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

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1 ICD-9/ICD-10 UK-HMO Covered Codes for Acupuncture - Numerical Effective ICD-9 Code ICD-10 code ICD-9 Code Description A01.00 Typhoid fever, unspecified A01.4 Paratyphoid fever, unspecified A02.23 Salmonella arthritis A08.8 Other specified intestinal infections A09 Infectious gastroenteritis and colitis, unspecified A09 Infectious gastroenteritis and colitis, unspecified A18.01 Tuberculosis of spine A18.02 Tuberculous arthritis of other joints A18.03 Tuberculosis of other bones A18.09 Other musculoskeletal tuberculosis A23.9 Brucellosis, unspecified 024 A24.0 Glanders A25.1 Streptobacillosis A25.1 Streptobacillosis A30.9 Leprosy, unspecified A31.8 Other mycobacterial infections A36.82 Diphtheritic radiculomyelitis A36.83 Diphtheritic polyneuritis A36.84 Diphtheritic tubulo-interstitial nephropathy A36.89 Other diphtheritic complications A39.83 Meningococcal arthritis A42.81 Actinomycotic meningitis A42.82 Actinomycotic encephalitis A42.89 Other forms of actinomycosis A43.8 Other forms of nocardiosis 035 A46 Erysipelas A48.8 Other specified bacterial diseases A50.49 Other late congenital neurosyphilis A52.11 Tabes dorsalis A52.78 Syphilis of other musculoskeletal tissue A54.42 Gonococcal arthritis A54.49 Gonococcal infection of other musculoskeletal tissue A69.20 Lyme disease, unspecified A80.9 Acute poliomyelitis, unspecified A92.0 Chikungunya virus disease A92.1 O'nyong-nyong fever A92.4 Rift Valley fever A92.8 Other specified mosquito-borne viral fevers A93.0 Oropouche virus disease B02.21 Postherpetic geniculate ganglionitis B02.22 Postherpetic trigeminal neuralgia B02.29 Other postherpetic nervous system involvement B06.82 Rubella arthritis B26.82 Mumps myocarditis B26.83 Mumps nephritis B26.85 Mumps arthritis B26.89 Other mumps complications B33.1 Ross River disease B38.89 Other forms of coccidioidomycosis (Updated )

2 B39.9 Histoplasmosis, unspecified B40.9 Blastomycosis, unspecified B48.8 Other specified mycoses B49 Unspecified mycosis B54 Unspecified malaria B72 Dracunculiasis B74.9 Filariasis, unspecified B83.9 Helminthiasis, unspecified B89 Unspecified parasitic disease B97.89 Oth viral agents as the cause of diseases classd elswhr B99.9 Unspecified infectious disease C90.00 Multiple myeloma not having achieved remission C95.90 Leukemia, unspecified not having achieved remission C96.A Histiocytic sarcoma D56.4 Hereditary persistence of fetal hemoglobin [HPFH] D56.8 Other thalassemias D58.2 Other hemoglobinopathies D66 Hereditary factor VIII deficiency D69.0 Allergic purpura D75.9 Disease of blood and blood-forming organs, unspecified D80.1 Nonfamilial hypogammaglobulinemia 135 D86.9 Sarcoidosis, unspecified E03.9 Hypothyroidism, unspecified E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unsp E20.1 Pseudohypoparathyroidism E21.3 Hyperparathyroidism, unspecified E22.0 Acromegaly and pituitary gigantism 267 E54 Ascorbic acid deficiency E70.21 Tyrosinemia E70.29 Other disorders of tyrosine metabolism E70.30 Albinism, unspecified E70.5 Disorders of tryptophan metabolism E70.8 Other disorders of aromatic amino-acid metabolism E78.81 Lipoid dermatoarthritis E78.89 Other lipoprotein metabolism disorders E83.59 Other disorders of calcium metabolism E85.9 Amyloidosis, unspecified E88.89 Other specified metabolic disorders E88.9 Metabolic disorder, unspecified F41.1 Generalized anxiety disorder F41.9 Anxiety disorder, unspecified F44.4 Conversion disorder with motor symptom or deficit F44.6 Conversion disorder with sensory symptom or deficit F45.8 Other somatoform disorders F45.8 Other somatoform disorders F48.8 Other specified nonpsychotic mental disorders G24.3 Spasmodic torticollis G25.89 Other specified extrapyramidal and movement disorders

