ICD-9/ICD-10 UK-HMO Covered Codes for Acupuncture - Alphabetical Effective

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1 ICD-9/ICD-10 UK-HMO Covered Codes for Acupuncture - Alphabetical Effective ICD-9 Code ICD-10 code ICD-9 Code Description G43.D1 Abdominal migraine, intractable G43.D0 Abdominal migraine, not intractable M76.60 Achilles tendinitis, unspecified leg E22.0 Acromegaly and pituitary gigantism A42.82 Actinomycotic encephalitis A42.81 Actinomycotic meningitis A80.9 Acute poliomyelitis, unspecified M75.00 Adhesive capsulitis of unspecified shoulder M06.1 Adult-onset Still's disease E70.30 Albinism, unspecified D69.0 Allergic purpura T78.40XA Allergy, unspecified, initial encounter E85.9 Amyloidosis, unspecified M45.9 Ankylosing spondylitis of unspecified sites in spine F41.9 Anxiety disorder, unspecified M00.80 Arthritis due to other bacteria, unspecified joint M12.9 Arthropathy, unspecified 267 E54 Ascorbic acid deficiency M35.2 Behcet's disease N44.2 Benign cyst of testis P15.5 Birth injury to external genitalia P15.3 Birth injury to eye P15.0 Birth injury to liver P15.1 Birth injury to spleen B40.9 Blastomycosis, unspecified G54.0 Brachial plexus disorders A23.9 Brucellosis, unspecified M75.50 Bursitis of unspecified shoulder M70.10 Bursitis, unspecified hand T70.3XXA Caisson disease [decompression sickness], initial encounter M75.30 Calcific tendinitis of unspecified shoulder M75.30 Calcific tendinitis of unspecified shoulder M65.20 Calcific tendinitis, unspecified site M71.40 Calcium deposit in bursa, unspecified site M54.2 Cervicalgia R19.4 Change in bowel habit A92.0 Chikungunya virus disease M23.50 Chronic instability of knee, unspecified knee M23.50 Chronic instability of knee, unspecified knee M23.50 Chronic instability of knee, unspecified knee M23.50 Chronic instability of knee, unspecified knee G Chronic migraine w/o aura, intractable, w status migrainosus G Chronic migraine w/o aura, intractable, w/o stat migr G Chronic migraine w/o aura, not intractable, w stat migr G Chronic migraine w/o aura, not intractable, w/o stat migr M12.00 Chronic postrheumatic arthropathy, unspecified site Q68.0 Congenital deformity of sternocleidomastoid muscle F44.4 Conversion disorder with motor symptom or deficit F44.6 Conversion disorder with sensory symptom or deficit M Crepitant synovitis (acute) (chronic), unspecified wrist (Updated )

2 555.9 K50.90 Crohn's disease, unspecified, without complications G43.A1 Cyclical vomiting, intractable G43.A0 Cyclical vomiting, not intractable N50.3 Cyst of epididymis M Cystic meniscus, unspecified meniscus, unspecified knee A36.83 Diphtheritic polyneuritis A36.82 Diphtheritic radiculomyelitis A36.84 Diphtheritic tubulo-interstitial nephropathy D75.9 Disease of blood and blood-forming organs, unspecified K63.9 Disease of intestine, unspecified G96.9 Disorder of central nervous system, unspecified N50.9 Disorder of male genital organs, unspecified N48.9 Disorder of penis, unspecified L98.9 Disorder of the skin and subcutaneous tissue, unspecified G52.1 Disorders of glossopharyngeal nerve G52.1 Disorders of glossopharyngeal nerve G52.3 Disorders of hypoglossal nerve G52.0 Disorders of olfactory nerve G52.8 Disorders of other specified cranial nerves E70.5 Disorders of tryptophan metabolism H93.3X9 Disorders of unspecified acoustic nerve G52.2 Disorders of vagus nerve M54.9 Dorsalgia, unspecified B72 Dracunculiasis R30.0 Dysuria M77.9 Enthesopathy, unspecified 035 A46 Erysipelas L51.9 Erythema multiforme, unspecified L52 Erythema nodosum G51.4 Facial myokymia M05.00 Felty's syndrome, unspecified site J94.1 Fibrothorax B74.9 Filariasis, unspecified M43.27 Fusion of spine, lumbosacral region M43.28 Fusion of spine, sacral and sacrococcygeal region F41.1 Generalized anxiety disorder 024 A24.0 Glanders A54.42 Gonococcal arthritis A54.49 Gonococcal infection of other musculoskeletal tissue R51. Headache B83.9 Helminthiasis, unspecified G Hemiplegic migraine, intractable, with status migrainosus G Hemiplegic migraine, intractable, without status migrainosus G Hemiplegic migraine, not intractable, w status migrainosus G Hemiplegic migraine, not intractable, w/o status migrainosus D66 Hereditary factor VIII deficiency D56.4 Hereditary persistence of fetal hemoglobin [HPFH] C96.A Histiocytic sarcoma B39.9 Histoplasmosis, unspecified O21.1 Hyperemesis gravidarum with metabolic disturbance E21.3 Hyperparathyroidism, unspecified E03.9 Hypothyroidism, unspecified M76.20 Iliac crest spur, unspecified hip S73.119A Iliofemoral ligament sprain of unspecified hip, init encntr M75.40 Impingement syndrome of unspecified shoulder

