Appendix 2 – Measure Definitions
Choosing Wisely: Prevalence and Correlates of
Low-Value Health Care Services in the United States
Carrie H Colla, Nancy E Morden, Thomas D Sequist, William L Schpero, Meredith B Rosenthal
Table of Contents
Methods for Measuring Low-Value Diagnostic Services
Back Pain Imaging (pp. 2)
Benign Prostatic Hyperplasia Imaging (pp. 5)
Cardiac Screening (pp. 7)
Cervical Cancer Screening (pp. 73)
Dual-Energy X-ray Absorptiometry (DXA) Testing (pp. 75)
Preoperative Cardiac Testing (cataract surgery) (pp. 77)
Preoperative Cardiac Testing (non-cardiac surgery) (pp. 171)
Vitamin D Screening (pp. 175)
Methods for Measuring Low-Value Treatments
Antipsychotics in Dementia Patients (pp. 178)
Feeding Tubes in Dementia Patients (pp. 181)
Opioids for Migraines (pp. 184)
Abbreviations
BETOS: Berenson-Eggers Type of Service
CPT: Current Procedural Terminology
CCS: Clinical Classifications Software
HCC: Hierarchical Condition Categories
ICD-9: International Statistical Classification of Diseases, Ninth Edition
1
Don't do imaging for low back pain when no red flags are present
Choosing Wisely Guidelines
American Academy of
Family Physicians
American College of
Physicians
North American Spine
Society
Don’t do imaging for low back pain within the first six weeks,
unless red flags are present. Red flags include, but are not limited to,
severe or progressive neurological deficits or when serious
underlying conditions such as osteomyelitis are suspected. Imaging
of the lower spine before six weeks does not improve outcomes, but
does increase costs. Low back pain is the fifth most common reason
for all physician visits.
Don’t obtain imaging studies in patients with non-specific low back
pain. In patients with back pain that cannot be attributed to a specific
disease or spinal abnormality following a history and physical
examination (e.g., non-specific low back pain), imaging with plain
radiography, computed tomography (CT) scan, or magnetic
resonance imaging (MRI) does not improve patient outcomes.
Don’t recommend advanced imaging (e.g., MRI) of the spine within
the first six weeks in patients with non-specific acute low back pain
in the absence of red flags. In the absence of red flags, advanced
imaging within the first six weeks has not been found to improve
outcomes, but does increase costs. Red flags include, but are not
limited to: trauma history, unintentional weight loss,
immunosuppression, history of cancer, intravenous drug use, steroid
use, osteoporosis, age > 50, focal neurologic deficit and progression
of symptoms.
Methods
We calculated the percent of Medicare beneficiaries over age 65 with any low back pain who
received imaging within the first six weeks, with no red flags present, in each calendar year
2007-11. We then created a weighted average of imaging prevalence for the interval 2007-11.
We required full fee-for-service Medicare Parts A and B coverage in the 12 months before the
back pain diagnosis, as well as in the six weeks after. Red flags included a previous low back
pain diagnosis, a cancer (excluding non-melanoma skin cancer) diagnosis at any point during the
study period, or a diagnosis with an “E” code (external causes of injury), trauma, neurological
impairment, IV drug use, HIV, unspecified immune deficiencies, or intraspinal abscess within
the 12 months before the imaging event. For beneficiaries to be classified as having a red flag,
we required at least two physician claims and/or at least one acute hospital claim (we only
required one claim for the “E” code and trauma diagnoses). We also did not count imaging
events that included an “E” code or trauma diagnosis in any of the first four fields on a claim.
Procedure and diagnosis codes used for this measure were adapted, in part, from the National
Quality Forum-endorsed National Voluntary Consensus Standards for Physician-Focused
Ambulatory Care and the Centers for Medicare and Medicaid Services Hospital Outpatient
Quality Reporting Specifications Manual.
2
References
NQF-Endorsed National Voluntary Consensus Standards for Physician-Focused Ambulatory
Care. National Committee for Quality Assurance. 2008.
Hospital Outpatient Quality Reporting Specifications Manual. Centers for Medicare & Medicaid
Services. 2008.
ICD-9 Codes for Identifying Low Back Pain
Label
Lumbosacral spondylosis without myelopathy
Spondylosis of unspecified site without mention of myelopathy
Displacement of lumbar intervertebral disc without myelopathy
Schmorl's nodes lumbar region
Degeneration of lumbar or lumbosacral intervertebral disc
Degeneration of intervertebral disc, site unspecified
Other unspecified disc disorder of lumbar region
Lumbago
Sciatica
Unspecified backache
Disorders of sacrum
Unspecified disorder of coccyx
Hypermobility of coccyx
Other disorder of the coccyx
Other acquired deformity of back or spine
Non-allopathic lesion of lumbar region, not elsewhere classified
Non-allopathic lesion of sacral regions, not elsewhere classified
Sprain and strain of lumbosacral (joint) (ligament)
Sprain and strain of sacroiliac (ligament)
Sprain and strain of sacrospinatus (ligament)
Sprain and strain of sacrotuberous (ligament)
Other specified sites of sacroiliac region sprain and strain
Unspecified site of sacroiliac region sprain and strain
Lumbar sprain and strain
Code
721.3
721.90
722.10
722.32
722.52
722.6
722.93
724.2
724.3
724.5
724.6
724.70
724.71
724.79
738.5
739.3
739.4
846.0
846.1
846.2
846.3
846.8
846.9
847.2
ICD-9 and CCS Codes for Identifying Red Flags
Label
External causes of injury
Trauma
Cancer
IV drug abuse
Neurologic Impairment
Human Immunodeficiency Virus (HIV)
Code
Any ICD-9 “E” code
ICD-9 800, 839, 850-854, 860-869, 905-909, 926.11,
926.12, 929, 952, 958-959
CCS 11-22, 24-44
ICD-9 304.0, 304.1X, 304.2X, 304.4X, 305.4X,
305.5X, 305.6X, 305.7X
ICD-9 344.60, 729.2
ICD-9 042-044
3
Unspecified immune deficiencies
Intraspinal abscess
ICD-9 279.3
ICD-9 324.9, 324.1
CPT Codes for Identifying Imaging Events
Label
X-Ray exam spine AP&LAT
X-Ray exam of spine 1 view
X-Ray exam L-S spine 2/3 VWS
X-Ray exam lL2 spine 4/> VWS
X-Ray exam L-S spine bending
X-Ray bend only L-S spine
X-Ray exam SI joints
X-Ray exam SI joints 3/> VWS
X-Ray exam sacrum tailbone
MRI neck spine w/o dye
MRI neck spine w/dye
MRI chest spine w/o dye
MRI chest spine w/dye
MRI lumbar spine without contrast
MRI lumbar spine with contrast
MRI neck spine w/o & w/dye
MRI lumbar spine with and without contrast
CT lumbar spine w/o dye
CT lumbar spine w/dye
CT lumbar spine w/o & w/dye
Code
72010
72020
72100
72110
72114
72120
72200
72202
72220
72141
72142
72146
72147
72148
72149
72156
72158
72131
72132
72133
4
Don’t order upper-tract imaging for patients with benign prostatic hyperplasia (BPH)
Choosing Wisely Guidelines
American Urological
Association
Don’t order creatinine or upper-tract imaging for patients with
benign prostatic hyperplasia (BPH). When an initial evaluation
shows only the presence of lower urinary tract symptoms (LUTS), if
the symptoms are not significantly bothersome to the patient or if the
patient doesn’t desire treatment, no further evaluation is
recommended. Such patients are unlikely to experience significant
health problems in the future due to their condition and can be seen
again if necessary. [While the patient can often tell the provider if
the symptoms are bothersome enough that he desires additional
therapy, another possible option is to use a validated questionnaire to
assess symptoms. For example, if the patient completes the
International Prostate Symptom Scale (IPSS) and has a symptom
score of 8 or greater, this is considered to be “clinically”
bothersome.
