CA LEA BILLING DIAGNOSIS CODES EXTENDED LIST

Transcription

1 CA LEA BILLING DIAGNOSIS CODES EXTENDED LIST AUTISM RELATED Infantile/Childhood Autism/Kanner s Syndrome Disintegrative Psychosis, Heller s Syndrome Asperger s Disorder/Rett s Disorder/Pervasive Developmental Disorder NOS Stereotyped Repetitive Movements-Body-rocking, Head Banging 3073 DEAF-BLINDNESS Blind Hypertensive Eye/Absolute Glucoma Solar Retinopathy Profound Impairment Both Eyes Level Not Further Specified Better Eye and Lesser Eye Total Impairment Near Total Blindness Better Eye Near Total Impairment, Lesser Eye Total Impairment Better and Lesser Eyes Near Total Impairment Unqualified Visual Loss Both Eyes 3693 Legal Blindness 3694 Disorder of Eye Unspecified Other Ill-defined Disorders of Eye Contusion of Eyeball 9213 Unspecified Injury to Optic Nerve/Traumatic Blindness 9509 Traumatic Deafness 9515 DEAFNESS Degenerative and Vascular Disorders of Ear, Unspecified Sudden Hearing Loss Unspecified 3882 Conductive Hearing Loss Unspecified Conductive Hearing Loss External Ear Conductive Hearing Loss Tympanic Membrane Conductive Hearing Loss Middle Ear Conductive Hearing Loss Inner Ear Conductive Hearing Loss of Combined Types Sensory Hearing Loss Neural Hearing Loss Central Hearing Loss Sensorineural Hearing Loss of Combined Types Mixed Conductive and Sensorineural Hearing Loss 3892 Deaf Mutism Not Elsewhere Classified 3897 Unspecified anomaly of Ear with Impairment of Hearing 7440 Unspecified Anomaly of Ear 7443 Traumatic Deafness Not Otherwise Specified 9515 DEVELOPMENTAL DELAY Separation Anxiety Disorder Hyperkinesis with Developmental Delay 3141 Other Specific Learning Disabilities 3152 Developmental Language Disorder Receptive Language Disorder Mixed Other Developmental Articulation Disorder 31539

2 2 Coordination Disorder 3154 Mixed Development Disorder 3155 Fetal Alcohol Syndrome Prematurity 7651 Other Specified Birth Trauma 7678 Feeding Difficulties and Mismanagement 7833 Lack of Normal Physiological Development Unspecified Failure to Thrive Delayed Milestones Short Stature Other Symptoms Concerning Nutrition, Metabolism and Development 7839 Toxic Effects Unspecified Lead Poisoning 9849 Toxic Effects of Other Specified Metals 9858 EMOTIONAL DISTURBANCE Other Alcohol Dementia 2912 Alcohol Withdrawal Drug Withdrawal Syndrome 2920 Drug Induced Organic Delusional Syndrome Drug Induced Hallucinatory State Pathologic Drug Intoxication 2922 Drug-Induced Dementia Drug Induced Depressive Disorder Drug Induced Mental Disorder Amnestic Syndrome 2940 Other Specified Chronic Organic Brain Syndrome 2948 Unspecified Chronic Organic Brain Syndrome 2949 Schizophrenia Disorganized Unspecified Type Schizophrenia Catatonic Unspecified Type Schizophrenia Paranoid Unspecified Type Schizoaffective Disorder Unspecified Schizophrenia Undifferentiated Type Bipolar Affective Disorder Manic Unspecified Bipolar Affective Disorder Depressed Unspecified Bipolar Affective Disorder Mixed Unspecified Atypical Manic Disorder Atypical Depressive Disorder Other Manic-Depressive Psychosis Mixed Type Paranoia 2971 Depressive Type Psychosis 2980 Excitative Type Psychosis 2981 Disintegrative Psychosis Current State Schizophrenia Childhood Type Anxiety State Unspecified Panic Disorder Generalized Anxiety Disorder Hysteria Unspecified Multiple Personality Dissociative Identity Disorder Agoraphobia with Panic Attacks Social Phobia Other Isolated or Simple Phobias 30029

