ICD9_1 ICD9_2 ICD9_3 ICD9_4 ICD9_5 ICD9_6 ICD9_7 ICD9_8 ICD9_9 ICD9_10 ICD9_11 ICD9_12 ICD9_13 ICD9_14 ICD9_15

Transcription

1 Pediatric Medical Complexity Algorithm Code List for Version 2.0 ICD 9 list with assignment of body system and progressive status May 2015 (The umbrella code indicates that the listed codes include all current subcodes that exist within this ICD 9 group) Description Body System Progressive Umbrella Code (where applicable) ICD9_1 ICD9_2 ICD9_3 ICD9_4 ICD9_5 ICD9_6 ICD9_7 ICD9_8 ICD9_9 ICD9_10 ICD9_11 ICD9_12 ICD9_13 ICD9_14 ICD9_15 PRIMARY TUBERCULOUS INFECTION pulmonary/respirat No PULMONARY TUBERCULOSIS pulmonary/respirat No OTHER RESPIRATORY TUBERCULOSIS pulmonary/respirat No TUBERCULOSIS OF MENINGES AND pulmonary/respirat No CENTRAL NERVOUS SYSTEM TUBERCULOSIS OF INTESTINES pulmonary/respirat No PERITONEUM AND MESENTERIC GLANDS TUBERCULOSIS OF BONES AND JOINTS pulmonary/respirat No TUBERCULOSIS OF GENITOURINARY SYSTEM pulmonary/respirat No TUBERCULOSIS OF OTHER ORGANS pulmonary/respirat No MILIARY TUBERCULOSIS pulmonary/respirat No LEPROSY neurological No OTHER BACTERIAL DISEASES gastrointestinal No 40.2 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION WITH SPECIFIED CONDITIONS immunological Yes HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION CAUSING OTHER SPECIFIED CONDITIONS immunological Yes 043 (not cur OTHER HUMAN IMMUNODEFICIENCY VIRUS immunological Yes 044 (not cur (HIV) INFECTION SLOW VIRUS INFECTION OF CENTRAL neurological Yes NERVOUS SYSTEM SLOW VIRUS INFECTION OF CENTRAL neurological Yes 46.3 NERVOUS SYSTEM OTHER HUMAN HERPESVIRUS neurological Yes OTHER DISEASES DUE TO VIRUSES AND neurological Yes 78.5 CHLAMYDIAE VIRAL AND CHLAMYDIAL INFECTION IN immunological Yes CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE CONGENITAL SYPHILIS neurological Yes NEUROSYPHILIS neurological Yes OTHER FORMS OF LATE SYPHILIS WITH neurological Yes SYMPTOMS SARCOIDOSIS immunological No OTHER AND UNSPECIFIED INFECTIOUS AND pulmonary/respirat No PARASITIC DISEASES LATE EFFECTS OF TUBERCULOSIS pulmonary/respirat Yes LATE EFFECTS OF ACUTE POLIOMYELITIS neurological Yes

2 LATE EFFECTS OF OTHER INFECTIOUS AND neurological Yes PARASITIC DISEASES MALIGNANT NEOPLASM OF LIP malignancy N/A MALIGNANT NEOPLASM OF TONGUE malignancy N/A MALIGNANT NEOPLASM OF MAJOR malignancy N/A SALIVARY GLANDS MALIGNANT NEOPLASM OF GUM malignancy N/A MALIGNANT NEOPLASM OF FLOOR OF malignancy N/A MOUTH MALIGNANT NEOPLASM OF OTHER AND malignancy N/A UNSPECIFIED PARTS OF MOUTH MALIGNANT NEOPLASM OF OROPHARYNX malignancy N/A MALIGNANT NEOPLASM OF NASOPHARYNX malignancy N/A MALIGNANT NEOPLASM OF HYPOPHARYNX malignancy N/A MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A DEFINED SITES WITHIN THE LIP ORAL CAVITY AND PHARYNX MALIGNANT NEOPLASM OF ESOPHAGUS malignancy N/A MALIGNANT NEOPLASM OF STOMACH malignancy N/A MALIGNANT NEOPLASM OF SMALL malignancy N/A INTESTINE INCLUDING DUODENUM MALIGNANT NEOPLASM OF COLON malignancy N/A MALIGNANT NEOPLASM OF RECTUM malignancy N/A RECTOSIGMOID JUNCTION AND ANUS MALIGNANT NEOPLASM OF LIVER AND malignancy N/A INTRAHEPATIC BILE DUCTS MALIGNANT NEOPLASM OF GALLBLADDER AND EXTRAHEPATIC BILE DUCTS malignancy N/A MALIGNANT NEOPLASM OF PANCREAS malignancy N/A MALIGNANT NEOPLASM OF RETROPERITONEUM AND PERITONEUM malignancy N/A MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM MALIGNANT NEOPLASM OF NASAL malignancy N/A CAVITIES MIDDLE EAR AND ACCESSORY SINUSES MALIGNANT NEOPLASM OF LARYNX malignancy N/A MALIGNANT NEOPLASM OF TRACHEA malignancy N/A BRONCHUS AND LUNG MALIGNANT NEOPLASM OF PLEURA malignancy N/A MALIGNANT NEOPLASM OF THYMUS HEART AND MEDIASTINUM malignancy N/A MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A 165 (there DEFINED SITES WITHIN THE RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS is no ) MALIGNANT NEOPLASM OF BONE AND malignancy N/A ARTICULAR CARTILAGE MALIGNANT NEOPLASM OF CONNECTIVE malignancy N/A AND OTHER SOFT TISSUE MALIGNANT MELANOMA OF SKIN malignancy N/A