3 G Migraine w/o aura, not intractable, with status migrainosus G Migraine w/o aura, not intractable, w/o status migrainosus G Migraine without aura, intractable, with status migrainosus G Migraine w/o aura, intractable, without status migrainosus G Migraine with aura, not intractable, with status migrainosus G Migraine with aura, not intractable, w/o status migrainosus G Migraine with aura, intractable, with status migrainosus G Migraine with aura, intractable, without status migrainosus G Hemiplegic migraine, not intractable, w status migrainosus G Hemiplegic migraine, not intractable, w/o status migrainosus G Hemiplegic migraine, intractable, with status migrainosus G Hemiplegic migraine, intractable, without status migrainosus G Perst migraine aura w/o cereb infrc, not ntrct, w stat migr G Perst migrn aura w/o cereb infrc, not ntrct, w/o 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 migraine aura w cerebral infrc, not ntrct, w stat migr G Perst migraine aura w cereb infrc, not ntrct, w/o 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 Chronic migraine w/o aura, not intractable, w stat migr G Chronic migraine w/o aura, not intractable, w/o stat migr G Chronic migraine w/o aura, intractable, w status migrainosus G Chronic migraine w/o aura, intractable, w/o stat migr G Other migraine, not intractable, with status migrainosus G Other migraine, not intractable, with status migrainosus G Other migraine, not intractable, without status migrainosus

4 G Other migraine, not intractable, without status migrainosus 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 Menstrual migraine, not intractable, with status migrainosus G Menstrual migraine, not intractable, w/o status migrainosus G Menstrual migraine, intractable, with status migrainosus G Menstrual migraine, 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 G Migraine, unsp, intractable, without status migrainosus G43.A0 Cyclical vomiting, not intractable G43.A1 Cyclical vomiting, intractable G43.B0 Ophthalmoplegic migraine, not intractable G43.B1 Ophthalmoplegic migraine, intractable G43.C0 Periodic headache syndromes in chld/adlt, not intractable G43.C1 Periodic headache syndromes in child or adult, intractable G43.D0 Abdominal migraine, not intractable G43.D1 Abdominal migraine, intractable G44.1 Vascular headache, not elsewhere classified G Tension-type headache, unspecified, not intractable G50.0 Trigeminal neuralgia G51.2 Melkersson's syndrome G51.4 Facial myokymia G51.8 Other disorders of facial nerve G52.0 Disorders of olfactory nerve G52.1 Disorders of glossopharyngeal nerve G52.1 Disorders of glossopharyngeal nerve G52.2 Disorders of vagus nerve G52.3 Disorders of hypoglossal nerve G52.8 Disorders of other specified cranial nerves G54.0 Brachial plexus disorders G54.8 Other nerve root and plexus disorders G56.10 Other lesions of median nerve, unspecified upper limb G56.90 Unspecified mononeuropathy of unspecified upper limb

