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 Knee Arthroscopy, sometimes abbreviated KNARTH, is a procedural episode. The Knee Arthroscopy 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, physical therapy and ancillary services.
Episode Components
| Triggers | A Knee Arthroscopy 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: ACL Repair KneeExcision of Semilunar Cartilage of KneeArthroscopy Right Knee w Repair Release ExcisionKnee derangements |
Code Tables
Table 1: Trigger Codes
| Trigger Type | Code Value |
| CPT / HCPCS Triggers | 29866, 29867, 29868, 29870, 29871, 29873, 29874, 29875, 29876, 29877, 29879, 29880, 29881, 29882, 29883, 29884, 29888, 29889 |
| ICD-10-CM (DX) Qualifying diagnosis | A1802, A5216, D169, D2120, D2121, D2122, E08610, E08618, E09610, E09618, E10610, E10618, E11610, E11618, E13610, E13618, M00061, M00062, M00069, M00161, M00162, M00169, M00261, M00262, M00269, M00861, M00862, M00869, M009, M01X6, M01X61, M01X62, M01X69, M01X9, M0200, M02061, M02062, M02069, M02161, M02162, M02169, M0219, M0220, M02261, M02262, M02269, M02361, M02362, M02369, M0239, M02861, M02862, M02869, M0289, M029, M0500, M05061, M05062, M05069, M0509, M0510, M05161, M05162, M05169, M0519, M0520, M05261, M05262, M05269, M0529, M0530, M05361, M05362, M05369, M0539, M0540, M05461, M05462, M05469, M0549, M0550, M05561, M05562, M05569, M0559, M0560, M05661, M05662, M05669, M0569, M0570, M05761, M05762, M05769, M0579, M0580, M05861, M05862, M05869, M0589, M059, M0600, M06061, M06062, M06069, M0609, M061, M0620, M06261, M06262, M06269, M0629, M0630, M06361, M06362, M06369, M0639, M064, M0680, M06861, M06862, M06869, M0689, M069, M0760, M07661, M07662, M07669, M0769, M0800, M08061, M08062, M08069, M0809, M0820, M08261, M08262, M08269, M0829, M083, M0840, M08461, M08462, M08469, M0880, M08861, M08862, M08869, M0888, M0889, M0890, M08961, M08962, M08969, M0899, M1000, M10061, M10062, M10069, M1009, M1010, M10161, M10162, M10169, M1019, M1020, M10261, M10262, M10269, M1029, M1030, M10361, M10362, M10369, M1039, M1040, M10461, M10462, M10469, M1049, M109, M1100, M11061, M11062, M11069, M1109, M1110, M11161, M11162, M11169, M1119, M1120, M11261, M11262, M11269, M1129, M1180, M11861, M11862, M11869, M1189, M119, M1200, M12061, M12062, M12069, M1208, M1209, M1210, M12161, M12162, M12169, M1219, M1220, M12261, M12262, M12269, M1228, M1229, M1230, M12361, M12362, M12369, M1238, M1239, M1240, M12461, M12462, M12469, M1248, M1249, M1250, M12561, M12562, M12569, M1259, M1280, M12861, M12862, M12869, M1288, M1289, M129, M130, M1310, M13161, M13162, M13169, M1380, M13861, M13862, M13869, M1388, M1389, M1460, M14661, M14662, M14669, M1469, M1480, M14861, M14862, M14869, M1489, M150, M153, M154, M158, M159, M170, M1710, M1711, M1712, M172, M1730, M1731, M1732, M174, M175, M179, M1990, M1991, M1993, M1A00X0, M1A00X1, M1A0610, M1A0611, M1A0620, M1A0621, M1A0690, M1A0691, M1A09X0, M1A09X1, M1A1610, M1A1611, M1A1620, M1A1621, M1A1690, M1A1691, M1A20X0, M1A20X1, M1A2610, M1A2611, M1A2620, M1A2621, M1A2690, M1A2691, M1A29X0, M1A29X1, M1A30X0, M1A30X1, M1A3610, M1A3611, M1A3620, M1A3621, M1A3690, M1A3691, M1A39X0, M1A39X1, M1A40X0, M1A40X1, M1A4610, M1A4611, M1A4620, M1A4621, M1A4690, M1A4691, M1A49X0, M1A49X1, M1A9XX0, M1A9XX1, M2100, M21061, M21062, M21069, M2110, M21161, M21162, M21169, M2120, M21261, M21262, M21269, M2170, M21751, M21752, M21759, M2180, M21861, M21862, M21869, M2190, M21951, M21952, M21959, M21961, M21962, M21969, M2200, M2201, M2202, M2210, M2211, M2212, M222X1, M222X2, M222X9, M223X1, M223X2, M223X9, M2240, M2241, M2242, M228X1, M228X2, M228X9, M2290, M2291, M2292, M23000, M23001, M23002, M23003, M23004, M23005, M23006, M23007, M23009, M23011, M23012, M23019, M23021, M23022, M23029, M23031, M23032, M23039, M23041, M23042, M23049, M23051, M23052, M23059, M23061, M23062, M23069, M23200, M23201, M23202, M23203, M23204, M23205, M23206, M23207, M23209, M23211, M23212, M23219, M23221, M23222, M23229, M23231, M23232, M23239, M23241, M23242, M23249, M23251, M23252, M23259, M23261, M23262, M23269, M23300, M23301, M23302, M23303, M23304, M23305, M23306, M23307, M23309, M23311, M23312, M23319, M23321, M23322, M23329, M23331, M23332, M23339, M23341, M23342, M23349, M23351, M23352, M23359, M23361, M23362, M23369, M2340, M2341, M2342, M2350, M2351, M2352, M23601, M23602, M23609, M23611, M23612, M23619, M23621, M23622, M23629, M23631, M23632, M23639, M23641, M23642, M23649, M23671, M23672, M23679, M238X1, M238X2, M238X9, M2390, M2391, M2392, M2400, M2408, M2410, M2430, M24361, M24362, M24369, M24461, M24462, M24469, M2450, M24561, M24562, M24569, M2460, M24661, M24662, M24669, M2480, M249, M2500, M25061, M25062, M25069, M2508, M2510, M25161, M25162, M25169, M2518, M2520, M25261, M25262, M25269, M2528, M2530, M25361, M25362, M25369, M2540, M25461, M25462, M25469, M2548, M2550, M25561, M25562, M25569, M2560, M25661, M25662, M25669, M25761, M25762, M25769, M2580, M25861, M25862, M25869, M259, M352, M354, M361, M362, M363, M364, M429, M65161, M65162, M65169, M6580, M659, M660, M6610, M6618, M67361, M67362, M67369, M6740, M67461, M67462, M67469, M6748, M6749, M6750, M6751, M6752, M67861, M67862, M67863, M67864, M67869, M7040, M7041, M7042, M7050, M7051, M7052, M71061, M71062, M71069, M7110, M71161, M71162, M71169, M7118, M7119, M7120, M7121, M7122, M7130, M7138, M7139, M7140, M71461, M71462, M71469, M7148, M7149, M7150, M71561, M71562, M71569, M7158, M71861, M71862, M71869, M7640, M7641, M7642, M7650, M7651, M7652, M76899, M84361A, M84361K, M84361P, M84362A, M84362K, M84362P, M84369A, M84369K, M84369P, M84461A, M84461K, M84461P, M84462A, M84462K, M84462P, M84469A, M84469K, M84469P, M84561A, M84561K, M84561P, M84562A, M84562K, M84562P, M84569A, M84569K, M84569P, M84661A, M84661K, M84661P, M84662A, M84662K, M84662P, M84669A, M84669K, M84669P, M84861, M84862, M84869, M85461, M85462, M85469, M87061, M87062, M87063, M87161, M87162, M87163, M87261, M87262, M87263, M87361, M87362, M87363, M87861, M87862, M87863, M89155, M89156, M89157, M89158, M89159, M89160, M89161, M89162, M89163, M89168, M89169, M8918, M89261, M89262, M89361, M89362, M89369, M8940, M89461, M89462, M89469, M8948, M8950, M89561, M89562, M89569, M8958, M8959, M8970, M89761, M89762, M89769, M8978, M8979, M898X0, M898X6, M898X8, M898X9, M899, M9050, M90561, M90562, M90569, M9058, M9059, M9060, M90661, M90662, M90669, M9068, M9069, M9080, M90861, M90862, M90869, M9088, M9089, M9240, M9241, M9242, M9250, M9251, M9252, M928, M929, M931, M9320, M93261, M93262, M93269, M9328, M9329, M9380, M93861, M93862, M93869, M9388, M9389, M9390, M93961, M93962, M93969, M9398, M9399, M940, M941, M9420, M94261, M94262, M94269, M9428, M9429, M948X0, M948X6, M948X8, M948X9, M949, M958, M959, M960, M9711XA, M9711XD, M9711XS, M9712XA, M9712XD, M9712XS, M9906, M9986, Q682, Q683, Q684, Q685, Q686, Q688, Q741, Q770, Q773, Q774, Q775, Q776, Q777, Q778, Q779, Q780, Q781, Q782, Q783, Q784, Q785, Q786, Q788, Q789, Q798, Q799, R262, R29898, S72401K, S72401M, S72401N, S72401P, S72401Q, S72401R, S72402K, S72402M, S72402N, S72402P, S72402Q, S72402R, S72409K, S72409M, S72409N, S72409P, S72409Q, S72409R, S72411K, S72411M, S72411N, S72411P, S72411Q, S72411R, S72412K, S72412M, S72412N, S72412P, S72412Q, S72412R, S72413K, S72413M, S72413N, S72413P, S72413Q, S72413R, S72414K, S72414M, S72414N, S72414P, S72414Q, S72414R, S72415K, S72415M, S72415N, S72415P, S72415Q, S72415R, S72416K, S72416M, S72416N, S72416P, S72416Q, S72416R, S72421K, S72421M, S72421N, S72421P, S72421Q, S72421R, S72422K, S72422M, S72422N, S72422P, S72422Q, S72422R, S72423K, S72423M, S72423N, S72423P, S72423Q, S72423R, S72424K, S72424M, S72424N, S72424P, S72424Q, S72424R, S72425K, S72425M, S72425N, S72425P, S72425Q, S72425R, S72426K, S72426M, S72426N, S72426P, S72426Q, S72426R, S72431K, S72431M, S72431N, S72431P, S72431Q, S72431R, S72432K, S72432M, S72432N, S72432P, S72432Q, S72432R, S72433K, S72433M, S72433N, S72433P, S72433Q, S72433R, S72434K, S72434M, S72434N, S72434P, S72434Q, S72434R, S72435K, S72435M, S72435N, S72435P, S72435Q, S72435R, S72436K, S72436M, S72436N, S72436P, S72436Q, S72436R, S72441K, S72441M, S72441N, S72441P, S72441Q, S72441R, S72442K, S72442M, S72442N, S72442P, S72442Q, S72442R, S72443K, S72443M, S72443N, S72443P, S72443Q, S72443R, S72444K, S72444M, S72444N, S72444P, S72444Q, S72444R, S72445K, S72445M, S72445N, S72445P, S72445Q, S72445R, S72446K, S72446M, S72446N, S72446P, S72446Q, S72446R, S72451K, S72451M, S72451N, S72451P, S72451Q, S72451R, S72452K, S72452M, S72452N, S72452P, S72452Q, S72452R, S72453K, S72453M, S72453N, S72453P, S72453Q, S72453R, S72454K, S72454M, S72454N, S72454P, S72454Q, S72454R, S72455K, S72455M, S72455N, S72455P, S72455Q, S72455R, S72456K, S72456M, S72456N, S72456P, S72456Q, S72456R, S72461K, S72461M, S72461N, S72461P, S72461Q, S72461R, S72462K, S72462M, S72462N, S72462P, S72462Q, S72462R, S72463K, S72463M, S72463N, S72463P, S72463Q, S72463R, S72464K, S72464M, S72464N, S72464P, S72464Q, S72464R, S72465K, S72465M, S72465N, S72465P, S72465Q, S72465R, S72466K, S72466M, S72466N, S72466P, S72466Q, S72466R, S72471K, S72471P, S72472K, S72472P, S72479K, S72479P, S72491K, S72491M, S72491N, S72491P, S72491Q, S72491R, S72492K, S72492M, S72492N, S72492P, S72492Q, S72492R, S72499K, S72499M, S72499N, S72499P, S72499Q, S72499R, S728X1M, S728X1N, S728X1Q, S728X1R, S728X2M, S728X2N, S728X2Q, S728X2R, S728X9M, S728X9N, S728X9Q, S728X9R, S7290XM, S7290XN, S7290XQ, S7290XR, S7291XM, S7291XN, S7291XQ, S7291XR, S7292XM, S7292XN, S7292XQ, S7292XR, S79101K, S79101P, S79102K, S79102P, S79109K, S79109P, S79111K, S79111P, S79112K, S79112P, S79119K, S79119P, S79121K, S79121P, S79122K, S79122P, S79129K, S79129P, S79131K, S79131P, S79132K, S79132P, S79139K, S79139P, S79141K, S79141P, S79142K, S79142P, S79149K, S79149P, S79191K, S79191P, S79192K, S79192P, S79199K, S79199P, S81021A, S81021D, S81021S, S81022A, S81022D, S81022S, S81029A, S81029D, S81029S, S81041A, S81041D, S81041S, S81042A, S81042D, S81042S, S81049A, S81049D, S81049S, S82001A, S82001B, S82001C, S82001D, S82001E, S82001F, S82001G, S82001H, S82001J, S82001K, S82001M, S82001N, S82001P, S82001Q, S82001R, S82001S, S82002A, S82002B, S82002C, S82002D, S82002E, S82002F, S82002G, S82002H, S82002J, S82002K, S82002M, S82002N, S82002P, S82002Q, S82002R, S82002S, S82009A, S82009B, S82009C, S82009D, S82009E, S82009F, S82009G, S82009H, S82009J, S82009K, S82009M, S82009N, S82009P, S82009Q, S82009R, S82009S, S82011A, S82011B, S82011C, S82011D, S82011E, S82011F, S82011G, S82011H, S82011J, S82011K, S82011M, S82011N, S82011P, S82011Q, S82011R, S82011S, S82012A, S82012B, S82012C, S82012D, S82012E, S82012F, S82012G, S82012H, S82012J, S82012K, S82012M, S82012N, S82012P, S82012Q, S82012R, S82012S, S82013A, S82013B, S82013C, S82013D, S82013E, S82013F, S82013G, S82013H, S82013J, S82013K, S82013M, S82013N, S82013P, S82013Q, S82013R, S82013S, S82014A, S82014B, S82014C, S82014D, S82014E, S82014F, S82014G, S82014H, S82014J, S82014K, S82014M, S82014N, S82014P, S82014Q, S82014R, S82014S, S82015A, S82015B, S82015C, S82015D, S82015E, S82015F, S82015G, S82015H, S82015J, S82015K, S82015M, S82015N, S82015P, S82015Q, S82015R, S82015S, S82016A, S82016B, S82016C, S82016D, S82016E, S82016F, S82016G, S82016H, S82016J, S82016K, S82016M, S82016N, S82016P, S82016Q, S82016R, S82016S, S82021A, S82021B, S82021C, S82021D, S82021E, S82021F, S82021G, S82021H, S82021J, S82021K, S82021M, S82021N, S82021P, S82021Q, S82021R, S82021S, S82022A, S82022B, S82022C, S82022D, S82022E, S82022F, S82022G, S82022H, S82022J, S82022K, S82022M, S82022N, S82022P, S82022Q, S82022R, S82022S, S82023A, S82023B, S82023C, S82023D, S82023E, S82023F, S82023G, S82023H, S82023J, S82023K, S82023M, S82023N, S82023P, S82023Q, S82023R, S82023S, S82024A, S82024B, S82024C, S82024D, S82024E, S82024F, S82024G, S82024H, S82024J, S82024K, S82024M, S82024N, S82024P, S82024Q, S82024R, S82024S, S82025A, S82025B, S82025C, S82025D, S82025E, S82025F, S82025G, S82025H, S82025J, S82025K, S82025M, S82025N, S82025P, S82025Q, S82025R, S82025S, S82026A, S82026B, S82026C, S82026D, S82026E, S82026F, S82026G, S82026H, S82026J, S82026K, S82026M, S82026N, S82026P, S82026Q, S82026R, S82026S, S82031A, S82031B, S82031C, S82031D, S82031E, S82031F, S82031G, S82031H, S82031J, S82031K, S82031M, S82031N, S82031P, S82031Q, S82031R, S82031S, S82032A, S82032B, S82032C, S82032D, S82032E, S82032F, S82032G, S82032H, S82032J, S82032K, S82032M, S82032N, S82032P, S82032Q, S82032R, S82032S, S82033A, S82033B, S82033C, S82033D, S82033E, S82033F, S82033G, S82033H, S82033J, S82033K, S82033M, S82033N, S82033P, S82033Q, S82033R, S82033S, S82034A, S82034B, S82034C, S82034D, S82034E, S82034F, S82034G, S82034H, S82034J, S82034K, S82034M, S82034N, S82034P, S82034Q, S82034R, S82034S, S82035A, S82035B, S82035C, S82035D, S82035E, S82035F, S82035G, S82035H, S82035J, S82035K, S82035M, S82035N, S82035P, S82035Q, S82035R, S82035S, S82036A, S82036B, S82036C, S82036D, S82036E, S82036F, S82036G, S82036H, S82036J, S82036K, S82036M, S82036N, S82036P, S82036Q, S82036R, S82036S, S82041A, S82041B, S82041C, S82041D, S82041E, S82041F, S82041G, S82041H, S82041J, S82041K, S82041M, S82041N, S82041P, S82041Q, S82041R, S82041S, S82042A, S82042B, S82042C, S82042D, S82042E, S82042F, S82042G, S82042H, S82042J, S82042K, S82042M, S82042N, S82042P, S82042Q, S82042R, S82042S, S82043A, S82043B, S82043C, S82043D, S82043E, S82043F, S82043G, S82043H, S82043J, S82043K, S82043M, S82043N, S82043P, S82043Q, S82043R, S82043S, S82044A, S82044B, S82044C, S82044D, S82044E, S82044F, S82044G, S82044H, S82044J, S82044K, S82044M, S82044N, S82044P, S82044Q, S82044R, S82044S, S82045A, S82045B, S82045C, S82045D, S82045E, S82045F, S82045G, S82045H, S82045J, S82045K, S82045M, S82045N, S82045P, S82045Q, S82045R, S82045S, S82046A, S82046B, S82046C, S82046D, S82046E, S82046F, S82046G, S82046H, S82046J, S82046K, S82046M, S82046N, S82046P, S82046Q, S82046R, S82046S, S82091A, S82091B, S82091C, S82091D, S82091E, S82091F, S82091G, S82091H, S82091J, S82091K, S82091M, S82091N, S82091P, S82091Q, S82091R, S82091S, S82092A, S82092B, S82092C, S82092D, S82092E, S82092F, S82092G, S82092H, S82092J, S82092K, S82092M, S82092N, S82092P, S82092Q, S82092R, S82092S, S82099A, S82099B, S82099C, S82099D, S82099E, S82099F, S82099G, S82099H, S82099J, S82099K, S82099M, S82099N, S82099P, S82099Q, S82099R, S82099S, S82101K, S82101M, S82101N, S82101P, S82101Q, S82101R, S82102K, S82102M, S82102N, S82102P, S82102Q, S82102R, S82109K, S82109M, S82109N, S82109P, S82109Q, S82109R, S82121K, S82121M, S82121N, S82121P, S82121Q, S82121R, S82122K, S82122M, S82122N, S82122P, S82122Q, S82122R, S82123K, S82123M, S82123N, S82123P, S82123Q, S82123R, S82124K, S82124M, S82124N, S82124P, S82124Q, S82124R, S82125K, S82125M, S82125N, S82125P, S82125Q, S82125R, S82126K, S82126M, S82126N, S82126P, S82126Q, S82126R, S82131K, S82131M, S82131N, S82131P, S82131Q, S82131R, S82132K, S82132M, S82132N, S82132P, S82132Q, S82132R, S82133K, S82133M, S82133N, S82133P, S82133Q, S82133R, S82134K, S82134M, S82134N, S82134P, S82134Q, S82134R, S82135K, S82135M, S82135N, S