ICD- 10 Billing Form for CVD & ANS Assessment (Abbreviated) Rev 1_

Transcription

1 ICD- 10 Billing Form for CVD & ANS Assessment (Abbreviated) Rev 1_ Dr: Insurance: Auth #: Patient Name: DOB Date: Coding Information: 95923: $ : $ : $250 Modifier: XU or : $ : $ : $350 Physician's Signature: Circle the appropriate ICD- 10 diagnosis code below (Code Details in Reference Document). Approved codes include: CODES SPECIFIC TO & CODES SPECIFIC TO 95921, & (Tilt Table Required for these codes) E85. 9 Amyloidosis Unspecified. I42.8 Other cardiomyopathies I20.9 Angina pectoris, unspecified G23.8 Other Degenerative Disease Of Basal Ganglia. I49.1 Atrial permature depolarization I20.8 R00.1 Bradycardia, unspecified E78.4 R00.1 Bradycardia, unspecified I95.89 I46.9 Cardiac Arrest, Cause Unspecified I95.89 I49.9 Cardiac arrhythmia, Unspecified G R01.1 Cardiac murmur, unspecified I34.8 R53.82 Chronic Fatigue I49.49 I95.89 Chronic Hypotension I42.5 E10.40 Diabetes W/ Neuro Manif, I (Juvenile) Not Stated As Uncontrolled. I49.8 E10.65 Diabetes W/ Neuro Manif, I (Juvenile) Uncontrolled G60.8 E11.65 Diabetes W/ Neuro Manif, Ii Uncontrolled. E66.3 E11.40 Diabetes W/ Neuro Manif, Ii, Not Stated As Uncontrolled I47.9 E85.0 Familial Mediterrian Fever. E10.42 M79.7 Fibromyalgia I25.2 R61 Generalized Hyperhidrosis. F43.12 I50.9 Heart failure, unspecified F43.10 E78.5 Hyperlipidemia, unspecified I95.81 I95.2 Hypotension due to drugs E78.0 I95.3 Hypotension of hemodialysis G I95.9 Hypotension, unspecified G90.59 G90.09 Idiopathic Peripheral Autonomic Neuropathy Unspecified. G G60.3 Idiopathic Progressive Polyneuropathy. G90.59 J45.21 Mild intermittent asthma with (acute) exacerbation I49.5 J45.22 Mild intermittent asthma with status asthmaticus I47.1 J45.20 Mild intermittent asthma, uncomplicated R55 E6601 Morbid Obesity R00.0 E66.2 Morbid with alveolar hypoventilation I48.91 M79.1 Myalgia I48.92 M60.9 Myositis, unspecified I49.40 F Nicotine dependence, unspecified, uncomplicated G44.1 I34.0 Nonrheumatic mitral valve insufficiency I49.01 E66.9 Obesity, Unspecified I47.2 I95.1 Orthostatic hypotension I49.3 Verticular premature depolarization I95.1 Orthstatic Hypotension. I49.02 Vetricular Flutter E85.8 Other Amyloidosis. CODES SPECIFIC TO (ABI Required for this code) I72.4 Aneursym Of Artery Of Lower Extremity. E10.65 I72.3 Aneurysm Of Artery Iliac Crest. E11.51 I72.1 Aneurysm Of Artery Upper Extremity. E I77.0 Arteriovenous fistula, acquired I71.02 I Atherosclerosis Native Arteries Extremites Unspecified. I71.03 I Atherosclerosis Native Arteries Extremites With Rest Pain. I71.01 I Atherosclerosis Native Arteries W/ Gangrene. I71.00 I Atherosclerosis Native Arteries W/ Intermittent Claudication. I96 I70.25 Atherosclerosis Native Arteries W/Ulceration. I10 I Atherosclerosis Non Autologous Biological Bypass Graft Extremities. S75.009A I70.0 Atherosclerosis Of Aorta. I73.9 I Atherosclerosis Of Autologous Vein Bypass Graft Extremites. I73.00 I Atherosclerosis Of Bypass Graft Extremites. I74.01 G54.0 Brachial plexus disorders Z13.9 Other forms of angina pectoris Other hyperlipidemia Other hypotension Other hypotension Other Idiopathic Peripheral Autonomic Neuropathy. Other nonrheumatic mitral valve disorders Other premature depolarization Other restrictive cardiomyopathy Other specifed cardiac arrhythmias Other Specified Idiopathic Peripheral Neuropathy. Overweight Paroxysmal Tachycard, Unspecified Polyneuropathy In Diabetes, Post MI Post traumatic stress disorder, chronic Post traumatic stress disorder, unspecified Postprocedural hypotension Pure hypercholesterolrmia Reflex Sympathetic Dystrophy Of Lower Limb Reflex Sympathetic Dystrophy Of Other Site. Reflex Sympathetic Dystrophy Of Upper Limb Reflex Sympathetic Dystrophy Unspecified. Sick Sinus Syndrome Supraventricular Tachycardia Syncope And Collapse. Tachycardia Unspecfied. Unspecified atrial Fibrillation Unspecified atrial Flutter Unspecified premature depolarization Vascular