For HCPCS codes A0425, A0426, A0427, A0428, A0429, A0433 and A0434: Covered for Ambulance Transportation Services to the Site of Medical Care: 789.39 ABDOMINAL OR PELVIC SWELLING MASS OR LUMP OTHER SPECIFIED SITE 789.30-789.37 ABDOMINAL OR PELVIC SWELLING MASS OR LUMP UNSPECIFIED SITE - ABDOMINAL OR PELVIC SWELLING MASS OR LUMP GENERALIZED 789.09 ABDOMINAL PAIN OTHER SPECIFIED SITE 789.01-789.07 ABDOMINAL PAIN RIGHT UPPER QUADRANT - ABDOMINAL PAIN GENERALIZED 789.49 ABDOMINAL RIGIDITY OTHER SPECIFIED SITE 789.40-789.47 ABDOMINAL RIGIDITY UNSPECIFIED SITE - ABDOMINAL RIGIDITY GENERALIZED 789.69 ABDOMINAL TENDERNESS OTHER SPECIFIED SITE 789.60-789.67 ABDOMINAL TENDERNESS UNSPECIFIED SITE - ABDOMINAL TENDERNESS GENERALIZED 781.2-781.4* ABNORMALITY OF GAIT - TRANSIENT PARALYSIS OF LIMB 436 ACUTE BUT ILL-DEFINED CEREBROVASCULAR DISEASE 518.4 ACUTE EDEMA OF LUNG UNSPECIFIED 410.00-410.02 ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL SUBSEQUENT EPISODE OF CARE 410.20-410.22 ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL SUBSEQUENT EPISODE OF CARE 410.30-410.32 ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL SUBSEQUENT EPISODE OF CARE 410.10-410.12 ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL SUBSEQUENT EPISODE OF CARE 410.40-410.42 ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL SUBSEQUENT EPISODE OF CARE 410.50-410.52 ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL SUBSEQUENT EPISODE OF CARE 410.80-410.82 ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES SUBSEQUENT EPISODE OF CARE
410.90-410.92 ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE SUBSEQUENT EPISODE OF CARE 291.81 ALCOHOL WITHDRAWAL 291 ALCOHOL WITHDRAWAL DELIRIUM 995.3 ALLERGY UNSPECIFIED NOT ELSEWHERE CLASSIFIED 780.09 ALTERATION OF CONSCIOUSNESS OTHER 780.97 ALTERED MENTAL STATUS 784.3 APHASIA 799.82 APPARENT LIFE THREATENING EVENT IN INFANT 799.01-799.02 ASPHYXIA - HYPOXEMIA 994.7-994.8 ASPHYXIATION AND STRANGULATION - ELECTROCUTION AND NONFATAL EFFECTS OF ELECTRIC CURRENT 493.91-493.92 ASTHMA UNSPECIFIED TYPE WITH STATUS ASTHMATICUS - ASTHMA UNSPECIFIED WITH (ACUTE) EXACERBATION 427.31-427.32 ATRIAL FIBRILLATION - ATRIAL FLUTTER 426 ATRIOVENTRICULAR BLOCK COMPLETE 724.5 BACKACHE UNSPECIFIED 041.9* BACTERIAL INFECTION UNSPECIFIED IN CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE V49.84 BED CONFINEMENT STATUS V49.75 - V49.76 BELOW KNEE AMPUTATION STATUS - ABOVE KNEE AMPUTATION STATUS 949.0-949.5 BURN OF UNSPECIFIED SITE UNSPECIFIED DEGREE - DEEP NECROSIS OF UNDERLYING TISSUES DUE TO BURN (DEEP THIRD DEGREE UNSPECIFIED SITE WITH LOSS OF A BODY PART 427.5 CARDIAC ARREST