3 3 Obsessive Compulsive Disorder 3003 Neurotic Depression 3004 Depersonalization Syndrome 3006 Somatization Disorder Paranoid Personality Disorder 3010 Affective Personality Disorder 3011 Explosive Personality Disorder 3013 Dependent Personality Disorder 3016 Antisocial Personality Disorder 3017 Narcissistic Personality Disorder Borderline Personality Passive-Aggressive Personality Homosexuality 3020 Exhibitionism 3024 Trans-sexualism with Unspecified Sexual History Disorders of Psychosexual Identity 3026 Fetishism Voyeurism Gender Identity Disorder in Adolescents Barbiturate Dependence Unspecified Cocaine Dependence Unspecified Cannabis Dependence Unspecified Amphetamine and Other Psychostimulant Dependence Unspecified Hallucinogen Dependence Unspecified Glue sniffing and Other Specified Drug Dependence Alcohol Abuse Unspecified Tobacco Use Disorder Unspecified Antidepressant Abuse Unspecified Other Mixed or Unspecified Drug Abuse Anorexia Nervosa 3071 Tourette s Disorder Bulimia Nervosa Perverted Appetite/Pica Psychogenic Vomiting Predominate Disturbance of Emotions 3080 Predominant Psychomotor Disturbance 3082 Mixed Disorders as Reactions to Stress 3084 Prolonged Depressive Reaction 3091 Emancipation Disorder of Adolescence Adjustment Reaction with Mixed Emotional Features Anxiety Reaction with Predominate Disturbance of Conduct 3093 Adjustment Reaction with Mixed Disturbance of Emotions & Conduct 3094 Adjustment Reaction with Withdrawal Unspecified Non-psychotic Mental Disorder Following Organic Brain Damage 3109 Under-socialized Conduct Disorder Aggressive Type Unspecified Under-socialized Disorder Non-Aggressive Type Unspecified Socialized Conduct Disorder Delinquency, Truancy Unspecified Disorders of Impulse Control Unspecified Kleptomania Pyromania Intermittent Explosive Disorder 31234

4 4 Mixed Disturbance of Conduct and Emotions 3124 Conduct Disorder Childhood Onset Conduct Disorder Adolescent Onset Unspecified Disturbance of Conduct-Juvenile Delinquency 3129 Overanxious Disorder 3130 Misery and Unhappiness Disorder 3131 Sensitivity, Shyness and Social Withdrawal Disorder 3132 Oppositional Disorder Identity Disorder Unspecified Emotional Disturbance of Childhood or Adolescence 3139 Klinefelter s Syndrome 7587 Hyperventilation Emotional Abuse Nutritional Child Neglect Child Sexual Abuse Child Physical Abuse Parent Child Relational Problem V6120 Unspecified Family Circumstances V619 Bereavement V6282 Unspecified Psychosocial Circumstance V629 Child or Adolescent Antisocial Behavior V7102 HEARING DISABILITY Malignant Otitis Externa Cholestreatoma of External Year Acquired Stenosis of External Ear Canal Cause Unspecified Tympanosclerosis Unspecified as to Involvement Adhesive Middle Ear Disease Unspecified as to Involvement Discontinuity or Dislocation of Ear Ossicles Retained Foreign Body in Middle Ear Meniere s Disease Unspecified Transient Ischemic Deafness Acoustic Trauma to Ear Noise Induced Hearing Loss Tinnitus Unspecified Abnormal Auditory Perception Unspecified Impairment of Auditory Discrimination Recruitment-Impairment in Distinguishing Volume of Sound Disorders of Acoustic Nerve 3885 Hearing Loss Unspecified Unspecified Hearing Loss 3899 Problems with Hearing V412 Other Ear Problems V413 Hearing Aid V532 Intellectual Disability Mild Intellectual Disability IQ Moderate Intellectual Disability IQ Severe Intellectual Disability IQ Profound Intellectual Disability IQ Under Unspecified Intellectual Disability 319

5 5 Anoxic Brain Damage 3481 Microcephalus 7421 Reduction Deformities of Brain 7422 Other Specified Anomaly of Brain 7424 Down s Syndrome 7580 Other Conditions Due to Sex Chromosome Abnormalities Tuberous Sclerosis 7595 Prader-Willi Syndrome Marfan Syndrome Fragile X Syndrome Congenital Anomaly, Unspecified 7599 MULTIPLE DISABILITIES Unspecified Problem with Special Functions (Refer to Other Exceptionality Lists) V419 ORTHOPEDIC DISABILITY Dwarfism Not Otherwise Classified 2594 Spinal Muscular Atrophy Unspecified Kugelberg-Welander Disease Unspecified Disease of Spinal Cord 3369 Hemiplegia Unspecified Congenital Hemiplegia 3431 Infantile Cerebral Palsy Unspecified 3439 Quadriplegia Unspecified Paraplegia Both Lower Limbs 3441 Paralysis of Lower Limb 3443 Paralysis of Upper Limb 3444 Paralysis Unspecified 3449 Congenital Muscular Dystrophy 3590 Duchenne s Hereditary Progressive Muscular Dystrophy 3591 Myotonic Disorders 3592 Arthritis Generalized Site Unspecified Arthritis Localized Site Unspecified Arthritis Site Unspecified Recurrent Dislocation of Joint Site Unspecified Contracture of Joint Site Unspecified Difficulty in Walking Site Unspecified Spasm of Muscle Juvenile Osteochrondosos of Hip and Pelvis 7321 Unspecified Deformity of Ankle and Foot Acquired Clubfoot Other Calcaneus Deformity Unequal Leg Length Other Deformity of Arm or Leg Acquired Adolescent Postural Kyphosis 7370 Kyphosis Acquired Other Lordosis Acquired Lordosis Other Scoliosis Idiopathic Progressive Infantile Idiopathic Scoliosis 73732

