP03Z, 03HP33Z, 03HP43Z, 03HQ03Z, 03HQ33Z, 03HQ43Z, 03HR03Z, 03HR33Z, 03HR43Z, 03HS03Z, 03HS33Z, 03HS43Z, 03HT03Z, 03HT33Z, 03HT43Z, 03HU03Z, 03HU33Z, 03HU43Z, 03HV03Z, 03HV33Z, 03HV43Z, 03HY03Z, 03HY32Z, 03HY33Z, 03HY43Z, 04H003Z, 04H033Z, 04H043Z, 04H103Z, 04H133Z, 04H143Z, 04H203Z, 04H233Z, 04H243Z, 04H303Z, 04H333Z, 04H343Z, 04H403Z, 04H433Z, 04H443Z, 04H503Z, 04H533Z, 04H543Z, 04H603Z, 04H633Z, 04H643Z, 04H703Z, 04H733Z, 04H743Z, 04H803Z, 04H833Z, 04H843Z, 04H903Z, 04H933Z, 04H943Z, 04HA03Z, 04HA33Z, 04HA43Z, 04HB03Z, 04HB33Z, 04HB43Z, 04HC03Z, 04HC33Z, 04HC43Z, 04HD03Z, 04HD33Z, 04HD43Z, 04HE03Z, 04HE33Z, 04HE43Z, 04HF03Z, 04HF33Z, 04HF43Z, 04HH03Z, 04HH33Z, 04HH43Z, 04HJ03Z, 04HJ33Z, 04HJ43Z, 04HK03Z, 04HK33Z, 04HK43Z, 04HL03Z, 04HL33Z, 04HL43Z, 04HM03Z, 04HM33Z, 04HM43Z, 04HN03Z, 04HN33Z, 04HN43Z, 04HP03Z, 04HP33Z, 04HP43Z, 04HQ03Z, 04HQ33Z, 04HQ43Z, 04HR03Z, 04HR33Z, 04HR43Z, 04HS03Z, 04HS33Z, 04HS43Z, 04HT03Z, 04HT33Z, 04HT43Z, 04HU03Z, 04HU33Z, 04HU43Z, 04HV03Z, 04HV33Z, 04HV43Z, 04HW03Z, 04HW33Z, 04HW43Z, 04HY03Z, 04HY32Z, 04HY33Z, 04HY43Z, 05H003Z, 05H033Z, 05H043Z, 05H103Z, 05H133Z, 05H143Z, 05H303Z, 05H333Z, 05H343Z, 05H403Z, 05H433Z, 05H443Z, 05H503Z, 05H533Z, 05H543Z, 05H603Z, 05H633Z, 05H643Z, 05H703Z, 05H733Z, 05H743Z, 05H803Z, 05H833Z, 05H843Z, 05H903Z, 05H933Z, 05H943Z, 05HA03Z, 05HA33Z, 05HA43Z, 05HB03Z, 05HB33Z, 05HB43Z, 05HC03Z, 05HC33Z, 05HC43Z, 05HD03Z, 05HD33Z, 05HD43Z, 05HF03Z, 05HF33Z, 05HF43Z, 05HG03Z, 05HG33Z, 05HG43Z, 05HH03Z, 05HH33Z, 05HH43Z, 05HL03Z, 05HL33Z, 05HL43Z, 05HM03Z, 05HM33Z, 05HM43Z, 05HN03Z, 05HN33Z, 05HN43Z, 05HP03Z, 05HP33Z, 05HP43Z, 05HQ03Z, 05HQ33Z, 05HQ43Z, 05HR03Z, 05HR33Z, 05HR43Z, 05HS03Z, 05HS33Z, 05HS43Z, 05HT03Z, 05HT33Z, 05HT43Z, 05HV03Z, 05HV33Z, 05HV43Z, 05HY03Z, 05HY33Z, 05HY43Z, 06H003Z, 06H033Z, 06H043Z, 06H103Z, 06H133Z, 06H143Z, 06H203Z, 06H233Z, 06H243Z, 06H303Z, 06H333Z, 06H343Z, 06H403Z, 06H433Z, 06H443Z, 06H503Z, 06H533Z, 06H543Z, 06H603Z, 06H633Z, 06H643Z, 06H703Z, 06H733Z, 06H743Z, 06H803Z, 06H833Z, 06H843Z, 06H903Z, 06H933Z, 06H943Z, 06HB03Z, 06HB33Z, 06HB43Z, 06HC03Z, 06HC33Z, 06HC43Z, 06HD03Z, 06HD33Z, 06HD43Z, 06HF03Z, 06HF33Z, 06HF43Z, 06HG03Z, 06HG33Z, 06HG43Z, 06HH03Z, 06HH33Z, 06HH43Z, 06HJ03Z, 06HJ33Z, 06HJ43Z, 06HM03Z, 06HM33Z, 06HM43Z, 06HN03Z, 06HN33Z, 06HN43Z, 06HP03Z, 06HP33Z, 06HP43Z, 06HQ03Z, 06HQ33Z, 06HQ43Z, 06HR03Z, 06HR33Z, 06HR43Z, 06HS03Z, 06HS33Z, 06HS43Z, 06HT03Z, 06HT33Z, 06HT43Z, 06HV03Z, 06HV33Z, 06HV43Z, 06HY03Z, 06HY33Z, 06HY43Z, 0JH60XZ, 0JH63XZ, 0JH80XZ, 0JH83XZ, 0JHD0XZ, 0JHD3XZ, 0JHF0XZ, 0JHF3XZ, 0JHG0XZ, 0JHG3XZ, 0JHH0XZ, 0JHH3XZ, 0JHL0XZ, 0JHL3XZ, 0JHM0XZ, 0JHM3XZ, 0JHN0XZ, 0JHN3XZ, 0JHP0XZ, 0JHP3XZ |
PXX06179 | CT scan abdomen – 179 | B52F00Z, B52F0ZZ, B52F10Z, B52F1ZZ, B52FY0Z, B52FYZZ, B52FZZZ, B52G00Z, B52G0ZZ, B52G10Z, B52G1ZZ, B52GY0Z, B52GYZZ, B52GZZZ, B52H00Z, B52H0ZZ, B52H10Z, B52H1ZZ, B52HY0Z, B52HYZZ, B52HZZZ, BD2400Z, BD240ZZ, BD2410Z, BD241ZZ, BD24Y0Z, BD24YZZ, BD24ZZZ, BF2500Z, BF250ZZ, BF2510Z, BF251ZZ, BF25Y0Z, BF25YZZ, BF25ZZZ, BF2600Z, BF260ZZ, BF2610Z, BF261ZZ, BF26Y0Z, BF26YZZ, BF26ZZZ, BF2700Z, BF270ZZ, BF2710Z, BF271ZZ, BF27Y0Z, BF27YZZ, BF27ZZZ, BF2C00Z, BF2C0ZZ, BF2C10Z, BF2C1ZZ, BF2CY0Z, BF2CYZZ, BF2CZZZ, BW2000Z, BW200ZZ, BW2010Z, BW201ZZ, BW20Y0Z, BW20YZZ, BW20ZZZ, BW2G00Z, BW2G0ZZ, BW2G10Z, BW2G1ZZ, BW2GY0Z, BW2GYZZ, BW2GZZZ |
PXX06196 | Diagnostic ultrasound of abdomen or retroperitoneum – 196 | BW40ZZZ |
