|
| Diagnostic code No.
|
|---|
| Abscess:
| |
| Anorectal | 7335
|
| Brain | 8020
|
| Kidney | 7501
|
| Liver | 7350
|
| Lung | 6824
|
| Acne | 7828
|
| Acromegaly | 7908
|
| Actinomycosis | 6822
|
| Addison's disease | 7911
|
| Agranulocytosis, acquired | 7702
|
| AL amyloidosis | 7717
|
| Alopecia areata | 7831
|
| Amebiasis | 7321
|
| Amputation:
| |
| Arm:
| |
| Complete amputation, upper extremity | 5120
|
| Above insertion of deltoid | 5121
|
| Below insertion of deltoid | 5122
|
| Digits, five of one hand | 5126
|
| Digits, four of one hand:
| |
| Thumb, index, long and ring | 5127
|
| Thumb, index, long and little | 5128
|
| Thumb, index, ring and little | 5129
|
| Thumb, long, ring and little | 5130
|
| Index, long, ring and little | 5131
|
| Digits, three of one hand:
| |
| Thumb, index and long | 5132
|
| Thumb, index and ring | 5133
|
| Thumb, index and little | 5134
|
| Thumb, long and ring | 5135
|
| Thumb, long and little | 5136
|
| Thumb, ring and little | 5137
|
| Index, long and ring | 5138
|
| Index, long and little | 5139
|
| Index, ring and little | 5140
|
| Long, ring and little | 5141
|
| Digits, two of one hand:
| |
| Thumb and index | 5142
|
| Thumb and long | 5143
|
| Thumb and ring | 5144
|
| Thumb and little | 5145
|
| Index and long | 5146
|
| Index and ring | 5147
|
| Index and little | 5148
|
| Long and ring | 5149
|
| Long and little | 5150
|
| Ring and little | 5151
|
| Single finger:
| |
| Thumb | 5152
|
| Index finger | 5153
|
| Long finger | 5154
|
| Ring finger | 5155
|
| Little finger | 5156
|
| Forearm:
| |
| Above insertion of pronator teres | 5123
|
| Below insertion of pronator teres | 5124
|
| Leg:
| |
| With defective stump | 5163
|
| Not improvable by prosthesis controlled by natural knee action | 5164
|
| At lower level, permitting prosthesis | 5165
|
| Forefoot, proximal to metatarsal bones | 5166
|
| Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss | 5170
|
| Toe, great | 5171
|
| Toe, other than great, with removal metatarsal head | 5172
|
| Toes, three or more, without metatarsal involvement | 5173
|
| Thigh:
| |
| Complete amputation, lower extremity | 5160
|
| Upper third | 5161
|
| Middle or lower thirds | 5162
|
| Amyotrophic lateral sclerosis | 8017
|
| Anatomical loss of:
| |
| Both eyes | 6061
|
| One eye, with visual acuity of other eye:
| |
| 5/200 (1.5/60) | 6063
|
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6064
|
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6065
|
| 20/40 (6/12) | 6066
|
| Both feet | 5107
|
| Both hands | 5106
|
| One hand and one foot | 5108
|
| One foot and loss of use of one hand | 5105
|
| One hand and loss of use of one foot | 5104
|
| Anemia:
| |
| Acquired hemolytic anemia | 7723
|
| Folic acid deficiency | 7721
|
| Iron deficiency anemia | 7720
|
| Pernicious anemia and Vitamin B12 deficiency anemia | 7722
|
| Aneurysm:
| |
| Aortic: ascending, thoracic, abdominal | 7110
|
| Large artery | 7111
|
| Small artery | 7118
|
| Ankylosis:
| |
| Ankle | 5270
|
| Digits, individual:
| |
| Thumb | 5224
|
| Index finger | 5225
|
| Long finger | 5226
|
| Ring or little finger | 5227
|
| Elbow | 5205
|
| Hand
| |
| Favorable:
| |
| Five digits of one hand | 5220
|
| Four digits of one hand | 5221
|
| Three digits of one hand | 5222
|
| Two digits of one hand | 5223
|
| Unfavorable:
| |
| Five digits of one hand | 5216
|
| Four digits of one hand | 5217
|
| Three digits of one hand | 5218
|
| Two digits of one hand | 5219
|
| Hip | 5250
|
| Knee | 5256
|
| Scapulohumeral articulation | 5200
|
| Subastragalar or tarsal joint | 5272
|
