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 Hysterectomy, sometimes abbreviated HYST, is a procedural episode. The Hysterectomy episode includes services related to the procedure such as a facility stay, anesthesia services, as well as services within the 30-day pre- and 90-day post-operative care time window, such as diagnostic services, (imaging, labs etc.), office visits and ancillary services.

Episode Components

Triggers	A Hysterectomy episode trigger includes an inpatient facility claim with a procedure trigger code in the principal position and a qualifying diagnosis code in the principal position (Table 1). This episode is also triggered by an outpatient facility or professional claim with a procedure trigger code (in any position) and a qualifying diagnosis code (in any position) on the same claim line.
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, relevant acute inpatient readmission 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 diagnosis 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: Radical Abdominal HysterectomyLaparoscopic Radical HysterectomyRadical Vaginal HysterectomyCancer of UterusCancer of Cervix

Code Tables

Table 1: Trigger Codes

Trigger Type	Code Value
CPT / HCPCS Triggers	51925, 58150, 58152, 58180, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290, 58291, 58292, 58293, 58294, 58541, 58542, 58543, 58544, 58548, 58550, 58552, 58553, 58554, 58570, 58571, 58572, 58573, 58575, 58951, 58953, 58954, 58956, 59525
ICD-10-CM (DX) Qualifying Diagnosis	A5611, C510, C511, C512, C518, C519, C52, C530, C531, C538, C539, C540, C541, C542, C543, C548, C549, C55, C561, C562, C569, C5700, C5701, C5702, C5710, C5711, C5712, C5720, C5721, C5722, C573, C574, C577, C578, C579, C58, D060, D061, D067, D069, D070, D0730, D0739, D250, D251, D252, D259, D260, D261, D267, D269, D287, D289, E250, E258, E259, E280, E281, E282, E28310, E28319, E2839, E288, E289, E8940, E8941, F640, F641, I952, I959, N7001, N7002, N7003, N7011, N7012, N7013, N7091, N7092, N7093, N710, N711, N719, N730, N731, N732, N733, N734, N735, N736, N738, N739, N74, N800, N801, N802, N803, N804, N805, N806, N808, N809, N810, N8110, N8111, N8112, N812, N813, N814, N815, N816, N8181, N8182, N8183, N8184, N8185, N8189, N819, N834, N8340, N8341, N8342, N8351, N83511, N83512, N83519, N8352, N83521, N83522, N83529, N8353, N836, N837, N838, N839, N840, N841, N848, N849, N8500, N8501, N8502, N852, N853, N854, N855, N856, N857, N858, N859, N86, N870, N871, N879, N880, N881, N882, N883, N884, N888, N889, N897, N920, N921, N924, N925, N926, N938, N939, N944, N945, N946, N9489, N949, N950, N958, N959, N981, N993, N9983, Q501, Q502, Q5032, Q504, Q505, Q506, Q510, Q5110, Q5111, Q512, Q5120, Q5121, Q5122, Q5128, Q513, Q514, Q515, Q516, Q517, Q51810, Q51811, Q51818, Q51820, Q51821, Q51828, Q519, Q5210, Q522, Q524, Q525, Q526, Q5270, Q5271, Q5279, Q528, Q529, Q560, Q561, Q562, Q563, Q564, Q960, Q961, Q962, Q963, Q964, Q968, Q969, Q970, Q971, Q972, Q973, Q978, Q979, Q980, Q981, Q983, Q984, Q985, Q986, Q987, Q988, Q989, Q990, Q991, Q998, Q999, R55, R58, R710, R87610, R87611, R87612, R87613, R87614, R87615, R87616, R87619, R87620, R87621, R87622, R87623, R87624, R87625, R87628, R87810, R87811, R87820, R87821, Z4002, Z8540, Z8541, Z8542, Z8543, Z8544, Z87410, Z87890
ICD-10-PCS (PX) Triggers	0UT90ZL, 0UT90ZZ, 0UT94ZL, 0UT94ZZ, 0UT97ZL, 0UT97ZZ, 0UT98ZL, 0UT98ZZ, 0UT9FZL, 0UT9FZZ

Table 2: ICD-10 Typical Diagnosis

Group ID	Group Name	Code Value
DXX01401	Dyskinesia	G2581
DXX04192	Other lower respiratory disease	R918
DXX0472	Resp – pleural effusion	J910
DXX05297	Hypotension / Syncope	I9589
DXX05345	Orthostatic Hypotension / Dizziness	I950, I951, R42
DXX06206	GI – abdominal pain	R1012, R1032
DXX06208	GI – symptoms – nec / nos	R198
DXX06214	GI – abdominal tenderness	R10812, R10822
DXX06216	GI – abdominal mass	R1902, R1904
DXX06218	GI – abnormal abdominal imaging study	R935
DXX06365	Abdominal pain	R100, R1010, R1011, R1013, R102, R1030, R1031, R1033, R1084, R109
DXX06366	Abdominal mass	R1901, R1903, R1905, R1906, R1907, R1909
DXX06367	Abdominal tenderness	R10811, R10813, R10814, R10815, R10816, R10817, R10819, R10821, R10823, R10824, R10825, R10826, R10827, R10829
DXX09211	Estrogen receptor positive status [ER+]	Z170
DXX0988	Skin – other	L680, L681, L682, L683, L688, L689
DXX10107	Obesity	E6609, E661, E668, E669
DXX10108	Sleep Apnea	G4730
DXX10110	Severe Protein Calorie Malnutrition	E45
DXX10113	Obstructive sleep apnea	G4733
DXX10119	Mild-mod malnutrition	E440, E441, E46, E640
DXX10121	Vitamin, Mineral & Other Nutrl Deficiency	D81818, D81819, E508, E509, E5111, E5112, E518, E519, E52, E530, E531, E538, E539, E54, E559, E560, E561, E568, E569, E58, E59, E60, E610, E611, E612, E613, E614, E615, E616, E617, E618, E619, E630, E631, E638, E639, E641, E642, E648, E649
DXX1019	Morbid Obesity	E6601, Z6841
DXX11113	GU – abnrml GU imaging	R934, R9341, R93421, R93422, R93429, R9349
DXX11153	Urinary Incontinence	N3946
DXX11155	Stress Incontinence	N393
DXX13100	Cancer uterus	C540, C541, C542, C543, C548, C549, C55
DXX13101	Endometriosis	N800, N801, N802, N803, N804, N805, N806, N808, N809
DXX13102	Fibroid uterus, benign tumors of female organs	D250, D251, D252, D259, D260, D261, D267, D269, D287, D289
DXX13103	Menstrual, Menopausal Disorders	E28310, E28319, N897, N920, N921, N924, N925, N926, N938, N939, N9489, N950, N958, N959
DXX13104	Ovarian Dysfunction	E280, E281, E282, E2839, E288, E289, E8940, E8941, N981, Z4002
DXX13105	Ovarian, Broad Ligament Diseases	N8331, N83311, N83312, N83319, N8332, N83321, N83322, N83329, N8333, N83331, N83332, N83339, N834, N8340, N8341, N8342, N8351, N83511, N83512, N83519, N8352, N83521, N83522, N83529, N8353, N836, N837, N838, N839, N840, N848, N849, N9983, Q501, Q502, Q5032, Q504, Q505, Q506, Q516, Q524
DXX13106	Pelvic Inflammatory disease	A5611, N7011, N7012, N7013, N7091, N7092, N7093, N710, N711, N719, N731, N732, N734, N735, N738, N739, N74
DXX13107	Personal history of cancer of female organs	Z8540, Z8543, Z8544
DXX13109	Sex chromosome anomalies	Q960, Q961, Q962, Q963, Q964, Q968, Q969, Q970, Q971, Q972, Q973, Q978, Q979, Q980, Q981, Q983, Q984, Q985, Q986, Q987, Q988, Q989, Q990, Q991, Q998, Q999
DXX13110	Transgender Behavioral Problems	F640, F641
DXX13111	Uterine prolapse, cystocele, vaginocele, urogenital fistula	N810, N8110, N8111, N8112, N812, N813, N814, N815, N816, N8181, N8182, N8183, N8184, N8185, N8189, N819, N993
DXX13114	Cervicitis	N72
DXX13115	Personal history of cancer of female organs	Z8541, Z8542, Z87410
DXX13118	Transgender Disorders	E250, E258, E259, Q560, Q561, Q562, Q563, Q564, Z87890
DXX1320	Neoplsm – neoplsm uncertn behvr – ovary	D3910, D3911, D3912
DXX1328	Neoplsm – benign neoplsm – ovary	D270, D271, D279
DXX1329	Neoplsm – benign neoplsm – adnexa – nos	D282
DXX1332	Neoplsm – benign neoplsm – vagina	D281
DXX1333	Neoplsm – benign neoplsm – vulva	D280
DXX1335	Neoplsm – abnrml findings – cervix	R87614, R87616
DXX1336	Neoplsm – abnrml findings – vagina	R87620, R87621, R87622, R87623, R87624, R87625, R87628, R87811, R87821
DXX1338	Neoplsm – screening – cervix	Z0142, Z124
DXX1340	Neoplsm – screening – reproduction female – nos	Z01411, Z01419
DXX1344	Neoplsm – therapy – nos	Z79810, Z79818
DXX1351	GYN – other inflammation female pelvic organs	N759, N764, N765, N766, N7681, N7689, N770
DXX1352	GYN – bartholin’s cyst / abscess	N750, N751, N758
DXX1354	GYN – vaginitis	N760, N761, N762, N763, N771
DXX1356	GYN – cervical dysplasia	N870, N871, N879
DXX1357	Abnormal Pap Test	R87610, R87611, R87612, R87613, R87619, R87810, R87820
DXX1358	GYN – dysmenorrhea	N944, N945, N946
DXX1359	GYN – absent or irregular menstruation	N910, N911, N912, N913, N914, N915
DXX1361	GYN – other menstrual ds	N922, N923
DXX1363	GYN – menopausal ds	N951, N952, Z79890
DXX1365	GYN – ovarian cyst	N830, N8300, N8301, N8302, N831, N8310, N8311, N8312, N8320, N83201, N83202, N83209, N8329, N83291, N83292, N83299
DXX1368	GYN – endometrial hyperplasia	N8500, N8501, N8502
DXX1372	GYN – other ds – uterus	N852, N853, N854, N855, N856, N857, N858, N859
DXX1373	GYN – other ds – cervix	N841, N86, N880, N881, N882, N883, N884, N888, N889
DXX1374	GYN – other ds – vagina / vulva	N842, N843, N890, N891, N893, N894, N895, N896, N898, N899, N900, N901, N903, N904, N905, N906, N9060, N9061, N9069, N907, N9089, N909, N94810, N992
DXX1375	GYN – other gyn ds	N930, N949, N96, R87615, Z437, Z87411, Z87412, Z8742
DXX1377	GYN – premenstrual tension	F3281, N943
DXX1378	GYN – other gyn symptoms	N940, N941, N9410, N9411, N9412, N9419, N942, N94818, N94819
DXX1381	GYN – s/p gyn surgery	Z90710
DXX1382	Cngntl – GU – other – genitalia	Q510, Q5110, Q5111, Q512, Q513, Q514, Q515, Q517, Q51810, Q51811, Q51818, Q51820, Q51821, Q51828, Q519, Q520, Q5210, Q5211, Q52120, Q52121, Q52122, Q52123, Q52124, Q52129, Q522, Q523, Q525, Q526, Q5270, Q5271, Q5279, Q528, Q529
DXX1394	Cancer cervix	C530, C531, C538, C539
DXX1395	Cancer in situ, female organs	D060, D061, D067, D069, D070, D0730, D0739
DXX1396	Cancer of adnexa	C5700, C5701, C5702, C5710, C5711, C5712, C5720, C5721, C5722, C573, C574
DXX1397	Cancer of other female organs	C510, C511, C512, C518, C519, C52, C577, C578, C579
DXX1398	Cancer of ovary	C561, C562, C569
DXX1399	Cancer placenta	C58
DXX1465	Previous C-section	O3421, O34211, O34212, O34219
DXX16262	Blood – allergic purpura	D690
DXX16289	Prvn – screening – other	Z130
DXX16293	Iron deficiency and other anemias	D509, D530, D532, D538, D539, D649
DXX16295	Acute post-hemorrhagic anemia	D62
DXX1764	Neoplsm – therapy – nos	Z79811