Methods
We calculated the percent of male Medicare beneficiaries over age 65 with benign prostatic
hyperplasia (BPH) who received upper urinary tract imaging within 60 days of their BPH
diagnosis for each calendar year 2006-11. We then created a weighted average of imaging
prevalence for the interval 2006-11. We required enrollment in fee-for-service Medicare Parts A
and B within 60 days of the BPH diagnosis, which we identified using ICD-9 code 600.00. We
only counted imaging events that included a diagnosis of BPH without lower urinary tract
symptoms or other diagnoses that would not clinically indicate imaging in any of the first four
fields on the imaging claim. We excluded beneficiaries who received “red flag” diagnoses within
60 days of the index BPH diagnosis that could appropriately indicate imaging or who had a
diagnosis of cancer (except non-melanoma skin cancer) at any point during the calendar year.
We also excluded beneficiaries who had more than $200 in hospice spending within 60 days of
the index diagnosis. We required at least two physician claims and/or at least one acute hospital
claim for all diagnoses.
References
Strope SA, Elliott SP, Saigal CS, Smith A, Wilt TJ, Wei JT. Urologist Compliance With AUA
Best Practice Guidelines for Benign Prostatic Hyperplasia in Medicare Population. Urology.
2011;78(1):3-9. doi:http://dx.doi.org/10.1016/j.urology.2010.12.087
CPT Codes for Identifying Imaging Events
Label
Intravenous pyelogram
CT scan abdomen
MRI abdomen
Diagnostic ultrasound of abdomen
Code
74400, 74405, 7441074425
74150-74170
74181-74183
76700, 76705, 76770,
5
76775
ICD-9 Codes for Including Imaging Events
Label
Hypertrophy (benign) of prostate without urinary obstruction and
other lower urinary tract symptoms (LUTS)
Hypertrophy (benign) of prostate with urinary obstruction and other
lower urinary tract symptoms (LUTS)
Hyperplasia of prostate, unspecified, with urinary obstruction and
other lower urinary tract symptoms (LUTS)
Retention of urine, unspecified
Incomplete bladder emptying
Urinary incontinence, unspecified
Urge incontinence
Urinary frequency
Nocturia
Slowing of urinary stream
Code
600.00
600.01
600.91
788.20
788.21
788.30
788.31
788.41
788.43
788.62
ICD-9 and HCC Codes for Identifying Beneficiaries with “Red Flags”
Label
Chronic renal failure
Nephritis, nephrotic syndrome, and nephrosis
Other pyelonephritis or pyonephrosis not specified as acute or chronic
Calculus of kidney and ureter
Kidney stones
Urinary tract infections
Hematuria
Fever
Urinary retention
Abdominal pain
Cancer, except non-melanoma skin cancer
Code
ICD-9 403.01, 403.11,
403.91, 585.0-585.6,
585.9
ICD-9 580-589
ICD-9 590.80, 590.81
ICD-9 592
ICD-9 592.0
ICD-9 599.0
ICD-9 599.7x
ICD-9 780.6x
ICD-9 788.2x
ICD-9 789.0x
HCC 7-10
6
Don't order cardiac tests on low-risk, asymptomatic patients
Choosing Wisely Guidelines
American Academy of
Family Physicians
American College of
Cardiology
American College of
Cardiology
American College of
Cardiology
American College of
Physicians
American Society of
Echocardiography
Don’t order annual electrocardiograms (EKGs) or any other
cardiac screening for low-risk patients without symptoms. There is
little evidence that detection of coronary artery stenosis in
asymptomatic patients at low risk for coronary heart disease
improves health outcomes. False-positive tests are likely to lead to
harm through unnecessary invasive procedures, over-treatment
and misdiagnosis. Potential harms of this routine annual screening
exceed the potential benefit.
Don’t perform stress cardiac imaging or advanced non-invasive
imaging in the initial evaluation of patients without cardiac
symptoms unless high-risk markers are present. Asymptomatic,
low-risk patients account for up to 45 percent of unnecessary
“screening.” Testing should be performed only when the following
findings are present: diabetes in patients older than 40-years-old;
peripheral arterial disease; or greater than 2 percent yearly risk for
coronary heart disease events.
Don’t perform annual stress cardiac imaging or advanced noninvasive imaging as part of routine follow-up in asymptomatic
patients. Performing stress cardiac imaging or advanced noninvasive imaging in patients without symptoms on a serial or
scheduled pattern (e.g., every one to two years or at a heart
procedure anniversary) rarely results in any meaningful change in
patient management. This practice may, in fact, lead to
unnecessary invasive procedures and excess radiation exposure
without any proven impact on patients’ outcomes. An exception to
this rule would be for patients more than five years after a bypass
operation.
Don’t perform echocardiography as routine follow-up for mild,
asymptomatic native valve disease in adult patients with no
change in signs or symptoms. Patients with native valve disease
usually have years without symptoms before the onset of
deterioration. An echocardiogram is not recommended yearly
unless there is a change in clinical status.
Don’t obtain screening exercise electrocardiogram testing in
individuals who are asymptomatic and at low risk for coronary
heart disease. In asymptomatic individuals at low risk for coronary
heart disease (10-year risk <10%) screening for coronary heart
disease with exercise electrocardiography does not improve
patient outcomes.
