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REIMBURSEMENT POLICY CMS-1500 Proprietary information of UnitedHealthcare Community Plan. Copyright 2017 UnitedHealthcare Services, Inc. 2017R7107C Tennessee Emergency Room Services Policy - Professional (Medicaid) Policy Number 2017R7107C Annual Approval Date 7/12/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT ® *), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. This information is intended to serve only as a general reference resource regarding UnitedHealthcare Community Plan’s reimbursement policy for the services described and is not intended to address every aspect of a reimbursement situation. Accordingly, UnitedHealthcare Community Plan may use reasonable discretion in interpreting and applying this policy to health care services provided in a particular case. Further, the policy does not address all issues related to reimbursement for health care services provided to UnitedHealthcare Community Plan enrollees. Other factors affecting reimbursement supplement, modify or, in some cases, supersede this policy. These factors include, but are not limited to: federal &/or state regulatory requirements, the physician or other provider contracts, the enrollee’s benefit coverage documents, and/or other reimbursement, medical or drug policies. Finally, this policy may not be implemented exactly the same way on the different electronic claims processing systems used by UnitedHealthcare Community Plan due to programming or other constraints; however, UnitedHealthcare Community Plan strives to minimize these variations. UnitedHealthcare Community Plan may modify this reimbursement policy at any time by publishing a new version of the policy on this Website. However, the information presented in this policy is accurate and current as of the date of publication. CPT ® is a registered trademark of the American Medical Association Application This reimbursement policy applies to UnitedHealthcare Community Plan Medicaid products. This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS-1500) or its electronic equivalent or its successor form. This policy applies to all products and all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals. Payment Policies for Medicare & Retirement and Employer & Individual please use this link. Medicare & Retirement Policies are listed under Medicare Advantage Reimbursement Policies. Employer & Individual are listed under Reimbursement Policies-Commercial. Policy Overview This policy describes how physicians will be reimbursed for non-emergent services to UnitedHealthcare Community Plan members who seek services at the Emergency Room. This policy also identifies the
Transcript
  • REIMBURSEMENT POLICY

    CMS-1500

    Proprietary information of UnitedHealthcare Community Plan. Copyright 2017 UnitedHealthcare Services, Inc. 2017R7107C

    Tennessee Emergency Room Services Policy - Professional (Medicaid)

    Policy Number

    2017R7107C Annual Approval Date

    7/12/2017 Approved By

    Reimbursement Policy Oversight Committee

    IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY

    You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Community Plan reimbursement policies uses Current Procedural Terminology (CPT

    ®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines.

    References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. This information is intended to serve only as a general reference resource regarding UnitedHealthcare Community Plan’s reimbursement policy for the services described and is not intended to address every aspect of a reimbursement situation. Accordingly, UnitedHealthcare Community Plan may use reasonable discretion in interpreting and applying this policy to health care services provided in a particular case. Further, the policy does not address all issues related to reimbursement for health care services provided to UnitedHealthcare Community Plan enrollees. Other factors affecting reimbursement supplement, modify or, in some cases, supersede this policy. These factors include, but are not limited to: federal &/or state regulatory requirements, the

    physician or other provider contracts, the enrollee’s benefit coverage documents, and/or other reimbursement, medical or drug policies. Finally, this policy may not be implemented exactly the same way on the different electronic claims processing systems used by UnitedHealthcare Community Plan due to programming or other constraints; however, UnitedHealthcare Community Plan strives to minimize these variations. UnitedHealthcare Community Plan may modify this reimbursement policy at any time by publishing a new version of the policy on this Website. However, the information presented in this policy is accurate and current as of the date of publication. CPT

    ® is a registered trademark of the American Medical Association

    Application

    This reimbursement policy applies to UnitedHealthcare Community Plan Medicaid products. This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS-1500) or its electronic equivalent or its successor form. This policy applies to all products and all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals. Payment Policies for Medicare & Retirement and Employer & Individual please use this link. Medicare & Retirement Policies are listed under Medicare Advantage Reimbursement Policies. Employer & Individual are listed under Reimbursement Policies-Commercial.

    Policy

    Overview

    This policy describes how physicians will be reimbursed for non-emergent services to UnitedHealthcare Community Plan members who seek services at the Emergency Room. This policy also identifies the

    https://www.unitedhealthcareonline.com/b2c/CmaAction.do?channelId=ca174ccb4726b010VgnVCM100000c520720a____

  • REIMBURSEMENT POLICY

    CMS-1500

    Proprietary information of UnitedHealthcare Community Plan. Copyright 2017 UnitedHealthcare Services, Inc. 2017R7107C

    method of reimbursement for Emergency Room claims. Emergency Medical Condition as defined in the Contractor Risk Agreement (CRA): A physical or behavioral condition manifesting itself by acute symptoms of sufficient severity (including severe pain) that a prudent layperson, possessing an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in the following:

    1. Placing the health of the individual (or, with respect to pregnant women, the health of the woman or her unborn child) in serious jeopardy

    2. Serious impairment to bodily functions. 3. Serious dysfunction of any bodily organ or part.

    Reimbursement Guidelines

    In order to appropriately reimburse for services provided in the Emergency Room the following guidelines should be followed:

    1. If the provider bills CPT codes 99281-99285 and it meets ER criteria based on the specific ICD-10 diagnosis codes attached they will be reimbursed with their appropriate Fee Schedule amount

    2. If the provider bills CPT codes 99281-99285 and it fails to meet ER criteria they will be reimbursed no more than $50. If the contracted rate is lower than $50 for the service billed, UnitedHealthcare Community Plan is to pay the contracted rate.

    Provider Appeals Process 3. Providers may attach the complete emergency room medical record to the claim upon initial

    submission. The claim and record will be pended for clinical review to determine if the services provided are a valid Emergency Medical Condition. Additionally, Providers that have filed claims which have been processed and determined not to meet the Emergency Criteria, can appeal the denial by using the appeal process outlined in the Provider Administration Manual available at UHCCommunityPlan.com.

    ER Criteria ER Criteria is identified by ICD-10 codes. These codes have been developed with collaboration from community medical experts. Services will be considered an Emergency Medical Condition when:

    1. The ICD-10 codes reported in Diagnosis 1 and/or Diagnosis 2 will be used for medical emergency determination. When either Diagnosis 1 and/or Diagnosis 2 is considered emergency, the ER charge will be paid according to the guidelines stated above.

    2. When the patient is less than 24 months of age regardless of the Diagnosis 1 or Diagnosis 2 code, the claim will be considered as meeting the ER criteria.

    Attachments: Please right-click on the icon to open the file.

    UnitedHealthcare Community Plan TN ER Policy ICD-10 Diagnosis List

    List of accepted emergency ICD-10 diagnosis codes.

