Guide - Cardiovascular Services Starting July 1, 2008, CMS has placed numerous medical necessity limits on tests and procedures. This reference guide provides you with all of the latest changes. This guide is not an all-inclusive list of National Coverage Documents (NCD) and Local Coverage Documents (LCD). Please consult the CMS website for additional information at cms.hhs.gov/mcd/search.asp?clickon=search. You can search by LCD or NCD or keyword and region. CMS will deny payment if the correct diagnosis codes are not entered on the order form, and your patient s test or procedure will not be covered. We compiled this information in one location to make it easier for you to find the proper codes for medically necessary diagnoses. It is the responsibility of the provider to code to the highest level specified in the ICD-9-CM (e.g. to the fourth or fifth digit). The correct use of an ICD-9-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination. We will continue to update this list as new CMS limitations are announced. You can always find the most current list on mymunson.org. If you have any questions, please contact Kari Smith, Office Coordinator, at (231) 935-2296, or Karen Popa, Director, Patient Access Services, at (231) 935-7493.
Cardiolite Stress Testing LCD # L2611, Effective date: 09/30/2008 CPT/HCPCS Codes: CPT 78460, CPT 78461, CPT 78464, CPT 78465, CPT 78472, CPT 78478, CPT 78481, CPT 78483, CPT 93015, CPT 93016, CPT 93017, CPT 93018 ICD-9 codes that SUPPORT medical necessity for perfusion with or without functional studies (CPT codes 78460, 78461, 78464, 78465, 78472, 78473, 78478, 78480, 78481, 78483, 93015, 93016, 93017, and 93018): 410.00 acute myocardial infarction of anterolateral wall episode of care unspecified 410.01 acute myocardial infarction of anterolateral wall initial episode of care 410.02 acute myocardial infarction of anterolateral wall subsequent episode of care 410.10 acute myocardial infarction of other anterior wall episode of care unspecified 410.11 acute myocardial infarction of other anterior wall initial episode of care 410.12 acute myocardial infarction of other anterior wall subsequent episode of care 410.20 acute myocardial infarction of inferolateral wall episode of care unspecified 410.21 acute myocardial infarction of inferolateral wall initial episode of care 410.22 acute myocardial infarction of inferolateral wall subsequent episode of care 410.30 acute myocardial infarction of inferoposterior wall episode of care unspecified 410.31 acute myocardial infarction of inferoposterior wall initial episode of care 410.32 acute myocardial infarction of inferoposterior wall subsequent episode of care 410.40 acute myocardial infarction of other inferior wall episode of care unspecified 410.41 acute myocardial infarction of other inferior wall initial episode of care 410.42 acute myocardial infarction of other inferior wall subsequent episode of care 410.50 acute myocardial infarction of other lateral wall episode of care unspecified 410.51 acute myocardial infarction of other lateral wall initial episode of care 410.52 acute myocardial infarction of other lateral wall subsequent episode of care 410.60 true posterior wall infarction episode of care unspecified 410.61 true posterior wall infarction initial episode of care 410.62 true posterior wall infarction subsequent episode of care 410.70 subendocardial infarction episode of care unspecified 410.71 subendocardial infarction initial episode of care 410.72 subendocardial infarction subsequent episode of care 410.80 acute myocardial infarction of other specified sites episode of care unspecified 410.81 acute myocardial infarction of other specified sites initial episode of care 410.82 acute myocardial infarction of other specified sites subsequent episode of care 410.90 acute myocardial infarction of unspecified site episode of care unspecified 410.91 acute myocardial infarction of unspecified site initial episode of care 410.92 acute myocardial infarction of unspecified site subsequent episode of care 411.0 postmyocardial infarction syndrome 411.1 intermediate coronary syndrome 411.81 acute coronary occlusion without myocardial infarction 411.89 other acute and subacute forms of ischemic heart disease other 412 old myocardial infarction 413.0 angina decubitus 413.1 prinzmetal angina 413.9 other and unspecified angina pectoris 414.00 coronary atherosclerosis of unspecified type of vessel native or graft 414.01 coronary atherosclerosis of native coronary artery 414.02 coronary atherosclerosis of autologous vein bypass graft 414.03 coronary atherosclerosis of nonautologous biological bypass graft
Cardiolite Stress Testing (con t) 414.04 coronary atherosclerosis of artery bypass graft 414.06 coronary atherosclerosis of native coronary artery of transplanted heart 414.07 coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart 414.10 aneurysm of heart (wall) 414.11 aneurysm of coronary vessels 414.12 dissection of coronary artery 414.19 other aneurysm of heart 414.2 chronic total occlusion of coronary artery 414.8 other specified forms of chronic ischemic heart disease 414.9 chronic ischemic heart disease unspecified 427.41 ventricular fibrillation 427.42 ventricular flutter 427.5 cardiac arrest 428.0 congestive heart failure unspecified 428.1 left heart failure 428.20 unspecified systolic heart failure 428.21 acute systolic heart failure 428.22 chronic systolic heart failure 428.23 acute on chronic systolic heart failure 428.40 unspecified combined systolic and diastolic heart failure 428.41 acute combined systolic and diastolic heart failure 428.42 chronic combined systolic and diastolic heart failure 428.43 acute on chronic combined systolic and diastolic heart failure 429.79 certain sequelae of myocardial infarction not elsewhere classified other 429.83 takotsubo syndrome 429.89 other ill-defined heart diseases 746.85 coronary artery anomaly congenital 786.05 shortness of breath 786.50 unspecified chest pain 786.51 precordial pain 786.59 other chest pain 794.31 nonspecific abnormal electrocardiogram (ecg) (ekg) 996.72 other complications due to other cardiac device implant and graft 996.83 complications of transplanted heart V42.1 heart replaced by transplant V45.81 postsurgical aortocoronary bypass status V45.82 percutaneous transluminal coronary angioplasty status