Avoid using stress echocardiograms on asymptomatic patients
who meet “low risk” scoring criteria for coronary disease. Stress
echocardiography is mostly used in symptomatic patients to assist
in the diagnosis of obstructive coronary artery disease. There is
very little information on using stress echocardiography in
7
American Society of
Nuclear Cardiology
American Society of
Nuclear Cardiology
American Society of
Nuclear Cardiology
Society of
Cardiovascular
Computed Tomography
asymptomatic individuals for the purposes of cardiovascular risk
assessment, as a stand-alone test or in addition to conventional risk
factors.
Don’t perform stress cardiac imaging or coronary angiography in
patients without cardiac symptoms unless high-risk markers are
present. Asymptomatic, low-risk patients account for up to 45
percent of inappropriate stress testing. Testing should be
performed only when the following findings are present: diabetes
in patients older than 40 years old, peripheral arterial disease, and
greater than 2 percent yearly coronary heart disease event rate.
Don’t perform cardiac imaging for patients who are at low risk.
Chest pain patients at low risk of cardiac death and myocardial
infarction (based on history, physical exam, electrocardiograms
and cardiac biomarkers) do not merit stress radionuclide
myocardial perfusion imaging or stress echocardiography as an
initial testing strategy if they have a normal electrocardiogram
(without baseline ST-abnormalities, left ventricular hypertrophy,
pre-excitation, bundle branch block, intra-ventricular conduction
delay, paced rhythm or on digoxin therapy) and are able to
exercise.
Don’t perform radionuclide imaging as part of routine follow-up
in asymptomatic patients. Performing stress radionuclide imaging
in patients without symptoms on a serial or scheduled pattern (e.g.,
every one to two years or at a heart procedure anniversary) rarely
results in any meaningful change in patient management. This
practice may lead to unnecessary invasive procedures and excess
radiation exposure without any proven impact on patients’
outcomes. An exception to this rule would be for patients more
than five years after a bypass operation.
Don’t order coronary artery calcium scoring for screening
purposes on low risk asymptomatic individuals except for those
with a family history of premature coronary artery disease. Net
reclassification of risk by coronary artery calcium scoring, when
added to clinical risk scoring, is least effective in low risk
individuals.
Methods
We calculated the percent of Medicare beneficiaries ages 66-80 with low cardiovascular risk
who received a non-indicated electrocardiogram, cardiovascular stress test (including stress
imaging), echocardiogram, or advanced cardiac imaging (CT, MRI, PET) in each calendar year
2006-11. We then created a weighted average of imaging prevalence for the interval 2006-11.
We required enrollment in fee-for-service Medicare Parts A, B, and D for at least 11 months
during the calendar year. We used HCC ICD-9 code lists to exclude beneficiaries at high risk for
cardiac disease, requiring at least two physician claims or one acute hospital claim. We also
assigned high-risk status using Part D prescription fill records and hospice billing: those patients
with more than $200 in annual hospice billing were excluded from the low-risk cohort. We did
not count testing events if diagnosis codes in any of the first four fields on a claim involved
8
cardiac disease, cardiac-related symptoms, or any conditions that might justify the test (e.g.,
respiratory conditions, cancer).
References
Physician Quality Reporting System (PQRS) Measure Specifications Manual for Claims and
Registry Reporting of Individual Measures. Centers for Medicare and Medicaid Services. 2014.
HCC Codes For Identifying High-Risk Patients
Label
HIV / AIDS
Cancer
Diabetes
Drug / Alcohol Dependence
Cardio-Respiratory Failure and Shock
Congestive Heart Failure
Acute Myocardial Infarction
Unstable Angina and Other Acute Ischemic Heart Disease
Angina Pectoris / Old Myocardial Infarction
Specified Heart Arrhythmias
Ischemic or Unspecified Stroke
Hemiplegia / Hemiparesis
Vascular Disease with Complications
Vascular Disease
Chronic Obstructive Pulmonary Disease
Renal Failure
Code
1
7-10
15-19
52
79
80
81
82
83
92
96
100
104
105
108
113
Drug Codes For Identifying High-Risk Patients
Label
Anticoagulants
Platelet Aggregation Inhibitors
Anti-Anginal Agents
Diabetic Agents
Peripheral Vasodilators
Code
D00519 D04136 D04698 D04744 D07137 D03812 D04114
D04865 D03889 D03041 D04786 D00252 D07385 D04291
D07356 D04659 D00022
D03811 D04382 D04258 D00213 D04316 D07409 D07721
D00514 D04315
D00666 D00268 D00269 D00321 D05719
D00393 D00394 D03846 D00162 D00042 D05529 D03864
D00246 D00248 D07767 D07466 D03807 D04110 D04743
D04442 D05488 D04267 D04434 D07467 D05896 D04122
D07963 D04697 D05436 D04538 D05278 D05765 D04370
D04373 D04369 D04371 D04372
D00213 D00902 D00693
CPT Codes for Identifying Cardiac Tests
Label
Advanced Imaging
Code
0144T 0145T 0146T 0147T 0148T 0149T 0150T 75552 75553
9
(CT, MRI, PET)
Cardiovascular Stress Test
Echocardiogram
Electrocardiogram
75554 75555 75556 75557 75558 75559 75561 75562 75565 75571
75572 75573 75574 78451 78452 78453 78454 78460 78461 78464
78465 78478 78480 78459 78481 78483 78491 78492 78494 78496
78499
75560 75563 75564 93015 93016 93017 93018 93024 93350 93351
93352
93303 93304 93306 93307 93308 93320 93321 93325
3120F 93000 93005 93010 G0366 G0367 G0368 G0403 G0404
G0405
ICD-9 Codes for Excluding Advanced Imaging (CT, MRI, PET)
Advanced imaging tests were excluded from the analysis if the associated primary, secondary,
tertiary, or quaternary diagnosis involved: (i) cardiac conditions; (ii) respiratory conditions,
except acute respiratory infections (e.g. pneumonia); (iii) acute central nervous system
conditions, except headaches; (iv) all thoracic and non-thoracic arterial conditions, but not
peripheral venous conditions such as deep venous thrombosis; (v) malignant hypertension; (vi)
end stage renal disease and acute renal disease; (vii) abdominal pain; (viii) cancer; (ix) drug
toxicity or poisoning; or (x) exertional stress and fatigue.