    Resources

    Individual state Medicaid regulations, manuals & fee schedules American Medical Association, Current Procedural Terminology ( CPT

    ® ) Professional Edition and

    associated publications and services

    Centers for Medicare and Medicaid Services, CMS Manual System and other CMS publications and services

  • 2017C UnitedHealthcare Community Plan TN ER Policy Emergency ICD-10 Diagnosis List

    Code Description

    A925 Zika virus disease

    E083521 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

    E083522 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

    E083523 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

    E083529 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

    E083531 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

    E083532 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

    E083533 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

    E083539 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

    E083541 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

    E083542 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

    E083543 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

    E083549 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

    E083551 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, right eye

    E083552 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, left eye

    E083553 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, bilateral

    E083559 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy, unspecified eye

    E083591 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, right eye

    E083592 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, left eye

    E083593 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, bilateral

    E083599 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema, unspecified eye

    E0837X1 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, right eye

    E0837X2 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, left eye

    E0837X3 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, bilateral

    E0837X9 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment, unspecified eye

    E093211 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

    E093212 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

    E093213 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

    E093219 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E093291 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

    E093292 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

    E093293 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

    E093299 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E093311 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

    E093312 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

    E093313 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

    E093319 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E093391 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

    E093392 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

    E093393 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

    E093399 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E093411 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

    E093412 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

    E093413 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

  • E093419 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E093491 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

    E093492 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

    E093493 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

    E093499 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E093511 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

    E093512 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

    E093513 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

    E093519 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

    E093521 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

    E093522 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

    E093523 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

    E093529 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

    E093531 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

    E093532 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

    E093533 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

    E093539 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

    E093541 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

    E093542 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

    E093543 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

    E093549 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

    E093551 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, right eye

    E093552 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, left eye

    E093553 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

    E093559 Drug or chemical induced diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

    E093591 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

    E093592 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

    E093593 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

    E093599 Drug or chemical induced diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

    E0937X1 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

    E0937X2 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

    E0937X3 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

    E0937X9 Drug or chemical induced diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

    E103211 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

    E103212 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

    E103213 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

    E103219 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E103291 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

    E103292 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

    E103293 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

    E103299 Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E103311 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

    E103312 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

    E103313 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

    E103319 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E103391 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

    E103392 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

  • E103393 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

    E103399 Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E103411 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

    E103412 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

    E103413 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

    E103419 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E103491 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

    E103492 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

    E103493 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

    E103499 Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E103511 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

    E103512 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

    E103513 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

    E103519 Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

    E103521 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

    E103522 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

    E103523 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

    E103529 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

    E103531 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

    E103532 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

    E103533 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

    E103539 Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

    E103541 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

    E103542 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

    E103543 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

    E103549 Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

    E103551 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye

    E103552 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye

    E103553 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

    E103559 Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

    E103591 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

    E103592 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

    E103593 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

    E103599 Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

    E1037X1 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

    E1037X2 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

    E1037X3 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

    E1037X9 Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

    E113211 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

    E113212 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

    E113213 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

    E113219 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E113291 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

    E113292 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

    E113293 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

    E113299 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E113311 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

  • E113312 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

    E113313 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

    E113319 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E113391 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

    E113392 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

    E113393 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

    E113399 Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E113411 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

    E113412 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

    E113413 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

    E113419 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E113491 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

    E113492 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

    E113493 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

    E113499 Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E113511 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

    E113512 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

    E113513 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

    E113519 Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

    E113521 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

    E113522 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

    E113523 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

    E113529 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

    E113531 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

    E113532 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

    E113533 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

    E113539 Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

    E113541 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

    E113542 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

    E113543 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

    E113549 Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

    E113551 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye

    E113552 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye

    E113553 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

    E113559 Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

    E113591 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

    E113592 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

    E113593 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

    E113599 Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

    E1137X1 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

    E1137X2 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

    E1137X3 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

    E1137X9 Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

    E133211 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye

    E133212 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye

    E133213 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral

    E133219 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye

  • E133291 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye

    E133292 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye

    E133293 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral

    E133299 Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E133311 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye

    E133312 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye

    E133313 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral

    E133319 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E133391 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye

    E133392 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye

    E133393 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral

    E133399 Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E133411 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye

    E133412 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye

    E133413 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral

    E133419 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye

    E133491 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye

    E133492 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye

    E133493 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral

    E133499 Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye

    E133511 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye

    E133512 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye

    E133513 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral

    E133519 Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye

    E133521 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye

    E133522 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye

    E133523 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral

    E133529 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye

    E133531 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye

    E133532 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye

    E133533 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral

    E133539 Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye

    E133541 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye

    E133542 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye

    E133543 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral

    E133549 Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye

    E133551 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye

    E133552 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye

    E133553 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral

    E133559 Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye

    E133591 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye

    E133592 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye

    E133593 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral

    E133599 Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye

    E1337X1 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye

    E1337X2 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye

    E1337X3 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral

  • E1337X9 Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye

    G9761 Postprocedural hematoma of a nervous system organ or structure following a nervous system procedure

    G9762 Postprocedural hematoma of a nervous system organ or structure following other procedure

    G9763 Postprocedural seroma of a nervous system organ or structure following a nervous system procedure

    G9764 Postprocedural seroma of a nervous system organ or structure following other procedure

    H348110 Central retinal vein occlusion, right eye, with macular edema

    H348111 Central retinal vein occlusion, right eye, with retinal neovascularization

    H348112 Central retinal vein occlusion, right eye, stable

    H348120 Central retinal vein occlusion, left eye, with macular edema

    H348121 Central retinal vein occlusion, left eye, with retinal neovascularization

    H348122 Central retinal vein occlusion, left eye, stable

    H348130 Central retinal vein occlusion, bilateral, with macular edema

    H348131 Central retinal vein occlusion, bilateral, with retinal neovascularization

    H348132 Central retinal vein occlusion, bilateral, stable

    H348190 Central retinal vein occlusion, unspecified eye, with macular edema

    H348191 Central retinal vein occlusion, unspecified eye, with retinal neovascularization

    H348192 Central retinal vein occlusion, unspecified eye, stable

    H348310 Tributary (branch) retinal vein occlusion, right eye, with macular edema

    H348311 Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization

    H348312 Tributary (branch) retinal vein occlusion, right eye, stable

    H348320 Tributary (branch) retinal vein occlusion, left eye, with macular edema

    H348321 Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization

    H348322 Tributary (branch) retinal vein occlusion, left eye, stable

    H348330 Tributary (branch) retinal vein occlusion, bilateral, with macular edema

    H348331 Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization

    H348332 Tributary (branch) retinal vein occlusion, bilateral, stable

    H348390 Tributary (branch) retinal vein occlusion, unspecified eye, with macular edema

    H348391 Tributary (branch) retinal vein occlusion, unspecified eye, with retinal neovascularization

