ICD-9 Diagnosis Codes
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1 CPT CODE: PROSTATE SPECIFIC ANTIGEN (PSA) 185 Malignant neoplasm of prostate Unspecified prostatitis Malignant neoplasm of bladder neck Unspecified disorder of prostate (Medicare Only) Secondary malignant neoplasm, lymph nodes inguinal region and lower limb Retention urine, unspecified Secondary malignant neoplasm, intra-pelvic lymph nodes Incomplete bladder emptying Secondary malignant neoplasm, lymph nodes of multiple sites Urinary incontinence, unspecified Secondary malignant neoplasm, bone and bone marrow Urinary frequency Secondary malignant neoplasm, genital organs Nocturia Carcinoma in situ of prostate Slowing of urinary stream Neoplasm of uncertain behavior, prostate Elevated prostate specific antigen (PSA) Neoplasm of unspecified nature, other genitourinary organs. (Use this code for possible malignant nodule of prostate) Non-specific abnormal result of radiologic examination, evidence of malignancy Bladder neck obstruction Non-specific abnormal result of radiologic examination, evidence of malignancy Urinary obstruction, unspecified Bone scan evidence of malignancy Hematuria, microscopic Unspecified disorder of prostate (Non- Medicare Only) Hypertrophy (benign) of prostate with urinary obstruction (May use this diagnosis for screening) CPT CODE: TESTOSTERONE V10.46 Personal history of malignant neoplasm; prostate Post ablative testicular hypo function Benign prostate hyperplasia (BHP) Other testicular hypo function Prostatism Testicular dysfunction Prostatitis Hormonal imbalance (Elevated testosterone) Prostatocystitis Psychosexual dysfunction Atrophy of prostate Inhibited sexual desire Azoospermia Low libido Oligospermia Frigidity/Impotence Infertility due to extratesticular causes Female orgasm inhibition Impotence of organic origin Male orgasm inhibition Alopecia, unspecified Premature ejaculation Alopecia areata ICD-9 Diagnosis Codes for PSA & Testosterone M Compiled and approved by Michael A. Farragamo, MD, MACS, Consulting Editor Urology Coding Alert, Rev. April 18, 2005
2 CPT CODE: THYROID STIMULATING HORMONE (TSH) CPT CODE: THYROXINE; FREE Tuberculosis of the thyroid gland Ovarian failure Malignant neoplasm of ovary Testicular hypofunction 193 Malignant neoplasm of thyroid gland Polyglandular dysfunction Malignant neoplasm of other endocrine glands and related structures, other 262 Malnutrition, severe Secondary malignant neoplasm of the thyroid Malnutrition, other and unspecified 220 Benign neoplasm of ovary Ariboflavinosis 226 Benign neoplasm of thyroid gland Pure hypercholesterolemia Benign neoplasm of pituitary gland and craniopharyngeal duct Mixed hyperlipidemia Carcinoma in situ of other and unspecified sites Other and unspecified hyperlipidemia Neoplasm of uncertain behavior of other and unspecified endocrine glands Calcium disorders Neoplasm of unspecified nature, thyroid gland Hyposmolality and/or hypernatremia Goiter specified and unspecified Hyposmolality and/or hyponatremia Nontoxic nodular goiter Hypercarotenemia Thyrotoxicosis with or without goiter Autoimmune disorder, not classified elsewhere 243 Congenital hypothyroidism Pernicious anemia Acquired hypothyroidism Unspecified deficiency anemia Thyroiditis Autoimmune hemolytic anemia Other disorders of thyroid Anemia, unspecified Diabetes mellitus Senile dementia, uncomplicated Hypoparathyroidism Presenile dementia Other and unspecified anterior pituitary hyper function Senile dementia with delusional or depressive features Panhypopituitarism Senile dementia with delirium Pituitary dwarfism Delirium Other anterior pituitary disorders Iatrogenic pituitary disorders Other specified transient mental disorders due to conditions classified elsewhere Other persistent mental disorders due to conditions classified elsewhere Adrenogenital disorders Episodic mood disorders Corticoadrenal insufficiency Paranoid state, simple
