Frequently Used Tests & ICD-10 Codes

Transcription

1 Frequently Used Tests & ICD-10 Codes revised 9/18/2015 Medicare limited coverage policies outline indications for which testing is considered reasonable and necessary. Monitoring of treatment or therapy may be reasonable and medically necessary at frequencies outlined in Medicare's Limited Coverage Policies and indicated below as Q. Test(s) ordered in addition to Medicare's recognized frequencies for monitoring and in response to changes in patient treatment or condition, the diagnosis must support medical necessity and should be and accompanied by a diagnosis code (ICD10) specific to that medical condition. If testing is requested which is not covered by Medicare the patient or responsible party may sign an Advanced Beneficiary Notice (ABN) and be fully responsible for payment. Please refer to your Medical Necessity policies and ICD10 Code book for additional information. The below list is intended to assist in providing ICD-10 diagnosis codes as required by Medicare and other insurers. This list includes examples of diagnoses based on CLS' historical ordering data, but does not represent a complete list of lab related diagnoses. Some ICD-10 codes as noted require an Test Name additional code (see notes in red). Please refer to Medicare Regulations and Manuals issued and authorized by CMS for a complete list of ICD-10 codes that meet medical necessity. The ultimate responsibility for correct coding lies with the ordering physician. Albumin, Prealbumin (NDS) D50.9 Iron deficiency anemia, unspecified D51.0 Vitamin B12 defic anemia due to intinsic factor deficiency D64.0 Hereditary sideroblastic anemia D64.9 Anemia, unspecified E44.0 Moderate protein-calorie malnutrition E46 Unspecified protein-calorie malnutrition (Malnutrition NOS & Protein-calorie imbalance NOS) E63.9 Nutritional deficiency, unspecified L89.90 Pressure ulcer of unspecified site, unspecified stage L89.91 Pressure ulcer of unspecified site, stage 1 L89.92 Pressure ulcer of unspecified site, stage 2 L89.93 Pressure ulcer of unspecified site, stage 3 L89.94 Pressure ulcer of unspecified site, stage 4 L89.95 Pressure ulcer of unspecified site, unstageable N19 Unspecified kidney failure R63.4 Abnormal weight loss BMP Basic Metabolic Panel (NDS) F03.90 Unspecified dementia without behavioral disturbance I27.9 Pulmonary heart disease, unspecified N28.9 Disorder of kidney and ureter, unspecified (Nephropathy NOS, renal disease acute NOS, renal insuffucuency acute) R53.82 Chronic fatigue, unspecified R56.9 Unspecified convulsions R60.0 Localized edema R60.1 Generalized edema R60.9 Edema, unspecified (Fluid retention NOS) BNP B-type Natriuretic Peptide (LC) I11.0 Hypertensive heart disease with heart failure Use additional code to identify type of heart failure (I150.-) Page 1 of 10

2 CBCD, CBC, H&H (LC) A04.7 Entercolitis due to Clostridium difficle A09 Infectious gastroenteritis and colitis, unspecified A49.01 Methicillin susceptible Staphylococcus infection, unspecified site (MSSA infections & Staphylococcus aurues infection NOS) D50.0 Iron deficiency anemia secondary to blood loss (chronic) (Posthemorrhagic anemia chronic) D50.8 Other iron deficiency anemias (due to inadequate dietary intake) D51.0 Vitamin B12 defic anemia due to intinsic factor deficiency D52.9 Folate deficiency anemia, unspecified D Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhbitors E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.21 Type 1 diabetes mellitus with diabetic nephropathy E10.29 Type 1 diabetes mellitus w oth diabetic kidney complication E10.59 Type 1 diabetes mellitus with other circulatory