423.3 CARDIAC TAMPONADE 434.90-434.91 CEREBRAL ARTERY OCCLUSION UNSPECIFIED WITHOUT CEREBRAL INFARCTION - CEREBRAL ARTERY OCCLUSION UNSPECIFIED WITH CEREBRAL INFARCTION 434.10-434.11 CEREBRAL EMBOLISM WITHOUT CEREBRAL INFARCTION - CEREBRAL EMBOLISM WITH CEREBRAL INFARCTION 434.00-434.01 CEREBRAL THROMBOSIS WITHOUT CEREBRAL INFARCTION - CEREBRAL THROMBOSIS WITH CEREBRAL INFARCTION 496* CHRONIC AIRWAY OBSTRUCTION NOT ELSEWHERE CLASSIFIED 839.00-839.08 CLOSED DISLOCATION CERVICAL VERTEBRA UNSPECIFIED - CLOSED DISLOCATION MULTIPLE CERVICAL VERTEBRAE 839.20-839.21 CLOSED DISLOCATION LUMBAR VERTEBRA - CLOSED DISLOCATION THORACIC VERTEBRA 839.8-839.9 CLOSED DISLOCATION MULTIPLE AND ILL-DEFINED SITES - OPEN DISLOCATION MULTIPLE AND ILL-DEFINED SITES 835.00-835.03 CLOSED DISLOCATION OF HIP UNSPECIFIED SITE - OTHER CLOSED ANTERIOR DISLOCATION OF HIP 836.50-836.54 CLOSED DISLOCATION OF KNEE UNSPECIFIED PART - LATERAL DISLOCATION OF TIBIA PROXIMAL END CLOSED 839.69 CLOSED DISLOCATION OTHER LOCATION 839.42 CLOSED DISLOCATION SACRUM 839.4 CLOSED DISLOCATION VERTEBRA UNSPECIFIED SITE 808.0-808.3 CLOSED FRACTURE OF ACETABULUM - OPEN FRACTURE OF PUBIS 806.00-806.09 CLOSED FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY 805.00-805.08 CLOSED FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL - CLOSED FRACTURE OF MULTIPLE CERVICAL VERTEBRAE 805.2-805.9 CLOSED FRACTURE OF DORSAL (THORACIC) VERTEBRA WITHOUT SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED PART OF VERTEBRAL COLUMN WITHOUT SPINAL CORD INJURY 808.41-808.43 CLOSED FRACTURE OF ILIUM - MULTIPLE CLOSED PELVIC FRACTURES WITH DISRUPTION OF PELVIC CIRCLE 806.4-806.5 CLOSED FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY - OPEN FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY
808.49 CLOSED FRACTURE OF OTHER SPECIFIED PART OF PELVIS 806.69 CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY 806.60-806.62 CLOSED FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY 806.20-806.29 CLOSED FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY 806.8-806.9 CLOSED FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY 823.00-823.02 CLOSED FRACTURE OF UPPER END OF TIBIA - CLOSED FRACTURE OF UPPER END OF FIBULA WITH TIBIA 438 COGNITIVE DEFICITS 780.01-780.03 COMA - PERSISTENT VEGETATIVE STATE 780.32 COMPLEX FEBRILE CONVULSIONS 428.0-428.1 CONGESTIVE HEART FAILURE UNSPECIFIED - LEFT HEART FAILURE 718.40-718.49 CONTRACTURE OF JOINT SITE UNSPECIFIED - CONTRACTURE OF JOINT OF MULTIPLE SITES 782.5 CYANOSIS 293.0* DELIRIUM DUE TO CONDITIONS CLASSIFIED ELSEWHERE V46.11 - V46.12 DEPENDENCE ON RESPIRATOR, STATUS - ENCOUNTER FOR RESPIRATOR DEPENDENCE DURING POWER FAILURE V46.2* DEPENDENCE ON SUPPLEMENTAL OXYGEN Code Description 250.02-250.03 DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.22-250.23 DIABETES WITH HYPEROSMOLARITY, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH HYPEROSMOLARITY, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.12-250.13 DIABETES WITH KETOACIDOSIS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH KETOACIDOSIS, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.62-250.63 DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.52-250.53 DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.32-250.33 DIABETES WITH OTHER COMA, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH OTHER COMA, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.80-250.83 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED - DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.72-250.73 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], UNCONTROLLED 836.60-836.64 DISLOCATION OF KNEE UNSPECIFIED PART OPEN - LATERAL DISLOCATION OF TIBIA PROXIMAL END OPEN 998.32 DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND 998.33 DISRUPTION OF TRAUMATIC INJURY WOUND REPAIR 998.3 DISRUPTION OF WOUND, UNSPECIFIED 292 DRUG WITHDRAWAL 994.0-994.1 EFFECTS OF LIGHTNING - DROWNING AND NONFATAL SUBMERSION 796.2 ELEVATED BLOOD PRESSURE READING WITHOUT DIAGNOSIS OF HYPERTENSION 780.60-780.62 FEVER, UNSPECIFIED - POSTPROCEDURAL FEVER 933.1 FOREIGN BODY IN LARYNX 934.9 FOREIGN BODY IN RESPIRATORY TREE UNSPECIFIED 821.20-821.23 FRACTURE OF LOWER END OF FEMUR UNSPECIFIED PART CLOSED - SUPRACONDYLAR FRACTURE OF FEMUR CLOSED 821.30-821.33 FRACTURE OF LOWER END OF FEMUR UNSPECIFIED PART OPEN - SUPRACONDYLAR FRACTURE OF FEMUR OPEN 820.00-820.03 FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR CLOSED - FRACTURE OF BASE OF NECK OF FEMUR CLOSED 820.10-820.13 FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR OPEN - FRACTURE OF BASE OF NECK OF FEMUR OPEN
821.00-821.01 FRACTURE OF UNSPECIFIED PART OF FEMUR CLOSED - FRACTURE OF SHAFT OF FEMUR CLOSED 821.10-821.11 FRACTURE OF UNSPECIFIED PART OF FEMUR OPEN - FRACTURE OF SHAFT OF FEMUR OPEN 812.20-812.21 FRACTURE OF UNSPECIFIED PART OF HUMERUS CLOSED - FRACTURE OF SHAFT OF HUMERUS CLOSED 812.30-812.31 FRACTURE OF UNSPECIFIED PART OF HUMERUS OPEN - FRACTURE OF SHAFT OF HUMERUS OPEN 812.50-812.54 FRACTURE OF UNSPECIFIED PART OF LOWER END OF HUMERUS OPEN - FRACTURE OF UNSPECIFIED CONDYLE(S) OF HUMERUS OPEN 820.8-820.9 FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR CLOSED - FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR OPEN 812.10-812.13 FRACTURE OF UNSPECIFIED PART OF UPPER END OF HUMERUS OPEN - FRACTURE OF GREATER TUBEROSITY OF HUMERUS OPEN 820.20-820.22 FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR CLOSED - FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR CLOSED 820.30-820.32 FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR OPEN - FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR OPEN 780.72 FUNCTIONAL QUADRIPLEGIA 785.4 GANGRENE 780.1-780.2 HALLUCINATIONS - SYNCOPE AND COLLAPSE 784 HEADACHE 428.9* HEART FAILURE UNSPECIFIED 438.20-438.22 HEMIPLEGIA AFFECTING UNSPECIFIED SIDE - HEMIPLEGIA AFFECTING NONDOMINANT SIDE 578.9 HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED 459 HEMORRHAGE UNSPECIFIED 251.0-251.1 HYPOGLYCEMIC COMA - OTHER SPECIFIED HYPOGLYCEMIA 458.9 HYPOTENSION UNSPECIFIED
