|
Diagnostic code No. |
| Abscess: |
|
| Brain |
8020 |
| Kidney |
7501 |
| Lung |
6824 |
| Acne |
7828 |
| Acromegaly |
7908 |
| Actinomycosis |
6822 |
| Addison's
disease |
7911 |
| Agranulocytosis,
acquired |
7702 |
| AL
amyloidosis |
7717 |
| Alopecia
areata |
7831 |
| Amebiasis |
7321 |
| Amputation: |
|
| Arm: |
|
| Complete
amputation, upper extremity |
5120 |
| Above insertion
of deltoid |
5121 |
| Below insertion
of deltoid |
5122 |
| Digits, five of
one hand |
5126 |
| Digits, four of
one hand: |
|
| Thumb, index,
long and ring |
5127 |
| Thumb, index,
long and little |
5128 |
| Thumb, index,
ring and little |
5129 |
| Thumb, long,
ring and little |
5130 |
| Index, long,
ring and little |
5131 |
| Digits, three
of one hand: |
|
| Thumb, index
and long |
5132 |
| Thumb, index
and ring |
5133 |
| Thumb, index
and little |
5134 |
| Thumb, long and
ring |
5135 |
| Thumb, long and
little |
5136 |
| Thumb, ring and
little |
5137 |
| Index, long and
ring |
5138 |
| Index, long and
little |
5139 |
| Index, ring and
little |
5140 |
| Long, ring and
little |
5141 |
| Digits, two of
one hand: |
|
| Thumb and
index |
5142 |
| Thumb and
long |
5143 |
| Thumb and
ring |
5144 |
| Thumb and
little |
5145 |
| Index and
long |
5146 |
| Index and
ring |
5147 |
| Index and
little |
5148 |
| Long and
ring |
5149 |
| Long and
little |
5150 |
| Ring and
little |
5151 |
| Single
finger: |
|
| Thumb |
5152 |
| Index
finger |
5153 |
| Long
finger |
5154 |
| Ring
finger |
5155 |
| Little
finger |
5156 |
| Forearm: |
|
| Above insertion
of pronator teres |
5123 |
| Below insertion
of pronator teres |
5124 |
| Leg: |
|
| With defective
stump |
5163 |
| Not improvable
by prosthesis controlled by natural knee action |
5164 |
| At lower level,
permitting prosthesis |
5165 |
| Forefoot,
proximal to metatarsal bones |
5166 |
| Toes, all,
amputation of, without metatarsal loss or transmetatarsal,
amputation of, with up to half of metatarsal loss |
5170 |
| Toe, great |
5171 |
| Toe, other than
great, with removal metatarsal head |
5172 |
| Toes, three or
more, without metatarsal involvement |
5173 |
| Thigh: |
|
| Complete
amputation, lower extremity |
5160 |
| Upper
third |
5161 |
| Middle or lower
thirds |
5162 |
| Amyotrophic
lateral sclerosis |
8017 |
| Anatomical loss
of: |
|
| Both eyes |
6061 |
| One eye, with
visual acuity of other eye: |
|
| 5/200
(1.5/60) |
6063 |
| 10/200 (3/60);
15/200 (4.5/60); 20/200 (6/60) |
6064 |
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6065 |
| 20/40
(6/12) |
6066 |
| Both feet |
5107 |
| Both hands |
5106 |
| One hand and
one foot |
5108 |
| One foot and
loss of use of one hand |
5105 |
| One hand and
loss of use of one foot |
5104 |
| Anemia: |
|
| Acquired
hemolytic anemia |
7723 |
| Folic acid
deficiency |
7721 |
| Iron deficiency
anemia |
7720 |
| Pernicious
anemia and Vitamin B12 deficiency anemia |
7722 |
| Aneurysm: |
|
| Aortic |
7110 |
| Large
artery |
7111 |
| Small
artery |
7112 |
| Angioneurotic
edema |
7118 |
| Ankylosis: |
|
| Ankle |
5270 |
| Digits,
individual: |
|
| Thumb |
5224 |
| Index
finger |
5225 |
| Long
finger |
5226 |
| Ring or little
finger |
5227 |
| Elbow |
5205 |
| Hand |
|
| Favorable: |
|
| Five digits of
one hand |
5220 |
| Four digits of
one hand |
5221 |
| Three digits of
one hand |
5222 |
| Two digits of
one hand |
5223 |
| Unfavorable: |
|
| Five digits of
one hand |
5216 |
| Four digits of
one hand |
5217 |
| Three digits of
one hand |
5218 |
| Two digits of
one hand |
5219 |
| Hip |
5250 |
| Knee |
5256 |
| Scapulohumeral