complications E Type 1 diabetes mellitus with diabetic dermatitis (necrosbosis lipoidica) E10.65 Type 1 diabetes mellitus with hyperglycemia E10.8 Type 1 diabetes mellitus with unspecified complications E10.9 Type 1 diabetes mellitus without complications E11.21 Type 2 diabetes mellitus with diabetic nephropathy E11.29 Type 2 diabetes mellitus with other diabetic kidney complication E11.59 Type 2 diabetes mellitus with other circulatory complications E Type 2 diabetes mellitus with diabetic dermatitis (necrobiosis lipoidica) E13.10 Other specified diabetes mellitus with ketoacidosis without coma E13.21 Other specified diabetes mellitus with diabetic nephropathy E13.29 Other specified diabetes mellitus with other diabetic kidney complication E46 Unspecified protein-calorie malnutrition (Malnutrition NOS & Protein-calorie imbalance NOS) E66.9 Obesity, unspecified I96 Gangrene, not elsewhere classified Gangrenous cellulitis) N19 Unspecified kidney failure R07.9 Chest pain, unspecified R10.9 Unspecified abdominal pain R11.10 Vomiting, unspecified (Vomiting NOS) R50.9 Fever, unspecified R53.81 Other Malaise (Chronic Debility, Debility NOS, General physical deterioration, Malaise NOS, Nervous Debility) R53.83 Other Fatigue (Fatigue NOS, Lack of energy, Lethargy, Tiredness) R60.0 Localized edema R60.1 Generalized edema R60.9 Edema, unspecified (Fluid retention NOS) CMP Comprehensive Metabolic Panel (NDS) E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.21 Type 1 diabetes mellitus with diabetic nephropathy E10.29 Type 1 diabetes mellitus w oth diabetic kidney complication E Type 1 diabetes mellitus with other skin complications E10.65 Type 1 diabetes mellitus with hyperglycemia E11.21 Type 2 diabetes mellitus with diabetic nephropathy E11.29 Type 2 diabetes mellitus with other diabetic kidney complication E Type 2 diabetes mellitus with other skin complications E13.10 Other specified diabetes mellitus with ketoacidosis without coma E13.21 Other specified diabetes mellitus with diabetic nephropathy E13.29 Other specified diabetes mellitus with other diabetic kidney complication E Other specified diabetes mellitus with other skin complications E83.10 Disorder of iron metabolism, unspecified F03.90 Unspecified dementia without behavioral disturbance (Dementia NOS) F28 Other psychotic disorder not due to a substance or known physiological condition (Chronic hallucinatory psychosis) N28.9 Disorder of kidney and ureter, unspecified (Nephropathy NOS, renal disease acute NOS, renal insufficiency acute) R11.10 Vomiting, unspecified (Vomiting NOS) R53.81 Other Malaise (Chronic Debility, Debility NOS, General physical deterioration, Malaise NOS, Nervous Debility) R53.82 Chronic fatigue, unspecified R53.83 Other Fatigue (Fatigue NOS, Lack of energy, Lethargy, Tiredness) R60.0 Localized edema R60.1 Generalized edema R60.9 Edema, unspecified (Fluid retention NOS) Page 2 of 10

3 Digoxin (LC) Q yearly after steady state is achieved I48.2 Chronic atrial fibrillation (permanent atrial fibrillation) I48.91 Unspecified atrial fibrillation T46.2X1A Poisoning by other antidysrhythmic drugs, accidental (unintentional), initial encounter T46.2X2A Poisoning by other antidysrhythmic drugs, intentional self-harm, initial encounter T46.2X3A Poisoning by other antidysrhythmic drugs, assault, initial encounter T46.2X4A Poisoning by other antidysrhythmic drugs, undetermined, initial encounter T50.905A Adverse effect of unspecifie drugs, medicaments and biological substances, initial encounter Dilantin (Phenytoin) (NDS) I49.9 Cardiac arrhythmia, unspecified [Arrhythmia (cardiac) NOS] R56.9 Unspecified Convulsions (Convulsion disorder, Fit