991.6 HYPOTHERMIA 780.65* HYPOTHERMIA NOT ASSOCIATED WITH LOW ENVIRONMENTAL TEMPERATURE 415.11 IATROGENIC PULMONARY EMBOLISM AND INFARCTION 818.1 ILL-DEFINED OPEN FRACTURES OF UPPER LIMB 560.81 INTESTINAL OR PERITONEAL ADHESIONS WITH OBSTRUCTION (POSTOPERATIVE) (POSTINFECTION) 431 INTRACEREBRAL HEMORRHAGE 854.19 INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED 854.10-854.16 INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 854.09 INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED 854.00-854.06 INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 870.1-870.4 LACERATION OF EYELID FULL-THICKNESS NOT INVOLVING LACRIMAL PASSAGES - PENETRATING WOUND OF ORBIT WITH FOREIGN BODY 907.2* LATE EFFECT OF SPINAL CORD INJURY 724.2 LUMBAGO 191.9 MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE V46.14 MECHANICAL COMPLICATION OF RESPIRATOR [VENTILATOR] 781.6 MENINGISMUS 438.40-438.42 MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE - MONOPLEGIA OF LOWER LIMB AFFECTING NONDOMINANT SIDE 819.0-819.1 MULTIPLE CLOSED FRACTURES INVOLVING BOTH UPPER LIMBS AND UPPER LIMB WITH RIB(S) AND STERNUM - MULTIPLE OPEN FRACTURES INVOLVING BOTH UPPER LIMBS AND UPPER LIMB WITH RIB(S) AND STERNUM
787.01 NAUSEA WITH VOMITING V07.0 NEED FOR ISOLATION 305.00-305.92 NONDEPENDENT ALCOHOL ABUSE UNSPECIFIED DRINKING BEHAVIOR - NONDEPENDENT OTHER MIXED OR UNSPECIFIED DRUG ABUSE EPISODIC USE 871.0-871.7 OCULAR LACERATION WITHOUT PROLAPSE OF INTRAOCULAR TISSUE - UNSPECIFIED OCULAR PENETRATION 839.10-839.18 OPEN DISLOCATION CERVICAL VERTEBRA UNSPECIFIED - OPEN DISLOCATION MULTIPLE CERVICAL VERTEBRAE 839.30-839.31 OPEN DISLOCATION LUMBAR VERTEBRA - OPEN DISLOCATION THORACIC VERTEBRA 835.10-835.13 OPEN DISLOCATION OF HIP UNSPECIFIED SITE - OTHER OPEN ANTERIOR DISLOCATION OF HIP 839.79 OPEN DISLOCATION OTHER LOCATION 839.71 OPEN DISLOCATION STERNUM 839.50-839.52 OPEN DISLOCATION VERTEBRA UNSPECIFIED SITE - OPEN DISLOCATION SACRUM 806.10-806.19 OPEN FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY 805.10-805.18 OPEN FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL - OPEN FRACTURE OF MULTIPLE CERVICAL VERTEBRAE 810.10-810.13 OPEN FRACTURE OF CLAVICLE UNSPECIFIED PART - OPEN FRACTURE OF ACROMIAL END OF CLAVICLE 808.51-808.53 OPEN FRACTURE OF ILIUM - MULTIPLE OPEN PELVIC FRACTURES WITH DISRUPTION OF PELVIC CIRCLE 808.59 OPEN FRACTURE OF OTHER SPECIFIED PART OF PELVIS 822.1 OPEN FRACTURE OF PATELLA 806.79 OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY 806.70-806.72 OPEN FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY
823.30-823.32 OPEN FRACTURE OF SHAFT OF TIBIA - OPEN FRACTURE OF SHAFT OF FIBULA WITH TIBIA 806.30-806.39 OPEN FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY 823.90-823.92 OPEN FRACTURE OF UNSPECIFIED PART OF TIBIA - OPEN FRACTURE OF UNSPECIFIED PART OF FIBULA WITH TIBIA 823.10-823.12 OPEN FRACTURE OF UPPER END OF TIBIA - OPEN FRACTURE OF UPPER END OF FIBULA WITH TIBIA 995 OTHER ANAPHYLACTIC REACTION 959.19 OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK 959.09 OTHER AND UNSPECIFIED INJURY TO FACE AND NECK 959.01 OTHER AND UNSPECIFIED INJURY TO HEAD 959.6-959.9* OTHER AND UNSPECIFIED INJURY TO HIP AND THIGH - OTHER AND UNSPECIFIED INJURY TO UNSPECIFIED SITE 298.8* OTHER AND UNSPECIFIED REACTIVE PSYCHOSIS 803.19 OTHER CLOSED SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH CONCUSSION UNSPECIFIED 803.10-803.16 OTHER CLOSED SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.40-803.46 