5 355.6 G57.60 Lesion of plantar nerve, unspecified lower limb G57.90 Unspecified mononeuropathy of unspecified lower limb G90.09 Other idiopathic peripheral autonomic neuropathy G95.0 Syringomyelia and syringobulbia G96.9 Disorder of central nervous system, unspecified G97.1 Other reaction to spinal and lumbar puncture H46.9 Unspecified optic neuritis H74.8X9 Oth disrd of middle ear and mastoid, unspecified ear H92.09 Otalgia, unspecified ear H93.3X9 Disorders of unspecified acoustic nerve J38.7 Other diseases of larynx J39.2 Other diseases of pharynx J86.9 Pyothorax without fistula J94.1 Fibrothorax J94.8 Other specified pleural conditions J94.9 Pleural condition, unspecified J98.9 Respiratory disorder, unspecified K50.90 Crohn's disease, unspecified, without complications K51.90 Ulcerative colitis, unspecified, without complications K63.9 Disease of intestine, unspecified L40.54 Psoriatic juvenile arthropathy L40.59 Other psoriatic arthropathy L51.0 Nonbullous erythema multiforme L51.9 Erythema multiforme, unspecified L52 Erythema nodosum L98.9 Disorder of the skin and subcutaneous tissue, unspecified M00.00 Staphylococcal arthritis, unspecified joint M00.09 Staphylococcal polyarthritis M00.10 Pneumococcal arthritis, unspecified joint M00.19 Pneumococcal polyarthritis M00.20 Other streptococcal arthritis, unspecified joint M00.29 Other streptococcal polyarthritis M00.80 Arthritis due to other bacteria, unspecified joint M00.89 Polyarthritis due to other bacteria M00.9 Pyogenic arthritis, unspecified M02.30 Reiter's disease, unspecified site M05.00 Felty's syndrome, unspecified site M05.30 Rheumatoid heart disease w rheumatoid arthritis of unsp site M05.60 Rheu arthritis of unsp site w involv of organs and systems M06.1 Adult-onset Still's disease M06.4 Inflammatory polyarthropathy M06.4 Inflammatory polyarthropathy M06.9 Rheumatoid arthritis, unspecified M08.00 Unsp juvenile rheumatoid arthritis of unspecified site M08.3 Juvenile rheumatoid polyarthritis (seronegative) M08.40 Pauciarticular juvenile rheumatoid arthritis, unsp site

6 M08.40 Pauciarticular juvenile rheumatoid arthritis, unsp site M12.00 Chronic postrheumatic arthropathy, unspecified site M12.30 Palindromic rheumatism, unspecified site M12.40 Intermittent hydrarthrosis, unspecified site M12.50 Traumatic arthropathy, unspecified site M12.80 Oth specific arthropathies, NEC, unsp site M12.80 Oth specific arthropathies, NEC, unsp site M12.9 Arthropathy, unspecified M13.80 Other specified arthritis, unspecified site M13.80 Other specified arthritis, unspecified site M15.0 Primary generalized (osteo)arthritis M15.9 Polyosteoarthritis, unspecified M19.90 Unspecified osteoarthritis, unspecified site M Cystic meniscus, unspecified meniscus, 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 M23.50 Chronic instability of knee, unspecified knee M23.8X9 Other internal derangements of unspecified knee M Pain in unspecified shoulder M26.69 Other specified disorders of temporomandibular joint M35.2 Behcet's disease M43.27 Fusion of spine, lumbosacral region M43.28 Fusion of spine, sacral and sacrococcygeal region M43.6 Torticollis M45.9 Ankylosing spondylitis of unspecified sites in spine M46.90 Unspecified inflammatory spondylopathy, site unspecified M47.10 Other spondylosis with myelopathy, site unspecified M Spondylosis w/o myelopathy or radiculopathy, cervical region M Spondylosis w/o myelopathy or radiculopathy, thoracic region M Spondyls w/o myelopathy or radiculopathy, lumbosacr region M Spondylosis without myelopathy or radiculopathy, site unsp M48.30 Traumatic spondylopathy, site unspecified M48.9 Spondylopathy, unspecified M51.26 Other intervertebral disc displacement, lumbar region M51.27 Other intervertebral disc displacement, lumbosacral region M53.2X7 Spinal instabilities, lumbosacral region M53.3 Sacrococcygeal disorders, not elsewhere classified M53.82 Other specified dorsopathies, cervical region M54.10 Radiculopathy, site unspecified M54.12 Radiculopathy, cervical region M54.13 Radiculopathy, cervicothoracic region M54.2 Cervicalgia