DXX1767	Cancer; other and unspecified primary	C459, C801
DXX1860	Other Sexually Transmitted Diseases	A5602
DXX1942	Other Depression	F328
DXX1963	Anxiety Disorders	F064
DXX2104	NS – acute pain – post op	G8918
DXX2306	Immune sys – allergic reactions – other	Z880, Z882
DXX2314	GYN – sterilization	Z302
DXX2340	Prvn – pre-op exam	Z0130, Z0131, Z01810, Z01811, Z01812, Z01818, Z0183
DXX2342	Prvn – encounter for lab test	Z0184
DXX2343	Prvn – screening – other	Z1151
DXX2350	Othr – post-surgical states nec	Z978, Z98891
DXX2359	Othr – other aftercare	Z791, Z7982
DXX2360	Complication of Implanted device, graft	T8331XA, T8332XA, T8339XA
DXX2370	Fever & Chills	R5081, R509, R6883
DXX2377	Personal history of blood, endocrine, nutritional disorders	Z8639
DXX2379	Observation/Examination	Z0000, Z0189
DXX2384	Other personal risk factors	Z8759
DXX2387	Post-surgical states	Z9889, Z98890
XX0000	Ungrouped Codes	Q5120, Q5121, Q5122, Q5128

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
DXX01390	Coma, persistent vegetative state	E035, G931, G935, G936, 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, R403
DXX01391	Meningitis / Encephalitis	G038
DXX01392	Delirium, Encephalopathy	F05, G92, G9340, G9341, G9349, I674, I6783
DXX01395	Other cerebral complications	G972, I97810, I97811, I97820, I97821
DXX04126	other lung complications	J90, J940, J941, J942, J949, J954, J955, J95811, J95859, J9588, R091
DXX04127	empyema, lung abscess	J869
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 Pnuemonia	J95851
DXX04172	Gram Negative Pneumonia	J155, J156
DXX04173	MRSA Pneumonia	J15212
DXX04174	Other Staph Pneumonia	J1520, J15211, J1529
DXX04176	Resp Failure following trauma / surgery	J951, J952, J953, J95821, J95822
DXX04177	Ventilator Dependence	Z9911, Z9912
DXX04187	Other lung problems	J182, J918, J9811, J9819, 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
DXX05303	Acute CHF / pulm edema	I5021, I5023, I5031, I5033, I5041, I5043, J810, J811, R0601
DXX05308	Pulmonary Embolism	I2690, I2692, I2699
DXX05309	IVC & other intra-abd venous thrombosis	I82220, I82221, I823
DXX05311	Other Phlebitis, Lymphangitis, varices	I808, I82601, I82602, I82603, I82609, I82611, I82612, I82613, I82619, I82621, I82622, I82623, I82629, I82A11, I82A12, I82A13, I82A19, I891
DXX05320	Atrial Flutter / Fibrillation	I480, I481, I482, I483, I484, I4891, I4892
DXX05335	Sinus Node Dysfunction	I498, R001
DXX05336	Supraventricular Tachyarrhythmias	I471, I492
DXX05339	Ventricular Arrhythmias	I470, I472
DXX05340	Other cardiac arrhythmias	I479, I499, R000, R002
DXX05342	Acute cor pulmonale	I2601, I2602, I2609
DXX05366	Periph vascular dis w ulcer	I70231, I70232, I70233, I70234, I70235, I70238, I70239, I70241, I70242, I70243, I70244, I70245, I70248, I70249, I70331, I70332, I70333, I70334, I70335, I70338, I70339, I70341, I70342, I70343, I70344, I70345, I70348, I70349, I70431, I70432, I70433, I70434, I70435, I70438, I70439, I70441, I70442, I70443, I70444, I70445, I70448, I70449, I70531, I70532, I70533, I70534, I70535, I70538, I70539, I70541, I70542, I70543, I70544, I70545, I70548, I70549, I70631, I70632, I70633, I70634, I70635, I70638, I70639, I70641, I70642, I70643, I70644, I70645, I70648, I70649, I70731, I70732, I70733, I70734, I70735, I70738, I70739, I70741, I70742, I70743, I70744, I70745, I70748, I70749
DXX05367	Hypertensive Urgency	I160, I161, I169
DXX05373	Shock during or post-procedure	I97711, I97791, I9788, T8110XA, T8111XA, T8112XA, T8119XA
DXX05375	Dehydration	E860, E861, E869
DXX06160	Gastroenteritis	A080, A0811, A0819, A082, A0831, A0832, A0839, A084, A088, A09, K5289, K529
DXX06305	C-Difficile Infection	A047
DXX06306	GI Bleed	K2901, K2931, K2961, K2971, K2981, K2991, K920, K921, K922
DXX06307	Intestinal Obstruction	K315, K560, K561, K562, K565, K5660, K5669, K567
DXX06311	Vascular Insufficiency of intestine	K550, K55011, K55012, K55019, K55021, K55022, K55029, K55031, K55032, K55039, K55041, K55042, K55049, K55051, K55052, K55059, K55061, K55062, K55069, K5530, K5531, K5532, K5533, K558, K559
DXX06315	Fistula GI tract	N321, N822, N823, N824
DXX06335	Retroperitoneal Abscess	K6812, K6819, K689
DXX06352	Hemoperitoneum	K661
DXX06353	Perforation, Peritonitis, Abd Abscess	K630, K631, K650, K651, K658, K659, N733, R188, R1930, R1931, R1932, R1933, R1934, R1935, R1936, R1937
DXX06369	Esophageal Reflux and Other Esophagitis	K209
DXX06379	Abdominal Hernia w Gangrene/Obstruction	K420, K421, K431, K434, K437, K450, K451, K460
DXX06380	Abdominal Hernia w/out Gangrene/Obstruction	K432, K435, K439, K458, K461, K469
DXX07110	Hepatorenal Syndrome	K767
DXX09187	Wound Infections	A4852, K6811, T814XXA
DXX09190	Wound Dehiscence	T8130XA, T8131XA, T8132XA
DXX09191	Decubitus Ulcer	L89000, 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
DXX09192	Dermatitis, Urticaria	T7841XA
DXX09194	Chronic Skin Ulcer	L97101, L97102, L97103, L97104, L97109, L97111, L97112, L97113, L97114, L97119, L97121, L97122, L97123, L97124, L97129, L97201, L97202, L97203, L97204, L97209, L97211, L97212, L97213, L97214, L97219, L97221, L97222, L97223, L97224, L97229, L97301, L97302, L97303, L97304, L97309, L97311, L97312, L97313, L97314, L97319, L97321, L97322, L97323, L97324, L97329, L97401, L97402, L97403, L97404, L97409, L97411, L97412, L97413, L97414, L97419, L97421, L97422, L97423, L97424, L97429, L97501, L97502, L97503, L97504, L97509, L97511, L97512, L97513, L97514, L97519, L97521, L97522, L97523, L97524, L97529, L97801, L97802, L97803, L97804, L97809, L97811, L97812, L97813, L97814, L97819, L97821, L97822, L97823, L97824, L97829, L97901, L97902, L97903, L97904, L97909, L97911, L97912, L97913, L97914, L97919, L97921, L97922, L97923, L97924, L97929
DXX10102	diabetes mellitus with ophthalmic manifestations	E11311
DXX1030	Diabetes, poor control	E0811, E08641, E08649, E0865, E0911, E09641, E0965, E1011, E10641, E1065, E11641, E1165, E1311, E13641, E160, E161, E162
DXX11137	rhabdomyolysis	M6282
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	T83011A, T83011D, T83021A, T83021D, T83031A, T83031D, T83091A, T83091D, T83510A, T83510D, T83511A, T83511D, T83512A, T83512D, T83518A, T83518D, T8351XA, T8351XD, T83590A, T83590D, T83591A, T83591D, T83592A, T83592D, T83593A, T83593D, T83598A, T83598D, T8359XA, T8359XD, T8361XA, T8362XA, T8369XA, T8369XD, T8381XA, T8381XD, T8382XA, T8382XD, T8383XA, T8383XD, T8384XA, T8384XD, T8385XA, T8385XD, T8386XA, T8386XD, T8389XA, T8389XD, T839XXA, T839XXD
DXX11150	Bladder Dysfunction, hemorrhage	N310, N311, N319
DXX11152	Urinary Frequency & other symptoms	R300, R34
DXX11153	Urinary Incontinence	R32
DXX11167	Acute Kidney Failure	N170, N171, N172, N178, N179, N19, N990
DXX13106	Pelvic Inflammatory disease	N7001, N7002, N7003, N730
DXX13108	Postop adhesions	K660, N736, N994
DXX1392	Urogenital fistula	N820, N821, N825, N828, N829
DXX16296	Hemorrhage	R58, R710
DXX1846	Opportunistic Infections	B3781, B395, B399, B488
DXX1849	Other bacterial infections	A480, A482, A484, A488, A4901, A491, A492, A493, A498, A499, B950, B951, B952, B953, B954, B955, B9561, B957, B958, B960, B961, B963, B964, B965, B966, B967, B9681, B9682, B9689, I76, J200, J201, J202, R899
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	A392, A394, 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
DXX1860	Other Sexually Transmitted Diseases	A5601
DXX19103	Altered mental status	F060, F061, F062, R400, R401, R440, R442, R443
DXX19105	Other Mental Disorders	F068
DXX1948	Suicide or Self-inflicted Injury	T410X2A, T410X2D, T411X2A, T411X2D, T41202A, T41202D, T41292A, T41292D, T413X2A, T413X2D, T4142XA, T4142XD, T415X2A, T415X2D, T420X2A, T420X2D, T421X2A, T421X2D, T422X2A, T422X2D, T423X2A, T423X2D, T424X2A, T424X2D, T425X2A, T425X2D, T426X2A, T426X2D, T4272XA, T4272XD, T428X2A, T428X2D, T43012A, T43012D, T43022A, T43022D, T431X2A, T431X2D, T43202A, T43202D, T43212A, T43212D, T43222A, T43222D, T43292A, T43292D, T433X2A, T433X2D, T434X2A, T434X2D, T43502A, T43502D, T43592A, T43592D, T438X2A, T438X2D, T4392XA, T4392XD, T440X2A, T440X2D, T441X2A, T441X2D, T442X2A, T442X2D, 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, T460X2A, T460X2D, T461X2A, T461X2D, T462X2A, T462X2D, T463X2A, T463X2D, T464X2A, T464X2D, T465X2A, T465X2D, T466X2A, T466X2D, T467X2A, T467X2D, T468X2A, T468X2D, T46902A, T46902D, T46992A, T46992D, T470X2A, T470X2D, T471X2A, T471X2D, T472X2A, T472X2D, T473X2A, T473X2D, T474X2A, T474X2D, T475X2A, T475X2D, T476X2A, T476X2D, T477X2A, T477X2D, T478X2A, T478X2D, T4792XA, T4792XD, T480X2A, T480X2D, T481X2A, T481X2D, T48202A, T48202D, T48292A, T48292D, T483X2A, T483X2D, T484X2A, T484X2D, T485X2A, T485X2D, T486X2A, T486X2D, T48902A, T48902D, T48992A, T48992D, T490X2A, T490X2D, T491X2A, T491X2D, T492X2A, T492X2D, T493X2A, T493X2D, T494X2A, T494X2D, T495X2A, T495X2D, T496X2A, T496X2D, T497X2A, T497X2D, T498X2A, T498X2D, T4992XA, T4992XD, T500X2A, T500X2D, T501X2A, T501X2D, T502X2A, T502X2D, T503X2A, T503X2D, T504X2A, T504X2D, T505X2A, T505X2D, T506X2A, T506X2D, T507X2A, T507X2D, T508X2A, T508X2D, T50902A, T50Z12A, T50Z12D
DXX2161	Complications from Central Line	T80218A, T80219A, T8022XA
DXX2164	Accidental Falls	V00811A, 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
DXX2171	Adverse effects of drugs	G4440, G4441, K1232, R502, 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
DXX2360	Complication of Implanted device, graft	T836XXA, T85598A, T85610A, T85612A, T85613A, T85615A, T85618A, T85620A, T85622A, T85623A, T85625A, T85628A, T85630A, T85635A, T85638A, T85690A, T85692A, T85695A, T85698A, T8579XA, T85818A, T8581XA, T85828A, T8582XA, T85838A, T8583XA, T85848A, T8584XA, T85858A, T8585XA, T85868A, T8586XA, T85898A, T8589XA, T859XXA