    H348392 Tributary (branch) retinal vein occlusion, unspecified eye, stable

    H59331 Postprocedural hematoma of right eye and adnexa following an ophthalmic procedure

    H59332 Postprocedural hematoma of left eye and adnexa following an ophthalmic procedure

    H59333 Postprocedural hematoma of eye and adnexa following an ophthalmic procedure, bilateral

    H59339 Postprocedural hematoma of unspecified eye and adnexa following an ophthalmic procedure

    H59341 Postprocedural hematoma of right eye and adnexa following other procedure

    H59342 Postprocedural hematoma of left eye and adnexa following other procedure

    H59343 Postprocedural hematoma of eye and adnexa following other procedure, bilateral

    H59349 Postprocedural hematoma of unspecified eye and adnexa following other procedure

    H59351 Postprocedural seroma of right eye and adnexa following an ophthalmic procedure

    H59352 Postprocedural seroma of left eye and adnexa following an ophthalmic procedure

    H59353 Postprocedural seroma of eye and adnexa following an ophthalmic procedure, bilateral

    H59359 Postprocedural seroma of unspecified eye and adnexa following an ophthalmic procedure

    H59361 Postprocedural seroma of right eye and adnexa following other procedure

    H59362 Postprocedural seroma of left eye and adnexa following other procedure

    H59363 Postprocedural seroma of eye and adnexa following other procedure, bilateral

    H59369 Postprocedural seroma of unspecified eye and adnexa following other procedure

    H90A11 Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side

    H90A12 Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral side

  • H90A21 Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side

    H90A22 Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side

    H90A31 Mixed conductive and sensorineural hearing loss, unilateral, right ear with restricted hearing on the contralateral side

    H90A32 Mixed conductive and sensorineural hearing loss, unilateral, left ear with restricted hearing on the contralateral side

    H9551 Postprocedural hematoma of ear and mastoid process following a procedure on the ear and mastoid process

    H9552 Postprocedural hematoma of ear and mastoid process following other procedure

    H9553 Postprocedural seroma of ear and mastoid process following a procedure on the ear and mastoid process

    H9554 Postprocedural seroma of ear and mastoid process following other procedure

    I160 Hypertensive urgency

    I161 Hypertensive emergency

    I169 Hypertensive crisis, unspecified

    I602 Nontraumatic subarachnoid hemorrhage from anterior communicating artery

    I63013 Cerebral infarction due to thrombosis of bilateral vertebral arteries

    I63033 Cerebral infarction due to thrombosis of bilateral carotid arteries

    I63113 Cerebral infarction due to embolism of bilateral vertebral arteries

    I63133 Cerebral infarction due to embolism of bilateral carotid arteries

    I63213 Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries

    I63233 Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries

    I63313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries

    I63323 Cerebral infarction due to thrombosis of bilateral anterior arteries

    I63333 Cerebral infarction to thrombosis of bilateral posterior arteries

    I63343 Cerebral infarction to thrombosis of bilateral cerebellar arteries

    I63413 Cerebral infarction due to embolism of bilateral middle cerebral arteries

    I63423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries

    I63433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries

    I63443 Cerebral infarction due to embolism of bilateral cerebellar arteries

    I63513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle arteries

    I63523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior arteries

    I63533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior arteries

    I63543 Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries

    I725 Aneurysm of other precerebral arteries

    I726 Aneurysm of vertebral artery

    I7770 Dissection of unspecified artery

    I7775 Dissection of other precerebral arteries

    I7776 Dissection of artery of upper extremity

    I7777 Dissection of artery of lower extremity

    I97620 Postprocedural hemorrhage of a circulatory system organ or structure following other procedure

    I97621 Postprocedural hematoma of a circulatory system organ or structure following other procedure

    I97622 Postprocedural seroma of a circulatory system organ or structure following other procedure

    I97630 Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization

    I97631 Postprocedural hematoma of a circulatory system organ or structure following cardiac bypass

    I97638 Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure

    I97640 Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterization

    I97641 Postprocedural seroma of a circulatory system organ or structure following cardiac bypass

    I97648 Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure

    J95860 Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedure

    J95861 Postprocedural hematoma of a respiratory system organ or structure following other procedure

  • J95862 Postprocedural seroma of a respiratory system organ or structure following a respiratory system procedure

    J95863 Postprocedural seroma of a respiratory system organ or structure following other procedure

    J9851 Mediastinitis

    J9859 Other diseases of mediastinum, not elsewhere classified

    K0401 Reversible pulpitis

    K0402 Irreversible pulpitis

    K05211 Aggressive periodontitis, localized, slight

    K05212 Aggressive periodontitis, localized, moderate

    K05213 Aggressive periodontitis, localized, severe

    K05219 Aggressive periodontitis, localized, unspecified severity

    K05221 Aggressive periodontitis, generalized, slight

    K05222 Aggressive periodontitis, generalized, moderate

    K05223 Aggressive periodontitis, generalized, severe

    K05229 Aggressive periodontitis, generalized, unspecified severity

    K0881 Primary occlusal trauma

    K0882 Secondary occlusal trauma

    K5229 Other allergic and dietetic gastroenteritis and colitis

    K523 Indeterminate colitis

    K52831 Collagenous colitis

    K52832 Lymphocytic colitis

    K55011 Focal (segmental) acute (reversible) ischemia of small intestine

    K55012 Diffuse acute (reversible) ischemia of small intestine

    K55019 Acute (reversible) ischemia of small intestine, extent unspecified

    K55021 Focal (segmental) acute infarction of small intestine

    K55022 Diffuse acute infarction of small intestine

    K55029 Acute infarction of small intestine, extent unspecified

    K55031 Focal (segmental) acute (reversible) ischemia of large intestine

    K55032 Diffuse acute (reversible) ischemia of large intestine

    K55039 Acute (reversible) ischemia of large intestine, extent unspecified

    K55041 Focal (segmental) acute infarction of large intestine

    K55042 Diffuse acute infarction of large intestine

    K55049 Acute infarction of large intestine, extent unspecified

    K55051 Focal (segmental) acute (reversible) ischemia of intestine, part unspecified