headache, not elsewhere classified Venticular Fibrillarion Ventricular Tachycardia Diabetes Mellitus W/ P Circ Disorders I Uncontrolled. Diabetes Mellitus W/ P Circ Disorders II Not Stated As Uncontrolled. Diabetes Mellitus W/ P Circ Disorders, Ii Unspecif Type Uncontrolled. Dissection of abdominal aorta Dissection of the thoracoabdominal aorta Dissection of thoracic aorta Dissection of unspecified site of aorta Gangrene, not elsewhere classified Hypertension Unspecified. Injury to femoral artery Pheripheral Vascular Disease, Unspecified. Raynaud's symdrome without gangrene Saddle embolus of abdominal aorta Screening For Hypertension.

2 ICD- 10 Billing Form for CVD & ANS Assessment Rev 1_ Dr: Insurance: Auth #: Patient Name: DOB Date: Coding Information: 95923: $ : $ : $250 Modifier: XU or : $ : $ : $350 Physician's Signature: Circle the appropriate ICD- 10 diagnosis code below (Code Details in Reference Document). Approved codes include: CODES SPECIFIC TO & CODES SPECIFIC TO 95921, & (Tilt Table Required for these codes) Cardio I49.1 E10.39 E11.40 E85.3 F51.8 G23.0 G G58.7 R51 E66.2 I49.3 E10.40 E11.51 E85.8 F51.9 G23.2 G G60.3 R53.82 E66.3 I49.40 E10.51 E E85.9 K21.0 G23.8 G G60.8 R55 E66.9 I49.49 E E F30.8 K31.84 G35 G G60.8 Pulm E6601 I49.5 E E F31.81 K58.9 G G G61.9 G47.9 E78.0 I49.8 E E F31.9 M60.9 G G G63 J44.0 E78.4 I49.9 E E F32.8 M79.1 G G G73.3 J44.1 E78.5 I50.9 E E F32.9 R60.0 G G G90.01 J44.9 F I70.90 E E F41.0 R60.1 G G G90.09 J45.20 I10 I70.91 E E F41.1 R60.9 G G G90.1 J45.21 I20.8 R00.0 E E F41.8 R61 G G G90.4 J45.22 I20.9 R00.1 E E11.65 F41.9 Nephro G G G J I25.2 R01.1 E10.65 E11.69 F43.10 I12.0 G G G J I34.0 Z82.49 E10.69 E11.8 F43.12 I12.9 G G G90.59 J I34.8 Endo E10.8 E11.9 F51.01 N19 G G G90.9 J I42.5 E01.8 E10.9 E F51.02 Neuro G G43.A0 G99.0 J I42.8 E03.8 E11.00 E F51.03 E08.42 G G43.B0 I95.1 J I46.9 E07.9 E11.01 E88.81 F51.09 E09.42 G G43.C0 I95.2 I47.1 E10.10 E11.21 N95.1 F51.09 E10.42 G G43.D0 I95.3 I47.2 E10.11 E11.29 IM F51.11 E11.42 G G44.1 I95.81 I47.9 E10.21 E F51.12 E13.42 G G I95.89 I48.91 E10.29 E D84.9 F51.19 F90.1 G G56.80 I95.9 I48.92 E E E66.01 F51.19 F90.2 G G56.90 Q07.8 I49.01 E E11.36 E85.0 F51.3 F90.9 G G57.70 R00.0 I49.02 E10.36 E11.39 E85.1 F51.8 G20 G G57.80 R42 CODES SPECIFIC TO (ABI Required for this code) E11.51 Q27.9 I74.8 M H L T82.391A I H E10.51 I72.4 T82.212A I74.11 G97.31 H L T82.218A I H E10.65 I72.1 T82.222A I74.9 G97.32 L76.01 L T82.09XA I97.62 H E10.51 I72.3 T82.120A I96 J95.61 L76.02 L T85.190A K H E11.51 I77.0 T82.120A I J95.62 D78.01 L T85.192A K H E11.65 I70.0 T82.121A I E36.01 D78.02 T82.190A T82.598A N H I G54.0 T82.02XA I97.42 E36.02 H I74.09 T85.199A N L76.21 S75.009A T82.221A T82.528A I I H T82.590A T82.591A M L76.22 S45.809A T82.110A T85.529A I H95.21 Z94.0 T82.49XA T82.595A M D78.21 S45.009A T82.111A I71.02 I H95.22 T82.223A T82.598A T82.599A G97.51 D78.22 S45.209A T82.211A I71.03 I97.42 H T82.213A T82.390A T85.09XA G97.52 H S75.009A T82.01XA I71.01 K91.61 H T82.03XA T82.593A T88.8XXA J H S75.109A T82.518A I71.00 K91.62 H T82.538A T82.228A I J G97.51 T82.519A I74.3 N99.61 H T82.539A T82.190A I I G97.52 T82.110A I74.2 N99.62 G97.31 L T82.191A I97.62 H95.41 I73.00 T82.111A I74.5 M G97.32 L T82.191A I H95.42 I74.01 *The information contained in this template superbill is intended as general information only. It is not intended to serve as a substitute for professional advice of a physician or medical coding professional. Final determination should be made by the treating physician. Note for coding using Tilt- Table: 1-5 minutes of passive tilt is required to bill all Tilt- Table codes. 2- CPT codes and or the CPT code are used in place of if a Tilt- Table is used. They CANNOT be used together. 3- CPT codes and CANNOT be used in conjunction with (or vice versa). 4- Codes and are bundled so one code will reject as being mutually inclusive to the other if they are billed together, even if you use a 59 modifier. Billing should include a modifier on the second procedure to avoid denials. You can use the 76 modifier if the physician has the need to repeat the test. Physicians can bill an E/M code along with these services.