articulation |
5200 |
| Subastragalar or
tarsal joint |
5272 |
| Wrist |
5214 |
| Ankylosing
spondylitis |
5240 |
| Aphakia |
6029 |
| Aphonia,
organic |
6519 |
| Aplastic
anemia |
7716 |
| Arrhythmia: |
|
|
Supraventricular |
7010 |
|
Ventricular |
7011 |
| Arteriosclerosis
obliterans |
7114 |
| Arteriosclerotic
heart disease |
7005 |
| Arteriovenous
fistula |
7113 |
| Arthritis: |
|
| Degenerative,
other than post-traumatic |
5003 |
| Gonorrheal |
5004 |
| Other specified
forms (excluding gout) |
5009 |
|
Pneumococcic |
5005 |
|
Post-traumatic |
5010 |
| Multi-joint
(except post-traumatic and gout) |
5002 |
|
Streptococcic |
5008 |
| Syphilitic |
5007 |
| Typhoid |
5006 |
| Arthropathy |
5009 |
| Asbestosis |
6833 |
| Aspergillosis |
6838 |
| Asthma,
bronchial |
6602 |
|
Astragalectomy |
5274 |
| Atherosclerotic
renal disease |
7534 |
| Athetosis |
8107 |
| Atrioventricular
block |
7015 |
| Avitaminosis |
6313 |
| Bartonellosis |
6306 |
| Beriberi |
6314 |
| Bladder: |
|
| Calculus
in |
7515 |
| Fistula in |
7516 |
| Injury of |
7517 |
| Neurogenic |
7542 |
| Blastomycosis |
6836 |
| Blindness: see
also Vision and Anatomical Loss |
|
| Both eyes, only
light perception |
6062 |
| One eye, only
light perception and other eye: |
|
| 5/200
(1.5/60) |
6067 |
| 10/200 (3/60);
15/200 (4.5/60); 20/200 (6/60) |
6068 |
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6069 |
| 20/40
(6/12) |
6070 |
| Bones: |
|
| Neoplasm,
benign |
5015 |
| Neoplasm,
malignant, primary or secondary |
5012 |
| Shortening of
the lower extremity |
5275 |
| Brain: |
|
| Abscess |
8020 |
| Breast
surgery |
7626 |
|
Bronchiectasis |
6601 |
| Bronchitis |
6600 |
| Brucellosis |
6316 |
| Buerger's
disease |
7115 |
| Bulbar palsy |
8005 |
| Bullous
disorders |
7815 |
| Bursitis |
5019 |
| Campylobacter
jejuni infection |
6330 |
| Cardiac: |
|
| Pacemakers,
implantable |
7018 |
|
Transplantation |
7019 |
|
Cardiomyopathy |
7020 |
| C-cell
hyperplasia, thyroid |
7919 |
| Cataract: |
|
| Senile and
others |
6028 |
| Traumatic |
6027 |
| Cerebral
arteriosclerosis |
8046 |
| Cervical
strain |
5237 |
| Cervix disease or
injury |
7612 |
| Chorea: |
|
|
Huntington's |
8106 |
| Sydenham's |
8105 |
| Chloracne |
7829 |
| Cholangitis,
chronic |
7316 |
| Cholecystitis,
chronic |
7314 |
| Cholelithiasis,
chronic |
7315 |
| Choroiditis |
6005 |
| Chronic Fatigue
Syndrome (CFS) |
6354 |
| Chronic lung
abscess |
6824 |
| Chronic
obstructive pulmonary disease |
6604 |
|
Coccidioidomycosis |
6835 |
| Cold injury
residuals |
7122 |
| Colitis,
ulcerative |
7323 |
| Compartment
syndrome |
5331 |
| Complete or
incomplete pelvic organ prolapse due to injury or disease or
surgical complications of pregnancy, including uterine or vaginal
vault prolapse, cystocele, urethrocele, rectocele, enterocele, or
combination |
7621 |
|
Conjunctivitis: |
|
|
Trachomatous |
6017 |
| Other |
6018 |
| Coronary bypass
surgery |
7017 |
| Coxiella burnetii
infection (Q Fever) |
6331 |
|
Cryptococcosis |
6837 |
| Cushing's
syndrome |
7907 |
| Cutaneous
manifestations of collagen-vascular diseases not listed
elsewhere |
7821 |
| Cyclitis |
6004 |
| Cystitis,
chronic |
7512 |
|
Dacryocystitis |
6031 |
| Decompression
illness |
5011 |
| Dermatitis or
eczema |
7806 |
|
Dermatophytosis |
7813 |
| Desquamative
interstitial pneumonitis |
6826 |
| Diabetes: |
|
| Insipidus |
7909 |
| Mellitus |
7913 |
| Diaphragm: |
|
| Paralysis or
paresis |
6840 |
| Rupture |
5324 |
| Diplopia |
6090 |
| Diplopia, limited
muscle function, eye |
6092 |
| Disease: |