| Wrist | 5214
|
| Ankylosing spondylitis | 5240
|
| Aphakia | 6029
|
| Aphonia, organic | 6519
|
| Aplastic anemia | 7716
|
| Arteriosclerotic heart disease | 7005
|
| Arteriovenous fistula | 7113
|
| Arthritis:
| |
| Degenerative, other than post-traumatic | 5003
|
| Gonorrheal | 5004
|
| Other specified forms (excluding gout) | 5009
|
| Pneumococcic | 5005
|
| Post-traumatic | 5010
|
| Multi-joint (except post-traumatic and gout) | 5002
|
| Streptococcic | 5008
|
| Syphilitic | 5007
|
| Typhoid | 5006
|
| Arthropathy | 5009
|
| Asbestosis | 6833
|
| Aspergillosis | 6838
|
| Asthma, bronchial | 6602
|
| Astragalectomy | 5274
|
| Atherosclerotic renal disease | 7534
|
| Athetosis | 8107
|
| Atrioventricular block | 7015
|
| Avitaminosis | 6313
|
| Bartonellosis | 6306
|
| Beriberi | 6314
|
| Bladder:
| |
| Calculus in | 7515
|
| Diverticulum of | 7545
|
| Fistula in | 7516
|
| Injury of | 7517
|
| Neurogenic | 7542
|
| Blastomycosis | 6836
|
| Blindness: see also Vision and Anatomical Loss
| |
| Both eyes, only light perception | 6062
|
| One eye, only light perception and other eye:
| |
| 5/200 (1.5/60) | 6067
|
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6068
|
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6069
|
| 20/40 (6/12) | 6070
|
| Bones:
| |
| Neoplasm, benign | 5015
|
| Neoplasm, malignant, primary or secondary | 5012
|
| Shortening of the lower extremity | 5275
|
| Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation | 7009
|
| Brain:
| |
| Abscess | 8020
|
| Breast surgery | 7626
|
| Bronchiectasis | 6601
|
| Bronchitis | 6600
|
| Brucellosis | 6316
|
| Buerger's disease | 7115
|
| Bulbar palsy | 8005
|
| Bullous disorders | 7815
|
| Bursitis | 5019
|
| Campylobacter jejuni infection | 6330
|
| Cardiac:
| |
| Pacemakers, implantable | 7018
|
| Transplantation | 7019
|
| Cardiomyopathy | 7020
|
| C-cell hyperplasia, thyroid | 7919
|
| Cataract:
| |
| Senile and others | 6028
|
| Traumatic | 6027
|
| Cerebral arteriosclerosis | 8046
|
| Cervical strain | 5237
|
| Cervix disease or injury | 7612
|
| Chorea:
| |
| Huntington's | 8106
|
| Sydenham's | 8105
|
| Chloracne | 7829
|
| Cholangitis, chronic | 7314
|
| Cholecystectomy (gallbladder removal), complications of (such as strictures and biliary leaks) | 7318
|
| Cholecystitis, chronic | 7314
|
| Cholelithiasis, chronic | 7315
|
| Choroiditis | 6005
|
| Chronic Fatigue Syndrome (CFS) | 6354
|
| Chronic lung abscess | 6824
|
| Chronic obstructive pulmonary disease | 6604
|
| Coccidioidomycosis | 6835
|
| Cold injury residuals | 7122
|
| Colitis, ulcerative | 7323
|
| Compartment syndrome | 5331
|
| Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy, including uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or combination | 7621
|
| Conjunctivitis:
| |
| Trachomatous | 6017
|
| Other | 6018
|
| Coronary bypass surgery | 7017
|
| Coxiella burnetii infection (Q Fever) | 6331
|
| Cryptococcosis | 6837
|
| Cushing's syndrome | 7907
|
| Cutaneous manifestations of collagen-vascular diseases not listed elsewhere | 7821
|
| Cyclitis | 6004
|
| Cystitis, chronic | 7512
|
| Dacryocystitis | 6031
|
| Decompression illness | 5011
|
| Dermatitis or eczema | 7806
|
| Dermatophytosis | 7813
|
| Desquamative interstitial pneumonitis | 6826
|
| Diabetes:
| |
| Insipidus | 7909
|
| Mellitus | 7913
|
| Diaphragm:
| |
| Paralysis or paresis | 6840
|
| Rupture | 5324
|
| Diplopia | 6090
|
| Diplopia, limited muscle function, eye | 6092
|
| Disease:
| |
| Addison's | 7911
|
| Buerger's | 7115
|
| Celiac | 7355
|
| Chronic obstructive pulmonary disease | 6604
|
| Crohn's | 7326