OTHER CLOSED SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER SITE OF CLOSED SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.39 OTHER CLOSED SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED 803.30-803.36 OTHER CLOSED SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH STATE OF UNCONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.29 OTHER CLOSED SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED 803.20-803.26 OTHER CLOSED SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.09 OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH CONCUSSION UNSPECIFIED 803.00-803.06 OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
780.39 OTHER CONVULSIONS 836.59 OTHER DISLOCATION OF KNEE CLOSED 836.69 OTHER DISLOCATION OF KNEE OPEN 312.39* OTHER DISORDERS OF IMPULSE CONTROL 995.27 OTHER DRUG ALLERGY 821.29 OTHER FRACTURE OF LOWER END OF FEMUR CLOSED 821.39 OTHER FRACTURE OF LOWER END OF FEMUR OPEN 812.59 OTHER FRACTURE OF LOWER END OF HUMERUS OPEN 959.11-959.12 OTHER INJURY OF CHEST WALL - OTHER INJURY OF ABDOMEN 426.3 OTHER LEFT BUNDLE BRANCH BLOCK 199.1-199.2 OTHER MALIGNANT NEOPLASM OF UNSPECIFIED SITE - MALIGNANT NEOPLASM ASSOCIATED WITH TRANSPLANT ORGAN 812.19 OTHER OPEN FRACTURE OF UPPER END OF HUMERUS 803.69 OTHER OPEN SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH CONCUSSION UNSPECIFIED 803.60-803.66 OTHER OPEN SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.99 OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED 803.90-803.96 OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.89 OTHER OPEN SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED 803.80-803.86 OTHER OPEN SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.79 OTHER OPEN SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED
803.70-803.76 OTHER OPEN SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.50-803.56 OTHER OPEN SKULL FRACTURE WITHOUT INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION 803.59 OTHER OPEN SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH CONCUSSION UNSPECIFIED 427.69 OTHER PREMATURE BEATS 415.19 OTHER PULMONARY EMBOLISM AND INFARCTION 785.59 OTHER SHOCK WITHOUT TRAUMA 803.49 OTHER SITE OF CLOSED SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED 646.8 OTHER SPECIFIED COMPLICATIONS OF PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE 560.89 OTHER SPECIFIED INTESTINAL OBSTRUCTION V15.89 OTHER SPECIFIED PERSONAL HISTORY PRESENTING HAZARDS TO HEALTH 820.09 OTHER TRANSCERVICAL FRACTURE OF FEMUR CLOSED 820.19 OTHER TRANSCERVICAL FRACTURE OF FEMUR OPEN 719.49* PAIN IN JOINT INVOLVING MULTIPLE SITES 724.1 PAIN IN THORACIC SPINE 427.0-427.1 PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA - PAROXYSMAL VENTRICULAR TACHYCARDIA 292.2 PATHOLOGICAL DRUG INTOXICATION V15.6 PERSONAL HISTORY OF POISONING PRESENTING HAZARDS TO HEALTH 451.11 PHLEBITIS AND THROMBOPHLEBITIS OF FEMORAL VEIN (DEEP) (SUPERFICIAL) 451.19 PHLEBITIS AND THROMBOPHLEBITIS OF OTHER