|
| Addison's |
7911 |
| Buerger's |
7115 |
| Chronic
obstructive pulmonary disease |
6604 |
| Hodgkin's |
7709 |
| Leprosy
(Hansen's) |
6302 |
| Lyme |
6319 |
| Morton's |
5279 |
| Parasitic |
6320 |
| Disfigurement of,
head, face or neck |
7800 |
| Dislocated: |
|
| Cartilage,
semilunar |
5258 |
| Lens,
crystalline |
6033 |
| Disseminated
intravascular coagulation |
7540 |
| Distomiasis,
intestinal or hepatic |
7324 |
|
Diverticulitis |
7327 |
| Dysentery,
bacillary |
7322 |
| Ectropion |
6020 |
| Embolism,
brain |
8007 |
| Emphysema,
pulmonary |
6603 |
| Encephalitis,
epidemic, chronic |
8000 |
| Endocarditis |
7001 |
| Endometriosis |
7629 |
| Enteritis,
chronic |
7325 |
| Enterocolitis,
chronic |
7326 |
| Entropion |
6021 |
| Eosinophilic
granuloma of lung |
6828 |
|
Epididymo-orchitis |
7525 |
| Epilepsies: |
|
|
Diencephalic |
8913 |
| Grand mal |
8910 |
| Jacksonian and
focal motor or sensory |
8912 |
| Petit mal |
8911 |
|
Psychomotor |
8914 |
| Epiphora |
6025 |
| Erythema
multiforme |
7827 |
| Erythroderma |
7817 |
|
Erythromelalgia |
7119 |
| Esophagus: |
|
|
Diverticulum |
7205 |
| Spasm |
7204 |
| Stricture |
7203 |
| Fallopian
tube |
7614 |
| Female sexual
arousal disorder (FSAD) |
7632 |
| Fever: |
|
| Relapsing |
6308 |
| Rheumatic |
6309 |
| Fibrosis of lung,
diffuse interstitial |
6825 |
| Fibromyalgia |
5025 |
| Fistula in
ano |
7335 |
| Fistula: |
|
|
Rectovaginal |
7624 |
|
Urethrovaginal |
7625 |
| Flatfoot,
acquired |
5276 |
| Gastritis,
hypertrophic |
7307 |
| Genu
recurvatum |
5263 |
| Glaucoma: |
|
| Congestive or
inflammatory |
6012 |
| Simple,
primary, noncongestive |
6013 |
|
Glomerulonephritis |
7536 |
| Gout |
5017 |
| Graves'
disease |
7900 |
| Hallux: |
|
| Rigidus |
5281 |
| Valgus |
5280 |
| Hammer toe |
5282 |
| Heart valve
replacement |
7016 |
| Hematologic: |
|
| Essential
thrombocythemia and primary myelofibrosis |
7718 |
| Immune
thrombocytopenia |
7705 |
| Multiple
myeloma |
7712 |
| Myelodysplastic
syndromes |
7725 |
| Solitary
plasmacytoma |
7724 |
| Hematomyelia |
8012 |
| Hemorrhage: |
|
| Brain |
8009 |
|
Intra-ocular |
6007 |
| Hemorrhagic
fevers, including dengue, yellow fever, and others |
6329 |
| Hemorrhoids |
7336 |
| Hepatitis C |
7354 |
| Hernia: |
|
| Femoral |
7340 |
| Hiatal |
7346 |
| Inguinal |
7338 |
| Muscle |
5326 |
| Ventral |
7339 |
| Heterotopic
ossification |
5023 |
| Hip: |
|
| Flail
joint |
5254 |
|
Histoplasmosis |
6834 |
| HIV-Related
Illness |
6351 |
| Hodgkin's
disease |
7709 |
| Hodgkin's
lymphoma |
7709 |
|
Hydronephrosis |
7509 |
|
Hyperaldosteronism |
7917 |
| Hyperhidrosis |
7832 |
| Hyperinfection
syndrome or disseminated strongyloidiasis |
6325 |
|
Hyperparathyroidism |
7904 |
|
Hyperpituitarism |
7916 |
|
Hypersensitivity |
6831 |
| Hypertensive: |
|
| Heart
disease |
7007 |
| Vascular
disease |
7101 |
| Hyperthyroid heart
disease |
7008 |
|
Hyperthyroidism |
7900 |
|
Hypoparathyroidism |
7905 |
|
Hypothyroidism |
7903 |
| Impairment
of: |
|
| Humerus |
5202 |
| Clavicle or
scapula |
5203 |
| Elbow |
5209 |
| Thigh |
5253 |
| Femur |
5255 |
| Knee,
other |
5257 |
| Field
vision |
6080 |
| Tibia and
fibula |
5262 |
| Rectum &
anus |
7332 |
| Ulna |
5211 |
| Implantable
cardiac pacemakers |
7018 |
| Infections of the
skin |
7820 |
| Injury: |
|
| Bladder |
7517 |
| Breast |
7631 |
| Eye,
unhealed |
6009 |
| Foot |
5284 |
| Gall
bladder |
7317 |
| Lips |
7201 |
| Liver,
residuals |
7311 |
| Mouth |
7200 |
| Muscle: |
|
| Facial |
5325 |
| Group I
Function: Upward rotation of scapula |
5301 |
| Group II