PXX06246 | Partial Colectomy | 0D1L0Z4, 0D1L4Z4, 0D1M0Z4, 0D1M4Z4 |
PXX06251 | Colonoscopy w biopsy, polypectomy | 0DBE7ZX, 0DBE8ZX |
PXX0672 | Colostomy, temporary and permanent – 072 | 0D1H074, 0D1H0J4, 0D1H0K4, 0D1H0Z4, 0D1H3J4, 0D1H474, 0D1H4J4, 0D1H4K4, 0D1H4Z4, 0D1H874, 0D1H8J4, 0D1H8K4, 0D1H8Z4, 0D1K074, 0D1K0J4, 0D1K0K4, 0D1K0Z4, 0D1K3J4, 0D1K474, 0D1K4J4, 0D1K4K4, 0D1K4Z4, 0D1K874, 0D1K8J4, 0D1K8K4, 0D1K8Z4, 0D1L074, 0D1L0J4, 0D1L0K4, 0D1L3J4, 0D1L474, 0D1L4J4, 0D1L4K4, 0D1L874, 0D1L8J4, 0D1L8K4, 0D1L8Z4, 0D1M074, 0D1M0J4, 0D1M0K4, 0D1M3J4, 0D1M474, 0D1M4J4, 0D1M4K4, 0D1M874, 0D1M8J4, 0D1M8K4, 0D1M8Z4, 0D1N074, 0D1N0J4, 0D1N0K4, 0D1N3J4, 0D1N474, 0D1N4J4, 0D1N4K4, 0D1N874, 0D1N8J4, 0D1N8K4, 0D1N8Z4, 0H87XZZ |
PXX0688 | Abdominal paracentesis – 088 | 0D9S30Z, 0D9S3ZZ, 0D9S40Z, 0D9S4ZZ, 0D9T30Z, 0D9T3ZZ, 0D9T40Z, 0D9T4ZZ, 0D9V30Z, 0D9V3ZZ, 0D9V40Z, 0D9V4ZZ, 0D9W30Z, 0D9W3ZZ, 0D9W40Z, 0D9W4ZZ, 0W9F30Z, 0W9F3ZZ, 0W9F40Z, 0W9F4ZZ, 0W9G30Z, 0W9G3ZZ, 0W9G40Z, 0W9G4ZZ, 0W9J30Z, 0W9J3ZZ |
PXX0696 | Other OR lower GI therapeutic procedures – 096 | 0DL80CZ, 0DL80DZ, 0DL80ZZ, 0DL83CZ, 0DL83DZ, 0DL83ZZ, 0DL84CZ, 0DL84DZ, 0DL84ZZ, 0DL87DZ, 0DL87ZZ, 0DL88DZ, 0DL88ZZ, 0DL90CZ, 0DL90DZ, 0DL90ZZ, 0DL93CZ, 0DL93DZ, 0DL93ZZ, 0DL94CZ, 0DL94DZ, 0DL94ZZ, 0DL97DZ, 0DL97ZZ, 0DL98DZ, 0DL98ZZ, 0DLA0CZ, 0DLA0DZ, 0DLA0ZZ, 0DLA3CZ, 0DLA3DZ, 0DLA3ZZ, 0DLA4CZ, 0DLA4DZ, 0DLA4ZZ, 0DLA7DZ, 0DLA7ZZ, 0DLA8DZ, 0DLA8ZZ, 0DLB0CZ, 0DLB0DZ, 0DLB0ZZ, 0DLB3CZ, 0DLB3DZ, 0DLB3ZZ, 0DLB4CZ, 0DLB4DZ, 0DLB4ZZ, 0DLB7DZ, 0DLB7ZZ, 0DLB8DZ, 0DLB8ZZ, 0DLC0CZ, 0DLC0DZ, 0DLC0ZZ, 0DLC3CZ, 0DLC3DZ, 0DLC3ZZ, 0DLC4CZ, 0DLC4DZ, 0DLC4ZZ, 0DLC7DZ, 0DLC7ZZ, 0DLC8DZ, 0DLC8ZZ, 0DLE0CZ, 0DLE0DZ, 0DLE0ZZ, 0DLE3CZ, 0DLE3DZ, 0DLE3ZZ, 0DLE4CZ, 0DLE4DZ, 0DLE4ZZ, 0DLE7DZ, 0DLE7ZZ, 0DLE8DZ, 0DLE8ZZ, 0DLF0CZ, 0DLF0DZ, 0DLF0ZZ, 0DLF3CZ, 0DLF3DZ, 0DLF3ZZ, 0DLF4CZ, 0DLF4DZ, 0DLF4ZZ, 0DLF7DZ, 0DLF7ZZ, 0DLF8DZ, 0DLF8ZZ, 0DLG0CZ, 0DLG0DZ, 0DLG0ZZ, 0DLG3CZ, 0DLG3DZ, 0DLG3ZZ, 0DLG4CZ, 0DLG4DZ, 0DLG4ZZ, 0DLG7DZ, 0DLG7ZZ, 0DLG8DZ, 0DLG8ZZ, 0DLH0CZ, 0DLH0DZ, 0DLH0ZZ, 0DLH3CZ, 0DLH3DZ, 0DLH3ZZ, 0DLH4CZ, 0DLH4DZ, 0DLH4ZZ, 0DLH7DZ, 0DLH7ZZ, 0DLH8DZ, 0DLH8ZZ, 0DLK0CZ, 0DLK0DZ, 0DLK0ZZ, 0DLK3CZ, 0DLK3DZ, 0DLK3ZZ, 0DLK4CZ, 0DLK4DZ, 0DLK4ZZ, 0DLK7DZ, 0DLK7ZZ, 0DLK8DZ, 0DLK8ZZ, 0DLL0CZ, 0DLL0DZ, 0DLL0ZZ, 0DLL3CZ, 0DLL3DZ, 0DLL3ZZ, 0DLL4CZ, 0DLL4DZ, 0DLL4ZZ, 0DLL7DZ, 0DLL7ZZ, 0DLL8DZ, 0DLL8ZZ, 0DLM0CZ, 0DLM0DZ, 0DLM0ZZ, 0DLM3CZ, 0DLM3DZ, 0DLM3ZZ, 0DLM4CZ, 0DLM4DZ, 0DLM4ZZ, 0DLM7DZ, 0DLM7ZZ, 0DLM8DZ, 0DLM8ZZ, 0DLN0CZ, 0DLN0DZ, 0DLN0ZZ, 0DLN3CZ, 0DLN3DZ, 0DLN3ZZ, 0DLN4CZ, 0DLN4DZ, 0DLN4ZZ, 0DLN7DZ, 0DLN7ZZ, 0DLN8DZ, 0DLN8ZZ |
PXX0783 | Biopsy of liver – 083 | 0F903ZX, 0F904ZX, 0F913ZX, 0F914ZX, 0F923ZX, 0F924ZX, 0FB03ZX, 0FB13ZX, 0FB23ZX |
PXX08159 | Other diagnostic procedures on musculoskeletal system – 159 | 0K900ZX, 0K910ZX, 0K920ZX, 0K930ZX, 0K940ZX, 0K950ZX, 0K960ZX, 0K970ZX, 0K980ZX, 0K990ZX, 0K9B0ZX, 0K9C0ZX, 0K9D0ZX, 0K9F0ZX, 0K9G0ZX, 0K9H0ZX, 0K9J0ZX, 0K9K0ZX, 0K9L0ZX, 0K9M0ZX, 0K9N0ZX, 0K9P0ZX, 0K9Q0ZX, 0K9R0ZX, 0K9S0ZX, 0K9T0ZX, 0K9V0ZX, 0K9W0ZX, 0KB00ZX, 0KB10ZX, 0KB20ZX, 0KB30ZX, 0KB40ZX, 0KB50ZX, 0KB60ZX, 0KB70ZX, 0KB80ZX, 0KB90ZX, 0KBB0ZX, 0KBC0ZX, 0KBD0ZX, 0KBF0ZX, 0KBG0ZX, 0KBH0ZX, 0KBJ0ZX, 0KBK0ZX, 0KBL0ZX, 0KBM0ZX, 0KBN0ZX, 0KBP0ZX, 0KBQ0ZX, 0KBR0ZX, 0KBS0ZX, 0KBT0ZX, 0KBV0ZX, 0KBW0ZX, 0L900ZX, 0L910ZX, 0L920ZX, 0L930ZX, 0L940ZX, 0L950ZX, 0L960ZX, 0L970ZX, 0L980ZX, 0L990ZX, 0L9B0ZX, 0L9C0ZX, 0L9D0ZX, 0L9F0ZX, 0L9G0ZX, 0L9H0ZX, 0L9J0ZX, 