Label
Unspecified septicemia
Sarcoidosis
Malignant neoplasm of upper lobe, bronchus, or lung
Malignant neoplasm of bronchus and lung, unspecified site
Malignant neoplasm of breast (female), unspecified site
Malignant neoplasm of prostate
Fluid overload
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other and unspecified mitral valve diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
Other and unspecified rheumatic aortic diseases
Mitral valve stenosis and aortic valve stenosis
Mitral valve stenosis and aortic valve insufficiency
Mitral valve insufficiency and aortic valve stenosis
Mitral valve insufficiency and aortic valve insufficiency
Multiple involvement of mitral and aortic valves
Unspecified mitral and aortic valve diseases
Diseases of tricuspid valve
Rheumatic heart failure (congestive)
Essential hypertension, malignant
Malignant hypertensive heart disease without heart failure
Code
0389
135
1623
1629
1749
185
2766
3940
3941
3942
3949
3950
3951
3952
3959
3960
3961
3962
3963
3968
3969
3970
39891
4010
40200
10
Malignant hypertensive heart disease with heart failure
Benign hypertensive heart disease without heart failure
Benign hypertensive heart disease with heart failure
Unspecified hypertensive heart disease without heart failure
Hypertensive heart disease, unspecified, with heart failure
Hypertensive heart and chronic kidney disease, malignant, without heart
failure and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, with heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, without heart
failure and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, with heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, without heart
failure and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, with heart failure
and with chronic kidney disease stage V
Acute myocardial infarction of anterolateral wall, episode of care unspecified
Acute myocardial infarction of anterolateral wall, initial episode of care
Acute myocardial infarction of anterolateral wall, subsequent episode of care
Acute myocardial infarction of other anterior wall, episode of care
unspecified
Acute myocardial infarction of other anterior wall, initial episode of care
Acute myocardial infarction of other anterior wall, subsequent episode of
care
Acute myocardial infarction of inferolateral wall, episode of care unspecified
Acute myocardial infarction of inferolateral wall, initial episode of care
Acute myocardial infarction of inferolateral wall, subsequent episode of care
Acute myocardial infarction of inferoposterior wall, episode of care
unspecified
Acute myocardial infarction of inferoposterior wall, initial episode of care
Acute myocardial infarction of inferoposterior wall, subsequent episode of
care
Acute myocardial infarction of other inferior wall, episode of care
unspecified
Acute myocardial infarction of other inferior wall, initial episode of care
Acute myocardial infarction of other inferior wall, subsequent episode of care
Acute myocardial infarction of other lateral wall, episode of care unspecified
Acute myocardial infarction of other lateral wall, initial episode of care
Acute myocardial infarction of other lateral wall, subsequent episode of care
40201
40210
40211
40290
40291
40400
40401
40410
40412
40413
40490
40491
40492
40493
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
41040
41041
41042
41050
41051
41052
11
Acute myocardial infarction, subendocardial infarction, episode of care
unspecified
Acute myocardial infarction, subendocardial infarction, initial episode of care
Acute myocardial infarction, subendocardial infarction, subsequent episode
of care
Acute myocardial infarction of other specified sites, episode of care
unspecified
Acute myocardial infarction of other specified sites, initial episode of care
Acute myocardial infarction of other specified sites, subsequent episode of
care
Acute myocardial infarction, unspecified site, episode of care unspecified
Acute myocardial infarction, unspecified site, initial episode of care
Acute myocardial infarction, unspecified site, subsequent episode of care
Postmyocardial infarction syndrome
Intermediate coronary syndrome
Acute coronary occlusion without myocardial infarction
Other acute and subacute form of ischemic heart disease
Old myocardial infarction
Angina decubitus
Prinzmetal angina
Other and unspecified angina pectoris
Coronary atherosclerosis of unspecified type of vessel, native or graft
Coronary atherosclerosis of native coronary artery
Coronary atherosclerosis of autologous vein bypass graft
Coronary atherosclerosis of nonautologous biological bypass graft
Coronary atherosclerosis of artery bypass graft
Coronary atherosclerosis of unspecified type of bypass graft
Coronary atherosclerosis, of native coronary artery of transplanted heart
Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
Aneurysm of heart
Aneurysm of coronary vessels
Other aneurysm of heart
Chronic total occlusion of coronary artery
Coronary atherosclerosis due to lipid rich plaque
Other specified forms of chronic ischemic heart disease
Unspecified chronic ischemic heart disease
Iatrogenic pulmonary embolism and infarction
Other pulmonary embolism and infarction
Primary pulmonary hypertension
Other chronic pulmonary heart diseases
Unspecified chronic pulmonary heart disease
Unspecified acute pericarditis
Acute idiopathic pericarditis
Acute and subacute bacterial endocarditis
41070
41071
41072
41080
41081
41082
41090
41091
41092
4110
4111
41181
41189
412
4130
4131
4139
41400
41401
41402
41403
41404
41405
41406
41407
41410
41411
41419
4142
4143
4148
4149
41511
41519
4160
4168
4169
42090
42091
4210
12
Other specified diseases of pericardium
Unspecified disease of pericardium
Mitral valve disorders
Aortic valve disorders
Tricuspid valve disorders, specified as nonrheumatic
Pulmonary valve disorders
Endocarditis, valve unspecified, unspecified cause
Endomyocardial fibrosis
Hypertrophic obstructive cardiomyopathy
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Cardiomyopathy in other diseases classified elsewhere
Unspecified secondary cardiomyopathy
Atrioventricular block, complete
Unspecified atrioventricular block
First degree atrioventricular block
Mobitz (type) II atrioventricular block
Other second degree atrioventricular block
Left bundle branch hemiblock
Other left bundle branch block
Right bundle branch block
Unspecified bundle branch block
Right bundle branch block and left posterior fascicular block
Right bundle branch block and left anterior fascicular block
Other bilateral bundle branch block
Other heart block
Anomalous atrioventricular excitation
Long QT syndrome
Other specified conduction disorder
Unspecified conduction disorder
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Unspecified paroxysmal tachycardia
Atrial fibrillation
Atrial flutter
Ventricular fibrillation
Ventricular flutter
Cardiac arrest
Unspecified premature beats
Supraventricular premature beats
Other premature beats
Sinoatrial node dysfunction
Other specified cardiac dysrhythmias
Unspecified cardiac dysrhythmia
4238
4239
4240
4241
4242
4243
42490
4250
4251
4254
4255
4258
4259
4260
42610
42611
42612
42613
4262
4263
4264
42650