3 OTHER MALIGNANT NEOPLASM OF SKIN malignancy N/A MALIGNANT NEOPLASM OF FEMALE malignancy N/A BREAST MALIGNANT NEOPLASM OF MALE BREAST malignancy N/A KAPOSI'S SARCOMA malignancy N/A 176 (there is no ) MALIGNANT NEOPLASM OF UTERUS PART malignancy N/A UNSPECIFIED MALIGNANT NEOPLASM OF CERVIX UTERI malignancy N/A MALIGNANT NEOPLASM OF PLACENTA malignancy N/A MALIGNANT NEOPLASM OF BODY OF malignancy N/A UTERUS MALIGNANT NEOPLASM OF OVARY AND malignancy N/A OTHER UTERINE ADNEXA MALIGNANT NEOPLASM OF OTHER AND malignancy N/A UNSPECIFIED FEMALE GENITAL ORGANS MALIGNANT NEOPLASM OF PROSTATE malignancy N/A MALIGNANT NEOPLASM OF TESTIS malignancy N/A MALIGNANT NEOPLASM OF PENIS AND malignancy N/A OTHER MALE GENITAL ORGANS MALIGNANT NEOPLASM OF BLADDER malignancy N/A MALIGNANT NEOPLASM OF KIDNEY AND malignancy N/A OTHER AND UNSPECIFIED URINARY ORGANS MALIGNANT NEOPLASM OF EYE malignancy N/A MALIGNANT NEOPLASM OF BRAIN malignancy N/A MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF NERVOUS SYSTEM malignancy N/A MALIGNANT NEOPLASM OF THYROID malignancy N/A GLAND MALIGNANT NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES malignancy N/A MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A DEFINED SITES SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES malignancy N/A SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE SYSTEMS malignancy N/A SECONDARY MALIGNANT NEOPLASM OF malignancy N/A OTHER SPECIFIED SITES MALIGNANT NEOPLASM WITHOUT malignancy N/A SPECIFICATION OF SITE LYMPHOSARCOMA AND malignancy N/A RETICULOSARCOMA LYMPHOSARCOMA AND malignancy N/A RETICULOSARCOMA HODGKIN'S DISEASE malignancy N/A OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE malignancy N/A