0L9K0ZX, 0L9L0ZX, 0L9M0ZX, 0L9N0ZX, 0L9P0ZX, 0L9Q0ZX, 0L9R0ZX, 0L9S0ZX, 0L9T0ZX, 0L9V0ZX, 0L9W0ZX, 0LB00ZX, 0LB10ZX, 0LB20ZX, 0LB30ZX, 0LB40ZX, 0LB50ZX, 0LB60ZX, 0LB70ZX, 0LB80ZX, 0LB90ZX, 0LBB0ZX, 0LBC0ZX, 0LBD0ZX, 0LBF0ZX, 0LBG0ZX, 0LBH0ZX, 0LBJ0ZX, 0LBK0ZX, 0LBL0ZX, 0LBM0ZX, 0LBN0ZX, 0LBP0ZX, 0M900ZX, 0M910ZX, 0M920ZX, 0M930ZX, 0M940ZX, 0M950ZX, 0M960ZX, 0M970ZX, 0M980ZX, 0M990ZX, 0M9B0ZX, 0M9C0ZX, 0M9D0ZX, 0M9F0ZX, 0M9G0ZX, 0M9H0ZX, 0M9J0ZX, 0M9K0ZX, 0M9L0ZX, 0M9M0ZX, 0M9N0ZX, 0M9P0ZX, 0M9Q0ZX, 0M9R0ZX, 0M9S0ZX, 0M9T0ZX, 0M9V0ZX, 0M9W0ZX, 0MB00ZX, 0MB10ZX, 0MB20ZX, 0MB30ZX, 0MB40ZX, 0MB50ZX, 0MB60ZX, 0MB70ZX, 0MB80ZX, 0MB90ZX, 0MBB0ZX, 0MBC0ZX, 0MBD0ZX, 0MBF0ZX, 0MBG0ZX, 0MBH0ZX, 0MBJ0ZX, 0MBK0ZX, 0MBL0ZX, 0MBM0ZX, 0MBN0ZX, 0MBP0ZX, 0MBQ0ZX, 0MBR0ZX, 0MBS0ZX, 0MBT0ZX, 0MBV0ZX, 0MBW0ZX |
PXX09174 | Other non-OR therapeutic procedures on skin and breast – 174 | 0JH60WZ, 0JH63WZ, 0JH80WZ, 0JH83WZ, 0JHD0WZ, 0JHD3WZ, 0JHF0WZ, 0JHF3WZ, 0JHG0WZ, 0JHG3WZ, 0JHH0WZ, 0JHH3WZ, 0JHL0WZ, 0JHL3WZ, 0JHM0WZ, 0JHM3WZ, 0JHN0WZ, 0JHN3WZ, 0JHP0WZ, 0JHP3WZ |
PXX10209 | Radioisotope scan and function studies – 209 | CF151ZZ, CF15YZZ, CF251ZZ, CF25YZZ, CF261ZZ, CF26YZZ, CF2YYZZ |
PXX11180 | Other CT scan – 180 | B22100Z, 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 |
PXX16222 | Blood transfusion – 222 | 30230H1, 30233H1, 30240H1, 30243H1, 30250H1, 30253H1, 30260H1, 30263H1 |
PXX17225 | CHEMOTHERAPY | 3E00X0M, 3E0130M, 3E0230M, 3E0300M, 3E0330M, 3E0400M, 3E0430M, 3E0500M, 3E0530M, 3E0600M, 3E0630M, 3E0W30M |
PXX17226 | RADIATION THERAPY | D0003ZZ, D0013ZZ, D0063ZZ, D0073ZZ, D0Y0FZZ, D0Y1FZZ, D0Y6FZZ, D0Y7FZZ, D7003ZZ, D7013ZZ, D7023ZZ, D7033ZZ, D7043ZZ, D7053ZZ, D7063ZZ, D7073ZZ, D7083ZZ, D7Y0FZZ, D7Y1FZZ, D7Y2FZZ, D7Y3FZZ, D7Y4FZZ, D7Y5FZZ, D7Y6FZZ, D7Y7FZZ, D7Y8FZZ, D8003ZZ, D8Y0FZZ, D9003ZZ, D9013ZZ, D9033ZZ, D9043ZZ, D9053ZZ, D9063ZZ, D9073ZZ, D9083ZZ, D9093ZZ, D90B3ZZ, D90D3ZZ, D90F3ZZ, D9Y0FZZ, D9Y1FZZ, D9Y4CZZ, D9Y4FZZ, D9Y5FZZ, D9Y6FZZ, D9Y7FZZ, D9Y8FZZ, D9Y9FZZ, D9YBCZZ, D9YBFZZ, D9YCCZZ, D9YCFZZ, D9YDCZZ, D9YDFZZ, DB003ZZ, DB013ZZ, DB023ZZ, DB053ZZ, DB063ZZ, DB073ZZ, DB083ZZ, DBY0FZZ, DBY1FZZ, DBY2FZZ, DBY5FZZ, DBY6FZZ, DBY7FZZ, DBY8FZZ, DD003ZZ, DD013ZZ, DD023ZZ, DD033ZZ, DD043ZZ, DD053ZZ, DD073ZZ, DDY0FZZ, DDY1CZZ, DDY1FZZ, DDY2CZZ, DDY2FZZ, DDY3CZZ, DDY3FZZ, DDY4CZZ, DDY4FZZ, DDY5CZZ, DDY5FZZ, DDY7CZZ, DDY7FZZ, DDY8CZZ, DDY8FZZ, DF003ZZ, DF013ZZ, DF023ZZ, DF033ZZ, DFY0CZZ, DFY0FZZ, DFY1CZZ, DFY1FZZ, DFY2CZZ, DFY2FZZ, DFY3CZZ, DFY3FZZ, DG003ZZ, DG013ZZ, DG023ZZ, DG043ZZ, DG053ZZ, DGY0FZZ, DGY1FZZ, DGY2FZZ, DGY4FZZ, DGY5FZZ, DH023ZZ, DH033ZZ, DH043ZZ, DH063ZZ, DH073ZZ, DH083ZZ, DH093ZZ, DH0B3ZZ, DHY2FZZ, DHY3FZZ, DHY4FZZ, DHY5FZZ, DHY6FZZ, DHY7FZZ, DHY8FZZ, DHY9FZZ, DHYBFZZ, DHYCFZZ, DM003ZZ, DM013ZZ, DMY0FZZ, DMY1FZZ, DP003ZZ, DP023ZZ, DP033ZZ, DP043ZZ, DP053ZZ, DP063ZZ, DP073ZZ, DP083ZZ, DP093ZZ, DP0B3ZZ, DP0C3ZZ, DPY0FZZ, DPY2FZZ, DPY3FZZ, DPY4FZZ, DPY5FZZ, DPY6FZZ, DPY7FZZ, DPY8FZZ, DPY9FZZ, DPYBFZZ, DPYCFZZ, DT003ZZ, DT013ZZ, DT023ZZ, DT033ZZ, DTY0CZZ, DTY0FZZ, DTY1CZZ, DTY1FZZ, DTY2CZZ, DTY2FZZ, DTY3CZZ, DTY3FZZ, DU003ZZ, DU013ZZ, DU023ZZ, DUY0CZZ, DUY0FZZ, DUY1CZZ, DUY1FZZ, DUY2CZZ, DUY2FZZ, DV003ZZ, DV013ZZ, DVY0CZZ, DVY0FZZ, DVY1FZZ, DW013ZZ, DW023ZZ, DW033ZZ, DW043ZZ, DW053ZZ, DW063ZZ, DWY1FZZ, DWY2FZZ, DWY3FZZ, DWY4FZZ, DWY5FZZ, DWY6FZZ |
Procedure Codes which will be used in combination with diagnosis codes to identify relevant services.