Function: Depression of arm |
5302 |
| Group III
Function: Elevation and abduction of arm |
5303 |
| Group IV
Function: Stabilization of shoulder |
5304 |
| Group V
Function: Elbow supination |
5305 |
| Group VI
Function: Extension of elbow |
5306 |
| Group VII
Function: Flexion of wrist and fingers |
5307 |
| Group VIII
Function: Extension of wrist, fingers, thumb |
5308 |
| Group IX
Function: Forearm muscles |
5309 |
| Group X
Function: Movement of forefoot and toes |
5310 |
| Group XI
Function: Propulsion of foot |
5311 |
| Group XII
Function: Dorsiflexion |
5312 |
| Group XIII
Function: Extension of hip and flexion of knee |
5313 |
| Group XIV
Function: Extension of knee |
5314 |
| Group XV
Function: Adduction of hip |
5315 |
| Group XVI
Function: Flexion of hip |
5316 |
| Group XVII
Function: Extension of hip |
5317 |
| Group XVIII
Function: Outward rotation of thigh |
5318 |
| Group XIX
Function: Abdominal wall and lower thorax |
5319 |
| Group XX
Function: Postural support of body |
5320 |
| Group XXI
Function: Respiration |
5321 |
| Group XXII
Function: Rotary and forward movements, head |
5322 |
| Group XXIII
Function: Movements of head |
5323 |
| Pharynx |
6521 |
| Sacroiliac |
5236 |
| Spinal
cord |
6841 |
| Stomach,
residuals of |
7310 |
| Iritis |
6003 |
| Interstitial
nephritis |
7537 |
| Intervertebral
disc syndrome |
5243 |
| Intestine, fistula
of |
7330 |
| Irritable colon
syndrome |
7319 |
| Keratinization,
diseases of |
7824 |
| Keratitis |
6001 |
| Keratoconus |
6035 |
| Kidney: |
|
| Abscess |
7501 |
| Cystic
diseases |
7533 |
| Removal |
7500 |
| Transplant |
7531 |
|
Tuberculosis |
7505 |
| Kyphoscoliosis,
pectus excavatum / carinatum |
6842 |
| Lagophthalmos |
6022 |
| Laryngectomy |
6518 |
| Laryngitis: |
|
|
Tuberculous |
6515 |
| Chronic |
6516 |
| Larynx, stenosis
of |
6520 |
|
Leishmaniasis: |
|
| American (New
World) |
7807 |
| Old World |
7808 |
| Leprosy (Hansen's
Disease) |
6302 |
| Leukemia: |
|
| Chronic
myelogenous leukemia (CML) (chronic myeloid leukemia or chronic
granulocytic leukemia) |
7719 |
| Leukemia |
7703 |
| Limitation of
extension: |
|
| Forearm |
5207 |
| Leg |
5261 |
| Radius |
5212 |
| Supination and
pronation |
5213 |
| Thigh |
5251 |
| Limitation of
extension and flexion: |
|
| Forearm |
5208 |
| Limitation of
flexion: |
|
| Forearm |
5206 |
| Leg |
5260 |
| Thigh |
5252 |
| Limitation of
motion: |
|
| Ankle |
5271 |
| Arm |
5201 |
| Index or long
finger |
5229 |
| Ring or little
finger |
5230 |
|
Temporomandibular |
9905 |
| Thumb |
5228 |
| Wrist,
limitation of motion |
5215 |
| Liver: |
|
| Disease,
chronic, without cirrhosis |
7345 |
| Transplant |
7351 |
| Cirrhosis |
7312 |
| Loss of: |
|
| Auricle |
6207 |
| Condyloid
process |
9908 |
| Coronoid
process |
9909 |
| Eyebrows |
6023 |
| Eyelashes |
6024 |
| Eyelids |
6032 |
| Palate,
hard |
9911 |
| Mandible: |
|
| Including
ramus, unilaterally or bilaterally |
9902 |
| Maxilla: |
|
| More than
half |
9914 |
| Less than
half |
9915 |
| Nose, part of, or
scars |
6504 |
| Skull, part
of |
5296 |
| Smell, sense
of |
6275 |
| Taste, sense
of |
6276 |
| Teeth, loss
of |
9913 |
| Tongue, loss of
whole or part |
7202 |
| Loss of use
of: |
|
| Both feet |
5110 |
| Both hands |
5109 |
| Foot |
5167 |
| Hand |
5125 |
| One hand and
one foot |
5111 |
| Lumbosacral
strain |
5237 |
| Lupus: |
|
|
Erythematosus |
6350 |
| Erythematosus,
discoid |
7809 |
| Lyme disease |
6319 |
| Lymphatic
filariasis, to include elephantiasis |
6305 |
| Malaria |
6304 |
| Malignant
melanoma |