Dobutamine Stress Echocardiograms LCD # L14293, L23620, L26409, Effective date: 01/01/2009 ICD-9 Codes that SUPPORT medical necessity for Dobutamine Stress Echocardiograms: 410.02 acute myocardial infarction of anterolateral wall subsequent episode of care 410.12 acute myocardial infarction of other anterior wall subsequent episode of care 410.22 acute myocardial infarction of inferolateral wall subsequent episode of care 410.32 acute myocardial infarction of inferoposterior wall subsequent episode of care 410.42 acute myocardial infarction of other inferior wall subsequent episode of care 410.52 acute myocardial infarction of other lateral wall subsequent episode of care 410.62 true posterior wall infarction subsequent episode of care 410.72 subendocardial infarction subsequent episode of care 411.0 postmyocardial infarction syndrome 411.1 intermediate coronary syndrome 411.81 acute coronary occlusion without myocardial infarction 411.89 other acute and subacute forms of ischemic heart disease other 413.0 angina decubitus 413.1 prinzmetal angina 413.9 other and unspecified angina pectoris 414.00 coronary atherosclerosis of unspecified type of vessel native or graft 414.01 coronary atherosclerosis of native coronary artery 414.02 coronary atherosclerosis of autologous vein bypass graft 414.03 coronary atherosclerosis of nonautologous biological bypass graft 414.04 coronary atherosclerosis of artery bypass graft 414.05 coronary atherosclerosis of unspecified bypass graft 414.06 coronary atherosclerosis of native coronary artery of transplanted heart 414.07 coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart 414.2 chronic total occlusion of coronary artery 414.8 other specified forms of chronic ischemic heart disease 424. mitral valve disorders 424.1 aortic valve disorders 424.2 tricuspid valve disorders specified as nonrheumatic 424.3 pulmonary valve disorders 425.1 hypertrophic obstructive cardiomyopathy 425.2 obscure cardiomyopathy of africa 425.3 endocardial fibroelastosis 425.4 other primary cardiomyopathies 425.5 alcoholic cardiomyopathy 425.7 nutritional and metabolic cardiomyopathy 425.8 cardiomyopathy in other diseases classified elsewhere 425.9 secondary cardiomyopathy unspecified 426.2 left bundle branch hemiblock 426.3 other left bundle branch block 426.4 right bundle branch block 426.82 long qt syndrome 428.0 congestive heart failure unspecified 428.1 left heart failure 428.20 unspecified systolic heart failure 428.21 acute systolic heart failure 428.22 chronic systolic heart failure
Dobutamine Stress Echocardiograms (con t) 428.23 acute on chronic systolic heart failure 428.30 unspecified diastolic heart failure 428.31 acute diastolic heart failure 428.32 chronic diastolic heart failure 428.33 acute on chronic diastolic heart failure 428.40 unspecified combined systolic and diastolic heart failure 428.41 acute combined systolic and diastolic heart failure 428.42 chronic combined systolic and diastolic heart failure 428.43 acute on chronic combined systolic and diastolic heart failure 428.9 heart failure unspecified 429.0 myocarditis unspecified 429.1 myocardial degeneration 429.2 cardiovascular disease unspecified 429.3 cardiomegaly 429.4 functional disturbances following cardiac surgery 780.2 syncope and collapse 786.02 orthopnea 786.05 shortness of breath 786.09 respiratory abnormality other 786.50 unspecified chest pain 786.51 precordial pain 794.31 nonspecific abnormal electrocardiogram (ecg) (ekg) 996.1 mechanical complication of other vascular device implant and graft 996.72 other complications due to other cardiac device implant and graft 996.83 complications of transplanted heart v58.69 long-term (current) use of other medications
Electrocardiography (ECG or EKG) LCD # L27427; Effective Date: 06/05/2009 CPT/HCPCS Codes: CPT 93005, CPT 93010 ICD-9 codes that SUPPORT medical necessity for electrocardiogram, routine ecg with at least 12 leads; tracing only, without interpretation and report (CPT 93005); and electrocardiogram, routine ecg with at least 12 leads; interpretation and report only (CPT 93010): 002.0 typhoid fever 002.1 paratyphoid fever a 002.2 paratyphoid fever b 002.3 paratyphoid fever c 005.1 botulism food poisoning 017.90 tuberculosis of other specified organs unspecified examination 017.91 tuberculosis of other specified organs bacteriological or histological examination not done 017.92 tuberculosis of other specified organs bacteriological or histological examination results unknown (at present) 017.93 tuberculosis of other specified organs tubercle bacilli found (in sputum) by microscopy 017.94 tuberculosis of other specified organs tubercle bacilli not found (in sputum) by microscopy but found by bacterial culture 017.95 tuberculosis of other specified organs tubercle bacilli not found by bacteriological examination but tuberculosis confirmed histologically 017.96 tuberculosis of other specified organs tubercle bacilli not found by bacteriological or histological examination but tuberculosis confirmed by other methods (inoculation of animals) 018.00 acute miliary tuberculosis unspecified examination 018.01 acute miliary tuberculosis bacteriological or histological examination not done 018.02 acute miliary tuberculosis bacteriological or histological examination results unknown (at present) 018.03 acute miliary tuberculosis tubercle bacilli found (in sputum) by microscopy 018.04 acute miliary tuberculosis tubercle bacilli not found (in sputum) by microscopy but found by bacterial culture 018.05 acute miliary tuberculosis tubercle bacilli not found by bacteriological examination but tuberculosis confirmed histologically 018.06 acute miliary tuberculosis tubercle bacilli not found by bacteriological or histological examination but tuberculosis confirmed by other methods (inoculation of animals) 018.80 other specified miliary tuberculosis unspecified examination 018.81 other specified miliary tuberculosis bacteriological or histological examination not done 018.82 other specified miliary tuberculosis bacteriological or histological examination results unknown (at present) 018.83 other specified miliary tuberculosis tubercle bacilli found (in sputum) by microscopy 018.84 other specified miliary tuberculosis tubercle bacilli not found (in sputum) by microscopy but found by bacterial culture 018.85 other specified miliary tuberculosis tubercle bacilli not found by bacteriological examination but tuberculosis confirmed histologically 018.86 other specified miliary tuberculosis tubercle bacilli not found by bacteriological or histological examination but tuberculosis confirmed by other methods (inoculation of animals) 020.2 septicemic plague 022.3 anthrax septicemia 032.0 faucial diphtheria 032.82 diphtheritic myocarditis 034.1 scarlet fever