    K55052 Diffuse acute (reversible) ischemia of intestine, part unspecified

    K55059 Acute (reversible) ischemia of intestine, part and extent unspecified

    K55061 Focal (segmental) acute infarction of intestine, part unspecified

    K55062 Diffuse acute infarction of intestine, part unspecified

    K55069 Acute infarction of intestine, part and extent unspecified

    K5530 Necrotizing enterocolitis, unspecified

    K5531 Stage 1 necrotizing enterocolitis

    K5532 Stage 2 necrotizing enterocolitis

    K5533 Stage 3 necrotizing enterocolitis

    K581 Irritable bowel syndrome with constipation

    K582 Mixed irritable bowel syndrome

    K588 Other irritable bowel syndrome

    K5903 Drug induced constipation

    K5904 Chronic idiopathic constipation

  • K5931 Toxic megacolon

    K5939 Other megacolon

    K8500 Idiopathic acute pancreatitis without necrosis or infection

    K8501 Idiopathic acute pancreatitis with uninfected necrosis

    K8502 Idiopathic acute pancreatitis with infected necrosis

    K8510 Biliary acute pancreatitis without necrosis or infection

    K8511 Biliary acute pancreatitis with uninfected necrosis

    K8512 Biliary acute pancreatitis with infected necrosis

    K8520 Alcohol induced acute pancreatitis without necrosis or infection

    K8521 Alcohol induced acute pancreatitis with uninfected necrosis

    K8522 Alcohol induced acute pancreatitis with infected necrosis

    K8530 Drug induced acute pancreatitis without necrosis or infection

    K8531 Drug induced acute pancreatitis with uninfected necrosis

    K8532 Drug induced acute pancreatitis with infected necrosis

    K8580 Other acute pancreatitis without necrosis or infection

    K8581 Other acute pancreatitis with uninfected necrosis

    K8582 Other acute pancreatitis with infected necrosis

    K8590 Acute pancreatitis without necrosis or infection, unspecified

    K8591 Acute pancreatitis with uninfected necrosis, unspecified

    K8592 Acute pancreatitis with infected necrosis, unspecified

    K8681 Exocrine pancreatic insufficiency

    K8689 Other specified diseases of pancreas

    K91870 Postprocedural hematoma of a digestive system organ or structure following a digestive system procedure

    K91871 Postprocedural hematoma of a digestive system organ or structure following other procedure

    K91872 Postprocedural seroma of a digestive system organ or structure following a digestive system procedure

    K91873 Postprocedural seroma of a digestive system organ or structure following other procedure

    L03213 Periorbital cellulitis

    L7631 Postprocedural hematoma of skin and subcutaneous tissue following a dermatologic procedure

    L7632 Postprocedural hematoma of skin and subcutaneous tissue following other procedure

    L7633 Postprocedural seroma of skin and subcutaneous tissue following a dermatologic procedure

    L7634 Postprocedural seroma of skin and subcutaneous tissue following other procedure

    M041 Periodic fever syndromes

    M042 Cryopyrin-associated periodic syndromes

    M048 Other autoinflammatory syndromes

    M049 Autoinflammatory syndrome, unspecified

    M26601 Right temporomandibular joint disorder, unspecified

    M26602 Left temporomandibular joint disorder, unspecified

    M26603 Bilateral temporomandibular joint disorder, unspecified

    M26609 Unspecified temporomandibular joint disorder, unspecified side

    M26611 Adhesions and ankylosis of right temporomandibular joint

    M26612 Adhesions and ankylosis of left temporomandibular joint

    M26613 Adhesions and ankylosis of bilateral temporomandibular joint

    M26619 Adhesions and ankylosis of temporomandibular joint, unspecified side

    M26621 Arthralgia of right temporomandibular joint

    M26622 Arthralgia of left temporomandibular joint

    M26623 Arthralgia of bilateral temporomandibular joint

    M26629 Arthralgia of temporomandibular joint, unspecified side

  • M26631 Articular disc disorder of right temporomandibular joint

    M26632 Articular disc disorder of left temporomandibular joint

    M26633 Articular disc disorder of bilateral temporomandibular joint

    M26639 Articular disc disorder of temporomandibular joint, unspecified side

    M84750A Atypical femoral fracture, unspecified, initial encounter for fracture

    M84750D Atypical femoral fracture, unspecified, subsequent encounter for fracture with routine healing

    M84750G Atypical femoral fracture, unspecified, subsequent encounter for fracture with delayed healing

    M84750K Atypical femoral fracture, unspecified, subsequent encounter for fracture with nonunion

    M84750P Atypical femoral fracture, unspecified, subsequent encounter for fracture with malunion

    M84750S Atypical femoral fracture, unspecified, sequela

    M84751A Incomplete atypical femoral fracture, right leg, initial encounter for fracture

    M84751D Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with routine healing

    M84751G Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with delayed healing

    M84751K Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with nonunion

    M84751P Incomplete atypical femoral fracture, right leg, subsequent encounter for fracture with malunion

    M84751S Incomplete atypical femoral fracture, right leg, sequela

    M84752A Incomplete atypical femoral fracture, left leg, initial encounter for fracture

    M84752D Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with routine healing

    M84752G Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with delayed healing

    M84752K Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with nonunion

    M84752P Incomplete atypical femoral fracture, left leg, subsequent encounter for fracture with malunion

    M84752S Incomplete atypical femoral fracture, left leg, sequela

    M84753A Incomplete atypical femoral fracture, unspecified leg, initial encounter for fracture

    M84753D Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for fracture with routine healing

    M84753G Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for fracture with delayed healing

    M84753K Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for fracture with nonunion

    M84753P Incomplete atypical femoral fracture, unspecified leg, subsequent encounter for fracture with malunion

    M84753S Incomplete atypical femoral fracture, unspecified leg, sequela

    M84754A Complete transverse atypical femoral fracture, right leg, initial encounter for fracture

    M84754D Complete transverse atypical femoral fracture, right leg, subsequent encounter for fracture with routine healing

    M84754G Complete transverse atypical femoral fracture, right leg, subsequent encounter for fracture with delayed healing

    M84754K Complete transverse atypical femoral fracture, right leg, subsequent encounter for fracture with nonunion

    M84754P Complete transverse atypical femoral fracture, right leg, subsequent encounter for fracture with malunion

    M84754S Complete transverse atypical femoral fracture, right leg, sequela

    M84755A Complete transverse atypical femoral fracture, left leg, initial encounter for fracture

    M84755D Complete transverse atypical femoral fracture, left leg, subsequent encounter for fracture with routine healing

    M84755G Complete transverse atypical femoral fracture, left leg, subsequent encounter for fracture with delayed healing

    M84755K Complete transverse atypical femoral fracture, left leg, subsequent encounter for fracture with nonunion

    M84755P Complete transverse atypical femoral fracture, left leg, subsequent encounter for fracture with malunion

    M84755S Complete transverse atypical femoral fracture, left leg, sequela

    M84756A Complete transverse atypical femoral fracture, unspecified leg, initial encounter for fracture

    M84756D Complete transverse atypical femoral fracture, unspecified leg, subsequent encounter for fracture with routine healing

    M84756G Complete transverse atypical femoral fracture, unspecified leg, subsequent encounter for fracture with delayed healing

    M84756K Complete transverse atypical femoral fracture, unspecified leg, subsequent encounter for fracture with nonunion

    M84756P Complete transverse atypical femoral fracture, unspecified leg, subsequent encounter for fracture with malunion

    M84756S Complete transverse atypical femoral fracture, unspecified leg, sequela

    M84757A Complete oblique atypical femoral fracture, right leg, initial encounter for fracture