3 Description of codes specific to 95921, 95922, 95923, 94924, & ICD- 10 ICD- 9 Equivalent Category Description I Cardiology Angina pectoris, unspecified I Cardiology Atrial permature depolarization R Cardiology Bradycardia, unspecified I Cardiology Cardiac Arrest, Cause Unspecified I Cardiology Cardiac arrhythmia, Unspecified R Cardiology Cardiac murmur, unspecified Z82.49 V17.49 Cardiology Fam history of ischemic heart disease and other disease of circulatory system I Cardiology Geralized atherosclerosis I Cardiology Heart failure, unspecified E Cardiology Hyperlipidemia, unspecified I Cardiology Hypertension E Cardiology Morbid Obesity E Cardiology Morbid with alveolar hypoventilation F Cardiology Nicotine dependence, unspecified, uncomplicated I Cardiology Nonrheumatic mitral valve insufficiency E Cardiology Obesity, unspecified I Cardiology Old myocardial infarction I Cardiology Other cardiomyopathies I Cardiology Other forms of angina pectoris E Cardiology Other hyperlipidemia I Cardiology Other nonrheumatic mitral valve disorders I Cardiology Other premature depolarization I Cardiology Other restrictive cardiomyopathy I Cardiology Other specifed cardiac arrhythmias E Cardiology Overweight I Cardiology Paroxysmal Tachycard, Unspecified E Cardiology Pure hypercholesterolrmia I Cardiology Sick Sinus Syndrome I Cardiology Supraventricular Tachycardia R Cardiology Tachycardia, Unspecified I Cardiology Unspecified atherosclerosis I Cardiology Unspecified atrial Fibrillation I Cardiology Unspecified atrial Flutter I Cardiology Unspecified premature depolarization I Cardiology Venticular Fibrillarion I Cardiology Ventricular Tachycardia I Cardiology Verticular premature depolarization I Cardiology Vetricular Flutter E Endocrinology Asymptomatic premature menopause E Endocrinology Diabetes mellitus w/o complications E Endocrinology Disorder of thyroid, unspecified N Endocrinology Menopausal and femal climacteric states E Endocrinology Metabolic syndrome E Endocrinology Other iodine- deficiency related thyroid disorders and allied conditions E Endocrinology Other specified hypothyroidism E Endocrinology Symptomatic premature menopause E Endocrinology Type 1 with other specified complication E Endocrinology Type 1 Diabetes mellitus with hyperglycemia E Endocrinology Type 1 diabetes mellitus with ketoacidosis w/o Coma E Endocrinology Type 1 with diabetic cataract E Endocrinology Type 1 with diabetic dematitis E Endocrinology Type 1 with diabetic Nephropathy E Endocrinology Type 1 with diabetic neuropathy, unspecified E Endocrinology Type 1 with diabetic peripheral angiopathy without gangrene E Endocrinology Type 1 with foot ulcer E Endocrinology Type 1 with hypoglycemia W/O coma E Endocrinology Type 1 with hypoglycemia with coma E Endocrinology Type 1 with keotacidosis with coma E Endocrinology Type 1 with other diabetic arthropathy E Endocrinology Type 1 with other diabetic kidney complication

4 E Endocrinology Type 1 with other diabetic ophthalmic complication E Endocrinology Type 1 with other oral complications E Endocrinology Type 1 with other skin complications E Endocrinology Type 1 with other skin ulcer E Endocrinology Type 1 with periodontal disease E Endocrinology Type 1 with unspecified complications E Endocrinology Type 1 with unspecified diabetic retinopathy W/O macular edema E Endocrinology Type 1 with unspecified diabetic retinopathy with macular edema E Endocrinology Type 2 diabetes mellitus with hyperglycemia E Endocrinology Type 2 diabetes mellitus with other specified conditions E Endocrinology Type 2 with diabetic cataract E Endocrinology Type 2 with diabetic dermatitis E Endocrinology Type 2 with diabetic neuropathy, unspecified E Endocrinology Type 2 with diabetic peripheral angiopathy without