42651
42652
42653
4266
4267
42682
42689
4269
4270
4271
4272
42731
42732
42741
42742
4275
42760
42761
42769
42781
42789
4279
13
Congestive heart failure, unspecified
Left heart failure
Unspecified systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Acute on chronic systolic heart failure
Unspecified diastolic heart failure
Acute diastolic heart failure
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Acute combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Acute on chronic combined systolic and diastolic heart failure
Unspecified heart failure
Unspecified myocarditis
Myocardial degeneration
Unspecified cardiovascular disease
Cardiomegaly
Functional disturbances following cardiac surgery
Acquired cardiac septal defect
Other disorders of papillary muscle
Hyperkinetic heart disease
Other ill-defined heart disease
Unspecified heart disease
Occlusion and stenosis of carotid artery without mention of cerebral
infarction
Occlusion and stenosis of carotid artery with cerebral infarction
Occlusion and stenosis of multiple and bilateral precerebral arteries without
mention of c
Cerebral embolism with cerebral infarction
Unspecified cerebral artery occlusion without mention of cerebral infarction
Unspecified cerebral artery occlusion with cerebral infarction
Other specified transient cerebral ischemias
Unspecified transient cerebral ischemia
Acute, but ill-defined, cerebrovascular disease
Cerebral atherosclerosis
Atherosclerosis of aorta
Atherosclerosis of renal artery
Atherosclerosis of native arteries of the extremities, unspecified
Atherosclerosis of native arteries of the extremities with intermittent
claudication
Atherosclerosis of native arteries of the extremities with rest pain
Atherosclerosis of native arteries of the extremities with ulceration
4280
4281
42820
42821
42822
42823
42830
42831
42832
42833
42840
42841
42842
42843
4289
4290
4291
4292
4293
4294
42971
42981
42982
42989
4299
43310
43311
43330
43411
43490
43491
4358
4359
436
4370
4400
4401
44020
44021
44022
44023
14
Atherosclerosis of native arteries of the extremities with gangrene
Atherosclerosis of other specified arteries
Generalized and unspecified atherosclerosis
Dissecting aortic aneurysm (any part), unspecified site
Dissecting aortic aneurysm (any part), thoracic
Dissecting aortic aneurysm (any part), abdominal
Thoracic aneurysm without mention of rupture
Abdominal aneurysm without mention of rupture
Thoracoabdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site without mention of rupture
Other peripheral vascular disease
Embolism and thrombosis of arteries of lower extremity
Stricture of artery
Other specified disorders of arteries and arterioles
Unspecified disorders of arteries and arterioles
Orthostatic hypotension
Other iatrogenic hypotension
Unspecified hypotension
Obstructive chronic bronchitis, without exacerbation
Obstructive chronic bronchitis, with (acute) exacerbation
Other emphysema
Chronic obstructive asthma, unspecified
Chronic obstructive asthma, with (acute) exacerbation
Asthma, unspecified, unspecified status
Asthma, unspecified, with (acute) exacerbation
Chronic airway obstruction, not elsewhere classified
Pleurisy without mention of effusion or current tuberculosis
Unspecified pleural effusion
Pulmonary congestion and hypostasis
Postinflammatory pulmonary fibrosis
Unspecified acute edema of lung
Acute respiratory failure
Other pulmonary insufficiency, not elsewhere classified
Acute and chronic respiratory failure
Other diseases of lung, not elsewhere classified
Unspecified disease of the jaws
Acute cholecystitis
Acute pancreatitis
Unspecified acute renal failure
End stage renal disease
Difficulty in walking
Lumbago
Unspecified backache
Muscle weakness (generalized)
44024
4408
4409
44100
44101
44102
4412
4414
4417
4419
44389
44422
4471
4478
4479
4580
45829
4589
49120
49121
4928
49320
49322
49390
49392
496
5110
5119
514
515
5184
51881
51882
51884
51889
5269
5750
5770
5849
5856
7197
7242
7245
72887
15
Unspecified myalgia and myositis
Swelling of limb
Tietze's disease
Tetralogy of Fallot
Ventricular septal defect
Ostium secundum type atrial septal defect
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Congenital mitral insufficiency
Congenital coronary artery anomaly
Other specified congenital anomaly of heart
Unspecified congenital anomaly of heart
Congenital atresia and stenosis of aorta
Transient alteration of awareness
Other alteration of consciousness
Syncope and collapse
Altered mental status
Edema
Jaw pain
Unspecified tachycardia
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Unspecified shock
Cardiogenic shock
Other shock without mention of trauma
Other symptoms involving cardiovascular system
Unspecified respiratory abnormality
Orthopnea
Shortness of breath
Tachypnea
Wheezing
Other dyspnea and respiratory abnormalities
Chest pain, unspecified
Precordial pain
Painful respiration
Chest pain, other
Other symptoms involving respiratory system and chest
Abdominal pain, unspecified site
Abdominal pain, right upper quadrant
Abdominal pain, epigastric
Abdominal pain, generalized
Abdominal pain, other specified site
Other nonspecific abnormal serum enzyme levels
7291
72981
7336
7452
7454
7455
7463
7464
7466
74685
74689
7469
74722
78002
78009
7802
78097
7823
78492
7850
7851
7852
7853
78550
78551
78559
7859
78600
78602
78605
78606
78607
78609
78650
78651
78652
78659
7869
78900
78901
78906
78907
78909
7905
16
Nonspecific abnormal findings on radiological and other examination of lung
field
Nonspecific abnormal results of pulmonary system function study
Nonspecific abnormal unspecified cardiovascular function study
Nonspecific abnormal electrocardiogram (ECG) (EKG)
Other nonspecific abnormal cardiovascular system function study
Hypoxemia
Mechanical complication due to cardiac pacemaker (electrode)
Mechanical complication due to coronary bypass graft
Other complications due to other cardiac device, implant, and graft
Complications of transplanted heart
Cardiac complications
Unspecified circulatory disease
Personal history of other diseases of circulatory system
Personal history of surgery to heart and great vessels, presenting hazards to
health
Kidney replaced by transplant
Heart replaced by transplant
Heart valve replaced by transplant
Heart valve replaced by other means
Cardiac pacemaker in situ
Automatic implantable cardiac defibrillator in situ
Postprocedural aortocoronary bypass status
Postprocedural percutaneous transluminal coronary angioplasty status
Other cardiorespiratory problems
Awaiting organ transplant status
Fitting and adjustment of cardiac pacemaker
Encounter for antineoplastic chemotherapy
Aftercare following organ transplant
Encounter for long-term (current) use of other medications
Encounter for therapeutic drug monitoring
Follow-up examination following completed treatment with high-risk
medications, not elsewhere classified
Observation for suspected cardiovascular disease
7931
7942
79430
79431
79439
79902
99601
99603
99672
99683
9971
V1250
V1259
V151
V420
V421
V422
V433
V4501
V4502
V4581
V4582
V472
V4983
V5331
V5811
V5844
V5869
V5883
V6751
V717
ICD-9 Codes for Excluding Cardiovascular Stress Tests
See advanced imaging criteria.