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, I97131, I97191, 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, K9161, K9162, K9171, K9172, K91840, K91841, 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, T81710A, T81711A, T81718A, T81719A, T8172XA, T8182XA, T8189XA, T819XXA, T888XXA, Y624, Y626, Y628, Y629, Y652, 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, I973, J95850, L7681, L7682, M9689, R680, T7841XD, T801XXA, T8181XA, T880XXA, T881XXA, T887XXA, T889XXA, Y633, Y635, Y636, Y638, Y639, Y641, Y648, Y649, Y658, Y66, Y69, Y844, Y846, Y847
DXX2395	Foreign body left during procedure	T81500A, T81501A, T81502A, T81503A, T81504A, T81505A, T81506A, T81507A, T81508A, T81509A, T81510A, T81511A, T81512A, T81513A, T81514A, T81515A, T81516A, T81517A, T81518A, T81519A, T81520A, T81521A, T81522A, T81523A, T81524A, T81525A, T81526A, T81527A, T81528A, T81529A, T81530A, T81531A, T81532A, T81533A, T81534A, T81535A, T81536A, T81537A, T81538A, T81539A, T81590A, T81591A, T81592A, T81593A, T81594A, T81595A, T81596A, T81597A, T81598A, T81599A, T8160XA, T8161XA, T8169XA
DXX9910	HAC 02: Air Embolism	T800XXA
DXX9912	HAC 04: Stage III and IV Pressure Ulcers	L89003, 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
DXX9914	HAC 09: Manifestations of Poor Glycemic Control	E0800, E0801, E0810, E0900, E0901, E0910, E1010, E1100, E1101, E1300, E1301, E1310, E15

Table 4: ICD-10 Relevant Procedure Codes

Group ID	Group Name	Code Value
PXX03231	Other therapeutic procedures – 231	0HD9XZZ, 0HDAXZZ, DU20DZZ, DU20HZZ, DU20JZZ, DU21DZZ, DU21HZZ, DU21JZZ, DU22DZZ, DU22HZZ, DU22JZZ, DUY08ZZ, DUY18ZZ, DUY28ZZ
PXX03235	Robotic Assisted Procedure	8E0W0CZ, 8E0W7CZ, 8E0WXCZ
PXX05247	Computer Assisted Procedure	8E0WXBF, 8E0WXBG, 8E0WXBH, 8E0WXBZ
PXX0672	Colostomy, temporary and permanent – 072	0H87XZZ
PXX0686	Other hernia repair – 086	0JQ70ZZ, 0JQ73ZZ, 0JQC0ZZ, 0JQC3ZZ
PXX0696	Other OR lower GI therapeutic procedures – 096	0HQ6XZZ, 0HQ7XZZ, 0HQ9XZZ
PXX08160	Other therapeutic procedures on muscles and tendons – 160	0J580ZZ, 0J583ZZ, 0J5B0ZZ, 0J5B3ZZ, 0J5C0ZZ, 0J5C3ZZ, 0J880ZZ, 0J883ZZ, 0J8B0ZZ, 0J8B3ZZ, 0J8C0ZZ, 0J8C3ZZ, 0J980ZZ, 0J9B0ZZ, 0J9C0ZZ, 0JB80ZZ, 0JB83ZZ, 0JBB0ZZ, 0JBB3ZZ, 0JBC0ZZ, 0JBC3ZZ, 0JC80ZZ, 0JC83ZZ, 0JCB0ZZ, 0JCB3ZZ, 0JCC0ZZ, 0JCC3ZZ, 0JD80ZZ, 0JD83ZZ, 0JDB0ZZ, 0JDB3ZZ, 0JDC0ZZ, 0JDC3ZZ, 0JN80ZZ, 0JN83ZZ, 0JNB0ZZ, 0JNB3ZZ, 0JNC0ZZ, 0JNC3ZZ, 0JQ80ZZ, 0JQ83ZZ, 0JQB0ZZ, 0JQB3ZZ, 0JR807Z, 0JR80JZ, 0JR80KZ, 0JR837Z, 0JR83JZ, 0JR83KZ, 0JRB07Z, 0JRB0JZ, 0JRB0KZ, 0JRB37Z, 0JRB3JZ, 0JRB3KZ, 0JRC07Z, 0JRC0JZ, 0JRC0KZ, 0JRC37Z, 0JRC3JZ, 0JRC3KZ, 0JU807Z, 0JU80JZ, 0JU80KZ, 0JU837Z, 0JU83JZ, 0JU83KZ, 0JUB07Z, 0JUB0JZ, 0JUB0KZ, 0JUB37Z, 0JUB3JZ, 0JUB3KZ, 0JUC07Z, 0JUC0JZ, 0JUC0KZ, 0JUC37Z, 0JUC3JZ, 0JUC3KZ, 0JX80ZZ, 0JX83ZZ, 0JXB0ZZ, 0JXB3ZZ, 0JXC0ZZ, 0JXC3ZZ
PXX08214	Other wound care – 214	2W13X6Z, 2W13X7Z, 2W15X6Z, 2W15X7Z, 2W16X6Z, 2W16X7Z, 2W17X6Z, 2W17X7Z, 2W23X4Z, 2W25X4Z, 2W26X4Z, 2W27X4Z, 2W33X3Z, 2W33XYZ, 2W35X3Z, 2W35XYZ, 2W36X3Z, 2W36XYZ, 2W37X3Z, 2W37XYZ, 2W43X5Z, 2W45X5Z, 2W46X5Z, 2W47X5Z, 2Y45X5Z
PXX09168	Incision and drainage, skin and subcutaneous tissue – 168	0H97X0Z, 0H97XZZ, 0H98X0Z, 0H98XZZ, 0H9AX0Z, 0H9AXZZ, 0J9800Z, 0J9900Z, 0J9B00Z, 0J9C00Z, 0W9K00Z, 0W9K0ZZ, 0W9K30Z, 0W9K40Z, 0W9K4ZZ, 0W9L00Z, 0W9L0ZZ, 0W9L30Z, 0W9L40Z, 0W9L4ZZ, 0W9M00Z, 0W9M0ZZ, 0W9M30Z, 0W9M40Z, 0W9M4ZZ, 0Y9000Z, 0Y900ZZ, 0Y9030Z, 0Y903ZZ, 0Y9040Z, 0Y904ZZ, 0Y9100Z, 0Y910ZZ, 0Y9130Z, 0Y913ZZ, 0Y9140Z, 0Y914ZZ, 0Y9700Z, 0Y970ZZ, 0Y9730Z, 0Y973ZZ, 0Y9740Z, 0Y974ZZ, 0Y9800Z, 0Y980ZZ, 0Y9830Z, 0Y983ZZ, 0Y9840Z, 0Y984ZZ
PXX09169	Debridement of wound, infection or burn – 169	0HB6XZZ, 0HB7XZZ, 0HB8XZZ, 0HBAXZZ
PXX09171	Suture of skin and subcutaneous tissue – 171	0HQ8XZZ, 0HQAXZZ
PXX09172	Skin graft – 172	0H86XZZ, 0H88XZZ, 0H8AXZZ, 0HR6X73, 0HR6X74, 0HR6XJ3, 0HR6XJ4, 0HR6XJZ, 0HR6XK3, 0HR6XK4, 0HR7X73, 0HR7X74, 0HR7XJ3, 0HR7XJ4, 0HR7XJZ, 0HR7XK3, 0HR7XK4, 0HR8X73, 0HR8X74, 0HR8XJ3, 0HR8XJ4, 0HR8XJZ, 0HR8XK3, 0HR8XK4, 0HRAX73, 0HRAX74, 0HRAXJ3, 0HRAXJ4, 0HRAXJZ, 0HRAXK3, 0HRAXK4, 0HX6XZZ, 0HX7XZZ, 0HX8XZZ, 0HX9XZZ, 0HXAXZZ, 0JX70ZB, 0JX70ZC, 0JX73ZB, 0JX73ZC, 0JX80ZB, 0JX80ZC, 0JX83ZB, 0JX83ZC, 0JX90ZB, 0JX90ZC, 0JX93ZB, 0JX93ZC, 0JXB0ZB, 0JXB0ZC, 0JXB3ZB, 0JXB3ZC, 0JXC0ZB, 0JXC0ZC, 0JXC3ZB, 0JXC3ZC, 0WUL07Z, 0WUL47Z, XHRPXL2
PXX09173	Other diagnostic procedures on skin and subcutaneous tissue – 173	0H99XZX
PXX11109	Procedures on the urethra – 109	0UQG0ZZ, 0UQG3ZZ, 0UQG4ZZ, 0UQG7ZZ, 0UQG8ZZ
PXX11111	Other non-OR therapeutic procedures of urinary tract – 111	0WHR7YZ
PXX11112	Other OR therapeutic procedures of urinary tract – 112	0UQ90ZZ, 0UQ93ZZ, 0UQ94ZZ, 0UQ97ZZ, 0UQ98ZZ
PXX13119	Oophorectomy, unilateral and bilateral – 119	0UT04ZZ, 0UT07ZZ, 0UT08ZZ, 0UT0FZZ, 0UT14ZZ, 0UT17ZZ, 0UT18ZZ, 0UT1FZZ, 0UT24ZZ, 0UT27ZZ, 0UT28ZZ, 0UT2FZZ, 0UT50ZZ, 0UT54ZZ, 0UT60ZZ, 0UT64ZZ, 0UT70ZZ, 0UT74ZZ
PXX13123	Other operations on fallopian tubes – 123	0UT57ZZ, 0UT58ZZ, 0UT5FZZ, 0UT67ZZ, 0UT68ZZ, 0UT6FZZ, 0UT77ZZ, 0UT78ZZ, 0UT7FZZ
PXX13125	Other excision of cervix and uterus – 125	0UDB7ZZ, 0UDB8ZZ
PXX13128	Diagnostic dilatation and curettage (D&C) – 128	0UDB7ZX, 0UDB8ZX
PXX13130	Other diagnostic procedures, female organs – 130	0U900ZX, 0U903ZX, 0U904ZX, 0U910ZX, 0U913ZX, 0U914ZX, 0U920ZX, 0U923ZX, 0U924ZX, 0U940ZX, 0U943ZX, 0U944ZX, 0U950ZX, 0U953ZX, 0U954ZX, 0U957ZX, 0U958ZX, 0U960ZX, 0U963ZX, 0U964ZX, 0U967ZX, 0U968ZX, 0U970ZX, 0U973ZX, 0U974ZX, 0U977ZX, 0U978ZX, 0U990ZX, 0U993ZX, 0U994ZX, 0U997ZX, 0U998ZX, 0U9C0ZX, 0U9C3ZX, 0U9C4ZX, 0U9C7ZX, 0U9C8ZX, 0U9F0ZX, 0U9F3ZX, 0U9F4ZX, 0U9F7ZX, 0U9F8ZX, 0U9G0ZX, 0U9G3ZX, 0U9G4ZX, 0U9G7ZX, 0U9G8ZX, 0U9GXZX, 0U9J0ZX, 0U9JXZX, 0U9K0ZX, 0U9K3ZX, 0U9K4ZX, 0U9K7ZX, 0U9K8ZX, 0U9KXZX, 0U9M0ZX, 0U9MXZX, 0UB00ZX, 0UB03ZX, 0UB04ZX, 0UB07ZX, 0UB08ZX, 0UB10ZX, 0UB13ZX, 0UB14ZX, 0UB17ZX, 0UB18ZX, 0UB20ZX, 0UB23ZX, 0UB24ZX, 0UB27ZX, 0UB28ZX, 0UB40ZX, 0UB43ZX, 0UB44ZX, 0UB47ZX, 0UB48ZX, 0UB50ZX, 0UB53ZX, 0UB54ZX, 0UB57ZX, 0UB58ZX, 0UB60ZX, 0UB63ZX, 0UB64ZX, 0UB67ZX, 0UB68ZX, 0UB70ZX, 0UB73ZX, 0UB74ZX, 0UB77ZX, 0UB78ZX, 0UB90ZX, 0UB93ZX, 0UB94ZX, 0UB97ZX, 0UB98ZX, 0UBC0ZX, 0UBC3ZX, 0UBC4ZX, 0UBC7ZX, 0UBC8ZX, 0UBF0ZX, 0UBF3ZX, 0UBF4ZX, 0UBF7ZX, 0UBF8ZX, 0UBG0ZX, 0UBG3ZX, 0UBG4ZX, 0UBG7ZX, 0UBG8ZX, 0UBGXZX, 0UBK0ZX, 0UBK3ZX, 0UBK4ZX, 0UBK7ZX, 0UBK8ZX, 0UBKXZX, 0UBM0ZX, 0UBMXZX, 0UJ30ZZ, 0UJ33ZZ, 0UJ34ZZ, 0UJ80ZZ, 0UJ83ZZ, 0UJ84ZZ, 0UJ87ZZ, 0UJ88ZZ, 0UJD0ZZ, 0UJD3ZZ, 0UJD4ZZ, 0UJD7ZZ, 0UJD8ZZ, 0UJH0ZZ, 0UJH3ZZ, 0UJH4ZZ, 0UJH7ZZ, 0UJH8ZZ, 0UJM0ZZ
PXX13131	Other non-OR therapeutic procedures, female organs – 131	0U2HXGZ, 0U7C0DZ, 0U7C0ZZ, 0U7C3DZ, 0U7C3ZZ, 0U7C4DZ, 0U7C4ZZ, 0U7C7DZ, 0U7C7ZZ, 0U7C8DZ, 0U7C8ZZ, 0U7G7DZ, 0U7G7ZZ, 0U7G8DZ, 0U7G8ZZ, 0U8K7ZZ, 0U8K8ZZ, 0U8KXZZ, 0U9F30Z, 0U9F3ZZ, 0U9F40Z, 0U9F4ZZ, 0U9K00Z, 0U9K0ZZ, 0U9K30Z, 0U9K3ZZ, 0U9K40Z, 0U9K4ZZ, 0U9K70Z, 0U9K7ZZ, 0U9K80Z, 0U9K8ZZ, 0U9KX0Z, 0U9KXZZ, 0U9L00Z, 0U9L0ZZ, 0U9LX0Z, 0U9LXZZ, 0UCK0ZZ, 0UCK3ZZ, 0UCK4ZZ, 0UCK7ZZ, 0UCK8ZZ, 0UCKXZZ, 0UHF7GZ, 0UHF8GZ, 0UHG7GZ, 0UHG8GZ, 0UPD7CZ, 0UPH7DZ, 0US9XZZ, 2Y04X5Z, 2Y44X5Z, 2Y54X5Z, 3E1P38X, 3E1P38Z, 3E1P78X, 3E1P78Z, 3E1P88X, 3E1P88Z
PXX13132	Other OR therapeutic procedures, female organs – 132	0U5J0ZZ, 0U5JXZZ, 0U790DZ, 0U790ZZ, 0U793DZ, 0U793ZZ, 0U794DZ, 0U794ZZ, 0U797DZ, 0U797ZZ, 0U798DZ, 0U798ZZ, 0U7G0DZ, 0U7G0ZZ, 0U7G3DZ, 0U7G3ZZ, 0U7G4DZ, 0U7G4ZZ, 0U7K0DZ, 0U7K0ZZ, 0U7K3DZ, 0U7K3ZZ, 0U7K4DZ, 0U7K4ZZ, 0U7K7DZ, 0U7K7ZZ, 0U7K8DZ, 0U7K8ZZ, 0U7KXDZ, 0U7KXZZ, 0U9J00Z, 0U9J0ZZ, 0U9JX0Z, 0U9JXZZ, 0UBJ0ZX, 0UBJ0ZZ, 0UBJXZX, 0UBJXZZ, 0UCJ0ZZ, 0UCJXZZ, 0ULF7DZ, 0ULF7ZZ, 0ULF8DZ, 0ULF8ZZ, 0UM40ZZ, 0UM44ZZ, 0UMF0ZZ, 0UMF4ZZ, 0UMG0ZZ, 0UMG4ZZ, 0UMJXZZ, 0UN40ZZ, 0UN43ZZ, 0UN44ZZ, 0UNF0ZZ, 0UNF3ZZ, 0UNF4ZZ, 0UNF7ZZ, 0UNF8ZZ, 0UNG0ZZ, 0UNG3ZZ, 0UNG4ZZ, 0UNJ0ZZ, 0UNJXZZ, 0UQ40ZZ, 0UQ43ZZ, 0UQ44ZZ, 0UQF0ZZ, 0UQF3ZZ, 0UQF4ZZ, 0UQF7ZZ, 0UQF8ZZ, 0UQGXZZ, 0UQJ0ZZ, 0UQJXZZ, 0US40ZZ, 0US44ZZ, 0US90ZZ, 0US94ZZ, 0USC0ZZ, 0USC4ZZ, 0USF0ZZ, 0USF4ZZ, 0USG0ZZ, 0USG4ZZ, 0USGXZZ, 0UTF0ZZ, 0UTF4ZZ, 0UTF7ZZ, 0UTF8ZZ, 0UTJ0ZZ, 0UTJXZZ, 0UU407Z, 0UU40JZ, 0UU40KZ, 0UU447Z, 0UU44JZ, 0UU44KZ, 0UUF07Z, 0UUF0JZ, 0UUF0KZ, 0UUF47Z, 0UUF4JZ, 0UUF4KZ, 0UUF77Z, 0UUF7JZ, 0UUF7KZ, 0UUF87Z, 0UUF8JZ, 0UUF8KZ, 0UUG07Z, 0UUG0JZ, 0UUG0KZ, 0UUG47Z, 0UUG4JZ, 0UUG4KZ, 0UUG77Z, 0UUG7JZ, 0UUG7KZ, 0UUG87Z, 0UUG8JZ, 0UUG8KZ, 0UUGX7Z, 0UUGXJZ, 0UUGXKZ, 0UUJ07Z, 0UUJ0JZ, 0UUJ0KZ, 0UUJX7Z, 0UUJXJZ, 0UUJXKZ, 0WQN0ZZ, 0WQN3ZZ, 0WQN4ZZ, 0WQNXZZ
PXX13133	Abdominal Hysterectomy	0UT90ZZ
PXX13134	Laparoscopic Abd Hysterectomy	0UT94ZZ
PXX13135	Laparoscopic Radical Hysterectomy	0UT44ZZ
PXX13136	Laparoscopic vaginal hysterectomy	0UT98ZZ, 0UT9FZZ
PXX13138	Radical Abdominal Hysterectomy	0UT40ZZ
PXX13139	Radical Vaginal Hysterectomy	0UT47ZZ, 0UT48ZZ
PXX13140	Vaginal Hysterectomy	0UT97ZZ
PXX13141	Resection of Cervix	0UTC0ZZ, 0UTC4ZZ, 0UTC7ZZ, 0UTC8ZZ
PXX14149	Long Acting Reversible Contraception	0U2DXHZ, 0UHC7HZ, 0UHC8HZ, 0UPD7HZ, 0UPD8HZ
XX0000	Ungrouped Codes	0UT90ZL, 0UT94ZL, 0UT97ZL, 0UT98ZL, 0UT9FZL

Table 5: Relevant Procedure Codes CPT/HCPCS

Group ID	Group Name	Code Value
CT0025	Preventive Medicine, Care Coordination	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, 99401, 99402, 99403, 99404, 99411, 99412, 99429, 99441, 99442, 99443, 99446, 99447, 99448, 99449, 99499, G0175, G0406, G0407, G0408, G0425, G0426, G0427, G8686, G8688, G8690, G8692, H0034, H0039, H0040, S0220, S0221, S0315, S0316, S0317, S0320
CT0026	Anesthesia and pain medications	J0400, J0780, J1630, J1631, J1960, J2270, J2310, J2358, J2426, J2680, J2794, J3010, J3070, J3230, J3486, S0012, S0092, S0093, S0136, S0166