NOS, Recurrent convulsions, Seizure (s) (convulsive) NOS) Glucose (LC) Frequent strip tests Q 3 A41.02 Sepsis due to Methicillin ressistant Staphylococcus aureus Code first: postprocedural sepsis (T81.4), sepsis following immunization (T88.0), sepsis following infusion, transfusion or therapeutic injection (T80.2-) E08.52 Diabetes mellitis due to undrtlying condition with diabetic peripheral angiopathy with gangrene E10.52 Type 1 diabetes mellitis with diabetic peripheral angiopathy with gangrene E11.52 Type 2 diabetes mellitis with diabetic peripheral angiopathy with gangrene E13.52 Other specified diabetes mellitis with diabetic peripheral angiopathy with gangrene F28 Other psychotic disorder not due to a substance or known physiological condition (chronic hallucinatory psychosis) F29 Unspecified psychosis not due to a substance or known physiological condition (Psychosis NOS) I Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg Use additional code to identify the severity of any ulcer (L97.-, L98.49-), if applicable I96 Gangrene, not elsewhere classified Gangrenous cellulitis) L89.90 Pressure ulcer of unspecified site, unspecified stage L89.91 Pressure ulcer of unspecified site, stage 1 L89.92 Pressure ulcer of unspecified site, stage 2 L89.93 Pressure ulcer of unspecified site, stage 3 L89.94 Pressure ulcer of unspecified site, stage 4 L89.95 Pressure ulcer of unspecified site, unstageable N39.0 Urinary track infections, site not specified Use additional code (B95-B97), to identify infectious agent R07.9 Chest pain, unspecified R42 Dizziness and giddiness (Light-headedness, Vertigo NOS) R53.82 Chronic fatigue, unspecified R63.4 Abnormal weight loss R63.5 Abnormal weight gain Page 3 of 10

4 Hgb A1C (LC) Q 3 E13.8 Other specified diabetes mellitus with unspecified complications E13.9 Other specified diabetes mellitus without complications E16.2 Hypoglycemia, unspecified E74.8 Other specified disorders of carbohydrate metabolism (essential pentosuria, renal glycosuria) R73.09 Other abnormal gluclose (Abnormal glucose NOS, Abnormal non-fasting glucose tolerance, Latent diabetes, Prediabetes) R73.9 Hyperglycemia, unspecified Z79.4 Long term (current) use of insulin Code also any therapeutic drug level monitoring (Z51.81) Iron, IBC, Ferritin, Transferrin (LC) D50.9 Iron deficiency anemia, unspecified D51.0 Vitamin B12 defic anemia due to intinsic factor deficiency D52.0 Dietary folate deficiency anemia (Nutritional megaloblastic anemia) D52.8 Other folate deficiency anemias D52.9 Folate deficiency anemia, unspecified D64.9 Anemia, unspecified D68.8 Other specified coagulation defects D68.9 Coagulation defect, unspecified E13.9 Other specified diabetes mellitus without complications E44.0 Moderate protein-calorie malnutrition E44.1 Mild protein-calorie malnutrition E46 Unspecified protein-calorie malnutrition (Malnutrition NOS & Protein-calorie imbalance NOS) N19 Unspecified kidney failure Page 4 of 10

5 Lipid Panel Q yearly, LDL & Total Cholesterol Q 2 months first year Q 4 months after treatment goals achieved, HDL, Triglycerides, VLDL (LC) E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.21 Type 1 diabetes mellitus with diabetic nephropathy E10.29 Type 1 diabetes mellitus w oth diabetic kidney complication E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy E10.43 Type 1 diabetes with diabetic autonomic (poly)neuropathy (gastroparesis) E10.44 Type 1 diabetes mellitus with diabetic amyotrophy E10.49 Type 1 diabetes mellitis with other diabetic neurological complication E10.51 Type 1 diabetes mellitis with diabeticc peripheral angiopathy without gangrene E10.52 Type 1 diabetes mellitis with