3 (cont.) CPT CODE: THYROID STIMULATING HORMONE (TSH) CPT CODE: THYROXINE; FREE Delusional disorder Exophthalmic conditions, unspecified and constant Unspecified paranoid state * Hypertensive heart and kidney disease Acute paranoid reaction Unspecified disease of pericardium Anxiety states Nutritional and metabolic cardiomyopathy Other and unspecified special symptoms or syndromes, not elsewhere classified Paroxysmal supraventricular tachycardia Personality change due to conditions classified elsewhere Paralytic strabismus 311 Depressive disorder, not elsewhere classified Essential hypertension Organic insomnia, unspecified * Hypertensive kidney disease Insomnia due to medical condition classified elsewhere Paroxysmal tachycardia, unspecified Other organic insomnia Atrial fibrillation Other organic sleep apnea Other specified cardiac dysrhythmia Sleep related leg cramps Cardiac dysrhythmia, unspecified Other Organic sleep disorders Congestive heart failure, unspecified 331.0, , , Alzheimer s, pick s disease, Senile degeneration of brain Left heart failure Essential and other specified forms of tremor Cardiomegaly Other extrapyramidal diseases and abnormal movement disorders Unspecified pleural effusion Carpal Tunnel syndrome Acute respiratory failure Idiopathic peripheral neuropathy, unspecified polyneuropathy Other specified conditions of the tongue Myasthenic syndromes in diseases classified elsewhere Paralytic ileus Myopathy in endocrine diseases classified elsewhere Constipation Myopathy, unspecified Megacolon, other than Hirschsprung s Diplopia Peritoneal effusion (chronic) Conjunctival hyperemia Dysmenorrhea Conjunctival edema Disorders of menstruation Lid retraction or lag Irregular menstrual cycle Eyelid edema Thyrotoxic exophthalmos Other current conditions in the mother, classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium, thyroid dysfunction Engorgement of breast associated with childbirth and disorders of lactation Exophthalmic ophthalmoplegia Orbital edema or congestion, intermittent exophthalmos
4 (cont.) CPT CODE: THYROID STIMULATING HORMONE (TSH) CPT CODE: THYROXINE; FREE Unspecified pruritic disorder Disturbance of skin sensation Alopecia Localized edema Vitiligo Changes in skin texture Diffuse disease of connective tissue Other symptoms involving skin and integumentary tissues Muscle wasting Abnormal weight gain * Muscle weakness (generalized) Abnormal loss of weight Unspecified disorder of muscle, ligament, and fascia Polyphagia Myalgia and myositis, unspecified Throat pain Musculoskeletal cramp Voice disturbance Periostitis without osteomyelitis Other speech disturbance Idiopathic osteoporosis Tachycardia, unspecified Osteoporosis, drug induced Palpitations Macroglossia, congenital Other symptoms involving cardiovascular system Anomaly of other endocrine glands Other symptoms involving respiratory system Coma Stridor Transient alteration of awareness Dysphagia Alteration of consciousness, other Other symptoms involving digestive system Insomnia Ascites * Insomnia with sleep apnea, unspecified Nonspecific abnormal findings on radiological and other examination, other (neck) * Insomnia, unspecified Thyroid, abnormal scan or uptake Fever Other nonspecific abnormal findings, abnormal reflex Malaise and fatigue Nervousness Generalized hyperhidrosis 990 Effects of radiation, unspecified Memory loss V10.87 Personal history of malignant neoplasm of the thyroid Early satiety V10.88 Personal history of malignant neoplasm of other endocrine gland Other general symptoms V12.2 Personal history of endocrine, metabolic and immunity disorders Abnormal involuntary movements V58.69 Long term (current) use of other medications Lack of coordination, ataxia V67.00-V67.9 Follow-up examination