82135P, S82135Q, S82135R, S82136K, S82136M, S82136N, S82136P, S82136Q, S82136R, S82141K, S82141M, S82141N, S82141P, S82141Q, S82141R, S82142K, S82142M, S82142N, S82142P, S82142Q, S82142R, S82143K, S82143M, S82143N, S82143P, S82143Q, S82143R, S82144K, S82144M, S82144N, S82144P, S82144Q, S82144R, S82145K, S82145M, S82145N, S82145P, S82145Q, S82145R, S82146K, S82146M, S82146N, S82146P, S82146Q, S82146R, S82151K, S82151M, S82151N, S82151P, S82151Q, S82151R, S82152K, S82152M, S82152N, S82152P, S82152Q, S82152R, S82153K, S82153M, S82153N, S82153P, S82153Q, S82153R, S82154K, S82154M, S82154N, S82154P, S82154Q, S82154R, S82155K, S82155M, S82155N, S82155P, S82155Q, S82155R, S82156K, S82156M, S82156N, S82156P, S82156Q, S82156R, S82161K, S82161P, S82162K, S82162P, S82169K, S82169P, S82191K, S82191M, S82191N, S82191P, S82191Q, S82191R, S82192K, S82192M, S82192N, S82192P, S82192Q, S82192R, S82199K, S82199M, S82199N, S82199P, S82199Q, S82199R, S82891K, S82891M, S82891N, S82891P, S82891Q, S82891R, S82892K, S82892M, S82892N, S82892P, S82892Q, S82892R, S82899K, S82899M, S82899N, S82899P, S82899Q, S82899R, S8290XK, S8290XM, S8290XN, S8290XP, S8290XQ, S8290XR, S8291XK, S8291XM, S8291XN, S8291XP, S8291XQ, S8291XR, S8292XK, S8292XM, S8292XN, S8292XP, S8292XQ, S8292XR, S83001A, S83001D, S83001S, S83002A, S83002D, S83002S, S83003A, S83003D, S83003S, S83004A, S83004D, S83004S, S83005A, S83005D, S83005S, S83006A, S83006D, S83006S, S83011A, S83011D, S83011S, S83012A, S83012D, S83012S, S83013A, S83013D, S83013S, S83014A, S83014D, S83014S, S83015A, S83015D, S83015S, S83016A, S83016D, S83016S, S83091A, S83091D, S83091S, S83092A, S83092D, S83092S, S83093A, S83093D, S83093S, S83094A, S83094D, S83094S, S83095A, S83095D, S83095S, S83096A, S83096D, S83096S, S83101A, S83101D, S83101S, S83102A, S83102D, S83102S, S83103A, S83103D, S83103S, S83104A, S83104D, S83104S, S83105A, S83105D, S83105S, S83106A, S83106D, S83106S, S83111A, S83111D, S83111S, S83112A, S83112D, S83112S, S83113A, S83113D, S83113S, S83114, S83114A, S83114D, S83114S, S83115A, S83115D, S83115S, S83116A, S83116D, S83116S, S83121A, S83121D, S83121S, S83122A, S83122D, S83122S, S83123A, S83123D, S83123S, S83124A, S83124D, S83124S, S83125A, S83125D, S83125S, S83126A, S83126D, S83126S, S83131A, S83131D, S83131S, S83132A, S83132D, S83132S, S83133A, S83133D, S83133S, S83134A, S83134D, S83134S, S83135A, S83135D, S83135S, S83136A, S83136D, S83136S, S83141A, S83141D, S83141S, S83142A, S83142D, S83142S, S83143A, S83143D, S83143S, S83144A, S83144D, S83144S, S83145A, S83145D, S83145S, S83146A, S83146D, S83146S, S83191A, S83191D, S83191S, S83192A, S83192D, S83192S, S83193A, S83193D, S83193S, S83194A, S83194D, S83194S, S83195A, S83195D, S83195S, S83196A, S83196D, S83196S, S83200A, S83200D, S83200S, S83201A, S83201D, S83201S, S83202A, S83202D, S83202S, S83203A, S83203D, S83203S, S83204A, S83204D, S83204S, S83205A, S83205D, S83205S, S83206A, S83206D, S83206S, S83207A, S83207D, S83207S, S83209A, S83209D, S83209S, S83211A, S83211D, S83211S, S83212A, S83212D, S83212S, S83219A, S83219D, S83219S, S83221A, S83221D, S83221S, S83222A, S83222D, S83222S, S83229A, S83229D, S83229S, S83231A, S83231D, S83231S, S83232A, S83232D, S83232S, S83239A, S83239D, S83239S, S83241A, S83241D, S83241S, S83242A, S83242D, S83242S, S83249A, S83249D, S83249S, S83251A, S83251D, S83251S, S83252A, S83252D, S83252S, S83259A, S83259D, S83259S, S83261A, S83261D, S83261S, S83262A, S83262D, S83262S, S83269A, S83269D, S83269S, S83271A, S83271D, S83271S, S83272A, S83272D, S83272S, S83279A, S83279D, S83279S, S83281A, S83281D, S83281S, S83282A, S83282D, S83282S, S83289A, S83289D, S83289S, S8330XA, S8330XD, S8330XS, S8331XA, S8331XD, S8331XS, S8332XA, S8332XD, S8332XS, S83401A, S83401D, S83401S, S83402A, S83402D, S83402S, S83409A, S83409D, S83409S, S83411A, S83411D, S83411S, S83412A, S83412D, S83412S, S83419A, S83419D, S83419S, S83421A, S83421D, S83421S, S83422A, S83422D, S83422S, S83429A, S83429D, S83429S, S83501A, S83501D, S83501S, S83502A, S83502D, S83502S, S83509A, S83509D, S83509S, S83511A, S83511D, S83511S, S83512A, S83512D, S83512S, S83519A, S83519D, S83519S, S83521A, S83521D, S83521S, S83522A, S83522D, S83522S, S83529A, S83529D, S83529S, S8360XA, S8360XD, S8360XS, S8361XA, S8361XD, S8361XS, S8362XA, S8362XD, S8362XS, S838X1A, S838X1D, S838X1S, S838X2A, S838X2D, S838X2S, S838X9A, S838X9D, S838X9S, S8390XA, S8390XD, S8390XS, S8391XA, S8391XD, S8391XS, S8392XA, S8392XD, S8392XS, S89001K, S89001P, S89002K, S89002P, S89009K, S89009P, S89011K, S89011P, S89012K, S89012P, S89019K, S89019P, S89021K, S89021P, S89022K, S89022P, S89029K, S89029P, S89031K, S89031P, S89032K, S89032P, S89039K, S89039P, S89041K, S89041P, S89042K, S89042P, S89049K, S89049P, S89091K, S89091P, S89092K, S89092P, S89099K, S89099P, T836XXA, T836XXD, T84012A, T84012D, T84012S, T84013A, T84013D, T84013S, T84018A, T84019A, T84022A, T84022D, T84022S, T84023A, T84023D, T84023S, T84028A, T84029A, T84032A, T84032D, T84032S, T84033A, T84033D, T84033S, T84038A, T84039A, T84042A, T84042D, T84042S, T84043A, T84043D, T84043S, T84052A, T84052D, T84052S, T84053A, T84053D, T84053S, T84058A, T84059A, T84062A, T84062D, T84062S, T84063A, T84063D, T84063S, T84068A, T84069A, T84092A, T84092D, T84092S, T84093A, T84093D, T84093S, T84098A, T84099A, T84298A, T84310A, T84318A, T84320A, T84328A, T84390A, T84398A, T84410A, T84418A, T84420A, T84428A, T84490A, T84498A, T8450XA, T8453XA, T8453XD, T8453XS, T8454XA, T8454XD, T8454XS, T8459XA, T8460XA, T847XXA, T8481XA, T8482XA, T8483XA, T8484XA, T8485XA, T8486XA, T8489XA, T849XXA, T85618A, T85618D, T85628A, T85628D, T85638A, T85638D, T85698A, T85698D, T8579XA, T8579XD, T85818A, T85818D, T8581XA, T8581XD, T85828A, T85828D, T8582XA, T8582XD, T85838A, T85838D, T8583XA, T8583XD, T85848A, T85848D, T8584XA, T8584XD, T85858A, T85858D, T8585XA, T8585XD, T85868A, T85868D, T8586XA, T8586XD, T85898A, T85898D, T8589XA, T8589XD, T859XXA, T859XXD, Z472, Z96659 |
| ICD-10-PCS (PX) Triggers | 0LBQ3ZX, 0LBQ4ZX, 0LBR3ZX, 0LBR4ZX, 0MNN4ZZ, 0MNP4ZZ, 0MQN3ZZ, 0MQN4ZZ, 0MQP3ZZ, 0MQP4ZZ, 0SBC3ZZ, 0SBC4ZZ, 0SBD3ZZ, 0SBD4ZZ, 0SCC4ZZ, 0SCD4ZZ, 0SHC34Z, 0SHC38Z, 0SHC44Z, 0SHD34Z, 0SHD38Z, 0SHD44Z, 0SHD48Z, 0SJC3ZZ, 0SJC4ZZ, 0SJD3ZZ, 0SJD4ZZ |
Table 2: ICD-10 Typical Diagnosis
| Group ID | Group Name | Code Value |
| DXX0009 | Open wounds of extremities | S8102, S81021, S81021A, S81021D, S81021S, S81022, S81022A, S81022D, S81022S, S81029, S81029A, S81029D, S81029S, S8104, S81041, S81041A, S81041D, S81041S, S81042, S81042A, S81042D, S81042S, S81049, S81049A, S81049D, S81049S |
| DXX01149 | NS – polyneuropathy – collagen vascular disease | M0550, M05561, M05562, M05569, M0559 |
| DXX05345 | Orthostatic Hypotension / Dizziness | I951, R42 |
| DXX081027 | Othr – fitting – other device | Z44101, Z44102, Z44109, Z44111, Z44112, Z44119, Z44121, Z44122, Z44129 |
| DXX081034 | Contracture lower leg joint | M24561, M24562, M24569, M24661, M24662, M24669 |
| DXX081043 | Aseptic Necrosis | M8700, M87061, M87062, M87063, M8708, M8709, M8710, M87161, M87162, M87163, M87188, M8719, M87261, M87262, M87263, M8728, M8729, M8730, M87361, M87362, M87363, M8738, M8739, M8780, M87861, M87862, M87863, M8788, M8789, M879, M9050, M90551, M90552, M90559, M90561, M90562, M90569, M9058, M9059 |
| DXX081045 | Deformities, lower limb | M21751, M21752, M21759, M9906, Q683, Q684, Q685 |
| DXX081047 | Gout and other crystal arthropathies | M1000, M10061, M10062, M10069, M1009, M1010, M10161, M10162, M10169, M1019, M1020, M10261, M10262, M10269, M1029, M1030, M10361, M10362, M10369, M1039, M1040, M10461, M10462, M10469, M1049, M109, M1100, M11061, M11062, M11069, M1109, M1110, M11161, M11162, M11169, M1119, M1120, M11261, M11262, M11269, M1129, M1180, M11861, M11862, M11869, M1189, M119, M1A00X0, M1A00X1, M1A06, M1A061, M1A0610, M1A0611, M1A062, M1A0620, M1A0621, M1A069, M1A0690, M1A0691, M1A09X0, M1A09X1, M1A16, M1A161, M1A1610, M1A1611, M1A162, M1A1620, M1A1621, M1A169, M1A1690, M1A1691, M1A20X0, M1A20X1, M1A26, M1A261, M1A2610, M1A2611, M1A262, M1A2620, M1A2621, M1A269, M1A2690, M1A2691, M1A29X0, M1A29X1, M1A30X0, M1A30X1, M1A36, M1A361, M1A3610, M1A3611, M1A362, M1A3620, M1A3621, M1A369, M1A3690, M1A3691, M1A39X0, M1A39X1, M1A40X0, M1A40X1, M1A46, M1A461, M1A4610, M1A4611, M1A462, M1A4620, M1A4621, M1A469, M1A4690, M1A4691, M1A49X0, M1A49X1, M1A9XX0, M1A9XX1 |
| DXX081048 | Hip / Pelvis deformities | M21159, M955, M9985 |
| DXX081050 | Inflammatory Arthropathies | M02161, M02162, M02169, M0219, M02361, M02362, M02369, M0239 |
| DXX081052 | Knee deformities | M21061, M21062, M21069, M21161, M21162, M21169, M21861, M21862, M21869, Q682, Q741 |
| DXX081053 | Knee derangements | M222X1, M222X2, M222X9, M223X1, M223X2, M223X9, M2240, M2241, M2242, M228X1, M228X2, M228X9, M2290, M2291, M2292, M23000, M23001, M23002, M23003, M23004, M23005, M23006, M23007, M23009, M23011, M23012, M23019, M23021, M23022, M23029, M23031, M23032, M23039, M23041, M23042, M23049, M23051, M23052, M23059, M23061, M23062, M23069, M23200, M23201, M23202, M23203, M23204, M23205, M23206, M23207, M23209, M23211, M23212, M23219, M23221, M23222, M23229, M23231, M23232, M23239, M23241, M23242, M23249, M23251, M23252, M23259, M23261, M23262, M23269, M23300, M23301, M23302, M23303, M23304, M23305, M23306, M23307, M23309, M23311, M23312, M23319, M23321, M23322, M23329, M23331, M23332, M23339, M23341, M23342, M23349, M23351, M23352, M23359, M23361, M23362, M23369, M2340, M2341, M2342, M2350, M2351, M2352, M23601, M23602, M23609, M23621, M23622, M23629, M23631, M23632, M23639, M23641, M23642, M23649, M23671, M23672, M23679, M238X1, M238X2, M238X9, M2390, M2391, M2392, Q686 |
| DXX081056 | Malunion | M8000XP, M80051P, M80052P, M80059P, M80061P, M80062P, M80069P, M8080XP, M80851P, M80852P, M80859P, M80861P, M80862P, M80869P, M8430XP, M84350P, M84351P, M84352P, M84353P, M84361P, M84362P, M84369P, M8438XP, M8440XP, M84451P, M84452P, M84453P, M84461P, M84462P, M84469P, M8448XP, M8450XP, M84551P, M84552P, M84553P, M84561P, M84562P, M84569P, M8458XP, M8460XP, M84651P, M84652P, M84653P, M84661P, M84662P, M84669P, M8468XP, M84750P, M84751P, M84752P, M84753P, M84754P, M84755P, M84756P, M84757P, M84758P, M84759P, S72401P, S72401Q, S72401R, S72402P, S72402Q, S72402R, S72409P, S72409Q, S72409R, S72411P, S72411Q, S72411R, S72412P, S72412Q, S72412R, S72413P, S72413Q, S72413R, S72414P, S72414Q, S72414R, S72415P, S72415Q, S72415R, S72416P, S72416Q, S72416R, S72421P, S72421Q, S72421R, S72422P, S72422Q, S72422R, S72423P, S72423Q, S72423R, S72424P, S72424Q, S72424R, S72425P, S72425Q, S72425R, S72426P, S72426Q, S72426R, S72431P, S72431Q, S72431R, S72432P, S72432Q, S72432R, S72433P, S72433Q, S72433R, S72434P, S72434Q, S72434R, S72435P, S72435Q, S72435R, S72436P, S72436Q, S72436R, S72441P, S72441Q, S72441R, S72442P, S72442Q, S72442R, S72443P, S72443Q, S72443R, S72444P, S72444Q, S72444R, S72445P, S72445Q, S72445R, S72446P, S72446Q, S72446R, S72451P, S72451Q, S72451R, S72452P, S72452Q, S72452R, S72453P, S72453Q, S72453R, S72454P, S72454Q, S72454R, S72455P, S72455Q, S72455R, S72456P, S72456Q, S72456R, S72461P, S72461Q, S72461R, S72462P, S72462Q, S72462R, S72463P, S72463Q, S72463R, S72464P, S72464Q, S72464R, S72465P, S72465Q, S72465R, S72466P, S72466Q, S72466R, S72471P, S72472P, S72479P, S72491P, S72491Q, S72491R, S72492P, S72492Q, S72492R, S72499P, S72499Q, S72499R, S728X1P, S728X1Q, S728X1R, S728X2P, S728X2Q, S728X2R, S728X9P, S728X9Q, S728X9R, S7290XP, S7290XQ, S7290XR, S7291XP, S7291XQ, S7291XR, S7292XP, S7292XQ, S7292XR, S79101P, S79102P, S79109P, S79111P, S79112P, S79119P, S79121P, S79122P, S79129P, S79131P, S79132P, S79139P, S79141P, S79142P, S79149P, S79191P, S79192P, S79199P, S82101P, S82101Q, S82101R, S82102P, S82102Q, S82102R, S82109P, S82109Q, S82109R, S82121P, S82121Q, S82121R, S82122P, S82122Q, S82122R, S82123P, S82123Q, S82123R, S82124P, S82124Q, S82124R, S82125P, S82125Q, S82125R, S82126P, S82126Q, S82126R, S82131P, S82131Q, S82131R, S82132P, S82132Q, S82132R, S82133P, S82133Q, S82133R, S82134P, S82134Q, S82134R, S82135P, S82135Q, S82135R, S82136P, S82136Q, S82136R, S82141P, S82141Q, S82141R, S82142P, S82142Q, S82142R, S82143P, S82143Q, S82143R, S82144P, S82144Q, S82144R, S82145P, S82145Q, S82145R, S82146P, S82146Q, S82146R, S82151P, S82151Q, S82151R, S82152P, S82152Q, S82152R, S82153P, S82153Q, S82153R, S82154P, S82154Q, S82154R, S82155P, S82155Q, S82155R, S82156P, S82156Q, S82156R, S82161P, S82162P, S82169P, S82191P, S82191Q, S82191R, S82192P, S82192Q, S82192R, S82199P, S82199Q, S82199R, S82841P, S82841Q, S82841R, S82842P, S82842Q, S82842R, S82843P, S82843Q, S82843R, S82844P, S82844Q, S82844R, S82845P, S82845Q, S82845R, S82846P, S82846Q, S82846R, S82851P, S82851Q, S82851R, S82852P, S82852Q, S82852R, S82853P, S82853Q, S82853R, S82854P, S82854Q, S82854R, S82855P, S82855Q, S82855R, S82856P, S82856Q, S82856R, S82861P, S82861Q, S82861R, S82862P, S82862Q, S82862R, S82863P, S82863Q, S82863R, S82864P, S82864Q, S82864R, S82865P, S82865Q, S82865R, S82866P, S82866Q, S82866R, S82871P, S82871Q, S82871R, S82872P, S82872Q, S82872R, S82873P, S82873Q, S82873R, S82874P, S82874Q, S82874R, S82875P, S82875Q, S82875R, S82876P, S82876Q, S82876R, S82891P, S82891Q, S82891R, S82892P, S82892Q, S82892R, S82899P, S82899Q, S82899R, S8290XP, S8290XQ, S8290XR, S8291XP, S8291XQ, S8291XR, S8292XP, S8292XQ, S8292XR, S89001P, S89002P, S89009P, S89011P, S89012P, S89019P, S89021P, S89022P, S89029P, S89031P, S89032P, S89039P, S89041P, S89042P, S89049P, S89091P, S89092P, S89099P |