036.2 meningococcemia 036.40 meningococcal carditis unspecified 036.41 meningococcal pericarditis 036.42 meningococcal endocarditis 036.43 meningococcal myocarditis 038.0 streptococcal septicemia 038.10 staphylococcal septicemia unspecified 038.11 methicillin susceptible staphylococcus aureus septicemia 038.12 methicillin resistant staphylococcus aureus septicemia 038.19 other staphylococcal septicemia 038.2 pneumococcal septicemia 038.3 septicemia due to anaerobes 038.40 septicemia due to gram-negative organism unspecified 038.41 septicemia due to hemophilus influenzae (h. influenzae) 038.42 septicemia due to escherichia coli (e. coli) 038.43 septicemia due to pseudomonas 038.44 septicemia due to serratia 038.49 other septicemia due to gram-negative organisms 038.8 other specified septicemias 038.9 unspecified septicemia 040.0 gas gangrene 040.82 toxic shock syndrome 042 human immunodeficiency virus (hiv) disease 054.5 herpetic septicemia 066.40 west nile fever, unspecified 066.41 west nile fever with encephalitis 066.42 west nile fever with other neurologic manifestation 066.49 west nile fever with other complications 074.1 epidemic pleurodynia 074.20 coxsackie carditis unspecified 074.21 coxsackie pericarditis 074.22 coxsackie endocarditis 074.23 coxsackie myocarditis 075 infectious mononucleosis 086.0 chagas disease with heart involvement 088.81 lyme disease 093.0 aneurysm of aorta specified as syphilitic 093.1 syphilitic aortitis 093.20 syphilitic endocarditis of valve unspecified 093.21 syphilitic endocarditis of mitral valve 093.22 syphilitic endocarditis of aortic valve 093.23 syphilitic endocarditis of tricuspid valve 093.24 syphilitic endocarditis of pulmonary valve 093.81 syphilitic pericarditis 093.82 syphilitic myocarditis 093.89 other specified cardiovascular syphilis 093.9 cardiovascular syphilis unspecified 098.83 gonococcal pericarditis 098.84 gonococcal endocarditis 098.85 other gonococcal heart disease
112.5 disseminated candidiasis 112.81 candidal endocarditis 115.03 histoplasma capsulatum pericarditis 115.04 histoplasma capsulatum endocarditis 115.13 histoplasma duboisii pericarditis 115.14 histoplasma duboisii endocarditis 115.93 histoplasmosis pericarditis unspecified 115.94 histoplasmosis endocarditis 130.3 myocarditis due to toxoplasmosis 130.8 multisystemic disseminated toxoplasmosis 135 sarcoidosis 153.0 malignant neoplasm of hepatic flexure 153.1 malignant neoplasm of transverse colon 153.2 malignant neoplasm of descending colon 153.3 malignant neoplasm of sigmoid colon 153.4 malignant neoplasm of cecum 153.5 malignant neoplasm of appendix vermiformis 153.6 malignant neoplasm of ascending colon 153.7 malignant neoplasm of splenic flexure 153.8 malignant neoplasm of other specified sites of large intestine 153.9 malignant neoplasm of colon unspecified site 162.9 malignant neoplasm of bronchus and lung unspecified 163.0 malignant neoplasm of parietal pleura 163.1 malignant neoplasm of visceral pleura 163.8 malignant neoplasm of other specified sites of pleura 163.9 malignant neoplasm of pleura unspecified 164.0 malignant neoplasm of thymus 164.1 malignant neoplasm of heart 164.2 malignant neoplasm of anterior mediastinum 164.3 malignant neoplasm of posterior mediastinum 164.8 malignant neoplasm of other parts of mediastinum 164.9 malignant neoplasm of mediastinum part unspecified 174.0 malignant neoplasm of nipple and areola of female breast 174.1 malignant neoplasm of central portion of female breast 174.2 malignant neoplasm of upper-inner quadrant of female breast 174.3 malignant neoplasm of lower-inner quadrant of female breast 174.4 malignant neoplasm of upper-outer quadrant of female breast 174.5 malignant neoplasm of lower-outer quadrant of female breast 174.6 malignant neoplasm of axillary tail of female breast 174.8 malignant neoplasm of other specified sites of female breast 174.9 malignant neoplasm of breast (female) unspecified site 197.1 secondary malignant neoplasm of mediastinum 212.4 benign neoplasm of pleura 212.5 benign neoplasm of mediastinum 212.7 benign neoplasm of heart 238.4 polycythemia vera 240.0 goiter specified as simple 240.9 goiter unspecified 241.0 nontoxic uninodular goiter 241.1 nontoxic multinodular goiter
241.9 unspecified nontoxic nodular goiter 242.00 toxic diffuse goiter without thyrotoxic crisis or storm 242.01 toxic diffuse goiter with thyrotoxic crisis or storm 242.10 toxic uninodular goiter without thyrotoxic crisis or storm 242.11 toxic uninodular goiter with thyrotoxic crisis or storm 242.20 toxic multinodular goiter without thyrotoxic crisis or storm 242.21 toxic multinodular goiter with thyrotoxic crisis or storm 242.30 toxic nodular goiter unspecified type without thyrotoxic crisis or storm 242.31 toxic nodular goiter unspecified type with thyrotoxic crisis or storm 242.40 thyrotoxicosis from ectopic thyroid nodule without thyrotoxic crisis or storm 242.41 thyrotoxicosis from ectopic thyroid nodule with thyrotoxic crisis or storm 242.80 thyrotoxicosis of other specified origin without thyrotoxic crisis or storm 242.81 thyrotoxicosis of other specified origin with thyrotoxic crisis or storm 242.90 thyrotoxicosis without goiter or other cause and without thyrotoxic crisis or storm 242.91 thyrotoxicosis without goiter or other cause with thyrotoxic crisis or storm 243 congenital hypothyroidism 244.0 postsurgical hypothyroidism 244.1 other postablative hypothyroidism 244.2 iodine hypothyroidism 244.3 other iatrogenic hypothyroidism 244.8 other specified acquired hypothyroidism 244.9 unspecified acquired hypothyroidism 245.0 acute thyroiditis 245.1 subacute