ICD-9 Codes for Excluding Echocardiograms
Echocardiograms were excluded from the analysis if the associated primary, secondary, tertiary,
or quaternary diagnosis involved: (i) proximal fractures; (ii) pulmonary and chest conditions,
including anything potentially resulting in chest pain (e.g., chest wall contusion); (iii) esophageal
conditions (e.g., esophagitis and esophageal spasm), except those that are painless, mild, and
17
chronic (e.g., esophageal stricture, Barrett’s esophagus, and reflux); (iv) cardiac conditions,
including shortness of breath, edema, congestive heart failure and anatomic anomalies; (v) end
stage renal disease and dialysis, along with all electrolyte abnormalities; (vi) infections,
including sepsis, but not urinary tract infections or pneumonia; (vii) anemia and bleeding
conditions, except microscopic hematuria; (viii) abdominal conditions (including abdominal
pain), but not benign tumor of the colon; (ix) psychiatric conditions; (x) acute central nervous
system conditions (e.g., cerebrovascular accident, delirium) and seizure or epilepsy conditions,
but not chronic conditions (e.g., dementia), head ache, or migraine; (xi) drug toxicity and
poisoning; (xii) transplants; (xiii) malignant hypertension; (xiv) cancers; (xv) conditions
involving arterial and pulmonary emboli, but not peripheral deep vein thrombosis; (xvi) falls;
(xvii) autoimmune conditions; or (xviii) pain in the anterior and posterior thorax and shoulder
areas (eg. back pain), but not specific shoulder conditions such as “capsular adhesion of shoulder”
and “osteoarthrosis of shoulder.”
Label
Streptococcal septicemia
Unspecified staphylococcal septicemia
Methicillin susceptible Staphylococcus aureus septicemia
Methicillin resistant Staphylococcus aureus septicemia
Other staphylococcal septicemia
Pneumococcal septicemia
Septicemia due to anaerobes
Septicemia due to unspecified gram-negative organism
Septicemia due to Escherichia coli (E. coli)
Septicemia due to pseudomonas
Other septicemia due to gram-negative organism
Other specified septicemia
Unspecified septicemia
Methicillin susceptible Staphylococcus aureus
Methicillin resistant Staphylococcus aureus
Human immunodeficiency virus [HIV]
Candidal endocarditis
Other and unspecified mycoses
Sarcoidosis
Unspecified infectious and parasitic diseases
Malignant neoplasm of esophagus, unspecified site
Malignant neoplasm of cardia
Malignant neoplasm of stomach, unspecified site
Malignant neoplasm of hepatic flexure
Malignant neoplasm of transverse colon
Malignant neoplasm of descending colon
Malignant neoplasm of sigmoid colon
Malignant neoplasm of cecum
Malignant neoplasm of ascending colon
Malignant neoplasm of colon, unspecified site
Code
0380
03810
03811
03812
03819
0382
0383
03840
03842
03843
03849
0388
0389
04111
04112
042
11281
1179
135
1369
1509
1510
1519
1530
1531
1532
1533
1534
1536
1539
18
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm of liver, primary
Malignant neoplasm of head of pancreas
Malignant neoplasm of pancreas, part unspecified
Malignant neoplasm of main bronchus
Malignant neoplasm of upper lobe, bronchus, or lung
Malignant neoplasm of middle lobe, bronchus, or lung
Malignant neoplasm of lower lobe, bronchus, or lung
Malignant neoplasm of other parts of bronchus or lung
Malignant neoplasm of bronchus and lung, unspecified site
Malignant neoplasm of heart
Malignant neoplasm of central portion of female breast
Malignant neoplasm of upper-outer quadrant of female breast
Malignant neoplasm of other specified sites of female breast
Malignant neoplasm of breast (female), unspecified site
Malignant neoplasm of corpus uteri, except isthmus
Malignant neoplasm of ovary
Malignant neoplasm of prostate
Malignant neoplasm of other specified sites of bladder
Malignant neoplasm of bladder, part unspecified
Malignant neoplasm of kidney, except pelvis
Secondary malignant neoplasm of lung
Secondary malignant neoplasm of pleura
Secondary malignant neoplasm of retroperitoneum and peritoneum
Secondary malignant neoplasm of liver
Secondary malignant neoplasm of brain and spinal cord
Secondary malignant neoplasm of bone and bone marrow
Secondary malignant neoplasm of other specified sites
Other malignant neoplasm of unspecified site
Hodgkin's disease, unspecified type, unspecified site, extranodal and solid
organ sites
Nodular lymphoma, unspecified site, extranodal and solid organ sites
Other malignant lymphomas, unspecified site, extranodal and solid organ sites
Other malignant lymphomas of lymph nodes of head, face, and neck
Other malignant lymphomas of intra-abdominal lymph nodes
Other malignant lymphomas of lymph nodes of multiple sites
Multiple myeloma, without mention of having achieved remission
Acute lymphoid leukemia, without mention of having achieved remission
Chronic lymphoid leukemia, without mention of having achieved remission
Acute myeloid leukemia, without mention of having achieved remission
Chronic myeloid leukemia, without mention of having achieved remission
Unspecified leukemia, without mention of having achieved remission
1540
1541
1550
1570
1579
1622
1623
1624
1625
1628
1629
1641
1741
1744
1748
1749
1820
1830
185
1888
1889
1890
1970
1972
1976
1977
1983
1985
19889
1991
20190
20200
20280
20281
20283
20288
20300
20400
20410
20500
20510
20890
19
Benign neoplasm of heart
Carcinoma in situ of bronchus and lung
Carcinoma in situ of breast
Myelodysplastic syndrome, unspecified
Neoplasm of uncertain behavior of other specified sites
Neoplasm of uncertain behavior, site unspecified
Neoplasm of unspecified nature of digestive system
Neoplasm of unspecified nature of respiratory system
Neoplasm of unspecified nature of breast
Neoplasm of unspecified nature of brain
Neoplasm of unspecified nature of other specified sites
Neoplasms Of Unspecified Nature, Other Specified Sites
Neoplasm of unspecified nature, site unspecified
Carcinoid syndrome
Volume depletion, unspecified
Fluid overload
Fluid Overload NEC (Other Fluid Overload)
Amyloidosis
Amyloidosis, unspecified
Other amyloidosis
Autoimmune disease, not elsewhere classified
Sickle-cell disease, unspecified
Hb-SS disease with crisis
Drug-induced delirium
Delirium due to conditions classified elsewhere
Carotid sinus syndrome
Encephalopathy, unspecified
Metabolic encephalopathy
Other encephalopathy
Toxic encephalopathy
Myasthenia gravis with (acute) exacerbation
Hereditary progressive muscular dystrophy
Unspecified retinal vascular occlusion
Central artery occlusion of retina
Arterial branch occlusion of retina
Partial arterial occlusion of retina
Transient arterial occlusion of retina