| DXX081057 | Nonunion | M8000XK, M80051K, M80052K, M80059K, M80061K, M80062K, M80069K, M8080XK, M80851K, M80852K, M80859K, M80861K, M80862K, M80869K, M8430XK, M84350K, M84351K, M84352K, M84353K, M84361K, M84362K, M84369K, M8438XK, M8440XK, M84451K, M84452K, M84453K, M84461K, M84462K, M84469K, M8448XK, M8450XK, M84551K, M84552K, M84553K, M84561K, M84562K, M84569K, M8458XK, M8460XK, M84651K, M84652K, M84653K, M84661K, M84662K, M84669K, M8468XK, M84750K, M84751K, M84752K, M84753K, M84754K, M84755K, M84756K, M84757K, M84758K, M84759K, S72401K, S72401M, S72401N, S72402K, S72402M, S72402N, S72409K, S72409M, S72409N, S72411K, S72411M, S72411N, S72412K, S72412M, S72412N, S72413K, S72413M, S72413N, S72414K, S72414M, S72414N, S72415K, S72415M, S72415N, S72416K, S72416M, S72416N, S72421K, S72421M, S72421N, S72422K, S72422M, S72422N, S72423K, S72423M, S72423N, S72424K, S72424M, S72424N, S72425K, S72425M, S72425N, S72426K, S72426M, S72426N, S72431K, S72431M, S72431N, S72432K, S72432M, S72432N, S72433K, S72433M, S72433N, S72434K, S72434M, S72434N, S72435K, S72435M, S72435N, S72436K, S72436M, S72436N, S72441K, S72441M, S72441N, S72442K, S72442M, S72442N, S72443K, S72443M, S72443N, S72444K, S72444M, S72444N, S72445K, S72445M, S72445N, S72446K, S72446M, S72446N, S72451K, S72451M, S72451N, S72452K, S72452M, S72452N, S72453K, S72453M, S72453N, S72454K, S72454M, S72454N, S72455K, S72455M, S72455N, S72456K, S72456M, S72456N, S72461K, S72461M, S72461N, S72462K, S72462M, S72462N, S72463K, S72463M, S72463N, S72464K, S72464M, S72464N, S72465K, S72465M, S72465N, S72466K, S72466M, S72466N, S72471K, S72472K, S72479K, S72491K, S72491M, S72491N, S72492K, S72492M, S72492N, S72499K, S72499M, S72499N, S728X1K, S728X1M, S728X1N, S728X2K, S728X2M, S728X2N, S728X9K, S728X9M, S728X9N, S7290XK, S7290XM, S7290XN, S7291XK, S7291XM, S7291XN, S7292XK, S7292XM, S7292XN, S79101K, S79102K, S79109K, S79111K, S79112K, S79119K, S79121K, S79122K, S79129K, S79131K, S79132K, S79139K, S79141K, S79142K, S79149K, S79191K, S79192K, S79199K, S82101K, S82101M, S82101N, S82102K, S82102M, S82102N, S82109K, S82109M, S82109N, S82121K, S82121M, S82121N, S82122K, S82122M, S82122N, S82123K, S82123M, S82123N, S82124K, S82124M, S82124N, S82125K, S82125M, S82125N, S82126K, S82126M, S82126N, S82131K, S82131M, S82131N, S82132K, S82132M, S82132N, S82133K, S82133M, S82133N, S82134K, S82134M, S82134N, S82135K, S82135M, S82135N, S82136K, S82136M, S82136N, S82141K, S82141M, S82141N, S82142K, S82142M, S82142N, S82143K, S82143M, S82143N, S82144K, S82144M, S82144N, S82145K, S82145M, S82145N, S82146K, S82146M, S82146N, S82151K, S82151M, S82151N, S82152K, S82152M, S82152N, S82153K, S82153M, S82153N, S82154K, S82154M, S82154N, S82155K, S82155M, S82155N, S82156K, S82156M, S82156N, S82161K, S82162K, S82169K, S82191K, S82191M, S82191N, S82192K, S82192M, S82192N, S82199K, S82199M, S82199N, S82841K, S82841M, S82841N, S82842K, S82842M, S82842N, S82843K, S82843M, S82843N, S82844K, S82844M, S82844N, S82845K, S82845M, S82845N, S82846K, S82846M, S82846N, S82851K, S82851M, S82851N, S82852K, S82852M, S82852N, S82853K, S82853M, S82853N, S82854K, S82854M, S82854N, S82855K, S82855M, S82855N, S82856K, S82856M, S82856N, S82861K, S82861M, S82861N, S82862K, S82862M, S82862N, S82863K, S82863M, S82863N, S82864K, S82864M, S82864N, S82865K, S82865M, S82865N, S82866K, S82866M, S82866N, S82871K, S82871M, S82871N, S82872K, S82872M, S82872N, S82873K, S82873M, S82873N, S82874K, S82874M, S82874N, S82875K, S82875M, S82875N, S82876K, S82876M, S82876N, S82891K, S82891M, S82891N, S82892K, S82892M, S82892N, S82899K, S82899M, S82899N, S8290XK, S8290XM, S8290XN, S8291XK, S8291XM, S8291XN, S8292XK, S8292XM, S8292XN, S89001K, S89002K, S89009K, S89011K, S89012K, S89019K, S89021K, S89022K, S89029K, S89031K, S89032K, S89039K, S89041K, S89042K, S89049K, S89091K, S89092K, S89099K |
| DXX081059 | Osteoarthritis, Knee | M170, M1710, M1711, M1712, M172, M1730, M1731, M1732, M174, M175, M179 |
| DXX081060 | Osteoarthritis, other joints | M150, M153, M154, M158, M159, M1991, M1993 |
| DXX081061 | Osteoporosis, osteitis deformans | M429, M8000XA, M80061A, M80062A, M80069A, M8080XA, M80861A, M80862A, M80869A, M810, M816, M818, M8430XA, M84361A, M84362A, M84369A, M8438XA, M8440XA, M84461A, M84462A, M84469A, M8448XA, M8450XA, M84561A, M84562A, M84569A, M8460XA, M84661A, M84662A, M84669A, M8468XA, M8500, M85051, M85052, M85059, M85061, M85062, M85069, M8508, M8509, M8530, M85351, M85352, M85359, M85361, M85362, M85369, M8538, M8539, M8540, M85461, M85462, M85469, M8548, M8550, M85551, M85552, M85559, M85561, M85562, M85569, M8558, M8559, M8560, M85651, M85652, M85659, M85661, M85662, M85669, M8568, M8569, M88851, M88852, M88859, M88861, M88862, M88869, M8888, M8889, M889, M8940, M89451, M89452, M89459, M89461, M89462, M89469, M8948, M8949, M8970, M89761, M89762, M89769, M8978, M8979, M9060, M90651, M90652, M90659, M90661, M90662, M90669, M9068, M9069, M9250, M9251, M9252, M928, M929, M9320, M9328, M9329, M9390, M93951, M93952, M93959, M93961, M93962, M93969, M9398, M9399, M940, Q773, Q776, Q780, Q781, Q782, Q783, Q786, Q788, Q789 |
| DXX081062 | Other arthropathies | A5216, E08610, E08618, M0200, M02061, M02062, M02069, M0220, M02261, M02262, M02269, M029, M064, M0760, M07661, M07662, M07669, M0769, M081, M1200, M12061, M12062, M12069, M1208, M1209, M1210, M12161, M12162, M12169, M1219, M1229, M1239, M1249, M1250, M12561, M12562, M12569, M1259, M1280, M12861, M12862, M12869, M1288, M1289, M129, M130, M1310, M13161, M13162, M13169, M1380, M13861, M13862, M13869, M1388, M1389, M1460, M14661, M14662, M14669, M1469, M1480, M14861, M14862, M14869, M1489, M2400, M2410, M2430, M2460, M2480, M249, M25461, M25462, M25469, M2550, M2560, M2580, M259, M361, M362, M363, M364, M931, M9380, M93851, M93852, M93859, M93861, M93862, M93869, M9388, M9389, R29898 |
| DXX081064 | Other deformities, limb, other sites | M2100, M2110, M2120, M21261, M21262, M21269, M2170, M2180, M2190, M21951, M21952, M21959, M21961, M21962, M21969, M2450, M89155, M89156, M89157, M89158, M89159, M89160, M89161, M89162, M89163, M89168, M89169, M8918, M958, M959, M9986, M9987, Q688, Q798, Q799 |
| DXX081066 | Rheumatoid Arthritis | M0500, M05061, M05062, M05069, M0509, M0510, M05161, M05162, M05169, M0519, M0520, M05261, M05262, M05269, M0529, M0530, M05361, M05362, M05369, M0539, M0560, M05661, M05662, M05669, M0569, M0570, M05761, M05762, M05769, M0579, M0580, M05861, M05862, M05869, M0589, M059, M0600, M06061, M06062, M06069, M0609, M061, M0680, M06861, M06862, M06869, M0689, M069, M0800, M08061, M08062, M08069, M0809, M0820, M08261, M08262, M08269, M0829, M083, M0840, M08461, M08462, M08469, M0880, M08861, M08862, M08869, M0888, M0889, M0890, M08961, M08962, M08969, M0899 |
| DXX081071 | Infective Arthritis | A1802, M01X9, M02861, M02862, M02869, M0289 |
| DXX081082 | Compl of joint prosthesis, orthopedic proced | T84012, T84012A, T84012D, T84012S, T84013, T84013A, T84013D, T84013S, T84022, T84022A, T84022D, T84022S, T84023, T84023A, T84023D, T84023S, T84032, T84032A, T84032D, T84032S, T84033, T84033A, T84033D, T84033S, T84052, T84052A, T84052D, T84052S, T84053, T84053A, T84053D, T84053S, T84062, T84062A, T84062D, T84062S, T84063, T84063A, T84063D, T84063S, T84092, T84092A, T84092D, T84092S, T84093, T84093A, T84093D, T84093S, T8453, T8453XA, T8453XD, T8453XS, T8454, T8454XA, T8454XD, T8454XS |
| DXX081084 | Hemarthrosis: Bleeding into Joints | M2500, M25061, M25062, M25069, M2508 |
| DXX081091 | Necrotizing Fasciitis | M726 |
| DXX081094 | Sprains and Strains | S8360, S8360XA, S8360XD, S8360XS, S8361, S8361XA, S8361XD, S8361XS, S8362, S8362XA, S8362XD, S8362XS, S838, S838X, S838X1, S838X1A, S838X1D, S838X1S, S838X2, S838X2A, S838X2D, S838X2S, S838X9, S838X9A, S838X9D, S838X9S, S839, S8390, S8390XA, S8390XD, S8390XS, S8391, S8391XA, S8391XD, S8391XS, S8392, S8392XA, S8392XD, S8392XS |
| DXX081100 | Osteoarthritis | M1990 |
| DXX081102 | Fistula, Effusion in Joint | M2510, M2540 |
| DXX081103 | Other osteopathic disorders | M9080, M90851, M90852, M90859, M90861, M90862, M90869, M9088, M9089 |
| DXX081113 | Rheumatoid Arthritis and Inflammatory Connective Tissue Disease | M0540, M05461, M05462, M05469, M0549, M0620, M06261, M06262, M06269, M0629, M0630, M06361, M06362, M06369, M0639, M352 |
| DXX081114 | Wasting of Muscles and Neuro Muscular Dystrophy | M8900, M89051, M89052, M89059, M89061, M89062, M89069, M8908, M8909 |
| DXX081115 | Periprosthetic fracture | M978XXD, M978XXS, M979XXD, M979XXS, T84042, T84042A, T84042D, T84042S, T84043, T84043A, T84043D, T84043S, T84048D, T84048S, T84049D, T84049S |
| DXX081116 | Anterior Cruciate Ligament Sprain | S8351, S83511, S83511A, S83511D, S83511S, S83512, S83512A, S83512D, S83512S, S83519, S83519A, S83519D, S83519S |
| DXX081117 | Posterior Cruciate Ligament Sprain | S8352, S83521, S83521A, S83521D, S83521S, S83522, S83522A, S83522D, S83522S, S83529, S83529A, S83529D, S83529S |
| DXX081118 | Patella Injuries and Disorders | M22, M220, M221, M223, M223X, M224, M228, M228X, M229, M704, M765, M924, S820, S8200, S82001, S82001A, S82001B, S82001C, S82001D, S82001E, S82001F, S82001G, S82001H, S82001J, S82001K, S82001M, S82001N, S82001P, S82001Q, S82001R, S82001S, S82002, S82002A, S82002B, S82002C, S82002D, S82002E, S82002F, S82002G, S82002H, S82002J, S82002K, S82002M, S82002N, S82002P, S82002Q, S82002R, S82002S, S82009, S82009A, S82009B, S82009C, S82009D, S82009E, S82009F, S82009G, S82009H, S82009J, S82009K, S82009M, S82009N, S82009P, S82009Q, S82009R, S82009S, S8201, S82011, S82011A, S82011B, S82011C, S82011D, S82011E, S82011F, S82011G, S82011H, S82011J, S82011K, S82011M, S82011N, S82011P, S82011Q, S82011R, S82011S, S82012, S82012A, S82012B, S82012C, S82012D, S82012E, S82012F, S82012G, S82012H, S82012J, S82012K, S82012M, S82012N, S82012P, S82012Q, S82012R, S82012S, S82013, S82013A, S82013B, S82013C, S82013D, S82013E, S82013F, S82013G, S82013H, S82013J, S82013K, S82013M, S82013N, S82013P, S82013Q, S82013R, S82013S, S82014, S82014A, S82014B, S82014C, S82014D, S82014E, S82014F, S82014G, S82014H, S82014J, S82014K, S82014M, S82014N, S82014P, S82014Q, S82014R, S82014S, S82015, S82015A, S82015B, S82015C, S82015D, S82015E, S82015F, S82015G, S82015H, S82015J, S82015K, S82015M, S82015N, S82015P, S82015Q, S82015R, S82015S, S82016, S82016A, S82016B, S82016C, S82016D, S82016E, S82016F, S82016G, S82016H, S82016J, S82016K, S82016M, S82016N, S82016P, S82016Q, S82016R, S82016S, S8202, S82021, S82021A, S82021B, S82021C, S82021D, S82021E, S82021F, S82021G, S82021H, S82021J, S82021K, S82021M, S82021N, S82021P, S82021Q, S82021R, S82021S, S82022, S82022A, S82022B, S82022C, S82022D, S82022E, S82022F, S82022G, S82022H, S82022J, S82022K, S82022M, S82022N, S82022P, S82022Q, S82022R, S82022S, S82023, S82023A, S82023B, S82023C, S82023D, S82023E, S82023F, S82023G, S82023H, S82023J, S82023K, S82023M, S82023N, S82023P, S82023Q, S82023R, S82023S, S82024, S82024A, S82024B, S82024C, S82024D, S82024E, S82024F, S82024G, S82024H, S82024J, S82024K, S82024M, S82024N, S82024P, S82024Q, S82024R, S82024S, S82025, S82025A, S82025B, S82025C, S82025D, S82025E, S82025F, S82025G, S82025H, S82025J, S82025K, S82025M, S82025N, S82025P, S82025Q, S82025R, S82025S, S82026, S82026A, S82026B, S82026C, S82026D, S82026E, S82026F, S82026G, S82026H, S82026J, S82026K, S82026M, S82026N, S82026P, S82026Q, S82026R, S82026S, S8203, S82031, S82031A, S82031B, S82031C, S82031D, S82031E, S82031F, S82031G, S82031H, S82031J, S82031K, S82031M, S82031N, S82031P, S82031Q, S82031R, S82031S, S82032, S82032A, S82032B, S82032C, S82032D, S82032E, S82032F, S82032G, S82032H, S82032J, S82032K, S82032M, S82032N, S82032P, S82032Q, S82032R, S82032S, S82033, S82033A, S82033B, S82033C, S82033D, S82033E, S82033F, S82033G, S82033H, S82033J, S82033K, S82033M, S82033N, S82033P, S82033Q, S82033R, S82033S, S82034, S82034A, S82034B, S82034C, S82034D, S82034E, S82034F, S82034G, S82034H, S82034J, S82034K, S82034M, S82034N, S82034P, S82034Q, S82034R, S82034S, S82035, S82035A, S82035B, S82035C, S82035D, S82035E, S82035F, S82035G, S82035H, S82035J, S82035K, S82035M, S82035N, S82035P, S82035Q, S82035R, S82035S, S82036, S82036A, S82036B, S82036C, S82036D, S82036E, S82036F, S82036G, S82036H, S82036J, S82036K, S82036M, S82036N, S82036P, S82036Q, S82036R, S82036S, S8204, S82041, S82041A, S82041B, S82041C, S82041D, S82041E, S82041F, S82041G, S82041H, S82041J, S82041K, S82041M, S82041N, S82041P, S82041Q, S82041R, S82041S, S82042, S82042A, S82042B, S82042C, S82042D, S82042E, S82042F, S82042G, S82042H, S82042J, S82042K, S82042M, S82042N, S82042P, S82042Q, S82042R, S82042S, S82043, S82043A, S82043B, S82043C, S82043D, S82043E, S82043F, S82043G, S82043H, S82043J, S82043K, S82043M, S82043N, S82043P, S82043Q, S82043R, S82043S, S82044, S82044A, S82044B, S82044C, S82044D, S82044E, S82044F, S82044G, S82044H, S82044J, S82044K, S82044M, S82044N, S82044P, S82044Q, S82044R, S82044S, S82045, S82045A, S82045B, S82045C, S82045D, S82045E, S82045F, S82045G, S82045H, S82045J, S82045K, S82045M, S82045N, S82045P, S82045Q, S82045R, S82045S, S82046, S82046A, S82046B, S82046C, S82046D, S82046E, S82046F, S82046G, S82046H, S82046J, S82046K, S82046M, S82046N, S82046P, S82046Q, S82046R, S82046S, S8209, S82091, S82091A, S82091B, S82091C, S82091D, S82091E, S82091F, S82091G, S82091H, S82091J, S82091K, S82091M, S82091N, S82091P, S82091Q, S82091R, S82091S, S82092, S82092A, S82092B, S82092C, S82092D, S82092E, S82092F, S82092G, S82092H, S82092J, S82092K, S82092M, S82092N, S82092P, S82092Q, S82092R, S82092S, S82099, S82099A, S82099B, S82099C, S82099D, S82099E, S82099F, S82099G, S82099H, S82099J, S82099K, S82099M, S82099N, S82099P, S82099Q, S82099R, S82099S, S830, S8300, S83001, S83001A, S83001D, S83001S, S83002, S83002A, S83002D, S83002S, S83003, S83003A, S83003D, S83003S, S83004, S83004A, S83004D, S83004S, S83005, S83005A, S83005D, S83005S, S83006, S83006A, S83006D, S83006S, S8301, S83011, S83011A, S83011D, S83011S, S83012, S83012A, S83012D, S83012S, S83013, S83013A, S83013D, S83013S, S83014, S83014A, S83014D, S83014S, S83015, S83015A, S83015D, S83015S, S83016, S83016A, S83016D, S83016S, S8309, S83091, S83091A, S83091D, S83091S, S83092, S83092A, S83092D, S83092S, S83093, S83093A, S83093D, S83093S, S83094, S83094A, S83094D, S83094S, S83095, S83095A, S83095D, S83095S, S83096, S83096A, S83096D, S83096S |
| DXX081119 | Meniscus Injury of Knee | S832, S8320, S83200, S83200A, S83200D, S83200S, S83201, S83201A, S83201D, S83201S, S83202, S83202A, S83202D, S83202S, S83203, S83203A, S83203D, S83203S, S83204, S83204A, S83204D, S83204S, S83205, S83205A, S83205D, S83205S, S83206, S83206A, S83206D, S83206S, S83207, S83207A, S83207D, S83207S, S83209, S83209A, S83209D, S83209S, S8321, S83211, S83211A, S83211D, S83211S, S83212, S83212A, S83212D, S83212S, S83219, S83219A, S83219D, S83219S, S8322, S83221, S83221A, S83221D, S83221S, S83222, S83222A, S83222D, S83222S, S83229, S83229A, S83229D, S83229S, S8323, S83231, S83231A, S83231D, S83231S, S83232, S83232A, S83232D, S83232S, S83239, S83239A, S83239D, S83239S, S8324, S83241, S83241A, S83241D, S83241S, S83242, S83242A, S83242D, S83242S, S83249, S83249A, S83249D, S83249S, S8325, S83251, S83251A, S83251D, S83251S, S83252, S83252A, S83252D, S83252S, S83259, S83259A, S83259D, S83259S, S8326, S83261, S83261A, S83261D, S83261S, S83262, S83262A, S83262D, S83262S, S83269, S83269A, S83269D, S83269S, S8327, S83271, S83271A, S83271D, S83271S, S83272, S83272A, S83272D, S83272S, S83279, S83279A, S83279D, S83279S, S8328, S83281, S83281A, S83281D, S83281S, S83282, S83282A, S83282D, S83282S, S83289, S83289A, S83289D, S83289S |
| DXX081120 | Injury to other ligaments, articular cartilage, Knee | S833, S8330, S8330XA, S8330XD, S8330XS, S8331, S8331XA, S8331XD, S8331XS, S8332, S8332XA, S8332XD, S8332XS, S834, S8340, S83401, S83401A, S83401D, S83401S, S83402, S83402A, S83402D, S83402S, S83409, S83409A, S83409D, S83409S, S8341, S83411, S83411A, S83411D, S83411S, S83412, S83412A, S83412D, S83412S, S83419, S83419A, S83419D, S83419S, S8342, S83421, S83421A, S83421D, S83421S, S83422, S83422A, S83422D, S83422S, S83429, S83429A, S83429D, S83429S |
| DXX081121 | Disorders of the Knee | M0206, M0216, M0226, M0236, M0286, M0506, M0516, M0526, M0536, M0546, M0556, M0566, M0576, M0586, M0606, M0626, M0636, M0686, M0766, M0806, M0826, M0846, M0886, M0896, M1006, M1016, M1026, M1036, M1046, M1106, M1116, M1126, M1186, M1206, M1216, M1226, M1236, M1246, M1256, M1286, M1316, M1386, M1466, M1486, M17, M171, M173, M2106, M2116, M2126, M23, M234, M235, M2436, M2446, M2456, M2466, M2506, M2516, M2526, M2536, M2546, M2556, M2566, M2576, M2586 |