7833 |
| Malunion: |
|
| Mandible |
9904 |
| Os calcis or
astragalus |
5273 |
| Maxilla, malunion
or nonunion |
9916 |
| Maxilla or
mandible, chronic osteomyelitis, osteonecrosis, or
osteoradionecrosis of |
9900 |
| Melioidosis |
6318 |
| Meniere's
syndrome |
6205 |
| Meningitis,
cerebrospinal, epidemic |
8019 |
| Mental
disorders: |
|
| Anorexia
nervosa |
9520 |
| Bipolar
disorder |
9432 |
| Bulimia
nervosa |
9521 |
| Chronic
adjustment disorder |
9440 |
| Conversion
disorder (functional neurological symptom disorder). |
9424 |
| Cyclothymic
disorder |
9431 |
| Delirium |
9300 |
| Delusional
disorder |
9208 |
|
Depersonalization/derealization disorder |
9417 |
| Dissociative
amnesia; dissociative identity disorder |
9416 |
| Generalized
anxiety disorder |
9400 |
| Illness anxiety
disorder |
9425 |
| Major
depressive disorder |
9434 |
| Major or mild
neurocognitive disorder due to Alzheimer's disease |
9312 |
| Major or mild
neurocognitive disorder due to another medical condition or
substance/medication-induced major or mild neurocognitive
disorder |
9326 |
| Major or mild
neurocognitive disorder due to HIV or other infections |
9301 |
| Major or mild
neurocognitive disorder due to traumatic brain injury |
9304 |
| Major or mild
vascular neurocognitive disorder |
9305 |
| Obsessive
compulsive disorder |
9404 |
| Other specified
and unspecified schizophrenia spectrum and other psychotic
disorders |
9210 |
| Other specified
anxiety disorder |
9410 |
| Other specified
somatic symptom and related disorder |
9422 |
| Panic disorder
and/or agoraphobia |
9412 |
| Persistent
depressive disorder (dysthymia) |
9433 |
| Posttraumatic
stress disorder |
9411 |
| Schizoaffective
disorder |
9211 |
|
Schizophrenia |
9201 |
| Somatic symptom
disorder |
9421 |
| Specific
phobia; social anxiety disorder (social phobia) |
9403 |
| Unspecified
somatic symptom and related disorder |
9423 |
| Unspecified
anxiety disorder |
9413 |
| Unspecified
depressive disorder |
9435 |
| Unspecified
neurocognitive disorder |
9310 |
| Metatarsalgia |
5279 |
| Migraine |
8100 |
| Morton's
disease |
5279 |
| Mucormycosis |
6839 |
| Multiple
sclerosis |
8018 |
| Myasthenia
gravis |
8025 |
| Myelitis |
8010 |
| Myocardial
infarction |
7006 |
| Myositis |
5021 |
| Narcolepsy |
8108 |
| Neoplasms: |
|
| Benign: |
|
| Breast |
7631 |
| Digestive
system |
7344 |
| Ear |
6209 |
| Endocrine |
7915 |
|
Genitourinary |
7529 |
|
Gynecological |
7628 |
| Hard and soft
tissue |
9917 |
| Muscle |
5328 |
|
Respiratory |
6820 |
| Skin |
7819 |
| Malignant: |
|
| Breast |
7630 |
| Digestive
system |
7343 |
| Ear |
6208 |
| Endocrine |
7914 |
|
Genitourinary |
7528 |
|
Gynecological |
7627 |
| Hard and soft
tissue |
9918 |
| Muscle |
5327 |
|
Respiratory |
6819 |
| Skin |
7818 |
| Nephritis,
chronic |
7502 |
|
Nephrolithiasis |
7508 |
| Nephrosclerosis,
arteriolar |
7507 |
| Neuralgia: |
|
| Cranial
Nerves |
|
| Fifth
(trigeminal) |
8405 |
| Seventh
(facial) |
8407 |
| Ninth
(glossopharyngeal) |
8409 |
| Tenth
(pneumogastric, vagus) |
8410 |
| Eleventh
(spinal accessory, external branch) |
8411 |
| Twelfth
(hypoglossal) |
8412 |
| Peripheral
Nerves |
|
| Upper radicular
group |
8710 |
| Middle
radicular group |
8711 |
| Lower radicular
group |
8712 |
| All radicular
groups |
8713 |
| Musculospiral
(radial) |
8714 |
| Median |
8715 |
| Ulnar |
8716 |
|
Musculocutaneous |
8717 |
| Circumflex |
8718 |
| Long
thoracic |
8719 |
| Sciatic |
8720 |
| External
popliteal (common peroneal) |
8721 |
|
Musculocutaneous (superficial peroneal) |