V49.87 PHYSICAL RESTRAINTS STATUS 977.9 POISONING BY UNSPECIFIED DRUG OR MEDICINAL SUBSTANCE 780.33 POST TRAUMATIC SEIZURES 707.03-707.05 PRESSURE ULCER, LOWER BACK - PRESSURE ULCER, BUTTOCK 707.23-707.24 PRESSURE ULCER, STAGE III - PRESSURE ULCER, STAGE IV 413.1 PRINZMETAL ANGINA 514 PULMONARY CONGESTION AND HYPOSTASIS 786.09* RESPIRATORY ABNORMALITY OTHER 799.1 RESPIRATORY ARREST 426.4 RIGHT BUNDLE BRANCH BLOCK 426.51-426.54 RIGHT BUNDLE BRANCH BLOCK AND LEFT POSTERIOR FASCICULAR BLOCK - TRIFASCICULAR BLOCK 415.13 SADDLE EMBOLUS OF PULMONARY ARTERY 785.50-785.52 SHOCK UNSPECIFIED - SEPTIC SHOCK 427.81 SINOATRIAL NODE DYSFUNCTION V45.88 STATUS POST ADMINISTRATION OF TPA (RTPA) IN A DIFFERENT FACILITY WITHIN THE LAST 24 HOURS PRIOR TO ADMISSION TO CURRENT FACILITY 530.3 STRICTURE AND STENOSIS OF ESOPHAGUS 293.1* SUBACUTE DELIRIUM 410.70-410.72 SUBENDOCARDIAL INFARCTION EPISODE OF CARE UNSPECIFIED - SUBENDOCARDIAL INFARCTION SUBSEQUENT EPISODE OF CARE 729.81 SWELLING OF LIMB
785.0-785.1 TACHYCARDIA UNSPECIFIED - PALPITATIONS 518.7 TRANSFUSION RELATED ACUTE LUNG INJURY (TRALI) 410.60-410.62 TRUE POSTERIOR WALL INFARCTION EPISODE OF CARE UNSPECIFIED - TRUE POSTERIOR WALL INFARCTION SUBSEQUENT EPISODE OF CARE 995.8 UNSPECIFIED ADULT MALTREATMENT 995.29 UNSPECIFIED ADVERSE EFFECT OF OTHER DRUG, MEDICINAL AND BIOLOGICAL SUBSTANCE 786.50-786.52 UNSPECIFIED CHEST PAIN - PAINFUL RESPIRATION 808.8-808.9 UNSPECIFIED CLOSED FRACTURE OF PELVIS - UNSPECIFIED OPEN FRACTURE OF PELVIS 428.40-428.43 UNSPECIFIED COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE - ACUTE ON CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE 428.30-428.33 UNSPECIFIED DIASTOLIC HEART FAILURE - ACUTE ON CHRONIC DIASTOLIC HEART FAILURE 871.9 UNSPECIFIED OPEN WOUND OF EYEBALL 428.20-428.23 UNSPECIFIED SYSTOLIC HEART FAILURE - ACUTE ON CHRONIC SYSTOLIC HEART FAILURE 435.9 UNSPECIFIED TRANSIENT CEREBRAL ISCHEMIA 427.41-427.42 VENTRICULAR FIBRILLATION - VENTRICULAR FLUTTER 276.50-276.52 VOLUME DEPLETION, UNSPECIFIED - HYPOVOLEMIA 787.03 VOMITING ALONE *Notes: Use code 041.9 to denote special handling in route - isolation. Use code 293.0 to denote chemical restraint. Use code 293.1 to denote patient safety: danger to self and others monitoring other and unspecified reactive Use code 298.8 to denote patient safety: danger to self and others seclusion (flight risk). Use code 312.39 if behavior is such that restraints were required to ensure patient safety. Use code 428.9 to denote cardiac/hemodynamic monitoring required en route. Use code 496 to denote suctioning required en route or need for titrated oxygen therapy. Use code 719.49 to denote specialized handling en route position requires specialized handling.
Use code 786.09 to denote airway control/positioning required en route. Use code 907.2 to denote special handling en route to reduce pain. Use code 959.9 to report a fall with injuries and other multiple injury conditions such as injuries sustained in motor Use code V46.2 to indicate that transportation was necessary due to administration of medically necessary oxygen