thyroiditis 245.2 chronic lymphocytic thyroiditis 249.00 secondary diabetes mellitus without mention of complication, not stated as uncontrolled, or unspecified 249.01 secondary diabetes mellitus without mention of complication, uncontrolled 249.10 secondary diabetes mellitus with ketoacidosis, not stated as uncontrolled, or unspecified 249.11 secondary diabetes mellitus with ketoacidosis, uncontrolled 249.20 secondary diabetes mellitus with hyperosmolarity, not stated as uncontrolled, or unspecified 249.21 secondary diabetes mellitus with hyperosmolarity, uncontrolled 249.30 secondary diabetes mellitus with other coma, not stated as uncontrolled, or unspecified 249.31 secondary diabetes mellitus with other coma, uncontrolled 249.80 secondary diabetes mellitus with other specified manifestations, not stated as uncontrolled, or unspecified 249.81 secondary diabetes mellitus with other specified manifestations, uncontrolled 250.00 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled 250.01 diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 250.02 diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled 250.03 diabetes mellitus without mention of complication, type i [juvenile type], uncontrolled 250.10 diabetes with ketoacidosis, type ii or unspecified type, not stated as uncontrolled 250.11 diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled 250.12 diabetes with ketoacidosis, type ii or unspecified type, uncontrolled 250.13 diabetes with ketoacidosis, type i [juvenile type], uncontrolled 250.20 diabetes with hyperosmolarity, type ii or unspecified type, not stated as uncontrolled 250.21 diabetes with hyperosmolarity, type i [juvenile type], not stated as uncontrolled 250.22 diabetes with hyperosmolarity, type ii or unspecified type, uncontrolled 250.23 diabetes with hyperosmolarity, type i [juvenile type], uncontrolled
250.30 diabetes with other coma, type ii or unspecified type, not stated as uncontrolled 250.31 diabetes with other coma, type i [juvenile type], not stated as uncontrolled 250.32 diabetes with other coma, type ii or unspecified type, uncontrolled 250.33 diabetes with other coma, type i [juvenile type], uncontrolled 250.40 diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 250.41 diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled 250.42 diabetes with renal manifestations, type ii or unspecified type, uncontrolled 250.43 diabetes with renal manifestations, type i [juvenile type], uncontrolled 250.50 diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled 250.51 diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled 250.52 diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled 250.53 diabetes with ophthalmic manifestations, type i [juvenile type], uncontrolled 250.60 diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled 250.61 diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled 250.62 diabetes with neurological manifestations, type ii or unspecified type, uncontrolled 250.63 diabetes with neurological manifestations, type i [juvenile type], uncontrolled 250.70 diabetes with peripheral circulatory disorders, type ii or unspecified type, not stated as uncontrolled 250.71 diabetes with peripheral circulatory disorders, type i [juvenile type], not stated as uncontrolled 250.72 diabetes with peripheral circulatory disorders, type ii or unspecified type, uncontrolled 250.73 diabetes with peripheral circulatory disorders, type i [juvenile type], uncontrolled 250.80 diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled 250.81 diabetes with other specified manifestations, type i [juvenile type], not stated as uncontrolled 250.82 diabetes with other specified manifestations, type ii or unspecified type, uncontrolled 250.83 diabetes with other specified manifestations, type i [juvenile type], uncontrolled 250.90 diabetes with unspecified complication, type ii or unspecified type, not stated as uncontrolled 250.91 diabetes with unspecified complication, type i [juvenile type], not stated as uncontrolled 250.92 diabetes with unspecified complication, type ii or unspecified type, uncontrolled 250.93 diabetes with unspecified complication, type i [juvenile type], uncontrolled 251.0 hypoglycemic coma 251.1 other specified hypoglycemia 251.2 hypoglycemia unspecified 251.3 postsurgical hypoinsulinemia 252.00 hyperparathyroidism, unspecified 252.01 primary hyperparathyroidism 252.02 secondary hyperparathyroidism, non-renal 252.08 other hyperparathyroidism 252.1 hypoparathyroidism 252.8 other specified disorders of parathyroid gland 252.9 unspecified disorder of parathyroid gland 253.0 acromegaly and gigantism 253.2 panhypopituitarism 253.5 diabetes insipidus 255.0 cushing s syndrome 255.10 hyperaldosteronism, unspecified 255.11 glucocorticoid-remediable aldosteronism 255.12 conn s syndrome 255.13 bartter s syndrome 255.14 other secondary aldosteronism 255.2 adrenogenital disorders 255.3 other corticoadrenal overactivity
255.41 glucocorticoid deficiency 255.42 mineralocorticoid deficiency 255.5 other adrenal hypofunction 255.6 medulloadrenal hyperfunction 255.8 other specified disorders of adrenal glands 265.0 beriberi 265.1 other and unspecified manifestations of thiamine deficiency 265.2 pellagra 272.0 pure hypercholesterolemia 272.1 pure hyperglyceridemia 272.2 mixed hyperlipidemia 272.3 hyperchylomicronemia 272.4 other and unspecified hyperlipidemia 272.5 lipoprotein deficiencies 272.6 lipodystrophy 272.7 lipidoses 272.8 other disorders of lipoid metabolism 272.9 unspecified disorder of lipoid metabolism 275.0 disorders of iron metabolism 275.1 disorders of copper metabolism 275.2 disorders of magnesium metabolism 275.3 disorders of phosphorus metabolism 275.40 unspecified disorder of calcium metabolism 275.41 hypocalcemia 275.42 hypercalcemia 275.49 other disorders of calcium metabolism 275.9 unspecified disorder of mineral metabolism 276.0 hyperosmolality and/or hypernatremia 276.1 hyposmolality and/or hyponatremia 276.2 acidosis 276.3 alkalosis 276.4 mixed acid-base balance disorder 276.50 volume depletion, unspecified 276.51 dehydration 276.52 hypovolemia 276.6 fluid overload disorder 276.7 hyperpotassemia 276.8 hypopotassemia 276.9 electrolyte and fluid disorders not elsewhere classified 277.30 amyloidosis, unspecified 277.31 familial mediterranean fever 277.39 other amyloidosis 277.5 mucopolysaccharidosis 282.41 sickle-cell thalassemia without crisis 282.42 sickle-cell thalassemia with crisis 282.49 other thalassemia 282.5 sickle-cell trait 282.60 sickle-cell disease unspecified 282.61 hb-ss disease without crisis 282.62 hb-ss disease with crisis