4 OTHER MALIGNANT NEOPLASMS OF malignancy N/A LYMPHOID AND HISTIOCYTIC TISSUE MULTIPLE MYELOMA AND malignancy N/A IMMUNOPROLIFERATIVE NEOPLASMS LYMPHOID LEUKEMIA malignancy N/A MYELOID LEUKEMIA malignancy N/A MONOCYTIC LEUKEMIA malignancy N/A OTHER SPECIFIED LEUKEMIA malignancy N/A LEUKEMIA OF UNSPECIFIED CELL TYPE malignancy N/A NEUROENDOCRINE TUMORS malignancy N/A NEUROFIBROMATOSIS neurological No NEOPLASM OF UNCERTAIN BEHAVIOR OF malignancy N/A OTHER AND UNSPECIFIED SITES AND TISSUES SIMPLE AND UNSPECIFIED GOITER endocrinological No NONTOXIC NODULAR GOITER endocrinological No THYROTOXICOSIS WITH OR WITHOUT endocrinological No GOITER CONGENITAL HYPOTHYROIDISM endocrinological No ACQUIRED HYPOTHYROIDISM endocrinological No THYROIDITIS endocrinological No OTHER DISORDERS OF THYROID endocrinological No SECONDARY DIABETES MELLITUS endocrinological No SECONDARY DIABETES MELLITUS endocrinological No DIABETES MELLITUS endocrinological No OTHER DISORDERS OF PANCREATIC endocrinological No INTERNAL SECRETION DISORDERS OF PARATHYROID GLAND endocrinological No DISORDERS OF THE PITUITARY GLAND AND endocrinological No , ITS HYPOTHALAMIC CONTROL , 253.7, DISORDERS OF THE PITUITARY GLAND AND endocrinological Yes ITS HYPOTHALAMIC CONTROL DISEASES OF THYMUS GLAND endocrinological No DISORDERS OF ADRENAL GLANDS endocrinological No OVARIAN DYSFUNCTION endocrinological No TESTICULAR DYSFUNCTION endocrinological No POLYGLANDULAR DYSFUNCTION AND endocrinological No RELATED DISORDERS POLYGLANDULAR DYSFUNCTION AND endocrinological No RELATED DISORDERS KWASHIORKOR metabolic No NUTRITIONAL MARASMUS metabolic No OTHER SEVERE PROTEIN CALORIE metabolic No MALNUTRITION OTHER AND UNSPECIFIED PROTEIN metabolic No 263.0, CALORIE MALNUTRITION VITAMIN A DEFICIENCY metabolic No THIAMINE AND NIACIN DEFICIENCY STATES metabolic No DEFICIENCY OF B COMPLEX COMPONENTS metabolic No ASCORBIC ACID DEFICIENCY metabolic No VITAMIN D DEFICIENCY metabolic No VITAMIN D DEFICIENCY metabolic No (there is no DISORDERS OF AMINO ACID TRANSPORT AND metabolic Yes

5 DISORDERS OF CARBOHYDRATE metabolic Yes TRANSPORT AND DISORDERS OF LIPOID metabolic Yes DISORDERS OF LIPOID metabolic Yes DISORDERS OF PLASMA PROTEIN metabolic No GOUT metabolic No DISORDERS OF MINERAL metabolic Yes OTHER AND UNSPECIFIED DISORDERS OF pulmonary/respirat Yes OTHER AND UNSPECIFIED DISORDERS OF metabolic No OTHER AND UNSPECIFIED DISORDERS OF metabolic Yes OTHER AND UNSPECIFIED DISORDERS OF metabolic No OTHER AND UNSPECIFIED DISORDERS OF metabolic Yes OTHER AND UNSPECIFIED DISORDERS OF immunological No OTHER AND UNSPECIFIED DISORDERS OF metabolic No OTHER AND UNSPECIFIED DISORDERS OF metablic Yes MORBID OBESITY metablic No DISORDERS INVOLVING THE IMMUNE immunological Yes MECHANISM DISORDERS INVOLVING THE IMMUNE immunological Yes MECHANISM OTHER DEFICIENCY ANEMIAS hematological No HEREDITARY HEMOLYTIC ANEMIAS hematological No HEREDITARY HEMOLYTIC ANEMIAS hematological Yes HEREDITARY HEMOLYTIC ANEMIAS hematological Yes HEREDITARY HEMOLYTIC ANEMIAS hematological No HEREDITARY HEMOLYTIC ANEMIAS hematological Yes ACQUIRED HEMOLYTIC ANEMIAS hematological No APLASTIC ANEMIA hematological Yes 284 (with 284.0, 284.2, 284.8, APLASTIC ANEMIA hematological No OTHER AND UNSPECIFIED ANEMIAS hematological No COAGULATION DEFECTS hematological Yes 286 (with 286.2,286.3 COAGULATION DEFECTS hematological No COAGULATION DEFECTS hematological Yes PURPURA AND OTHER HEMORRHAGIC hematological No 287.1, CONDITIONS DISEASES OF WHITE BLOOD CELLS immunological No DISEASES OF WHITE BLOOD CELLS immunological Yes DISEASES OF WHITE BLOOD CELLS immunological No DISEASES OF WHITE BLOOD CELLS immunological Yes 288.1, DISEASES OF WHITE BLOOD CELLS immunological Yes OTHER DISEASES OF BLOOD AND BLOOD FORMING ORGANS immunological No , , ALCOHOLIC PSYCHOSES mental health No DRUG PSYCHOSES mental health No OTHER ORGANIC PSYCHOTIC CONDITIONS (CHRONIC) mental health No 294.0