Table 5: Relevant Procedure Codes CPT/HCPCS
Group ID | Group Name | Code Value |
CT0025 | Preventive Medicine, Care Coordination | 2000F, 2001F, 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, 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 |
CT0026 | Anesthesia and pain management | J0780, J1960, J2270, J2310, J3010, J3070, S0012, S0092, S0093 |
CT0027 | Colonoscopy – therapeutic | 45382, 45383, 45386, 45387, 45391, 45392 |
CT0028 | Depression Screening | 1220F, 3085F, 3351F, 3352F, 3353F, 3354F, 3725F, 96127, G0444, G8431, G8432, G8433, G8510, G8511, G8940 |
CT0070 | Upper GI endoscopy | 91112 |
CT0079 | Toxicology Screening | G0480, G0481, G0482, G0483 |
CT0080 | Imaging Abdomen | 74000, 74010, 74020, 74022, 74150, 74160, 74170, 74174, 74175, 74176, 74177, 74178, 74181, 74182, 74183, 74185, 74261, 74262, 74263, 74270, 74280, 76700, 76705, 76975, 76999, C8900, C8901, C8902 |
CT0082 | Medicines for pain | 96372, H0033, J0592, J1230, J2315 |
CT0083 | Blood Type, Coomb’s test | 86077, 86900, 86901 |
CT0086 | Flexible Sigmoidoscopy /Colonoscopy | 45388, 45389, 45390, 45393, 45398, G6019, G6020, G6022, G6023, G6024, G6025 |
CT0089 | Metabolic Renal Hepatic Chemistry Panel | 80010, 80047, 80048, 80049, 80050, 80051, 80052, 80053, 80069, 80074, 80076, 82040, 82247, 82248, 82310, 82330, 82374, 82435, 82565, 82575, 82947, 84132, 84155, 84295, 84450, 84460, 84520, 84550 |
CT0090 | Physical Therapy / Rehab | 97150, 97530 |
CT0091 | Physician 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 |
CT0092 | Physician Services – Inpatient | 99221, 99222, 99223, 99238, 99239, 99252, 99253, 99254, 99255 |
CT0098 | Colonoscopy/Sigmoidoscopy ColorectalCa Screen | 81528, 82270, G0328 |
CT01394 | Medications (Injections, infusions and other forms) | J0695, J0714, J0875, J1443, J1575, J2407, J3090, J3380, J7121, J7313, J7328, J7503, J7512 |
CT01395 | DME and supplies | A4337, A4435, E0988, E1012, E2358, E2359, E2378, E2626, E2627, E2628, E2629, E2630, E2631, E2632, E2633, Q4161, Q4162, Q4163, Q4164, Q4165, Q9950 |
CT0165 | Tests – neuro – other | 96004 |
CT02387 | Pathology | 81210, 81275, 81292, 81293, 81294, 81295, 81296, 81297, 81298, 81299, 81300, 81301, 81317, 81318, 81319, 81506, 81525 |
CT03396 | Other OR therapeutic procedures on nose, mouth and pharynx | 4069F, 4070F |
CT04282 | Chest X-Ray | 71010, 71015, 71020, 71021, 71022, 71023, 71030, 71034, 71035 |
CT0445 | Imaging – ct – chest | 71250, 71260, 71270 |
CT0447 | Imaging – mri – chest | 71550, 71551, 71552 |
CT0449 | Imaging – nuclear – lung scan | 78596 |
CT05171 | Procedure – central venous catheter – insertion | 36556, 36558, 36561, 36563, 36565, 36566, 36569, 36571 |
CT05172 | Procedure – central venous catheter – fluoroscopy – guidance | 77001 |
CT05173 | Procedure – central venous catheter – replacement | 36578, 36580, 36581, 36582, 36583, 36584, 36585 |
CT05174 | Procedure – central venous catheter – repair / maintenance | 36575, 36576, 36595, 36596, 36597, 36598, 75901 |
CT05175 | Procedure – central venous catheter – removal | 36589, 36590 |
CT05176 | Procedure – peripheral venous catheter | 36000 |
CT05177 | Procedure – catheter – venous – other – vena cava or selective branch catheter | 36010, 36011, 36012 |
CT05184 | Procedure – vascular access – port / pump – insertion | C1772, C1788, C2626, E0782, E0783, E0786 |
CT05190 | Procedure – anesthesia | 532 |
CT05217 | Imaging – nuclear – venous thrombosis – scan | 78456, 78457, 78458 |
CT05218 | Imaging – nuclear – venous thrombosis – radiopharmaceutical | A9504 |
CT05221 | Imaging – venography – extremities | 36005 |
CT05222 | Imaging – venography – vena cava | 75825 |
CT05307 | Electrocardiogram – EKG monitoring | 93010 |
CT0608 | Procedure – ugi endoscopy – small bowel endoscopy | 44360, 44361, 44363, 44364, 44365, 44366, 44369, 44370, 44372, 44376, 44377, 44378, 44379, 44380, 44382 |
CT06104 | Imaging – nuclear – shilling test | 78270, 78271, 78272 |
CT06105 | Imaging – nuclear – shilling test – radiopharmaceutical | A9546, A9559 |
CT06106 | Imaging – nuclear – gi blood loss | 78278 |
CT06107 | Imaging – nuclear – other gi | 78282, 78290, 78299 |
CT06109 | Imaging – x-ray – abdomen | 74190 |
CT06112 | Imaging – x-ray – upper gi – small bowel – contrast | 74250, 74251, 74355 |
CT06113 | Imaging – x-ray – upper gi – duodenogram | 74260 |
CT06114 | Imaging – x-ray – upper gi – other | 74340 |
CT06115 | Imaging – x-ray – lower gi – large bowel – contrast | 74283 |
CT06121 | Tests – gi – other dx | 91110, 91111, 91120, 91122, 91132, 91133, 91299 |
CT0619 | Procedure – gastrostomy | 49450 |
CT06312 | Colonoscopy through Stoma | 44390, 44391, 44393, 44397, 44401, 44402, 44403, 44404, 44405, 44406, 44407, 44408, 45355 |
CT0641 | Procedure – colostomy | 44320, 44340, 44345, 44346, 44605, 45563, 45805, 45825, 49442, 57307 |
CT0642 | Procedure – small bowel resection | 44661 |
CT0643 | Procedure – ileostomy / other enterostomy | 44015, 44130, 44186, 44187, 44300, 44310, 44312, 44314, 44316, 48001 |
CT0656 | Procedure – other lower gi procedures – closure of enterostomy | 44227, 44620, 44625, 44626 |
CT0657 | Procedure – other lower gi procedures – other bowel dx | 44020, 44025, 44100 |
CT0658 | Procedure – other lower gi procedures – other or rx | 44021, 44050, 44110, 44111, 44132, 44133, 44500, 44602, 44603, 44604, 44640, 44650, 44660, 44680, 44700, 44701, 44799, 44800, 44820, 44850 |
CT0659 | Procedure – other lower gi procedures – other non – or rx | 45520, 91100 |
CT0660 | Procedure – i & d – rectal / anal abscess | 46040, 46045, 46050, 46060 |
CT0661 | Procedure – rectal sphincterotomy | 46080 |
CT0662 | Procedure – rectal fissurectomy | 46200 |
CT0663 | Procedure – excision – anal fistula | 46270, 46275, 46280 |
CT0664 | Procedure – hemorrhoidectomy | 46250, 46255, 46257, 46258, 46260, 46261, 46262 |
CT0665 | Procedure – hemorrhoid destruction / ligation | 46221, 46930, 46934, 46935, 46936, 46945, 46946 |
CT0666 | Procedure – other hemorrhoid procedures | 46083, 46230, 46320, 46500, 46947 |