|
| Gallbladder and biliary tract, chronic | 7314
|
| Hodgkin's | 7709
|
| Inflammatory bowel | 7326
|
| Leprosy (Hansen's) | 6302
|
| Lyme | 6319
|
| Morton's | 5279
|
| Parasitic | 6320
|
| Disfigurement of, head, face or neck | 7800
|
| Dislocated:
| |
| Cartilage, semilunar | 5258
|
| Lens, crystalline | 6033
|
| Disseminated intravascular coagulation | 7540
|
| Distomiasis, intestinal or hepatic | 7324
|
| Diverticulitis and diverticulosis | 7327
|
| Dysentery, bacillary | 7322
|
| Ectropion | 6020
|
| Embolism, brain | 8007
|
| Emphysema, pulmonary | 6603
|
| Encephalitis, epidemic, chronic | 8000
|
| Endocarditis | 7001
|
| Endometriosis | 7629
|
| Enteritis, chronic | 7325
|
| Enterocolitis, chronic | 7326
|
| Entropion | 6021
|
| Eosinophilic granuloma of lung | 6828
|
| Epilepsies:
| |
| Diencephalic | 8913
|
| Grand mal | 8910
|
| Jacksonian and focal motor or sensory | 8912
|
| Petit mal | 8911
|
| Psychomotor | 8914
|
| Epiphora | 6025
|
| Erythema multiforme | 7827
|
| Erythroderma | 7817
|
| Erythromelalgia | 7119
|
| Esophagus:
| |
| Barrett's | 7207
|
| Diverticulum | 7205
|
| Motility disorder | 7204
|
| Spasm | 7204
|
| Stricture | 7203
|
| Fallopian tube | 7614
|
| Female sexual arousal disorder (FSAD) | 7632
|
| Fever:
| |
| Relapsing | 6308
|
| Rheumatic | 6309
|
| Fibrosis of lung, diffuse interstitial | 6825
|
| Fibromyalgia | 5025
|
| Fistula in ano | 7335
|
| Fistula:
| |
| Rectovaginal | 7624
|
| Urethrovaginal | 7625
|
| Flatfoot, acquired | 5276
|
| Gastritis, chronic | 7307
|
| Gastroesophageal reflux disease | 7206
|
| Genu recurvatum | 5263
|
| Glaucoma:
| |
| Congestive or inflammatory | 6012
|
| Simple, primary, noncongestive | 6013
|
| Glomerulonephritis | 7536
|
| Gout | 5017
|
| Graves' disease | 7900
|
| Hallux:
| |
| Rigidus | 5281
|
| Valgus | 5280
|
| Hammer toe | 5282
|
| Heart valve replacement | 7016
|
| Hematologic:
| |
| Essential thrombocythemia and primary myelofibrosis | 7718
|
| Immune thrombocytopenia | 7705
|
| Multiple myeloma | 7712
|
| Myelodysplastic syndromes | 7725
|
| Solitary plasmacytoma | 7724
|
| Hematomyelia | 8012
|
| Hemorrhage:
| |
| Brain | 8009
|
| Intra-ocular | 6007
|
| Hemorrhagic fevers, including dengue, yellow fever, and others | 6329
|
| Hemorrhoids | 7336
|
| Hepatitis C | 7354
|
| Hernia:
| |
| Femoral, inguinal, umbilical, ventral, incisional, and other | 7338
|
| Hiatal and parasophageal | 7346
|
| Muscle | 5326
|
| Heterotopic ossification | 5023
|
| Hip:
| |
| Flail joint | 5254
|
| Histoplasmosis | 6834
|
| HIV-Related Illness | 6351
|
| Hodgkin's disease | 7709
|
| Hodgkin's lymphoma | 7709
|
| Hydronephrosis | 7509
|
| Hyperaldosteronism | 7917
|
| Hyperhidrosis | 7832
|
| Hyperinfection syndrome or disseminated strongyloidiasis | 6325
|
| Hyperparathyroidism | 7904
|
| Hyperpituitarism | 7916
|
| Hypersensitivity | 6831
|
| Hypertensive:
| |
| Heart disease | 7007
|
| Vascular disease | 7101
|
| Hyperthyroid heart disease | 7008
|
| Hyperthyroidism | 7900
|
| Hypoparathyroidism | 7905
|
| Hypothyroidism | 7903
|
| Impairment of:
| |
| Humerus | 5202
|
| Clavicle or scapula | 5203
|
| Elbow | 5209
|
| Thigh | 5253
|
| Femur | 5255
|
| Knee, other | 5257
|
| Field vision | 6080
|
| Tibia and fibula | 5262
|
| Rectum & anus | 7332
|
| Ulna | 5211
|
| Implantable cardiac pacemakers | 7018
|
| Infections of the skin | 7820
|
| Injury:
| |
| Bladder | 7517
|
| Breast | 7631
|
| Eye, unhealed | 6009
|
| Foot | 5284
|
| Gallbladder | 7317
|
| Lips | 7201
|
| Liver, residuals | 7311
|
| Mouth, soft tissue | 7200
|
| Muscle:
| |
| Facial | 5325
|