282.63 sickle-cell/hb-c disease without crisis 282.64 sickle-cell/hb c disease with crisis 282.68 other sickle-cell disease without crisis 282.69 other sickle-cell disease with crisis 285.9 anemia unspecified 289.0 polycythemia secondary 289.7 methemoglobinemia 304.01 opioid type dependence continuous use 304.02 opioid type dependence episodic use 304.21 cocaine dependence continuous use 304.22 cocaine dependence episodic use 304.41 amphetamine and other psychostimulant dependence continuous use 304.51 hallucinogen dependence continuous use 304.71 combinations of opioid type drug with any other drug dependence continuous use 304.72 combinations of opioid type drug with any other drug dependence episodic use 306.2 cardiovascular malfunction arising from mental factors 327.20 organic sleep apnea, unspecified 327.21 primary central sleep apnea 327.22 high altitude periodic breathing 327.23 obstructive sleep apnea (adult) (pediatric) 327.24 idiopathic sleep related non obstructive alveolar hypoventilation 327.25 congenital central alveolar hypoventilation syndrome 327.26 sleep related hypoventilation/hypoxemia in conditions classifiable elsewhere 327.27 central sleep apnea in conditions classified elsewhere 327.29 other organic sleep apnea 333.4 huntington s chorea 334.0 friedreich s ataxia 337.00 idiopathic peripheral autonomic neuropathy, unspecified 337.01 carotid sinus syndrome 337.09 other idiopathic peripheral autonomic neuropathy 359.21 myotonic muscular dystrophy 390 rheumatic fever without heart involvement 391.0 acute rheumatic pericarditis 391.1 acute rheumatic endocarditis 391.2 acute rheumatic myocarditis 391.8 other acute rheumatic heart disease 391.9 acute rheumatic heart disease unspecified 392.0 rheumatic chorea with heart involvement 392.9 rheumatic chorea without heart involvement 393 chronic rheumatic pericarditis 394.0 mitral stenosis 394.1 rheumatic mitral insufficiency 394.2 mitral stenosis with insufficiency 394.9 other and unspecified mitral valve diseases 395.0 rheumatic aortic stenosis 395.1 rheumatic aortic insufficiency 395.2 rheumatic aortic stenosis with insufficiency 395.9 other and unspecified rheumatic aortic diseases 396.0 mitral valve stenosis and aortic valve stenosis 396.1 mitral valve stenosis and aortic valve insufficiency
396.2 mitral valve insufficiency and aortic valve stenosis 396.3 mitral valve insufficiency and aortic valve insufficiency 396.8 multiple involvement of mitral and aortic valves 396.9 mitral and aortic valve diseases unspecified 397.0 diseases of tricuspid valve 397.1 rheumatic diseases of pulmonary valve 397.9 rheumatic diseases of endocardium valve unspecified 398.0 rheumatic myocarditis 398.90 rheumatic heart disease unspecified 398.91 rheumatic heart failure (congestive) 398.99 other rheumatic heart diseases 401.0 malignant essential hypertension 401.1 benign essential hypertension 401.9 unspecified essential hypertension 402.00 malignant hypertensive heart disease without heart failure 402.01 malignant hypertensive heart disease with heart failure 402.10 benign hypertensive heart disease without heart failure 402.11 benign hypertensive heart disease with heart failure 402.90 unspecified hypertensive heart disease without heart failure 402.91 unspecified hypertensive heart disease with heart failure 403.00 hypertensive chronic kidney disease, malignant, with chronic kidney disease stage i through stage iv, or unspecified 403.01 hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease 403.10 hypertensive chronic kidney disease, benign, with chronic kidney disease stage i through stage iv, or unspecified 403.11 hypertensive chronic kidney disease, benign, with chronic kidney disease stage v or end stage renal disease 403.90 hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified 403.91 hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease 404.00 hypertensive heart and chronic kidney disease, malignant, without heart failure and with chronic kidney disease stage i through stage iv, or unspecified 404.01 hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage i through stage iv, or unspecified 404.02 hypertensive heart and chronic kidney disease, malignant, without heart failure and with chronic kidney disease stage v or end stage renal disease 404.03 hypertensive heart and chronic kidney disease, malignant, with heart failure and with chronic kidney disease stage v or end stage renal disease 404.10 hypertensive heart and chronic kidney disease, benign, without heart failure and with chronic kidney disease stage i through stage iv, or unspecified 404.11 hypertensive heart and chronic kidney disease, benign, with heart failure and with chronic kidney disease stage i through stage iv, or unspecified 404.12 hypertensive heart and chronic kidney disease, benign, without heart failure and with chronic kidney disease stage v or end stage renal disease 404.13 hypertensive heart and chronic kidney disease, benign, with heart failure and chronic kidney disease stage v or end stage renal disease 404.90 hypertensive heart and chronic kidney disease, unspecified, without heart failure and with chronic kidney disease stage i through stage iv, or unspecified