diabeticc peripheral angiopathy with gangrene E10.59 Type 1 diabetes mellitus with other circulatory complications E Type 1 diabetes mellitus with diabetic neuropathic arthropathy (Charcot's joints) E Type 1 diabetes mellitus with other diabetic arthropathy E Type 1 diabetes mellitus with diabetic dermatitis (necrosbosis lipoidica) E10.65 Type 1 diabetes mellitus with hyperglycemia E10.69 Type 1 diabetes mellitus with other specified complication Use additional code to identify complication E10.8 Type 1 diabetes mellitus with unspecified complications E10.9 Type 1 diabetes mellitus without complications E11.21 Type 2 diabetes mellitus with diabetic nephropathy E11.29 Type 2 diabetes mellitus with other diabetic kidney complication E11.40 Type 2 diabetes mellitus with diabetic neuropathys, unspecified E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy E11.43 Type 2 diabetes with diabetic autonomic (poly)neuropathy E11.44 Type 2 diabetes mellitus with diabetic amyotrophy E11.49 Type 2 diabetes mellitis with other diabetic neurological complication E11.51 Type 2 diabetes mellitis with diabetic peripheral angiopath ywithout gangrene E11.52 Type 2 diabetes mellitis with diabetic peripheral angiopathy with gangrene E11.59 Type 2 diabetes mellitus with other circulatory complications E Type 2 diabetes mellitus with diabetic neuropathic arthropathy E Type 2 diabetes mellitus with other diabetic arthropathy E Type 2 diabetes mellitus with diabetic dermatitis (necrobiosis lipoidica) E11.69 Type 2 diabetes mellitus with other specified complication Use additional code to identify complication E13.10 Other specified diabetes mellitus with ketoacidosis without coma E13.21 Other specified diabetes mellitus with diabetic nephropathy E13.29 Other specified diabetes mellitus with other diabetic kidney complication E13.9 Other specified diabetes mellitus without complications E46 Unspecified protein-calorie malnutrition (Malnutrition NOS & Protein-calorie imbalance NOS) E66.8 Other obesity E66.9 Obesity, unspecified E78.0 Pure hypercholesterolemia (Familial hypercholesterolemia, Fredrickson's hyperlipoproteinemia type Iia, Hyperbetalipoproteinemia, Hyperlipidemia group A, Low-density-lipoprotein-type [LDL] jyperlipoproteinemia) E78.4 Other hyperlipidemia (Familial combined hyperlipidemia) E78.5 Hyperlipidemia, unspecified I11.0 Hypertensive heart disease with heart failure Use additional code to identify type of heart failure (I150.-) R07.9 Chest pain, unspecified Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID) Code also any therapeutic drug level monitoring (Z51.81) Page 5 of 10

6 Liver Panel and Components (NDS) E83.10 Disorder of iron metabolism, unspecified K74.0 Hepatic fibrosis Code also, if applicable, viral hepatitis (acute) (chronic) (B15-B19) K74.60 Unspecified cirrhosis of liver NOS Code also, if applicable, viral hepatits (acute) (chronic) (B15-B19) L74.69 Other cirhossis of liver (Cryptogenic cirrhosis, Macronodular cirrhosis, Micronodular cirrosis, Mixed typehossis, Portal cirrhosis, Post necrotic cirrhosis) Code also, if applicable, viral hepatitis (acute) (chronic) (B15-B19) K76.9 Liver disease, unspecified R17 Unspecified jaundice R94.5 Abnormal results of liver function studies Z Other long term (current) drug therapy Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID) Code also any therapeutic drug level monitoring (Z51.81) Phenobarbital (NDS) F60.9 Personality disorder, unspecified (Character disorder NOS, Character neurosis NOS, Pathological personality NOS) F69 Unspecified disorder of adult personality and behavior R56.9 Unspecified convulsions Platelet Counts (LC) D64.9 Anemia, unspecified