| DXX081122 | Dislocation of Knee | S83, S831, S8310, S83101, S83101A, S83101D, S83101S, S83102, S83102A, S83102D, S83102S, S83103, S83103A, S83103D, S83103S, S83104, S83104A, S83104D, S83104S, S83105, S83105A, S83105D, S83105S, S83106, S83106A, S83106D, S83106S, S83111, S83111A, S83111D, S83111S, S83112, S83112A, S83112D, S83112S, S83113, S83113A, S83113D, S83113S, S83114, S83114A, S83114D, S83114S, S83115, S83115A, S83115D, S83115S, S83116, S83116A, S83116D, S83116S, S83121, S83121A, S83121D, S83121S, S83122, S83122A, S83122D, S83122S, S83123, S83123A, S83123D, S83123S, S83124, S83124A, S83124D, S83124S, S83125, S83125A, S83125D, S83125S, S83126, S83126A, S83126D, S83126S, S83131, S83131A, S83131D, S83131S, S83132, S83132A, S83132D, S83132S, S83133, S83133A, S83133D, S83133S, S83134, S83134A, S83134D, S83134S, S83135, S83135A, S83135D, S83135S, S83136, S83136A, S83136D, S83136S, S83141, S83141A, S83141D, S83141S, S83142, S83142A, S83142D, S83142S, S83143, S83143A, S83143D, S83143S, S83144, S83144A, S83144D, S83144S, S83145, S83145A, S83145D, S83145S, S83146, S83146A, S83146D, S83146S, S8319, S83191, S83191A, S83191D, S83191S, S83192, S83192A, S83192D, S83192S, S83193, S83193A, S83193D, S83193S, S83194, S83194A, S83194D, S83194S, S83195, S83195A, S83195D, S83195S, S83196, S83196A, S83196D, S83196S |
| DXX081123 | Cruciate Ligament Sprain | S835, S8350, S83501, S83501A, S83501D, S83501S, S83502, S83502A, S83502D, S83502S, S83509, S83509A, S83509D, S83509S |
| DXX081124 | Knee derangements | M230, M2300, M2301, M2302, M2303, M2304, M2305, M2306, M232, M2320, M2321, M2322, M2323, M2324, M2325, M2326, M233, M2330, M2331, M2332, M2333, M2334, M2335, M2336, M236, M2360, M2361, M23611, M23612, M23619, M2362, M2363, M2364, M2367, M238, M238X, M239, M6516, M65161, M65162, M65169, M6736, M67361, M67362, M67369, M6746, M67461, M67462, M67469, M6750, M6751, M6752, M6786, M67861, M67862, M67863, M67864, M67869, M7040, M7041, M7042, M705, M7050, M7051, M7052, M7106, M71061, M71062, M71069, M7116, M71161, M71162, M71169, M7120, M7121, M7122, M7146, M71461, M71462, M71469, M7156, M71561, M71562, M71569, M7186, M71861, M71862, M71869, M7650, M7651, M7652, M9240, M9241, M9242, M9326, M93261, M93262, M93269, M9426, M94261, M94262, M94269 |
| DXX08217 | MS – spine – fx – pathologic | M8468XD |
| DXX0836 | Neoplsm – benign neoplsm – femur / fibula / tibia | D1620, D1621, D1622 |
| DXX0838 | Neoplsm – benign neoplsm – lower extremity | D2120, D2121, D2122 |
| DXX0839 | Neoplsm – benign neoplsm – bone / cartilage – nos | D169 |
| DXX08590 | MS – uppr leg – tendon rupture – quadriceps | M66251, M66252, M66259 |
| DXX0860 | MS – face – acqrd defrmty | M8938, M898X8 |
| DXX08600 | MS – uppr leg-fx – shaft / distal femur – pathologic | M84351D, M84351G, M84352D, M84352G, M84353D, M84353G, M84451D, M84451G, M84452D, M84452G, M84453D, M84453G, M84750D, M84750G, M84751D, M84751G, M84752D, M84752G, M84753D, M84753G, M84754D, M84754G, M84755D, M84755G, M84756D, M84756G, M84757D, M84757G, M84758D, M84758G, M84759D, M84759G |
| DXX08602 | MS – uppr leg-fx – femur – aftercare | S7221XD, S7221XE, S7221XF, S7221XG, S7221XH, S7221XJ, S7222XD, S7222XE, S7222XF, S7222XG, S7222XH, S7222XJ, S7223XD, S7223XE, S7223XF, S7223XG, S7223XH, S7223XJ, S7224XD, S7224XE, S7224XF, S7224XG, S7224XH, S7224XJ, S7225XD, S7225XE, S7225XF, S7225XG, S7225XH, S7225XJ, S7226XD, S7226XE, S7226XF, S7226XG, S7226XH, S7226XJ, S72301D, S72301E, S72301F, S72301G, S72301H, S72301J, S72302D, S72302E, S72302F, S72302G, S72302H, S72302J, S72309D, S72309E, S72309F, S72309G, S72309H, S72309J, S72321D, S72321E, S72321F, S72321G, S72321H, S72321J, S72322D, S72322E, S72322F, S72322G, S72322H, S72322J, S72323D, S72323E, S72323F, S72323G, S72323H, S72323J, S72324D, S72324E, S72324F, S72324G, S72324H, S72324J, S72325D, S72325E, S72325F, S72325G, S72325H, S72325J, S72326D, S72326E, S72326F, S72326G, S72326H, S72326J, S72331D, S72331E, S72331F, S72331G, S72331H, S72331J, S72332D, S72332E, S72332F, S72332G, S72332H, S72332J, S72333D, S72333E, S72333F, S72333G, S72333H, S72333J, S72334D, S72334E, S72334F, S72334G, S72334H, S72334J, S72335D, S72335E, S72335F, S72335G, S72335H, S72335J, S72336D, S72336E, S72336F, S72336G, S72336H, S72336J, S72341D, S72341E, S72341F, S72341G, S72341H, S72341J, S72342D, S72342E, S72342F, S72342G, S72342H, S72342J, S72343D, S72343E, S72343F, S72343G, S72343H, S72343J, S72344D, S72344E, S72344F, S72344G, S72344H, S72344J, S72345D, S72345E, S72345F, S72345G, S72345H, S72345J, S72346D, S72346E, S72346F, S72346G, S72346H, S72346J, S72351D, S72351E, S72351F, S72351G, S72351H, S72351J, S72352D, S72352E, S72352F, S72352G, S72352H, S72352J, S72353D, S72353E, S72353F, S72353G, S72353H, S72353J, S72354D, S72354E, S72354F, S72354G, S72354H, S72354J, S72355D, S72355E, S72355F, S72355G, S72355H, S72355J, S72356D, S72356E, S72356F, S72356G, S72356H, S72356J, S72361D, S72361E, S72361F, S72361G, S72361H, S72361J, S72362D, S72362E, S72362F, S72362G, S72362H, S72362J, S72363D, S72363E, S72363F, S72363G, S72363H, S72363J, S72364D, S72364E, S72364F, S72364G, S72364H, S72364J, S72365D, S72365E, S72365F, S72365G, S72365H, S72365J, S72366D, S72366E, S72366F, S72366G, S72366H, S72366J, S72391D, S72391E, S72391F, S72391G, S72391H, S72391J, S72392D, S72392E, S72392F, S72392G, S72392H, S72392J, S72399D, S72399E, S72399F, S72399G, S72399H, S72399J, S72401D, S72401E, S72401F, S72401G, S72401H, S72401J, S72402D, S72402E, S72402F, S72402G, S72402H, S72402J, S72409D, S72409E, S72409F, S72409G, S72409H, S72409J, S72411D, S72411E, S72411F, S72411G, S72411H, S72411J, S72412D, S72412E, S72412F, S72412G, S72412H, S72412J, S72413D, S72413E, S72413F, S72413G, S72413H, S72413J, S72414D, S72414E, S72414F, S72414G, S72414H, S72414J, S72415D, S72415E, S72415F, S72415G, S72415H, S72415J, S72416D, S72416E, S72416F, S72416G, S72416H, S72416J, S72421D, S72421E, S72421F, S72421G, S72421H, S72421J, S72422D, S72422E, S72422F, S72422G, S72422H, S72422J, S72423D, S72423E, S72423F, S72423G, S72423H, S72423J, S72424D, S72424E, S72424F, S72424G, S72424H, S72424J, S72425D, S72425E, S72425F, S72425G, S72425H, S72425J, S72426D, S72426E, S72426F, S72426G, S72426H, S72426J, S72431D, S72431E, S72431F, S72431G, S72431H, S72431J, S72432D, S72432E, S72432F, S72432G, S72432H, S72432J, S72433D, S72433E, S72433F, S72433G, S72433H, S72433J, S72434D, S72434E, S72434F, S72434G, S72434H, S72434J, S72435D, S72435E, S72435F, S72435G, S72435H, S72435J, S72436D, S72436E, S72436F, S72436G, S72436H, S72436J, S72441D, S72441E, S72441F, S72441G, S72441H, S72441J, S72442D, S72442E, S72442F, S72442G, S72442H, S72442J, S72443D, S72443E, S72443F, S72443G, S72443H, S72443J, S72444D, S72444E, S72444F, S72444G, S72444H, S72444J, S72445D, S72445E, S72445F, S72445G, S72445H, S72445J, S72446D, S72446E, S72446F, S72446G, S72446H, S72446J, S72451D, S72451E, S72451F, S72451G, S72451H, S72451J, S72452D, S72452E, S72452F, S72452G, S72452H, S72452J, S72453D, S72453E, S72453F, S72453G, S72453H, S72453J, S72454D, S72454E, S72454F, S72454G, S72454H, S72454J, S72455D, S72455E, S72455F, S72455G, S72455H, S72455J, S72456D, S72456E, S72456F, S72456G, S72456H, S72456J, S72461D, S72461E, S72461F, S72461G, S72461H, S72461J, S72462D, S72462E, S72462F, S72462G, S72462H, S72462J, S72463D, S72463E, S72463F, S72463G, S72463H, S72463J, S72464D, S72464E, S72464F, S72464G, S72464H, S72464J, S72465D, S72465E, S72465F, S72465G, S72465H, S72465J, S72466D, S72466E, S72466F, S72466G, S72466H, S72466J, S72471D, S72471G, S72472D, S72472G, S72479D, S72479G, S72491D, S72491E, S72491F, S72491G, S72491H, S72491J, S72492D, S72492E, S72492F, S72492G, S72492H, S72492J, S72499D, S72499E, S72499F, S72499G, S72499H, S72499J, S728X1D, S728X1E, S728X1F, S728X1G, S728X1H, S728X1J, S728X2D, S728X2E, S728X2F, S728X2G, S728X2H, S728X2J, S728X9D, S728X9E, S728X9F, S728X9G, S728X9H, S728X9J, S7290XD, S7290XE, S7290XF, S7290XG, S7290XH, S7290XJ, S7291XD, S7291XE, S7291XF, S7291XG, S7291XH, S7291XJ, S7292XD, S7292XE, S7292XF, S7292XG, S7292XH, S7292XJ, S79001D, S79001G, S79002D, S79002G, S79009D, S79009G, S79011D, S79011G, S79012D, S79012G, S79019D, S79019G, S79091D, S79091G, S79092D, S79092G, S79099D, S79099G, S79101D, S79101G, S79102D, S79102G, S79109D, S79109G, S79111D, S79111G, S79112D, S79112G, S79119D, S79119G, S79121D, S79121G, S79122D, S79122G, S79129D, S79129G, S79131D, S79131G, S79132D, S79132G, S79139D, S79139G, S79141D, S79141G, S79142D, S79142G, S79149D, S79149G, S79191D, S79191G, S79192D, S79192G, S79199D, S79199G |
| DXX08611 | MS – knee – other arthropathy | M12261, M12262, M12269, M12361, M12362, M12369, M12461, M12462, M12469, M25161, M25162, M25169, M25861, M25862, M25869 |
| DXX08620 | MS – knee – jnt derangmnt – nec / nos | M25261, M25262, M25269, M25361, M25362, M25369 |
| DXX08630 | MS – knee – pain | M25561, M25562, M25569 |
| DXX08631 | MS – knee – stiffness | M25661, M25662, M25669 |
| DXX08635 | MS – knee – tibial collateral ligament bursitis | M7640, M7641, M7642 |
| DXX08639 | MS – knee – enthesopathy – nec / nos | M25761, M25762, M25769, M76899 |
| DXX08640 | MS – knee – synovium rupture | M660 |
| DXX08641 | MS – knee – tendon rupture | M66261, M66262, M66269 |
| DXX08653 | MS – knee – disloc – pathologic | M24361, M24362, M24369 |
| DXX08654 | MS – knee – disloc – recurrent | M2200, M2201, M2202, M2210, M2211, M2212, M24461, M24462, M24469 |
| DXX08662 | MS – knee – hypertrophy fat pad | M794 |
| DXX08664 | MS – knee jt – replacement | Z96651, Z96652, Z96653, Z96659 |
| DXX08696 | MS – lwr leg – fx – part nos – aftercare | M80061D, M80061G, M80062D, M80062G, M80069D, M80069G, M80861D, M80861G, M80862D, M80862G, M80869D, M80869G, M84361D, M84361G, M84362D, M84362G, M84363D, M84363G, M84364D, M84364G, M84369D, M84369G, M84461D, M84461G, M84462D, M84462G, M84463D, M84463G, M84464D, M84464G, M84469D, M84469G, M84561D, M84561G, M84562D, M84562G, M84563D, M84563G, M84564D, M84564G, M84569D, M84569G, M84661D, M84661G, M84662D, M84662G, M84663D, M84663G, M84664D, M84664G, M84669D, M84669G, S82101D, S82101E, S82101F, S82101G, S82101H, S82101J, S82102D, S82102E, S82102F, S82102G, S82102H, S82102J, S82109D, S82109E, S82109F, S82109G, S82109H, S82109J, S82111D, S82111E, S82111F, S82111G, S82111H, S82111J, S82112D, S82112E, S82112F, S82112G, S82112H, S82112J, S82113D, S82113E, S82113F, S82113G, S82113H, S82113J, S82114D, S82114E, S82114F, S82114G, S82114H, S82114J, S82115D, S82115E, S82115F, S82115G, S82115H, S82115J, S82116D, S82116E, S82116F, S82116G, S82116H, S82116J, S82121D, S82121E, S82121F, S82121G, S82121H, S82121J, S82122D, S82122E, S82122F, S82122G, S82122H, S82122J, S82123D, S82123E, S82123F, S82123G, S82123H, S82123J, S82124D, S82124E, S82124F, S82124G, S82124H, S82124J, S82125D, S82125E, S82125F, S82125G, S82125H, S82125J, S82126D, S82126E, S82126F, S82126G, S82126H, S82126J, S82131D, S82131E, S82131F, S82131G, S82131H, S82131J, S82132D, S82132E, S82132F, S82132G, S82132H, S82132J, S82133D, S82133E, S82133F, S82133G, S82133H, S82133J, S82134D, S82134E, S82134F, S82134G, S82134H, S82134J, S82135D, S82135E, S82135F, S82135G, S82135H, S82135J, S82136D, S82136E, S82136F, S82136G, S82136H, S82136J, S82141D, S82141E, S82141F, S82141G, S82141H, S82141J, S82142D, S82142E, S82142F, S82142G, S82142H, S82142J, S82143D, S82143E, S82143F, S82143G, S82143H, S82143J, S82144D, S82144E, S82144F, S82144G, S82144H, S82144J, S82145D, S82145E, S82145F, S82145G, S82145H, S82145J, S82146D, S82146E, S82146F, S82146G, S82146H, S82146J, S82151D, S82151E, S82151F, S82151G, S82151H, S82151J, S82152D, S82152E, S82152F, S82152G, S82152H, S82152J, S82153D, S82153E, S82153F, S82153G, S82153H, S82153J, S82154D, S82154E, S82154F, S82154G, S82154H, S82154J, S82155D, S82155E, S82155F, S82155G, S82155H, S82155J, S82156D, S82156E, S82156F, S82156G, S82156H, S82156J, S82161D, S82161G, S82162D, S82162G, S82169D, S82169G, S82191D, S82191E, S82191F, S82191G, S82191H, S82191J, S82192D, S82192E, S82192F, S82192G, S82192H, S82192J, S82199D, S82199E, S82199F, S82199G, S82199H, S82199J, S82201D, S82201E, S82201F, S82201G, S82201H, S82201J, S82202D, S82202E, S82202F, S82202G, S82202H, S82202J, S82209D, S82209E, S82209F, S82209G, S82209H, S82209J, S82221D, S82221E, S82221F, S82221G, S82221H, S82221J, S82222D, S82222E, S82222F, S82222G, S82222H, S82222J, S82223D, S82223E, S82223F, S82223G, S82223H, S82223J, S82224D, S82224E, S82224F, S82224G, S82224H, S82224J, S82225D, S82225E, S82225F, S82225G, S82225H, S82225J, S82226D, S82226E, S82226F, S82226G, S82226H, S82226J, S82231D, S82231E, S82231F, S82231G, S82231H, S82231J, S82232D, S82232E, S82232F, S82232G, S82232H, S82232J, S82233D, S82233E, S82233F, S82233G, S82233H, S82233J, S82234D, S82234E, S82234F, S82234G, S82234H, S82234J, S82235D, S82235E, S82235F, S82235G, S82235H, S82235J, S82236D, S82236E, S82236F, S82236G, S82236H, S82236J, S82241D, S82241E, S82241F, S82241G, S82241H, S82241J, S82242D, S82242E, S82242F, S82242G, S82242H, S82242J, S82243D, S82243E, S82243F, S82243G, S82243H, S82243J, S82244D, S82244E, S82244F, S82244G, S82244H, S82244J, S82245D, S82245E, S82245F, S82245G, S82245H, S82245J, S82246D, S82246E, S82246F, S82246G, S82246H, S82246J, S82251D, S82251E, S82251F, S82251G, S82251H, S82251J, S82252D, S82252E, S82252F, S82252G, S82252H, S82252J, S82253D, S82253E, S82253F, S82253G, S82253H, S82253J, S82254D, S82254E, S82254F, S82254G, S82254H, S82254J, S82255D, S82255E, S82255F, S82255G, S82255H, S82255J, S82256D, S82256E, S82256F, S82256G, S82256H, S82256J, S82261D, S82261E, S82261F, S82261G, S82261H, S82261J, S82262D, S82262E, S82262F, S82262G, S82262H, S82262J, S82263D, S82263E, S82263F, S82263G, S82263H, S82263J, S82264D, S82264E, S82264F, S82264G, S82264H, S82264J, S82265D, S82265E, S82265F, S82265G, S82265H, S82265J, S82266D, S82266E, S82266F, S82266G, S82266H, S82266J, S82291D, S82291E, S82291F, S82291G, S82291H, S82291J, S82292D, S82292E, S82292F, S82292G, S82292H, S82292J, S82299D, S82299E, S82299F, S82299G, S82299H, S82299J, S82301D, S82301E, S82301F, S82301G, S82301H, S82301J, S82302D, S82302E, S82302F, S82302G, S82302H, S82302J, S82309D, S82309E, S82309F, S82309G, S82309H, S82309J, S82311D, S82311G, S82312D, S82312G, S82319D, S82319G, S82391D, S82391E, S82391F, S82391G, S82391H, S82391J, S82392D, S82392E, S82392F, S82392G, S82392H, S82392J, S82399D, S82399E, S82399F, S82399G, S82399H, S82399J, S82401D, S82401E, S82401F, S82401G, S82401H, S82401J, S82402D, S82402E, S82402F, S82402G, S82402H, S82402J, S82409D, S82409E, S82409F, S82409G, S82409H, S82409J, S82421D, S82421E, S82421F, S82421G, S82421H, S82421J, S82422D, S82422E, S82422F, S82422G, S82422H, S82422J, S82423D, S82423E, S82423F, S82423G, S82423H, S82423J, S82424D, S82424E, S82424F, S82424G, S82424H, S82424J, S82425D, S82425E, S82425F, S82425G, S82425H, S82425J, S82426D, S82426E, S82426F, S82426G, S82426H, S82426J, S82431D, S82431E, S82431F, S82431G, S82431H, S82431J, S82432D, S82432E, S82432F, S82432G, S82432H, S82432J, S82433D, S82433E, S82433F, S82433G, S82433H, S82433J, S82434D, S82434E, S82434F, S82434G, S82434H, S82434J, S82435D, S82435E, S82435F, S82435G, S82435H, S82435J, S82436D, S82436E, S82436F, S82436G, S82436H, S82436J, S82441D, S82441E, S82441F, S82441G, S82441H, S82441J, S82442D, S82442E, S82442F, S82442G, S82442H, S82442J, S82443D, S82443E, S82443F, S82443G, S82443H, S82443J, S82444D, S82444E, S82444F, S82444G, S82444H, S82444J, S82445D, S82445E, S82445F, S82445G, S82445H, S82445J, S82446D, S82446E, S82446F, S82446G, S82446H, S82446J, S82451D, S82451E, S82451F, S82451G, S82451H, S82451J, S82452D, S82452E, S82452F, S82452G, S82452H, S82452J, S82453D, S82453E, S82453F, S82453G, S82453H, S82453J, S82454D, S82454E, S82454F, S82454G, S82454H, S82454J, S82455D, S82455E, S82455F, S82455G, S82455H, S82455J, S82456D, S82456E, S82456F, S82456G, S82456H, S82456J, S82461D, S82461E, S82461F, S82461G, S82461H, S82461J, S82462D, S82462E, S82462F, S82462G, S82462H, S82462J, S82463D, S82463E, S82463F, S82463G, S82463H, S82463J, S82464D, S82464E, S82464F, S82464G, S82464H, S82464J, S82465D, S82465E, S82465F, S82465G, S82465H, S82465J, S82466D, S82466E, S82466F, S82466G, S82466H, S82466J, S82491D, S82491E, S82491F, S82491G, S82491H, S82491J, S82492D, S82492E, S82492F, S82492G, S82492H, S82492J, S82499D, S82499E, S82499F, S82499G, S82499H, S82499J, S8251XD, S8251XE, S8251XF, S8251XG, S8251XH, S8251XJ, S8252XD, S8252XE, S8252XF, S8252XG, S8252XH, S8252XJ, S8253XD, S8253XE, S8253XF, S8253XG, S8253XH, S8253XJ, S8254XD, S8254XE, S8254XF, S8254XG, S8254XH, S8254XJ, S8255XD, S8255XE, S8255XF, S8255XG, S8255XH, S8255XJ, S8256XD, S8256XE, S8256XF, S8256XG, S8256XH, S8256XJ, S8261XD, S8261XE, S8261XF, S8261XG, S8261XH, S8261XJ, S8262XD, S8262XE, S8262XF, S8262XG, S8262XH, S8262XJ, S8263XD, S8263XE, S8263XF, S8263XG, S8263XH, S8263XJ, S8264XD, S8264XE, S8264XF, S8264XG, S8264XH, S8264XJ, S8265XD, S8265XE, S8265XF, S8265XG, S8265XH, S8265XJ, S8266XD, S8266XE, S8266XF, S8266XG, S8266XH, S8266XJ, S82811D, S82811G, S82812D, S82812G, S82819D, S82819G, S82821D, S82821G, S82822D, S82822G, S82829D, S82829G, S82831D, S82831E, S82831F, S82831G, S82831H, S82831J, S82832D, S82832E, S82832F, S82832G, S82832H, S82832J, S82839D, S82839E, S82839F, S82839G, S82839H, S82839J, S82841D, S82841E, S82841F, S82841G, S82841H, S82841J, S82842D, S82842E, S82842F, S82842G, S82842H, S82842J, S82843D, S82843E, S82843F, S82843G, S82843H, S82843J, S82844D, S82844E, S82844F, S82844G, S82844H, S82844J, S82845D, S82845E, S82845F, S82845G, S82845H, S82845J, S82846D, S82846E, S82846F, S82846G, S82846H, S82846J, S82851D, S82851E, S82851F, S82851G, S82851H, S82851J, S82852D, S82852E, S82852F, S82852G, S82852H, S82852J, S82853D, S82853E, S82853F, S82853G, S82853H, S82853J, S82854D, S82854E, S82854F, S82854G, S82854H, S82854J, S82855D, S82855E, S82855F, S82855G, S82855H, S82855J, S82856D, S82856E, S82856F, S82856G, S82856H, S82856J, S82861D, S82861E, S82861F, S82861G, S82861H, S82861J, S82862D, S82862E, S82862F, S82862G, S82862H, S82862J, S82863D, S82863E, S82863F, S82863G, S82863H, S82863J, S82864D, S82864E, S82864F, S82864G, S82864H, S82864J, S82865D, S82865E, S82865F, S82865G, S82865H, S82865J, S82866D, S82866E, S82866F, S82866G, S82866H, S82866J, S82871D, S82871E, S82871F, S82871G, S82871H, S82871J, S82872D, S82872E, S82872F, S82872G, S82872H, S82872J, S82873D, S82873E, S82873F, S82873G, S82873H, S82873J, S82874D, S82874E, S82874F, S82874G, S82874H, S82874J, S82875D, S82875E, S82875F, S82875G, S82875H, S82875J, S82876D, S82876E, S82876F, S82876G, S82876H, S82876J, S82891D, S82891E, S82891F, S82891G, S82891H, S82891J, S82892D, S82892E, S82892F, S82892G, S82892H, S82892J, S82899D, S82899E, S82899F, S82899G, S82899H, S82899J, S8290XD, S8290XE, S8290XF, S8290XG, S8290XH, S8290XJ, S8291XD, S8291XE, S8291XF, S8291XG, S8291XH, S8291XJ, S8292XD, S8292XE, S8292XF, S8292XG, S8292XH, S8292XJ, S89001D, S89001G, S89002D, S89002G, S89009D, S89009G, S89011D, S89011G, S89012D, S89012G, S89019D, S89019G, S89021D, S89021G, S89022D, S89022G, S89029D, S89029G, S89031D, S89031G, S89032D, S89032G, S89039D, S89039G, S89041D, S89041G, S89042D, S89042G, S89049D, S89049G, S89091D, S89091G, S89092D, S89092G, S89099D, S89099G, S89101D, S89101G, S89102D, S89102G, S89109D, S89109G, S89111D, S89111G, S89112D, S89112G, S89119D, S89119G, S89121D, S89121G, S89122D, S89122G, S89129D, S89129G, S89131D, S89131G, S89132D, S89132G, S89139D, S89139G, S89141D, S89141G, S89142D, S89142G, S89149D, S89149G, S89191D, S89191G, S89192D, S89192G, S89199D, S89199G, S89201D, S89201G, S89202D, S89202G, S89209D, S89209G, S89211D, S89211G, S89212D, S89212G, S89219D, S89219G, S89221D, S89221G, S89222D, S89222G, S89229D, S89229G, S89291D, S89291G, S89292D, S89292G, S89299D, S89299G |
| DXX08869 | MS – bone – nos – osteoporosis | Z13820 |
| DXX08870 | MS – bone – nos – fx – pathologic | M8000XD, M8000XG, M8080XD, M8080XG, M8430XD, M8430XG, M84350D, M84350G, M8438XD, M8438XG, M8440XD, M8440XG, M84454D, M84454G, M8448XD, M8448XG, M8450XD, M8450XG, M84550D, M84550G, M8460XD, M8460XG, M8468XG |
| DXX08877 | MS – bone – nos – chondrodystrophy | Q770, Q774, Q775, Q777, Q778, Q779, Q784 |
| DXX08880 | MS – bone – nos – nec / nos | M8480, M84861, M84862, M84869, M8488, M849, M8510, M85151, M85152, M85159, M85161, M85162, M85169, M8518, M8519, M8580, M85851, M85852, M85859, M85861, M85862, M85869, M8588, M8589, M859, M8920, M89251, M89252, M89259, M89261, M89262, M89269, M8928, M8929, M8930, M89351, M89352, M89359, M89361, M89362, M89369, M8939, M8950, M89551, M89552, M89559, M89561, M89562, M89569, M8958, M8959, M898X0, M898X5, M898X6, M898X9, M899, M941, M9420, M9428, M9429, M948X0, M948X5, M948X6, M948X8, M948X9, M949 |
| DXX08881 | MS – bone – nos – service – other | Z472 |
| DXX08891 | MS – joint nos – other arthropathy | M1220, M1228, M1230, M1238, M1240, M1248, M2518 |
| DXX08894 | MS – joint nos – jnt derangmnt – loose body | M2408 |
| DXX08897 | MS – joint nos – jnt derangmnt – other | M2520, M2528, M2530 |
| DXX08899 | MS – joint nos – difficulty walking | R262 |
| DXX08900 | MS – joint – nos – effusion | M2548 |
| DXX08920 | MS – joint – nos – replacement – aftercare | Z471 |
| DXX08934 | MS – synvm / tndn / brsa – nos – synvtis/tensyn | M6580, M659 |
| DXX08935 | MS – synvm / tndn / brsa – nos – bursitis | M7110, M7118, M7119, M7150, M7158 |
| DXX08936 | MS – synvm / tndn / brsa – nos – ganglion / cyst | M6740, M6748, M6749, M7130, M7138, M7139 |
| DXX08937 | MS – synvm / tndn / brsa – nos – rupture – synovium | M6610, M6618 |
| DXX08938 | MS – synvm / tndn / brsa – nos – rupture – tendon | M6620, M669 |
| DXX08939 | MS – synvm / tndn / brsa – nos – nec / nos | M6520, M65251, M65252, M65259, M65261, M65262, M65269, M6528, M6529, M7140, M7148, M7149 |
| DXX08953 | MS – mscl / lgmnt / fscia – nos – nec / nos | M354, M728 |
| DXX08960 | MS – nos – aftercare | Z4781, Z4782, Z4789 |
| DXX10101 | diabetes mellitus with neurologic manifestations | E09610, E10610, E11610, E13610 |
| DXX10111 | Diabetes, other manifestation | E09618, E10618, E11618, E13618 |
| DXX1963 | Anxiety Disorders | F064 |
| DXX2104 | NS – acute pain – post op | G8918 |
| DXX2339 | Prvn – admin exam / visit | Z0271 |
| DXX2340 | Prvn – pre-op exam | Z01810, Z01811, Z01812, Z01818 |
| DXX2345 | Othr – fitting – other device | Z448, Z449, Z451, Z4589, Z459, Z4682, Z469 |
| DXX2358 | Othr – post op care | Z4803 |
| DXX2359 | Othr – other aftercare | Z4800, Z4801, Z4802, Z481 |
| DXX2370 | Fever & Chills | R5081, R509, R6883 |
| DXX2381 | Aftercare | Z4689, Z4889 |
| DXX2382 | Preventive Screening | Z13828, Z1389 |
| XX0000 | Ungrouped Codes | Z9665 |
Table 3: ICD-10 Actionable Adverse Events
| Group ID | Group Name | Code Value |
| DXX0019 | Skin and subcutaneous tissue infections | L0889 |
| 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 | G463, G464, I6300, I63011, I63012, I63013, I63019, I6302, I63031, I63032, I63033, I63039, I6309, I6310, I63111, I63112, I63113, I63119, I6312, I63131, I63132, I63133, I63139, I6319, I6320, I63211, I63212, I63213, I63219, I6322, I63231, I63232, I63233, I63239, I6329, I6330, I63311, I63312, I63313, I63319, I63321, I63322, I63323, I63329, I63331, I63332, I63333, I63339, I63341, I63342, I63343, I63349, I6339, I6340, I63411, I63412, I63413, I63419, I63421, I63422, I63423, I63429, I63431, I63432, I63433, I63439, I63441, I63442, I63443, I63449, I6349, I6350, I63511, I63512, I63513, I63519, I63521, I63522, I63523, I63529, I63531, I63532, I63533, I63539, I63541, I63542, I63543, I63549, I6359, I636, I638, I639 |
| DXX01388 | Transient cerebral ischemia, TIA | G450, G451, G452, G458, G459, G460, G461, G462, I67841, I67848 |
| DXX01391 | Meningitis / Encephalitis | G038 |
| DXX01395 | Other cerebral complications | I97811, I97821 |
| DXX01403 | Complication of nervous system device | T8501XD, T8502XD, T8503XD, T8509XD, T85110D, T85111D, T85112D, T85113D, T85118D, T85120D, T85121D, T85122D, T85123D, T85128D, T85190D, T85191A, T85191D, T85192D, T85193D, T85199A, T85199D, T85610D, T85615D, T85620D, T85625D, T85630D, T85635D, T85690D, T85695D, T85730D, T85731D, T85732D, T85733D, T85734D, T85735D, T85738D, T85810D, T85820D, T85830D, T85840D, T85850D, T85860D, T85890D |
| DXX04126 | other lung complications | J90, J940, J941, J942, J949, J954, J955, 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 |
| DXX04160 | Tracheostomy Complications | J9500, J9501, J9502, J9503, J9504, J9509 |
| DXX04164 | Chronic Fungal and Other Pneumonias | A70, B390, B391, B392, B440, B7781 |
| DXX04170 | Ventilator Associated Pneumonia | J95851 |
| DXX04172 | Gram Negative Pneumonia | J155, J156 |
| DXX04173 | MRSA Pneumonia | J15212 |
| DXX04174 | Other Staph Pneumonia | J1520, J15211, J1529 |
| DXX04175 | Lung disease from opportunistic infections | B59 |
| 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 |
| DXX05264 | arterial thromboembolism | I7411, I743, I744, I745, I748, I749, I75021, I75022, I75023, I75029, I7589 |
| DXX05272 | dic, coagulation, hemorrhagic disorders | D65, D688, D689, D7582 |
| DXX05274 | Transfusion, Infusion related complications | D6951, E8771, R5084, T8029XA, T8029XD, T8030XA, T8030XD, T80310A, T80310D, T80311A, T80311D, T80319A, T80319D, T8039XA, T8039XD, T8040XA, T8040XD, T80410A, T80410D, T80411A, T80411D, T80419A, T80419D, T8049XA, T8049XD, T8051XA, T8051XD, T8059XA, T8059XD, T8061XA, T8061XD, T8069XA, T8069XD, T80818A, T80818D, T8089XA, T8089XD, T8090XA, T8090XD, T80910A, T80910D, T80911A, T80911D, T80919A, T80919D, T8092XA, T8092XD, T80A0XA, T80A0XD, T80A10A, T80A10D, T80A11A, T80A11D, T80A19A, T80A19D, T80A9XA, T80A9XD, Y620, Y621, Y623, Y630, Y631, Y640, Y650, Y651 |
| DXX05275 | Phlebitis, Deep vein thrombosis (DVT) | 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, I825Y1, I825Y2, I825Y3, I825Z1, I825Z2, I825Z3, I825Z9, 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, T882XXD, 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 |
| DXX05342 | Acute cor pulmonale | I2601, I2602, I2609 |
| DXX05367 | Hypertensive Urgency | I160, I161, I169 |
| DXX05372 | Shock during or following cardiac surgery | I97120, I97121, I97710, I97790 |
| DXX05373 | Shock during or post-procedure | I97711, I97791, I9788, T8110XA, T8110XD, T8111XA, T8111XD, T8112XA, T8112XD, T8119XA, T8119XD |
| 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, K625, K920, K921, K922 |
| DXX06307 | Intestinal Obstruction | K315, K560, K5669, K567 |
| DXX06369 | Esophageal Reflux and Other Esophagitis | K209 |
| DXX07110 | Hepatorenal Syndrome | K767 |
| DXX081068 | Acute Osteomyelitis | M8600, M86051, M86052, M86059, M86061, M86062, M86069, M8608, M8609, M8610, M86151, M86152, M86159, M86161, M86162, M86169, M8618, M8619, M8620, M86251, M86252, M86259, M86261, M86262, M86269, M8628, M8629 |
| DXX081069 | Chronic and Unspecified Osteomyelitis | M8630, M86351, M86352, M86359, M86361, M86362, M86369, M8638, M8639, M8640, M86451, M86452, M86459, M86461, M86462, M86469, M8648, M8649, M8650, M86551, M86552, M86559, M86561, M86562, M86569, M8658, M8659, M8660, M86661, M86662, M86669, M8668, M8669, M868X0, M868X6, M868X8, M868X9, M869 |
| DXX081071 | Infective Arthritis | M01X0, M01X8 |
| DXX081072 | Pyogenic Arthritis | M0000, M00061, M00062, M00069, M0009, M0010, M00161, M00162, M00169, M0019, M00261, M00262, M00269, M0029, M00861, M00862, M00869, M0089, M009 |
| DXX081082 | Compl of joint prosthesis, orthopedic proced | M960, T84018A, T84019A, T84028A, T84029A, T84038A, T84039A, T84058A, T84059A, T84068A, T84069A, T84098A, T84099A, T84298A, T84310A, T84318A, T84320A, T84328A, T84390A, T84398A, T84410A, T84418A, T84420A, T84428A, T84490A, T84498A, T8450XA, T8459XA, T8460XA, T84620A, T84621A, T84629A, T8469XA, T847XXA, T8481XA, T8482XA, T8483XA, T8484XA, T8485XA, T8486XA, T8489XA, T849XXA |
| DXX081115 | Periprosthetic fracture | M971, M9711, M9711XA, M9711XD, M9712, M9712XA, M9712XD, M978XXA, M979XXA, T84048A, T84049A |
| DXX081121 | Disorders of the Knee | M0006, M0016, M0026, M0086 |
| DXX09187 | Wound Infections | A4852, K6811, T814XXA, T814XXD, T8183XA, T8183XD |
| DXX09190 | Wound Dehiscence | T8130XA, T8130XD, T8131XA, T8131XD, T8132XA, T8132XD, T8133XA, T8133XD |
| DXX09191 | Decubitus Ulcer | L89100, L89101, L89102, L89109, 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, L89890, L89891, L89892, L89899, L8990, L8991, L8992, L8995 |
| DXX09192 | Dermatitis, Urticaria | T7841XA |
| DXX09193 | Cellulitis, Skin Infection | B781, E832, L0231, L02415, L02416, L02419, L02818, L0291, L03115, L03116, L03119, L03125, L03126, L03129, L03818, L03898, L0390, L0391, L0882, L089, L983 |
| DXX09194 | Chronic Skin Ulcer | L97101, L97102, L97103, L97104, L97109, L97111, L97112, L97113, L97114, L97119, L97121, L97122, L97123, L97124, L97129 |
| DXX09202 | Pyoderma | L080, L0881, L88 |
| 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, T8369XA, T8369XD, T83719A, T83719A, T83719D, T83719D, T83729A, T83729A, T83729D, T83729D, T8381XA, T8381XD, T8382XA, T8382XD, T8383XA, T8383XD, T8384XA, T8384XD, T8385XA, T8385XD, T8386XA, T8386XD, T8389XA, T8389XD, T839XXA, T839XXD |
| DXX11152 | Urinary Frequency & other symptoms | R300, R34 |
| DXX11153 | Urinary Incontinence | R32 |
| DXX11167 | Acute Kidney Failure | N170, N171, N172, N178, N179, N19, N990 |
| DXX16296 | Hemorrhage | R58, R710 |
| DXX1770 | Complications from chemotherapy | T80810A, T80810D |
| DXX1846 | Opportunistic Infections | 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 |
| 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 |
| DXX2138 | Vascular Prosthetic Device/Graft Complication | T82828A, T82828D, T82838A, T82838D, T82848A, T82848D, T82858A, T82858D, T82868A, T82868D, T82898A, T82898D |
| DXX2161 | Complications from Central Line | T80211A, T80211D, T80212A, T80212D, T80218A, T80218D, T80219A, T80219D, T8022XA, T8022XD |
| 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, T402X5A, T402X5D, 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, T883XXD, T884XXA, T884XXD, T8851XA, T8851XD, T8852XA, T8852XD, T8853XA, T8853XD, T8859XA, T8859XD, Y653, Y700, Y701, Y702, Y703, Y708 |