6 SCHIZOPHRENIC DISORDERS mental health Yes AFFECTIVE PSYCHOSES mental health No AFFECTIVE PSYCHOSES mental health No PARANOID STATES mental health No 297.1, PSYCHOSES WITH ORIGIN SPECIFIC TO mental health No 299.0, 299.1, CHILDHOOD NEUROTIC DISORDERS mental health No 300.1, 300.3, 300.7, PERSONALITY DISORDERS mental health No X PERSONALITY DISORDERS mental health No ALCOHOL DEPENDENCE SYNDROME mental health No DRUG DEPENDENCE mental health No SPECIAL SYMPTOMS OR SYNDROMES NOT mental health No ELSEWHERE CLASSIFIED , , 307.3, SPECIAL SYMPTOMS OR SYNDROMES NOT mental health Yes 307.1, ELSEWHERE CLASSIFIED SPECIFIC NONPSYCHOTIC MENTAL DISORDERS DUE TO ORGANIC BRAIN DAMAGE mental health No DEPRESSIVE DISORDER NOT ELSEWHERE CLASSIFIED mental health No DISTURBANCE OF CONDUCT NOT mental health No , ELSEWHERE CLASSIFIED , , DISTURBANCE OF EMOTIONS SPECIFIC TO mental health No CHILDHOOD AND ADOLESCENCE HYPERKINETIC SYNDROME OF CHILDHOOD mental health No SPECIFIC DELAYS IN DEVELOPMENT mental health No , , 315.1, 315.2, , , , 315.4, 315.5, 315.8, MILD MENTAL RETARDATION mental health No OTHER SPECIFIED MENTAL RETARDATION mental health No OTHER SPECIFIED MENTAL RETARDATION mental health No UNSPECIFIED MENTAL RETARDATION mental health No LATE EFFECTS OF INTRACRANIAL ABSCESS OR PYOGENIC INFECTION neurological Yes ORGANIC SLEEP DISORDERS pulmonary/respirat No ORGANIC SLEEP DISORDERS pulmonary/respirat Yes CEREBRAL DEGENERATIONS USUALLY neurological Yes MANIFEST IN CHILDHOOD OTHER CEREBRAL DEGENERATIONS neurological No 331.3,331.4 OTHER EXTRAPYRAMIDAL DISEASE AND ABNORMAL MOVEMENT DISORDERS neurological Yes 333.0, 333.2, 333.4, 333.5, 333.6, , SPINOCEREBELLAR DISEASE neurological Yes SPINOCEREBELLAR DISEASE neurological Yes

7 SPINOCEREBELLAR DISEASE neurological Yes ANTERIOR HORN CELL DISEASE neurological Yes OTHER DISEASES OF SPINAL CORD neurological Yes DISORDERS OF THE AUTONOMIC NERVOUS neurological No SYSTEM MULTIPLE SCLEROSIS neurological Yes OTHER DEMYELINATING DISEASES OF neurological Yes CENTRAL NERVOUS SYSTEM OTHER DEMYELINATING DISEASES OF neurological Yes CENTRAL NERVOUS SYSTEM HEMIPLEGIA neurological No INFANTILE CEREBRAL PALSY neurological No 343 (with INFANTILE CEREBRAL PALSY neurological Yes OTHER PARALYTIC SYNDROMES neurological Yes 344 (with OTHER PARALYTIC SYNDROMES neurological No OTHER PARALYTIC SYNDROMES neurological No EPILEPSY neurological No CATAPLEXY AND NARCOLEPSY neurological No OTHER CONDITIONS OF BRAIN neurological No OTHER CONDITIONS OF BRAIN neurological Yes DISORDERS OF MENINGES, NOT ELSEWHERE CLASSIFIED neurological No UNSPECIFIED DISORDERS OF NERVOUS SYSTEneurological No TRIGEMINAL NERVE DISORDERS neurological No TRIGEMINAL NERVE DISORDERS neurological No FACIAL NERVE DISORDERS neurological No DISORDERS OF OTHER CRANIAL NERVES neurological No NERVE ROOT AND PLEXUS DISORDERS neurological No MONONEURITIS OF UPPER LIMB AND neurological No MONONEURITIS MULTIPLEX MONONEURITIS OF LOWER LIMB neurological No HEREDITARY AND IDIOPATHIC PERIPHERAL neurological No NEUROPATHY INFLAMMATORY AND TOXIC NEUROPATHY neurological No MYONEURAL DISORDERS neurological No MUSCULAR DYSTROPHIES AND OTHER musculoskeletal Yes MYOPATHIES MUSCULAR DYSTROPHIES AND OTHER MYOPATHIES musculoskeletal No , 359.8, DISORDERS OF THE GLOBE ophthalmological No 360.2, 360.3,360.4 RETINAL DETACHMENTS AND DEFECTS ophthalmological No OTHER RETINAL DISORDERS ophthalmological No OTHER RETINAL DISORDERS ophthalmological No CHORIORETINAL INFLAMMATIONS SCARS AND OTHER DISORDERS OF CHOROID ophthalmological No DISORDERS OF IRIS AND CILIARY BODY ophthalmological No 364.1, 364.2, 364.5, 364.7, GLAUCOMA ophthalmological No GLAUCOMA ophthalmological No BLINDNESS AND LOW VISION ophthalmological No