gangrene E Endocrinology Type 2 with diabetnephropathy E Endocrinology Type 2 with foot ulcer E Endocrinology Type 2 with hyperosmalarity with coma E Endocrinology Type 2 with hyperosmolarity w/o nonketotic hyperglycemic- Hyperosmolar coma NKHHC E Endocrinology Type 2 with hypoglycemia W/O coma E Endocrinology Type 2 with hypoglycemia with coma E Endocrinology Type 2 with other diabetic arthropathy E Endocrinology Type 2 with other diabetic kidney complication E Endocrinology Type 2 with other diabetic opthalmic complication E Endocrinology Type 2 with other oral complications E Endocrinology Type 2 with other skin complications E Endocrinology Type 2 with other skin ulcer E Endocrinology Type 2 with periodontal disease E Endocrinology Type 2 with unspecified complications E Endocrinology Type 2 with unspecified diabetic reinopathy W/O macular edema E Endocrinology Type 2 with unspecified diabetic reinopathy with macular edema E Endocrinology Type 2 with unspecified diabetic retinopathy with macular edema E Endocrinology Type1 Diabetes W/O complications F IM Adjustment insomnia E IM Amyloidosis, unspecified F IM Anxiety disorder, unspecified F IM Bipolar disorder, unspecified F IM Bipolar II disorder R IM Edema, unspecified IM Fibromyalgia K IM Gastroparesis F IM Generalized anxiety disorder R IM Generalized edema R IM Generalized hyperhidrosis K IM Gerd K IM IBS F IM Insurfficient sleep syndrome R IM Localized edema F IM Major depressive disorder, single episode, unspecified E IM Morbid Obesity M IM Myalgia M IM Myositis, unspecified E IM Neuropathic heredofamilial amyloidosis E IM Non- neuropathic heredofamilial amyloidosis E IM Other amyloidosis F IM Other depressive episodes F IM Other hypersomnia not due to a substance or know physiological condition F IM Other hypersomnia not due to a substance or know physiological condition F IM Other insomnia due to a substance or known condition F IM Other insomnia due to a substance or known condition F IM Other manic episodes F IM Other sleep disorders not due to a substance or know physiological condition F IM Other sleep disorders not due to a substance or know physiological condition F IM Other specified anxiety disorders

5 F IM F IM F IM F IM F IM F IM E IM F IM F IM D IM N Nephrology I Nephrology I Nephrology G43.D Neurology F Neurology F Neurology F Neurology G Neurology G Neurology G Neurology G Neurology R Neurology I Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G43.A Neurology E Neurology G Neurology R Neurology E Neurology G Neurology G Neurology R Neurology G Neurology G Neurology G Neurology G Neurology I Neurology I Neurology I Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology G Neurology Panic disorder without agoraphobia Paradoxical Insomnia Post traumatic stress disorder, chronic Post traumatic stress disorder, unspecified Primary Hypersomnia Primary insomnia Secondary systemic amyloidosis Sleep disorder not due to a substance or known physiological condition, unspecified Sleepwalking (somnambulism) Unspecified Immunity deficiency Renal Failure Stage 1-4 Stage 5 Abdominal migrain, not intractable Attention- deficit Hyperactivity disorder, combined type Attention- deficit Hyperactivity disorder, predominantly Hyperactive type Attention- deficit hyperactivity disorder, unspecified type Autonomic dysreflexia Autonomic neuropathy in diseases classified elsewhere Cartoid sinus sycope Causalgia of unspecified lower limb Chronic Fatigue Chronic Hypotension Chronic migraine w/o aura, intractable, w/o status migrainosus Chronic migraine w/o aura, intractable, with status migrainosus Chronic migraine w/o aura, not intractable, w/o status migrainosus Chronic migraine w/o aura, not intractable, with status migrainosus Chronic regional pain syndrome Complex regional pain syndrome I of unspecifed lower limb Complex regional pain syndrome I of unspecifed upper limb Cyclical vomiting, not intractable Diabetes mellitus due to underlying