| Group I Function: Upward rotation of scapula | 5301
|
| Group II Function: Depression of arm | 5302
|
| Group III Function: Elevation and abduction of arm | 5303
|
| Group IV Function: Stabilization of shoulder | 5304
|
| Group V Function: Elbow supination | 5305
|
| Group VI Function: Extension of elbow | 5306
|
| Group VII Function: Flexion of wrist and fingers | 5307
|
| Group VIII Function: Extension of wrist, fingers, thumb | 5308
|
| Group IX Function: Forearm muscles | 5309
|
| Group X Function: Movement of forefoot and toes | 5310
|
| Group XI Function: Propulsion of foot | 5311
|
| Group XII Function: Dorsiflexion | 5312
|
| Group XIII Function: Extension of hip and flexion of knee | 5313
|
| Group XIV Function: Extension of knee | 5314
|
| Group XV Function: Adduction of hip | 5315
|
| Group XVI Function: Flexion of hip | 5316
|
| Group XVII Function: Extension of hip | 5317
|
| Group XVIII Function: Outward rotation of thigh | 5318
|
| Group XIX Function: Abdominal wall and lower thorax | 5319
|
| Group XX Function: Postural support of body | 5320
|
| Group XXI Function: Respiration | 5321
|
| Group XXII Function: Rotary and forward movements, head | 5322
|
| Group XXIII Function: Movements of head | 5323
|
| Pharynx | 6521
|
| Sacroiliac | 5236
|
| Spinal cord | 6841
|
| Stomach, residuals of | 7310
|
| Iritis | 6003
|
| Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism | 7537
|
| Intervertebral disc syndrome | 5243
|
| Intestine:
| |
| Fistulous disease, external | 7330
|
| Large, resection of | 7329
|
| Small, resection of | 7328
|
| Irritable bowel syndrome (IBS) | 7319
|
| Keratinization, diseases of | 7824
|
| Keratitis | 6001
|
| Keratoconus | 6035
|
| Kidney:
| |
| Abscess | 7501
|
| Cystic diseases | 7533
|
| Removal | 7500
|
| Transplant | 7531
|
| Tuberculosis | 7505
|
| Kyphoscoliosis, pectus excavatum / carinatum | 6842
|
| Lagophthalmos | 6022
|
| Laryngectomy | 6518
|
| Laryngitis:
| |
| Tuberculous | 6515
|
| Chronic | 6516
|
| Larynx, stenosis of | 6520
|
| Leishmaniasis:
| |
| American (New World) | 7807
|
| Old World | 7808
|
| Leprosy (Hansen's Disease) | 6302
|
| Leukemia:
| |
| Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia) | 7719
|
| Leukemia | 7703
|
| Limitation of extension:
| |
| Forearm | 5207
|
| Leg | 5261
|
| Radius | 5212
|
| Supination and pronation | 5213
|
| Thigh | 5251
|
| Limitation of extension and flexion:
| |
| Forearm | 5208
|
| Limitation of flexion:
| |
| Forearm | 5206
|
| Leg | 5260
|
| Thigh | 5252
|
| Limitation of motion:
| |
| Ankle | 5271
|
| Arm | 5201
|
| Index or long finger | 5229
|
| Ring or little finger | 5230
|
| Temporomandibular | 9905
|
| Thumb | 5228
|
| Wrist, limitation of motion | 5215
|
| Liver:
| |
| Disease, chronic, without cirrhosis | 7345
|
| Transplant | 7351
|
| Cirrhosis | 7312
|
| Loss of:
| |
| Auricle | 6207
|
| Condyloid process | 9908
|
| Coronoid process | 9909
|
| Eyebrows | 6023
|
| Eyelashes | 6024
|
| Eyelids | 6032
|
| Palate, hard | 9911
|
| Mandible:
| |
| Including ramus, unilaterally or bilaterally | 9902
|
| Maxilla:
| |
| More than half | 9914
|
| Less than half | 9915
|
| Nose, part of, or scars | 6504
|
| Skull, part of | 5296
|
| Smell, sense of | 6275
|
| Taste, sense of | 6276
|
| Teeth, loss of | 9913
|
| Tongue, loss of whole or part | 7202
|
| Loss of use of:
| |
| Both feet | 5110
|
| Both hands | 5109
|
| Foot | 5167
|
| Hand | 5125
|
| One hand and one foot | 5111
|
| Lumbosacral strain | 5237
|
| Lupus:
| |
| Erythematosus | 6350
|
| Erythematosus, discoid | 7809
|
| Lyme disease | 6319
|