3 009.0 A09 Infectious gastroenteritis and colitis, unspecified A09 Infectious gastroenteritis and colitis, unspecified M06.4 Inflammatory polyarthropathy M06.4 Inflammatory polyarthropathy T14.90 Injury, unspecified M12.40 Intermittent hydrarthrosis, unspecified site S73.129A Ischiocapsular ligament sprain of unsp hip, init encntr M08.3 Juvenile rheumatoid polyarthritis (seronegative) A30.9 Leprosy, unspecified G57.60 Lesion of plantar nerve, unspecified lower limb C95.90 Leukemia, unspecified not having achieved remission E78.81 Lipoid dermatoarthritis M54.5 Low back pain A69.20 Lyme disease, unspecified G51.2 Melkersson's syndrome A39.83 Meningococcal arthritis N95.1 Menopausal and female climacteric states G Menstrual migraine, intractable, with status migrainosus G Menstrual migraine, intractable, without status migrainosus G Menstrual migraine, not intractable, w/o status migrainosus G Menstrual migraine, not intractable, with status migrainosus E88.9 Metabolic disorder, unspecified G Migraine w/o aura, intractable, without status migrainosus G Migraine w/o aura, not intractable, w/o status migrainosus G Migraine w/o aura, not intractable, with status migrainosus G Migraine with aura, intractable, with status migrainosus G Migraine with aura, intractable, without status migrainosus G Migraine with aura, not intractable, w/o status migrainosus G Migraine with aura, not intractable, with status migrainosus G Migraine without aura, intractable, with status migrainosus G Migraine, unsp, intractable, without status migrainosus G Migraine, unsp, not intractable, with status migrainosus G Migraine, unsp, not intractable, without status migrainosus G Migraine, unspecified, intractable, with status migrainosus O21.0 Mild hyperemesis gravidarum C90.00 Multiple myeloma not having achieved remission B26.85 Mumps arthritis B26.82 Mumps myocarditis B26.83 Mumps nephritis R11.0 Nausea R11.2 Nausea with vomiting, unspecified M79.2 Neuralgia and neuritis, unspecified P01.8 Newborn affected by oth maternal complications of pregnancy L51.0 Nonbullous erythema multiforme D80.1 Nonfamilial hypogammaglobulinemia N34.1 Nonspecific urethritis R Ocular torticollis M70.20 Olecranon bursitis, unspecified elbow A92.1 O'nyong-nyong fever G43.B1 Ophthalmoplegic migraine, intractable G43.B0 Ophthalmoplegic migraine, not intractable A93.0 Oropouche virus disease H92.09 Otalgia, unspecified ear N94.89 Oth cond assoc w female genital organs and menstrual cycle H74.8X9 Oth disrd of middle ear and mastoid, unspecified ear