6 6 Other Kyphoscoliosis and Scoliosis Curvature of Spine Unspecified Spina Bifida with Hydrocephalus Unspecified Region Spina Bifida without Hydrocephalus Unspecified Region Congenital Musculoskeletal Deformity of Spine 7542 Congenital Dislocation of Hip Unilateral Congenital Dislocation of Hip Bilateral Other Congenital Deformities of Feet Polydactyly of Fingers Polydactyly of Toes Syndactyly-Webbing of Digits of Multiple and Unspecified Sites Unspecified Reduction Deformity of Upper Limb Unspecified Reduction Deformity of Lower Limb Unspecified Other Anomalies of Upper Limb Cleft Hand Unspecified Anomalies of Lower Limb Unspecified Anomaly of Spine Congenital Absence of Vertebra Fusion of Spine Klippel-Feil Syndrome Osteogenesis Imperfecta Absence of Muscle and Tendons Abnormal Involuntary Movements 7810 Abnormality of Gait 7812 Lack of Coordination 7813 Transient Paralysis of Limb 7814 Clubbing of Fingers 7815 Tetany-Spasms of Muscle Tension in the Extremities 7817 Abnormal Posture Other Symptoms Involving Nervous and Musculoskeletal Systems OTHER HEALTH DISABILITIES Infectious Colitis 0090 Infectious Diarrhea 0092 Human Immunodeficiency Virus (HIV) Symptomatic 042 Asymptomatic HIV VO8 Hepatitis A Without Mention of Coma 0701 Hepatitis B Without Mention of Coma Acute or Unspecified Hepatitis C Without Mention of Coma Unspecified Viral Hepatitis without Mention of Hepatic Coma 0709 Cytomegaloviral Disease 0785 Hemorrhagic Nephrosonephritis 0786 Relapsing Fever Unspecified 0879 Lyme Disease Early Congenital Syphilis Unspecified 0902 Sarcoidosis 135 Pneumocystosis 1363 Malignant Neoplasm of Liver 1550 Malignant Neoplasm of Pancreas Part Unspecified 1579 Other Malignant Neoplasm of Connective and Other Soft Tissue 1718 Lymphosarcoma 2001

7 7 Burkitt s Tumor or Lymphoma 2002 Hodgkin s Disease Unspecified 2019 Multiple Myeloma without Mention of Remission 2030 Multiple Myeloma in Remission 2031 Unspecified Lymphoid Leukemia 2049 Unspecified Myeloid Leukemia 2059 Neurofibromatosis Unspecified Unspecified Hypothyroidism 2449 Unspecified Disorders of Thyroid 2469 Diabetes Mellitus with Unspecified Complication 2509 Cushings Syndrome 2550 Adrenogenital Disorders 2552 Unspecified Disorder of Adrenal Glands 2559 Polyglandular Dysfunction Unspecified 2589 Delay in Sexual Development and Puberty not Elsewhere Classified 2590 Malnutrition of Moderate Degree 2630 Malnutrition of Mild Degree 2631 Phenylketonuria PKU 2701 Glucose-6-Phosophatase Deficiency 2710 Cystic Fibrosis 2770 Amyloidosis 2773 Mucopolysaccharidosis 2775 Obesity Unspecified Morbid Obesity Disorders Involving the Immune Mechanism Unspecified Disorder of Immune Mechanism 2799 Pernicious Anemia 2810 Unspecified Deficiency Anemia 2819 Thalassemia 2824 Sickel-Cell Anemia Unspecified Aplastic Anemia Unspecified 2849 Anemia in Other Chronic Illness Congenital Factor VIII Disorder-Hemophilia 2860 Congenital Factor IX Deficiency-Hemophilia B 2861 Congenital Factor XI Deficiency-Hemophilia C 2862 Congenital Deficiency in Other Clotting Factors 2863 Von Willebrand s Disease 2864 Acquired Coagulation Factor Deficiency 2867 Other and Unspecified Coagulation Defects 2869 Agranulocytosis 2880 Functional Disorders of Polymorphonuclear Neutrophils 2881 Genetic Anomalies of Leukocytes 2882 Eosinophilia 2883 Unspecified Diseases of Blood and Blood-Forming Organs 2899 Tic Order Non-Specified Chronic Motor Tic Disorder Giles de la Tourette s Disorder Hyperkinetic Conduct Disorder without Developmental Delay 3142 Epilepsy Unspecified 3459 Cataplexy and Narcolepsy 347 Atypical Face Pain 3502