| DXX2360 | Complication of Implanted device, graft | T836XXA, T836XXD, T85612A, T85612D, T85613A, T85613D, T85614D, T85615A, T85618A, T85618D, T85622A, T85622D, T85623A, T85623D, T85624D, T85625A, T85628A, T85628D, T85633D, T85635A, T85638A, T85638D, T85692A, T85692D, T85693A, T85693D, T85694D, T85695A, T85698A, T85698D, T8572XA, T8572XD, T8579XA, T8579XD, T85818A, T85818D, T8581XA, T8581XD, T85828A, T85828D, T8582XA, T8582XD, T85838A, T85838D, T8583XA, T8583XD, T85848A, T85848D, T8584XA, T8584XD, T85858A, T85858D, T8585XA, T8585XD, T85868A, T85868D, T8586XA, T8586XD, T85898A, T85898D, T8589XA, T8589XD, T859XXA, T859XXD, T86820, T86821, T86822, T86828, T86829 |
| DXX2361 | complications of surgical procedures | D7801, D7802, E3612, E89811, E89821, E89823, G9731, G9732, I97131, I97191, L7601, L7602, L7611, L7612, L7621, L7622, L7631, L7632, L7633, L7634, M96810, M96811, M96820, M96821, M96830, M96831, M96840, M96841, M96842, M96843, T81710D, T81711D, T81718D, T81719D, T8172XD, T8182XD, T8189XA, T8189XD, T819XXD, T888XXD, Y626, Y628, Y629, Y652, Y6551, Y6552, Y6553, Y710, Y711, Y712, Y713, Y718, Y828, Y829, Y848 |
| DXX2362 | complications of medical care | D7881, D7889, E368, E8989, I973, J95850, L7681, L7682, M9689, R680, T7841XD, T801XXA, T801XXD, T8052XA, T8052XD, T8062XA, T8062XD, T8181XA, T8181XD, T880XXA, T880XXD, T881XXA, T881XXD, T887XXA, T889XXA, T889XXD, Y633, Y635, Y636, Y638, Y639, Y641, Y648, Y649, Y658, Y66, Y69, Y844, Y846, Y847 |
| DXX2395 | Foreign body left during procedure | T81500A, T81500D, T81501D, T81502D, T81503D, T81504D, T81505D, T81506A, T81506D, T81507A, T81507D, T81508A, T81508D, T81509A, T81509D, T81510A, T81510D, T81511D, T81512D, T81513D, T81514D, T81515D, T81516A, T81516D, T81517A, T81517D, T81518A, T81518D, T81519A, T81519D, T81520A, T81520D, T81521D, T81522D, T81523D, T81524D, T81525D, T81526A, T81526D, T81527A, T81527D, T81528A, T81528D, T81529A, T81529D, T81530A, T81530D, T81531D, T81532D, T81533D, T81534D, T81535D, T81536A, T81536D, T81537A, T81537D, T81538A, T81538D, T81539A, T81539D, T81590A, T81590D, T81591D, T81592D, T81593D, T81594D, T81595D, T81596A, T81596D, T81597A, T81597D, T81598A, T81598D, T81599A, T81599D, T8160XA, T8160XD, T8161XA, T8161XD, T8169XA, T8169XD |
| DXX9910 | HAC 02: Air Embolism | T800XXA, T800XXD |
| DXX9912 | HAC 04: Stage III and IV Pressure Ulcers | 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 |
| PXX01198 | Magnetic resonance imaging – 198 | B43FY0Z, B43FYZZ, B43FZZZ, B43GY0Z, B43GYZZ, B43GZZZ, B43HY0Z, B43HYZZ, B43HZZZ, B53BY0Z, B53BYZZ, B53BZZZ, B53CY0Z, B53CYZZ, B53CZZZ, B53DY0Z, B53DYZZ, B53DZZZ, BQ33Y0Z, BQ33YZZ, BQ33ZZZ, BQ34Y0Z, BQ34YZZ, BQ34ZZZ, BQ37Y0Z, BQ37YZZ, BQ37ZZZ, BQ38Y0Z, BQ38YZZ, BQ38ZZZ, BQ3DY0Z, BQ3DYZZ, BQ3DZZZ, BQ3FY0Z, BQ3FYZZ, BQ3FZZZ, BQ3VY0Z, BQ3VYZZ, BQ3VZZZ, BQ3WY0Z, BQ3WYZZ, BQ3WZZZ |
| PXX01199 | Electroencephalogram (EEG) – 199 | 4A1134Z, 4A11X4Z |
| PXX03215 | Other physical therapy and rehabilitation – 215 | 7W06X0Z, 7W06X1Z, 7W06X2Z, 7W06X3Z, 7W06X4Z, 7W06X5Z, 7W06X6Z, 7W06X7Z, 7W06X8Z, 7W06X9Z, F07Z4DZ, F07Z4EZ, F07Z4FZ, F07Z4YZ, F07Z4ZZ, F07Z5CZ, F07Z5EZ, F07Z5FZ, F07Z5YZ, F07Z5ZZ, F0FZ0EZ, F0FZ0FZ, F0FZ0ZZ, F0FZ1EZ, F0FZ1FZ, F0FZ1ZZ, F0FZ2EZ, F0FZ2FZ, F0FZ2ZZ, F0FZ3EZ, F0FZ3FZ, F0FZ3ZZ, F0FZ4EZ, F0FZ4FZ, F0FZ4ZZ, F0FZ5EZ, F0FZ5FZ, F0FZ5ZZ, F0FZ6EZ, F0FZ6FZ, F0FZ6ZZ, F0FZ7EZ, F0FZ7FZ, F0FZ7ZZ, F0FZ8EZ, F0FZ8FZ, F0FZ8ZZ, F0FZ9EZ, F0FZ9FZ, F0FZ9ZZ, F0FZCEZ, F0FZCFZ, F0FZCZZ |
| PXX03231 | Other therapeutic procedures – 231 | 049K00Z, 049K0ZZ, 049K30Z, 049K3ZZ, 049K40Z, 049K4ZZ, 049L00Z, 049L0ZZ, 049L30Z, 049L3ZZ, 049L40Z, 049L4ZZ, 049M00Z, 049M0ZZ, 049M30Z, 049M3ZZ, 049M40Z, 049M4ZZ, 049N00Z, 049N0ZZ, 049N30Z, 049N3ZZ, 049N40Z, 049N4ZZ, 049Y0ZZ, 049Y30Z, 049Y3ZZ, 049Y40Z, 049Y4ZZ, 04PYX0Z, 04PYX1Z, 04PYX2Z, 04PYX3Z, 04PYXDZ, 04WYX0Z, 04WYX2Z, 04WYX3Z, 04WYX7Z, 04WYXCZ, 04WYXDZ, 04WYXJZ, 04WYXKZ, 069M30Z, 069M3ZZ, 069M40Z, 069M4ZZ, 069N30Z, 069N3ZZ, 069N40Z, 069N4ZZ, 069P30Z, 069P3ZZ, 069P40Z, 069P4ZZ, 069Q30Z, 069Q3ZZ, 069Q40Z, 069Q4ZZ, 069R30Z, 069R3ZZ, 069R40Z, 069R4ZZ, 069S30Z, 069S3ZZ, 069S40Z, 069S4ZZ, 0JHL0HZ, 0JHL3HZ, 0JHM0HZ, 0JHM3HZ, 0JHN0HZ, 0QPBX4Z, 0QPCX4Z, 0QPDX4Z, 0QPFX4Z, 0QWBX4Z, 0QWBX5Z, 0QWBX7Z, 0QWBXJZ, 0QWBXKZ, 0QWCX4Z, 0QWCX5Z, 0QWCX7Z, 0QWCXJZ, 0QWCXKZ, 0QWDX4Z, 0QWDX5Z, 0QWDX7Z, 0QWDXJZ, 0QWDXKZ, 0QWFX4Z, 0QWFX5Z, 0QWFX7Z, 0QWFXJZ, 0QWFXKZ, 0SPCX0Z, 0SPCX3Z, 0SPCX4Z, 0SPDX0Z, 0SPDX3Z, 0SPDX4Z, 0SWCX0Z, 0SWCX3Z, 0SWCX4Z, 0SWCX5Z, 0SWCX7Z, 0SWCX8Z, 0SWCXJC, 0SWCXJZ, 0SWCXKZ, 0SWDX0Z, 0SWDX3Z, 0SWDX4Z, 0SWDX5Z, 0SWDX7Z, 0SWDX8Z, 0SWDXJC, 0SWDXJZ, 0SWDXKZ, 0SWTXJZ, 0SWUXJZ, 0SWVXJZ, 0SWWXJZ, 0Y29X0Z, 0Y29XYZ, 0Y2BX0Z, 0Y2BXYZ, 0YP9X0Z, 0YP9X1Z, 0YP9X3Z, 0YP9XJZ, 0YP9XYZ, 0YPBX0Z, 0YPBX1Z, 0YPBX3Z, 0YPBXJZ, 0YPBXYZ, 0YQ9XZZ, 0YQBXZZ, 0YW9X0Z, 0YW9X3Z, 0YW9X7Z, 0YW9XJZ, 0YW9XKZ, 0YW9XYZ, 0YWBX0Z, 0YWBX3Z, 0YWBX7Z, 0YWBXJZ, 0YWBXKZ, 0YWBXYZ, 102073Z, 10207YZ, 2W0LX0Z, 2W0LX4Z, 2W0LX5Z, 2W0LX6Z, 2W0LX7Z, 2W0LXYZ, 2W0MX0Z, 2W0MX4Z, 2W0MX5Z, 2W0MX6Z, 2W0MX7Z, 2W0MXYZ, 2W0NX0Z, 2W0NX4Z, 2W0NX5Z, 2W0NX6Z, 2W0NX7Z, 2W0NXYZ, 2W0PX0Z, 2W0PX4Z, 2W0PX5Z, 2W0PX6Z, 2W0PX7Z, 2W0PXYZ, 2W0QX0Z, 2W0QX4Z, 2W0QX5Z, 2W0QX6Z, 2W0QX7Z, 2W0QXYZ, 2W0RX0Z, 2W0RX4Z, 2W0RX5Z, 2W0RX6Z, 2W0RX7Z, 2W0RXYZ, 2W5LX0Z, 2W5LX4Z, 2W5LX5Z, 2W5LX6Z, 2W5LX7Z, 2W5LXYZ, 2W5MX0Z, 2W5MX4Z, 2W5MX5Z, 2W5MX6Z, 2W5MX7Z, 2W5MXYZ, 2W5NX0Z, 2W5NX4Z, 2W5NX5Z, 2W5NX6Z, 2W5NX7Z, 2W5NXYZ, 2W5PX0Z, 2W5PX4Z, 2W5PX5Z, 2W5PX6Z, 2W5PX7Z, 2W5PXYZ, 2W5QX0Z, 2W5QX4Z, 2W5QX5Z, 2W5QX6Z, 2W5QX7Z, 2W5QXYZ, 2W5RX0Z, 2W5RX4Z, 2W5RX5Z, 2W5RX6Z, 2W5RX7Z, 2W5RXYZ, 5A19054, 6A0Z0ZZ, 6A0Z1ZZ, 6A930ZZ, 6A931ZZ, 8C01X6L, 8C02X6K, 8C02X6L, 8E0H300, 8E0H30Z, 8E0YXY8, 8E0ZXY6 |
| PXX03235 | Robotic Assisted Procedure | 8E0Y0CZ, 8E0Y3CZ, 8E0Y4CZ, 8E0YXCZ |
| PXX05226 | Other diagnostic radiology and related techniques – 226 | 4A0ZXKZ, B41FZZZ, B41GZZZ, B41JZZZ, B51BZZA, B51BZZZ, B51CZZA, B51CZZZ, B51DZZA, B51DZZZ, B7080ZZ, B7081ZZ, B708YZZ, B7090ZZ, B7091ZZ, B709YZZ, B70B0ZZ, B70B1ZZ, B70BYZZ, BQ03ZZ1, BQ03ZZZ, BQ04ZZ1, BQ04ZZZ, BQ070ZZ, BQ071ZZ, BQ07YZZ, BQ07ZZZ, BQ080ZZ, BQ081ZZ, BQ08YZZ, BQ08ZZZ, BQ0VZZZ, BQ0WZZZ, BQ13ZZZ, BQ14ZZZ, BQ170ZZ, BQ171ZZ, BQ17YZZ, BQ17ZZZ, BQ180ZZ, BQ181ZZ, BQ18YZZ, BQ18ZZZ, BQ1VZZZ, BQ1WZZZ, BW0CZZZ, BW1C0ZZ, BW1C1ZZ, BW1CYZZ, BW1CZZZ |
| PXX05227 | Other diagnostic procedures (interview, evaluation, consultation) – 227 | 0KJYXZZ, 0LJYXZZ, 0YJBXZZ, 0YJCXZZ, 0YJDXZZ, 0YJEXZZ, 0YJFXZZ, 0YJGXZZ, 0YJHXZZ, 0YJJXZZ, 4A00X2Z, 4A01029, 4A0102B, 4A01329, 4A0132B, 4A01X29, 4A01X2B, 4A0971Z, 4A0975Z, 4A097CZ, 4A097DZ, 4A097LZ, 4A097MZ, 4A0981Z, 4A098CZ, 4A098DZ, 4A098LZ, 4A098MZ, 4A09X1Z, 4A09X5Z, 4A09XCZ, 4A09XDZ, 4A09XLZ, 4A09XMZ, 4A0Z76Z, 4A0Z7KZ, 4A0ZX6Z, 4A1971Z, 4A1975Z, 4A197CZ, 4A197DZ, 4A197LZ, 4A19X1Z, 4A19X5Z, 4A19XCZ, 4A19XDZ, 4A19XLZ, 4A1Z7KZ, 4A1ZXKZ, 4B01XVZ, 4B0FXVZ, 8E01XY7, 8E0KXY7, F01Z9JZ |
| PXX08142 | Partial excision bone – 142 | 0QBD0ZZ, 0QBF0ZZ, 0QBF4ZZ, 0QBG0ZZ, 0QBG4ZZ, 0QBH0ZZ, 0QBH4ZZ, 0QBJ0ZZ, 0QBK0ZZ |
| PXX08147 | Treatment, fracture or dislocation of lower extremity (other than hip or f – 147 | 0QHD04Z, 0QHD34Z, 0QHD44Z, 0QHF04Z, 0QHF34Z, 0QHF44Z, 0QHG04Z, 0QHG06Z, 0QHG34Z, 0QHG36Z, 0QHG44Z, 0QHG46Z, 0QHH04Z, 0QHH06Z, 0QHH34Z, 0QHH36Z, 0QHH44Z, 0QHH46Z, 0QHJ04Z, 0QHJ06Z, 0QHJ34Z, 0QHJ36Z, 0QHJ44Z, 0QHJ46Z, 0QHK04Z, 0QHK06Z, 0QHK34Z, 0QHK36Z, 0QHK44Z, 0QHK46Z, 0QPD04Z, 0QPD05Z, 0QPD07Z, 0QPD0JZ, 0QPD0KZ, 0QPD34Z, 0QPD35Z, 0QPD37Z, 0QPD3JZ, 0QPD3KZ, 0QPD44Z, 0QPD45Z, 0QPD47Z, 0QPD4JZ, 0QPD4KZ, 0QPF04Z, 0QPF05Z, 0QPF07Z, 0QPF0JZ, 0QPF0KZ, 0QPF34Z, 0QPF35Z, 0QPF37Z, 0QPF3JZ, 0QPF3KZ, 0QPF44Z, 0QPF45Z, 0QPF47Z, 0QPF4JZ, 0QPF4KZ, 0QPG04Z, 0QPG05Z, 0QPG07Z, 0QPG0JZ, 0QPG0KZ, 0QPG34Z, 0QPG35Z, 0QPG37Z, 0QPG3JZ, 0QPG3KZ, 0QPG44Z, 0QPG45Z, 0QPG47Z, 0QPG4JZ, 0QPG4KZ, 0QPH04Z, 0QPH05Z, 0QPH07Z, 0QPH0JZ, 0QPH0KZ, 0QPH34Z, 0QPH35Z, 0QPH37Z, 0QPH3JZ, 0QPH3KZ, 0QPH44Z, 0QPH45Z, 0QPH47Z, 0QPH4JZ, 0QPH4KZ, 0QPJ04Z, 0QPJ05Z, 0QPJ07Z, 0QPJ0JZ, 0QPJ0KZ, 0QPJ34Z, 0QPJ35Z, 0QPJ37Z, 0QPJ3JZ, 0QPJ3KZ, 0QPJ44Z, 0QPJ45Z, 0QPJ47Z, 0QPJ4JZ, 0QPJ4KZ, 0QPK04Z, 0QPK05Z, 0QPK07Z, 0QPK0JZ, 0QPK0KZ, 0QPK34Z, 0QPK35Z, 0QPK37Z, 0QPK3JZ, 0QPK3KZ, 0QPK44Z, 0QPK45Z, 0QPK47Z, 0QPK4JZ, 0QPK4KZ, 0QQG0ZZ, 0QQG3ZZ, 0QQG4ZZ, 0QQGXZZ, 0QQH0ZZ, 0QQH3ZZ, 0QQH4ZZ, 0QQHXZZ, 0QQJ0ZZ, 0QQJ3ZZ, 0QQJ4ZZ, 0QQJXZZ, 0QQK0ZZ, 0QQK3ZZ, 0QQK4ZZ, 0QQKXZZ, 0QSD35Z, 0QSD3ZZ, 0QSD45Z, 0QSD4ZZ, 0QSDXZZ, 0QSF35Z, 0QSF3ZZ, 0QSF45Z, 0QSF4ZZ, 0QSFXZZ, 0QSG04Z, 0QSG05Z, 0QSG06Z, 0QSG0BZ, 0QSG0CZ, 0QSG0DZ, 0QSG0ZZ, 0QSG34Z, 0QSG35Z, 0QSG36Z, 0QSG3BZ, 0QSG3CZ, 0QSG3DZ, 0QSG3ZZ, 0QSG44Z, 0QSG45Z, 0QSG46Z, 0QSG4BZ, 0QSG4CZ, 0QSG4DZ, 0QSG4ZZ, 0QSGXZZ, 0QSH04Z, 0QSH05Z, 0QSH06Z, 0QSH0BZ, 0QSH0CZ, 0QSH0DZ, 0QSH0ZZ, 0QSH34Z, 0QSH35Z, 0QSH36Z, 0QSH3BZ, 0QSH3CZ, 0QSH3DZ, 0QSH3ZZ, 0QSH44Z, 0QSH45Z, 0QSH46Z, 0QSH4BZ, 0QSH4CZ, 0QSH4DZ, 0QSH4ZZ, 0QSHXZZ, 0QSJ04Z, 0QSJ05Z, 0QSJ06Z, 0QSJ0BZ, 0QSJ0CZ, 0QSJ0DZ, 0QSJ0ZZ, 0QSJ34Z, 0QSJ35Z, 0QSJ36Z, 0QSJ3BZ, 0QSJ3CZ, 0QSJ3DZ, 0QSJ3ZZ, 0QSJ44Z, 0QSJ45Z, 0QSJ46Z, 0QSJ4BZ, 0QSJ4CZ, 0QSJ4DZ, 0QSJ4ZZ, 0QSJXZZ, 0QSK04Z, 0QSK05Z, 0QSK06Z, 0QSK0BZ, 0QSK0CZ, 0QSK0DZ, 0QSK0ZZ, 0QSK34Z, 0QSK35Z, 0QSK36Z, 0QSK3BZ, 0QSK3CZ, 0QSK3DZ, 0QSK3ZZ, 0QSK44Z, 0QSK45Z, 0QSK46Z, 0QSK4BZ, 0QSK4CZ, 0QSK4DZ, 0QSK4ZZ, 0QSKXZZ, 0SSC04Z, 0SSC05Z, 0SSC0ZZ, 0SSC34Z, 0SSC35Z, 0SSC3ZZ, 0SSC44Z, 0SSC45Z, 0SSC4ZZ, 0SSCX4Z, 0SSCX5Z, 0SSCXZZ, 0SSD04Z, 0SSD05Z, 0SSD0ZZ, 0SSD34Z, 0SSD35Z, 0SSD3ZZ, 0SSD44Z, 0SSD45Z, 0SSD4ZZ, 0SSDX4Z, 0SSDX5Z, 0SSDXZZ |
| PXX08148 | Other fracture and dislocation procedure – 148 | 0QSF04Z |
| PXX08149 | Arthroscopy – 149 | 0MQN0ZZ, 0MQN3ZZ, 0MQN4ZZ, 0MQP0ZZ, 0MQP3ZZ, 0MQP4ZZ |
| PXX08150 | Division of joint capsule, ligament or cartilage – 150 | 0MNN4ZZ, 0MNP4ZZ |
| PXX08151 | Excision of semilunar cartilage of knee – 151 | 0SBC3ZZ, 0SBC4ZZ, 0SBD3ZZ, 0SBD4ZZ |
| PXX08152 | Arthroplasty knee – 152 | 0SQC0ZZ, 0SQD0ZZ |
| PXX08155 | Arthrocentesis – 155 | 0S9C30Z, 0S9C3ZZ, 0S9C40Z, 0S9C4ZZ, 0S9D30Z, 0S9D3ZZ, 0S9D40Z, 0S9D4ZZ |
| PXX08156 | Injections and aspirations of muscles, tendons, bursa, joints and soft tis – 156 | 0K9Q3ZZ, 0K9R3ZZ, 0K9S3ZZ, 0K9T3ZZ, 0M9N30Z, 0M9N3ZZ, 0M9N40Z, 0M9N4ZZ, 0M9P30Z, 0M9P3ZZ, 0M9P40Z, 0M9P4ZZ, 0M9V30Z, 0M9V3ZZ, 0M9V40Z, 0M9V4ZZ, 0M9W30Z, 0M9W3ZZ, 0M9W40Z, 0M9W4ZZ, 3E0136Z, 3E0137Z, 3E013BZ, 3E013HZ, 3E013KZ, 3E013TZ, 3E0236Z, 3E0237Z, 3E023BZ, 3E023HZ, 3E023KZ, 3E023TZ, 3E0U36Z, 3E0U37Z, 3E0U3BZ, 3E0U3HZ, 3E0U3KZ, 3E0U3SF, 3E0U3TZ |
| PXX08159 | Other diagnostic procedures on musculoskeletal system – 159 | 0K9Q0ZX, 0K9Q3ZX, 0K9Q4ZX, 0K9R0ZX, 0K9R3ZX, 0K9R4ZX, 0K9S0ZX, 0K9S3ZX, 0K9S4ZX, 0K9T0ZX, 0K9T3ZX, 0K9T4ZX, 0KBQ0ZX, 0KBQ3ZX, 0KBQ4ZX, 0KBR0ZX, 0KBR3ZX, 0KBR4ZX, 0KBS0ZX, 0KBS3ZX, 0KBS4ZX, 0KBT0ZX, 0KBT3ZX, 0KBT4ZX, 0L9L0ZX, 0L9L3ZX, 0L9L4ZX, 0L9M0ZX, 0L9M3ZX, 0L9M4ZX, 0L9N0ZX, 0L9N3ZX, 0L9N4ZX, 0L9P0ZX, 0L9P3ZX, 0L9P4ZX, 0L9Q0ZX, 0L9Q3ZX, 0L9Q4ZX, 0L9R0ZX, 0L9R3ZX, 0L9R4ZX, 0LBL0ZX, 0LBL3ZX, 0LBL4ZX, 0LBM0ZX, 0LBM3ZX, 0LBM4ZX, 0LBN0ZX, 0LBN3ZX, 0LBN4ZX, 0LBP0ZX, 0LBP3ZX, 0LBP4ZX, 0LBQ0ZX, 0LBQ3ZX, 0LBQ4ZX, 0LBR0ZX, 0LBR3ZX, 0LBR4ZX, 0M9N0ZX, 0M9N3ZX, 0M9N4ZX, 0M9P0ZX, 0M9P3ZX, 0M9P4ZX, 0M9V0ZX, 0M9V3ZX, 0M9V4ZX, 0M9W0ZX, 0M9W3ZX, 0M9W4ZX, 0MBN0ZX, 0MBN3ZX, 0MBN4ZX, 0MBP0ZX, 0MBP3ZX, 0MBP4ZX, 0MBV0ZX, 0MBV3ZX, 0MBV4ZX, 0MBW0ZX, 0MBW3ZX, 0MBW4ZX, 0Q9B0ZX, 0Q9B3ZX, 0Q9B4ZX, 0Q9C0ZX, 0Q9C3ZX, 0Q9C4ZX, 0Q9D0ZX, 0Q9D3ZX, 0Q9D4ZX, 0Q9F0ZX, 0Q9F3ZX, 0Q9F4ZX, 0QBD0ZX, 0QBD3ZX, 0QBD4ZX, 0QBF0ZX, 0QBF3ZX, 0QBF4ZX, 0QJY0ZZ, 0QJY3ZZ, 0QJY4ZZ, 0S9C0ZX, 0S9C3ZX, 0S9C4ZX, 0S9D0ZX, 0S9D3ZX, 0S9D4ZX, 0SBC0ZX, 0SBC3ZX, 0SBC4ZX, 0SBD0ZX, 0SBD3ZX, 0SBD4ZX, 0SJCXZZ, 0SJDXZZ |
| PXX08160 | Other therapeutic procedures on muscles and tendons – 160 | 0J5L0ZZ, 0J5L3ZZ, 0J5M0ZZ, 0J5M3ZZ, 0J5N0ZZ, 0J5N3ZZ, 0J5P0ZZ, 0J5P3ZZ, 0J9L0ZZ, 0J9M0ZZ, 0J9N0ZZ, 0J9P0ZZ, 0JBN0ZZ, 0JBN3ZZ, 0JBP0ZZ, 0JBP3ZZ, 0JDL0ZZ, 0JDM0ZZ, 0JDN0ZZ, 0JDP0ZZ, 0JQL0ZZ, 0JQL3ZZ, 0JQP0ZZ, 0JQP3ZZ, 0KQQ0ZZ, 0KQQ3ZZ, 0KQQ4ZZ, 0KQR0ZZ, 0KQR3ZZ, 0KQR4ZZ |
| PXX08162 | Other OR therapeutic procedures on joints – 162 | 0S9C00Z, 0S9C0ZZ, 0S9D00Z, 0S9D0ZZ, 0SCC4ZZ, 0SCD4ZZ, 0SHC04Z, 0SHC34Z, 0SHC44Z, 0SHD04Z, 0SHD34Z, 0SHD44Z, 0SJC0ZZ, 0SJC3ZZ, 0SJD0ZZ, 0SJD3ZZ, 0SPD04Z |
| PXX08163 | Other non-OR therapeutic procedures on musculoskeletal system – 163 | 0QH608Z, 0QH638Z, 0QH648Z, 0QH708Z, 0QH738Z, 0QH748Z, 0QH808Z, 0QH838Z, 0QH848Z, 0QH908Z, 0QH938Z, 0QH948Z, 0QHB08Z, 0QHB38Z, 0QHB48Z, 0QHC08Z, 0QHC38Z, 0QHC48Z, 0QHG08Z, 0QHG38Z, 0QHG48Z, 0QHH08Z, 0QHH38Z, 0QHH48Z, 0QHJ08Z, 0QHJ38Z, 0QHJ48Z, 0QHK08Z, 0QHK38Z, 0QHK48Z, 0QPBX5Z, 0QPCX5Z, 0QPDX5Z, 0QPFX5Z, 0SHC08Z, 0SHC38Z, 0SHC48Z, 0SHD08Z, 0SHD38Z, 0SHD48Z, 0SPCX5Z, 0SPDX5Z, 2W0LX1Z, 2W0LX2Z, 2W0LX3Z, 2W0MX1Z, 2W0MX2Z, 2W0MX3Z, 2W0NX1Z, 2W0NX2Z, 2W0NX3Z, 2W0PX1Z, 2W0PX2Z, 2W0PX3Z, 2W0QX1Z, 2W0QX2Z, 2W0QX3Z, 2W0RX1Z, 2W0RX2Z, 2W0RX3Z, 2W5LX1Z, 2W5LX2Z, 2W5LX3Z, 2W5MX1Z, 2W5MX2Z, 2W5MX3Z, 2W5NX1Z, 2W5NX2Z, 2W5NX3Z, 2W5PX1Z, 2W5PX2Z, 2W5PX3Z, 2W5QX1Z, 2W5QX2Z, 2W5QX3Z, 2W5RX1Z, 2W5RX2Z, 2W5RX3Z, 3E0U3GC |
| PXX08212 | Diagnostic physical therapy – 212 | 4A0F33Z, 4A0FX3Z, F0120EZ, F0120FZ, F0120YZ, F0120ZZ, F0121ZZ, F0123ZZ, F0124ZZ, F0125YZ, F0125ZZ, F0126YZ, F0126ZZ, F012GZZ, F0130EZ, F0130FZ, F0130YZ, F0130ZZ, F0131ZZ, F0133ZZ, F0134ZZ, F0135YZ, F0135ZZ, F0136YZ, F0136ZZ, F013GZZ, F01G0EZ, F01G0FZ, F01G0YZ, F01G0ZZ, F01G1ZZ, F01G5YZ, F01G5ZZ, F01G6YZ, F01G6ZZ, F01H0EZ, F01H0FZ, F01H0YZ, F01H0ZZ, F01H1ZZ, F01H5YZ, F01H5ZZ, F01H6YZ, F01H6ZZ, F01L0EZ, F01L0FZ, F01L0YZ, F01L0ZZ, F01L1ZZ, F01L5YZ, F01L5ZZ, F01L6YZ, F01L6ZZ, F01M0EZ, F01M0FZ, F01M0YZ, F01M0ZZ, F01M1ZZ, F01M5YZ, F01M5ZZ, F01M6YZ, F01M6ZZ, F01ZBEZ, F01ZBFZ, F01ZBZZ, F01ZCEZ, F01ZCFZ, F01ZCZZ, F01ZDEZ, F01ZDFZ, F01ZDYZ, F01ZDZZ, F01ZFEZ, F01ZFFZ, F01ZFZZ, F022DYZ, F022DZZ, F023DYZ, F023DZZ, F02ZFYZ, F02ZFZZ |
| PXX08213 | Physical therapy exercises, manipulation, and other procedures – 213 | 0JNLXZZ, 0JNMXZZ, 0JNNXZZ, 0JNPXZZ, 0KNQXZZ, 0KNRXZZ, 0KNSXZZ, 0KNTXZZ, 0LNLXZZ, 0LNMXZZ, 0LNNXZZ, 0LNPXZZ, 0LNQXZZ, 0LNRXZZ, 0LNVXZZ, 0LNWXZZ, 0SNCXZZ, 0SNDXZZ, 8E0ZXY4, 9WB6XBZ, 9WB6XCZ, 9WB6XDZ, 9WB6XFZ, 9WB6XGZ, 9WB6XHZ, 9WB6XJZ, 9WB6XKZ, 9WB6XLZ, F07M0EZ, F07M0FZ, F07M0YZ, F07M0ZZ, F07M1EZ, F07M1FZ, F07M1YZ, F07M1ZZ, F07M2EZ, F07M2FZ, F07M2YZ, F07M2ZZ, F07M3EZ, F07M3FZ, F07M3YZ, F07M3ZZ, F07M6BZ, F07M6CZ, F07M6DZ, F07M6EZ, F07M6FZ, F07M6GZ, F07M6HZ, F07M6YZ, F07M7ZZ, F07Z8CZ, F07Z8DZ, F07Z8EZ, F07Z8FZ, F07Z8YZ, F07Z8ZZ, F07Z9CZ, F07Z9DZ, F07Z9EZ, F07Z9FZ, F07Z9GZ, F07Z9YZ, F07Z9ZZ, F0C33EZ, F0C33FZ, F0C33YZ, F0C33ZZ, F0CH3EZ, F0CH3FZ, F0CH3YZ, F0CH3ZZ, F0CM3EZ, F0CM3FZ, F0CM3YZ, F0CM3ZZ, F0DZ6EZ, F0DZ6FZ, F0DZ6ZZ, F0DZ7EZ, F0DZ7FZ, F0DZ7ZZ, F0FZDEZ, F0FZDFZ, F0FZDZZ, F0FZFEZ, F0FZFFZ, F0FZFZZ |
| PXX08214 | Traction, splints, and other wound care – 214 | 2W1LX6Z, 2W1LX7Z, 2W1MX6Z, 2W1MX7Z, 2W1NX6Z, 2W1NX7Z, 2W1PX6Z, 2W1PX7Z, 2W1QX6Z, 2W1QX7Z, 2W1RX6Z, 2W1RX7Z, 2W2LX4Z, 2W2MX4Z, 2W2NX4Z, 2W2PX4Z, 2W2QX4Z, 2W2RX4Z, 2W3LX1Z, 2W3LX2Z, 2W3LX3Z, 2W3LXYZ, 2W3MX1Z, 2W3MX2Z, 2W3MX3Z, 2W3MXYZ, 2W3NX1Z, 2W3NX2Z, 2W3NX3Z, 2W3NXYZ, 2W3PX1Z, 2W3PX2Z, 2W3PX3Z, 2W3PXYZ, 2W3QX1Z, 2W3QX2Z, 2W3QX3Z, 2W3QXYZ, 2W3RX1Z, 2W3RX2Z, 2W3RX3Z, 2W3RXYZ, 2W4LX5Z, 2W4MX5Z, 2W4NX5Z, 2W4PX5Z, 2W4QX5Z, 2W4RX5Z, 2W6LX0Z, 2W6LXZZ, 2W6MX0Z, 2W6MXZZ, 2W6NXZZ, 2W6PXZZ, 2W6QXZZ, 2W6RXZZ |
| PXX08217 | Biologic Infusions | 3E0U0GB, 3E0U3GB, 3E0V0GB, 3E0V3GB |
| PXX08220 | Knee Arthroscopy without ligament repair | 0SJC4ZZ, 0SJD4ZZ |