404.91 hypertensive heart and chronic kidney disease, unspecified, with heart failure and with chronic kidney disease stage i through stage iv, or unspecified 404.92 hypertensive heart and chronic kidney disease, unspecified, without heart failure and with chronic kidney disease stage v or end stage renal disease 404.93 hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage v or end stage renal disease 405.01 malignant renovascular hypertension 405.09 other malignant secondary hypertension 405.11 benign renovascular hypertension 405.19 other benign secondary hypertension 405.91 unspecified renovascular hypertension 405.99 other unspecified secondary hypertension 410.00 acute myocardial infarction of anterolateral wall episode of care unspecified 410.01 acute myocardial infarction of anterolateral wall initial episode of care 410.02 acute myocardial infarction of anterolateral wall subsequent episode of care 410.10 acute myocardial infarction of other anterior wall episode of care unspecified 410.11 acute myocardial infarction of other anterior wall initial episode of care 410.12 acute myocardial infarction of other anterior wall subsequent episode of care 410.20 acute myocardial infarction of inferolateral wall episode of care unspecified 410.21 acute myocardial infarction of inferolateral wall initial episode of care 410.22 acute myocardial infarction of inferolateral wall subsequent episode of care 410.30 acute myocardial infarction of inferoposterior wall episode of care unspecified 410.31 acute myocardial infarction of inferoposterior wall initial episode of care 410.32 acute myocardial infarction of inferoposterior wall subsequent episode of care 410.40 acute myocardial infarction of other inferior wall episode of care unspecified 410.41 acute myocardial infarction of other inferior wall initial episode of care 410.42 acute myocardial infarction of other inferior wall subsequent episode of care 410.50 acute myocardial infarction of other lateral wall episode of care unspecified 410.51 acute myocardial infarction of other lateral wall initial episode of care 410.52 acute myocardial infarction of other lateral wall subsequent episode of care 410.60 true posterior wall infarction episode of care unspecified 410.61 true posterior wall infarction initial episode of care 410.62 true posterior wall infarction subsequent episode of care 410.70 subendocardial infarction episode of care unspecified 410.71 subendocardial infarction initial episode of care 410.72 subendocardial infarction subsequent episode of care 410.80 acute myocardial infarction of other specified sites episode of care unspecified 410.81 acute myocardial infarction of other specified sites initial episode of care 410.82 acute myocardial infarction of other specified sites subsequent episode of care 410.90 acute myocardial infarction of unspecified site episode of care unspecified 410.91 acute myocardial infarction of unspecified site initial episode of care 410.92 acute myocardial infarction of unspecified site subsequent episode of care 411.0 postmyocardial infarction syndrome 411.1 intermediate coronary syndrome 411.81 acute coronary occlusion without myocardial infarction 411.89 other acute and subacute forms of ischemic heart disease other 412 old myocardial infarction 413.0 angina decubitus 413.1 prinzmetal angina 413.9 other and unspecified angina pectoris
414.00 coronary atherosclerosis of unspecified type of vessel native or graft 414.01 coronary atherosclerosis of native coronary artery 414.02 coronary atherosclerosis of autologous vein bypass graft 414.03 coronary atherosclerosis of nonautologous biological bypass graft 414.04 coronary atherosclerosis of artery bypass graft 414.05 coronary atherosclerosis of unspecified bypass graft 414.06 coronary atherosclerosis of native coronary artery of transplanted heart 414.07 coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart 414.10 aneurysm of heart (wall) 414.11 aneurysm of coronary vessels 414.12 dissection of coronary artery 414.19 other aneurysm of heart 414.2 chronic total occlusion of coronary artery 414.3 coronary atherosclerosis due to lipid rich plaque 414.8 other specified forms of chronic ischemic heart disease 414.9 chronic ischemic heart disease unspecified 415.0 acute cor pulmonale 415.11 iatrogenic pulmonary embolism and infarction 415.12 septic pulmonary embolism 415.19 other pulmonary embolism and infarction 416.0 primary pulmonary hypertension 416.1 kyphoscoliotic heart disease 416.8 other chronic pulmonary heart diseases 416.9 chronic pulmonary heart disease unspecified 417.0 arteriovenous fistula of pulmonary vessels 417.1 aneurysm of pulmonary artery 417.8 other specified diseases of pulmonary circulation 417.9 unspecified disease of pulmonary circulation 420.0 acute pericarditis in diseases classified elsewhere 420.90 acute pericarditis unspecified 420.91 acute idiopathic pericarditis 420.99 other acute pericarditis 421.0 acute and subacute bacterial endocarditis 421.1 acute and subacute infective endocarditis in diseases classified elsewhere 421.9 acute endocarditis unspecified 422.0 acute myocarditis in diseases classified elsewhere 422.90 acute myocarditis unspecified 422.91 idiopathic myocarditis 422.92 septic myocarditis 422.93 toxic myocarditis 422.99 other acute myocarditis 423.0 hemopericardium 423.1 adhesive pericarditis 423.2 constrictive pericarditis 423.3 cardiac tamponade 423.8 other specified diseases of pericardium 423.9 unspecified disease of pericardium 424.0 mitral valve disorders 424.1 aortic valve disorders 424.2 tricuspid valve disorders specified as nonrheumatic
424.3 pulmonary valve disorders 424.90 endocarditis valve unspecified unspecified cause 424.91 endocarditis in diseases classified elsewhere 424.99 other endocarditis valve unspecified 425.0 endomyocardial fibrosis 425.1 hypertrophic obstructive cardiomyopathy 425.2 obscure cardiomyopathy of africa 425.3 endocardial fibroelastosis 425.4 other primary cardiomyopathies 425.5 alcoholic cardiomyopathy 425.7 nutritional and metabolic cardiomyopathy 425.8 cardiomyopathy in other diseases classified elsewhere 425.9 secondary cardiomyopathy unspecified 426.0 atrioventricular block complete 426.10 atrioventricular block unspecified 426.11 first degree atrioventricular block 426.12 mobitz (type) ii atrioventricular block 426.13 other second degree atrioventricular block 426.2 left bundle branch hemiblock 426.3 other left bundle branch block 426.4 right bundle branch block 426.50 bundle branch block unspecified 426.51 right bundle branch block and left posterior fascicular block 426.52 right bundle branch block and left anterior fascicular block 426.53 other bilateral bundle branch block 426.54 trifascicular block 426.6 other heart block 426.7 anomalous atrioventricular excitation 426.81 lown-ganong-levine syndrome 426.82 long qt syndrome 426.89 other specified conduction disorders 426.9 conduction disorder unspecified 427.0 paroxysmal supraventricular tachycardia 427.1 paroxysmal ventricular tachycardia 427.2 paroxysmal tachycardia unspecified 427.31 atrial fibrillation 427.32 atrial flutter 427.41 ventricular fibrillation 427.42 ventricular flutter 427.5 cardiac arrest 427.60 premature beats unspecified 427.61 supraventricular premature beats 427.69 other premature beats 427.81 sinoatrial node dysfunction 427.89 other specified cardiac dysrhythmias 427.9 cardiac dysrhythmia unspecified 428.0 congestive heart failure unspecified 428.1 left heart failure 428.20 unspecified systolic heart failure 428.21 acute systolic heart failure