8722 |
| Anterior tibial
(deep peroneal) |
8723 |
| Internal
popliteal (tibial) |
8724 |
| Posterior
tibial |
8725 |
| Anterior crural
(femoral) |
8726 |
| Internal
saphenous |
8727 |
| Obturator |
8728 |
| External
cutaneous nerve of thigh |
8729 |
|
Ilio-inguinal |
8730 |
| Neuritis: |
|
| Cranial
nerves |
|
| Fifth
(trigeminal) |
8305 |
| Seventh
(facial) |
8307 |
| Ninth
(glossopharyngeal) |
8309 |
| Tenth
(pneumogastric, vagus) |
8310 |
| Eleventh
(spinal accessory, external branch) |
8311 |
| Twelfth
(hypoglossal) |
8312 |
| Optic |
6026 |
| Peripheral
Nerves |
|
| Upper radicular
group |
8610 |
| Middle
radicular group |
8611 |
| Lower radicular
group |
8612 |
| All radicular
groups |
8613 |
| Musculospiral
(radial) |
8614 |
| Median |
8615 |
| Ulnar |
8616 |
|
Musculocutaneous |
8617 |
| Circumflex |
8618 |
| Long
thoracic |
8619 |
| Sciatic |
8620 |
| External
popliteal (common peroneal) |
8621 |
|
Musculocutaneous (superficial peroneal) |
8622 |
| Anterior tibial
(deep peroneal) |
8623 |
| Internal
popliteal (tibial) |
8624 |
| Posterior
tibial |
8625 |
| Anterior crural
(femoral) |
8626 |
| Internal
saphenous |
8627 |
| Obturator |
8628 |
| External
cutaneous nerve of thigh |
8629 |
|
Ilio-inguinal |
8630 |
| Neurogenic
bladder |
7542 |
| New growths: |
|
| Benign |
|
| Bones |
5015 |
| Brain |
8003 |
| Eye, orbit, and
adnexa |
6015 |
| Spinal
cord |
8022 |
| Malignant |
|
| Bones |
5012 |
| Brain |
8002 |
| Eye, orbit, and
adnexa |
6014 |
| Spinal
cord |
8021 |
| Nocardiosis |
6823 |
| Non-Hodgkin's
lymphoma |
7715 |
| Nontuberculosis
mycobacterium infection |
6312 |
| Nontyphoid
salmonella infection |
6333 |
| Nonunion: |
|
| Mandible,
confirmed by diagnostic imaging studies |
9903 |
| Radius and
ulna |
5210 |
| Nystagmus,
central |
6016 |
| Osteitis
deformans |
5016 |
| Osteomalacia,
residuals of |
5014 |
| Osteomyelitis |
5000 |
| Osteoporosis,
residuals of |
5013 |
| Otitis media: |
|
| Externa |
6210 |
|
Nonsuppurative |
6201 |
|
Suppurative |
6200 |
| Otosclerosis |
6202 |
| Ovaries, atrophy
of both |
7620 |
| Ovary: |
|
| Disease or
injury |
7615 |
| Removal |
7619 |
| Palsy, bulbar |
8005 |
| Pancreatitis |
7347 |
| Papillary
necrosis |
7538 |
| Papulosquamous
disorders |
7822 |
| Paralysis: |
|
|
Accommodation |
6030 |
| Agitans |
8004 |
| Complete,
traumatic |
5244 |
| Paralysis,
nerve: |
|
| Cranial
nerves |
|
| Fifth
(trigeminal) |
8205 |
| Seventh
(facial) |
8207 |
| Ninth
(glossopharyngeal) |
8209 |
| Tenth
(pneumogastric, vagus) |
8210 |
| Eleventh
(spinal accessory, external branch) |
8211 |
| Twelfth
(hypoglossal) |
8212 |
| Peripheral
Nerves: |
|
| Upper radicular
group |
8510 |
| Middle
radicular group |
8511 |
| Lower radicular
group |
8512 |
| All radicular
groups |
8513 |
| Musculospiral
(radial) |
8514 |
| Median |
8515 |
| Ulnar |
8516 |
|
Musculocutaneous |
8517 |
| Circumflex |
8518 |
| Long
thoracic |
8519 |
| Sciatic |
8520 |
| External
popliteal (common peroneal) |
8521 |
|
Musculocutaneous (superficial peroneal) |
8522 |
| Anterior tibial
nerve (deep peroneal) |
8523 |
| Internal
popliteal (tibial) |
8524 |
| Posterior
tibial nerve |
8525 |
| Anterior crural
nerve (femoral) |
8526 |
| Internal
saphenous |
8527 |
| Obturator |
8528 |
| External
cutaneous nerve of thigh |
8529 |
|
Ilio-inguinal |
8530 |
| Paramyoclonus
multiplex |
8104 |
| Parasitic
disease |
6320 |
| Pellagra |
6315 |
| Penis |
|
| Deformity, with
loss of erectile power |
7522 |
| Removal of
glans |
7521 |
| Removal of half
or more |
7520 |
| Pericardial
adhesions |