  • M84757D Complete oblique atypical femoral fracture, right leg, subsequent encounter for fracture with routine healing

    M84757G Complete oblique atypical femoral fracture, right leg, subsequent encounter for fracture with delayed healing

    M84757K Complete oblique atypical femoral fracture, right leg, subsequent encounter for fracture with nonunion

    M84757P Complete oblique atypical femoral fracture, right leg, subsequent encounter for fracture with malunion

    M84757S Complete oblique atypical femoral fracture, right leg, sequela

    M84758A Complete oblique atypical femoral fracture, left leg, initial encounter for fracture

    M84758D Complete oblique atypical femoral fracture, left leg, subsequent encounter for fracture with routine healing

    M84758G Complete oblique atypical femoral fracture, left leg, subsequent encounter for fracture with delayed healing

    M84758K Complete oblique atypical femoral fracture, left leg, subsequent encounter for fracture with nonunion

    M84758P Complete oblique atypical femoral fracture, left leg, subsequent encounter for fracture with malunion

    M84758S Complete oblique atypical femoral fracture, left leg, sequela

    M84759A Complete oblique atypical femoral fracture, unspecified leg, initial encounter for fracture

    M84759D Complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with routine healing

    M84759G Complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with delayed healing

    M84759K Complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with nonunion

    M84759P Complete oblique atypical femoral fracture, unspecified leg, subsequent encounter for fracture with malunion

    M84759S Complete oblique atypical femoral fracture, unspecified leg, sequela

    M96840 Postprocedural hematoma of a musculoskeletal structure following a musculoskeletal system procedure

    M96841 Postprocedural hematoma of a musculoskeletal structure following other procedure

    M96842 Postprocedural seroma of a musculoskeletal structure following a musculoskeletal system procedure

    M96843 Postprocedural seroma of a musculoskeletal structure following other procedure

    M9701XA Periprosthetic fracture around internal prosthetic right hip joint, initial encounter

    M9701XD Periprosthetic fracture around internal prosthetic right hip joint, subsequent encounter

    M9701XS Periprosthetic fracture around internal prosthetic right hip joint, sequela

    M9702XA Periprosthetic fracture around internal prosthetic left hip joint, initial encounter

    M9702XD Periprosthetic fracture around internal prosthetic left hip joint, subsequent encounter

    M9702XS Periprosthetic fracture around internal prosthetic left hip joint, sequela

    M9711XA Periprosthetic fracture around internal prosthetic right knee joint, initial encounter

    M9711XD Periprosthetic fracture around internal prosthetic right knee joint, subsequent encounter

    M9711XS Periprosthetic fracture around internal prosthetic right knee joint, sequela

    M9712XA Periprosthetic fracture around internal prosthetic left knee joint, initial encounter

    M9712XD Periprosthetic fracture around internal prosthetic left knee joint, subsequent encounter

    M9712XS Periprosthetic fracture around internal prosthetic left knee joint, sequela

    M9721XA Periprosthetic fracture around internal prosthetic right ankle joint, initial encounter

    M9721XD Periprosthetic fracture around internal prosthetic right ankle joint, subsequent encounter

    M9721XS Periprosthetic fracture around internal prosthetic right ankle joint, sequela

    M9722XA Periprosthetic fracture around internal prosthetic left ankle joint, initial encounter

    M9722XD Periprosthetic fracture around internal prosthetic left ankle joint, subsequent encounter

    M9722XS Periprosthetic fracture around internal prosthetic left ankle joint, sequela

    M9731XA Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter

    M9731XD Periprosthetic fracture around internal prosthetic right shoulder joint, subsequent encounter

    M9731XS Periprosthetic fracture around internal prosthetic right shoulder joint, sequela

    M9732XA Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter

    M9732XD Periprosthetic fracture around internal prosthetic left shoulder joint, subsequent encounter

    M9732XS Periprosthetic fracture around internal prosthetic left shoulder joint, sequela

    M9741XA Periprosthetic fracture around internal prosthetic right elbow joint, initial encounter

    M9741XD Periprosthetic fracture around internal prosthetic right elbow joint, subsequent encounter

  • M9741XS Periprosthetic fracture around internal prosthetic right elbow joint, sequela

    M9742XA Periprosthetic fracture around internal prosthetic left elbow joint, initial encounter

    M9742XD Periprosthetic fracture around internal prosthetic left elbow joint, subsequent encounter

    M9742XS Periprosthetic fracture around internal prosthetic left elbow joint, sequela

    M978XXA Periprosthetic fracture around other internal prosthetic joint, initial encounter

    M978XXD Periprosthetic fracture around other internal prosthetic joint, subsequent encounter

    M978XXS Periprosthetic fracture around other internal prosthetic joint, sequela

    M979XXA Periprosthetic fracture around unspecified internal prosthetic joint, initial encounter

    M979XXD Periprosthetic fracture around unspecified internal prosthetic joint, subsequent encounter

    M979XXS Periprosthetic fracture around unspecified internal prosthetic joint, sequela

    N130 Hydronephrosis with ureteropelvic junction obstruction

    N610 Mastitis without abscess

    N611 Abscess of the breast and nipple

    N8300 Follicular cyst of ovary, unspecified side

    N8301 Follicular cyst of right ovary

    N8302 Follicular cyst of left ovary

    N8310 Corpus luteum cyst of ovary, unspecified side

    N8311 Corpus luteum cyst of right ovary

    N8312 Corpus luteum cyst of left ovary

    N83201 Unspecified ovarian cyst, right side

    N83202 Unspecified ovarian cyst, left side

    N83209 Unspecified ovarian cyst, unspecified side

    N83291 Other ovarian cyst, right side

    N83292 Other ovarian cyst, left side

    N83299 Other ovarian cyst, unspecified side

    N8340 Prolapse and hernia of ovary and fallopian tube, unspecified side

    N8341 Prolapse and hernia of right ovary and fallopian tube

    N8342 Prolapse and hernia of left ovary and fallopian tube

    N83511 Torsion of right ovary and ovarian pedicle

    N83512 Torsion of left ovary and ovarian pedicle

    N83519 Torsion of ovary and ovarian pedicle, unspecified side

    N83521 Torsion of right fallopian tube

    N83522 Torsion of left fallopian tube

    N83529 Torsion of fallopian tube, unspecified side

    N9060 Unspecified hypertrophy of vulva

    N9061 Childhood asymmetric labium majus enlargement

    N9069 Other specified hypertrophy of vulva

    N931 Pre-pubertal vaginal bleeding

    N9410 Unspecified dyspareunia

    N9411 Superficial (introital) dyspareunia

    N9412 Deep dyspareunia

    N9419 Other specified dyspareunia

    N99115 Postprocedural fossa navicularis urethral stricture

    N99523 Herniation of incontinent stoma of urinary tract

    N99524 Stenosis of incontinent stoma of urinary tract

    N99533 Herniation of continent stoma of urinary tract

    N99534 Stenosis of continent stoma of urinary tract

  • N99840 Postprocedural hematoma of a genitourinary system organ or structure following a genitourinary system procedure