428.22 chronic systolic heart failure 428.23 acute on chronic systolic heart failure 428.30 unspecified diastolic heart failure 428.31 acute diastolic heart failure 428.32 chronic diastolic heart failure 428.33 acute on chronic diastolic heart failure 428.40 unspecified combined systolic and diastolic heart failure 428.41 acute combined systolic and diastolic heart failure 428.42 chronic combined systolic and diastolic heart failure 428.43 acute on chronic combined systolic and diastolic heart failure 428.9 heart failure unspecified 429.0 myocarditis unspecified 429.1 myocardial degeneration 429.2 cardiovascular disease unspecified 429.3 cardiomegaly 429.4 functional disturbances following cardiac surgery 429.5 rupture of chordae tendineae 429.6 rupture of papillary muscle 429.71 certain sequelae of myocardial infarction not elsewhere classified acquired cardiac septal defect 429.79 certain sequelae of myocardial infarction not elsewhere classified other 429.81 other disorders of papillary muscle 429.82 hyperkinetic heart disease 429.83 takotsubo syndrome 429.89 other ill-defined heart diseases 429.9 heart disease unspecified 430 subarachnoid hemorrhage 431 intracerebral hemorrhage 432.0 nontraumatic extradural hemorrhage 432.1 subdural hemorrhage 432.9 unspecified intracranial hemorrhage 433.00 occlusion and stenosis of basilar artery without cerebral infarction 433.01 occlusion and stenosis of basilar artery with cerebral infarction 433.10 occlusion and stenosis of carotid artery without cerebral infarction 433.11 occlusion and stenosis of carotid artery with cerebral infarction 433.20 occlusion and stenosis of vertebral artery without cerebral infarction 433.21 occlusion and stenosis of vertebral artery with cerebral infarction 433.30 occlusion and stenosis of multiple and bilateral precerebral arteries without cerebral infarction 433.31 occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction 433.80 occlusion and stenosis of other specified precerebral artery without cerebral infarction 433.81 occlusion and stenosis of other specified precerebral artery with cerebral infarction 434.00 cerebral thrombosis without cerebral infarction 434.01 cerebral thrombosis with cerebral infarction 434.10 cerebral embolism without cerebral infarction 434.11 cerebral embolism with cerebral infarction 434.90 cerebral artery occlusion unspecified without cerebral infarction 434.91 cerebral artery occlusion unspecified with cerebral infarction 435.0 basilar artery syndrome 435.1 vertebral artery syndrome 435.2 subclavian steal syndrome 435.3 vertebrobasilar artery syndrome
435.8 other specified transient cerebral ischemias 435.9 unspecified transient cerebral ischemia 436 acute but ill-defined cerebrovascular disease 437.0 cerebral atherosclerosis 437.1 other generalized ischemic cerebrovascular disease 437.2 hypertensive encephalopathy 437.3 cerebral aneurysm nonruptured 437.4 cerebral arteritis 437.5 moyamoya disease 437.6 nonpyogenic thrombosis of intracranial venous sinus 437.7 transient global amnesia 437.8 other ill-defined cerebrovascular disease 437.9 unspecified cerebrovascular disease 440.0 atherosclerosis of aorta 440.1 atherosclerosis of renal artery 440.20 atherosclerosis of native arteries of the extremities unspecified 440.21 atherosclerosis of native arteries of the extremities with intermittent claudication 440.22 atherosclerosis of native arteries of the extremities with rest pain 440.23 atherosclerosis of native arteries of the extremities with ulceration 440.24 atherosclerosis of native arteries of the extremities with gangrene 440.29 other atherosclerosis of native arteries of the extremities 440.4 chronic total occlusion of artery of the extremities 441.00 dissection of aorta aneurysm unspecified site 441.01 dissection of aorta thoracic 441.02 dissection of aorta abdominal 441.03 dissection of aorta thoracoabdominal 441.1 thoracic aneurysm ruptured 441.2 thoracic aneurysm without rupture 441.3 abdominal aneurysm ruptured 441.4 abdominal aneurysm without rupture 441.5 aortic aneurysm of unspecified site ruptured 441.6 thoracoabdominal aneurysm ruptured 441.7 thoracoabdominal aneurysm without rupture 441.9 aortic aneurysm of unspecified site without rupture 442.0 aneurysm of artery of upper extremity 442.1 aneurysm of renal artery 442.2 aneurysm of iliac artery 442.3 aneurysm of artery of lower extremity 442.81 aneurysm of artery of neck 442.82 aneurysm of subclavian artery 442.83 aneurysm of splenic artery 442.84 aneurysm of other visceral artery 442.89 aneurysm of other specified site 442.9 other aneurysm of unspecified site 443.0 raynaud s syndrome 443.1 thromboangiitis obliterans (buerger s disease) 443.21 dissection of carotid artery 443.22 dissection of iliac artery 443.23 dissection of renal artery 443.24 dissection of vertebral artery