4 M Oth enthesopathies of unspecified lower limb, excluding foot M Oth enthesopathies of unspecified lower limb, excluding foot M Oth enthesopathies of unspecified lower limb, excluding foot M12.80 Oth specific arthropathies, NEC, unsp site M12.80 Oth specific arthropathies, NEC, unsp site R19.8 Oth symptoms and signs involving the dgstv sys and abdomen B97.89 Oth viral agents as the cause of diseases classd elswhr M70.30 Other bursitis of elbow, unspecified elbow M70.70 Other bursitis of hip, unspecified hip M70.50 Other bursitis of knee, unspecified knee M71.50 Other bursitis, not elsewhere classified, unspecified site O74.8 Other complications of anesthesia during labor and delivery A36.89 Other diphtheritic complications J38.7 Other diseases of larynx J39.2 Other diseases of pharynx E70.8 Other disorders of aromatic amino-acid metabolism E83.59 Other disorders of calcium metabolism G51.8 Other disorders of facial nerve E70.29 Other disorders of tyrosine metabolism M54.89 Other dorsalgia M77.8 Other enthesopathies, not elsewhere classified M77.50 Other enthesopathy of unspecified foot A42.89 Other forms of actinomycosis B38.89 Other forms of coccidioidomycosis A43.8 Other forms of nocardiosis D58.2 Other hemoglobinopathies G90.09 Other idiopathic peripheral autonomic neuropathy M23.8X9 Other internal derangements of unspecified knee M51.26 Other intervertebral disc displacement, lumbar region M51.27 Other intervertebral disc displacement, lumbosacral region A50.49 Other late congenital neurosyphilis G56.10 Other lesions of median nerve, unspecified upper limb E78.89 Other lipoprotein metabolism disorders G Other migraine, intractable, with status migrainosus G Other migraine, intractable, with status migrainosus G Other migraine, intractable, without status migrainosus G Other migraine, intractable, without status migrainosus G Other migraine, not intractable, with status migrainosus G Other migraine, not intractable, with status migrainosus G Other migraine, not intractable, without status migrainosus G Other migraine, not intractable, without status migrainosus B26.89 Other mumps complications A18.09 Other musculoskeletal tuberculosis A31.8 Other mycobacterial infections G54.8 Other nerve root and plexus disorders N44.8 Other noninflammatory disorders of the testis B02.29 Other postherpetic nervous system involvement L40.59 Other psoriatic arthropathy G97.1 Other reaction to spinal and lumbar puncture M75.80 Other shoulder lesions, unspecified shoulder M75.80 Other shoulder lesions, unspecified shoulder F45.8 Other somatoform disorders F45.8 Other somatoform disorders M13.80 Other specified arthritis, unspecified site M13.80 Other specified arthritis, unspecified site

5 A48.8 Other specified bacterial diseases P15.8 Other specified birth injuries N50.8 Other specified disorders of male genital organs M26.69 Other specified disorders of temporomandibular joint M53.82 Other specified dorsopathies, cervical region G25.89 Other specified extrapyramidal and movement disorders A08.8 Other specified intestinal infections E88.89 Other specified metabolic disorders A92.8 Other specified mosquito-borne viral fevers B48.8 Other specified mycoses F48.8 Other specified nonpsychotic mental disorders J94.8 Other specified pleural conditions S63.599A Other specified sprain of unspecified wrist, init encntr M47.10 Other spondylosis with myelopathy, site unspecified S23.428A Other sprain of sternum, initial encounter S53.499A Other sprain of unspecified elbow, initial encounter S93.699A Other sprain of unspecified foot, initial encounter S73.199A Other sprain of unspecified hip, initial encounter S43.499A Other sprain of unspecified shoulder joint, init encntr M00.20 Other streptococcal arthritis, unspecified joint M00.29 Other streptococcal polyarthritis D56.8 Other thalassemias M Pain in unspecified shoulder N53.12 Painful ejaculation R30.9 Painful micturition, unspecified M12.30 Palindromic rheumatism, unspecified site A01.4 Paratyphoid fever, unspecified M76.50 Patellar tendinitis, unspecified knee M08.40 Pauciarticular juvenile rheumatoid arthritis, unsp site M08.40 Pauciarticular juvenile rheumatoid arthritis, unsp site R10.2 Pelvic and perineal pain R10.2 Pelvic and perineal pain M77.20 Periarthritis, unspecified wrist G43.C1 Periodic headache syndromes in child or adult, intractable G43.C0 Periodic headache syndromes in chld/adlt, not intractable G Perst migraine aura w cereb infrc, not ntrct, w/o stat migr G Perst migraine aura w cerebral infrc, not ntrct, w stat migr G Perst migraine aura w cerebral infrc, ntrct, w stat migr G Perst migraine aura w cerebral infrc, ntrct, w/o stat migr G Perst migraine aura w/o cereb infrc, not ntrct, w stat migr G Perst migraine aura w/o cerebral infrc, ntrct, w stat migr G Perst migraine aura w/o cerebral infrc, ntrct, w/o stat migr G Perst migrn aura w/o cereb infrc, not ntrct, w/o stat migr J94.9 Pleural condition, unspecified R09.1 Pleurisy M00.10 Pneumococcal arthritis, unspecified joint M00.19 Pneumococcal polyarthritis M00.89 Polyarthritis due to other bacteria M15.9 Polyosteoarthritis, unspecified M Posterior tibial tendinitis, unspecified leg B02.21 Postherpetic geniculate ganglionitis B02.22 Postherpetic trigeminal neuralgia M70.40 Prepatellar bursitis, unspecified knee M70.40 Prepatellar bursitis, unspecified knee M15.0 Primary generalized (osteo)arthritis