CT0667 | Procedure – other anal / rectal procedures – other procedures – rectum / anus | 45000, 45005, 45020, 45108, 45150, 45400, 45402, 45499, 45500, 45505, 45540, 45541, 45562, 45800, 45820, 45900, 45905, 45910, 45915, 45999, 46020, 46030, 46070, 46210, 46211, 46220, 46285, 46288, 46505, 46700, 46705, 46706, 46707, 46710, 46712, 46750, 46751, 46753, 46754, 46760, 46761, 46762, 46900, 46910, 46916, 46917, 46922, 46924, 46937, 46938, 46940, 46942, 46999, 91123, C9716 |
CT0672 | Procedure – proctosigmoidoscopy – dx | 45300, 45305 |
CT0673 | Procedure – proctosigmoidoscopy – rx | 45303, 45308, 45309, 45315, 45317, 45320, 45321, 45327 |
CT0674 | Procedure – proctoscopy – screening | S0601 |
CT0675 | Procedure – anoscopy | 46600, 46604, 46606, 46610, 46611, 46612, 46614, 46615 |
CT0676 | Procedure – proctoscopy / anoscopy – other | 45100 |
CT0690 | Procedure – anesthesia | 00810, 00840, 00902 |
CT0691 | Therapy – nasogastric tube | 43752 |
CT0692 | Therapy – neurostimulator – nausea / vomiting | E0765 |
CT0693 | Rx – gi – antichol/antispasmodics | J0500, J1980 |
CT0694 | Rx – gi – antiemetics | J1240, J1260, J1626, J2405, J2469, J2550, J2765, J3250, J3280, J8498, J8501, J8597, Q0164, Q0165, Q0166, Q0167, Q0168, Q0173, Q0174, Q0179, Q0180, Q0181, S0091, S0174, S0181, S0183, S9351, S9370 |
CT0695 | Rx – gi – h2 antagonists | J2780, S0023, S0028 |
CT0697 | Rx – gi – ppis | C9113, S0164 |
CT0711 | Procedure – biopsy – liver – needle biopsy of liver | 47000, 47001 |
CT0712 | Procedure – biopsy – liver – wedge biopsy of liver | 47100 |
CT0730 | Imaging – nuclear – liver | 78201, 78202, 78205, 78206 |
CT08106 | Imaging – x-ray – other – joint survey | R0070 |
CT08109 | Imaging – venography – extremities | 75820, 75822 |
CT0860 | Imaging – ct – abdomen – pelvis | 72192, 72193, 72194 |
CT0867 | Imaging – mri – pelvis | 72195, 72196, 72197 |
CT0874 | Imaging – mra – pelvis | 72198 |
CT0965 | Other care – wound care | E0181, E0182, E0184, E0185, E0186, E0187, E0188, E0189, E0190, E0191, E0193, E0194, E0196, E0197, E0198, E0199, E0769, G0281, G0282 |
CT0969 | Other care – chronic edema – surgical stockings | A4490, A4495, A4500, A4510 |
CT1017 | Rx – vitamins – vitamin b / b complex | J3411, J3415, J3420 |
CT1021 | Rx – vitamins – multivit prep | A9152, A9153 |
CT1026 | Other care – diabetes care – glucose monitoring – lancet | A4259 |
CT10295 | Thyroid Function Tests | 84432, 84436, 84439, 84442, 84443, 84480 |
CT10296 | Low dose steroids | J0702, J1020, J1094, J1100, J1700, J1710, J1720, J2650, J3301, J3302, J3303, J7506, J7509, J7510, S9490 |
CT10297 | High dose steroids | J1030, J1040, J2920, J2930, Q0138 |
CT10298 | Anti-TNF agents | J0135, J1602, J1745, S9359 |
CT1036 | Other care – nutrition – assessment | 97802, 97803, G0270, G0271 |
CT1038 | Other care – nutrition – enteral | B4034, B4035, B4036, B4081, B4100, B4104, B9998 |
CT1039 | Other care – nutrition – enteral – tubing | B4082, B4083, B4087, B4088 |
CT1040 | Other care – nutrition – enteral – formula | B4102, B4103, B4149, B4150, B4152, B4153, B4154, B4155, B4157, B4158, B4159, B4160, B4161, B4162, B9000 |
CT1041 | Other care – nutrition – enteral – pump | B9002 |
CT1042 | Other care – nutrition – parenteral – nutrition solution | B4164, B4168, B4172, B4176, B4178, B4180, B4185, B4189, B4193, B4197, B4199, B5000, B5100, B5200 |
CT1043 | Other care – nutrition – parenteral | B4216, B4220, B4222, B4224, B9999 |
CT1044 | Other care – nutrition – parenteral – pump | B9004, B9006, E0791 |
CT1615 | Therapy – transfusion – administration | 36430 |
CT1616 | Therapy – transfusion – blood | P9010, P9011, P9016, P9021, P9022, P9038, P9039, P9040, P9051, P9054, P9056, P9057, P9058 |
CT1617 | Therapy – transfusion – plasma | P9017, P9023, P9043, P9044, P9048, P9059, P9060 |
CT1618 | Therapy – transfusion – granulocytes | P9050 |
CT1619 | Therapy – transfusion – platelets | P9019, P9020, P9031, P9032, P9033, P9034, P9035, P9036, P9037, P9052, P9053, P9055 |
CT1620 | Therapy – phlebotomy | 99195 |
CT1625 | Rx – immune system – dmard / related | J0718 |
CT1626 | Rx – blood derivatives | P9041, P9045, P9046, P9047 |
CT1627 | Rx – hematopoietic system – other | J1640 |
CT1628 | Rx – hematopoietic system – iron / related | J1750, J1756, J2916 |
CT1629 | Rx – hematopoietic system – hematopoietic growth factors | J0881, J0885, J1440, J1441, J2355, J2505, J2820, Q4081 |
CT16293 | Azathioprine / Mercaptopurine | J7500, J7501, S0108 |
CT16295 | Cyclosporin | J7502, J7515, J7516 |
CT16296 | Lipid Level Monitoring | 80061, 82465, 83695, 83698, 83700, 83701, 83704, 83718, 83719, 83721, 84478 |
CT16297 | Blood Count | 82728, 83540, 83550, 85004, 85007, 85008, 85009, 85013, 85014, 85018, 85025, 85027, 85032, 85041, 85044, 85045, 85046, 85048, 85049, 85060, G0306, G0307 |
CT16298 | Finger stick | 82948, 88720 |
CT16299 | Bleeding Status | 85002, 85345, 85347, 85348, 85610, 85611, 85670, 85675, 85705, 85730, 85732, 99363, 99364 |
CT16316 | Blood transfusion | P9070, P9071, P9072 |
CT1638 | Rx – administration – injection | 90772, 90773, 90774, 90775, 96373, 96374, 96375, 96376, 99506 |
CT1639 | Rx – administration – infusion | 90765, 90766, 90767, 90768, 90779, 96361, 96365, 96366, 96367, 96368, 96369, 96370, 96371, 96379, 96521, 96522, 96523, 99601, 99602, A4220, A4221, A4222, A4223, A4305, A4306, C8957, E0776, E0779, E0780, E0781, K0552, K0601, K0602, K0603, K0604, K0605 |
CT1646 | Lab – hematology – coagulation | 85170, 85175 |
CT1647 | Lab – hematology – blood count | 85055 |
CT1651 | Lab – immunology | 86078, 86079, 86300, 86301, 86304, 86316, 86480, 86580 |
CT1652 | Lab – transfusion medicine | 86903, 86904, 86905, 86906, 86910, 86911, 86920, 86921, 86922, 86923, 86927, 86930, 86931, 86932, 86940, 86941, 86945, 86950, 86960, 86965, 86970, 86971, 86972, 86975, 86976, 86977, 86978, 86985, 86999 |
CT1776 | Therapy – chemorx – administration – iv | 96409, 96411, 96413, 96415, 96416, 96417, Q0084, Q0085 |
CT1778 | Therapy – chemorx – administration – other | 96401, 96402, 96549, Q0083 |
CT1806 | Rx – antibiotics – aminoglycosides | J0278, J1580, J1840, J1850, J3000, J3260 |
CT1807 | Rx – antibiotics – cephalosporins | J0690, J0692, J0694, J0696, J0697, J0698, J0710, J0713, J0715, J1890 |