Z79.01 Long term (current) use of anticoagulants Code also any therapeutic drug level monitoring (Z51.81) Potassium and Electrolytes (NDS) E10.10 Type 1 diabetes mellitus with ketoacidosis without coma E10.21 Type 1 diabetes mellitus with diabetic nephropathy E10.29 Type 1 diabetes mellitus w oth diabetic kidney complication E10.59 Type 1 diabetes mellitus with other circulatory complications E Type 1 diabetes mellitus with diabetic dermatitis (necrosbosis lipoidica) E10.65 Type 1 diabetes mellitus with hyperglycemia E10.8 Type 1 diabetes mellitus with unspecified complications E10.9 Type 1 diabetes mellitus without complications E11.21 Type 2 diabetes mellitus with diabetic nephropathy E11.29 Type 2 diabetes mellitus with other diabetic kidney complication E11.59 Type 2 diabetes mellitus with other circulatory complications E Type 2 diabetes mellitus with diabetic dermatitis (necrobiosis lipoidica) E13.10 Other specified diabetes mellitus with ketoacidosis without coma E13.21 Other specified diabetes mellitus with diabetic nephropathy E13.29 Other specified diabetes mellitus with other diabetic kidney complication E86.9 Volume depletion, unspecified Page 6 of 10

7 PT Protime with INR (LC) Q2 to 3 weeks after patient stable D66 Hereditary factor VIII deficiency (Classical hemophilia, Deficiency factor VIII with functional defect, Hemophilia A, Hemophilia NOS) D67 Hereditary deficiency Christmas disease, Factor IX deficiency w/ function defect, Hemophilia B, Plasma thromboplastin component deficiency D68.1 Hereditary faxtor XI deficiency (Hemophilia C, Plasmathromboplastin antecedent [PTA] deficiency, Rosenthal's disease) D68.2 Hereditary deficiency,other clotting factors(ac globulin deficiency, Deficiency of factor II prothrombin, Deficiency of factor V, Deficiency of factor VII, Deficiency of factor X, Deficiency of factor XII, Deficiency of factor XIII, Dysfibrinogenemia, Hypoproconvertinemia, Proaccelerin deficiency) D Acquired hemophilia (Autoimmune hemophilia, Autoimmune inhibitors to clotting factors, Secondary hemophilia) D Antiphospholipid antibody w/ hemorrhagic disorder (Lupus anticoagulant w/ hemorrhagic disorder, Systemic lupus erythematosus inhibitor w/ hemorrhagic disorder D Other hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhbitors D68.4 Acquired coagulation factor deficiency (Deficiency coagulation factor due to liver disease, Deficiency coagulation factor due to vitamin K deficiency) D68.9 Coagulation defect, unspecified M Pain in right arm (pain in right upper limb NOS) M Pain in left arm (pain in left upper limb NOS) M Pain in arm, unspecified (pain in upper limb NOS) M Pain in right leg (pain in right lower limb NOS) M Pain in left leg (pain in left lower limb NOS) M Pain in leg, unspecified (pain in lower limb NOS) M Pain in unspecified limb 9pain in limb NOS) M Pain in right upper arm M Pain in left upper arm M Pain in unspecified upper arm M Pain in right forearm M Pain in left forearm M Pain in unspecified forearm M Pain in right hand M Pain in left hand M Pain in unspecified hand M Pain in right finger(s) M Pain in left finger(s) M Pain in unspecified finger(s) M Pain in right thigh M Pain in left thigh M Pain in unspecified thigh M Pain in right lower leg M Pain in left lower leg M Pain in unspecified lower leg M Pain in right foot M Pain in left foot M Pain in unspecified foot M Pain in right toe(s) M Pain in left toe(s) M Pain in unspecified toe(s) N19 Unspecified kidney failure T45.511A Poisoning by anticoagulants, accidental, (unintentional) initial encounter (Poisoning by anticoagulants NOS) T45.512A Poisoning by anticoagulants, intentional self-harm, initial