7 724.3 M54.30 Sciatica, unspecified side M54.5 Low back pain M54.89 Other dorsalgia M54.9 Dorsalgia, unspecified M65.20 Calcific tendinitis, unspecified site M Crepitant synovitis (acute) (chronic), unspecified wrist M70.10 Bursitis, unspecified hand M70.20 Olecranon bursitis, unspecified elbow M70.30 Other bursitis of elbow, unspecified elbow M70.40 Prepatellar bursitis, unspecified knee M70.40 Prepatellar bursitis, unspecified knee M70.50 Other bursitis of knee, unspecified knee M70.60 Trochanteric bursitis, unspecified hip M70.70 Other bursitis of hip, unspecified hip M71.20 Synovial cyst of popliteal space [Baker], unspecified knee M71.40 Calcium deposit in bursa, unspecified site M71.50 Other bursitis, not elsewhere classified, unspecified site M75.00 Adhesive capsulitis of unspecified shoulder M Unsp rotatr-cuff tear/ruptr of unsp shoulder, not trauma M75.30 Calcific tendinitis of unspecified shoulder M75.30 Calcific tendinitis of unspecified shoulder M75.40 Impingement syndrome of unspecified shoulder M75.50 Bursitis of unspecified shoulder M75.80 Other shoulder lesions, unspecified shoulder M75.80 Other shoulder lesions, unspecified shoulder M76.10 Psoas tendinitis, unspecified hip M76.20 Iliac crest spur, unspecified hip M76.40 Tibial collateral bursitis, unspecified leg M76.50 Patellar tendinitis, unspecified knee M76.60 Achilles tendinitis, unspecified leg M Posterior tibial tendinitis, unspecified leg 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 M77.20 Periarthritis, unspecified wrist M77.50 Other enthesopathy of unspecified foot M77.8 Other enthesopathies, not elsewhere classified M77.9 Enthesopathy, unspecified M79.2 Neuralgia and neuritis, unspecified N23 Unspecified renal colic N34.1 Nonspecific urethritis N44.2 Benign cyst of testis N44.8 Other noninflammatory disorders of the testis N48.9 Disorder of penis, unspecified N50.3 Cyst of epididymis N50.8 Other specified disorders of male genital organs N50.9 Disorder of male genital organs, unspecified N53.12 Painful ejaculation

8 625.9 N94.89 Oth cond assoc w female genital organs and menstrual cycle N95.1 Menopausal and female climacteric states O21.0 Mild hyperemesis gravidarum O21.1 Hyperemesis gravidarum with metabolic disturbance O74.8 Other complications of anesthesia during labor and delivery P01.8 Newborn affected by oth maternal complications of pregnancy P15.0 Birth injury to liver P15.1 Birth injury to spleen P15.2 Sternomastoid injury due to birth injury P15.3 Birth injury to eye P15.5 Birth injury to external genitalia P15.8 Other specified birth injuries Q68.0 Congenital deformity of sternocleidomastoid muscle R09.1 Pleurisy R10.2 Pelvic and perineal pain R10.2 Pelvic and perineal pain R11.0 Nausea R11.2 Nausea with vomiting, unspecified R19.4 Change in bowel habit R19.8 Oth symptoms and signs involving the dgstv sys and abdomen R Ocular torticollis R30.0 Dysuria R30.9 Painful micturition, unspecified R51. Headache S03.4XXA Sprain of jaw, initial encounter S03.8XXA Sprain of joints and ligaments of oth prt head, init encntr S03.9XXA Sprain of joints and ligaments of unsp parts of head, init S13.4XXA Sprain of ligaments of cervical spine, initial encounter S13.5XXA Sprain of thyroid region, initial encounter S13.8XXA Sprain of joints and ligaments of oth prt neck, init encntr S23.3XXA Sprain of ligaments of thoracic spine, initial encounter S23.41XA Sprain of ribs, initial encounter S23.420A Sprain of sternoclavicular (joint) (ligament), init encntr S23.421A Sprain of chondrosternal joint, initial encounter S23.428A Other sprain of sternum, initial encounter S23.429A Unspecified sprain of sternum, initial encounter S23.8XXA Sprain of other specified parts of thorax, initial encounter S23.9XXA Sprain of unspecified parts of thorax, initial encounter S29.019A Strain of muscle and tendon of unsp wall of thorax, init

