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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 010 010.0 010.1 010.00 010.06 010.10 010.16 010.8 010.9 010.80 010.86 010.90 010.96 PULMONARY TUBERCULOSIS pulmonary/respirat No 011 011.0 011.9 011.00 011.06 011.10 011.16 011.20 011.26 011.30 011.36 011.40 011.46 011.50 011.56 011.60 011.66 011.70 011.76 011.80 011.86 011.90 011.96 OTHER RESPIRATORY TUBERCULOSIS pulmonary/respirat No 012 012.0 012.3 012.00 012.06 012.10 012.16 012.20 012.26 012.30 012.36 12.8 012.80 012.86 TUBERCULOSIS OF MENINGES AND pulmonary/respirat No 013 013.0 013.6 013.00 013.06 013.10 013.16 013.20 013.26 013.30 013.36 013.40 013.46 013.50 013.56 013.60 013.66 013.8 013.9 013.80 013.86 013.90 013.96 CENTRAL NERVOUS SYSTEM TUBERCULOSIS OF INTESTINES pulmonary/respirat No 014 014.00 014.06 14.8 014.80 014.86 PERITONEUM AND MESENTERIC GLANDS TUBERCULOSIS OF BONES AND JOINTS pulmonary/respirat No 015 015.0 015.2 015.00 015.06 015.10 015.16 015.20 015.26 015.5 015.9 015.50 015.56 015.60 015.66 015.70 015.76 015.80 015.86 015.90 015.96 TUBERCULOSIS OF GENITOURINARY SYSTEM pulmonary/respirat No 016 016.0 016.7 016.00 016.06 016.10 016.16 016.20 016.26 016.30 016.36 016.40 016.46 016.50 016.56 016.60 016.66 016.70 016.76 16.9 016.90 016.96 TUBERCULOSIS OF OTHER ORGANS pulmonary/respirat No 017 017.0 017.9 017.00 017.06 017.10 017.16 017.20 017.26 017.30 017.36 017.40 017.46 017.50 017.56 017.60 017.66 017.70 017.76 017.80 017.86 017.90 017.96 MILIARY TUBERCULOSIS pulmonary/respirat No 018 018.00 018.06 018.8 018.9 018.80 018.86 018.90 018.96 LEPROSY neurological No 030 030.0 030.3 030.8 030.9 OTHER BACTERIAL DISEASES gastrointestinal No 40.2 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION WITH SPECIFIED CONDITIONS immunological Yes 042 042.0 042.2 42.9 HUMAN IMMUNODEFICIENCY VIRUS (HIV) INFECTION CAUSING OTHER SPECIFIED CONDITIONS immunological Yes 043 (not cur 043.0 043.3 43.9 OTHER HUMAN IMMUNODEFICIENCY VIRUS immunological Yes 044 (not cur 44 44.9 (HIV) INFECTION SLOW VIRUS INFECTION OF CENTRAL neurological Yes 046 046.0 046.2 46.11 46.19 046.71 046.72 46.79 046.8 046.9 NERVOUS SYSTEM SLOW VIRUS INFECTION OF CENTRAL neurological Yes 46.3 NERVOUS SYSTEM OTHER HUMAN HERPESVIRUS neurological Yes 58.21 58.29 OTHER DISEASES DUE TO VIRUSES AND neurological Yes 78.5 CHLAMYDIAE VIRAL AND CHLAMYDIAL INFECTION IN immunological Yes 79.53 CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE CONGENITAL SYPHILIS neurological Yes 090 090.0 090.7 090.40 090.42 90.49 90.9 NEUROSYPHILIS neurological Yes 094 094.0 094.3 094.8 094.9 094.81 094.87 94.89 OTHER FORMS OF LATE SYPHILIS WITH neurological Yes 095 095.0 095.9 SYMPTOMS SARCOIDOSIS immunological No 135 135 OTHER AND UNSPECIFIED INFECTIOUS AND pulmonary/respirat No 136.3 PARASITIC DISEASES LATE EFFECTS OF TUBERCULOSIS pulmonary/respirat Yes 137 137.0 137.4 LATE EFFECTS OF ACUTE POLIOMYELITIS neurological Yes 138 138

LATE EFFECTS OF OTHER INFECTIOUS AND neurological Yes 139 139.0 139.1 139.8 PARASITIC DISEASES MALIGNANT NEOPLASM OF LIP malignancy N/A 140 140.0 140.1 140.3 140.6 140.8 140.9 MALIGNANT NEOPLASM OF TONGUE malignancy N/A 141 141.0 141.6 141.8 141.9 MALIGNANT NEOPLASM OF MAJOR malignancy N/A 142 142.0 142.2 142.8 142.9 SALIVARY GLANDS MALIGNANT NEOPLASM OF GUM malignancy N/A 143 143.0 143.1 143.8 143.9 MALIGNANT NEOPLASM OF FLOOR OF malignancy N/A 144 144.0 144.1 144.8 144.9 MOUTH MALIGNANT NEOPLASM OF OTHER AND malignancy N/A 145 145.0 145.6 145.8 145.9 UNSPECIFIED PARTS OF MOUTH MALIGNANT NEOPLASM OF OROPHARYNX malignancy N/A 146 146.0 146.9 MALIGNANT NEOPLASM OF NASOPHARYNX malignancy N/A 147 147.0 147.3 147.8 147.9 MALIGNANT NEOPLASM OF HYPOPHARYNX malignancy N/A 148 148.0 148.3 148.8 148.9 MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A 149 149.0 149.1 149.8 149.9 DEFINED SITES WITHIN THE LIP ORAL CAVITY AND PHARYNX MALIGNANT NEOPLASM OF ESOPHAGUS malignancy N/A 150 150.0 150.5 150.8 150.9 MALIGNANT NEOPLASM OF STOMACH malignancy N/A 151 151.0 151.6 151.8 151.9 MALIGNANT NEOPLASM OF SMALL malignancy N/A 152 152.0 152.3 152.8 152.9 INTESTINE INCLUDING DUODENUM MALIGNANT NEOPLASM OF COLON malignancy N/A 153 153.0 153.9 MALIGNANT NEOPLASM OF RECTUM malignancy N/A 154 154.0 154.3 154.8 RECTOSIGMOID JUNCTION AND ANUS MALIGNANT NEOPLASM OF LIVER AND malignancy N/A 155 155.0 155.2 INTRAHEPATIC BILE DUCTS MALIGNANT NEOPLASM OF GALLBLADDER AND EXTRAHEPATIC BILE DUCTS malignancy N/A 156 156.0 156.2 156.8 156.9 MALIGNANT NEOPLASM OF PANCREAS malignancy N/A 157 157.0 157.4 157.8 157.9 MALIGNANT