    N99841 Postprocedural hematoma of a genitourinary system organ or structure following other procedure

    N99842 Postprocedural seroma of a genitourinary system organ or structure following a genitourinary system procedure

    N99843 Postprocedural seroma of a genitourinary system organ or structure following other procedure

    O0000 Abdominal pregnancy without intrauterine pregnancy

    O0001 Abdominal pregnancy with intrauterine pregnancy

    O0010 Tubal pregnancy without intrauterine pregnancy

    O0011 Tubal pregnancy with intrauterine pregnancy

    O0020 Ovarian pregnancy without intrauterine pregnancy

    O0021 Ovarian pregnancy with intrauterine pregnancy

    O0080 Other ectopic pregnancy without intrauterine pregnancy

    O0081 Other ectopic pregnancy with intrauterine pregnancy

    O0090 Unspecified ectopic pregnancy without intrauterine pregnancy

    O0091 Unspecified ectopic pregnancy with intrauterine pregnancy

    O09A0 Supervision of pregnancy with history of molar pregnancy, unspecified trimester

    O09A1 Supervision of pregnancy with history of molar pregnancy, first trimester

    O09A2 Supervision of pregnancy with history of molar pregnancy, second trimester

    O09A3 Supervision of pregnancy with history of molar pregnancy, third trimester

    O114 Pre-existing hypertension with pre-eclampsia, complicating childbirth

    O115 Pre-existing hypertension with pre-eclampsia, complicating the puerperium

    O1204 Gestational edema, complicating childbirth

    O1205 Gestational edema, complicating the puerperium

    O1214 Gestational proteinuria, complicating childbirth

    O1215 Gestational proteinuria, complicating the puerperium

    O1224 Gestational edema with proteinuria, complicating childbirth

    O1225 Gestational edema with proteinuria, complicating the puerperium

    O134 Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating childbirth

    O135 Gestational [pregnancy-induced] hypertension without significant proteinuria, complicating the puerperium

    O1404 Mild to moderate pre-eclampsia, complicating childbirth

    O1405 Mild to moderate pre-eclampsia, complicating the puerperium

    O1414 Severe pre-eclampsia complicating childbirth

    O1415 Severe pre-eclampsia, complicating the puerperium

    O1424 HELLP syndrome, complicating childbirth

    O1425 HELLP syndrome, complicating the puerperium

    O1494 Unspecified pre-eclampsia, complicating childbirth

    O1495 Unspecified pre-eclampsia, complicating the puerperium

    O164 Unspecified maternal hypertension, complicating childbirth

    O165 Unspecified maternal hypertension, complicating the puerperium

    O24415 Gestational diabetes mellitus in pregnancy, controlled by oral hypoglycemic drugs

    O24425 Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs

    O24435 Gestational diabetes mellitus in puerperium, controlled by oral hypoglycemic drugs

    O337XX0 Maternal care for disproportion due to other fetal deformities, not applicable or unspecified

    O337XX1 Maternal care for disproportion due to other fetal deformities, fetus 1

    O337XX2 Maternal care for disproportion due to other fetal deformities, fetus 2

    O337XX3 Maternal care for disproportion due to other fetal deformities, fetus 3

    O337XX4 Maternal care for disproportion due to other fetal deformities, fetus 4

    O337XX5 Maternal care for disproportion due to other fetal deformities, fetus 5

  • O337XX9 Maternal care for disproportion due to other fetal deformities, other fetus

    O34211 Maternal care for low transverse scar from previous cesarean delivery

    O34212 Maternal care for vertical scar from previous cesarean delivery

    O34219 Maternal care for unspecified type scar from previous cesarean delivery

    O4420 Partial placenta previa NOS or without hemorrhage, unspecified trimester

    O4421 Partial placenta previa NOS or without hemorrhage, first trimester

    O4422 Partial placenta previa NOS or without hemorrhage, second trimester

    O4423 Partial placenta previa NOS or without hemorrhage, third trimester

    O4430 Partial placenta previa with hemorrhage, unspecified trimester

    O4431 Partial placenta previa with hemorrhage, first trimester

    O4432 Partial placenta previa with hemorrhage, second trimester

    O4433 Partial placenta previa with hemorrhage, third trimester

    O4440 Low lying placenta NOS or without hemorrhage, unspecified trimester

    O4441 Low lying placenta NOS or without hemorrhage, first trimester

    O4442 Low lying placenta NOS or without hemorrhage, second trimester

    O4443 Low lying placenta NOS or without hemorrhage, third trimester

    O4450 Low lying placenta with hemorrhage, unspecified trimester

    O4451 Low lying placenta with hemorrhage, first trimester

    O4452 Low lying placenta with hemorrhage, second trimester

    O4453 Low lying placenta with hemorrhage, third trimester

    O7020 Third degree perineal laceration during delivery, unspecified

    O7021 Third degree perineal laceration during delivery, IIIa

    O7022 Third degree perineal laceration during delivery, IIIb

    O7023 Third degree perineal laceration during delivery, IIIc

    P0509 Newborn light for gestational age, 2500 grams and over

    P0519 Newborn small for gestational age, other

    Q2521 Interruption of aortic arch

    Q2529 Other atresia of aorta

    Q2540 Congenital malformation of aorta unspecified

    Q2541 Absence and aplasia of aorta

    Q2542 Hypoplasia of aorta

    Q2543 Congenital aneurysm of aorta

    Q2544 Congenital dilation of aorta

    Q2545 Double aortic arch

    Q2546 Tortuous aortic arch

    Q2547 Right aortic arch

    Q2548 Anomalous origin of subclavian artery

    Q2549 Other congenital malformations of aorta

    Q52120 Longitudinal vaginal septum, nonobstructing

    Q52121 Longitudinal vaginal septum, obstructing, right side

    Q52122 Longitudinal vaginal septum, obstructing, left side

    Q52123 Longitudinal vaginal septum, microperforate, right side

    Q52124 Longitudinal vaginal septum, microperforate, left side

    Q8782 Arterial tortuosity syndrome

    R402440 Other coma, without documented Glasgow coma scale score, or with partial score reported, unspecified time

    R402441 Other coma, without documented Glasgow coma scale score, or with partial score reported, in the field [EMT or ambulance]

    R402442 Other coma, without documented Glasgow coma scale score, or with partial score reported, at arrival to emergency department

  • R402443 Other coma, without documented Glasgow coma scale score, or with partial score reported, at hospital admission

    R402444 Other coma, without documented Glasgow coma scale score, or with partial score reported, 24 hours or more after hospital admission