CT0072	Image guided drainage of abdominal abscess	49405, 49406, 49407
CT0080	Imaging Abdomen	74000, 74150, 74160, 74170, 74175, 74177, 74181, 74182, 74183, 74185, 76700, 76705, 76999, C8900, C8901, C8902
CT0082	Medicines for pain	96372, H0033, J0592, J1230, J2315
CT0083	Blood Type, Coomb’s test	86077, 86880, 86900, 86901
CT0088	Hepatitis B vaccine	G0010
CT0089	Metabolic Renal Hepatic Chemistry Panel	80047, 80048, 80050, 80051, 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	97001, 97002, 97003, 97004, 97005, 97006, 97033, 97034, 97035, 97036, 97039, 97139, 97150, 97545, 97546, 97750, 97755, S9129, S9131
CT0091	Physician Services – Outpatient	99050, 99051, 99053, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99354, 99355, 99381, 99391, T1015
CT0092	Physician Services – Inpatient	99221, 99222, 99223, 99238, 99239, 99252, 99253, 99254, 99255
CT0093	Routine Immunizations	90471
CT0094	Screen for amino acid disorders	84030
CT0098	Occult blood	82270
CT0114	Procedure – spinal canal – catheter	C1755, E0785
CT0122	Procedure – peripheral nerve repair / graft – graft / guide	C9355
CT0131	Procedure – anesthesia	01991, 01992
CT0132	Rx – central nervous system – parkinson’s rx	J0190, J0515, J8515
CT0134	Rx – central nervous system – vascular 5ht1 agonists	J3030
CT0135	Rx – central nervous system – anticonvulsants	C9254, J1165, J1953, J3475, Q2009, S0078
CT0136	Rx – central nervous system – antidepressants	J1320, S0106
CT0137	Rx – central nervous system – tranq/antipsychotics	J1790, J2950, J3310, J3400
CT0139	Rx – central nervous system – non-amphetamine stimulants	J0706
CT01394	Medications (Injections, infusions and other forms)	C9270, C9272, C9275, C9276, C9277, C9279, C9281, C9282, C9283, C9285, J0171, J0558, J0561, J0597, J0638, J0695, J0714, J0775, J0875, J1290, J1443, J1559, J1599, J1680, J1786, J1826, J2793, J3095, J3357, J3385, J7121, J7184, J7309, J7312, J7328, J7335, J7686, J8562, Q2026, Q2027, Q2040, Q2041, Q2042, Q2044, S0148, S0169
CT01395	DME and supplies	A4466, A9273, C9362, C9365, C9367, C9406, C9800, E0433, E0446, E1036, E2622, E2623, E2624, E2625, K0740, K0741, K0742, K0743, K0744, K0745, K0746, Q4117, Q4118, Q4119, Q4120, Q4121, Q4161, Q4162, Q4163, Q4164, Q4165, Q9950, T1505
CT0140	Rx – central nervous system – barbiturates	J0300, J2515, J2560
CT0141	Rx – central nervous system – benzodiazepines	J1990, J2060, J2250, J3360
CT0142	Rx – central nervous system – anxiolytic/sedative/hypnot nec	J3410
CT0152	Imaging – nuclear – csf – scan	78630, 78635, 78645, 78647, 78650
CT0161	Tests – neuro – muscle testing	95831, 95833, 95834
CT0162	Tests – neuro – ncv / emg	95870, 95872
CT0163	Tests – neuro – evoked potentials	95925, 95926, 95927, 95930, 95933, 95934, 95936, 95937
CT0165	Tests – neuro – other	95922, 95923, 95990
CT02387	Pathology	81540
CT0351	Therapy – habilitation	T2012
CT0354	Rx – eent – topical – eye/ear/nose/throat misc	J3396
CT0380	Tests – ent – other dx	92504
CT0424	Rx – respiratory – beta agonists	J7606
CT0425	Rx – respiratory – phenylephrine	J2370
CT0426	Rx – respiratory – mucolytics/cold comb	J0132
CT0427	Rx – respiratory – methylxanthines	J0280, J1180, J2810
CT04280	Lung Function Tests	94010
CT04281	Blood Gases, Pulse Oximetry	82800, 82803, 82805, 82810, 94760, 94761, 94762
CT04282	Chest X-Ray	71020
CT0429	Other care – respiratory therapy	S5180, S5181
CT0433	Other care – respiratory – ventillator management	94660, 94662, 99504
CT0434	Other care – respiratory – oxygen / oxygen concentrator	E0424, E0425, E0430, E0431, E0434, E0435, E0439, E0440, E0441, E0442, E0443, E0444, E1390, E1391, E1392, K0738
CT0438	Other care – respiratory – equipment / supplies – nebulizer	E0555, E1405, E1406
CT0439	Other care – respiratory – equipment / supplies – peak flow meter	S8096
CT0440	Other care – respiratory – equipment / supplies – spirometer	A9284
CT0441	Other care – respiratory – equipment / supplies – apnea monitor	A4556, A4557
CT0442	Other care – respiratory – equipment / supplies	E0445, E0455, E0457, E0459, E0487, E0605, E0606, E1353, E1354, E1355, E1356, E1357, E1358, E1399, K0195
CT0443	Other care – respiratory – other	94002, 94003, 94004, 95012, A4604, A4606, A4614, A4615, A4616, A4617, A4619, A4620
CT0444	Other care – prevention – smoking cessation	S9453
CT0445	Imaging – ct – chest	71260
CT0449	Imaging – nuclear – lung scan	A9536, A9558
CT0453	Tests – pulmonary – peak flow	S8110
CT0463	Tests – pulmonary – other	94770
CT05134	Procedure – artery / vein – nos – thrombectomy catheter	C1757
CT05135	Procedure – artery / vein – nos – other	75961
CT05150	Procedure – vein – vena cava – filter	75940, C1880
CT05159	Procedure – vein – nos – angioplasty	75978
CT05163	Procedure – vascular – occlusion / embolization – transcatheter	75894
CT05166	Procedure – vascular – related supplies – graft material	C1768
CT05167	Procedure – vascular – related supplies – occlusion catheter	C2628
CT05171	Procedure – central venous catheter – insertion	S5522, S5523
CT05172	Procedure – central venous catheter – fluoroscopy – guidance	77001
CT05174	Procedure – central venous catheter – repair / maintenance	75901, 75902
CT05184	Procedure – vascular access – port / pump – insertion	C1772, C1788, C2626, E0782, E0783, E0786
CT05193	Rx – cardiovascular system – cardiac drugs	J1742, J2260
CT05194	Rx – cardiovascular system – cardiac glycosides	J1160
CT05195	Rx – cardiovascular system – antiarrhythmic rx	J0150, J0152, J0282, J2690
CT05196	Rx – cardiovascular system – beta blockers	J1800
CT05197	Rx – cardiovascular system – hypotensive rx	J0210, J0360, J0735, J1730, J2760, S0139
CT05198	Rx – cardiovascular system – vasodilating agents, nec	S9347
CT05199	Rx – cardiovascular system – vasodilating rx	J1325, J2440, J2670, J3285, K0455, S0155
CT05201	Rx – cardiovascular system – natriuretic peptides	J2325
CT05202	Rx – diuretics, loop diuretics	J1940, J3265, S0171, S9361
CT05203	Rx – diuretics, osmotic	J2150, J3350
CT05204	Rx – diuretics, thiazides / related	J1205
CT05205	Rx – diuretics – diuretic, carb anhydrase inhib	J1120
CT05213	Imaging – ct – cardiac	S8092
CT05216	Imaging – us – intravascular	C1753
CT05217	Imaging – nuclear – venous thrombosis – scan	78456, 78457, 78458
CT05218	Imaging – nuclear – venous thrombosis – radiopharmaceutical	A9504
CT05220	Imaging – arteriography – other	75774
CT05230	Tests – cardiac stress tests – cardiac stress tests – other	78491, 78492
CT05232	Tests – other cardiac scans	78414, 78428, 78445
CT05233	Tests – cardiac – ecg – ecg – 12 lead	R0076
CT05240	Tests – cardiac – echo – contrast agent	Q9955, Q9956
CT05256	Tests – cardiac – radiopharmaceuticals	A9500, A9501, A9502, A9505, A9526, A9555
CT05258	Tests – vascular – venous	93970, 93971
CT05259	Tests – vascular – other	93975, 93976
CT05260	Tests – cardiovascular – other	93740, 93760, 93762, 93770, 93784, 93786, 93788
CT05307	Electrocardiogram – EKG monitoring	93005
CT05308	Cardiac Stress Test	78451, 78452, 78453, 78454, 78460, 78461, 78464, 78465, 78472, 78473, 78481, 78483, 93015, 93016, 93017, 93018
CT05385	Other diagnostic cardiovascular procedures	93050
CT0574	Procedure – artery – abdomen – angioplasty – transluminal / percutaneous	75968
CT06105	Imaging – nuclear – shilling test – radiopharmaceutical	A9546, A9559
CT06109	Imaging – x-ray – abdomen	74190
CT06112	Imaging – x-ray – upper gi – small bowel – contrast	74355
CT06114	Imaging – x-ray – upper gi – other	74340
CT0612	Procedure – esophageal / gastric intubation	91000
CT06120	Tests – gi – duodenal motility study	91022
CT06122	Lab – gi – fat absorption	S3708
CT0619	Procedure – gastrostomy	74350
CT0641	Procedure – colostomy	57307
CT0651	Procedure – laparoscopy – abdomen – dx	49320
CT0652	Procedure – laparoscopy – abdomen – biopsy	49321
CT0653	Procedure – laparoscopy – gi – other	49324, 49325, 49329
CT0667	Procedure – other anal / rectal procedures – other procedures – rectum / anus	91123
CT0686	Procedure – other or gi rx – excision of lesion – abdomen / retroperitoneum	49200, 49201, 49203, 49204, 49205
CT0687	Procedure – other or gi rx – other procedure – abdomen	49255, 49422, 49423
CT0688	Procedure – other gi dx	49180, 49400, 49424
CT0690	Procedure – anesthesia	00700, 00730, 00800, 00802, 00820, 00840, 00844, 00846, 00848
CT0693	Rx – gi – antichol/antispasmodics	J0500, J1980
CT0694	Rx – gi – antiemetics	J1240, J1626, J2405, J2469, J2550, J2765, J3250, J3280, J8501, S0091, S0174, S0181, S0183, S9351, S9370
CT0695	Rx – gi – h2 antagonists	J2780, S0023, S0028
CT0696	Rx – gi drug misc,nec	S0191
CT0697	Rx – gi – ppis	C9113, S0164
CT0698	Rx – diagnostic rx – gastric function	J2805, J2850
CT0732	Imaging – nuclear – hepatobiliary ductal scan – radiopharmaceutical	A9510, A9537
CT0743	Other diagnostic radiology and related techniques	50430, 50431
CT08106	Imaging – x-ray – other – joint survey	R0070
CT08111	Imaging – other imaging – bone density – dexa	77080, 77081
CT08113	DME – heat/cold application	E0200, E0205, E0210, E0215, E0217, E0218, E0221, E0225, E0231, E0232, E0235, E0236, E0239
CT08114	DME – traction	E0830, E0840, E0849, E0850, E0870, E0880, E0890, E0900
CT08115	DME – trapeze  / other orthopedic device	E0910, E0911, E0912, E0920, E0930, E0940, E0941, E0944, E0945, E0946, E0947, E0948
CT0823	Procedure – condrocyte transplantation	J7330
CT0856	Rx – osteoporosis rx	J2430
CT0857	Rx – muscle relaxants – muscle relax, skeletal central	J0475, J0476, J2800, S9363
CT0858	Rx – muscle relaxants – muscle relax, skeletal, misc	J2360
CT0859	Rx – muscle relaxants – muscle relax, neuromusc block	J0330