5 CPT CODE: HUMAN CHORIONIC GONADOTROPIN (hcg) Malignant neoplasm of retroperitoneum Vaginal bleeding Malignant neoplasm of specified parts of peritoneum Pelvic pain Malignant neoplasm of anterior mediastinum 630 Hydatidiform mole Malignant neoplasm of posterior mediastinum 631 Pregnancy, molar Malignant neoplasm, other (includes malignant neoplasm of contiguous overlapping sites of thymus, heart, and mediastinum whose point of origin cannot be determined 632 Missed abortion Malignant neoplasm of mediastinum, part specified Unspecified ectopic pregnancy 181 Malignant neoplasm of placenta Spontaneous abortion, complicated by genital tract and pelvic infection Malignant neoplasm of ovary Threatened abortion Other specified sites of uterine adnexa Transient hypertension of pregnancy Malignant neoplasm of undescended testis Pre-eclampsia or eclampsia Malignant neoplasm of other and unspecified testis Malignant neoplasm of pineal gland Unspecified hypertension complicating pregnancy, childbirth, or the puerperium Other and non-specific abnormal cytological, histological, immunological and DNA test findings other abnormal tumor markers Secondary malignant neoplasm of mediastinum V10.09 Personal history of malignant neoplasm, other gastrointestinal sites Secondary malignant neoplasm of retroperitoneum and peritoneum V10.29 Personal history of malignant neoplasm of other respiratory and intrathoracic organs Secondary malignant neoplasm of ovary V10.43 Personal history of malignant neoplasm, ovary Secondary malignant neoplasm of other genital organs V10.47 Personal history of malignant neoplasm, testis Neoplasm of uncertain behavior, placenta V22.0-V22.1 Normal pregnancy Pain, not elsewhere classified neoplasm related pain (acute) (chronic)
6 CPT CODE: VITAMIN D 25-HYDROXY, (Includes fractions if performed) Primary tuberculous complex unspecified examination Unspecified military tuberculosis tubercle bacilli not found by bacteriological or histological examination but tuberculosis confirmed by other methods (inoculation of animals) Chronic kidney disease, Stage III (Moderate) 135 Sarcoidosis Chronic kidney disease, Stage IV (Severe) Hyperparathyroidism, unspecified Unspecified disorder of the parathyroid gland Chronic kidney disease, Stage V Rickets active End stage renal disease Osteomalacia unspecified Secondary hyperparathyroidism (of renal origin) Unspecified vitamin D deficiency Bariatric surgery status complicating pregnancy, childbirth or the puerperium, unspecified as to episode of care or not applicable Bariatric surgery status complicating pregnancy, childbirth, or the puerperium, postpartum condition or complication Disorders of phosphorus metabolism Other psoriasis and similar disorders Hypocalcemia Circumscribed scleroderma Hypercalcemia Systemic lupus erythematosus Cystic fibrosis without meconium ileus Cystic fibrosis without other manifestations Dermatomyositis Hypervitaminosis D Myalgia and myositis unspecified Other hyperalimentation Osteitis deformans without bone tumor Myopathy in endocrine diseases classified elsewhere Osteoporosis unspecified Other osteoporosis Regional enteritis of small intestine Regional enteritis of unspecified site Disorder of bone and cartilage unspecified Ulcerative (chronic) enterocolitis Ulcerative colitis unspecified Osteogenesis imperfecta Alcoholic cirrhosis of liver Osteopetrosis Cirrhosis of liver without alcohol Blisters with epidermal loss due to burn (second degree) unspecified site Deep necrosis of underlying tissues due to burn (deep third degree unspecified site with loss of a body part) Biliary cirrhosis V45.86* Bariatric surgery status Other chronic nonalcoholic liver disease V58.65* Long-term (current) use of steroids Other specified disorders of biliary tract V58.69* Long-term (current) use of other medications Celiac disease Unspecified intestinal malabsorption *Use V58.65 with 268.2, to describe current long term use of glucocorticoids and V58.69 with to describe long term use of anticonvulsants and other medication known to lower Vitamin D levels.
2014 NATIONAL COVERAGE DETERMINATION (NCD) CPT CODE(S): 84436, 84439, 84443, THYROID TESTING DESCRIPTION
017.50-017.56 Tuberculosis of the thyroid gland 183.0 Malignant neoplasm of ovary 193 Malignant neoplasm of thyroid gland 194.8 Malignant neoplasm of other endocrine glands and related structures 198.89
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