7003 |
| Pericarditis |
7002 |
| Peripheral
vestibular disorders |
6204 |
| Peritoneum,
adhesions |
7301 |
| Peritonitis |
7331 |
| Pes cavus (Claw
foot) acquired |
5278 |
|
Pheochromocytoma |
7918 |
| Plague |
6307 |
| Plantar
fasciitis |
5269 |
| Pleural effusion
or fibrosis |
6845 |
| Pluriglandular
syndrome |
7912 |
|
Pneumoconiosis |
6832 |
| Pneumonitis &
fibrosis: |
|
|
Drug-induced |
6829 |
|
Radiation-induced |
6830 |
| Poliomyelitis,
anterior |
8011 |
| Polycythemia
vera |
7704 |
| Polyglandular
syndrome |
7912 |
| Post-chiasmal
disorders |
6046 |
| Postgastrectomy
syndromes |
7308 |
| Post-phlebitic
syndrome |
7121 |
| Post-surgical
residual |
6844 |
| Progressive
muscular atrophy |
8023 |
| Prostate
gland |
7527 |
| Prosthetic
implants: |
|
| Ankle
replacement |
5056 |
| Elbow
replacement |
5052 |
| Hip,
resurfacing or replacement |
5054 |
| Knee,
resurfacing or replacement |
5055 |
| Shoulder
replacement |
5051 |
| Wrist
replacement |
5053 |
| Psoriasis |
7816 |
| Pterygium |
6034 |
| Ptosis |
6019 |
| Pulmonary: |
|
| Alveolar
proteinosis |
6827 |
| Vascular
disease |
6817 |
| Pruritus ani |
7337 |
| Pyelonephritis,
chronic |
7504 |
| Raynaud's
syndrome |
7117 |
| Rectum: |
|
| Rectum & anus,
stricture |
7333 |
| Prolapse |
7334 |
| Removal: |
|
| Cartilage,
semilunar |
5259 |
| Coccyx |
5298 |
| Gall
bladder |
7318 |
| Kidney |
7500 |
| Penis
glans |
7521 |
| Penis half or
more |
7520 |
| Ribs |
5297 |
| Testis |
7524 |
| Ovary |
7619 |
| Uterus |
7618 |
| Uterus and both
ovaries |
7617 |
| Renal: |
|
| Amyloid
disease |
7539 |
| Disease,
chronic |
7530 |
| Involvement in
systemic diseases |
7541 |
| Tubular
disorders |
7532 |
| Resection of
intestine: |
|
| Large |
7329 |
| Small |
7328 |
| Retina detachment
of |
6008 |
| Retinal dystrophy
(including retinitis pigmentosa, wet or dry macular degeneration,
early-onset macular degeneration, rod and/or cone dystrophy) |
6042 |
| Retinopathy,
diabetic |
6040 |
| Retinopathy or
maculopathy not otherwise specified |
6006 |
| Rhabdomyolysis,
residuals of |
5330 |
| Rhinitis: |
|
| Allergic or
vasomotor |
6522 |
| Bacterial |
6523 |
|
Granulomatous |
6524 |
| Rickettsial,
ehrlichia, and anaplasma Infections |
6317 |
| Sarcoidosis |
6846 |
| Scarring
alopecia |
7830 |
| Scars: |
|
| Burn scar(s) of
the head, face, or neck; scar(s) of the head, face, or neck due to
other causes; or other disfigurement of the head, face, or
neck |
7800 |
| Burn scar(s) or
scar(s) due to other causes, not of the head, face, or neck that
are associated with underlying soft tissue damage |
7801 |
| Burn scar(s) or
scar(s) due to other causes, not of the head, face, or neck that
are not associated with underlying soft tissue damage |
7802 |
| Retina |
6011 |
| Scars, other;
and other effects of scars evaluated under diagnostic codes 7800,
7801, 7802, or 7804 |
7805 |
| Unstable or
painful |
7804 |
|
Schistosomiasis |
6326 |
| Shigella
infections |
6334 |
| Sinusitis: |
|
| Ethmoid |
6511 |
| Frontal |
6512 |
| Maxillary |
6513 |
|
Pansinusitis |
6510 |
| Sphenoid |
6514 |
| Sleep Apnea
Syndrome |
6847 |
| Soft tissue
sarcoma: |
|
| Muscle, fat, or
fibrous connected |
5329 |
| Neurogenic
origin |
8540 |
| Vascular
origin |
7123 |
| Spine: |
|
| Degenerative
arthritis, degenerative disc disease other than intervertebral disc
syndrome |
5242 |
| Spinal fusion |
5241 |
| Spinal
stenosis |
5238 |
| Spleen, injury of,
healed |
7707 |
| Splenectomy |
7706 |
| Spondylolisthesis
or segmental instability, spine |
5239 |
| Stomach, stenosis
of |
7309 |