CT0860	Imaging – ct – abdomen – pelvis	72193
CT0866	Imaging – ct – study	77078, 77079
CT0874	Imaging – mra – pelvis	C8918, C8919, C8920
CT0878	Imaging – nuclear – other musculoskeletal	78399
CT0922	Procedure – i&d – skin – drainage of abscess	20000
CT0923	Procedure – i&d – skin – drainage of hematoma	10140, 10160
CT0924	Procedure – i&d – skin – drainage – post – op infection	10180
CT0925	Procedure – debridement – wound / infection / burn – debridement	11000, 11001, 11041, 11042, 11043, 11044
CT09349	MAMMOGRAM	G0202, G0204, G0206
CT0942	Procedure – suture – skin  – repair of superficial wound	12001, 12002, 12004, 12005, 12006, 12007, G0168
CT0943	Procedure – suture – skin  – delayed wound closure	12020, 12021, 13160
CT0944	Procedure – suture – skin  – layer closure of wound	12031, 12032, 12034, 12035, 12036, 12037, 12041, 12042, 12044, 12045, 12046, 12047
CT0945	Procedure – suture – skin  – complex wound repair	13100, 13101, 13102, 13120, 13121, 13122, 13131, 13132, 13133
CT0946	Procedure – graft  – skin – skin tissue rearrangement	14301, 14302
CT0947	Procedure – graft  – skin – skin graft	15002, 15003, 15004, 15005, 15040, 15050, 15100, 15101, 15110, 15111, 15115, 15116, 15120, 15121, 15130, 15131, 15135, 15136, 15150, 15151, 15152, 15155, 15156, 15157, 15170, 15171, 15175, 15176, 15200, 15201, 15220, 15221, 15240, 15241, 15260, 15261, 15300, 15301, 15320, 15321, 15330, 15331, 15335, 15336, 15340, 15341, 15360, 15361, 15365, 15366, 15400, 15401, 15600, 15610, 15620, 15630
CT0948	Procedure – graft  – skin – flap	15420, 15421, 15430, 15431, 15570, 15572, 15574, 15576, 15650, 15731, 15738
CT0950	Procedure – graft  – skin – graft material	C9358, Q4100, Q4101, Q4102, Q4103, Q4104, Q4105, Q4106, Q4107, Q4108, Q4110, Q4111
CT0959	Procedure – other non – or rx – other non – or skin procedures	15850, 15851, 15852, 96999, 97602, S0630
CT0963	Rx – skin / mucous membrane – antiinflam s/mm agnts / comb nec	J7311
CT0964	Rx – skin / mucous membrane – s/mm miscellaneous	J7308, S0157
CT0965	Other care – wound care	97597, 97598, 97605, 97606, E0181, E0182, E0184, E0185, E0186, E0187, E0188, E0189, E0190, E0191, E0193, E0194, E0196, E0197, E0198, E0199, E0769, G0281, G0282, S9097
CT0966	Other care – wound care – hyperbaric oxygen	A4575
CT0967	Other care – wound care – electromagnetic therapy	G0295, G0329
CT0968	Other care – wound care – growth factor	S9055
CT0969	Other care – chronic edema – surgical stockings	A4490, A4495, A4500, A4510
CT0972	Other care – chronic edema – appliance – segmental	E0656, E0657
CT0983	Imaging – mri – breast	C8903, C8904, C8905, C8906, C8907, C8908
CT0993	DME – wound therapy	E2402
CT1011	Rx – antidiabetic rx – insulins	J1815
CT1012	Rx – antidiabetic rx, misc	J1610
CT1013	Rx – endocrine – other – parathyroid hormones	J0630
CT1017	Rx – vitamins – vitamin b / b complex	J3411, J3415, J3420
CT1019	Rx – vitamins – vitamin d	J0636, J1270, J2501
CT1021	Rx – vitamins – multivit prep	A9152, A9153, S0194
CT1022	Rx – diagnostic rx – thyroid function	J2725, J3240
CT1023	Rx – diagnostic rx, misc	J7674
CT1025	Other care – diabetes care – glucose monitoring – other supplies	A4250, A4256, A4257
CT1026	Other care – diabetes care – glucose monitoring – lancet	A4258, A4259, E0620
CT1027	Other care – diabetes care – glucose monitoring	A9279, A9280
CT10295	Thyroid Function Tests	84432, 84436, 84437, 84439, 84442, 84443, 84445, 84479, 84480, 84481, 84482
CT10296	Low dose steroids	J0702, J1020, J1094, J1100, J1700, J1710, J1720, J2650, J3300, J3301, J3302, J3303, J7506, J7509, J7510, J8540, S9490
CT10297	High dose steroids	J1030, J1040, J2920, J2930, Q0138
CT1030	Other care – diabetes care – insulin pump	E0784
CT1036	Other care – nutrition – assessment	97802, 97803, G0270, G0271
CT1037	Other care – nutrition – enteral – administration	S9340, S9341, S9342, S9343
CT1038	Other care – nutrition – enteral	B4034, B4035, B4036, B4081, B4100, B4104, B9998
CT1039	Other care – nutrition – enteral – tubing	B4082, B4083, B4087
CT1040	Other care – nutrition – enteral – formula	B4102, B4149, B4150, B4152, B4153, B4154, B4155, B4157, 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
CT1045	Other care – nutrition – parenteral – all – inclusive	S9364, S9365, S9366, S9367, S9368
CT1046	Other care – nutrition – education	S9452
CT1047	Other care – nutrition – medical food	S9433, S9434, S9435
CT1048	Other care – nutrition – counseling – dietician	S9470
CT1049	Other care – other – weight management	S9449
CT1052	Imaging – nuclear – thyroid – radiopharmaceutical	A9509, A9516, A9528, A9529, A9531
CT1061	Lab – endocrine response test	80400, 80402, 80406, 80408, 80410, 80412, 80414, 80415, 80416, 80417, 80418, 80420, 80422, 80424, 80426, 80428, 80430, 80432, 80434, 80435, 80436, 80438, 80439, 80440
CT1062	Lab – endocrine	S3650, S3652
CT1101	Procedure – cystoscopy – dx	52000
CT1114	Procedure – other rx – urethra	57310, 57311
CT1119	Procedure – gu incontinence – sling procedure	57288
CT1122	Procedure – gu – other non – or rx	74475, 74480, 74485
CT1123	Procedure – gu – other or rx	50715
CT1137	Procedure – anesthesia	00860, 00916
CT1146	Therapy – dialysis – supplies	A4932
CT1147	Therapy – neurostimulator – incontinence	E0740
CT1148	Rx – gu – other – bladder rx	J0520
CT1150	Imaging – nuclear – kidney – scan	78700, 78701, 78707, 78708, 78709, 78710, 78725
CT1151	Imaging – nuclear – bladder / ureter	78730, 78740
CT1155	Imaging – x-ray – urinary tract – cystography / voiding cystourethrogram	74430, 74455
CT1156	Imaging – x-ray – urinary tract – other	74450, 74470
CT1159	Tests – gu – post void residual / bladder capacity	51798
CT1166	Lab – urinalysis	81007, 81015, 81020, 81050, 81099
CT1167	Lab – specimen collection – urine	P9612, P9615
CT1301	Procedure – laparoscopy – cyst aspiration	49322
CT1302	Procedure – gu – other or rx	57320, 57330
CT1303	Procedure – oophorectomy	58661, 58720, 58940, 58943, 58950, 58952
CT1304	Procedure – other operations on ovary / fallopian tubes	58700, 58740, 58750, 58752, 58800, 58805, 58820, 58822, 58825, 58920, 58925
CT1305	Procedure – laparoscopy – lysis / excision – adhesions / lesions	58662
CT1306	Procedure – conization / cautery of cervix	57510, 57511, 57513, 57520, 57522
CT1307	Procedure – biopsy / exam – cervix	57452, 57454, 57460, 57500
CT1308	Procedure – other excision of cervix / uterus	57530, 57531, 57540, 57545, 57550, 58559, 58560
CT1310	Procedure – myomectomy	58140, 58145, 58561
CT1311	Procedure – endometrial ablation	58563
CT1313	Procedure – biopsy – endometrium	58100, 58110
CT1314	Procedure – hysteroscopy – dx	58555, 58558
CT1315	Procedure – d&c – dx	57558, 58120
CT1316	Procedure – repair – cystocele / rectocele	57120, 57240, 57250, 57260, 57265, 57267, 57284, 57285, 57289, 57555, 57556
CT1318	Procedure – gyn – other or rx	56405, 56420, 56440, 56441, 56501, 56515, 56700, 56740, 56800, 56805, 56810, 57010, 57023, 57065, 57130, 57135, 57200, 57210, 57280, 57282, 57283, 57291, 57292, 57295, 57296, 57300, 57305, 57308, 57335, 57700, 57720, 58400, 58410, 58823, 58999
CT1319	Procedure – gyn – other non – or rx	57020, 57061, 57150, 57160, 57180, 57400, 57800
CT1320	Procedure – gyn – other dx	56605, 56606, 56820, 56821, 57000, 57100, 57105, 57410, 57420, 57421, 57455, 57456, 58578, 58579, 58679, 58900, 58960
CT1325	Procedure – anesthesia	00851, 00906, 00940, 00942, 00944, 00948, 00950, 00952
CT1327	Rx – reproductive system – estrogens / comb	J1000, J1056, J1380, J1410, J1435
CT1329	Rx – reproductive system – progestins	J1051, J2675
CT13298	Vaginectomy Vulvectomy	56620, 56625, 56630, 56631, 56632, 56633, 56634, 56637, 56640, 57106, 57107, 57109, 57110, 57111, 57112
CT13299	Other non-OR therapeutic procedures, female organs	0071T, 0072T
CT1330	Rx – reproductive system – gonadotropin rel horm agnsts	J1675, S0132
CT13302	Vag Hysterectomy w urogenital proc	58263, 58267, 58292, 58293
CT13303	Total Abd Hyst w extensive resection	58240, 58951
CT1332	Imaging – us – transvaginal	76830
CT1334	Imaging – x-ray – female genital – other	74742, 74775
CT1335	Imaging – x-ray – female genital – hysterosalpingogram	58340, 74740
CT1342	Abdominal Hysterectomy	58150, 58152, 58180
CT1343	Laparoscopic Abd Hysterectomy	58541, 58542, 58543, 58544, 58570, 58571, 58572, 58573
CT1344	Laparoscopic Radical Hysterectomy	58548
CT1345	Laparoscopic vaginal hysterectomy	58550, 58552, 58553, 58554
CT1346	Other Hysterectomies	59525, 59525
CT1347	Radical Abdominal Hysterectomy	58200, 58953, 58954, 58956
CT1348	Radical Vaginal Hysterectomy	58210, 58275, 58280, 58285
CT1349	Vaginal Hysterectomy	58260, 58262, 58270, 58290, 58291, 58294
CT1412	Procedure – other rx obstetrical	57022
CT1414	Procedure – gyn – other or rx	59100, 59870
CT14389	Other Laboratory	89398
CT1602	Procedure – lymphadenectomy	38570, 38571, 38572
CT1603	Procedure – biopsy / exploration – lymph nodes	38500
CT1616	Therapy – transfusion – blood	P9010, P9011, P9016, P9021, P9022, P9038, P9039, P9040, P9051, P9054, P9056, P9057, P9058, S9538
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
CT1622	Rx – immune system – interferons	J1830, Q3025, Q3026, S0145, S9559
CT1623	Rx – immune system – gold compounds	J1600, J2910
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, J2355, J2796, J2820, Q4081, S9537
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 – Blood Tests	82948, 88720
CT16299	Bleeding Status	85002, 85345, 85347, 85348, 85610, 85611, 85670, 85675, 85705, 85730, 85732, 99363, 99364, S9401
CT1630	Rx – coagulation system – anticoagulants	C9121, J0583, J1644, J1645, J1650, J1652, J1655, J1945, J7197, S9336, S9372
CT1631	Rx – coagulation system – antiheparin agnt	J2720