condition in diabetic polyneuropathy Disorder of the autonomic nervous system, unspecified Dizziness and giddiness Drug or chemical induced diabetes mellirus with neurological complications with Familial Dysautonomia (Riley- Day) Hallervorden- Spatz disease Headache Hemiplegic migraine, intractable, w/o status migrainosus Hemiplegic migraine, intractable, with status migrainosus Hemiplegic migraine, not intractable, w/o status migrainosus Hemiplegic migraine, not intractable, with status migrainosus Hypotension due to drugs Hypotension of hemodialysis Hypotension, unspecified Idiopathic progressive neuropathy Inflammatory polyneuropathy, unspecified Menstrual migraine, intractable, w/o status migrainosus Menstrual migraine, intractable, with status migrainosus Menstrural migraine, not intractable, with status migrainosus Menstural migraine, not intractable, w/o status migrainosus Migrain W/O aura, intractable, with status migrainosus Migrain with aura, intractable, w.o status,migrainosus Migrain with aura, not intractable, w/o status migrainosus Migrain with aura, not intractable, with status migrainosus Migrain with aura,i intractable with status migrainosus Migrain without aura, intractable, without status migrainosus Migrain without aura, not intractable w/o status migrainosus Migraine w/o aura, not intractable, with status migrainosus Migraine, unspecifed, intractable, with status migrainosus Migraine, unspecified, intractable, w/o status migrainosus Migraine, unspecified, not intractable, w/o status migrainosus Migraine, unspecified, not intractable, with status migrainosus

6 G Neurology Mononeuritis multiplex G Neurology Multiple Sclerosis G Neurology Myasthenic syndromes in other diseases classified elsewhere G43.B Neurology Opthalmoplegic migraine, not intractable I Neurology Orthostatic hypotension G Neurology Other hereditary and idiopathic neuropathies G Neurology Other heriditary and idiopathic neuropathies G Neurology Other idiopathic peripheral autonomic neuropathy G Neurology Other migraine, intractable, w/o status migrainosus G Neurology Other migraine, intractable, with status migrainosus G Neurology Other migraine, not intractable, W/o status migrainosus G Neurology Other migraine, not intractable, W/o status migrainosus G Neurology Other migraine, not intractable, with status migrainosus G Neurology Other migraine, not intractable, with status migrainosus Q Neurology Other specified congenital malformations of nervous system G Neurology Other specified degenerative diseases of basal ganglia E Neurology Other specified diabetes mellitus with diabetic polyneuropathy G Neurology Other specified mononeuropathies of unspecified lower limb G Neurology Other specified mononeuropathies of unspecified upper limb G Neurology Parkinsons G43.C Neurology Periodic headache syndromes in child or adult, not intractable G Neurology Persistant migraine aura w/o cerebral infarction, intractable w/o status migrainosus G Neurology Persistant migraine aura w/o cerebral infarction, w/o status migrainosus G Neurology Persistant migraine aura with cerebral infarction, intractable w/o status migrainosus G Neurology Persistant migraine aura with cerebral infarction, intractable,with status migrainosus G Neurology Persistant migraine aura with cerebral infarction, not intractable w/o status migrainosus G Neurology Persistant migraine aura with cerebral infarction, not intractable with status migrainosus G Neurology Polyneuropathy in diseases classified elsewhere I Neurology Postprocedural hypotension G Neurology Striatonigral Degeneration R Neurology Syncope and Collapse R Neurology Tachycardia, unspecified G Neurology Tension Headache E Neurology Type 1 diabetes mellitus with diabetic polyneuropathy E Neurology Type 2 diabetes mellitus with diabetic polyneuropathy G Neurology Unspecified monneuropathy of unspecified upper limb G Neurology Vascular headache, not elsewhere classified J Pulmonology Chronic