NEOPLASM OF RETROPERITONEUM AND PERITONEUM malignancy N/A 158 158.0 158.8 158.9 MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A 159 159.0 159.1 159.8 159.9 DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM MALIGNANT NEOPLASM OF NASAL malignancy N/A 160 160.0 160.5 160.8 160.9 CAVITIES MIDDLE EAR AND ACCESSORY SINUSES MALIGNANT NEOPLASM OF LARYNX malignancy N/A 161 161.0 161.3 161.8 161.9 MALIGNANT NEOPLASM OF TRACHEA malignancy N/A 162 162 162.2 162.5 162.8 162.9 BRONCHUS AND LUNG MALIGNANT NEOPLASM OF PLEURA malignancy N/A 163 163.0 163.1 163.8 163.9 MALIGNANT NEOPLASM OF THYMUS HEART AND MEDIASTINUM malignancy N/A 164 164.0 164.3 164.8 164.9 MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A 165 (there 165 165.8 165.9 DEFINED SITES WITHIN THE RESPIRATORY SYSTEM AND INTRATHORACIC ORGANS is no 166 169) MALIGNANT NEOPLASM OF BONE AND malignancy N/A 170 170.0 170.9 ARTICULAR CARTILAGE MALIGNANT NEOPLASM OF CONNECTIVE malignancy N/A 171 171.0 171.2 171.9 AND OTHER SOFT TISSUE MALIGNANT MELANOMA OF SKIN malignancy N/A 172 172.0 172.9

OTHER MALIGNANT NEOPLASM OF SKIN malignancy N/A 173 173.0 173.9 MALIGNANT NEOPLASM OF FEMALE malignancy N/A 174 174.0 174.6 174.8 174.9 BREAST MALIGNANT NEOPLASM OF MALE BREAST malignancy N/A 175 175 175.9 KAPOSI'S SARCOMA malignancy N/A 176 (there 176.0 176.5 176.8 176.9 is no 177 178) MALIGNANT NEOPLASM OF UTERUS PART malignancy N/A 179 179 UNSPECIFIED MALIGNANT NEOPLASM OF CERVIX UTERI malignancy N/A 180 180.0 180.1 180.8 180.9 MALIGNANT NEOPLASM OF PLACENTA malignancy N/A 181 181 MALIGNANT NEOPLASM OF BODY OF malignancy N/A 182 182.0 182.1 182.8 UTERUS MALIGNANT NEOPLASM OF OVARY AND malignancy N/A 183 183 183.2 183.5 183.8 183.9 OTHER UTERINE ADNEXA MALIGNANT NEOPLASM OF OTHER AND malignancy N/A 184 184.0 184.4 184.8 184.9 UNSPECIFIED FEMALE GENITAL ORGANS MALIGNANT NEOPLASM OF PROSTATE malignancy N/A 185 185 MALIGNANT NEOPLASM OF TESTIS malignancy N/A 186 186 186.9 MALIGNANT NEOPLASM OF PENIS AND malignancy N/A 187 187 187.1 187.9 OTHER MALE GENITAL ORGANS MALIGNANT NEOPLASM OF BLADDER malignancy N/A 188 188.0 188.9 MALIGNANT NEOPLASM OF KIDNEY AND malignancy N/A 189 189.0 189.4 189.8 189.9 OTHER AND UNSPECIFIED URINARY ORGANS MALIGNANT NEOPLASM OF EYE malignancy N/A 190 190.0 190.9 MALIGNANT NEOPLASM OF BRAIN malignancy N/A 191 191.0 191.9 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF NERVOUS SYSTEM malignancy N/A 192 192.0 192.3 192.8 192.9 MALIGNANT NEOPLASM OF THYROID malignancy N/A 193 193 GLAND MALIGNANT NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES malignancy N/A 194 194.0 194.1 194.3 194.6 194.8 194.9 MALIGNANT NEOPLASM OF OTHER AND ILL malignancy N/A 195 195.0 195.5 195.8 DEFINED SITES SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH NODES malignancy N/A 196 196.0 196.3 196.5 196.6 196.8 196.9 SECONDARY MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE SYSTEMS malignancy N/A 197 197.0 197.8 SECONDARY MALIGNANT NEOPLASM OF malignancy N/A 198 198.0 198.8 198.81 198.82 198.89 OTHER SPECIFIED SITES MALIGNANT NEOPLASM WITHOUT malignancy N/A 199 199.0 199.2 SPECIFICATION OF SITE LYMPHOSARCOMA AND malignancy N/A 200 200.0 200.2 200.00 200.08 200.10 200.18 200.20 200.28 200.8 200.80 200.88 RETICULOSARCOMA LYMPHOSARCOMA AND malignancy N/A 200.30 200.38 200.40 200.48 200.50 200.58 200.60 200.68 200.70 200.78 RETICULOSARCOMA HODGKIN'S DISEASE malignancy N/A 201 201.0 201.2 201.00 201.08 201.10 201.18 201.20 201.28 201.4 201.7 201.40 201.48 201.50 201.58 201.60 201.68 201.70 201.78 201.9 201.90 201.98 OTHER MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE malignancy N/A 202 202.2 202.6 202.20 202.28 202.30 202.38 202.40 202.48 202.50 202.58 202.60 202.68 202.8 202.9 202.80 202.88 202.90 202.98

OTHER MALIGNANT NEOPLASMS OF malignancy N/A 202.0 202.1 202.00 202.08 202.10 202.18 202.70 202.78 LYMPHOID AND HISTIOCYTIC TISSUE MULTIPLE MYELOMA AND malignancy N/A 203 203.0 203.1 203.00 203.02 203.10 203.12 203.8 203.80 203.82 IMMUNOPROLIFERATIVE NEOPLASMS LYMPHOID LEUKEMIA malignancy N/A 204 204.0 204.2 204.00 204.02 204.10 204.12 204.20 204.22 204.8 204.9 204.80 204.82 204.90 204.92 MYELOID LEUKEMIA malignancy N/A 205 205.0 205.3 205.00 205.02 205.10 205.12 205.20 205.22 205.30 205.32 205.8 205.9 205.80 205.82 205.90 205.92 MONOCYTIC LEUKEMIA malignancy N/A 206 206.0 206.2 206.00 206.02 206.10 206.12 206.20 206.22 206.8 206.9 206.80 206.82 206.90 206.92 OTHER SPECIFIED LEUKEMIA malignancy N/A 207 207.0 207.2 207.00 207.02 207.10 207.12 207.20 207.22 207.8 207.80 207.82 LEUKEMIA OF UNSPECIFIED