| Lymphatic filariasis, to include elephantiasis | 6305
|
| Malaria | 6304
|
| Malignant melanoma | 7833
|
| Malunion:
| |
| Mandible | 9904
|
| Os calcis or astragalus | 5273
|
| Maxilla, malunion or nonunion | 9916
|
| Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of | 9900
|
| Melioidosis | 6318
|
| Meniere's syndrome | 6205
|
| Meningitis, cerebrospinal, epidemic | 8019
|
| Mental disorders:
| |
| Anorexia nervosa | 9520
|
| Bipolar disorder | 9432
|
| Bulimia nervosa | 9521
|
| Chronic adjustment disorder | 9440
|
| Conversion disorder (functional neurological symptom disorder). | 9424
|
| Cyclothymic disorder | 9431
|
| Delirium | 9300
|
| Delusional disorder | 9208
|
| Depersonalization/derealization disorder | 9417
|
| Dissociative amnesia; dissociative identity disorder | 9416
|
| Generalized anxiety disorder | 9400
|
| Illness anxiety disorder | 9425
|
| Major depressive disorder | 9434
|
| Major or mild neurocognitive disorder due to Alzheimer's disease | 9312
|
| Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder | 9326
|
| Major or mild neurocognitive disorder due to HIV or other infections | 9301
|
| Major or mild neurocognitive disorder due to traumatic brain injury | 9304
|
| Major or mild vascular neurocognitive disorder | 9305
|
| Obsessive compulsive disorder | 9404
|
| Other specified and unspecified schizophrenia spectrum and other psychotic disorders | 9210
|
| Other specified anxiety disorder | 9410
|
| Other specified somatic symptom and related disorder | 9422
|
| Panic disorder and/or agoraphobia | 9412
|
| Persistent depressive disorder (dysthymia) | 9433
|
| Posttraumatic stress disorder | 9411
|
| Schizoaffective disorder | 9211
|
| Schizophrenia | 9201
|
| Somatic symptom disorder | 9421
|
| Specific phobia; social anxiety disorder (social phobia) | 9403
|
| Unspecified somatic symptom and related disorder | 9423
|
| Unspecified anxiety disorder | 9413
|
| Unspecified depressive disorder | 9435
|
| Unspecified neurocognitive disorder | 9310
|
| Metatarsalgia | 5279
|
| Migraine | 8100
|
| Morton's disease | 5279
|
| Mucormycosis | 6839
|
| Multiple sclerosis | 8018
|
| Myasthenia gravis | 8025
|
| Myelitis | 8010
|
| Myocardial infarction | 7006
|
| Myositis | 5021
|
| Narcolepsy | 8108
|
| Neoplasms:
| |
| Benign:
| |
| Breast | 7631
|
| Digestive system | 7344
|
| Ear | 6209
|
| Endocrine | 7915
|
| Genitourinary | 7529
|
| Gynecological | 7628
|
| Hard and soft tissue | 9917
|
| Muscle | 5328
|
| Respiratory | 6820
|
| Skin | 7819
|
| Malignant:
| |
| Breast | 7630
|
| Digestive system | 7343
|
| Ear | 6208
|
| Endocrine | 7914
|
| Genitourinary | 7528
|
| Gynecological | 7627
|
| Hard and soft tissue | 9918
|
| Muscle | 5327
|
| Respiratory | 6819
|
| Skin | 7818
|
| Nephritis, chronic | 7502
|
| Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis | 7508
|
| Nephrosclerosis, arteriolar | 7507
|
| Neuralgia:
| |
| Cranial Nerves
| |
| Fifth (trigeminal) | 8405
|
| Seventh (facial) | 8407
|
| Ninth (glossopharyngeal) | 8409
|
| Tenth (pneumogastric, vagus) | 8410
|
| Eleventh (spinal accessory, external branch) | 8411
|
| Twelfth (hypoglossal) | 8412
|
| Peripheral Nerves
| |
| Upper radicular group | 8710
|
| Middle radicular group | 8711
|
| Lower radicular group | 8712
|
| All radicular groups | 8713
|
| Musculospiral (radial) | 8714
|
| Median | 8715
|
| Ulnar | 8716
|
| Musculocutaneous | 8717
|
| Circumflex | 8718
|
| Long thoracic | 8719
|
| Sciatic | 8720
|
| External popliteal (common peroneal) | 8721
|
| Musculocutaneous (superficial peroneal) | 8722
|
| Anterior tibial (deep peroneal) | 8723
|