obstructive pulmonary disease with (acute) exacerbations J Pulmonology Chronic obstructive pulmonary disease, unspecified J Pulmonology Chronic obstructive pulmonary disease, with acute lower respitory infection J Pulmonology Cough variant asthma J Pulmonology Exercise induced bronchospasm J Pulmonology Mild intermittent asthma with (acute) exacerbation J Pulmonology Mild intermittent asthma with status asthmaticus J Pulmonology Mild intermittent asthma, uncomplicated J Pulmonology Other asthma G Pulmonology Sleep Disturbances J Pulmonology Unspecified asthma with (acute) exacerbation J Pulmonology Unspecified asthma with status asthmaticus J Pulmonology Unspecified asthma, uncomplicated Description of codes specific to ICD- 9 ICD- 10 Equivalent E I I I I I G T82.221A T82.110A T82.111A Description Type 2 with peripheral angiopathy w/o gangrene Aneurysm of artery of lower extremity Aneurysm of artery of upper extremity Aneurysm of iliac artery Arteriovenous fistula, acquired Atherosclerosis of aorta Brachial plexus disorders Breakdown (mechanical) of biological heart valve graft Breakdown (mechanical) of cardiac electrode Breakdown (mechanical) of cardiac pulse generator(battery)

7 T82.211A T82.01XA T82.518A T82.519A T82.110A T82.111A Q T82.212A T82.222A T82.120A T82.120A T82.121A T82.02XA T82.528A T85.529A I I I I I I I I I I I I I I I I I I K K N N M M G G J J E E I H H H H H H G G H H L L D D H H Z94.0 V42.0 Breakdown (mechanical) of coronary artery bypass graft Breakdown (mechanical) of heart valve prosthesis Breakdown (mechanical) of other cardiac and vascular devices/implants Breakdown (mechanical) of unspecified cardiac and vascular devices Breakdown(mechanical) of cardiac electrode Breakdown(mechanical) of cardiac pulse generator (battery) Congenital malformation of peripheral vascular system unspec Diaplacement of coronary artery bypass graft Displacement of biological heart valve graft Displacement of cardiac electrode Displacement of cardiac electrode Displacement of cardiac pulse generator (battery) Displacement of heart valve prosthesis Displacement of other cardiac and vascular devices/implants Displacement of unspecified cardiac and vascular devices and implants Dissection of abdominal aorta Dissection of the thoracoabdominal aorta Dissection of thoracic aorta Dissection of unspecified site of aorta Embolism and thrombosis of arteries of lower extremities Embolism and thrombosis of arteries of upper extremities Embolism and thrombosis of iliac artery Embolism and thrombosis of other arteries Embolism and thrombosis of thoracic aorta Embolism and thrombosis of unspecified artery Gangrene, not elsewhere classified Intraoperative hemmorhage and hematoma of circulatory system complicating a cardiac bypass Intraoperative hemmorhage and hematoma of circulatory system complicating other circulatory system procedure Intraoperative hemmorhage and hematoma of circulatory system complicating other procedure Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac cathete Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive sytem p Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating other procedure Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a genitourinar Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating other procedu Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a musculoskeletal system pr Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system pr Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory sys Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine sys Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure Intraoperative hemorrhage and hematoma of circulatory system complicating a cardiac catherization Intraoperative hemorrhage and hematoma of ear and mastoid process complicating a procedure on the ear and mas Intraoperative hemorrhage and hematoma of ear and mastoid process complicating other