CELL TYPE malignancy N/A 208 208.0 208.2 208.00 208.02 208.10 208.12 208.20 208.22 208.8 208.9 208.80 208.82 208.90 208.92 NEUROENDOCRINE TUMORS malignancy N/A 209.00 209.03 209.10 209.17 209.20 209.27 209.29 209.30 209.36 209.70 209.75 209.79 NEUROFIBROMATOSIS neurological No 237.7 NEOPLASM OF UNCERTAIN BEHAVIOR OF malignancy N/A 238.77 OTHER AND UNSPECIFIED SITES AND TISSUES SIMPLE AND UNSPECIFIED GOITER endocrinological No 240 240 240.9 NONTOXIC NODULAR GOITER endocrinological No 241 241.0 241.1 241.9 THYROTOXICOSIS WITH OR WITHOUT endocrinological No 242 242.0 242.4 242.00 242.01 242.10 242.11 242.20 242.21 242.30 242.31 242.40 242.41 242.8 242.9 242.80 242.81 242.90 242.91 GOITER CONGENITAL HYPOTHYROIDISM endocrinological No 243 243 ACQUIRED HYPOTHYROIDISM endocrinological No 244 244.0 244.3 244.8 244.9 THYROIDITIS endocrinological No 245 245.0 245.4 245.8 245.9 OTHER DISORDERS OF THYROID endocrinological No 246 246.0 246.3 246.8 246.9 SECONDARY DIABETES MELLITUS endocrinological No 249 249.00 249.01 249.80 249.81 249.90 249.91 SECONDARY DIABETES MELLITUS endocrinological No 249.10 249.11 249.20 249.21 249.30 249.31 249.40 249.41 249.50 249.51 249.60 249.61 249.70 249.71 DIABETES MELLITUS endocrinological No 250 250.0 250.9 250.00 250.03 250.10 250.13 250.20 250.23 250.30 250.33 250.40 250.43 250.50 250.53 250.60 250.63 250.70 250.73 250.80 250.83 250.90 250.93 OTHER DISORDERS OF PANCREATIC endocrinological No 251.0 INTERNAL SECRETION DISORDERS OF PARATHYROID GLAND endocrinological No 252 252.0 252.1 252.00 252.02 252.08 252.8 252.9 DISORDERS OF THE PITUITARY GLAND AND endocrinological No 253.0 253.1, ITS HYPOTHALAMIC CONTROL 253.3 253.5, 253.7, 253.8 DISORDERS OF THE PITUITARY GLAND AND endocrinological Yes 253.2 ITS HYPOTHALAMIC CONTROL DISEASES OF THYMUS GLAND endocrinological No 254 254.0 254.1 254.8 254.9 DISORDERS OF ADRENAL GLANDS endocrinological No 255 255.0 255.6 255.10 255.14 255.41 255.42 255.8 255.9 OVARIAN DYSFUNCTION endocrinological No 256 256.0 256.4 256.31 256.39 256.8 256.9 TESTICULAR DYSFUNCTION endocrinological No 257 257.0 257.2 257.8 257.9 POLYGLANDULAR DYSFUNCTION AND endocrinological No 258 258.0 258.01 258.03 RELATED DISORDERS POLYGLANDULAR DYSFUNCTION AND endocrinological No 258.1 258.8 258.9 RELATED DISORDERS KWASHIORKOR metabolic No 260 260 NUTRITIONAL MARASMUS metabolic No 261 261 OTHER SEVERE PROTEIN CALORIE metabolic No 262 262 MALNUTRITION OTHER AND UNSPECIFIED PROTEIN metabolic No 263.0, 263.2 CALORIE MALNUTRITION VITAMIN A DEFICIENCY metabolic No 264 264.0 264.9 THIAMINE AND NIACIN DEFICIENCY STATES metabolic No 265 265.0 265.2 DEFICIENCY OF B COMPLEX COMPONENTS metabolic No 266 266.0 266.2 266.9 ASCORBIC ACID DEFICIENCY metabolic No 267 267 VITAMIN D DEFICIENCY metabolic No 268.0 268.1 VITAMIN D DEFICIENCY metabolic No (there is no 2268.2 268.8 DISORDERS OF AMINO ACID TRANSPORT AND metabolic Yes 270 270.0 270.9

DISORDERS OF CARBOHYDRATE metabolic Yes 271 271.0 271.4 271.8 271.9 TRANSPORT AND DISORDERS OF LIPOID metabolic Yes 272 272.0 272.6 272.8 272.9 DISORDERS OF LIPOID metabolic Yes 272.7 DISORDERS OF PLASMA PROTEIN metabolic No 273 273.0 273.4 273.8 273.9 GOUT metabolic No 274 274.0 274.1 274.00 274.03 274.10 274.11 274.19 274.8 274.9 274.81 274.82 274.89 DISORDERS OF MINERAL metabolic Yes 275.0 275.09 275.01 275.03 275.09 OTHER AND UNSPECIFIED DISORDERS OF pulmonary/respirat Yes 277.0 277.00 277.03 277.09 OTHER AND UNSPECIFIED DISORDERS OF metabolic No 277.1 OTHER AND UNSPECIFIED DISORDERS OF metabolic Yes 277.2 277.3 OTHER AND UNSPECIFIED DISORDERS OF metabolic No 277.4 OTHER AND UNSPECIFIED DISORDERS OF metabolic Yes 277.5 OTHER AND UNSPECIFIED DISORDERS OF immunological No 277.6 OTHER AND UNSPECIFIED DISORDERS OF metabolic No 277.7 OTHER AND UNSPECIFIED DISORDERS OF metablic Yes 277.81 277.88 MORBID OBESITY metablic No 278.01 DISORDERS INVOLVING THE IMMUNE immunological Yes 279 279.3 279.4 279.41 279.49 279.50 279.53 279.8 279.9 MECHANISM DISORDERS INVOLVING THE IMMUNE immunological Yes 279.0 279.2 279.00 279.06 279.09 279.10 279.13 279.19 MECHANISM OTHER DEFICIENCY ANEMIAS hematological No 281.0 HEREDITARY HEMOLYTIC ANEMIAS hematological No 282.0 282.3 HEREDITARY HEMOLYTIC ANEMIAS hematological Yes 282.4 HEREDITARY HEMOLYTIC ANEMIAS hematological Yes 282.6 HEREDITARY HEMOLYTIC ANEMIAS hematological No 282.7 282.9 HEREDITARY HEMOLYTIC ANEMIAS hematological Yes 282.61 282.62 ACQUIRED HEMOLYTIC ANEMIAS hematological No 283 283.0 283.2 283.10 283.11 283.19 283.9 APLASTIC ANEMIA hematological Yes 284 (with 284.0, 284.2, 284.8, 284.9 