9 847.2 S33.5XXA Sprain of ligaments of lumbar spine, initial encounter S33.6XXA Sprain of sacroiliac joint, initial encounter 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 S33.9XXA Sprain of unsp parts of lumbar spine and pelvis, init encntr S39.011A Strain of muscle, fascia and tendon of abdomen, init encntr S43.409A Unsp sprain of unspecified shoulder joint, init encntr S43.419A Sprain of unspecified coracohumeral (ligament), init encntr S43.429A Sprain of unspecified rotator cuff capsule, init encntr S43.499A Other sprain of unspecified shoulder joint, init encntr S43.50XA Sprain of unspecified acromioclavicular joint, 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 S43.80XA Sprain of oth parts of unsp shoulder girdle, init encntr S43.80XA Sprain of oth parts of unsp shoulder girdle, init encntr S46.019A Strain of musc/tend the rotator cuff of unsp shoulder, init S46.119A Strain of musc/fasc/tend long head of biceps, unsp arm, init S46.819A Strain of musc/fasc/tend at shldr/up arm, unsp arm, init S46.919A Strain unsp musc/fasc/tend at shldr/up arm, unsp arm, init S53.409A Unspecified sprain of unspecified elbow, initial encounter S53.419A Radiohumeral (joint) sprain of unsp elbow, init encntr S53.429A Ulnohumeral (joint) sprain of unspecified elbow, init encntr S53.439A Radial collateral ligament sprain of unsp elbow, init encntr

10 841.1 S53.449A Ulnar collateral ligament sprain of unsp elbow, init encntr S53.499A Other sprain of unspecified elbow, initial encounter S56.919A Strain of unsp musc/fasc/tend at forarm lv, unsp arm, init S63.329A Traumatic rupture of unsp radiocarpal ligament, init encntr S63.509A Unspecified sprain of unspecified wrist, initial encounter S63.519A Strain intrns musc/fasc/tend unsp finger at wrs/hnd lv, subs S63.529A Sprain of radiocarpal joint of unsp wrist, init encntr S63.599A Other specified sprain of unspecified wrist, init encntr S63.629A Sprain of interphalangeal joint of unsp thumb, init encntr S63.639A Sprain of interphalangeal joint of unsp finger, init encntr S63.649A Sprain of metacarpophalangeal joint of unsp thumb, init S63.649A Sprain of metacarpophalangeal joint of right thumb, init 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 S63.90XA Sprain of unsp part of unsp wrist and hand, init encntr 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 S73.109A Unspecified sprain of unspecified hip, initial encounter S73.119A Iliofemoral ligament sprain of unspecified hip, init encntr S73.129A Ischiocapsular ligament sprain of unsp hip, init encntr S73.199A Other sprain of unspecified hip, initial encounter S76.919A Strain of unsp musc/fasc/tend at thi lev, unsp thigh, init S83.209A Unsp tear of unsp meniscus, current injury, unsp knee, init S83.30XA Tear of articular cartilage of unsp knee, current, init S83.419A Sprain of medial collateral ligament of unsp knee, init S83.429A Sprain of lateral collateral ligament of unsp knee, init S83.509A Sprain of unsp cruciate ligament of unsp knee, init encntr S83.8X9A Sprain of oth parts of unspecified knee, init encntr S83.90XA Sprain of unspecified site of unspecified knee, init encntr S86.019A Strain of unspecified Achilles tendon, initial encounter

11 844.8 S86.819A Strain of musc/tend at lower leg level, unsp leg, init S86.919A Strain of unsp musc/tend at lower leg level, unsp leg, init S93.409A Sprain of unsp ligament of unspecified ankle, init encntr S93.419A Sprain of calcaneofibular ligament of unsp ankle, init S93.429A Sprain of deltoid ligament of unspecified ankle, init encntr S93.439A Sprain of tibiofibular ligament of unsp ankle, init encntr S93.499A Sprain of other ligament of unspecified ankle, init encntr S93.519A Sprain of interphalangeal joint of unsp toe(s), init encntr S93.529A Sprain of metatarsophalangeal joint of unsp toe(s), init S93.609A Unspecified sprain of unspecified foot, initial encounter S93.629A Sprain of tarsometatarsal ligament of unsp foot, init encntr S93.699A Other sprain of unspecified foot, initial encounter 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 T14.90 Injury, unspecified T70.3XXA Caisson disease [decompression sickness], initial encounter T78.40XA Allergy, unspecified, initial encounter

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