    R8279 Other abnormal findings on microbiological examination of urine

    R9341 Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder

    R93421 Abnormal radiologic findings on diagnostic imaging of right kidney

    R93422 Abnormal radiologic findings on diagnostic imaging of left kidney

    R93429 Abnormal radiologic findings on diagnostic imaging of unspecified kidney

    R9349 Abnormal radiologic findings on diagnostic imaging of other urinary organs

    S02101A Fracture of base of skull, right side, initial encounter for closed fracture

    S02101B Fracture of base of skull, right side, initial encounter for open fracture

    S02101D Fracture of base of skull, right side, subsequent encounter for fracture with routine healing

    S02101G Fracture of base of skull, right side, subsequent encounter for fracture with delayed healing

    S02101K Fracture of base of skull, right side, subsequent encounter for fracture with nonunion

    S02101S Fracture of base of skull, right side, sequela

    S02102A Fracture of base of skull, left side, initial encounter for closed fracture

    S02102B Fracture of base of skull, left side, initial encounter for open fracture

    S02102D Fracture of base of skull, left side, subsequent encounter for fracture with routine healing

    S02102G Fracture of base of skull, left side, subsequent encounter for fracture with delayed healing

    S02102K Fracture of base of skull, left side, subsequent encounter for fracture with nonunion

    S02102S Fracture of base of skull, left side, sequela

    S02109A Fracture of base of skull, unspecified side, initial encounter for closed fracture

    S02109B Fracture of base of skull, unspecified side, initial encounter for open fracture

    S02109D Fracture of base of skull, unspecified side, subsequent encounter for fracture with routine healing

    S02109G Fracture of base of skull, unspecified side, subsequent encounter for fracture with delayed healing

    S02109K Fracture of base of skull, unspecified side, subsequent encounter for fracture with nonunion

    S02109S Fracture of base of skull, unspecified side, sequela

    S0211AA Type I occipital condyle fracture, right side, initial encounter for closed fracture

    S0211AB Type I occipital condyle fracture, right side, initial encounter for open fracture

    S0211AD Type I occipital condyle fracture, right side, subsequent encounter for fracture with routine healing

    S0211AG Type I occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing

    S0211AK Type I occipital condyle fracture, right side, subsequent encounter for fracture with nonunion

    S0211AS Type I occipital condyle fracture, right side, sequela

    S0211BA Type I occipital condyle fracture, left side, initial encounter for closed fracture

    S0211BB Type I occipital condyle fracture, left side, initial encounter for open fracture

    S0211BD Type I occipital condyle fracture, left side, subsequent encounter for fracture with routine healing

    S0211BG Type I occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing

    S0211BK Type I occipital condyle fracture, left side, subsequent encounter for fracture with nonunion

    S0211BS Type I occipital condyle fracture, left side, sequela

    S0211CA Type II occipital condyle fracture, right side, initial encounter for closed fracture

    S0211CB Type II occipital condyle fracture, right side, initial encounter for open fracture

    S0211CD Type II occipital condyle fracture, right side, subsequent encounter for fracture with routine healing

    S0211CG Type II occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing

    S0211CK Type II occipital condyle fracture, right side, subsequent encounter for fracture with nonunion

    S0211CS Type II occipital condyle fracture, right side, sequela

    S0211DA Type II occipital condyle fracture, left side, initial encounter for closed fracture

    S0211DB Type II occipital condyle fracture, left side, initial encounter for open fracture

    S0211DD Type II occipital condyle fracture, left side, subsequent encounter for fracture with routine healing

  • S0211DG Type II occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing

    S0211DK Type II occipital condyle fracture, left side, subsequent encounter for fracture with nonunion

    S0211DS Type II occipital condyle fracture, left side, sequela

    S0211EA Type III occipital condyle fracture, right side, initial encounter for closed fracture

    S0211EB Type III occipital condyle fracture, right side, initial encounter for open fracture

    S0211ED Type III occipital condyle fracture, right side, subsequent encounter for fracture with routine healing

    S0211EG Type III occipital condyle fracture, right side, subsequent encounter for fracture with delayed healing

    S0211EK Type III occipital condyle fracture, right side, subsequent encounter for fracture with nonunion

    S0211ES Type III occipital condyle fracture, right side, sequela

    S0211FA Type III occipital condyle fracture, left side, initial encounter for closed fracture

    S0211FB Type III occipital condyle fracture, left side, initial encounter for open fracture

    S0211FD Type III occipital condyle fracture, left side, subsequent encounter for fracture with routine healing

    S0211FG Type III occipital condyle fracture, left side, subsequent encounter for fracture with delayed healing

    S0211FK Type III occipital condyle fracture, left side, subsequent encounter for fracture with nonunion

    S0211FS Type III occipital condyle fracture, left side, sequela

    S0211GA Other fracture of occiput, right side, initial encounter for closed fracture

    S0211GB Other fracture of occiput, right side, initial encounter for open fracture

    S0211GD Other fracture of occiput, right side, subsequent encounter for fracture with routine healing

    S0211GG Other fracture of occiput, right side, subsequent encounter for fracture with delayed healing

    S0211GK Other fracture of occiput, right side, subsequent encounter for fracture with nonunion

    S0211GS Other fracture of occiput, right side, sequela

    S0211HA Other fracture of occiput, left side, initial encounter for closed fracture

    S0211HB Other fracture of occiput, left side, initial encounter for open fracture

    S0211HD Other fracture of occiput, left side, subsequent encounter for fracture with routine healing

    S0211HG Other fracture of occiput, left side, subsequent encounter for fracture with delayed healing

    S0211HK Other fracture of occiput, left side, subsequent encounter for fracture with nonunion

    S0211HS Other fracture of occiput, left side, sequela

    S0230XA Fracture of orbital floor, unspecified side, initial encounter for closed fracture

    S0230XB Fracture of orbital floor, unspecified side, initial encounter for open fracture

    S0230XD Fracture of orbital floor, unspecified side, subsequent encounter for fracture with routine healing

    S0230XG Fracture of orbital floor, unspecified side, subsequent encounter for fracture with delayed healing

    S0230XK Fracture of orbital floor, unspecified side, subsequent encounter for fracture with nonunion

    S0230XS Fracture of orbital floor, unspecified side, sequela

    S0231XA Fracture of orbital floor, right side, initial encounter for closed fracture

    S0231XB Fracture of orbital floor, right side, initial encounter for open fracture

    S0231XD Fracture of orbital floor, right side, subsequent encounter for fracture with routine healing

    S0231XG Fracture of orbital floor, right side, subsequent encounter for fracture with delayed healing

    S0231XK Fracture of orbital floor, right side, subsequent encounter for fracture with nonunion

    S0231XS Fracture of orbital floor, right side, sequela

    S0232XA Fracture of orbital floor, left side, initial encounter for closed fracture

    S0232XB Fracture of orbital floor, left side, initial encounter for open fracture

    S0232XD Fracture of orbital floor, left side, subsequent encounter for fracture with routine healing