8 DISORDERS OF OPTIC NERVE AND VISUAL ophthalmological No PATHWAYS STRABISMUS AND OTHER DISORDERS OF BINOCULAR EYE MOVEMENTS ophthalmological No OTHER DISORDERS OF EYE ophthalmological No OTHER DISORDERS OF MIDDLE EAR AND otologic No MASTOID VERTIGINOUS SYNDROMES AND OTHER otologic No DISORDERS OF VESTIBULAR SYSTEM OTOSCLEROSIS otologic No OTHER DISORDERS OF EAR otologic No 388.0, 388.1, , HEARING LOSS neurological No RHEUMATIC FEVER WITHOUT MENTION OF immunological No HEART INVOLVEMENT CHRONIC RHEUMATIC PERICARDITIS cardiac No DISEASES OF MITRAL VALVE cardiac No DISEASES OF AORTIC VALVE cardiac No DISEASES OF MITRAL AND AORTIC VALVES cardiac No DISEASES OF OTHER ENDOCARDIAL cardiac No STRUCTURES OTHER RHEUMATIC HEART DISEASE cardiac No ESSENTIAL HYPERTENSION cardiac No HYPERTENSIVE HEART DISEASE cardiac No 402 (with HYPERTENSIVE HEART DISEASE cardiac Yes HYPERTENSIVE RENAL DISEASE renal No 403 (with HYPERTENSIVE RENAL DISEASE renal Yes HYPERTENSIVE HEART AND RENAL DISEASE renal No 404 (with HYPERTENSIVE HEART AND RENAL DISEASE renal Yes HYPERTENSIVE HEART AND RENAL DISEASE renal Yes SECONDARY HYPERTENSION cardiac No ACUTE MYOCARDIAL INFARCTION cardiac Yes OTHER ACUTE AND SUBACUTE FORMS OF cardiac Yes ISCHEMIC HEART DISEASE OLD MYOCARDIAL INFARCTION cardiac Yes OTHER FORMS OF CHRONIC ISCHEMIC cardiac Yes HEART DISEASE OTHER FORMS OF CHRONIC ISCHEMIC cardiac Yes HEART DISEASE CHRONIC PULMONARY HEART DISEASE cardiac Yes OTHER DISEASES OF PULMONARY cardiac Yes CIRCULATION OTHER DISEASES OF ENDOCARDIUM cardiac No OTHER DISEASES OF ENDOCARDIUM cardiac No 424.1,424.3 CARDIOMYOPATHY cardiac Yes CONDUCTION DISORDERS cardiac No CARDIAC DYSRHYTHMIAS cardiac No 427.0, 427.1, , HEART FAILURE cardiac Yes ILL DEFINED DESCRIPTIONS AND COMPLICATIONS OF HEART DISEASE cardiac Yes 429.1

9 CARDIOMEGALY cardiac No OCCLUSION AND STENOSIS OF neurological Yes PRECEREBRAL ARTERIES OTHER AND ILL DEFINED neurological Yes CEREBROVASCULAR DISEASE LATE EFFECTS OF CEREBROVASCULAR neurological Yes DISEASE AORTIC ANEURYSM cardiac Yes OTHER ANEURYSM cardiac No OTHER PERIPHERAL VASCULAR DISEASE cardiac No POLYARTERITIS NODOSA AND ALLIED CONDITIONS immunological Yes 446 (with 446.0, 446.2, POLYARTERITIS NODOSA AND ALLIED CONDITIONS immunological No 446.1, OTHER DISORDERS OF ARTERIES AND cardiac No ARTERIOLES PORTAL VEIN THROMBOSIS cardiac Yes OTHER VENOUS EMBOLISM AND cardiac No THROMBOSIS NONINFECTIOUS DISORDERS OF LYMPHATIC CHANNELS cardiac No CHRONIC LARYNGITIS AND pulmonary/respirat No LARYNGOTRACHEITIS CHRONIC BRONCHITIS pulmonary/respirat No EMPHYSEMA pulmonary/respirat Yes ASTHMA pulmonary/respirat No BRONCHIECTASIS pulmonary/respirat Yes EXTRINSIC ALLERGIC ALVEOLITIS pulmonary/respirat No CHRONIC AIRWAY OBSTRUCTION NOT pulmonary/respirat Yes ELSEWHERE CLASSIFIED ASBESTOSIS pulmonary/respirat No PNEUMOCONIOSIS DUE TO OTHER SILICA pulmonary/respirat No OR SILICATES PNEUMOCONIOSIS DUE TO OTHER pulmonary/respirat No INORGANIC DUST PNEUMONOPATHY DUE TO INHALATION OF pulmonary/respirat No OTHER DUST PNEUMOCONIOSIS UNSPECIFIED pulmonary/respirat No POSTINFLAMMATORY PULMONARY pulmonary/respirat Yes FIBROSIS OTHER ALVEOLAR AND PARIETOALVEOLAR pulmonary/respirat Yes PNEUMONOPATHY OTHER DISEASES OF RESPIRATORY SYSTEM pulmonary/respirat No OTHER DISEASES OF RESPIRATORY SYSTEM pulmonary/respirat No DISEASES OF THE JAWS musculoskeletal No DISEASES OF THE SALIVARY GLANDS gastrointestinal No 527.0, 527.1, 527.7