encounter T45.513A Poisoning by anticoagulants, assault, initial encounter T45.514A Poisoning by anticoagulants, undetermined, initial encounter T45.521A Poisoning by antithrombotic drugs, accidental (unintentional) initial encounter (Poisoning by antithrombotic drugs NOS) T45.522A Poisoning by antithrombotic drugs, intentional self-harm, initial encounter T45.523A Poisoning by antithrombotic drugs, assault, initial encounter T45.524A Poisoning by antithrombotic drugs, undetermined, initial encounter T50.905A Adverse effect of unspecifie drugs, medicaments and biological substances, initial encounter Z79.01 Long term (current) use of anticoagulants Code also any therapeutic drug level monitoring (Z51.81) Page 7 of 10

8 PTT (LC) I48.0 Paroxysmal atrial fibrillation I48.2 Chronic atrial fibrillation (permanent atrial fibrillation) I48.91 Unspecified atrial fibrillation M Pain in right arm (pain in right upper limb NOS) M Pain in left arm (pain in left upper limb NOS) M Pain in arm, unspecified (pain in upper limb NOS) M Pain in right leg (pain in right lower limb NOS) M Pain in left leg (pain in left lower limb NOS) M Pain in leg, unspecified (pain in lower limb NOS) M Pain in unspecified limb 9pain in limb NOS) M Pain in right upper arm M Pain in left upper arm M Pain in unspecified upper arm M Pain in right forearm M Pain in left forearm M Pain in unspecified forearm M Pain in right hand M Pain in left hand M Pain in unspecified hand M Pain in right finger(s) M Pain in left finger(s) M Pain in unspecified finger(s) M Pain in right thigh M Pain in left thigh M Pain in unspecified thigh M Pain in right lower leg M Pain in left lower leg M Pain in unspecified lower leg M Pain in right foot M Pain in left foot M Pain in unspecified foot M Pain in right toe(s) M Pain in left toe(s) M Pain in unspecified toe(s) N19 Unspecified kidney failure R06.02 Shortness of breath Z79.01 Long term (current) use of anticoagulants Code also any therapeutic drug level monitoring (Z51.81) Page 8 of 10

9 RPR (NDS) G30.0 Alzheimer's disease with early onset G30.1 Alzheimer's disease with late onset G30.8 Other Alzheimer's disease G30.9 Alzheimer's disease, unspecified G G30.9 Use additional code to identify: delirium if applicable (F05), Dementia with behaviorial disturbance (F08.21), dementia without behaviorial disturbance (F02.80) G31.1 Senile degeneration of brain, not elsewhere classified Use additional code to identify: dementia with behaviorial disturbance (F02.81), dementia without behaviorial disturbance (F02.80) R41.0 Disorientation, unspecified (Confusion NOS, Delirium NOS) R41.82 Altered mental status, unspecified change in mental status NOS) TSH, T3 Uptake, T4 Total (LC) Q 6 months in clinically stable patients E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified E10.41 Type 1 diabetes mellitus with diabetic mononeuropathy E10.42 Type 1 diabetes mellitus with diabetic polyneuropathy E10.43 Type 1 diabetes with diabetic autonomic (poly)neuropathy (gastroparesis) E10.44 Type 1 diabetes mellitus with diabetic amyotrophy E10.49 Type 1 diabetes mellitis with other diabetic neurological complication E10.51 Type 1 diabetes mellitis with diabeticc peripheral angiopathy without gangrene E10.52 Type 1 diabetes mellitis with diabeticc peripheral angiopathy with gangrene E10.59 Type 1 diabetes mellitus with other circulatory complications E Type 1 diabetes mellitus with other diabetic arthropathy E Type 1 diabetes mellitus with diabetic dermatitis (necrosbosis lipoidica) E10.65 Type 1 diabetes mellitus with hyperglycemia E10.8 Type 1 diabetes mellitus with unspecified complications E Type 2 diabetes mellitis with proliferative