CT1808 | Rx – b-lactam antibiotics | J0743, J1335, J2185, S0073 |
CT1809 | Rx – antibiotics – chloramphenicol / comb | J0720 |
CT1810 | Rx – antibiotics – macrolides | J0456, J1364, Q0144 |
CT1811 | Rx – antibiotics – penicillins | J0290, J0295, J2510, J2540, J2543, J2700, S0032, S0040, S0081 |
CT1812 | Rx – antibiotics – tetracyclines | J0120, J2460 |
CT1813 | Rx – antibiotics, misc | J0770, J2010, J2020, J2770, J3320, J3370, S0021, S0074, S0077, S0142 |
CT1814 | Rx – antibiotics – quinolones | J0744, J1590, J1956, J2280, S0034 |
CT1815 | Rx – antibiotics – sulfonamides / comb | S0039 |
CT1816 | Rx – antibiotics – anti-infectives, misc | J3305, S0030, S0080 |
CT1817 | Rx – antivirals | 90378, 90379, G9034, J0133, J1324, J1452, J1455, J1570, J3465, J3485, J7310, S0104, S0137, S0140 |
CT1821 | Lab – infectious agent antigen | 87275, 87276, 87279, 87324, 87338, 87340, 87341, 87350, 87400 |
CT1822 | Lab – infectious agent antibody | 86684, 86704, 86705, 86706, 86707, 86710 |
CT1823 | Lab – infectious agent dna | 87493, 87515, 87516, 87517, 87555, 87556, 87557, 87803, 87804 |
CT1824 | Lab – microbiology – other | 87177, 87230 |
CT1825 | Lab – microbiology – c & s | 87040, 87045, 87046, 87070, 87071, 87073, 87075, 87076, 87077, 87081, 87084, 87086, 87088, 87102, 87106, 87107, 87109, 87116, 87118, 87140, 87143, 87147, 87149, 87150, 87152, 87153, 87158, 87184, 87185, 87186, 87187, 87188, 87190, 87197 |
CT1826 | Lab – microbiology – microscopic exam | 87205, 87206, 87207, 87209, 87210, 87220 |
CT18300 | Microscopic examination (bacterial smear, culture, toxicology) | 87501, 87502, 87503, 87631, 87632, 87633 |
CT1901 | Therapy – behavior – evaluation and therapy | 96150, 96151, 96152, 96153, 96154, 96155 |
CT1903 | Therapy – behavior – medication management | M0064 |
CT1907 | Tests – neuro – sleep studies | G0398, G0399, G0400 |
CT19303 | Psychiatry Evaluations | 90785, 90791, 90792, 90801, 90802, 96118, 96119, 96120, 96125, T1023 |
CT19304 | Psychiatry Services | 97532, 97535, H0004, H0031, H2010, H2015, S3005 |
CT19381 | Smoking / Tobacco Cessation | 99406, 99407 |
CT2101 | Lab – therapeutic drug assay | 80158, 80170, 80200, 80202, 80299 |
CT2302 | Therapy – behavior – other | H2000 |
CT2312 | Therapy – vaccination – dtp / related | 90698, 90720, 90721 |
CT2313 | Therapy – vaccination – hib vaccine | 90645, 90646, 90647, 90648 |
CT2315 | Therapy – vaccination – hepatitis b | 90748 |
CT2319 | Therapy – vaccination – other vaccine | 90585, 90586 |
CT2324 | Other care – ostomy – nursing care | 99505, S9474 |
CT2325 | Other care – ostomy – supplies | A4361, A4362, A4363, A4364, A4366, A4367, A4368, A4369, A4371, A4372, A4373, A4375, A4376, A4377, A4378, A4379, A4380, A4381, A4382, A4383, A4384, A4385, A4387, A4388, A4389, A4390, A4391, A4392, A4393, A4394, A4395, A4396, A4397, A4398, A4399, A4400, A4402, A4404, A4405, A4406, A4407, A4408, A4409, A4410, A4411, A4412, A4413, A4414, A4415, A4416, A4417, A4418, A4419, A4420, A4421, A4422, A4423, A4424, A4425, A4426, A4427, A4428, A4429, A4430, A4431, A4432, A4433, A4434, A5051, A5052, A5053, A5054, A5055, A5061, A5062, A5063, A5071, A5072, A5073, A5081, A5082, A5083, A5093 |
CT2326 | Other care – bladder / bowel care – other supplies | A4310, A4320, A4321, A4322, A4330, A4331, A4332, A4333, A4334, A4335, A4336, A4354, A4355, A4356, A5113, A5114 |
CT2327 | Other care – bladder / bowel care – catheter | A4311, A4312, A4313, A4314, A4315, A4316, A4326, A4327, A4328, A4338, A4340, A4344, A4346, A4349, A4351, A4352, A4353 |
CT2328 | Other care – bladder / bowel care – drainage bag | A4357, A4358, A5102, A5105, A5112 |
CT2329 | Other care – bladder / bowel care – other supplies – diaper / related | A4360, A4520, A4554, T4521, T4522, T4523, T4524, T4525, T4526, T4527, T4528, T4529, T4530, T4531, T4532, T4533, T4534, T4535, T4536, T4537, T4538, T4539, T4540, T4541, T4542, T4543 |
CT2330 | Other care – bladder / bowel care – other supplies – skin barrier | A5120, A5121, A5122, A5126, A5131, A5200 |
CT23307 | Vaccine for flu or Pneumonia | 90653, 90654, 90655, 90656, 90657, 90658, 90660, 90661, 90662, 90663, 90664, 90666, 90667, 90668, 90669, 90670, 90672, 90673, 90685, 90686, 90687, 90688, 90732, G0008, G0009, G8425, G8426, G8864, G8865, G8866, G8867, G9141, G9142, Q2033, Q2034, Q2035, Q2036, Q2037, Q2038, Q2039, S0195 |
CT23308 | Other therapeutic Sigmoidoscopy | 45341, 45342, 45345, 45346, 45347, 45349, 45350 |
CT23309 | Markers for Inflammation | 85651, 85652, 86140, 86141 |
CT2331 | Other care – observation | G0379 |
CT23311 | Current Tobacco / Cigarette Smoker | G8455 |
CT23398 | Ancillary Services | 99415, 99416, G9473, G9474, G9475, G9476, G9477, G9478, G9479 |
CT2351 | Lab – single mutation analysis | S3831 |
CT9902 | E & M – consultation | Q3014, T1014 |
CT9903 | E & M – hospital | 99217, 99218, 99219, 99220, 99231, 99232, 99233, 99234, 99235, 99236, 99471, 99472, G0378, G0390, S0310 |
CT9904 | E & M – emergency care | 99058, 99281, 99282, 99283, 99284, 99285, G0380, G0381, G0382, G0383, G0384, S9083, S9088 |
CT9905 | E & M – home visit | 99224, 99225, 99226, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, S0273 |
CT9906 | E & M – nursing home | 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337 |
CT9907 | E & M – prevention | 99420, S0302 |
CT9908 | E & M – other | 96040, 99026, 99027, 99056, 99060, 99150, 99288, 99360, 99450, 99455, 99456, 99485, 99486, 99488, S0260, S0265 |
CT9910 | Procedure – anesthesia | 99140 |
CT99102 | Other care – other | H0043, H0044 |
CT99103 | Imaging – ct – follow – up | 76380 |
CT99104 | Imaging – ct – other | 76497 |
CT99105 | Imaging – ct – guidance | 77012, 77013, 77014 |
CT99107 | Imaging – mri – other | 76498, C1770 |
CT99108 | Imaging – mri – guidance | 77021 |
CT99109 | Imaging – mri – contrast agent | A9576, Q9953, Q9954 |
CT9911 | Procedure – sedation | 99143, 99144, 99145, 99148, 99149 |
CT99111 | Imaging – us – retroperitoneum | 76770, 76775, G0389 |
CT99112 | Imaging – us – pelvic | 76856, 76857 |
CT99113 | Imaging – us – guide – biopsy | 76942 |
CT99114 | Imaging – us – guide – other | 76937, 76940, 76950 |