| Internal popliteal (tibial) | 8724
|
| Posterior tibial | 8725
|
| Anterior crural (femoral) | 8726
|
| Internal saphenous | 8727
|
| Obturator | 8728
|
| External cutaneous nerve of thigh | 8729
|
| Ilio-inguinal | 8730
|
| Neuritis:
| |
| Cranial nerves
| |
| Fifth (trigeminal) | 8305
|
| Seventh (facial) | 8307
|
| Ninth (glossopharyngeal) | 8309
|
| Tenth (pneumogastric, vagus) | 8310
|
| Eleventh (spinal accessory, external branch) | 8311
|
| Twelfth (hypoglossal) | 8312
|
| Optic | 6026
|
| Peripheral Nerves
| |
| Upper radicular group | 8610
|
| Middle radicular group | 8611
|
| Lower radicular group | 8612
|
| All radicular groups | 8613
|
| Musculospiral (radial) | 8614
|
| Median | 8615
|
| Ulnar | 8616
|
| Musculocutaneous | 8617
|
| Circumflex | 8618
|
| Long thoracic | 8619
|
| Sciatic | 8620
|
| External popliteal (common peroneal) | 8621
|
| Musculocutaneous (superficial peroneal) | 8622
|
| Anterior tibial (deep peroneal) | 8623
|
| Internal popliteal (tibial) | 8624
|
| Posterior tibial | 8625
|
| Anterior crural (femoral) | 8626
|
| Internal saphenous | 8627
|
| Obturator | 8628
|
| External cutaneous nerve of thigh | 8629
|
| Ilio-inguinal | 8630
|
| Neurogenic bladder | 7542
|
| New growths:
| |
| Benign
| |
| Bones | 5015
|
| Brain | 8003
|
| Eye, orbit, and adnexa | 6015
|
| Spinal cord | 8022
|
| Malignant
| |
| Bones | 5012
|
| Brain | 8002
|
| Eye, orbit, and adnexa | 6014
|
| Spinal cord | 8021
|
| Nocardiosis | 6823
|
| Non-Hodgkin's lymphoma | 7715
|
| Nontuberculosis mycobacterium infection | 6312
|
| Nontyphoid salmonella infection | 6333
|
| Nonunion:
| |
| Mandible, confirmed by diagnostic imaging studies | 9903
|
| Radius and ulna | 5210
|
| Nystagmus, central | 6016
|
| Osteitis deformans | 5016
|
| Osteomalacia, residuals of | 5014
|
| Osteomyelitis | 5000
|
| Osteoporosis, residuals of | 5013
|
| Otitis media:
| |
| Externa | 6210
|
| Nonsuppurative | 6201
|
| Suppurative | 6200
|
| Otosclerosis | 6202
|
| Ovaries, atrophy of both | 7620
|
| Ovary:
| |
| Disease or injury | 7615
|
| Removal | 7619
|
| Palsy, bulbar | 8005
|
| Pancreas:
| |
| Chronic pancreatitis | 7347
|
| Post pancreatectomy syndrome | 7357
|
| Surgery, complications of | 7303
|
| Transplant | 7352
|
| Papillary necrosis | 7538
|
| Papulosquamous disorders | 7822
|
| Paralysis:
| |
| Accommodation | 6030
|
| Agitans | 8004
|
| Complete, traumatic | 5244
|
| Paralysis, nerve:
| |
| Cranial nerves
| |
| Fifth (trigeminal) | 8205
|
| Seventh (facial) | 8207
|
| Ninth (glossopharyngeal) | 8209
|
| Tenth (pneumogastric, vagus) | 8210
|
| Eleventh (spinal accessory, external branch) | 8211
|
| Twelfth (hypoglossal) | 8212
|
| Peripheral Nerves:
| |
| Upper radicular group | 8510
|
| Middle radicular group | 8511
|
| Lower radicular group | 8512
|
| All radicular groups | 8513
|
| Musculospiral (radial) | 8514
|
| Median | 8515
|
| Ulnar | 8516
|
| Musculocutaneous | 8517
|
| Circumflex | 8518
|
| Long thoracic | 8519
|
| Sciatic | 8520
|
| External popliteal (common peroneal) | 8521
|
| Musculocutaneous (superficial peroneal) | 8522
|
| Anterior tibial nerve (deep peroneal) | 8523
|
| Internal popliteal (tibial) | 8524
|
| Posterior tibial nerve | 8525
|
| Anterior crural nerve (femoral) | 8526
|
| Internal saphenous | 8527
|
| Obturator | 8528
|
| External cutaneous nerve of thigh | 8529
|
| Ilio-inguinal | 8530
|
| Paramyoclonus multiplex | 8104
|
| Parasitic disease | 6320
|
| Pellagra | 6315
|
| Penis
| |
| Erectile dysfunction | 7522
|
| Removal of glans | 7521
|
| Removal of half or more | 7520
|
| Pericardial adhesions | 7003
|
| Pericarditis | 7002