CT16316	Blood transfusion	P9070, P9071, P9072
CT1632	Rx – coagulation system – hemostatics	J0365, J7185, J7186, J7189, J7190, J7191, J7192, J7193, J7194, J7195, J7196, J7198, J7199, P9012, S0017
CT1634	Rx – coagulation system – antiplatelet rx	J0130, J1245, J1327, J3246
CT1635	Rx – serums, toxoids, vaccines – serums	90281, 90283, 90291, 90371, 90389, 90396, 90399, J0850, J1162, J1459, J1460, J1560, J1561, J1562, J1566, J1568, J1569, J1571, J1572, J1573, J1670, J7504
CT1636	Rx – serums, toxoids, vaccines – toxins	J0585, J0586, J0587
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, 99601, 99602, A4220, A4221, A4222, A4223, A4305, A4306, E0776, E0779, E0780, E0781, K0552, K0601, K0602, K0603, K0604, K0605, S1015, S1016, S5035, S5036, S5497, S5498, S5501, S5502, S5517, S5518, S5520, S5521, S9379, S9542, S9810
CT1640	Imaging – nuclear – red cell survival	78130, 78135
CT1642	Imaging – nuclear – platelet kinetics	78190, 78191
CT1643	Imaging – nuclear – other blood / related	78140, 78199
CT1645	Lab – blood gases	82820
CT1646	Lab – hematology – coagulation	85170, 85175, 85210, 85220, 85230, 85240, 85244, 85245, 85246, 85247, 85250, 85260, 85270, 85280, 85290, 85291, 85292, 85293, 85300, 85301, 85302, 85303, 85305, 85306, 85307, 85335, 85337, 85360, 85362, 85366, 85370, 85378, 85379, 85380, 85384, 85385, 85390, 85396, 85397, 85400, 85410, 85415, 85420, 85421, 85612, 85613, 85635
CT1647	Lab – hematology – blood count	85055
CT1648	Lab – hematology – blood count – eosinophil count	S3630
CT1649	Lab – other hematology	85130, 85441, 85445, 85460, 85461, 85475, 85520, 85525, 85530, 85536, 85540, 85547, 85549, 85555, 85557, 85576, 85597, 85660, 85810, 85999, 88738, 88740, 88741
CT1651	Lab – immunology	86000, 86001, 86003, 86005, 86021, 86022, 86023, 86038, 86039, 86060, 86063, 86078, 86079, 86146, 86147, 86148, 86155, 86156, 86157, 86160, 86161, 86162, 86171, 86185, 86200, 86215, 86225, 86226, 86235, 86243, 86255, 86256, 86277, 86280, 86294, 86300, 86301, 86304, 86305, 86308, 86309, 86310, 86316, 86320, 86325, 86327, 86329, 86331, 86332, 86334, 86335, 86336, 86337, 86340, 86341, 86343, 86344, 86352, 86353, 86355, 86356, 86357, 86359, 86360, 86361, 86367, 86376, 86378, 86382, 86384, 86403, 86406, 86430, 86431, 86480, 86485, 86486, 86490, 86510, 86580, 86586, 86590, 86592, 86593
CT1652	Lab – transfusion medicine	86850, 86860, 86870, 86885, 86886, 86890, 86891, 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
CT17104	RADIATION TREATMENTS	C9728
CT17107	Hormone Therapy	S9560
CT17295	CERVICAL CANCER SCREENING	G0123, G0124, G0141, G0143, G0144, G0145, G0147, G0148, P3000, P3001, Q0091
CT1794	Imaging – pet – tumor imaging	78812, 78813, 78815, 78816
CT1797	Lab – tumor marker	S3711
CT1805	Rx – antibiotics / antivirals / antifungals – infusion	S9345, S9494, S9497, S9500, S9501, S9502, S9503, S9504
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, S9562
CT1818	Rx – antifungals	J0285, J0287, J0288, J0289, J0637, J1450, J1835
CT1820	Other care – other – infection control	S8301
CT1821	Lab – infectious agent antigen	87260, 87265, 87267, 87269, 87271, 87272, 87273, 87274, 87275, 87276, 87277, 87278, 87279, 87280, 87281, 87283, 87285, 87290, 87299, 87300, 87301, 87305, 87324, 87327, 87328, 87329, 87332, 87335, 87336, 87337, 87338, 87339, 87340, 87341, 87350, 87380, 87385, 87390, 87391, 87400, 87420, 87425, 87427, 87430, 87449, 87450, 87451
CT1822	Lab – infectious agent antibody	86317, 86318, 86602, 86603, 86606, 86609, 86611, 86612, 86615, 86617, 86618, 86619, 86622, 86625, 86628, 86635, 86638, 86641, 86644, 86645, 86648, 86651, 86652, 86653, 86654, 86658, 86663, 86664, 86665, 86666, 86668, 86671, 86674, 86677, 86682, 86684, 86687, 86688, 86689, 86692, 86694, 86695, 86696, 86698, 86701, 86702, 86703, 86704, 86705, 86706, 86707, 86708, 86709, 86710, 86713, 86717, 86720, 86723, 86727, 86729, 86732, 86735, 86738, 86741, 86744, 86747, 86750, 86753, 86756, 86757, 86759, 86762, 86765, 86768, 86771, 86774, 86777, 86778, 86780, 86781, 86784, 86787, 86788, 86789, 86790, 86793, 86800, 86803, 86804, S3645
CT1823	Lab – infectious agent dna	87470, 87471, 87472, 87475, 87476, 87477, 87480, 87481, 87482, 87493, 87495, 87496, 87497, 87498, 87500, 87510, 87511, 87512, 87515, 87516, 87517, 87520, 87521, 87522, 87525, 87526, 87527, 87528, 87529, 87530, 87531, 87532, 87533, 87534, 87535, 87536, 87537, 87538, 87539, 87540, 87541, 87542, 87550, 87551, 87552, 87555, 87556, 87557, 87560, 87561, 87562, 87580, 87581, 87582, 87590, 87591, 87592, 87620, 87621, 87622, 87640, 87641, 87650, 87651, 87652, 87653, 87660, 87797, 87798, 87799, 87800, 87801, 87802, 87803, 87804, 87807, 87808, 87809, 87850, 87880, 87899, 87900, 87901, 87902, 87903, 87904
CT1824	Lab – microbiology – other	87015, 87164, 87166, 87168, 87169, 87172, 87176, 87177, 87230, 87905, 87999
CT1825	Lab – microbiology – c & s	87040, 87045, 87046, 87070, 87071, 87073, 87075, 87076, 87077, 87081, 87084, 87086, 87088, 87101, 87102, 87103, 87106, 87107, 87109, 87116, 87118, 87140, 87143, 87147, 87149, 87150, 87152, 87153, 87158, 87181, 87184, 87185, 87186, 87187, 87188, 87190, 87197
CT1826	Lab – microbiology – microscopic exam	87205, 87206, 87207, 87209, 87210, 87220
CT1827	Lab – microbiology – viral culture	87250, 87252, 87253, 87254, 87255
CT1828	Lab – microbiology	P7001
CT1829	Lab – microscopic – pinworm	Q0113
CT18302	CHLAMYDIA SCREENING	86631, 86632, 87110, 87270, 87320, 87485, 87486, 87487, 87490, 87491, 87492, 87810
CT1901	Therapy – behavior – evaluation and therapy	96150, 96151, 96152, 96153, 96154, 96155
CT1905	Therapy – behavior – partial hospitalization	S0201
CT1907	Tests – neuro – sleep studies	95803
CT19303	Psychiatry Evaluations	T1023
CT19304	Psychiatry Services	97535, H0031, H2010, H2015, H2016, H2021, H2022, S3005, S9454, S9482, T2034
CT19378	Laboratory – Chemistry and Hematology	83987, G0435
CT19384	Peer Services	H0038
CT2006	Alcohol / Drug Use Management	H0045
CT2009	Alcohol / Drug Use Screening	80100, 80101, 80102, 80103, 82009, 82010, G0431, G0432, G0433
CT20376	Other Laboratory	G9143, S3713, S3865, S3866, S3870
CT2101	Lab – therapeutic drug assay	80150, 80152, 80154, 80156, 80157, 80158, 80160, 80162, 80164, 80166, 80168, 80170, 80172, 80173, 80174, 80176, 80178, 80182, 80184, 80185, 80186, 80188, 80190, 80192, 80194, 80195, 80196, 80197, 80198, 80200, 80201, 80202, 80299
CT2301	Therapy – allergy treatment	95115, 95117, 95120, 95125, 95130, 95131, 95132, 95133, 95134, 95144, 95145, 95146, 95147, 95148, 95149, 95165, 95170, 95180, 95199
CT2302	Therapy – behavior – other	H2000, H2033, T2036, T2037
CT2304	Therapy – pt – exercises / activities	97537, 97542
CT2305	Therapy – pt – modalities	G0283, S8948
CT2308	Therapy – biofeedback	90901, E0746
CT2309	Therapy – activity therapy	H2032
CT2311	Therapy – vaccination – mmr  / related	90704, 90705, 90706, 90707, 90708, 90710
CT2312	Therapy – vaccination – dtp / related	90696, 90698, 90701, 90703, 90718, 90719, 90720, 90721, 90723, 90749
CT2313	Therapy – vaccination – hib vaccine	90645, 90646, 90647, 90648
CT2314	Therapy – vaccination – hepatitis a vaccine	90632, 90636
CT2315	Therapy – vaccination – hepatitis b	90740, 90743, 90746, 90747, 90748
CT2316	Therapy – vaccination – poliovirus vaccine	90712, 90713
CT2317	Therapy – vaccination – chicken pox	90716
CT2319	Therapy – vaccination – other vaccine	90476, 90477, 90581, 90585, 90665, 90675, 90676, 90680, 90690, 90691, 90692, 90693, 90714, 90715, 90717, 90725, 90727, 90733, 90734, 90735, 90736
CT2320	Therapy – vaccination – vaccine administration	90472, 90473, 90474
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, A4327, A4328, A4338, A4340, A4344, A4346, 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, 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	90656, 90658, 90660, 90661, 90662, 90663, 90669, 90670, 90732, G0008, G0009, G9141, G9142, Q2035, Q2036, Q2037, Q2038, Q2039, S0195
CT23309	Markers for Inflammation	85651, 85652, 86140, 86141
CT2331	Other care – observation	G0379
CT2338	Other care – other – education	S9445, S9446
CT23393	Prophylactic vaccinations and inoculations	90284, 90681, 90738
CT23398	Ancillary Services	99415, 99416, G9474, G9475, G9476, G9477, G9478, G9479
CT23400	HPV VACCINE	90649, 90650
CT2341	Other care – other – exercise classes	S9451
CT2342	Tests – allergy tests – percutaneous	95004, 95010
CT2343	Tests – allergy tests – intradermal	95015, 95024, 95027, 95028
CT2344	Tests – allergy tests – patch	95044
CT2345	Tests – allergy tests – other	95052, 95056, 95070, 95071, 95075