| Symblepharon |
6091 |
| Syndromes: |
|
| Chronic Fatigue
Syndrome (CFS) |
6354 |
| Cushing's |
7907 |
| Meniere's |
6205 |
| Raynaud's |
7117 |
| Sleep
Apnea |
6847 |
| Syphilis |
6310 |
| Syphilis: |
|
|
Cerebrospinal |
8013 |
|
Meningovascular |
8014 |
| Syphilitic heart
disease |
7004 |
| Syringomyelia |
8024 |
| Tabes
dorsalis |
8015 |
| Tarsal or
metatarsal bones |
5283 |
| Tenosynovitis,
tendinitis, tendinosis or tendinopathy |
5024 |
| Testis: |
|
| Atrophy,
complete |
7523 |
| Removal |
7524 |
|
Thrombocytopenia |
7705 |
| Thrombosis,
brain |
8008 |
| Thyroid
gland: |
|
| Nontoxic
thyroid enlargement |
7902 |
| Toxic thyroid
enlargement |
7901 |
| Thyroiditis |
7906 |
| Tic,
convulsive |
8103 |
| Tinnitus,
recurrent |
6260 |
| Toxic
nephropathy |
7535 |
| Traumatic brain
injury residuals |
8045 |
| Traumatic chest
wall defect |
6843 |
| Tuberculosis: |
|
| Adenitis |
7710 |
| Bones and
joints |
5001 |
| Eye |
6010 |
| Kidney |
7505 |
| Luposa (lupus
vulgaris) |
7811 |
| Miliary |
6311 |
| Pleurisy,
active or inactive |
6732 |
| Pulmonary: |
|
| Active, far
advanced |
6701 |
| Active,
moderately advanced |
6702 |
| Active,
minimal |
6703 |
| Active,
advancement unspecified |
6704 |
| Active,
chronic |
6730 |
| Inactive,
chronic |
6731 |
| Inactive, far
advanced |
6721 |
| Inactive,
moderately advanced |
6722 |
| Inactive,
minimal |
6723 |
| Inactive,
advancement unspecified |
6724 |
| Tuberculosis
luposa (lupus vulgaris) |
7811 |
| Tympanic
membrane |
6211 |
| Ulcer: |
|
| Duodenal |
7305 |
| Gastric |
7304 |
| Marginal |
7306 |
| Ureter, stricture
of |
7511 |
|
Ureterolithiasis |
7510 |
| Urethra |
|
| Fistula |
7519 |
| Stricture |
7518 |
| Urticaria,
chronic. |
7825 |
| Uterus: |
|
| And both
ovaries, removal |
7617 |
| Disease or
injury |
7613 |
| Prolapse |
7621 |
| Removal |
7618 |
| Uveitis |
6000 |
| Vagina, disease or
injury |
7611 |
| Vagotomy |
7348 |
| Valvular heart
disease |
7000 |
| Varicose
veins |
7120 |
| Vasculitis,
primary cutaneous |
7826 |
| Vertebral fracture
or dislocation |
5235 |
| Vibriosis
(Cholera, Non-cholera) |
6300 |
| Visceral
Leishmaniasis |
6301 |
| Visceroptosis |
7342 |
| Vision: see also
Blindness and Loss of |
|
| One eye 5/200
(1.5/60), with visual acuity of other eye: |
|
| 5/200
(1.5/60) |
6071 |
| 10/200 (3/60);
15/200 (4.5/60); 20/200 (6/60) |
6072 |
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6073 |
| 20/40
(6/12) |
6074 |
| One eye 10/200
(3/60), with visual acuity of other eye: |
|
| 10/200 (3/60);
15/200 (4.5/60); 20/200 (6/60) |
6075 |
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6076 |
| 20/40
(6/12) |
6077 |
| One eye 15/200
(4.5/60), with visual acuity of other eye: |
|
| 15/200 (4.5/60)
or 20/200 (6/60) |
6075 |
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6076 |
| 20/40
(6/12) |
6077 |
| One eye 20/200
(6/60), with visual acuity of other eye: |
|
| 20/200
(6/60) |
6075 |
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6076 |
| 20/40
(6/12) |
6077 |
| One eye 20/100
(6/30), with visual acuity of other eye: and other eye: |
|
| 20/100 (6/30);
20/70 (6/21); 20/50 (6/15) |
6078 |
| 20/40
(6/12) |
6079 |
| One eye 20/70
(6/21), with visual acuity of other eye: |
|
| 20/70 (6/21) or
20/50 (6/15) |
6078 |
| 20/40
(6/12) |
6079 |
| One eye 20/50
(6/15), with visual acuity of other eye: |
|
| 20/50
(6/15) |
6078 |
| 20/40
(6/12) |
6079 |
| Each eye 20/40
(6/12) |
6079 |
| Vitiligo |
7823 |
| Vulva or clitoris,
disease or injury of |
7610 |
| Weak foot |
5277 |
| West Nile virus
infection |
6335 |