APLASTIC ANEMIA hematological No 284.1 OTHER AND UNSPECIFIED ANEMIAS hematological No 285.0 285.21 285.22 285.29 285.8 COAGULATION DEFECTS hematological Yes 286 (with 286.2,286.3 COAGULATION DEFECTS hematological No 286.4 286.9 COAGULATION DEFECTS hematological Yes 286.0 286.1 PURPURA AND OTHER HEMORRHAGIC hematological No 287.1, 287.3 287.30 287.33 287.39 CONDITIONS DISEASES OF WHITE BLOOD CELLS immunological No 288.02 DISEASES OF WHITE BLOOD CELLS immunological Yes 288.01 DISEASES OF WHITE BLOOD CELLS immunological No 288.5 DISEASES OF WHITE BLOOD CELLS immunological Yes 288.1, 288.2 DISEASES OF WHITE BLOOD CELLS immunological Yes 288.4 OTHER DISEASES OF BLOOD AND BLOOD FORMING ORGANS immunological No 289.51 289.53 289.81, 289.83, 289.89 ALCOHOLIC PSYCHOSES mental health No 291.1 DRUG PSYCHOSES mental health No 292.1 OTHER ORGANIC PSYCHOTIC CONDITIONS (CHRONIC) mental health No 294.0

SCHIZOPHRENIC DISORDERS mental health Yes 295.0 295.8 295.0 295.8 295.10 295.15 295.20 295.25 295.30 295.35 295.40 295.45 295.50 295.55 295.60 295.65 295.70 295.75 295.80 295.85 AFFECTIVE PSYCHOSES mental health No 296 296.0 296.3 296.00 296.06 296.10 296.16 296.20 296.26 296.30 296.36 296.8 296.9 296.80 296.82 296.89 AFFECTIVE PSYCHOSES mental health No 296.4 296.7 296.40 296.46 296.50 296.56 296.60 296.66 PARANOID STATES mental health No 297.1, 297.3 PSYCHOSES WITH ORIGIN SPECIFIC TO mental health No 299.0, 299.1, 299.00 299.01 299.10 299.11 299.8 299.80 299.81 CHILDHOOD 299.8 NEUROTIC DISORDERS mental health No 300.1, 300.3, 300.7, 300.81 PERSONALITY DISORDERS mental health No 301.0 301.8X 301.10 301.13 301.20 301.22 301.50 301.51 301.59 301.81 301.82 301.84 301.89 PERSONALITY DISORDERS mental health No 301.83 ALCOHOL DEPENDENCE SYNDROME mental health No 303.9 303.90 303.93 DRUG DEPENDENCE mental health No 304.0 304.2 304.00 304.03 304.10 304.13 304.20 304.23 304.4 304.9 304.40 304.43 304.50 304.53 304.60 304.63 304.70 304.73 304.80 304.83 SPECIAL SYMPTOMS OR SYNDROMES NOT mental health No ELSEWHERE CLASSIFIED 307.22, 307.23, 307.3, 307.7 SPECIAL SYMPTOMS OR SYNDROMES NOT mental health Yes 307.1, 307.51 ELSEWHERE CLASSIFIED SPECIFIC NONPSYCHOTIC MENTAL DISORDERS DUE TO ORGANIC BRAIN DAMAGE mental health No 310.0 310.1 DEPRESSIVE DISORDER NOT ELSEWHERE CLASSIFIED mental health No 311 311 DISTURBANCE OF CONDUCT NOT mental health No 312.0 312.7, 312.00 312.03 312.10 312.13 312.20 312.23 312.30 312.35 312.39 ELSEWHERE CLASSIFIED 312.81, 312.82, 312.9 DISTURBANCE OF EMOTIONS SPECIFIC TO mental health No 313.81 CHILDHOOD AND ADOLESCENCE HYPERKINETIC SYNDROME OF CHILDHOOD mental health No 314.0 314.2 314.00 314.01 SPECIFIC DELAYS IN DEVELOPMENT mental health No 315.01, 315.02, 315.1, 315.2, 315.31, 315.32, 315.34, 315.4, 315.5, 315.8, 315.9 MILD MENTAL RETARDATION mental health No 317 317 OTHER SPECIFIED MENTAL RETARDATION mental health No 318.0 OTHER SPECIFIED MENTAL RETARDATION mental health No 318.1 318.2 UNSPECIFIED MENTAL RETARDATION mental health No 319 319 LATE EFFECTS OF INTRACRANIAL ABSCESS OR PYOGENIC INFECTION neurological Yes 326 326 ORGANIC SLEEP DISORDERS pulmonary/respirat No 327.20 327.21 327.23 327.24 327.26 327.29 ORGANIC SLEEP DISORDERS pulmonary/respirat Yes 327.25 CEREBRAL DEGENERATIONS USUALLY neurological Yes 330 330.0 330.3 330.8 330.9 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, 333.71, 333.91 SPINOCEREBELLAR DISEASE neurological Yes 334 334.0 SPINOCEREBELLAR DISEASE neurological Yes 334.8 334 334.3 334.4 334.8 334.9

SPINOCEREBELLAR DISEASE neurological Yes 334.1 334.2 ANTERIOR HORN CELL DISEASE neurological Yes 335 335.0 335.2 335.10 335.11 335.19 335.20 335.24 335.29 335.8 335.9 OTHER DISEASES OF SPINAL CORD neurological Yes 336 336.0 336.3 336.8 336.9 DISORDERS OF THE AUTONOMIC NERVOUS neurological No 337 337.0 337.3 337.00 337.01 337.09 337.20 337.22 337.29 337.9 SYSTEM MULTIPLE SCLEROSIS neurological Yes 340 340 OTHER DEMYELINATING DISEASES OF neurological Yes 341 341.0 341.1 341.8 341.9 CENTRAL NERVOUS SYSTEM OTHER DEMYELINATING DISEASES OF neurological Yes 341.2 341.20 341.22 CENTRAL NERVOUS SYSTEM HEMIPLEGIA neurological No 342 342.0 342.1 342.00 342.02 342.10 342.12 342.8 342.9 342.80 342.82 342.90 342.92 INFANTILE CEREBRAL PALSY neurological No 343 (with 343.0 343.1 343.3 343.4 INFANTILE CEREBRAL PALSY neurological Yes 343.2 343.8 343.9 OTHER PARALYTIC SYNDROMES neurological Yes 344 (with 344.0 344.00 344.04 344.09 OTHER PARALYTIC SYNDROMES neurological No 344.2 244.9 344.2 344.6 344.30 344.32 344.40 344.42 344.60 344.61 344.8 344.9 344.81 344.89 OTHER