CT2352	DME – mobility aids	A4635, A4636, A4637, E0100, E0105, E0110, E0111, E0112, E0113, E0114, E0116, E0117, E0118, E0130, E0135, E0140, E0141, E0143, E0144, E0147, E0148, E0149, E0153, E0154, E0155, E0156, E0157, E0158, E0159, E0955, E0956, E0957, E0958, E0959, E0960, E0961, E0966, E0967, E0968, E0969, E0970, E0971, E0973, E0974, E0978, E0980, E0981, E0982, E0983, E0984, E0985, E0986, E0990, E0992, E0994, E0995, E1002, E1003, E1004, E1005, E1006, E1007, E1008, E1009, E1010, E1015, E1016, E1017, E1018, E1020, E1028, E1029, E1030, E1031, E1035, E1038, E1039, E1050, E1060, E1070, E1083, E1084, E1085, E1086, E1087, E1088, E1089, E1090, E1092, E1093, E1100, E1110, E1130, E1140, E1150, E1160, E1161, E1170, E1171, E1172, E1180, E1190, E1195, E1200, E1220, E1221, E1222, E1223, E1224, E1225, E1226, E1227, E1228, E1230, E1240, E1250, E1260, E1270, E1280, E1285, E1290, E1295, E1296, E1297, E1298, E2201, E2202, E2203, E2204, E2205, E2206, E2207, E2208, E2209, E2210, E2211, E2212, E2213, E2214, E2215, E2216, E2217, E2218, E2219, E2220, E2221, E2222, E2224, E2225, E2226, E2227, E2228, E2230, E2231, E2300, E2301, E2310, E2311, E2312, E2313, E2321, E2322, E2323, E2324, E2325, E2326, E2327, E2328, E2329, E2330, E2331, E2340, E2341, E2342, E2343, E2351, E2360, E2361, E2362, E2363, E2364, E2365, E2366, E2367, E2368, E2369, E2370, E2371, E2372, E2373, E2374, E2375, E2376, E2377, E2381, E2382, E2383, E2384, E2385, E2386, E2387, E2388, E2389, E2390, E2391, E2392, E2394, E2395, E2396, E2397, E2601, E2602, E2603, E2604, E2605, E2606, E2607, E2608, E2609, E2610, E2611, E2612, E2613, E2614, E2615, E2616, E2617, E2619, E2620, E2621, K0001, K0002, K0003, K0004, K0005, K0006, K0007, K0009, K0010, K0011, K0012, K0014, K0015, K0017, K0018, K0019, K0020, K0037, K0038, K0039, K0040, K0041, K0042, K0043, K0044, K0045, K0046, K0047, K0050, K0051, K0052, K0053, K0056, K0065, K0069, K0070, K0071, K0072, K0073, K0077, K0098, K0105, K0108, K0669, K0733, K0800, K0801, K0802, K0806, K0807, K0808, K0812, K0813, K0814, K0815, K0816, K0820, K0821, K0822, K0823, K0824, K0825, K0826, K0827, K0828, K0829, K0830, K0831, K0835, K0836, K0837, K0838, K0839, K0840, K0841, K0842, K0843, K0848, K0849, K0850, K0851, K0852, K0853, K0854, K0855, K0856, K0857, K0858, K0859, K0860, K0861, K0862, K0863, K0864, K0868, K0869, K0870, K0871, K0877, K0878, K0879, K0880, K0884, K0885, K0886, K0898, K0899
CT2353	DME – patient lifts	E0621, E0625, E0627, E0628, E0629, E0630, E0635, E0636, E0637, E0638, E0639, E0640, E0641, E0642
CT9902	E & M – consultation	Q3014, T1014
CT9903	E & M – hospital	99217, 99218, 99219, 99220, 99231, 99232, 99233, 99234, 99235, 99236, 99291, 99292, 99466, 99481, 99482, 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, G0101, S0302
CT9908	E & M – other	96040, 99026, 99027, 99056, 99060, 99150, 99288, 99289, 99290, 99360, 99450, 99455, 99456, 99485, 99486, 99488, S0260
CT9909	Procedure – maintenance – cns / spinal pump / port	95991
CT9910	Procedure – anesthesia	01996, 99100, 99116, 99135, 99140
CT99101	Other care – other – lead assessment	T1029
CT99102	Other care – other	H0043, H0044, S1001, S1002, S9988, S9989, S9990, S9991, S9999, T2025, T2035, T2038, T2040, T2041
CT99103	Imaging – ct – follow – up	76380
CT99104	Imaging – ct – other	76497
CT99105	Imaging – ct – guidance	77012
CT99107	Imaging – mri – other	75559, 75563, 76498, C1770, S8042
CT99108	Imaging – mri – guidance	77021
CT99109	Imaging – mri – contrast agent	A9576, A9577, A9578, A9579, A9581, A9583, Q9953, Q9954
CT9911	Procedure – sedation	99143, 99144, 99145, 99148, 99149
CT99111	Imaging – us – retroperitoneum	G0389
CT99112	Imaging – us – pelvic	76831, 76856, 76857
CT99113	Imaging – us – guide – biopsy	76942
CT99114	Imaging – us – guide – other	76936, 76937, 76940, 76948, 76998
CT99115	Imaging – us – other	76970, 76977
CT99117	Imaging – nuclear – bone scan – radiopharmaceutical	A9503, A9561
CT99118	Imaging – nuclear – blood / plasma volume – scan	78110, 78111, 78120, 78121, 78122
CT99119	Imaging – nuclear – blood / plasma volume – radiopharmaceutical	A9508, A9524, A9532
CT99120	Imaging – nuclear – lymphatics	78195
CT99123	Imaging – nuclear – kidney – radiopharmaceutical	A9539, A9551, A9554, A9562, A9567
CT99124	Imaging – nuclear – tumor localization	78800, 78801, 78802, 78803, 78804
CT99125	Imaging – nuclear – localization of inflammation	78805, 78806, 78807
CT99127	Imaging – nuclear – other – automated data add – on	78890, 78891
CT99128	Imaging – nuclear – other	78660, 78699, 78799, 78808, 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, A9582
CT99130	Imaging – pet – other	A9552, A9580, G0235, S8085
CT99131	Imaging – venography – other	75893
CT99132	Imaging – lymphangiography	75805, 75807
CT99133	Imaging – other imaging – fluoroscopy	76000, 76001, 76496
CT99134	Imaging – other imaging – fluoroscopy – guidance	77002, 77003
CT99136	Imaging – other imaging	75809, 75900, 76100, 76101, 76102, 76120, 76125, 76140, 76150, 76350, 76376, 76377, 76390, 76499, Q0092, R0075
CT99137	Imaging – therapeutic procedure – abscess drainage	75989
CT99138	Imaging – therapeutic procedure – other therapeutic procedure	75898, 75970, 75984
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
CT99142	Lab – pathology consultation	80500, 80502
CT99143	Lab – chemistry	82000, 82003, 82013, 82016, 82017, 82024, 82030, 82045, 82085, 82088, 82101, 82103, 82104, 82108, 82120, 82127, 82128, 82131, 82135, 82136, 82139, 82140, 82143, 82145, 82150, 82154, 82157, 82160, 82163, 82164, 82172, 82180, 82190, 82205, 82232, 82239, 82240, 82252, 82261, 82271, 82272, 82274, 82286, 82300, 82306, 82307, 82308, 82331, 82340, 82355, 82360, 82365, 82370, 82373, 82375, 82376, 82378, 82379, 82380, 82382, 82383, 82384, 82387, 82390, 82397, 82415, 82436, 82438, 82441, 82480, 82482, 82485, 82486, 82487, 82488, 82489, 82491, 82492, 82495, 82507, 82520, 82523, 82525, 82528, 82530, 82533, 82540, 82541, 82542, 82543, 82544, 82550, 82552, 82553, 82554, 82570, 82585, 82595, 82600, 82607, 82608, 82610, 82615, 82626, 82627, 82633, 82634, 82638, 82646, 82649, 82651, 82652, 82654, 82656, 82657, 82658, 82664, 82666, 82668, 82670, 82671, 82672, 82677, 82679, 82690, 82693, 82696, 82705, 82710, 82715, 82725, 82726, 82735, 82742, 82746, 82747, 82759, 82760, 82775, 82776, 82784, 82785, 82787, 82926, 82928, 82938, 82941, 82943, 82945, 82946, 82950, 82951, 82952, 82953, 82955, 82960, 82962, 82963, 82965, 82975, 82977, 82978, 82979, 82980, 82985, 83003, 83008, 83009, 83010, 83012, 83013, 83014, 83015, 83018, 83020, 83021, 83026, 83045, 83050, 83051, 83055, 83060, 83065, 83068, 83069, 83070, 83071, 83080, 83088, 83090, 83150, 83491, 83497, 83498, 83499, 83500, 83505, 83516, 83518, 83519, 83520, 83525, 83527, 83528, 83570, 83582, 83586, 83593, 83605, 83615, 83625, 83630, 83631, 83632, 83633, 83634, 83670, 83690, 83727, 83735, 83775, 83785, 83788, 83789, 83805, 83825, 83835, 83840, 83857, 83858, 83864, 83866, 83872, 83873, 83874, 83876, 83880, 83883, 83885, 83887, 83890, 83891, 83892, 83893, 83894, 83896, 83897, 83898, 83900, 83901, 83902, 83903, 83904, 83905, 83906, 83907, 83908, 83909, 83912, 83913, 83914, 83915, 83916, 83918, 83919, 83921, 83925, 83930, 83935, 83937, 83945, 83950, 83951, 83970, 83986, 83992, 83993, 84022, 84035, 84060, 84061, 84066, 84075, 84078, 84080, 84081, 84085, 84087, 84100, 84105, 84106, 84110, 84119, 84120, 84126, 84127, 84133, 84134, 84135, 84138, 84140, 84143, 84144, 84145, 84146, 84150, 84156, 84157, 84160, 84165, 84166, 84181, 84182, 84202, 84203, 84206, 84207, 84210, 84220, 84228, 84233, 84234, 84235, 84238, 84244, 84252, 84255, 84260, 84270, 84275, 84285, 84300, 84302, 84305, 84307, 84311, 84315, 84375, 84376, 84377, 84378, 84379, 84392, 84402, 84403, 84425, 84430, 84431, 84446, 84449, 84466, 84484, 84485, 84488, 84490, 84510, 84512, 84525, 84540, 84545, 84560, 84577, 84578, 84580, 84583, 84585, 84586, 84588, 84590, 84591, 84597, 84600, 84620, 84630, 84681, 84999
CT99144	Lab – tissue typing	86805, 86806, 86807, 86808, 86812, 86813, 86816, 86817, 86821, 86822, 86825, 86826, 86849
CT99146	Lab – cytology	88104, 88106, 88107, 88108, 88112, 88130, 88140, 88141, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88155, 88160, 88161, 88162, 88164, 88165, 88166, 88167, 88172, 88173, 88174, 88175, 88182, 88184, 88185, 88187, 88188, 88189, 88199
CT99147	Lab – cytogenetics	88230, 88233, 88237, 88239, 88240, 88241, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88267, 88269, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, 88291, 88299
CT99148	Lab – surgical pathology	88300, 88302, 88304, 88305, 88307, 88309, 88312, 88313, 88314, 88318, 88319, 88321, 88323, 88325, 88329, 88331, 88332, 88333, 88334, 88342, 88346, 88347, 88348, 88349, 88355, 88356, 88358, 88360, 88361, 88362, 88365, 88367, 88368, 88371, 88372, 88380, 88381, 88384, 88385, 88386, 88387, 88388, 88399
CT99149	Lab – other clinical lab	88400, 89050, 89051, 89055, 89060, 89125, 89160, 89190, 89220, 89225, 89230, 89235, 89240
CT99166	Lab – genetic testing – cardiac ion channel syndrome	S3860, S3862
CT99167	Lab – genetic testing – brugada syndrome	S3861
CT99169	Lab – specimen collection – blood – venous – venipuncture	36415, S9529
CT9917	Procedure – related supplies – access catheter	A4300, A4301
CT99173	Lab – specimen collection – specimen handling	99000
CT99174	Lab – microscopic – wet mount	Q0111
CT99175	Lab – microscopic – koh prep	Q0112
CT99176	Lab – stat request	S3600, S3601
CT9918	Procedure – related supplies – ablation – catheter	Q4116
CT99182	Transportation – paramedic	S0207, S0208
CT99183	Transportation – other transportation	A0021, 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
CT99184	DME – other	A4639, A4640, A9281, A9283, A9300, A9900, A9901, A9999, S9381, T1999, T2029, T2039, T5999
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, E0301, E0302, E0303, E0304, E0305, E0310, E0315, E0316, E0326, E0350, E0352, E0370, E0371, E0372, E0373, E0462
CT99187	DME – safety equipment	E0700, E0705
CT99188	DME – restraints	E0710
CT99189	DME – whirlpool – equipment	E1300, E1310
CT99190	DME – repair / maintenance	K0739
CT99191	Supplies	A4206, A4207, A4208, A4209, A4210, A4211, A4212, A4213, A4215, A4216, A4217, A4218, A4244, A4245, A4246, A4247, A4265, A4450, A4452, A4455, A4456, A4458, A4461, A4463, A4465, A4470, A4480, A4550, A4561, A4562, 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, C9898, J1642, T2028
CT99195	Prosthetics – other	K0462
CT99197	Other – non – covered	A9270, G0293, G0294, S9986
CT99198	PQRI	G8427, G8428, G8430, G8440, G8441, G8442, G8447, G8448, G8508, G8509, G8524, G8525, G8526, G8530, G8531, G8532, G8534, G8535, G8536, G8537, G8538, G8539, G8540, G8541, G8542, G8543, G9019, G9020, G9033, G9035, G9036, G9140