| PXX09168 | Incision and drainage, skin and subcutaneous tissue – 168 | 0H9HX0Z, 0H9HXZZ, 0H9JX0Z, 0H9JXZZ, 0H9KX0Z, 0H9KXZZ, 0H9LX0Z, 0H9LXZZ, 0J9L00Z, 0J9M00Z, 0J9N00Z, 0J9P00Z, 0Y9900Z, 0Y990ZZ, 0Y9930Z, 0Y993ZZ, 0Y9940Z, 0Y994ZZ, 0Y9B00Z, 0Y9B0ZZ, 0Y9B30Z, 0Y9B3ZZ, 0Y9B40Z, 0Y9B4ZZ, 0Y9C00Z, 0Y9C0ZZ, 0Y9C30Z, 0Y9C3ZZ, 0Y9C40Z, 0Y9C4ZZ, 0Y9D00Z, 0Y9D0ZZ, 0Y9D30Z, 0Y9D3ZZ, 0Y9D40Z, 0Y9D4ZZ, 0Y9F00Z, 0Y9F0ZZ, 0Y9F30Z, 0Y9F3ZZ, 0Y9F40Z, 0Y9F4ZZ, 0Y9G00Z, 0Y9G0ZZ, 0Y9G30Z, 0Y9G3ZZ, 0Y9G40Z, 0Y9G4ZZ, 0Y9H00Z, 0Y9H0ZZ, 0Y9H30Z, 0Y9H3ZZ, 0Y9H40Z, 0Y9H4ZZ, 0Y9J00Z, 0Y9J0ZZ, 0Y9J30Z, 0Y9J3ZZ, 0Y9J40Z, 0Y9J4ZZ |
| PXX11180 | Other CT scan – 180 | 8E0YXBG, B42C0ZZ, B42C1ZZ, B42CYZZ, B42CZZZ, B42F0ZZ, B42F1ZZ, B42FYZZ, B42FZZZ, B42G0ZZ, B42G1ZZ, B42GYZZ, B42GZZZ, B42H0ZZ, B42H1ZZ, B42HYZZ, B42HZZZ, BQ230ZZ, BQ231ZZ, BQ23YZZ, BQ23ZZZ, BQ240ZZ, BQ241ZZ, BQ24YZZ, BQ24ZZZ, BQ270ZZ, BQ271ZZ, BQ27YZZ, BQ27ZZZ, BQ280ZZ, BQ281ZZ, BQ28YZZ, BQ28ZZZ, BQ2B0ZZ, BQ2B1ZZ, BQ2BYZZ, BQ2C0ZZ, BQ2C1ZZ, BQ2CYZZ, BQ2D0ZZ, BQ2D1ZZ, BQ2DYZZ, BQ2DZZZ, BQ2F0ZZ, BQ2F1ZZ, BQ2FYZZ, BQ2FZZZ, BQ2R0ZZ, BQ2R1ZZ, BQ2RYZZ, BQ2RZZZ, BQ2S0ZZ, BQ2S1ZZ, BQ2SYZZ, BQ2SZZZ, BQ2V0ZZ, BQ2V1ZZ, BQ2VYZZ, BQ2VZZZ, BQ2W0ZZ, BQ2W1ZZ, BQ2WYZZ, BQ2WZZZ |
| PXX16222 | Blood transfusion – 222 | 30230H0, 30230H1, 30230J0, 30230J1, 30230K0, 30230K1, 30230L0, 30230L1, 30230M0, 30230M1, 30230N0, 30230N1, 30230P0, 30230P1, 30230Q0, 30230Q1, 30230R0, 30230R1, 30230S0, 30230T0, 30230T1, 30230V0, 30230V1, 30230W0, 30230W1, 30233H0, 30233H1, 30233J0, 30233J1, 30233K0, 30233K1, 30233L0, 30233L1, 30233M0, 30233M1, 30233N0, 30233N1, 30233P0, 30233P1, 30233Q0, 30233Q1, 30233R0, 30233R1, 30233S0, 30233T0, 30233T1, 30233V0, 30233V1, 30233W0, 30233W1, 30240H0, 30240H1, 30240J0, 30240J1, 30240K0, 30240K1, 30240L0, 30240L1, 30240M0, 30240M1, 30240N0, 30240N1, 30240P0, 30240P1, 30240Q0, 30240Q1, 30240R0, 30240R1, 30240S0, 30240T0, 30240T1, 30240V0, 30240V1, 30240W0, 30240W1, 30243H0, 30243H1, 30243J0, 30243J1, 30243K0, 30243K1, 30243L0, 30243L1, 30243M0, 30243M1, 30243N0, 30243N1, 30243P0, 30243P1, 30243Q0, 30243Q1, 30243R0, 30243R1, 30243S0, 30243T0, 30243T1, 30243V0, 30243V1, 30243W0, 30243W1, 30250H0, 30250H1, 30250J0, 30250J1, 30250K0, 30250K1, 30250L0, 30250L1, 30250M0, 30250M1, 30250N0, 30250N1, 30250P0, 30250P1, 30250Q0, 30250Q1, 30250R0, 30250R1, 30250S0, 30250T0, 30250T1, 30250V0, 30250V1, 30250W0, 30250W1, 30253H0, 30253H1, 30253J0, 30253J1, 30253K0, 30253K1, 30253L0, 30253L1, 30253M0, 30253M1, 30253N0, 30253N1, 30253P0, 30253P1, 30253Q0, 30253Q1, 30253R0, 30253R1, 30253S0, 30253T0, 30253T1, 30253V0, 30253V1, 30253W0, 30253W1, 30260H0, 30260H1, 30260J0, 30260J1, 30260K0, 30260K1, 30260L0, 30260L1, 30260M0, 30260M1, 30260N0, 30260N1, 30260P0, 30260P1, 30260Q0, 30260Q1, 30260R0, 30260R1, 30260S0, 30260T0, 30260T1, 30260V0, 30260V1, 30260W0, 30260W1, 30263H0, 30263H1, 30263J0, 30263J1, 30263K0, 30263K1, 30263L0, 30263L1, 30263M0, 30263M1, 30263N0, 30263N1, 30263P0, 30263P1, 30263Q0, 30263Q1, 30263R0, 30263R1, 30263S0, 30263T0, 30263T1, 30263V0, 30263V1, 30263W0, 30263W1, 3E030GC, 3E033GC, 3E040GC, 3E043GC, 3E050GC, 3E053GC, 3E060GC, 3E063GC |
Table 5: Relevant Procedure Codes CPT/HCPCS
| Group ID | Group Name | Code Value |
| CT0025 | Preventive Medicine, Care Coordination | 98960, 98961, 98962, 98966, 98967, 98968, 99078, 99366, 99367, 99368, 99441, 99442, 99443, 99446, 99447, 99448, 99449, 99499, G0175, G0406, G0407, G0408, G0425, G0426, G0427, S0220, S0221, S0315, S0316, S0317, S0320 |
| CT0040 | Posterior Cruciate Ligament Repair Knee | 29889 |
| CT0073 | Arthroscopy Knee Meniscal Transplant / Graft | 29866, 29867, 29868 |
| CT0078 | Prosthetic Implant | L8699 |
| CT0082 | Opioid Administration / Dispensing (OTP) | 96372 |
| CT0083 | Blood Type, Coomb’s test | 86077, 86880, 86900, 86901 |
| CT0089 | Metabolic Renal Hepatic Chemistry Panel | 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, 97010, 97012, 97014, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97036, 97039, 97110, 97112, 97113, 97116, 97124, 97139, 97140, 97150, 97530, 97545, 97546, 97750, 97755, 97760, 97761, 97762, 97799, G0129, S9129, S9131 |
| CT0091 | Physician Services – Outpatient | 99050, 99051, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99241, 99242, 99243, 99244, 99245, 99354, 99355, T1015 |
| CT0092 | Physician Services – Inpatient | 99221, 99222, 99223, 99238, 99239, 99252, 99253, 99254, 99255 |
| CT0094 | Screen for amino acid disorders | 84030 |
| CT0098 | Colonoscopy/Sigmoidoscopy ColorectalCa Screen | 82270 |
| CT0112 | Procedure – spinal canal – injection into spinal canal | 62310, 62311, 62318, 62319 |
| CT0113 | Procedure – spinal canal – other | 62280, 62281, 62282, 62350, 62355 |
| CT0114 | Procedure – spinal canal – catheter | E0785 |
| CT0118 | Procedure – peripheral nerve – decompression – other | 64712 |
| CT0119 | Procedure – block – nerve | 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450 |
| CT0120 | Procedure – destruction – nerve | 95873, 95874 |
| CT0121 | Procedure – peripheral nerve repair / graft | 64892, 64893, 64897, 64898 |
| CT0125 | Procedure – neuro – other or rx | 62360, 62361, 62362, 62365, 62367, 62368 |
| CT0126 | Procedure – neuro – other non – or rx | 62273 |
| CT0131 | Procedure – anesthesia | 01991, 01992 |
| CT01394 | Medications (Injections, infusions and other forms) | J0695, J0714, J0875, J7121, J7328, Q9980 |
| CT01395 | DME and supplies | A4466, A9273, E1012, E1036, E2622, E2623, E2624, E2625, K0740, K0743, K0744, K0745, K0746, L4631, Q4161, Q4162, Q4163, Q4164, Q4165, Q9950 |
| CT0161 | Tests – neuro – muscle testing | 95831, 95833, 95834, 95851, 95852 |
| CT0162 | Tests – neuro – ncv / emg | 95870, 95872, 95875, 95900, 95903, 95904 |
| CT0165 | Tests – neuro – other | 96000, 96001, 96002, 96003, 96004, S9015 |
| CT02387 | Pathology | 81490 |
| CT0351 | Therapy – habilitation | T2012 |
| CT04281 | Blood Gases, Pulse Oximetry | 94760, 94761, 94762 |
| CT0438 | Other care – respiratory – equipment / supplies – nebulizer | K0730 |
| CT0439 | Other care – respiratory – equipment / supplies – peak flow meter | S8096 |
| CT0440 | Other care – respiratory – equipment / supplies – spirometer | A9284 |
| CT0442 | Other care – respiratory – equipment / supplies | E1399, K0195, S8186 |
| CT0443 | Other care – respiratory – other | 94002, 94003, 94004, 94644, 94645, S8999 |
| CT0444 | Other care – prevention – smoking cessation | S9453 |
| CT0453 | Tests – pulmonary – peak flow | S8110 |
| CT0461 | Tests – pulmonary – exhaled air analysis | 94680, 94681, 94690 |
| CT0463 | Tests – pulmonary – other | 94770 |
| CT05141 | Procedure – graft | L8670 |
| CT05171 | Procedure – central venous catheter – insertion | S5522, S5523 |
| CT05198 | Rx – cardiovascular system – vasodilating agents, nec | S9347 |
| CT05199 | Rx – cardiovascular system – vasodilating rx | K0455, S0155 |
| CT05202 | Rx – diuretics, loop diuretics | S9361 |
| CT05210 | Other care – other – pvd – compressor | E0675 |
| CT05233 | Tests – cardiac – ecg – ecg – 12 lead | R0076 |
| CT05234 | Tests – cardiac – ecg – other | S9025 |
| CT05257 | Tests – vascular – arterial – extremity | 93925, 93926 |
| CT05258 | Tests – vascular – venous | 93965, 93970, 93971 |
| CT05308 | Cardiac Stress Test | 93015, 93016, 93017, 93018 |
| CT0692 | Therapy – neurostimulator – nausea / vomiting | E0765 |
| CT0694 | Rx – gi – antiemetics | S9351, S9370 |
| CT0697 | Rx – gi – ppis | C9113 |
| CT08102 | Imaging – x-ray – knee – arthrogram | 27370, 73580 |
| CT08103 | Imaging – x-ray – lower leg | 73590 |
| CT08106 | Imaging – x-ray – other – joint survey | 77077, R0070 |
| CT08107 | Imaging – x-ray – other – bone survey | 77076 |
| CT08110 | Imaging – other imaging – bone density | 77083, G0130 |
| CT08113 | DME – heat/cold application | E0215, E0217, E0218, E0221, E0225, E0231, E0232, E0235, E0236, E0239 |
| CT08114 | DME – traction | E0830, E0870, E0880, E0890, E0900 |
| CT08115 | DME – trapeze / other orthopedic device | E0910, E0911, E0912, E0920, E0930, E0940, E0941, E0944, E0945, E0946, E0947, E0948 |
| CT08118 | Prosthetics – lower extremity | L5100, L5105, L5150, L5160, L5200, L5230, L5301, L5321, L5400, L5410, L5420, L5430, L5450, L5460, L5500, L5505, L5510, L5520, L5530, L5535, L5540, L5560, L5570, L5580, L5585, L5590, L5610, L5611, L5613, L5614, L5616, L5617, L5618, L5620, L5622, L5624, L5628, L5629, L5630, L5631, L5632, L5634, L5636, L5637, L5638, L5639, L5640, L5642, L5644, L5645, L5646, L5647, L5648, L5649, L5650, L5651, L5652, L5653, L5654, L5655, L5656, L5658, L5661, L5665, L5666, L5668, L5670, L5671, L5672, L5673, L5676, L5677, L5678, L5679, L5680, L5681, L5682, L5683, L5684, L5685, L5686, L5688, L5690, L5692, L5694, L5695, L5696, L5697, L5698, L5700, L5701, L5704, L5705, L5706, L5710, L5711, L5712, L5714, L5716, L5718, L5722, L5724, L5726, L5728, L5780, L5781, L5782, L5785, L5790, L5810, L5811, L5812, L5814, L5816, L5818, L5822, L5824, L5826, L5828, L5830, L5840, L5845, L5848, L5856, L5857, L5858, L5910, L5930, L5940, L5950, L5962, L5964, L5970, L5972, L5976, L5980, L5981, L5982, L5984, L5985, L5986, L5987, L5988, L5990, L5999 |
| CT08120 | Prosthetics – external power | L7009, L7040 |
| CT08123 | Orthotics – lower extremity | L1700, L1710, L1720, L1730, L1755, L1810, L1820, L1830, L1831, L1832, L1834, L1836, L1840, L1843, L1844, L1845, L1846, L1847, L1850, L1860, L1932, L2132, L2134, L2136, L2182, L2184, L2186, L2188, L2190, L2210, L2220, L2230, L2240, L2250, L2260, L2265, L2270, L2275, L2280, L2310, L2320, L2330, L2335, L2340, L2350, L2360, L2370, L2380, L2385, L2390, L2395, L2397, L2405, L2415, L2425, L2430, L2492, L2500, L2510, L2520, L2525, L2526, L2530, L2540, L2550, L2580, L2630, L2640, L2650, L2660, L2670, L2680, L2750, L2755, L2760, L2768, L2780, L2785, L2795, L2800, L2810, L2820, L2830, L2840, L2850, L2999 |
| CT08124 | Orthotics – orthopedic shoes | L3000, L3001, L3002, L3003, L3010, L3020, L3030, L3031, L3040, L3050, L3060, L3070, L3080, L3090, L3140, L3150, L3160, L3170, L3215, L3216, L3217, L3219, L3221, L3222, L3224, L3225, L3230, L3250, L3251, L3252, L3253, L3254, L3255, L3257, L3260, L3265, L3300, L3310, L3320, L3330, L3332, L3334, L3340, L3350, L3360, L3370, L3380, L3390, L3400, L3410, L3420, L3430, L3440, L3450, L3455, L3460, L3465, L3470, L3480, L3485, L3500, L3510, L3520, L3530, L3540, L3550, L3560, L3570, L3580, L3590, L3595, L3600, L3610, L3620, L3630, L3640, L3649 |
| CT08125 | Orthotics – other | L0980, L0982, L0984, S0395 |
| CT08129 | Knee Arthroscopy without ligament repair | 29870, 29871, 29873, 29874, 29875, 29876, 29877, 29879, 29880, 29881, 29882, 29883, 29884 |
| CT0817 | Procedure – open excision – knee cartilage | 27347 |
| CT0822 | Procedure – arthroscopy – knee – other | 29885, 29886, 29887, G0289 |
| CT0828 | Procedure – arthroscopy – other joints | 29999 |
| CT08307 | Joint X-Rays | 73550, 73560, 73562, 73564, 73565 |
| CT08309 | ACL Repair Knee | 29888 |
| CT0831 | Procedure – removal of pins or fixation | 20670, 20680, 20694 |
| CT0832 | Procedure – bone graft | 20900, 20902 |
| CT0833 | Procedure – casting / splinting – application | 20663, 29000, 29010, 29015, 29020, 29025, 29049, 29345, 29355, 29358, 29365, 29405, 29425, 29435, 29440, 29445, 29450, 29505, 29515, 29530, 29581, 29720, 29730, 29740, 29799 |
| CT0834 | Procedure – casting / splinting – supplies | A4570, A4580, A4590, Q4001, Q4002, Q4029, Q4030, Q4031, Q4032, Q4033, Q4034, Q4035, Q4036, Q4037, Q4038, Q4039, Q4040, Q4041, Q4042, Q4043, Q4044, Q4045, Q4046, Q4047, Q4048, Q4050, Q4051, S8450 |
| CT0835 | Procedure – injection – tendons / joints / etc. | 20500, 20550, 20551, 20552, 20553, 20612 |
| CT0836 | Procedure – arthrocentesis | 20610 |
| CT0837 | Procedure – partial excision bone | 27350, 27355, 27356, 27357, 27358, 27360, 27365, 27418, 27635, 27637, 27638, 27640, 27641, 27645, 27646 |
| CT0840 | Procedure – other dx on musculoskeletal system | 20200, 20205, 20206, 20220, 20240, 20245, 20950, 27323, 27324, 27330 |
| CT0841 | Procedure – other rx on muscles and tendons | 27301, 27325, 27326, 27328, 27329, 27340, 27345, 27372, 27380, 27381, 27385, 27386, 27393, 27394, 27395, 27396, 27397, 27400, 27430 |
| CT0842 | Procedure – other or rx on bone | 20615, 20690, 20692, 20693, 20955, 20956, 20957, 20962, 20970, 20975, 24935, 27303, 27448, 27450, 27454, 27455, 27457, 27465, 27466, 27468, 27705, 27707, 27709, 27712, 27715, 27727, 27730, 27732, 27734 |
| CT0843 | Procedure – other or rx on joints | 27570 |
| CT0844 | Procedure – other or rx on musculoskeletal system | 27470, 27599 |
| CT0845 | Procedure – other non – or rx on musculoskeletal system | 20650, 20974, 20979, 20982, 29705, 29715 |
| CT0849 | Procedure – anesthesia | 01220, 01230, 01232, 01234, 01250, 01260, 01270, 01272, 01274, 01320, 01340, 01360, 01380, 01382, 01390, 01392, 01400, 01402, 01404, 01420, 01430, 01432, 01440, 01442, 01444, 01490, 01500, 01502, 01520, 01522 |
| CT0851 | Therapy – chiropractic / osteopathic manipulation | 98925, 98926, 98927, 98928, 98929 |
| CT0852 | Therapy – rehabilitation – related supplies / equipment – motion device | E0935, E0936, E1810, E1811, E1812, E1820, E1821 |
| CT0853 | Therapy – osteogenesis stimulator | E0747, E0748, E0749, E0760 |
| CT0855 | Therapy – neurostimulator – muscle training | E0764, E0770 |
| CT0857 | Rx – muscle relaxants – muscle relax, skeletal central | S9363 |
| CT0865 | Imaging – ct – lower extremity | 73700, 73701, 73702, 73706 |
| CT0872 | Imaging – mri – lower extremity | 73718, 73719, 73720, 73721, 73722, 73723, 73725 |
| CT0876 | Imaging – mra – lower extremity | C8912, C8913, C8914 |
| CT0920 | Procedure – injection of skin lesion | 11900, 11901 |
| CT0923 | Procedure – i&d – skin – drainage of hematoma | 10140 |
| CT0924 | Procedure – i&d – skin – drainage – post – op infection | 10180 |
| CT0925 | Procedure – debridement – wound / infection / burn – debridement | 11042, 11043, 11044 |
| CT0929 | Procedure – excision – skin – shave skin lesion | 1121F, 1125F, 1126F, 1127F, 1128F, 1152F, 1153F, 1159F, 1160F |
| CT0950 | Procedure – graft – skin – graft material | 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, 97602, S0630 |
| 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, S9097 |
| CT0966 | Other care – wound care – hyperbaric oxygen | A4575 |
| CT0968 | Other care – wound care – growth factor | S9055 |
| CT0969 | Other care – chronic edema – surgical stockings | A4490, A4495, A4500, A4510 |
| CT0970 | Other care – chronic edema – appliance – limb compression | A4600 |
| CT0971 | Other care – chronic edema – appliance – non – segmental | E0666 |
| CT0972 | Other care – chronic edema – appliance – segmental | E0656, E0660, E0667, E0669, E0671, E0673 |
| CT0973 | Other care – chronic edema – compression stocking | A6530, A6531, A6532, A6533, A6534, A6535, A6536, A6537, A6538, A6539, A6540, A6541, A6544, A6545, A6549 |
| CT0974 | Other care – chronic edema – compressor – non – segmental | E0650 |
| CT0975 | Other care – chronic edema – compressor – segmental | E0651, E0652 |
| CT0976 | Other care – chronic edema – compressor | E0676 |