10 DISEASES OF ESOPHAGUS gastrointestinal No , , GASTRIC ULCER gastrointestinal No DUODENAL ULCER gastrointestinal No PEPTIC ULCER SITE UNSPECIFIED gastrointestinal No GASTROJEJUNAL ULCER gastrointestinal No DISORDERS OF FUNCTION OF STOMACH gastrointestinal No 536.2, REGIONAL ENTERITIS gastrointestinal No IDIOPATHIC PROCTOCOLITIS gastrointestinal No DIVERTICULA OF INTESTINE gastrointestinal No , , , ANAL FISSURE AND FISTULA gastrointestinal No OTHER DISORDERS OF INTESTINE gastrointestinal No , , OTHER DISORDERS OF INTESTINE gastrointestinal No CHRONIC LIVER DISEASE AND CIRRHOSIS gastrointestinal Yes CHRONIC LIVER DISEASE AND CIRRHOSIS gastrointestinal Yes , 571.8, LIVER ABSCESS AND SEQUELAE OF CHRONIC gastrointestinal Yes 572.3,572.4 LIVER DISEASE OTHER DISORDERS OF LIVER gastrointestinal Yes OTHER DISORDERS OF LIVER gastrointestinal No 573.2, OTHER DISORDERS OF GALLBLADDER gastrointestinal No , 575.5, 575.6, OTHER DISORDERS OF BILIARY TRACT gastrointestinal No 576.0, 576.1, 576.4, 576.5, DISEASES OF PANCREAS gastrointestinal No DISEASES OF PANCREAS gastrointestinal Yes INTESTINAL MALABSORPTION gastrointestinal No 579.2, INTESTINAL MALABSORPTION gastrointestinal No NEPHROTIC SYNDROME renal No CHRONIC GLOMERULONEPHRITIS renal Yes NEPHRITIS AND NEPHROPATHY NOT renal Yes SPECIFIED AS ACUTE OR CHRONIC CHRONIC RENAL FAILURE renal Yes RENAL FAILURE UNSPECIFIED renal Yes DISORDERS RESULTING FROM IMPAIRED musculoskeletal Yes RENAL FUNCTION DISORDERS RESULTING FROM IMPAIRED renal No RENAL FUNCTION HYDRONEPHROSIS genitourinary No 591 OTHER DISORDERS OF KIDNEY AND URETER renal No OTHER DISORDERS OF BLADDER renal No URETHRAL STRICTURE renal No OTHER DISORDERS OF URETHRA AND renal No 599.1, 599.2, URINARY TRACT 599.3, 599.4, DISORDERS OF PENIS genitourinary No OTHER DISORDERS OF MALE GENITAL genitourinary No ORGANS ENDOMETRIOSIS genitourinary No GENITAL PROLAPSE genitourinary No FISTULA INVOLVING FEMALE GENITAL TRACT genitourinary No