8 8 Facial Nerve Disorder Unspecified 3519 Unspecified Disorder of Cranial Nerves 3529 Chronic Rheumatic Pericarditis 393 Mitral Stenosis 3940 Other and Unspecified Mitral Valve Diseases 3949 Mitral and Aortic Valve Diseases Unspecified 3969 Rheumatic Myocarditis 3980 Rheumatic Heart Disease Unspecified Hypertensive Renal Disease without Mention of Renal Failure 4030 Hypertensive Renal Disease with Renal Failure 4031 Acute Pulmonary Heart Disease 415 Chronic Pulmonary Heart Disease Unspecified 4169 Unspecified Disease of Pulmonary Circulation 4179 Mitral Valve Disorders 4240 Aortic Valve Disorders 4241 Tricuspid Valve Disorders 4242 Pulmonary Valve Disorders 4243 Other Cardiac Dysrhythmias Congestive Heart Failure 4280 Heart Failure Unspecified 4289 Cardiomegaly-Enlarged Heart 4293 Heart Disease Unspecified 4299 Other Aneurysm 442 Unspecified Chronic Liver Disease without Mention of Alcohol 5719 Unspecified Disorder of Liver 5739 Corrected Transposition of Great Vessels Tetralogy of Fallot 7452 Ventricular Septal Defect 7454 Unspecified Defect of Septal Closure 7459 Pulmonary Valve Anomaly Unspecified 7460 Congenital Stenosis of Aortic Valve 7463 Congenital Insufficiency of Aortic Valve 7464 Congenital Mitral Stenosis 7465 Congenital Mitral Insufficiency 7466 Hypoplastic Left Heart Syndrome 7467 Unspecified Anomaly of Heart Anomalies of Great Veins Unspecified Other Anomalies of Peripheral Vascular System 7476 Congenital Cystic Lung 7484 Unspecified Anomaly of Respiratory System 7489 Congenital Hypertrophic Pyloric Stenosis 7505 Unspecified Anomaly of Upper Alimentary Tract 7509 Mickel s Diverticulum 7510 Atresia and Stenosis of Small Intestine 7511 Atresia and Stenosis of Large Intestine, Rectum and Anal Canal 7512 Hirschsprung s Disease and Other Congenital Function Disorders of Colon 7513 Other Anomalies of Intestine 7515 Unspecified Anomaly of Gallbladder, Bile Ducts and Liver Biliary Atresia Congenital Cystic Disease of Liver Anomalies of Pancreas 7517

9 9 Unspecified Anomaly of Digestive System 7519 Interminate Sex and Pseudohermaphroditism 7527 Unspecified Anomaly of Urinary System 7539 Anomalies of Diaphragm 7566 Anomalies of Abdominal Wall 7567 Prune Belly Syndrome Hereditary Edema of Legs 7570 Anomalies of Spleen 7590 Anomalies of Adrenal Gland 7591 Anomalies of Other Endocrine Glands 7592 Chronic Fatigue Syndrome Abnormal Weight Gain 7831 Abnormal Loss of Weight Underweight Polyphasia-Excessive Eating 7836 Traumatic Anuria-Suppression of Urine Result of Trauma 9585 Allergy Unspecified 9953 Other child Abuse and Neglect 9955 Anaphylactic Shock Due to Unspecified Food Complications of Other Specific Transplanted Organs Complications of Unspecified Reattached Extremity or Body Part Allergy to Peanuts V1501 Allergy to Milk Products V1502 Other Allergy Other Than to Medicinal Agents V1509 Pregnant State Incidental V22 Unspecified High-Risk Pregnancy V239 Tracheostomy V440 Gastrostomy V441 Ileostomy V442 Colostomy V443 Renal Dialysis Status V451 Presence of Cerebrospinal Fluid Drainage Device V452 Intestinal Bypass V453 Cardiac Device V533 Radiotherapy V580 Chemotherapy V581 Unwanted Pregnancy V617 SPECIFIC LEARNING DISABILITY Specific Academic Inhibition Attention Deficit Disorder without Hyperactivity Attention Deficit Disorder with Hyperactivity Reading Disorder, Unspecified Alexia Developmental Dyslexia Other Specific Learning Difficulties 3152 Turner s Syndrome 7586 Prader-Willi Syndrome Problems with Learning V400 Problems with Communication V401