PARALYTIC SYNDROMES neurological No 344.1 EPILEPSY neurological No 345 345.0 345.9 345.00 345.01 345.10 345.11 345.40 345.41 345.50 345.51 345.60 345.61 345.70 345.71 345.80 345.81 345.90 345.91 CATAPLEXY AND NARCOLEPSY neurological No 347 347.0 347.1 347.00 347.01 347.10 347.11 OTHER CONDITIONS OF BRAIN neurological No 348.2 OTHER CONDITIONS OF BRAIN neurological Yes 348.1 DISORDERS OF MENINGES, NOT ELSEWHERE CLASSIFIED neurological No 349.2 UNSPECIFIED DISORDERS OF NERVOUS SYSTEneurological No 349.9 TRIGEMINAL NERVE DISORDERS neurological No 350 350 350.2 350.8 350.9 TRIGEMINAL NERVE DISORDERS neurological No 350.1 FACIAL NERVE DISORDERS neurological No 351 351.0 351.1 351.8 351.9 DISORDERS OF OTHER CRANIAL NERVES neurological No 352 352.0 352.6 352.9 NERVE ROOT AND PLEXUS DISORDERS neurological No 353 353.0 353.6 353.8 353.9 MONONEURITIS OF UPPER LIMB AND neurological No 354 354.0 354.5 354.8 354.9 MONONEURITIS MULTIPLEX MONONEURITIS OF LOWER LIMB neurological No 355 355.0 355.9 355.71 355.79 HEREDITARY AND IDIOPATHIC PERIPHERAL neurological No 356 356.0 356.4 356.8 356.9 NEUROPATHY INFLAMMATORY AND TOXIC NEUROPATHY neurological No 357 357.0 357.9 357.81 357.82 357.89 MYONEURAL DISORDERS neurological No 358 358.0 358.3 358.00 358.01 358.8 358.9 MUSCULAR DYSTROPHIES AND OTHER musculoskeletal Yes 359.0 359.2 MYOPATHIES MUSCULAR DYSTROPHIES AND OTHER MYOPATHIES musculoskeletal No 359.3 359.6, 359.8, 359.9 DISORDERS OF THE GLOBE ophthalmological No 360.2, 360.3,360.4 RETINAL DETACHMENTS AND DEFECTS ophthalmological No 361 361.0 361.3 361.00 361.07 361.10 361.14 361.19 361.30 361.33 361.8 361.9 361.81 361.89 OTHER RETINAL DISORDERS ophthalmological No 362.0 362.01 362.07 OTHER RETINAL DISORDERS ophthalmological No 362.1 362.10 362.18 362.26 362.27 362.30 362.37 362.40 362.43 362.50 362.57 362.60 362.66 362.70 362.77 362.85 CHORIORETINAL INFLAMMATIONS SCARS AND OTHER DISORDERS OF CHOROID ophthalmological No 363 363.0 363.9 363.00 363.01 363.03 363.08 363.10 363.15 363.20 363.22 363.30 363.35 363.40 363.43 363.50 363.57 363.61 363.63 363.70 363.72 DISORDERS OF IRIS AND CILIARY BODY ophthalmological No 364.1, 364.2, 364.5, 364.7, 364.8 364.10 364.11 364.21 364.24 364.51 364.57 364.59 364.70 364.77 364.81 364.82 364.89 GLAUCOMA ophthalmological No 365 365.14 GLAUCOMA ophthalmological No 365 365.1 365.8 BLINDNESS AND LOW VISION ophthalmological No 369.0 369.4 369.00 369.08 369.10 369.18 369.20 369.25 369.60 369.69 369.70 369.76

DISORDERS OF OPTIC NERVE AND VISUAL ophthalmological No 377 377.0 377.7 377.00 377.04 377.10 377.16 377.21 377.24 377.30 377.34 377.39 377.41 377.43 377.49 377.51 377.54 377.61 377.63 377.71 377.73 377.75 377.9 PATHWAYS STRABISMUS AND OTHER DISORDERS OF BINOCULAR EYE MOVEMENTS ophthalmological No 378.0 378.8 378.00 378.08 378.10 378.18 378.20 378.24 378.30 378.35 378.40 378.45 378.50 378.56 378.60 378.63 378.71 378.73 378.81 378.87 OTHER DISORDERS OF EYE ophthalmological No 379.0 379.6 379.00 379.07 379.09 379.11 379.16 379.19 379.21 379.22 379.24 379.26 379.29 379.31 379.34 379.39 379.40 379.43 379.45 379.46 379.49 379.50 379.59 379.60 379.63 OTHER DISORDERS OF MIDDLE EAR AND otologic No 385 385.0 385.3 385.00 385.03 385.09 385.10 385.13 385.19 385.21 385.24 385.30 385.33 385.35 385.8 385.9 385.82 385.83 385.89 MASTOID VERTIGINOUS SYNDROMES AND OTHER otologic No 386 386.0 386.5 386.00 386.04 386.10 386.12 386.19 386.30 386.35 386.40 386.43 386.48 386.50 386.56 386.58 386.8 386.9 DISORDERS OF VESTIBULAR SYSTEM OTOSCLEROSIS otologic No 387 387.0 387.2 387.8 387.9 OTHER DISORDERS OF EAR otologic No 388.0, 388.1, 388.00 388.02 388.10 388.12 388.30 388.32 388.3, 388.5 HEARING LOSS neurological No 389.2 389.10 389.18 389.20 389.22 389.7 389.9 RHEUMATIC FEVER WITHOUT MENTION OF immunological No 390 390 HEART INVOLVEMENT CHRONIC RHEUMATIC PERICARDITIS cardiac No 393 393 DISEASES OF MITRAL VALVE cardiac No 394 394.0 394.2 394.9 DISEASES OF AORTIC VALVE cardiac No 395 395.0 395.2 395.9 DISEASES OF MITRAL AND AORTIC VALVES cardiac No 396 396.0 396.3 396.8 396.9 DISEASES OF OTHER ENDOCARDIAL cardiac No 397 397.0 397.1 397.9 STRUCTURES OTHER RHEUMATIC HEART DISEASE cardiac No 398 398 398.9 398.90 398.91 398.99 ESSENTIAL HYPERTENSION cardiac No 401 401.0 401.1 401.9 HYPERTENSIVE HEART DISEASE cardiac No 402 (with 402.0 402.1 402 402.1 402.9 HYPERTENSIVE HEART DISEASE cardiac Yes 402.01 402.11 402.91 HYPERTENSIVE RENAL DISEASE renal No 403 (with 403.0 403.1 403 403.1 403.9 HYPERTENSIVE RENAL DISEASE renal Yes 403.01 403.11 403.91 HYPERTENSIVE HEART AND RENAL DISEASE renal No 