6 E20.1 Pseudohypoparathyroidism M76.10 Psoas tendinitis, unspecified hip L40.54 Psoriatic juvenile arthropathy M00.9 Pyogenic arthritis, unspecified J86.9 Pyothorax without fistula S53.439A Radial collateral ligament sprain of unsp elbow, init encntr M54.12 Radiculopathy, cervical region M54.13 Radiculopathy, cervicothoracic region M54.10 Radiculopathy, site unspecified S53.419A Radiohumeral (joint) sprain of unsp elbow, init encntr M02.30 Reiter's disease, unspecified site J98.9 Respiratory disorder, unspecified M05.60 Rheu arthritis of unsp site w involv of organs and systems M06.9 Rheumatoid arthritis, unspecified M05.30 Rheumatoid heart disease w rheumatoid arthritis of unsp site A92.4 Rift Valley fever B33.1 Ross River disease B06.82 Rubella arthritis M53.3 Sacrococcygeal disorders, not elsewhere classified A02.23 Salmonella arthritis 135 D86.9 Sarcoidosis, unspecified M54.30 Sciatica, unspecified side G24.3 Spasmodic torticollis M53.2X7 Spinal instabilities, lumbosacral region M48.9 Spondylopathy, unspecified M Spondylosis w/o myelopathy or radiculopathy, cervical region M Spondylosis w/o myelopathy or radiculopathy, thoracic region M Spondylosis without myelopathy or radiculopathy, site unsp M Spondyls w/o myelopathy or radiculopathy, lumbosacr region S93.419A Sprain of calcaneofibular ligament of unsp ankle, init S23.421A Sprain of chondrosternal joint, initial encounter S93.429A Sprain of deltoid ligament of unspecified ankle, init encntr S63.639A Sprain of interphalangeal joint of unsp finger, init encntr S63.629A Sprain of interphalangeal joint of unsp thumb, init encntr S93.519A Sprain of interphalangeal joint of unsp toe(s), init encntr S03.4XXA Sprain of jaw, initial encounter S03.8XXA Sprain of joints and ligaments of oth prt head, init encntr S13.8XXA Sprain of joints and ligaments of oth prt neck, init encntr S03.9XXA Sprain of joints and ligaments of unsp parts of head, init S83.429A Sprain of lateral collateral ligament of unsp knee, init S13.4XXA Sprain of ligaments of cervical spine, initial encounter S33.5XXA Sprain of ligaments of lumbar spine, initial encounter S23.3XXA Sprain of ligaments of thoracic spine, initial encounter S83.419A Sprain of medial collateral ligament of unsp knee, init S63.649A Sprain of metacarpophalangeal joint of right thumb, init S63.649A Sprain of metacarpophalangeal joint of unsp thumb, init S93.529A Sprain of metatarsophalangeal joint of unsp toe(s), init S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S33.8XXA Sprain of oth parts of lumbar spine and pelvis, init encntr S43.80XA Sprain of oth parts of unsp shoulder girdle, init encntr