    S0232XG Fracture of orbital floor, left side, subsequent encounter for fracture with delayed healing

    S0232XK Fracture of orbital floor, left side, subsequent encounter for fracture with nonunion

    S0232XS Fracture of orbital floor, left side, sequela

    S0240AA Malar fracture, right side, initial encounter for closed fracture

    S0240AB Malar fracture, right side, initial encounter for open fracture

  • S0240AD Malar fracture, right side, subsequent encounter for fracture with routine healing

    S0240AG Malar fracture, right side, subsequent encounter for fracture with delayed healing

    S0240AK Malar fracture, right side, subsequent encounter for fracture with nonunion

    S0240AS Malar fracture, right side, sequela

    S0240BA Malar fracture, left side, initial encounter for closed fracture

    S0240BB Malar fracture, left side, initial encounter for open fracture

    S0240BD Malar fracture, left side, subsequent encounter for fracture with routine healing

    S0240BG Malar fracture, left side, subsequent encounter for fracture with delayed healing

    S0240BK Malar fracture, left side, subsequent encounter for fracture with nonunion

    S0240BS Malar fracture, left side, sequela

    S0240CA Maxillary fracture, right side, initial encounter for closed fracture

    S0240CB Maxillary fracture, right side, initial encounter for open fracture

    S0240CD Maxillary fracture, right side, subsequent encounter for fracture with routine healing

    S0240CG Maxillary fracture, right side, subsequent encounter for fracture with delayed healing

    S0240CK Maxillary fracture, right side, subsequent encounter for fracture with nonunion

    S0240CS Maxillary fracture, right side, sequela

    S0240DA Maxillary fracture, left side, initial encounter for closed fracture

    S0240DB Maxillary fracture, left side, initial encounter for open fracture

    S0240DD Maxillary fracture, left side, subsequent encounter for fracture with routine healing

    S0240DG Maxillary fracture, left side, subsequent encounter for fracture with delayed healing

    S0240DK Maxillary fracture, left side, subsequent encounter for fracture with nonunion

    S0240DS Maxillary fracture, left side, sequela

    S0240EA Zygomatic fracture, right side, initial encounter for closed fracture

    S0240EB Zygomatic fracture, right side, initial encounter for open fracture

    S0240ED Zygomatic fracture, right side, subsequent encounter for fracture with routine healing

    S0240EG Zygomatic fracture, right side, subsequent encounter for fracture with delayed healing

    S0240EK Zygomatic fracture, right side, subsequent encounter for fracture with nonunion

    S0240ES Zygomatic fracture, right side, sequela

    S0240FA Zygomatic fracture, left side, initial encounter for closed fracture

    S0240FB Zygomatic fracture, left side, initial encounter for open fracture

    S0240FD Zygomatic fracture, left side, subsequent encounter for fracture with routine healing

    S0240FG Zygomatic fracture, left side, subsequent encounter for fracture with delayed healing

    S0240FK Zygomatic fracture, left side, subsequent encounter for fracture with nonunion

    S0240FS Zygomatic fracture, left side, sequela

    S02601A Fracture of unspecified part of body of right mandible, initial encounter for closed fracture

    S02601B Fracture of unspecified part of body of right mandible, initial encounter for open fracture

    S02601D Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with routine healing

    S02601G Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with delayed healing

    S02601K Fracture of unspecified part of body of right mandible, subsequent encounter for fracture with nonunion

    S02601S Fracture of unspecified part of body of right mandible, sequela

    S02602A Fracture of unspecified part of body of left mandible, initial encounter for closed fracture

    S02602B Fracture of unspecified part of body of left mandible, initial encounter for open fracture

    S02602D Fracture of unspecified part of body of left mandible, subsequent encounter for fracture with routine healing

    S02602G Fracture of unspecified part of body of left mandible, subsequent encounter for fracture with delayed healing

    S02602K Fracture of unspecified part of body of left mandible, subsequent encounter for fracture with nonunion

    S02602S Fracture of unspecified part of body of left mandible, sequela

    S02610A Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture

  • S02610B Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture

    S02610D Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with routine healing

    S02610G Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with delayed healing

    S02610K Fracture of condylar process of mandible, unspecified side, subsequent encounter for fracture with nonunion

    S02610S Fracture of condylar process of mandible, unspecified side, sequela

    S02611A Fracture of condylar process of right mandible, initial encounter for closed fracture

    S02611B Fracture of condylar process of right mandible, initial encounter for open fracture

    S02611D Fracture of condylar process of right mandible, subsequent encounter for fracture with routine healing

    S02611G Fracture of condylar process of right mandible, subsequent encounter for fracture with delayed healing

    S02611K Fracture of condylar process of right mandible, subsequent encounter for fracture with nonunion

    S02611S Fracture of condylar process of right mandible, sequela

    S02612A Fracture of condylar process of left mandible, initial encounter for closed fracture

    S02612B Fracture of condylar process of left mandible, initial encounter for open fracture

    S02612D Fracture of condylar process of left mandible, subsequent encounter for fracture with routine healing

    S02612G Fracture of condylar process of left mandible, subsequent encounter for fracture with delayed healing

    S02612K Fracture of condylar process of left mandible, subsequent encounter for fracture with nonunion

    S02612S Fracture of condylar process of left mandible, sequela

    S02620A Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture

    S02620B Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture

    S02620D Fracture of subcondylar process of mandible, unspecified side, subsequent encounter for fracture with routine healing

    S02620G Fracture of subcondylar process of mandible, unspecified side, subsequent encounter for fracture with delayed healing

    S02620K Fracture of subcondylar process of mandible, unspecified side, subsequent encounter for fracture with nonunion

    S02620S Fracture of subcondylar process of mandible, unspecified side, sequela

    S02621A Fracture of subcondylar process of right mandible, initial encounter for closed fracture

    S02621B Fracture of subcondylar process of right mandible, initial encounter for open fracture

    S02621D Fracture of subcondylar process of right mandible, subsequent encounter for fracture with routine healing

    S02621G Fracture of subcondylar process of right mandible, subsequent encounter for fracture with delayed healing

    S02621K Fracture of subcondylar process of right mandible, subsequent encounter for fracture with nonunion

    S02621S Fracture of subcondylar process of right mandible, sequela

    S02622A Fracture of subcondylar process of left mandible, initial encounter for closed fracture

    S02622B Fracture of subcondylar process of left mandible, initial encounter for open fracture

    S02622D Fracture of subcondylar process of left mandible, subsequent encounter for fracture with routine healing

    S02622G Fracture of subcondylar process of left mandible, subsequent encounter for fracture with delayed healing

    S02622K Fracture of subcondylar process of left mandible, subsequent encounter for fracture with nonunion

    S02622S Fracture of subcondylar process of left mandible, sequela

    S02630A Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture

    S02630B Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture

    S02630D Fracture of coronoid process of mandible, unspecified side, subseq


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