404 (with 404.0 404.1 404 404.1 404.9 HYPERTENSIVE HEART AND RENAL DISEASE renal Yes 404.01 404.11 404.91 HYPERTENSIVE HEART AND RENAL DISEASE renal Yes 404.02 404.03 404.12 404.13 404.92 404.93 SECONDARY HYPERTENSION cardiac No 405 405.0 405.1 405.01 405.09 405.11 405.19 405.9 405.91 405.99 ACUTE MYOCARDIAL INFARCTION cardiac Yes 410 410.0 410.9 410.00 410.02 410.10 410.12 410.20 410.22 410.30 410.32 410.40 410.42 410.50 410.52 410.60 410.62 410.70 410.72 410.80 410.82 410.90 410.92 OTHER ACUTE AND SUBACUTE FORMS OF cardiac Yes 411 411.0 411.1 411.8 411.81 411.89 ISCHEMIC HEART DISEASE OLD MYOCARDIAL INFARCTION cardiac Yes 412 412 OTHER FORMS OF CHRONIC ISCHEMIC cardiac Yes 414.0 414.3 414.00 414.06 414.10 414.12 414.19 414.8 414.9 HEART DISEASE OTHER FORMS OF CHRONIC ISCHEMIC cardiac Yes 414.07 HEART DISEASE CHRONIC PULMONARY HEART DISEASE cardiac Yes 416 416.0 416.2 416.8 416.9 OTHER DISEASES OF PULMONARY cardiac Yes 417 417.0 417.1 417.8 417.9 CIRCULATION OTHER DISEASES OF ENDOCARDIUM cardiac No 424 424 OTHER DISEASES OF ENDOCARDIUM cardiac No 424.1,424.3 CARDIOMYOPATHY cardiac Yes 425.0 425.5 425.7 425.8 CONDUCTION DISORDERS cardiac No 426 426.0 426.9 426.10 426.13 426.50 426.54 426.81 426.82 426.89 CARDIAC DYSRHYTHMIAS cardiac No 427.0, 427.1, 427.31 427.32 427.41 427.42 427.81 427.3, 427.4 HEART FAILURE cardiac Yes 428.0 428.4 428.20 428.23 428.30 428.33 428.40 428.43 ILL DEFINED DESCRIPTIONS AND COMPLICATIONS OF HEART DISEASE cardiac Yes 429.1

CARDIOMEGALY cardiac No 429.3 OCCLUSION AND STENOSIS OF neurological Yes 433 433.0 433.3 433.00 433.01 433.10 433.11 433.20 433.21 433.30 433.31 433.8 433.9 433.80 433.81 433.90 433.91 PRECEREBRAL ARTERIES OTHER AND ILL DEFINED neurological Yes 437.2 437.7 CEREBROVASCULAR DISEASE LATE EFFECTS OF CEREBROVASCULAR neurological Yes 438 438.0 438.9 438.10 438.14 438.19 438.20 438.22 438.30 438.32 438.40 438.42 438.50 438.53 438.81 438.85 438.89 DISEASE AORTIC ANEURYSM cardiac Yes 441 441.0 441.7 441.00 441.03 441.9 OTHER ANEURYSM cardiac No 442 442.0 442.3 442.8 442.9 442.81 442.84 442.89 OTHER PERIPHERAL VASCULAR DISEASE cardiac No 443 443.0 443.2 443.21 443.24 443.29 443.8 443.9 443.81 443.82 443.89 POLYARTERITIS NODOSA AND ALLIED CONDITIONS immunological Yes 446 (with 446.0, 446.2, 446.3 POLYARTERITIS NODOSA AND ALLIED CONDITIONS immunological No 446.1,446.4 446.7 OTHER DISORDERS OF ARTERIES AND cardiac No 447 447.0 447.9 447.70 447.73 ARTERIOLES PORTAL VEIN THROMBOSIS cardiac Yes 452 452 OTHER VENOUS EMBOLISM AND cardiac No 453.0 453.50 453.52 453.71 453.77 453.79 THROMBOSIS NONINFECTIOUS DISORDERS OF LYMPHATIC CHANNELS cardiac No 457.0 457.2 CHRONIC LARYNGITIS AND pulmonary/respirat No 476.0 476.1 LARYNGOTRACHEITIS CHRONIC BRONCHITIS pulmonary/respirat No 491 491.0 491.2 491.20 491.22 491.8 491.9 EMPHYSEMA pulmonary/respirat Yes 492 492 492.8 ASTHMA pulmonary/respirat No 493 493.0 493.2 493.00 493.02 493.10 493.12 493.20 493.22 493.8 493.9 493.81 493.82 493.90 493.92 BRONCHIECTASIS pulmonary/respirat Yes 494.0 494.1 EXTRINSIC ALLERGIC ALVEOLITIS pulmonary/respirat No 495 495.0 495.9 CHRONIC AIRWAY OBSTRUCTION NOT pulmonary/respirat Yes 496 496 ELSEWHERE CLASSIFIED ASBESTOSIS pulmonary/respirat No 501 501 PNEUMOCONIOSIS DUE TO OTHER SILICA pulmonary/respirat No 502 502 OR SILICATES PNEUMOCONIOSIS DUE TO OTHER pulmonary/respirat No 503 503 INORGANIC DUST PNEUMONOPATHY DUE TO INHALATION OF pulmonary/respirat No 504 504 OTHER DUST PNEUMOCONIOSIS UNSPECIFIED pulmonary/respirat No 505 505 POSTINFLAMMATORY PULMONARY pulmonary/respirat Yes 515 515 FIBROSIS OTHER ALVEOLAR AND PARIETOALVEOLAR pulmonary/respirat Yes 516 516.0 516.6 516.8 516.9 PNEUMONOPATHY OTHER DISEASES OF RESPIRATORY SYSTEM pulmonary/respirat No 519.0 519.00 519.02 519.09 OTHER DISEASES OF RESPIRATORY SYSTEM pulmonary/respirat No 519.3 519.4 DISEASES OF THE JAWS musculoskeletal No 526 526 526.6 526.89 DISEASES OF THE SALIVARY GLANDS gastrointestinal No 527.0, 527.1, 527.7