7 840.3 S43.80XA Sprain of oth parts of unsp shoulder girdle, init encntr S43.80XA Sprain of oth parts of unsp shoulder girdle, init encntr S43.80XA Sprain of oth parts of unsp shoulder girdle, init encntr S83.8X9A Sprain of oth parts of unspecified knee, init encntr S93.499A Sprain of other ligament of unspecified ankle, init encntr S63.8X9A Sprain of other part of unsp wrist and hand, init encntr S63.8X9A Sprain of other part of unsp wrist and hand, init encntr S23.8XXA Sprain of other specified parts of thorax, initial encounter S63.529A Sprain of radiocarpal joint of unsp wrist, init encntr S23.41XA Sprain of ribs, initial encounter S33.6XXA Sprain of sacroiliac joint, initial encounter S23.420A Sprain of sternoclavicular (joint) (ligament), init encntr S93.629A Sprain of tarsometatarsal ligament of unsp foot, init encntr S13.5XXA Sprain of thyroid region, initial encounter S93.439A Sprain of tibiofibular ligament of unsp ankle, init encntr S83.509A Sprain of unsp cruciate ligament of unsp knee, init encntr S93.409A Sprain of unsp ligament of unspecified ankle, init encntr S63.90XA Sprain of unsp part of unsp wrist and hand, init encntr S33.9XXA Sprain of unsp parts of lumbar spine and pelvis, init encntr S43.50XA Sprain of unspecified acromioclavicular joint, init encntr S43.419A Sprain of unspecified coracohumeral (ligament), init encntr S23.9XXA Sprain of unspecified parts of thorax, initial encounter S43.429A Sprain of unspecified rotator cuff capsule, init encntr S83.90XA Sprain of unspecified site of unspecified knee, init encntr M00.00 Staphylococcal arthritis, unspecified joint M00.09 Staphylococcal polyarthritis P15.2 Sternomastoid injury due to birth injury S63.519A Strain intrns musc/fasc/tend unsp finger at wrs/hnd lv, subs S46.819A Strain of musc/fasc/tend at shldr/up arm, unsp arm, init S46.119A Strain of musc/fasc/tend long head of biceps, unsp arm, init S86.819A Strain of musc/tend at lower leg level, unsp leg, init S46.019A Strain of musc/tend the rotator cuff of unsp shoulder, init S29.019A Strain of muscle and tendon of unsp wall of thorax, init S39.011A Strain of muscle, fascia and tendon of abdomen, init encntr S96.919A Strain of unsp msl/tnd at ank/ft level, unsp foot, init S96.919A Strain of unsp msl/tnd at ank/ft level, unsp foot, init S56.919A Strain of unsp musc/fasc/tend at forarm lv, unsp arm, init S76.919A Strain of unsp musc/fasc/tend at thi lev, unsp thigh, init S66.919A Strain of unsp musc/fasc/tend at wrs/hnd lv, unsp hand, init S66.919A Strain of unsp musc/fasc/tend at wrs/hnd lv, unsp hand, init S86.919A Strain of unsp musc/tend at lower leg level, unsp leg, init S86.019A Strain of unspecified Achilles tendon, initial encounter S46.919A Strain unsp musc/fasc/tend at shldr/up arm, unsp arm, init A25.1 Streptobacillosis A25.1 Streptobacillosis M71.20 Synovial cyst of popliteal space [Baker], unspecified knee A52.78 Syphilis of other musculoskeletal tissue G95.0 Syringomyelia and syringobulbia A52.11 Tabes dorsalis S83.30XA Tear of articular cartilage of unsp knee, current, init G Tension-type headache, unspecified, not intractable M76.40 Tibial collateral bursitis, unspecified leg M43.6 Torticollis M12.50 Traumatic arthropathy, unspecified site S63.329A Traumatic rupture of unsp radiocarpal ligament, init encntr

8 721.7 M48.30 Traumatic spondylopathy, site unspecified G50.0 Trigeminal neuralgia M70.60 Trochanteric bursitis, unspecified hip A18.03 Tuberculosis of other bones A18.01 Tuberculosis of spine A18.02 Tuberculous arthritis of other joints E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unsp A01.00 Typhoid fever, unspecified E70.21 Tyrosinemia K51.90 Ulcerative colitis, unspecified, without complications S53.449A Ulnar collateral ligament sprain of unsp elbow, init encntr S53.429A Ulnohumeral (joint) sprain of unspecified elbow, init encntr M08.00 Unsp juvenile rheumatoid arthritis of unspecified site M Unsp rotatr-cuff tear/ruptr of unsp shoulder, not trauma S43.409A Unsp sprain of unspecified shoulder joint, init encntr S83.209A Unsp tear of unsp meniscus, current injury, unsp knee, init B99.9 Unspecified infectious disease M46.90 Unspecified inflammatory spondylopathy, site unspecified B54 Unspecified malaria G57.90 Unspecified mononeuropathy of unspecified lower limb G56.90 Unspecified mononeuropathy of unspecified upper limb B49 Unspecified mycosis H46.9 Unspecified optic neuritis M19.90 Unspecified osteoarthritis, unspecified site B89 Unspecified parasitic disease N23 Unspecified renal colic S23.429A Unspecified sprain of sternum, initial encounter S53.409A Unspecified sprain of unspecified elbow, initial encounter S93.609A Unspecified sprain of unspecified foot, initial encounter S73.109A Unspecified sprain of unspecified hip, initial encounter S63.509A Unspecified sprain of unspecified wrist, initial encounter G44.1 Vascular headache, not elsewhere classified

ICD-9/ICD-10 UK-HMO Covered Codes for Acupuncture - Numerical Effective

ICD-9/ICD-10 UK-HMO Covered Codes for Acupuncture - Numerical Effective 10-2-15 ICD-9 Code ICD-10 code ICD-9 Code Description 002.0 A01.00 Typhoid fever, unspecified 002.9 A01.4 Paratyphoid fever, unspecified