diabetic retinopathy with macular edema E Type 2 diabetes mellitis with proliferative diabetic retinopathy without macular edema E11.40 Type 2 diabetes mellitus with diabetic neuropathys, unspecified E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy E11.43 Type 2 diabetes with diabetic autonomic (poly)neuropathy E11.44 Type 2 diabetes mellitus with diabetic amyotrophy E11.49 Type 2 diabetes mellitis with other diabetic neurological complication E11.51 Type 2 diabetes mellitis with diabetic peripheral angiopath ywithout gangrene E11.52 Type 2 diabetes mellitis with diabetic peripheral angiopathy with gangrene E11.59 Type 2 diabetes mellitus with other circulatory complications E Type 2 diabetes mellitus with diabetic neuropathic arthropathy E Type 2 diabetes mellitus with other diabetic arthropathy E Type 2 diabetes mellitus with diabetic dermatitis (necrobiosis lipoidica) E Type 2 diabetes mellitus with other skin complications E Type 2 diabetes mellitus with periodontal disease E13.65 Other specified diabetes mellitus with hyperglycemia E13.8 Other specified diabetes mellitus with unspecified complications E78.2 Mixed hyperlipidemia (Combined hyperlipidemia NOS, Elevated cholesterol w/ elevated triglycerides NEC, Hyperbetalipoproteinemia w/ prebetalipoproteinemia, Hypercholesteremia w/ endogenous hyperglyceridemia, Hyperlipidemia group C, Xanthoma tuberosum F33.8 Other recurrent depressive disorders recurrent brief depressive episodes) F34.8 Other persistent mood [affective] disorders F34.9 Persistent mood [affective] disorder, unspecified R63.4 Abnormal weight loss R63.5 Abnormal weight gain Page 9 of 10

10 Urinalysis (complete) (NDS) A41.02 Sepsis due to Methicillin ressistant Staphylococcus aureus Code first: postprocedural sepsis (T81.4), sepsis following immunization (T88.0), sepsis following infusion, transfusion or therapeutic injection (T80.2-) N39.0 Urinary track infections, site not specified Use additional code (B95-B97), to identify infectious agent R30.0 Dysuria (Strangury) R30.9 Painful micturition, unspecified (painful urination NOS) R31.9 Hematuria, unspecified R35.0 Frequency of micturition Code first, if applicable, any casual condition, such as, enlarged prostate (N40.1) Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID) Code also any therapeutic drug level monitoring (Z51.81) Urine Culture (LC) A41.02 Sepsis due to Methicillin ressistant Staphylococcus aureus Code first: postprocedural sepsis (T81.4), sepsis following immunization (T88.0), sepsis following infusion, transfusion or therapeutic injection (T80.2-) N18.6 End stage renal disease (chronic kidney disease requiring chronic dialysis) N39.0 Urinary track infections, site not specified Use additional code (B95-B97), to identify infectious agent N41.9 Inflammatory disease of prostate, unspecified (Prostatitis NOS) N76.0 Acute vaginitis (Acute vulvovaginitis, Vaginitis NOS, Vulvovaginitis NOS) Use additional code (B95-B97), to identify infectious agent N76.1 Subacute and chronic vaginitis (Chronic vulvovaginitis, Subacute vulvovaginitis) Use additional code (B95-B97), to identify infectious agent N76.2 Acute vulvitis (Vulvitis NOS) Use additional code (B95-B97), to identify infectious agent N76.3 Subacute and chronic vulvitis Use additional code (B95-B97), to identify infectious agent R31.9 Hematuria, unspecified R50.9 Fever, unspecified Valproic Acid (NDS) R56.9 Unspecified convulsions Z79.2 Long term (current) use of antibiotics Code also any therapeutic drug level monitoring (Z51.81) Vancomycin (NDS) Z79.2 Long term (current) use of antibiotics Code also any therapeutic drug level monitoring (Z51.81) Page 10 of 10