DISEASES OF ESOPHAGUS gastrointestinal No 530.0 530.13 530.3 530.5 530.6 530.83, 530.84, 530.85 GASTRIC ULCER gastrointestinal No 531 531.0 531.7 531.00 531.01 531.10 531.11 531.20 531.21 531.30 531.31 531.40 531.41 531.50 531.51 531.60 531.61 531.70 531.71 531.9 531.90 531.91 DUODENAL ULCER gastrointestinal No 532 532.0 532.7 532.00 532.01 532.10 532.11 532.20 532.21 532.30 532.31 532.40 532.41 532.50 532.51 532.60 532.61 532.70 532.71 532.9 532.90 532.91 PEPTIC ULCER SITE UNSPECIFIED gastrointestinal No 533 533.0 533.7 533.00 533.01 533.10 533.11 533.20 533.21 533.30 533.31 533.40 533.41 533.50 533.51 533.60 533.61 533.70 533.71 533.9 533.90 533.91 GASTROJEJUNAL ULCER gastrointestinal No 534 534.0 534.7 534.00 534.01 534.10 534.11 534.20 534.21 534.30 534.31 534.40 534.41 534.50 534.51 534.60 534.61 534.70 534.71 534.9 534.90 534.91 DISORDERS OF FUNCTION OF STOMACH gastrointestinal No 536.2, 536.3 REGIONAL ENTERITIS gastrointestinal No 555 555.0 555.2 555.9 IDIOPATHIC PROCTOCOLITIS gastrointestinal No 556 556.0 556.6 556.8 556.9 DIVERTICULA OF INTESTINE gastrointestinal No 562 562.0, 562.1 562.00, 562.02 562.10,562.12 ANAL FISSURE AND FISTULA gastrointestinal No 565.1 OTHER DISORDERS OF INTESTINE gastrointestinal No 569.0 569.2 569.44 569.84, 569.86, 569.87 OTHER DISORDERS OF INTESTINE gastrointestinal No 569.81 CHRONIC LIVER DISEASE AND CIRRHOSIS gastrointestinal Yes 571 571.0 571.3 CHRONIC LIVER DISEASE AND CIRRHOSIS gastrointestinal Yes 571.4 571.6, 571.8, 571.9 LIVER ABSCESS AND SEQUELAE OF CHRONIC gastrointestinal Yes 572.3,572.4 LIVER DISEASE OTHER DISORDERS OF LIVER gastrointestinal Yes 573.0 OTHER DISORDERS OF LIVER gastrointestinal No 573.2, 573.4 573.8 573.9 OTHER DISORDERS OF GALLBLADDER gastrointestinal No 575.11, 575.5, 575.6, 575.8 OTHER DISORDERS OF BILIARY TRACT gastrointestinal No 576.0, 576.1, 576.4, 576.5, 576.8 DISEASES OF PANCREAS gastrointestinal No 577.2 577.8 DISEASES OF PANCREAS gastrointestinal Yes 577.1 INTESTINAL MALABSORPTION gastrointestinal No 579.2, 579.4 INTESTINAL MALABSORPTION gastrointestinal No 579.0 579.1 NEPHROTIC SYNDROME renal No 581 581.0 581.3 581.8 581.9 581.81 581.89 CHRONIC GLOMERULONEPHRITIS renal Yes 582 582.0 582.2 582.4 582.8 582.9 582.81 582.89 NEPHRITIS AND NEPHROPATHY NOT renal Yes 583 583.0 583.2 583.4 583.6 583.9 583.81 583.89 SPECIFIED AS ACUTE OR CHRONIC CHRONIC RENAL FAILURE renal Yes 585 585 585.1 585.6 585.9 RENAL FAILURE UNSPECIFIED renal Yes 586 586 DISORDERS RESULTING FROM IMPAIRED musculoskeletal Yes 588.0 RENAL FUNCTION DISORDERS RESULTING FROM IMPAIRED renal No 588.1 RENAL FUNCTION HYDRONEPHROSIS genitourinary No 591 OTHER DISORDERS OF KIDNEY AND URETER renal No 593.71 593.73 593.82 OTHER DISORDERS OF BLADDER renal No 596.0 596.4 596.51 596.55 URETHRAL STRICTURE renal No 598 598.0 598.2 598.00 598.01 598.8 598.9 OTHER DISORDERS OF URETHRA AND renal No 599.1, 599.2, 599.81 599.83 URINARY TRACT 599.3, 599.4, 599.5 DISORDERS OF PENIS genitourinary No 607.85 OTHER DISORDERS OF MALE GENITAL genitourinary No 608.3 ORGANS ENDOMETRIOSIS genitourinary No 617 617.0 617.6 617.8 617.9 GENITAL PROLAPSE genitourinary No 618 618.0 618.9 618.00 618.05 618.09 618.81 618.84 618.89 FISTULA INVOLVING FEMALE GENITAL TRACT genitourinary No 619 619.0 619.2 619.8 619.9 619.8 619.9

NONINFLAMMATORY DISORDERS OF genitourinary No 622.1X CERVIX NONINFLAMMATORY DISORDERS OF genitourinary No 623.0 VAGINA NONINFLAMMATORY DISORDERS OF genitourinary No 624.0 VULVA AND PERINEUM OTHER DISORDERS OF FEMALE GENITAL genitourinary No 629.20 629.23 629.29 ORGANS BULLOUS DERMATOSES dermatological No 694 694.0 694.6 694.60 694.61 694.8 694.9 ERYTHEMATOUS CONDITIONS immunological Yes 695.4 OTHER HYPERTROPHIC AND ATROPHIC dermatological No 701.0 701.8 CONDITIONS OF SKIN OTHER DERMATOSES dermatological No 702 702.0 702.1 702.19 702.8 DISORDERS OF SWEAT GLANDS dermatological No 705.0 CHRONIC ULCER OF SKIN dermatological No 707 707.00 707.07 707.09 CHRONIC ULCER OF SKIN dermatological No 707.1 707.10 707.15 707.19 707.20 707.25 707.8 707.9 DIFFUSE DISEASES OF CONNECTIVE TISSUE immunological Yes 710 (with 710.0, 710.8 710.9 DIFFUSE DISEASES OF CONNECTIVE TISSUE immunological No 710.1 710.5 CRYSTAL ARTHROPATHIES immunological No 712 712 712.1 712.3 712.10 712.19 712.20 712.29 712.30 712.39 712.8 712.9 712.80 712.89 712.90 712.99 RHEUMATOID ARTHRITIS AND OTHER immunological No 714 714.0 714.4 714.30 714.33 714.8 714.9 714.81 714.89 INFLAMMATORY POLYARTHROPATHIES INTERNAL DERANGEMENT OF KNEE musculoskeletal No 717 717.1, 717.2, 717.40 717.43 717.49 717.3 OTHER DERANGEMENT OF JOINT musculoskeletal No 718.0, 718.2, 718.3, 718.4, 718.5, 718.6, 718.7 ANKYLOSING SPONDYLITIS AND OTHER immunological No 720 720.0 720.2 720.8 720.9 720.81 720.89 INFLAMMATORY SPONDYLOPATHIES SPONDYLOSIS AND ALLIED DISORDERS immunological No 721 721.0 721.9 721.41 721.42 721.90 721.91 INTERVERTEBRAL DISC DISORDERS musculoskeletal No 722.0 722.2 722.10 722.11 722.4 722.6 722.7 722.70 722.73 INTERVERTEBRAL DISC DISORDERS musculoskeletal No 722.3 722.30 722.32 722.39 722.8 722.80 722.83 INTERVERTEBRAL DISC DISORDERS musculoskeletal No 722.5 722.51 722.52 POLYMYALGIA RHEUMATICA immunological