CT99115 | Imaging – us – other | 76970 |
CT99117 | Imaging – nuclear – bone scan – radiopharmaceutical | A9503, A9561 |
CT99121 | Imaging – nuclear – brain – radiopharmaceutical | A9557 |
CT99124 | Imaging – nuclear – tumor localization | 78800, 78801, 78802, 78803, 78804 |
CT99126 | Imaging – nuclear – lymphoma – radiolabeled antibody | A9542, A9544 |
CT99127 | Imaging – nuclear – other – automated data add – on | 78890, 78891 |
CT99128 | Imaging – nuclear – other | 78999 |
CT99129 | Imaging – nuclear – radiopharmaceutical – radiopharmaceutical – other | A4641, A4642, A9507, A9512, A9521, A9538, A9540, A9541, A9547, A9550, A9553, A9556, A9560, A9566, A9568, A9569, A9570, A9571, A9572 |
CT99130 | Imaging – pet – other | A9552, G0235 |
CT99133 | Imaging – other imaging – fluoroscopy | 76000, 76001, 76496 |
CT99134 | Imaging – other imaging – fluoroscopy – guidance | 77002, 77003 |
CT99136 | Imaging – other imaging | 75900, 76080, 76101, 76102, 76120, 76125, 76140, 76150, 76350, 76376, 76377, 76390, 76499, Q0092, R0075 |
CT99137 | Imaging – therapeutic procedure – abscess drainage | 75989 |
CT99139 | Imaging – supplies – contrast agent – low osmolar | Q9951, Q9965, Q9966, Q9967 |
CT99140 | Imaging – supplies – contrast agent – high osmolar | A9698, Q9958, Q9959, Q9960, Q9961, Q9962, Q9963, Q9964 |
CT99141 | Imaging – supplies – ultrasound related | A4559 |
CT99143 | Lab – chemistry | 82150, 82239, 82240, 82252, 82271, 82272, 82273, 82274, 82306, 82307, 82378, 82436, 82438, 82528, 82530, 82533, 82633, 82634, 82705, 82710, 82715, 82946, 82950, 82951, 82952, 83009, 83013, 83014, 83051, 83090, 83491, 83516, 83518, 83519, 83520, 83582, 83586, 83593, 83605, 83615, 83625, 83735, 83993, 84078, 84080, 84133, 84300, 84302, 84525, 84577, 84578, 84580, 84583, 84999 |
CT99147 | Lab – cytogenetics | 88271, 88272, 88273, 88274, 88275, 88291, 88299 |
CT99148 | Lab – surgical pathology | 88312, 88313, 88314, 88318, 88319, 88321, 88323, 88325, 88329, 88331, 88332, 88333, 88334, 88342, 88346, 88347, 88399, G0416, G0417, G0418, G0419 |
CT99149 | Lab – other clinical lab | 88400, 89055 |
CT99152 | Lab – genetic testing – mlh1 / mlh2 | S3830 |
CT99169 | Lab – specimen collection – blood – venous – venipuncture | 36415, S9529 |
CT99171 | Lab – specimen collection – blood – venous – venous port | 36540, 36591, 36592 |
CT99173 | Lab – specimen collection – specimen handling | 99000 |
CT99183 | Transportation – other transportation | A0021, A0080, A0090, A0100, A0110, A0120, A0130, A0140, A0160, A0170, A0180, A0190, A0200, A0210, A0225, 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, S0215, T2001, T2002, T2003, T2004, T2005, T2007, T2049 |
CT99184 | DME – other | A4639, A4640, A9281, A9283, A9300, A9900, A9901, A9999 |
CT99185 | DME – bath / toilet aids | E0160, E0161, E0162, E0163, E0165, E0167, E0168, E0170, E0171, E0172, E0175, E0240, E0241, E0242, E0243, E0244, E0245, E0246, E0247, E0248, E0249 |
CT99186 | DME – beds / accessories | E0250, E0251, E0255, E0256, E0260, E0261, E0265, E0266, E0270, E0271, E0272, E0273, E0274, E0275, E0276, E0277, E0280, E0290, E0291, E0292, E0293, E0294, E0295, E0296, E0297, E0300, E0301, E0302, E0303, E0304, E0305, E0310, E0315, E0316, E0325, E0326, E0328, E0329, E0350, E0352, E0370, E0371, E0372, E0373, E0462 |
CT99187 | DME – safety equipment | E0700, E0705 |
CT99191 | Supplies | A4206, A4207, A4208, A4209, A4210, A4211, A4212, A4213, A4215, A4216, A4217, A4218, A4244, A4245, A4246, A4247, A4265, A4270, A4450, A4452, A4455, A4458, A4461, A4463, A4465, A4470, A4480, A4550, A4601, A4649, 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, A6413, A6441, A6442, A6443, A6444, A6445, A6446, A6447, A6448, A6449, A6450, A6451, A6452, A6453, A6454, A6455, A6456, A6457, A6550, A7000, A7001, A7002, A9155, C1751, C1769, J1642 |
CT99198 | PQRI | G8427, G8428, G8430, G8447, G8448, G8482, G8483, G8484, G9019, G9020, G9036, G9140 |
CT9928 | Therapy – acupuncture | 97810, 97811, 97813, 97814 |
CT99309 | Physician Services | 99251 |
CT99311 | Urine Protein | 82042, 82043, 82044 |
CT99312 | HbA1C | 83036, 83037 |
CT99316 | Physician Services – Inpatient | 99356, 99357 |
CT99392 | Other diagnostic procedures (interview, evaluation, consultation) | 0074T, 0188T, 0189T, 0203T, 0204T, G0436, G0437, G0438, G0439, G0447, G0454, G9156, Q5010, S9110 |
CT99400 | Advance care planning | 1123F, 1124F, 1157F, 1158F, 4553F, 99497, 99498, S0255, S0257, S0311 |
CT99401 | Bundled Payment / Medical Home | G9187, S0280, S0281 |
CT99402 | Care Plan Oversight | 94005, 99339, 99340, 99374, 99375, 99377, 99378, 99379, 99380 |
CT99403 | Case Management Services | 0518F, 5050F, G0162, G0463, G9012, S0250, T1001, T1016, T1017, T2022, T2023, T2024 |
CT99404 | Case Management Services – Behavioral | 96116, G0503, G0507, H0023, H1011 |
CT99407 | Case Management Services – Oncology | S0353, S0354 |
CT99408 | Chronic Care Management | 99487, 99489, 99490, G0506 |
CT99409 | Home Health / Hospice | G0179, G0180, G0181, G0182 |
CT99410 | Coordinated Care Fees/Services | G9001, G9002, G9003, G9004, G9005, G9006, G9007, G9008, G9009, G9010, G9011 |
CT99411 | Medication Therapy Management Services | 99605, 99606, 99607 |
CT99412 | Online Management | 98969, 99444 |
CT99413 | Personal Care Services | T1019, T1020 |
CT99415 | Physician Services – Outpatient | 99358, 99359 |
CT99416 | Procedures and Reporting | 99080, 99090, 99091 |
CT99417 | Risk Assessment | G9316 |
CT99418 | Transitional Care Management | 99495, 99496 |
CT9942 | Rx – gi – antichol/antispasmodics | J0461 |
CT9946 | Rx – analg/antipy/nsaids – nsaids | J1885 |
CT9947 | Rx – analg/antipy/nsaids – narcotics | J0364, J0595, J0745, J1170, J1810, J2175, J2180, J2271, J2275, J2300, J2410, S0109 |
CT9951 | Rx – electrolytic, caloric, water – multi-mineral prep | J7120 |
CT9952 | Rx – electrolytic, caloric, water – sodium chlor preps | J7030, J7040, J7050, J7130 |
CT9953 | Rx – electrolytic, caloric, water – replacement preparations, misc | J7100, J7110 |
CT9955 | Rx – electrolytic, caloric, water – caloric rx dextrose / rel | J7042, J7060, J7070, S5010, S5011, S5013 |