10 10 SPEECH OR LANGUAGE DISABILITY Stammering or Stuttering 3070 Facial Nerve Disorders Unspecified 3519 Other Speech and Language Deficits Paralysis of Vocal Cords or Larynx Unspecified Asthma Unspecified 4939 Chronic Airway Obstruction 496 Pulmonary Congestion and Hypostasis 514 Mechanical Complications of Tracheostomy Disorders of Diaphragm 5194 Dentofacial Functional Abnormalities 5245 Congenital Anomalies of Respiratory System 748 Other Anomalies of Nose 7481 Other Anomalies of Larynx, Trachea and Bronchus 7483 Unspecified Anomaly of Respiratory System 7489 Cleft Palate Unspecified Cleft Lip Unspecified Other Congenital Anomalies of Upper Alimentary Tract 750 Tongue Tie 7500 Other Anomalies of Tongue 7501 Congenital Adhesions of Tongue Macroglossia-Congenital Hypertrophy of Tongue Microglossia-Congenital Hypoplasia of Tongue Congenital Fistula of Lip Diverticulum of Pharynx Unspecified Anomaly of Upper Alimentary Tract 7509 Congenital Musculoskeletal Deformity of Skull, Face or Jaw 7540 Aphasia 7843 Voice Disturbance Unspecified Change in Voice Aphonia-Loss of Voice Other Voice Disturbance 7845 Symbolic Dysfunction Unspecified Alexia and Dyslexia Other Symptoms Involving Head and Neck 7849 Dysphagia-Difficulty in Swallowing 7872 Problems with Communication Including Speech V401 Problems with Voice Production V414 Problems with Swallowing and Mastication V416 TRAUMATIC BRAIN INJURY Organic Personality Syndrome 3101 Postconcussion Syndrome 3102 Other Specified Non-Psychotic Mental Disorders After Brain Damage 3108 Unspecified Non-Psychotic Mental disorder Following Organic Brain Damage 3109 Compression of the Brain 3484 Unspecified Condition of Brain 3489 Unspecified Intracranial Hemorrhage 4329 Occlusion of Cerebral Arteries without Mention of Cerebral Infarction 4340 Occlusion of Cerebral Arteries with Mention of Cerebral Infarction 4341 Cerebral Artery Occlusion Unspecified 4349

11 11 11 Intracranial Injury without Mention of Open Intracranial Wound 8540 Intracranial Injury with Open Intracranial Injury 8541 VISUAL DISABILITY Diabetic Related Retinopathy 2505 Sudden Vision Loss Transient Vision Loss Visual Discomfort Visual Distortions of Shape and Size Psychophysical Visual Disturbances Diplopia-Double Vision 3682 Binocular Vision Disorder Unspecified Visual Field Defect Unspecified Unspecified Visual Disturbance 3689 Moderate or Severe Impairment Better Eye, Profound Impairment Lesser Eye Moderate or Severe Impairment Both Eyes Not further Specified Profound Impairment One Eye Not Further Specified Moderate or Severe Impairment One Eye Not Further Specified Corneal Dystrophy Unspecified Chronic Conjunctivitis Unspecified Ptosis Drooping of Eyelid Unspecified Chronic Inflammation of Orbit Unspecified Deformity of Orbit Unspecified Retained Old Foreign Body Following Penetrating Orbit Wound 3766 Papilledema Unspecified Optic Atrophy Unspecified Optic Neuritis Unspecified Disorder of Visual Pathways Associated with Neoplasms Disorder of Visual Pathways Associated with Vascular Disorders Disorder of Visual Pathways Associated with Inflammatory Disorders Estopia-the Eye Turns Inward Unspecified Extropia-the Eye turns Outward Unspecified Paralytic Strabismus Unspecified Palsy of Conjugate Gaze Anomalies of Divergence Unspecified Disorder of Eye Movements 3789 Other Disorders of Vitreous Body Congenital Nystagmus Dysfunction in Normal, Rapid Focus and Movement of Eyes Deficiencies in Smooth Pursuit Movements Unspecified Disorder of Eye and Adnexa Congenital Absence of All or Part of the Eye Microphthamos-Congenital Smallness or Underdevelopment of Eye 7431 Buphthalmos-Largeness of the Eye Resulting from Congenital Glaucoma Congenital Cataract and Lens Anomalies Unspecified Problems with Sight V410 Other Eye Problems V411