No 725 725 DISORDERS OF MUSCLE LIGAMENT AND FASCIA musculoskeletal No 728.1, 728.2, 728.6, 728.7 DISORDERS OF MUSCLE LIGAMENT AND musculoskeletal Yes 728.3 FASCIA OSTEOMYELITIS PERIOSTITIS AND OTHER INFECTIONS INVOLVING BONE musculoskeletal No 730.1 OSTEITIS DEFORMANS AND OSTEOPATHIES musculoskeletal No 731.0 731.3 731.8 ASSOCIATED WITH OTHER DISORDERS CLASSIFIED ELSEWHERE OSTEOCHONDROPATHIES musculoskeletal No 732.0, 732.1 OTHER DISORDERS OF BONE AND CARTILAGE musculoskeletal No 733.0, 733.3, 733.4, 733.7 OTHER ACQUIRED DEFORMITIES OF LIMBS musculoskeletal No 736.05, 736.06, 736.31 736.32 736.71 736.75 736.81 736.07 CURVATURE OF SPINE musculoskeletal No 737.3 CURVATURE OF SPINE musculoskeletal No 737.0, 737.1, 737.8, 737.9 OTHER ACQUIRED MUSCULOSKELETAL DEFORMITY musculoskeletal No 738.4 738.7

ANENCEPHALUS AND SIMILAR ANOMALIES neurological Yes 740.0 740.2 SPINA BIFIDA neurological Yes 741 741 741.00 741.03 741.9 741.90 741.93 OTHER CONGENITAL ANOMALIES OF neurological No 742 (with 742.3 NERVOUS SYSTEM OTHER CONGENITAL ANOMALIES OF NERVOUS SYSTEM neurological Yes 742 (other than 742.30 CONGENITAL ANOMALIES OF EYE ophthalmological No 743.0 743.2, 743.4, 743.5, 743.61, 743.62, 743.63, 743.66, 743.69 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, 744.2 744.4 cardiac Yes 745.0 745.3, 745.6 745.9 cardiac No 745.4, 745.5 744.00 744.05 744.09 744.21 744.24 744.29 744.41 744.43 744.46 744.47 744.49 744.9 OTHER CONGENITAL ANOMALIES OF HEART cardiac No 746 (with 746.0 746.1, 746.3 746.6, 746.8 OTHER CONGENITAL ANOMALIES OF HEART cardiac Yes 746.2, 746.7 OTHER CONGENITAL ANOMALIES OF CIRCULATORY SYSTEM OTHER CONGENITAL ANOMALIES OF CIRCULATORY SYSTEM cardiac Yes 747.4 cardiac No 747.1, 747.21, 747.22, 747.29, 747.3, 747.81, 747.83, 747.89 CONGENITAL ANOMALIES OF RESPIRATORY pulmonary/respirat No 748 (with 748.0 748.3, SYSTEM 748.8 748.9 CONGENITAL ANOMALIES OF RESPIRATORY pulmonary/respirat Yes 748.4 748.6 SYSTEM CLEFT PALATE AND CLEFT LIP craniofacial No 749 749.0 749.2 CLEFT PALATE AND CLEFT LIP craniofacial No 749.3 749.9 OTHER CONGENITAL ANOMALIES OF UPPER gastrointestinal No 750.1, 750.2, ALIMENTARY TRACT 750.4, 750.7, 750.9 750.10, 750.11, 750.21, 750.23, 750.12, 750.15, 750.29 750.16, 750.19 OTHER CONGENITAL ANOMALIES OF UPPER gastrointestinal No 750.3 ALIMENTARY TRACT OTHER CONGENITAL ANOMALIES OF DIGESTIVE SYSTEM gastrointestinal No 751.1 751.3, 751.60, 751.8 751.9 OTHER CONGENITAL ANOMALIES OF DIGESTIVE SYSTEM gastrointestinal Yes 751.61, 751.62, 751.69, 751.7 OTHER CONGENITAL ANOMALIES OF DIGESTIVE SYSTEM CONGENITAL ANOMALIES OF GENITAL ORGANS gastrointestinal No 751.4 751.5 genitourinary No 752.61, 752.62, 752.7

CONGENITAL ANOMALIES OF URINARY genitourinary Yes 753.0 753.1 SYSTEM CONGENITAL ANOMALIES OF URINARY genitourinary No 753.2 SYSTEM CONGENITAL ANOMALIES OF URINARY genitourinary No 753.4 753.9 SYSTEM CERTAIN CONGENITAL MUSCULOSKELETAL musculoskeletal No 754.30 754.35 DEFORMITIES CERTAIN CONGENITAL MUSCULOSKELETAL DEFORMITIES musculoskeletal No 754.0, 754.2, 754.7 OTHER CONGENITAL ANOMALIES OF LIMBS musculoskeletal No 755.2 755.4, 755.53, 755.54, 755.58 OTHER CONGENITAL MUSCULOSKELETAL musculoskeletal No 756.0 756.5 ANOMALIES OTHER CONGENITAL MUSCULOSKELETAL musculoskeletal Yes 756.6 756.7 ANOMALIES OTHER CONGENITAL MUSCULOSKELETAL ANOMALIES musculoskeletal No 756.83, 756.89, 756.9 CONGENITAL ANOMALIES OF THE dermatological 757.0, 757.1 757.31 INTEGUMENT CHROMOSOMAL ANOMALIES genetic No 758.0 758.32, 758.39 758.5 758.9 CHROMOSOMAL ANOMALIES genetic Yes 758.1 758.2 758.31, 758.33 OTHER AND UNSPECIFIED CONGENITAL ANOMALIES genetic Yes 759 (with dif759.0 759.4, 759.6 OTHER AND UNSPECIFIED CONGENITAL ANOMALIES genetic No 759.5, 759.7 759.9 OTHER RESPIRATORY CONDITIONS OF pulmonary/respirat No 770.7 FETUS AND NEWBORN GENERAL SYMPTOMS neurological Yes 780.01 780.03 GENERAL SYMPTOMS neurological No 780.51 780.53 780.57 URINARY INCONTINENCE genitourinary No 788.30 788.33, 788.34 788.37 788.39 TRAUMATIC AMPUTATION OF ARM AND musculoskeletal No 887 887.0 887.7 HAND (COMPLETE) (PARTIAL) TRAUMATIC AMPUTATION OF FOOT musculoskeletal No 896 896.0 896.3 (COMPLETE) (PARTIAL) TRAUMATIC AMPUTATION OF LEG(S) musculoskeletal No 897 897.0 897.7 (COMPLETE) (PARTIAL) LATE EFFECT OF BURN musculoskeletal No 906.6 906.8 SPINAL CORD INJURY WITHOUT EVIDENCE neurological Yes 952 952.0 952.4 952.00 952.09 952.10 952.19 952.8 952.9 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

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

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