procedure Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateral Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure, bilateral Intraoperative hemorrhage and hematoma of left eye and adnexa complicating an ophthalmic procedure Intraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedure Intraoperative hemorrhage and hematoma of nervous system following a nervous system procedure Intraoperative hemorrhage and hematoma of nervous system organ complicating other procedure Intraoperative hemorrhage and hematoma of right eye and adnexa complicating an ophthalmic procedure Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedure Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating a dermatologic procedure Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating other procedure Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen Intraoperative hemorrhage and hematoma of the spleen complicating other procedure Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating an ophthalmic procedure Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating other procedure Kidney transplant status

8 T82.223A T A T82.03XA T82.538A T82.539A L L L L L L L T82.190A I T82.590A T82.49XA T82.598A T82.390A T82.593A T82.228A T82.190A T82.191A T82.191A T82.391A T82.218A T82.09XA T85.190A T85.192A T82.598A T85.199A T82.591A T82.595A T82.599A T85.09XA T88.8XXA I I I I I I I K K N N M M G G J J I H H H H H H H H L L Leakage of biological heart valve graft Leakage of coronary artery bypass graft Leakage of heart valve prosthesis Leakage of other cardiac and vascular devices /implants Leakage of unspecified cardiac and vascular devices and implants Non pressure chronic ulcer of ankle with unspecified severity Non pressure chronic ulcer of other part of unspecified foot with unspecified severity Non pressure chronic ulcer of other part of unspecified Lower leg with unspecified severity Non pressure chronic ulcer of unspecified calf with unspecified severity Non pressure chronic ulcer of unspecified heel and midfoot with unspecified severity Non pressure chronic ulcer of unspecified part of unspecified Lower leg with unspecified severity Non pressure chronic ulcer of unspecified thigh of unspecified severity oother mechanical complication of cardiac electrode Other arterial embolism and thrombosis of abd aorta Other complication of surgically created arteriovenous fistula Other complication of vascular dialysis catheter Other mechanical complcation of other cardiac and vascular device Other mechanical complication of aortic (bifurcation) graft (replacement) Other mechanical complication of balloon(counterpulsations) device Other mechanical complication of biological heart valve graft Other mechanical complication of cardiac electrode Other mechanical complication of cardiac pulse generator (battery Other mechanical complication of cardiac pulse generator (battery Other mechanical complication of cartoid arterial graft(bypass) Other mechanical complication of coronary artery bypass Other mechanical complication of heart valve prosthesis Other mechanical complication of implanted electronic neurostimulator of brain(electrode) Other mechanical complication of implanted electronic neurostimulator of spinal cord (electrode) Other mechanical complication of other cardiac and vascular devices/ implants Other mechanical complication of other implanted electronic stimulator of nervous system Other mechanical complication of surgically created arteriovenous shunt Other mechanical complication of umbrella device Other mechanical complication of unspec cardiac and vascular devices Other mechanical complication of ventricular intracranial(communicating) shunt Other specified complications of surgical and medical care, not elsewhere classified, intial encounter Postprocedural hemmorhage and hematoma of circulatory system organ following a cardiac bypass Postprocedural hemmorhage and hematoma of circulatory system organ following other circulatory system procedu Postprocedural