CT9920	Procedure – related supplies – catheter	C1758, C2627
CT9922	Procedure – related supplies – drainage	C1729
CT9923	Procedure – related supplies – graft / repair	C1762, C1763, C1771, C1781, C9354, Q4112, Q4113, Q4114, Q4115
CT9924	Procedure – related supplies – implant	C9899
CT9927	Procedure – related supplies – other	C1765, C9250, C9359, C9361, C9363, C9364, Q9968
CT9928	Therapy – accupuncture	97810, 97811, 97813, 97814
CT9930	Therapy – habilitation	T2013, T2014, T2015, T2016, T2017, T2018, T2019, T2020, T2021
CT99309	Physician Services	99251
CT9931	Therapy – rehabilitation – other	G0409
CT99311	Urine Protein	81000, 81001, 81002, 81003, 81005, 82042, 82043, 82044
CT99312	HbA1C	83036, 83037
CT99314	Robotic Surgery	S2900
CT99316	Physician Services – Inpatient	99356, 99357
CT9932	Therapy – nonoperative removal of foreign body	57415, 58562
CT9935	Therapy – hyperbaric oxygen	99183, C1300
CT9936	Therapy – neurostimulator – tens – device	E0720, E0730, E0731
CT9937	Therapy – neurostimulator – tens – leads	A4595
CT9938	Therapy – neurostimulator – tens – supplies	A4558
CT9939	Therapy – neurostimulator – other	A4630, E0745
CT99392	Other diagnostic procedures (interview, evaluation, consultation)	G0436, G0437, G0438, G0439, Q5010
CT9940	Therapy – other	99024, E0761, M0075, M0300, S9355
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, 0521F, 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	G9054, S0353, S0354
CT99408	Chronic Care Management	99487, 99489
CT99409	Home Health / Hospice	G0179, G0180, G0181, G0182
CT9941	Rx – allergy – antihistamines / comb	J0945, J1200
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
CT99414	Physical therapy / Rehab	97164, 97168, 97172
CT99415	Physician Services – Outpatient	99358, 99359
CT99416	Procedures and Reporting	99080, 99090, 99091
CT99417	Risk Assessment	G9316
CT99418	Transitional Care Management	99495, 99496
CT99419	Wellness Assessment	S5190
CT9942	Rx – gi – antichol/antispasmodics	J0461
CT99420	LEAD SCREENING	83655
CT9943	Rx – autonomic rx – parasympathomimetics	J2710, S0014
CT9944	Rx – autonomic rx – sympathomimetic rx	J0380, J0395, J1250, J1265, J3105, S9348
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
CT9949	Rx – electrolytic, caloric, water – calcium supplements	J0610, J0620
CT9950	Rx – electrolytic, caloric, water – potassium supp	J3480, S5012
CT9951	Rx – electrolytic, caloric, water – multi-mineral prep	J7120, S5014
CT9952	Rx – electrolytic, caloric, water – sodium chlor preps	J7030, J7040, J7050, J7130
CT9953	Rx – electrolytic, caloric, water – replacement preparations, misc	J7100, J7110
CT9954	Rx – electrolytic, caloric, water – caloric rx, amino acid prep	J1955
CT9955	Rx – electrolytic, caloric, water – caloric rx dextrose / rel	J7042, J7060, J7070, S5010, S5011, S5013
CT9956	Rx – electrolytic, caloric, water – hydration – unspecfied	90760, 90761, S9373, S9374, S9375, S9376, S9377
CT9957	Rx – miscellaneous rx	90287, A9150, C9399, J0348, J0795, J0878, J1212, J1267, J1436, J1453, J1457, J1458, J1740, J2248, J2278, J2425, J2513, J2724, J3110, J3243, J3490, J3530, J3535, J3570, J3590, J7187, J7321, J7323, J7324, J7325, J7505, J7599, J7799, J8499, J8650, Q2004, Q4074, Q4082, S0190, S5000, S5001, T1502
CT9958	Rx – miscellaneous rx – enzymes	J3470, J3471, J3472, J3473, S9357
CT9960	Rx – miscellaneous rx – anesthetics, local	J0670, J2001, J2400, J2795, S0020
CT9961	Rx – diagnostic rx – roentgenography	Q9957
CT9962	Rx – other	J0598, S9346, T1503
CT9963	Rx – pharmacy fee	Q0513, Q0514, S9430
CT9964	Other care – home care – specialized visit	99507, 99509, 99510, 99511, 99600
CT9965	Other care – home care – physician supervision	G0372, S0270, S0272
CT9966	Other care – home care – nursing care	G0128, T1000, T1002, T1003, T1004
CT9967	Other care – home care – nursing care – rn	G0154, S9123, T1030
CT9968	Other care – home care – nursing care – lpn	S9124, T1031
CT9969	Other care – home care – nursing care – np	S0274
CT9970	Other care – home care – rehabilitation – physical therapy	G0151, G0157, G0158
CT9971	Other care – home care – rehabilitation – occupational therapy	G0152
CT9972	Other care – home care – rehabilitation – speech therapy	S9128
CT9973	Other care – home care – social worker	G0155, S9127
CT9974	Other care – home care – home health aide	G0156, S9122, T1021
CT9975	Other care – home care – other care – day care	S5100, S5101, S5102, S5105
CT9976	Other care – home care – other care – chore care	S5120, S5121
CT9977	Other care – home care – other care – attendant care	S5125, S5126
CT9978	Other care – home care – other care – homemaker	S5130, S5131
CT9979	Other care – home care – other care – companion care	S5135, S5136
CT9980	Other care – home care – other care – respite care	S5150, S5151, S9125, T1005
CT9981	Other care – home care – other care	S5165, S5175, S5185, S5199, T1022
CT9982	Other care – home care – training	S5108, S5109, S5110, S5111, S5115, S5116
CT9983	Other care – home care – emergency response system	S5160, S5161, S5162
CT9984	Other care – home care – meals	S5170
CT9985	Other care – pain management – pca / related	S9325, S9326, S9327, S9328
CT9986	Other care – hospice	G0337, Q5001, Q5002, Q5003, Q5004, Q5005, Q5006, Q5007, Q5008, Q5009, S0271, S9126, T2042, T2043, T2044, T2045, T2046
CT9987	Other care – long term care – residential care	T2010, T2011, T2032, T2033
CT9988	Other care – long term care – assisted living	T2030, T2031
CT9990	Other care – other – ancillary services	97804, 99001, 99002, 99070, 99071, 99075, 99082, 99199
CT9991	Other care – other – lightbox	E0203
CT9995	Other care – other – irrigation	S9590
CT9996	Other care – other – lodging	S9976, S9994
CT9997	Other care – other – meals	S9977, S9996
CT9998	Other care – other – medical records	S9981, S9982
XX0000	Ungrouped Codes	0031T, 0032T, 33952, 33954, 33958, 33962, 33966, 33984, 37191, 37192, 37193, 37619, 58575, 6030F, 7010F, 90769, 90770, 90771, 90776, 96360, 97610, C9443, C9444, C9446, G0299, G0300, G0434, G0461, G0472, G0473, G6045, G6046, G8060, G8061, G8062, G8152, G8153, G8154, G8155, G8156, G8157, G8193, G8196, G8204, G8209, G8214, G8217, G8219, G8220, G8221, G8263, G8266, G8268, G8569, G8570, G8571, G8572, G8575, G8576, G8577, G8578, G8579, G8580, G8581, G8582, G8583, G8584, G8585, G8586, G8587, G8588, G8589, G8590, G8591, G8592, G8593, G8594, G8595, G8596, G8597, G8598, G8599, G8600, G8601, G8602, G8603, G8604, G8605, G8606, G8607, G8608, G8609, G8610, G8611, G8612, G8613, G8614, G8615, G8616, G8617, G8618, G8619, G8620, G8621, G8622, G8623, G8624, G8625, G8626, G8627, G8628, G8629, G8630, G8631, G8632, G8633, G8634, G8635, G8636, G8637, G8638, G8639, G8640, G8641, G8642, G8643, G8644, G8675, G8676, G8677, G8678, G8679, G8680, G8687, G8689, G8691, G8693, G8696, G8697, G8698, G8702, G8703, G8704, G8705, G8706, G8707, G8806, G8916, G8917, G8918, G8961, G8962, G8967, G8968, G8969, G8970, G8971, G8972, G9199, G9200, G9201, G9298, G9299, G9307, G9308, G9309, G9310, G9311, G9312, G9362, G9363, G9497, G9500, G9501, G9539, G9540, G9541, G9542, G9543, G9544, G9558, G9559, G9560, G9606, G9607, G9608, G9615, G9616, G9617, G9618, G9619, G9620, G9625, G9626, G9627, G9628, G9629, G9630, G9631, G9632, G9633, G9637, G9638, G9642, G9643, G9644, G9645, G9654, G9655, G9656, G9657, G9658, J2274, J2704, Q9974, S0144

Table 6: Relevant Typical Drug Groups

Group ID	Group Name
RX001	contrast media
RX002	diagnostic agents
RX0111	parasympathomimetics
RX017	hypnotics and sedatives
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
RX0534	Other Anticoagulants
RX0535	beta blocking agents
RX0536	calcium channel blockers
RX0537	cardiac glycosides and cardiac stimulants
RX0538	diuretics
RX0539	i.v. solutions & additives
RX0540	Nitrates and other antianginals
RX0541	other antihypertensives
RX0543	peripheral vasodilators
RX0546	Antiplatelet agents, thrombin inhibitors
RX0547	Heparin group
RX0645	antacids
RX0646	antidiarrheals intestinal adsorbents
RX0647	antiemetics and antinauseants
RX0648	digestives  incl. enzymes
RX0649	drugs for constipation
RX0651	drugs for peptic ulcer and gerd
RX0652	intestinal antiinfectives
RX0654	stomatological preparations
RX0857	antiinflammatory and antirheumatic products
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
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
RX0974	ectoparasiticides  incl. scabicides insecticides and repellents
RX0976	irrigating solutions
RX0977	medicated dressings
RX0978	other dermatological preparations
RX0979	preparations for treatment of wounds and ulcers
RX0980	Moisturizers and skin protective agents
RX1082	antiobesity preparations  excl. diet products
RX1083	antithyroid preparations
RX1086	corticosteroids for systemic use
RX1090	endocrine therapy
RX1092	thyroid preparations
RX1194	urinary antiinfectives and antiseptics
RX1197	Genitourinary tract agents
RX13101	other gynecologicals
RX13102	progestogens
RX13103	sex hormones and modulators of the genital system
RX13104	GYNECOLOGICAL ANTIINFECTIVES AND ANTISEPTICS
RX1398	estrogens
RX1399	gonadotropins and other ovulation stimulants
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
RX18117	antibacterials for systemic use
RX18119	antiinfectives
RX18121	antimycobacterials
RX18122	antivirals for systemic use
RX19125	anxiolytics
RX23129	immune sera and immunoglobulins
RX23131	mineral supplements
RX23133	other nutrients
RX23134	vaccines
RX23135	vitamins
RX99136	anesthetics  general
RX99137	anesthetics  local
RX99138	medical gas