Sudden visual loss
Rheumatic fever without mention of heart involvement
Acute rheumatic pericarditis
Acute rheumatic endocarditis
Other acute rheumatic heart disease
Unspecified acute rheumatic heart disease
2127
2312
2330
23875
2388
2389
2390
2391
2393
2396
2398
23989
2399
2592
27650
2766
27669
2773
27730
27739
2794
28260
28262
29281
2930
33701
34830
34831
34839
34982
35801
3591
36230
36231
36232
36233
36234
36811
390
3910
3911
3918
3919
20
Chronic rheumatic pericarditis
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other and unspecified mitral valve diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
Other and unspecified rheumatic aortic diseases
Mitral valve stenosis and aortic valve stenosis
Mitral valve stenosis and aortic valve insufficiency
Mitral valve insufficiency and aortic valve stenosis
Mitral valve insufficiency and aortic valve insufficiency
Multiple involvement of mitral and aortic valves
Unspecified mitral and aortic valve diseases
Diseases of tricuspid valve
Rheumatic diseases of pulmonary valve
Rheumatic diseases of endocardium, valve unspecified
Rheumatic myocarditis
Unspecified rheumatic heart disease
Rheumatic heart failure (congestive)
Other and unspecified rheumatic heart diseases
Malignant hypertensive heart disease without heart failure
Malignant hypertensive heart disease with heart failure
Benign hypertensive heart disease without heart failure
Benign hypertensive heart disease with heart failure
Hypertensive heart disease, unspecified, with heart failure
Hypertensive chronic kidney disease, benign, with chronic kidney disease stage
I-IV
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, with heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, malignant, with heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage V
393
3940
3941
3942
3949
3950
3951
3952
3959
3960
3961
3962
3963
3968
3969
3970
3971
3979
3980
39890
39891
39899
40200
40201
40210
40211
40291
40310
40400
40401
40402
40403
40410
40411
40412
40413
21
Hypertensive heart and chronic kidney disease, unspecified, without heart
failure and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, with heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, without heart
failure and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, with heart failure
and with chronic kidney disease stage V
Secondary renovascular hypertension, malignant
Secondary renovascular hypertension, benign
Acute myocardial infarction of anterolateral wall, episode of care unspecified
Acute myocardial infarction of anterolateral wall, initial episode of care
Acute myocardial infarction of anterolateral wall, subsequent episode of care
Acute myocardial infarction of other anterior wall, episode of care unspecified
Acute myocardial infarction of other anterior wall, initial episode of care
Acute myocardial infarction of other anterior wall, subsequent episode of care
Acute myocardial infarction of inferolateral wall, episode of care unspecified
Acute myocardial infarction of inferolateral wall, initial episode of care
Acute myocardial infarction of inferolateral wall, subsequent episode of care
Acute myocardial infarction of inferoposterior wall, episode of care unspecified
Acute myocardial infarction of inferoposterior wall, initial episode of care
Acute myocardial infarction of inferoposterior wall, subsequent episode of care
Acute myocardial infarction of other inferior wall, episode of care unspecified
Acute myocardial infarction of other inferior wall, initial episode of care
Acute myocardial infarction of other inferior wall, subsequent episode of care
Acute myocardial infarction of other lateral wall, episode of care unspecified
Acute myocardial infarction of other lateral wall, initial episode of care
Acute myocardial infarction of other lateral wall, subsequent episode of care
Acute myocardial infarction, true posterior wall infarction, episode of care
unspecified
Acute myocardial infarction, true posterior wall infarction, initial episode of
care
Acute myocardial infarction, true posterior wall infarction, subsequent episode
of care
Acute myocardial infarction, subendocardial infarction, episode of care
unspecified
Acute myocardial infarction, subendocardial infarction, initial episode of care
Acute myocardial infarction, subendocardial infarction, subsequent episode of
care
Acute myocardial infarction of other specified sites, episode of care unspecified
Acute myocardial infarction of other specified sites, initial episode of care
Acute myocardial infarction of other specified sites, subsequent episode of care
Acute myocardial infarction, unspecified site, episode of care unspecified
Acute myocardial infarction, unspecified site, initial episode of care
Acute myocardial infarction, unspecified site, subsequent episode of care
40490
40491
40492
40493
40501
40511
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
41040
41041
41042
41050
41051
41052
41060
41061
41062
41070
41071
41072
41080
41081
41082
41090
41091
41092
22
Postmyocardial infarction syndrome
Intermediate coronary syndrome
Acute coronary occlusion without myocardial infarction
Other acute and subacute form of ischemic heart disease
Old myocardial infarction
Angina decubitus
Prinzmetal angina
Other and unspecified angina pectoris
Coronary atherosclerosis of unspecified type of vessel, native or graft
Coronary atherosclerosis of native coronary artery
Coronary atherosclerosis of autologous vein bypass graft
Coronary atherosclerosis of nonautologous biological bypass graft
Coronary atherosclerosis of artery bypass graft
Coronary atherosclerosis of unspecified type of bypass graft
Coronary atherosclerosis, of native coronary artery of transplanted heart
Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
Aneurysm of heart
Aneurysm of coronary vessels
Dissection of coronary artery
Other aneurysm of heart
Chronic total occlusion of coronary artery
Coronary atherosclerosis due to lipid rich plaque
Other specified forms of chronic ischemic heart disease
Unspecified chronic ischemic heart disease
Acute cor pulmonale
Iatrogenic pulmonary embolism and infarction
Septic pulmonary embolism
Other pulmonary embolism and infarction
Primary pulmonary hypertension
Kyphoscoliotic heart disease
Chronic pulmonary embolism
Other chronic pulmonary heart diseases
Unspecified chronic pulmonary heart disease
Arteriovenous fistula of pulmonary vessels
Aneurysm of pulmonary artery
Other specified disease of pulmonary circulation
Unspecified disease of pulmonary circulation
Acute pericarditis in diseases classified elsewhere