hemmorhage and hematoma of circulatory system organ following other procedure Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following a cardiac catheteriz Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following cardiac bypass Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory sy Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other procedure Postprocedural hemorrhage and hematoma of a digestive system organ or structure following a digestive system pro Postprocedural hemorrhage and hematoma of a digestive system organ or structure following other procedure Postprocedural hemorrhage and hematoma of a genitourinary system organ or structure following a genitourinary s Postprocedural hemorrhage and hematoma of a genitourinary system organ or structure following other procedure Postprocedural hemorrhage and hematoma of a musculoskeletal structure following a musculoskeletal system proce Postprocedural hemorrhage and hematoma of a musculoskeletal structure following other procedure Postprocedural hemorrhage and hematoma of a nervous system organ or structure following a nervous system proc Postprocedural hemorrhage and hematoma of a nervous system organ or structure following other procedure Postprocedural hemorrhage and hematoma of a respiratory system organ or structure following a respiratory system Postprocedural hemorrhage and hematoma of a respiratory system organ or structure following other procedure Postprocedural hemorrhage and hematoma of circulatory system following a cardiac catherization Postprocedural hemorrhage and hematoma of ear and mastoid process following a procedure on the ear and masto Postprocedural hemorrhage and hematoma of ear and mastoid process following other procedure Postprocedural hemorrhage and hematoma of eye and adnexa following an ophthalmic procedure, bilateral Postprocedural hemorrhage and hematoma of eye and adnexa following other procedure, bilateral Postprocedural hemorrhage and hematoma of left eye and adnexa following an ophthalmic procedure Postprocedural hemorrhage and hematoma of left eye and adnexa following other procedure Postprocedural hemorrhage and hematoma of right eye and adnexa following an ophthalmic procedure Postprocedural hemorrhage and hematoma of right eye and adnexa following other procedure Postprocedural hemorrhage and hematoma of skin and subcutaneous tissue following a dermatologic procedure Postprocedural hemorrhage and hematoma of skin and subcutaneous tissue following other procedure

9 D D H H G G I I E E E E I S75.009A S45.809A S45.009A S45.209A S75.009A S75.109A Postprocedural hemorrhage and hematoma of the spleen following a procedure on the spleen Postprocedural hemorrhage and hematoma of the spleen following other procedure Postprocedural hemorrhage and hematoma of unspecified eye and adnexa following an ophthalmic procedure Postprocedural hemorrhage and hematoma of unspecified eye and adnexa following other procedure Postprocedural hemorrhage and hemtoma of nervous system organ following a nervous system procedure Postprocedural hemorrhage and hemtoma of nervous system organ following a other procedure Raynaud's symdrome without gangrene Saddle embolus of abdominal aorta Type 1 with diabetic peripheral angiopathy w/o gangrene Type 1 with hyperglycemia Type 2 with diabetic peripheral angiopathy w/o gangrene Type 2 with hyperglycemia Unspecified atherosclerosis of native arteries of extremities, unspecified Unspecified injury of femoral artery, unspecified leg, initial encounter Unspecified injury or other specified blood vesselas at shoulder and upper arm, unspecifed arm, initial encounter Unspecified injury to axillary artery, unspecified site initial encounter Unspecified injury to axillary or brachial vein, unspecified side, initial encounter Unspecified injury to femoral artery, unspecified leg, initial encounter Unspecified injury to femoral vein at hip and thigh level, unspecified leg, intial encounter