11 NONINFLAMMATORY DISORDERS OF genitourinary No 622.1X CERVIX NONINFLAMMATORY DISORDERS OF genitourinary No VAGINA NONINFLAMMATORY DISORDERS OF genitourinary No VULVA AND PERINEUM OTHER DISORDERS OF FEMALE GENITAL genitourinary No ORGANS BULLOUS DERMATOSES dermatological No ERYTHEMATOUS CONDITIONS immunological Yes OTHER HYPERTROPHIC AND ATROPHIC dermatological No CONDITIONS OF SKIN OTHER DERMATOSES dermatological No DISORDERS OF SWEAT GLANDS dermatological No CHRONIC ULCER OF SKIN dermatological No CHRONIC ULCER OF SKIN dermatological No DIFFUSE DISEASES OF CONNECTIVE TISSUE immunological Yes 710 (with 710.0, DIFFUSE DISEASES OF CONNECTIVE TISSUE immunological No CRYSTAL ARTHROPATHIES immunological No RHEUMATOID ARTHRITIS AND OTHER immunological No INFLAMMATORY POLYARTHROPATHIES INTERNAL DERANGEMENT OF KNEE musculoskeletal No , 717.2, OTHER DERANGEMENT OF JOINT musculoskeletal No 718.0, 718.2, 718.3, 718.4, 718.5, 718.6, ANKYLOSING SPONDYLITIS AND OTHER immunological No INFLAMMATORY SPONDYLOPATHIES SPONDYLOSIS AND ALLIED DISORDERS immunological No INTERVERTEBRAL DISC DISORDERS musculoskeletal No INTERVERTEBRAL DISC DISORDERS musculoskeletal No INTERVERTEBRAL DISC DISORDERS musculoskeletal No POLYMYALGIA RHEUMATICA immunological No DISORDERS OF MUSCLE LIGAMENT AND FASCIA musculoskeletal No 728.1, 728.2, 728.6, DISORDERS OF MUSCLE LIGAMENT AND musculoskeletal Yes FASCIA OSTEOMYELITIS PERIOSTITIS AND OTHER INFECTIONS INVOLVING BONE musculoskeletal No OSTEITIS DEFORMANS AND OSTEOPATHIES musculoskeletal No ASSOCIATED WITH OTHER DISORDERS CLASSIFIED ELSEWHERE OSTEOCHONDROPATHIES musculoskeletal No 732.0, OTHER DISORDERS OF BONE AND CARTILAGE musculoskeletal No 733.0, 733.3, 733.4, OTHER ACQUIRED DEFORMITIES OF LIMBS musculoskeletal No , , CURVATURE OF SPINE musculoskeletal No CURVATURE OF SPINE musculoskeletal No 737.0, 737.1, 737.8, OTHER ACQUIRED MUSCULOSKELETAL DEFORMITY musculoskeletal No

12 ANENCEPHALUS AND SIMILAR ANOMALIES neurological Yes SPINA BIFIDA neurological Yes OTHER CONGENITAL ANOMALIES OF neurological No 742 (with NERVOUS SYSTEM OTHER CONGENITAL ANOMALIES OF NERVOUS SYSTEM neurological Yes 742 (other than CONGENITAL ANOMALIES OF EYE ophthalmological No , 743.4, 743.5, , , , , CONGENITAL ANOMALIES OF EAR FACE AND NECK BULBUS CORDIS ANOMALIES AND ANOMALIES OF CARDIAC SEPTAL CLOSURE BULBUS CORDIS ANOMALIES AND ANOMALIES OF CARDIAC SEPTAL CLOSURE otologic No 744.0, cardiac Yes , cardiac No 745.4, OTHER CONGENITAL ANOMALIES OF HEART cardiac No 746 (with , , OTHER CONGENITAL ANOMALIES OF HEART cardiac Yes 746.2, OTHER CONGENITAL ANOMALIES OF CIRCULATORY SYSTEM OTHER CONGENITAL ANOMALIES OF CIRCULATORY SYSTEM cardiac Yes cardiac No 747.1, , , , 747.3, , , CONGENITAL ANOMALIES OF RESPIRATORY pulmonary/respirat No 748 (with , SYSTEM CONGENITAL ANOMALIES OF RESPIRATORY pulmonary/respirat Yes SYSTEM CLEFT PALATE AND CLEFT LIP craniofacial No CLEFT PALATE AND CLEFT LIP craniofacial No OTHER CONGENITAL ANOMALIES OF UPPER gastrointestinal No 750.1, 750.2, ALIMENTARY TRACT 750.4, 750.7, , , , , , , , OTHER CONGENITAL ANOMALIES OF UPPER gastrointestinal No ALIMENTARY TRACT OTHER CONGENITAL ANOMALIES OF DIGESTIVE SYSTEM gastrointestinal No , , OTHER CONGENITAL ANOMALIES OF DIGESTIVE SYSTEM gastrointestinal Yes , , , OTHER CONGENITAL ANOMALIES OF DIGESTIVE SYSTEM CONGENITAL ANOMALIES OF GENITAL ORGANS gastrointestinal No genitourinary No , , 752.7