CT9956 | Rx – electrolytic, caloric, water – hydration – unspecified | 90760, 90761, Q0081, S9373, S9374, S9375, S9376, S9377 |
CT9963 | Rx – pharmacy fee | Q0513 |
CT9964 | Other care – home care – specialized visit | 99507, 99509, 99510, 99511, 99600 |
CT9965 | Other care – home care – physician supervision | G0372, S0270 |
CT9966 | Other care – home care – nursing care | G0128 |
CT9967 | Other care – home care – nursing care – rn | G0154, S9123 |
CT9968 | Other care – home care – nursing care – lpn | S9124 |
CT9970 | Other care – home care – rehabilitation – physical therapy | G0151 |
CT9971 | Other care – home care – rehabilitation – occupational therapy | G0152 |
CT9973 | Other care – home care – social worker | G0155, S9127 |
CT9974 | Other care – home care – home health aide | G0156, S9122 |
CT9980 | Other care – home care – other care – respite care | S9125 |
CT9986 | Other care – hospice | G0337, Q5001, Q5002, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5009, S0271, S9126, T2042 |
CT9990 | Other care – other – ancillary services | 97804, 99070, 99071, 99082, 99199 |
XX0000 | Ungrouped Codes | 0028T, 0226T, 0227T, 0355T, 0377T, 1000F, 1030F, 1036F, 1052F, 3095F, 3096F, 3216F, 33952, 33954, 33958, 33962, 33966, 33984, 3510F, 3517F, 3520F, 37191, 37192, 37193, 3750F, 37619, 4005F, 4019F, 4035F, 4037F, 4040F, 4135F, 4136F, 4142F, 4149F, 4193F, 4194F, 4256F, 44381, 44384, 45399, 46601, 46607, 49082, 49083, 49084, 49418, 6150F, 7010F, 86152, 86153, 87505, 87506, 87507, 87912, 88363, 90769, 90770, 90771, 90776, 91117, 96360, 99052, 99054, 99151, A4555, C9026, C9443, C9444, C9446, C9735, C9801, C9802, E0766, G0299, G0300, G0344, G0449, G0459, G0466, G0467, G0468, G0469, G0470, G0472, G0473, G0919, G0920, G6018, G6021, G6027, G6028, G8108, G8109, G8110, G8115, G8116, G8117, G8155, G8156, G8157, G8214, G8217, G8219, G8220, G8221, G8341, G8345, G8371, G8372, G8373, G8374, G8377, G8378, G8379, G8383, G8423, G8424, G8687, G8696, G8697, G8698, G8721, G8722, G8723, G8724, G8758, G8790, G8791, G8792, G8793, G8794, G8795, G8859, G8860, G8861, G8862, G8863, G8868, G8869, G8870, G8871, G8899, G8927, G8953, G8967, G8968, G8969, G8970, G8971, G8972, G8977, G9199, G9200, G9201, G9236, G9238, G9279, G9280, G9325, G9326, G9327, G9467, G9468, G9469, G9470, G9496, G9504, G9539, G9541, G9542, G9543, G9544, G9558, G9559, G9560, G9637, G9638, G9642, G9660, Q0161, Q0162, S9901, S9960, S9961 |
Table 6: Relevant Typical Drug Groups
Group ID | Group Name |
RX001 | contrast media |
RX002 | diagnostic agents |
RX017 | hypnotics and sedatives |
RX0212 | mydriatics and cycloplegics |
RX0213 | ocular vascular disorder agents |
RX0215 | ophthalmologicals – anesthetics local |
RX0216 | ophthalmologicals – antiinfectives |
RX0219 | other ophthalmologicals |
RX0220 | ophthalmologicals – antiallergics |
RX0221 | ophthalmologicals steroids & antiinflammatory |
RX0320 | cough and cold preparations |
RX0321 | decongestants and other nasal preparations for topical use |
RX0324 | throat preparations |
RX0426 | Bronchodilators: adrenergics for systemic use |
RX0427 | drugs for obstructive airway diseases – inhalants |
RX0429 | other systemic drugs for obstructive airway diseases |
RX0530 | agents acting on the renin-angiotensin system |
RX0535 | beta blocking agents |
RX0536 | calcium channel blockers |
RX0538 | diuretics |
RX0539 | i.v. solutions & additives |
RX0540 | Nitrates and other antianginals |
RX0541 | other antihypertensives |
RX0546 | Antiplatelet agents, thrombin inhibitors |
RX0645 | antacids |
RX0646 | antidiarrheals intestinal adsorbents |
RX0647 | antiemetics and antinauseants |
RX0648 | digestives incl. enzymes |
RX0649 | drugs for constipation |
RX0650 | drugs for functional gastrointestinal disorders |
RX0651 | drugs for peptic ulcer and gerd |
RX0652 | intestinal antiinfectives |
RX0653 | intestinal antiinflammatory agents |
RX0654 | stomatological preparations |
RX0855 | Glucosamine |
RX0856 | antigout preparations |
RX0857 | antiinflammatory and antirheumatic products |
RX0858 | antipsoriatics for systemic use |
RX0859 | antipsoriatics for topical use |
RX0860 | muscle relaxants |
RX0861 | opioids |
RX0862 | other analgesics and antipyretics |
RX0864 | topical products for joint and muscular pain |
RX0965 | agents for treatment of hemorrhoids and anal fissures for topical use |
RX0966 | anti-acne preparations for systemic use |
RX0967 | anti-acne preparations for topical use |
RX0968 | antibiotics and chemotherapeutics for dermatological use |
RX0969 | antifungals for dermatological use |
RX0970 | antipruritics incl. antihistamines anesthetics etc. |
RX0971 | antiseptics and disinfectants |
RX0973 | corticosteroids dermatological preparations |
RX0976 | irrigating solutions |
RX0977 | medicated dressings |
RX0978 | other dermatological preparations |
RX0979 | preparations for treatment of wounds and ulcers |
RX0980 | Moisturizers and skin protective agents |
RX1083 | antithyroid preparations |
RX1086 | corticosteroids for systemic use |
RX1089 | drugs used in diabetes |
RX1091 | drugs to treat hypoglycemia |
RX1092 | thyroid preparations |
RX1093 | insulin |
RX1194 | urinary antiinfectives and antiseptics |
RX13104 | Gynecological antiinfectives and antiseptics |
RX16106 | iron preparations |
RX16108 | other hematological agents |
RX16109 | vitamin b12 and folic acid |
RX16110 | vitamin k and other hemostatics |
RX16111 | Agents to stop bleeding |
RX16112 | Blood stimulating agents Erythropoietin |
RX17111 | antineoplastic agents |
RX17112 | Chemoprotective agents in Cancer Treatment |
RX18117 | antibacterials for systemic use |
RX18118 | antifungals for systemic use |
RX18119 | antiinfectives |
RX18121 | antimycobacterials |
RX18122 | antivirals for systemic use |
RX19123 | antidepressants |
RX19125 | anxiolytics |
RX23129 | immune sera and immunoglobulins |
RX23130 | immunosuppressants |
RX23131 | mineral supplements |
RX23133 | other nutrients |
RX23134 | vaccines |
RX23135 | vitamins |
RX99136 | anesthetics general |
RX99137 | anesthetics local |
RX99138 | medical gas |
RX99139 | Other Therapeutic Agents |