| CT0977 | Other care – chronic edema – sleeve | S8420, S8421, S8422, S8423, S8424 |
| CT0978 | Other care – chronic edema – glove | S8425, S8426, S8427 |
| CT0979 | Other care – chronic edema – gauntlet | S8428 |
| CT0980 | Other care – chronic edema – exterior wrap | S8429 |
| CT0981 | Other care – chronic edema – complex therapy | S8950 |
| CT0991 | Tests – skin | Q3031 |
| CT0993 | DME – wound therapy | E2402 |
| CT1021 | Rx – vitamins – multivit prep | A9152, A9153 |
| CT10295 | Thyroid Function Tests | 84432, 84436, 84437, 84439, 84442, 84443, 84445, 84479, 84480, 84481, 84482 |
| CT10296 | Low dose steroids | S9490 |
| CT1036 | Other care – nutrition – assessment | 97802, 97803, G0270, G0271 |
| 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 |
| CT1166 | Lab – urinalysis | 81007, 81015, 81020 |
| CT14389 | Other Laboratory | 0030T |
| CT1615 | Therapy – transfusion – administration | 36430, 36455 |
| 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 |
| CT1626 | Rx – blood derivatives | P9041, P9045, P9046, P9047 |
| CT16296 | Lipid Level Monitoring | 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 | NewBorn Blood Tests | 82948, 88720 |
| CT16299 | Bleeding Status | 85002, 85345, 85347, 85348, 85610, 85611, 85670, 85675, 85705, 85730, 85732, 99363, 99364, G0248, G0250, S9401 |
| CT1630 | Rx – coagulation system – anticoagulants | S9336, S9372 |
| CT1631 | Rx – coagulation system – antiheparin agnt | A4802 |
| CT16316 | Blood transfusion | P9070, P9071, P9072 |
| CT1632 | Rx – coagulation system – hemostatics | P9012 |
| CT1635 | Rx – serums, toxoids, vaccines – serums | 90399 |
| CT1638 | Rx – administration – injection | 96373, 96374, 96375, 96376, 99506 |
| CT1639 | Rx – administration – infusion | 96361, 96365, 96366, 96367, 96368, 96369, 96370, 96371, 96379, 96521, 96522, A4220, A4221, A4222, A4223, A4305, A4306, C8957, 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 |
| 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, G0249 |
| CT1647 | Lab – hematology – blood count | 85055 |
| CT1648 | Lab – hematology – blood count – eosinophil count | S3630 |
| CT1649 | Lab – other hematology | 85097, 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, 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, 86590, 86592, 86593 |
| CT1652 | Lab – transfusion medicine | 86850, 86860, 86870, 86885, 86886, 86890, 86891, 86904, 86905, 86906, 86911, 86920, 86921, 86922, 86923, 86927, 86930, 86931, 86932, 86940, 86941, 86945, 86950, 86960, 86965, 86970, 86971, 86972, 86975, 86976, 86977, 86978, 86985, 86999 |
| CT1806 | Rx – antibiotics – aminoglycosides | J0278, J1580, J1840, J1850, J3000, J3260, J7682, J7685 |
| 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 | J2545, J3305, J7676, S0030, S0080, S9061 |
| 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, 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, 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 |
| CT1828 | Lab – microbiology | P7001 |
| CT18302 | CHLAMYDIA SCREENING | 86631, 86632, 87110, 87270, 87320, 87485, 87486, 87487, 87490, 87491, 87492, 87810 |
| CT1905 | Therapy – behavior – partial hospitalization | S0201 |
| CT1907 | Tests – neuro – sleep studies | 95803 |
| CT19304 | Psychiatry Services | H0031, S3005 |
| CT19378 | Laboratory – Chemistry and Hematology | 83987 |
| CT2004 | Lab – chemistry | 82055 |
| CT20376 | Other Laboratory | G9143 |
| CT2101 | Lab – therapeutic drug assay | 80150, 80188, 80190, 80192, 80194, 80195, 80196, 80197, 80198 |
| CT2301 | Therapy – allergy treatment | 95180 |
| CT2304 | Therapy – pt – exercises / activities | 97533, 97537, 97542, S8990 |
| CT2305 | Therapy – pt – modalities | S8948 |
| CT2308 | Therapy – biofeedback | 90901, E0746 |
| CT2309 | Therapy – activity therapy | G0176 |
| CT2326 | Other care – bladder / bowel care – other supplies | A4310, A4320, A4321, A4322, A4330, A4331, A4332, A4333, A4334, A4335, A4336, A4354, A4355, A4356, A5113, A5114 |
| CT2327 | Other care – bladder / bowel care – catheter | A4311, A4312, A4313, A4314, A4315, A4316, A4326, A4327, A4328, A4338, A4340, A4344, A4346, A4349, A4351, A4352, A4353 |
| CT2328 | Other care – bladder / bowel care – drainage bag | A4357, A4358, A5102, A5105, A5112 |
| CT2329 | Other care – bladder / bowel care – other supplies – diaper / related | A4360, T4521, T4522, T4523, T4524, T4525, T4526, T4527, T4528, T4529, T4530, T4531, T4532, T4533, T4534, T4535, T4536, T4537, T4538, T4539, T4540, T4541, T4542, T4543 |
| CT2330 | Other care – bladder / bowel care – other supplies – skin barrier | A5120, A5121, A5122, A5126, A5131 |
| CT23309 | Markers for Inflammation | 85651, 85652 |
| CT2331 | Other care – observation | G0379 |
| CT23398 | Ancillary Services | 99415, 99416, G9474, G9475, G9476, G9477, G9478, G9479 |
| CT2341 | Other care – other – exercise classes | S9451 |
| 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, E0950, E0951, E0952, E0955, E0957, E0958, E0959, 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, E1011, E1014, E1015, E1016, E1017, E1018, E1020, E1028, E1029, E1030, E1031, E1035, E1037, 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, E1229, E1230, E1231, E1232, E1233, E1234, E1235, E1236, E1237, E1238, E1239, 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, E2291, E2292, E2293, E2294, E2295, 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, E8000, E8001, E8002, 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, K0890, K0891, K0898, K0899, L0978 |
| 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, 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, S0302 |
| CT9908 | E & M – other | 99026, 99027, 99056, 99060, 99150, 99288, 99360, 99450, 99455, 99456, 99485, 99486, 99488, S0260 |
| CT9910 | Procedure – anesthesia | 01996, 01999, 99100, 99116, 99135, 99140 |
| CT99101 | Other care – other – lead assessment | T1029 |
| CT99102 | Other care – other | 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 | 77011, 77012, 77013, 77014 |
| CT99107 | Imaging – mri – other | S8042 |
| CT99108 | Imaging – mri – guidance | 77021, 77022 |
| CT99109 | Imaging – mri – contrast agent | Q9954 |
| CT9911 | Procedure – sedation | 99143, 99144, 99145, 99148, 99149 |
| CT99113 | Imaging – us – guide – biopsy | 76942 |
| CT99114 | Imaging – us – guide – other | 76998 |
| CT99115 | Imaging – us – other | 76970, 76977 |
| CT99133 | Imaging – other imaging – fluoroscopy | 76496 |
| CT99136 | Imaging – other imaging | 76120, 76125, 76140, 76376, 76377, 76390, 76499, Q0092, R0075 |
| CT99139 | Imaging – supplies – contrast agent – low osmolar | Q9965, Q9966, Q9967 |
| CT99140 | Imaging – supplies – contrast agent – high osmolar | Q9958, Q9959, Q9960, Q9961, Q9962, Q9963, Q9964 |
| CT99142 | Lab – pathology consultation | 80500, 80502 |
| CT99143 | Lab – chemistry | 82000, 82003, 82013, 82016, 82017, 82024, 82030, 82045, 82085, 82088, 82103, 82104, 82105, 82106, 82107, 82108, 82120, 82127, 82128, 82135, 82136, 82139, 82140, 82143, 82145, 82150, 82154, 82157, 82160, 82163, 82164, 82172, 82175, 82180, 82190, 82205, 82232, 82239, 82240, 82252, 82261, 82271, 82272, 82274, 82286, 82300, 82306, 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, 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, 82731, 82735, 82742, 82746, 82747, 82938, 82941, 82943, 82945, 82946, 82950, 82951, 82952, 82953, 82955, 82960, 82962, 82963, 82965, 82975, 82977, 82978, 82979, 82980, 82985, 83001, 83002, 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, 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, 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, 84152, 84153, 84154, 84156, 84157, 84160, 84163, 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 |
| CT99148 | Lab – surgical pathology | 88300, 88304, 88305, 88307, 88309, 88311, 88312, 88313, 88314, 88318, 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 | 89049, 89050, 89051, 89055, 89060, 89125, 89220, 89230, 89240 |
| CT9915 | Procedure – microsurgery | 69990 |
| CT99168 | Lab – chemistry and toxicology tests | P2028, P2029, P2033, P2038 |
| CT99169 | Lab – specimen collection – blood – venous – venipuncture | 36400, 36405, 36406, 36410, 36415, S9529 |
| CT9917 | Procedure – related supplies – access catheter | A4301 |
| CT99172 | Lab – specimen collection – blood – arterial – arterial puncture | 36600 |
| CT99173 | Lab – specimen collection – specimen handling | 99000 |
| CT99176 | Lab – stat request | S3600, S3601 |
| CT9918 | Procedure – related supplies – ablation – catheter | Q4116 |
| CT99182 | Transportation – paramedic | S0207, S0208 |
| CT99183 | Transportation – other transportation | 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, S9975, S9992, T2001, T2002, T2003, T2004, T2005, T2007, T2049 |
| CT99184 | DME – other | A9281, A9283, A9300, A9900, A9901, A9999, S8185, S8270, S9381, T1999, T2029, T2039, T5001, 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, E0325, E0326, E0350, E0352, E0370, E0371, E0372, E0373 |
| 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, A4248, A4450, A4452, A4455, A4456, A4461, A4463, A4465, A4470, A4550, A4649, A4651, A4652, A6000, A6010, A6011, A6021, A6022, A6023, A6024, A6025, A6154, A6196, A6197, A6198, A6199, A6203, A6204, A6205, A6206, A6207, A6208, A6209, A6210, A6211, A6212, A6213, A6214, A6215, A6216, A6217, A6218, A6219, A6220, A6221, A6222, A6223, A6224, A6228, A6229, A6230, A6231, A6232, A6233, A6234, A6235, A6236, A6237, A6238, A6239, A6240, A6241, A6242, A6243, A6244, A6245, A6246, A6247, A6248, A6250, A6251, A6252, A6253, A6254, A6255, A6256, A6257, A6258, A6259, A6260, A6261, A6262, A6266, A6402, A6403, A6404, A6407, A6413, A6441, A6442, A6443, A6444, A6445, A6446, A6447, A6448, A6449, A6450, A6451, A6452, A6453, A6454, A6455, A6456, A6457, A6501, A6502, A6503, A6505, A6506, A6507, A6508, A6509, A6510, A6511, A6512, A6550, A7000, S8415, S8430, S8431, T2028 |
| CT99192 | Prosthetics – implant | L8680, L8681, L8682, L8683, L8684, L8685, L8686, L8687, L8688, L8689, L8695, L9900 |
| CT99194 | Prosthetics – trusses | L8300, L8310, L8320, L8330 |
| CT99195 | Prosthetics – other | K0462, K0672, L8400, L8410, L8417, L8420, L8430, L8440, L8460, L8470, L8480, L8499 |
| CT99196 | Prosthetics – repair | L7510, L7520, L7600 |
| CT99197 | Other – non – covered | A9270, G0293, G0294, S9986 |
| CT9923 | Procedure – related supplies – graft / repair | Q4112, Q4113, Q4114, Q4115 |
| CT9927 | Procedure – related supplies – other | C1765, Q9968 |
| CT9928 | Therapy – acupuncture | 97810, 97811, 97813, 97814 |
| CT9930 | Therapy – habilitation | T2013, T2014, T2015, T2016, T2017, T2018, T2019, T2020, T2021 |
| CT99309 | Physician Services | 99251 |
| CT99311 | Urine Protein | 81000, 81001, 82043, 82044 |
| CT99312 | HbA1C | 83036, 83037 |
| CT99314 | Robotic Surgery | S2900 |
| CT99316 | Physician Services – Inpatient | 99356, 99357 |
| CT9935 | Therapy – hyperbaric oxygen | 99183 |
| CT9936 | Therapy – neurostimulator – tens – device | E0720, E0730, E0731 |
| CT99392 | Other diagnostic procedures (interview, evaluation, consultation) | 0185T, 0188T, 0189T, G0438, G0439, G9156 |
| CT9940 | Therapy – other | 36299, 99024, E0761, E0762, M0076 |
| CT99400 | Advance care planning | 1123F, 1124F, 1157F, 1158F, 99497, 99498, S0255, S0257, S0311 |
| CT99401 | Bundled Payment / Medical Home | G9187, S0280, S0281 |
| CT99402 | Care Plan Oversight | 99339, 99340, 99374, 99375, 99377, 99378, 99379, 99380 |
| CT99403 | Case Management Services | G0162, S0250, T1001, T1016, T1017, T2022, T2023, T2024 |
| CT99408 | Chronic Care Management | 99487, 99489 |
| CT99409 | Home Health / Hospice | G0179, G0180, G0181, G0182 |
| 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 |
| CT99420 | LEAD SCREENING | 83655 |
| CT9950 | Rx – electrolytic, caloric, water – potassium supp | S5012 |
| CT9951 | Rx – electrolytic, caloric, water – multi-mineral prep | S5014 |
| CT9955 | Rx – electrolytic, caloric, water – caloric rx dextrose / rel | S5010, S5011, S5013 |
| CT9956 | Rx – electrolytic, caloric, water – hydration – unspecfied | Q0081, S9373, S9374, S9375, S9376, S9377 |
| CT9957 | Rx – miscellaneous rx | A9150, C9399, Q4074 |
| CT9958 | Rx – miscellaneous rx – enzymes | S9357 |
| CT9961 | Rx – diagnostic rx – roentgenography | Q9957 |
| CT9962 | Rx – other | S9346 |
| CT9963 | Rx – pharmacy fee | S9430 |
| CT9964 | Other care – home care – specialized visit | 99509, 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 |
| CT9971 | Other care – home care – rehabilitation – occupational therapy | G0152 |
| CT9973 | Other care – home care – social worker | G0155, S9127 |
| CT9974 | Other care – home care – home health aide | G0156, S9122, 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, S9126 |
| 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 |
| CT9996 | Other care – other – lodging | S9976, S9994 |
| CT9997 | Other care – other – meals | S9977, S9996 |
| CT9998 | Other care – other – medical records | S9981, S9982 |
| CT9999 | Other care – other – interpretation | T1013 |
| XX0000 | Ungrouped Codes | 0054T, 0055T, 1100F, 1101F, 20611, 27369, 33952, 33954, 33958, 33962, 33966, 7010F, 76881, 76882, 96360, 97161, 97162, 97163, 97165, 97166, 97167, 97169, 97170, 97171, 97610, 97763, 99152, 99153, 99155, 99156, 99157, C9443, C9444, C9446, G0299, G0300, G0472, G0473, G6035, G6038, G6039, G6045, G6046, G8696, G8697, G8698, G8702, G8703, G8704, G8705, G8706, G8707, G8916, G8917, G8918, G8961, G8962, G8967, G8968, G8969, G8970, G8971, G8972, G8978, G8979, G8980, G8981, G8982, G8983, G8984, G8985, G8986, 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, G9637, G9638, G9642, G9643, G9644, G9645, G9654, G9655, G9656, G9657, G9658, G9947, G9949, G9954, G9968, G9969, G9970, J2274, J2704, J7327, K0901, K0902, L1812, L1833, L1848, 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 |
| RX0425 | antihistamines for systemic use |
| 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 |
| 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 |
| RX0855 | Glucosamine |
| RX0856 | antigout preparations |
| RX0857 | antiinflammatory and antirheumatic products |
| RX0858 | antipsoriatics for systemic use |
| RX0859 | antipsoriatics for topical use |
| RX0860 | muscle relaxants |
| RX0861 | opioids |
| RX0862 | other analgesics and antipyretics |
| RX0863 | other drugs for disorders of the musculo-skeletal system |
| RX0864 | topical products for joint and muscular pain |
| 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 |
| RX1086 | corticosteroids for systemic use |
| RX16106 | iron preparations |
| RX16109 | vitamin b12 and folic acid |
| RX16110 | vitamin k and other hemostatics |
| RX16111 | Agents to stop bleeding |
| RX18117 | antibacterials for systemic use |
| RX18118 | antifungals for systemic use |
| RX18119 | antiinfectives |
| RX19125 | anxiolytics |
| RX23130 | immunosuppressants |
| RX23131 | mineral supplements |
| RX23133 | other nutrients |
| RX23135 | vitamins |
| RX99136 | anesthetics general |
| RX99137 | anesthetics local |
| RX99138 | medical gas |