443.29 dissection of other artery 443.81 peripheral angiopathy in diseases classified elsewhere 443.89 other peripheral vascular disease 443.9 peripheral vascular disease unspecified 444.0 embolism and thrombosis of abdominal aorta 444.1 embolism and thrombosis of thoracic aorta 444.21 arterial embolism and thrombosis of upper extremity 444.22 arterial embolism and thrombosis of lower extremity 444.81 embolism and thrombosis of iliac artery 444.89 embolism and thrombosis of other artery 444.9 embolism and thrombosis of unspecified artery 445.01 atheroembolism of upper extremity 445.02 atheroembolism of lower extremity 445.81 atheroembolism of kidney 445.89 atheroembolism of other site 446.0 polyarteritis nodosa 446.1 acute febrile mucocutaneous lymph node syndrome (mcls) 446.20 hypersensitivity angiitis unspecified 446.21 goodpasture s syndrome 446.29 other specified hypersensitivity angiitis 446.3 lethal midline granuloma 446.4 wegener s granulomatosis 446.5 giant cell arteritis 446.6 thrombotic microangiopathy 446.7 takayasu s disease 447.0 arteriovenous fistula acquired 447.1 stricture of artery 447.2 rupture of artery 447.3 hyperplasia of renal artery 447.4 celiac artery compression syndrome 447.5 necrosis of artery 447.6 arteritis unspecified 447.8 other specified disorders of arteries and arterioles 447.9 unspecified disorders of arteries and arterioles 449 septic arterial embolism 458.0 orthostatic hypotension 458.1 chronic hypotension 458.21 hypotension of hemodialysis 458.29 other iatrogenic hypotension 458.8 other specified hypotension 458.9 hypotension unspecified 459.2 compression of vein 466.11 acute bronchiolitis due to respiratory syncytial virus (rsv) 466.19 acute bronciolitis due to other infectious organisms 483.1 pneumonia due to chlamydia 488 influenza due to identified avian influenza virus 491.20 obstructive chronic bronchitis without exacerbation 491.21 obstructive chronic bronchitis with (acute) exacerbation 493.01 extrinsic asthma with status asthmaticus 493.02 extrinsic asthma with (acute) exacerbation
493.10 intrinsic asthma unspecified 493.11 intrinsic asthma with status asthmaticus 493.12 intrinsic asthma with (acute) exacerbation 493.20 chronic obstructive asthma unspecified 493.21 chronic obstructive asthma with status asthmaticus 493.22 chronic obstructive asthma with (acute) exacerbation 493.81 exercise-induced bronchospasm 493.82 cough variant asthma 493.91 asthma unspecified type with status asthmaticus 493.92 asthma unspecified with (acute) exacerbation 506.1 acute pulmonary edema due to fumes and vapors 512.0 spontaneous tension pneumothorax 517.3 acute chest syndrome 518.0 pulmonary collapse 518.1 interstitial emphysema 518.3 pulmonary eosinophilia 518.4 acute edema of lung unspecified 518.5 pulmonary insufficiency following trauma and surgery 518.81 acute respiratory failure 518.82 other pulmonary insufficiency not elsewhere classified 518.83 chronic respiratory failure 518.84 acute and chronic respiratory failure 518.89 other diseases of lung not elsewhere classified 519.2 mediastinitis 519.3 other diseases of mediastinum not elsewhere classified 526.9 unspecified disease of the jaws 530.0 achalasia and cardiospasm 530.10 esophagitis unspecified 530.11 reflux esophagitis 530.12 acute esophagitis 530.19 other esophagitis 530.20 ulcer of esophagus without bleeding 530.21 ulcer of esophagus with bleeding 530.3 stricture and stenosis of esophagus 530.4 perforation of esophagus 530.5 dyskinesia of esophagus 530.6 diverticulum of esophagus acquired 530.81 esophageal reflux 530.85 barrett s esophagus 551.3 diaphragmatic hernia with gangrene 552.3 diaphragmatic hernia with obstruction 553.3 diaphragmatic hernia without obstruction or gangrene 575.0 acute cholecystitis 575.10 cholecystitis unspecified 575.11 chronic cholecystitis 575.12 acute and chronic cholecystitis 575.2 obstruction of gallbladder 575.4 perforation of gallbladder 577.0 acute pancreatitis 578.9 hemorrhage of gastrointestinal tract unspecified
585.3 chronic kidney disease, stage iii (moderate) 585.4 chronic kidney disease, stage iv (severe) 585.5 chronic kidney disease, stage v 585.6 end stage renal disease 611.71 mastodynia 634.50 spontaneous abortion unspecified complicated by shock 634.51 spontaneous abortion incomplete complicated by shock 634.52 spontaneous abortion complete complicated by shock 634.60 spontaneous abortion unspecified complicated by embolism 634.61 spontaneous abortion incomplete complicated by embolism 634.62 spontaneous abortion complete complicated by embolism 635.50 legally induced abortion unspecified complicated by shock 635.51 legally induced abortion incomplete complicated by shock 635.52 legally induced abortion complete complicated by shock 635.60 legally induced abortion unspecified complicated by embolism 635.61 legally induced abortion incomplete complicated by embolism 635.62 legally induced abortion complete complicated by embolism 636.50 illegal abortion unspecified complicated by shock 636.51 illegal abortion incomplete complicated by shock 636.52 illegal abortion complete complicated by shock 636.60 illegal abortion unspecified complicated by embolism 636.61 illegal abortion incomplete complicated by embolism 636.62 illegal abortion complete complicated by embolism 637.50 legally unspecified type of abortion unspecified complicated by shock 637.51 legally unspecified abortion incomplete complicated by shock 637.52 legally unspecified abortion complete complicated by shock 637.60 legally unspecified type of abortion unspecified complicated by embolism 637.61 legally unspecified abortion incomplete complicated by embolism 637.62 legally unspecified abortion complete complicated by embolism 638.5 failed attempted abortion complicated by shock 638.6 failed attempted abortion complicated by embolism 639.5 shock following abortion or ectopic and molar pregnancies 639.6 embolism following abortion or ectopic and molar pregnancies 639.8 other specified complications following abortion or ectopic and molar pregnancies 642.00 benign essential hypertension complicating pregnancy childbirth and the puerperium unspecified as to episode of care 642.01 benign essential hypertension with delivery 642.02 benign essential hypertension with delivery with postpartum complication 642.03 antepartum benign essential hypertension 642.04 postpartum benign essential hypertension 642.10 hypertension secondary to renal disease complicating pregnancy childbirth and the puerperium unspecified as to episode of care 642.11 hypertension secondary to renal disease with delivery 642.12 hypertension secondary to renal disease with delivery with postpartum complication 642.13 hypertension secondary to renal disease antepartum 642.14 hypertension secondary to renal disease postpartum 642.20 other pre-existing hypertension complicating pregnancy childbirth and the puerperium unspecified as to episode of care 642.21 other pre-existing hypertension with delivery 642.22 other pre-existing hypertension with delivery with postpartum complication