|
| Peripheral arterial disease | 7114
|
| Peripheral vestibular disorders | 6204
|
| Peritoneum, adhesions | 7301
|
| Peritonitis | 7331
|
| Pes cavus (Claw foot) acquired | 5278
|
| Pheochromocytoma | 7918
|
| Plague | 6307
|
| Plantar fasciitis | 5269
|
| Pleural effusion or fibrosis | 6845
|
| Pluriglandular syndrome | 7912
|
| Pneumoconiosis | 6832
|
| Pneumonitis & fibrosis:
| |
| Drug-induced | 6829
|
| Radiation-induced | 6830
|
| Poliomyelitis, anterior | 8011
|
| Polycythemia vera | 7704
|
| Polyglandular syndrome | 7912
|
| Post-chiasmal disorders | 6046
|
| Postgastrectomy syndromes | 7308
|
| Post-phlebitic syndrome | 7121
|
| Post-surgical residual | 6844
|
| Progressive muscular atrophy | 8023
|
| Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction | 7527
|
| Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only | 7525
|
| Prosthetic implants:
| |
| Ankle replacement | 5056
|
| Elbow replacement | 5052
|
| Hip, resurfacing or replacement | 5054
|
| Knee, resurfacing or replacement | 5055
|
| Shoulder replacement | 5051
|
| Wrist replacement | 5053
|
| Psoriasis | 7816
|
| Pterygium | 6034
|
| Ptosis | 6019
|
| Pulmonary:
| |
| Alveolar proteinosis | 6827
|
| Vascular disease | 6817
|
| Pruritus ani (anal itching) | 7337
|
| Pyelonephritis, chronic | 7504
|
| Raynaud's disease (primary Raynaud's) | 7124
|
| Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's) | 7117
|
| Rectum:
| |
| Rectum & anus, stricture | 7333
|
| Prolapse | 7334
|
| Removal:
| |
| Cartilage, semilunar | 5259
|
| Coccyx | 5298
|
| Gall bladder | 7318
|
| Kidney | 7500
|
| Penis glans | 7521
|
| Penis half or more | 7520
|
| Ribs | 5297
|
| Testis | 7524
|
| Ovary | 7619
|
| Uterus | 7618
|
| Uterus and both ovaries | 7617
|
| Renal:
| |
| Amyloid disease | 7539
|
| Disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C | 7544
|
| Disease, chronic | 7530
|
| Involvement in diabetes mellitus type I or II | 7541
|
| Tubular disorders | 7532
|
| Resection of intestine:
| |
| Large | 7329
|
| Small | 7328
|
| Retina detachment of | 6008
|
| Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy) | 6042
|
| Retinopathy, diabetic | 6040
|
| Retinopathy or maculopathy not otherwise specified | 6006
|
| Rhabdomyolysis, residuals of | 5330
|
| Rhinitis:
| |
| Allergic or vasomotor | 6522
|
| Bacterial | 6523
|
| Granulomatous | 6524
|
| Rickettsial, ehrlichia, and anaplasma Infections | 6317
|
| Sarcoidosis | 6846
|
| Scarring alopecia | 7830
|
| Scars:
| |
| Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck | 7800
|
| Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage | 7801
|
| Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage | 7802
|
| Retina | 6011
|
| Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804 | 7805
|
| Unstable or painful | 7804
|
| Schistosomiasis | 6326
|
| Shigella infections | 6334
|
| Sinusitis:
| |
| Ethmoid | 6511
|
| Frontal | 6512
|
| Maxillary | 6513
|
| Pansinusitis | 6510
|
| Sphenoid | 6514
|
| Sleep Apnea Syndrome | 6847
|
| Soft tissue sarcoma:
| |
| Muscle, fat, or fibrous connected | 5329
|
| Neurogenic origin | 8540
|
| Vascular origin | 7123
|
| Spine:
| |
| Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome | 5242
|
| Spinal fusion | 5241
|
| Spinal stenosis | 5238
|
| Spleen, injury of, healed | 7707
|
| Splenectomy | 7706
|
| Spondylolisthesis or segmental instability, spine | 5239
|
| Stomach:
| |
| Postgastrectomy syndrome | 7308
|
| Stenosis of | 7309
|
| Surgery, complications of | 7303
|
| Supraventricular tachycardia | 7010
|
| Symblepharon | 6091
|
| Syndromes:
| |