13 CONGENITAL ANOMALIES OF URINARY genitourinary Yes SYSTEM CONGENITAL ANOMALIES OF URINARY genitourinary No SYSTEM CONGENITAL ANOMALIES OF URINARY genitourinary No SYSTEM CERTAIN CONGENITAL MUSCULOSKELETAL musculoskeletal No DEFORMITIES CERTAIN CONGENITAL MUSCULOSKELETAL DEFORMITIES musculoskeletal No 754.0, 754.2, OTHER CONGENITAL ANOMALIES OF LIMBS musculoskeletal No , , , OTHER CONGENITAL MUSCULOSKELETAL musculoskeletal No ANOMALIES OTHER CONGENITAL MUSCULOSKELETAL musculoskeletal Yes ANOMALIES OTHER CONGENITAL MUSCULOSKELETAL ANOMALIES musculoskeletal No , , CONGENITAL ANOMALIES OF THE dermatological 757.0, INTEGUMENT CHROMOSOMAL ANOMALIES genetic No , CHROMOSOMAL ANOMALIES genetic Yes , OTHER AND UNSPECIFIED CONGENITAL ANOMALIES genetic Yes 759 (with dif , OTHER AND UNSPECIFIED CONGENITAL ANOMALIES genetic No 759.5, OTHER RESPIRATORY CONDITIONS OF pulmonary/respirat No FETUS AND NEWBORN GENERAL SYMPTOMS neurological Yes GENERAL SYMPTOMS neurological No URINARY INCONTINENCE genitourinary No , TRAUMATIC AMPUTATION OF ARM AND musculoskeletal No HAND (COMPLETE) (PARTIAL) TRAUMATIC AMPUTATION OF FOOT musculoskeletal No (COMPLETE) (PARTIAL) TRAUMATIC AMPUTATION OF LEG(S) musculoskeletal No (COMPLETE) (PARTIAL) LATE EFFECT OF BURN musculoskeletal No SPINAL CORD INJURY WITHOUT EVIDENCE neurological Yes OF SPINAL BONE INJURY ASYMPTOMATIC HUMAN immunological Yes V08. IMMUNODEFICIENCY VIRUS [HIV] INFECTION STATUS SURGERY TO HEART AND GREAT VESSELS cardiac No V15.1 ORGAN OR TISSUE REPLACED BY renal Yes V42.0 TRANSPLANT ORGAN OR TISSUE REPLACED BY cardiac Yes V42.1 TRANSPLANT ORGAN OR TISSUE REPLACED BY TRANSPLANT cardiac No V42.2 ORGAN OR TISSUE REPLACED BY pulmonary/respirat Yes V42.6 TRANSPLANT ORGAN OR TISSUE REPLACED BY TRANSPLANT gastrointestinal Yes V42.7 V42.84

14 ORGAN OR TISSUE REPLACED BY hematological Yes V42.81 TRANSPLANT ORGAN OR TISSUE REPLACED BY endocrinological Yes V42.83 TRANSPLANT ORGAN OR TISSUE REPLACED BY OTHER MEANS cardiac Yes V43.22 FITTING AND ADJUSTMENT OF PROSTHETIC musculoskeletal No V52.0 V52.1 DEVICE FITTING AND ADJUSTMENT OF OTHER DEVICE DEVICES RELATED TO NERVOUS neurological No V53.0 V53.01, V53.02, V53.09 SYSTEM AND SPECIAL SENSES FITTING AND ADJUSTMENT OF OTHER DEVICE HEARING AID neurological No V53.2 FITTING AND ADJUSTMENT OF OTHER DEVICE CARDIAC DEVICE FITTING AND ADJUSTMENT OF OTHER DEVICE OTHER GASTROINTESTINAL APPLIANCE AND DEVICE ATTENTION TO ARTIFICIAL OPENINGS TRACHEOSTOMY ATTENTION TO ARTIFICIAL OPENINGS GASTROSTOMY, ILEOSTOMY, COLOSTOMY, OTHER ARTIFICIAL OPENING OF DIGESTIVE TRACT ATTENTION TO ARTIFICIAL OPENINGS CYSTOSTOMY ATTENTION TO ARTIFICIAL OPENINGS OTHER ARTIFICIAL OPENING OF URINARY TRACT ATTENTION TO ARTIFICIAL OPENINGS ARTIFICIAL VAGINA ENCOUNTER FOR DIALYSIS AND DIALYSIS CATHETER CARE (EXCLUDEING ADEQUACY TESTING) OTHER SPECIFIED REHABILITATION PROCEDURE cardiac No V53.3 V53.31, V53.32, V53.39 gastrointestinal No V53.5 V53.50, V53.51, V53.59 pulmonary/respirat No V55.0 gastrointestinal No V55.1, V55.2, V55.3, V55.4 genitourinary No V55.5 genitourinary No V55.6 genitourinary No V55.7 renal Yes V56.0, V56.1, V56.2, V56.8 musculoskeletal No V57.81, V57.89