| Chronic Fatigue Syndrome (CFS) | 6354
|
| Cushing's | 7907
|
| Gastrointestinal dysmotility | 7356
|
| Meniere's | 6205
|
| Postgastrectomy | 7308
|
| Post pancreatectomy | 7357
|
| Raynaud's | 7117
|
| Sleep Apnea | 6847
|
| Syphilis | 6310
|
| Syphilis:
| |
| Cerebrospinal | 8013
|
| Meningovascular | 8014
|
| Syphilitic heart disease | 7004
|
| Syringomyelia | 8024
|
| Tabes dorsalis | 8015
|
| Tarsal or metatarsal bones | 5283
|
| Tenosynovitis, tendinitis, tendinosis or tendinopathy | 5024
|
| Testis:
| |
| Atrophy, complete | 7523
|
| Removal | 7524
|
| Thrombocytopenia | 7705
|
| Thrombosis, brain | 8008
|
| Thyroid gland:
| |
| Nontoxic thyroid enlargement | 7902
|
| Toxic thyroid enlargement | 7901
|
| Thyroiditis | 7906
|
| Tic, convulsive | 8103
|
| Tinnitus, recurrent | 6260
|
| Toxic nephropathy | 7535
|
| Traumatic brain injury residuals | 8045
|
| Traumatic chest wall defect | 6843
|
| Tuberculosis:
| |
| Adenitis | 7710
|
| Bones and joints | 5001
|
| Eye | 6010
|
| Kidney | 7505
|
| Luposa (lupus vulgaris) | 7811
|
| Miliary | 6311
|
| Pleurisy, active or inactive | 6732
|
| Pulmonary:
| |
| Active, far advanced | 6701
|
| Active, moderately advanced | 6702
|
| Active, minimal | 6703
|
| Active, advancement unspecified | 6704
|
| Active, chronic | 6730
|
| Inactive, chronic | 6731
|
| Inactive, far advanced | 6721
|
| Inactive, moderately advanced | 6722
|
| Inactive, minimal | 6723
|
| Inactive, advancement unspecified | 6724
|
| Tuberculosis luposa (lupus vulgaris) | 7811
|
| Tympanic membrane | 6211
|
| Ulcer, peptic | 7304
|
| Ureter, stricture of | 7511
|
| Urethra
| |
| Fistula | 7519
|
| Stricture | 7518
|
| Urticaria, chronic. | 7825
|
| Uterus:
| |
| And both ovaries, removal | 7617
|
| Disease or injury | 7613
|
| Prolapse | 7621
|
| Removal | 7618
|
| Uveitis | 6000
|
| Vagina, disease or injury | 7611
|
| Vagotomy | 7348
|
| Valvular heart disease | 7000
|
| Varicocele/Hydrocele | 7543
|
| Varicose veins | 7120
|
| Vasculitis, primary cutaneous | 7826
|
| Ventricular arrhythmia | 7011
|
| Vertebral fracture or dislocation | 5235
|
| Vibriosis (Cholera, Non-cholera) | 6300
|
| Visceral Leishmaniasis | 6301
|
| Visceroptosis | 7342
|
| Vision: see also Blindness and Loss of
| |
| One eye 5/200 (1.5/60), with visual acuity of other eye:
| |
| 5/200 (1.5/60) | 6071
|
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6072
|
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6073
|
| 20/40 (6/12) | 6074
|
| One eye 10/200 (3/60), with visual acuity of other eye:
| |
| 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60) | 6075
|
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076
|
| 20/40 (6/12) | 6077
|
| One eye 15/200 (4.5/60), with visual acuity of other eye:
| |
| 15/200 (4.5/60) or 20/200 (6/60) | 6075
|
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076
|
| 20/40 (6/12) | 6077
|
| One eye 20/200 (6/60), with visual acuity of other eye:
| |
| 20/200 (6/60) | 6075
|
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6076
|
| 20/40 (6/12) | 6077
|
| One eye 20/100 (6/30), with visual acuity of other eye: and other eye:
| |
| 20/100 (6/30); 20/70 (6/21); 20/50 (6/15) | 6078
|
| 20/40 (6/12) | 6079
|
| One eye 20/70 (6/21), with visual acuity of other eye:
| |
| 20/70 (6/21) or 20/50 (6/15) | 6078
|
| 20/40 (6/12) | 6079
|
| One eye 20/50 (6/15), with visual acuity of other eye:
| |
| 20/50 (6/15) | 6078
|
| 20/40 (6/12) | 6079
|
| Each eye 20/40 (6/12) | 6079
|
| Vitiligo | 7823
|
| Vulva or clitoris, disease or injury of | 7610
|
| Weak foot | 5277
|
| West Nile virus infection | 6335 |