Unspecified acute pericarditis
Acute idiopathic pericarditis
Other acute pericarditis
Acute and subacute bacterial endocarditis
Acute and subacute infective endocarditis in diseases classified elsewhere
4110
4111
41181
41189
412
4130
4131
4139
41400
41401
41402
41403
41404
41405
41406
41407
41410
41411
41412
41419
4142
4143
4148
4149
4150
41511
41512
41519
4160
4161
4162
4168
4169
4170
4171
4178
4179
4200
42090
42091
42099
4210
4211
23
Unspecified acute endocarditis
Acute myocarditis in diseases classified elsewhere
Unspecified acute myocarditis
Idiopathic myocarditis
Septic myocarditis
Toxic myocarditis
Hemopericardium
Adhesive pericarditis
Constrictive pericarditis
Cardiac tamponade
Other specified diseases of pericardium
Unspecified disease of pericardium
Mitral valve disorders
Aortic valve disorders
Tricuspid valve disorders, specified as nonrheumatic
Pulmonary valve disorders
Endocarditis, valve unspecified, unspecified cause
Endocarditis in diseases classified elsewhere
Other endocarditis, valve unspecified
Endomyocardial fibrosis
Hypertrophic obstructive cardiomyopathy
Hypertrophic obstructive cardiomyopathy
Other hypertrophic cardiomyopathy
Obscure cardiomyopathy of Africa
Endocardial fibroelastosis
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Nutritional and metabolic cardiomyopathy
Cardiomyopathy in other diseases classified elsewhere
Unspecified secondary cardiomyopathy
Atrioventricular block, complete
Unspecified atrioventricular block
First degree atrioventricular block
Mobitz (type) II atrioventricular block
Other second degree atrioventricular block
Left bundle branch hemiblock
Other left bundle branch block
Right bundle branch block
Unspecified bundle branch block
Right bundle branch block and left posterior fascicular block
Right bundle branch block and left anterior fascicular block
Other bilateral bundle branch block
Trifascicular block
4219
4220
42290
42291
42292
42293
4230
4231
4232
4233
4238
4239
4240
4241
4242
4243
42490
42491
42499
4250
4251
42511
42518
4252
4253
4254
4255
4257
4258
4259
4260
42610
42611
42612
42613
4262
4263
4264
42650
42651
42652
42653
42654
24
Other heart block
Anomalous atrioventricular excitation
Long QT syndrome
Other specified conduction disorder
Unspecified conduction disorder
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Unspecified paroxysmal tachycardia
Atrial fibrillation
Atrial flutter
Ventricular fibrillation
Ventricular flutter
Cardiac arrest
Unspecified premature beats
Supraventricular premature beats
Other premature beats
Sinoatrial node dysfunction
Other specified cardiac dysrhythmias
Unspecified cardiac dysrhythmia
Congestive heart failure, unspecified
Left heart failure
Unspecified systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Acute on chronic systolic heart failure
Unspecified diastolic heart failure
Acute diastolic heart failure
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Acute combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Acute on chronic combined systolic and diastolic heart failure
Unspecified heart failure
Unspecified myocarditis
Myocardial degeneration
Unspecified cardiovascular disease
Cardiomegaly
Functional disturbances following cardiac surgery
Rupture of chordae tendineae
Rupture of papillary muscle
Acquired cardiac septal defect
Other certain sequelae of myocardial infarction, not elsewhere classified
4266
4267
42682
42689
4269
4270
4271
4272
42731
42732
42741
42742
4275
42760
42761
42769
42781
42789
4279
4280
4281
42820
42821
42822
42823
42830
42831
42832
42833
42840
42841
42842
42843
4289
4290
4291
4292
4293
4294
4295
4296
42971
42979
25
Other disorders of papillary muscle
Hyperkinetic heart disease
Takotsubo syndrome
Other ill-defined heart disease
Unspecified heart disease
Intracerebral hemorrhage
Unspecified intracranial hemorrhage
Occlusion and stenosis of basilar artery without mention of cerebral infarction
Occlusion and stenosis of basilar artery with cerebral infarction
Occlusion and stenosis of carotid artery without mention of cerebral infarction
Occlusion and stenosis of carotid artery with cerebral infarction
Occlusion and stenosis of multiple and bilateral precerebral arteries without
mention of cerebral infarction
Occlusion and stenosis of multiple and bilateral precerebral arteries with
cerebral infarction
Occlusion and stenosis of unspecified precerebral artery without mention of
cerebral infarction
Occlusion and stenosis of unspecified precerebral artery with cerebral
infarction
Cerebral thrombosis without mention of cerebral infarction
Cerebral thrombosis with cerebral infarction
Cerebral embolism without mention of cerebral infarction
Cerebral embolism with cerebral infarction
Unspecified cerebral artery occlusion without mention of cerebral infarction
Unspecified cerebral artery occlusion with cerebral infarction
Basilar artery syndrome
Vertebral artery syndrome
Subclavian steal syndrome
Vertebrobasilar artery syndrome
Other specified transient cerebral ischemias
Unspecified transient cerebral ischemia
Acute, but ill-defined, cerebrovascular disease
Other generalized ischemic cerebrovascular disease
Hypertensive encephalopathy
Transient global amnesia
Unspecified cerebrovascular disease
Hemiplegia affecting unspecified side due to cerebrovascular disease
Atherosclerosis of aorta
Atherosclerosis of native arteries of the extremities, unspecified
Atherosclerosis of native arteries of the extremities with intermittent
claudication
Atherosclerosis of native arteries of the extremities with rest pain
Atherosclerosis of native arteries of the extremities with ulceration
Atherosclerosis of native arteries of the extremities with gangrene
42981
42982
42983
42989
4299
431
4329
43300
43301
43310
43311
43330
43331
43390
43391
43400
43401
43410
43411
43490
43491
4350
4351
4352
4353
4358
4359
436
4371
4372
4377
4379
43820
4400
44020
44021
44022
44023
44024
26
Other atherosclerosis of native arteries of the extremities
Generalized and unspecified atherosclerosis
Dissecting aortic aneurysm (any part), unspecified site
Dissecting aortic aneurysm (any part), thoracic
Dissecting aortic aneurysm (any part), abdominal
Dissecting aortic aneurysm (any part), thoracoabdominal
Thoracic aneurysm, ruptured
Thoracic aneurysm without mention of rupture
Abdominal aneurysm, ruptured
Abdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site, ruptured
Thoracoabdominal aneurysm, ruptured
Thoracoabdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site without mention of rupture
Aneurysm of iliac artery
Aneurysm of artery of lower extremity
Aneurysm of artery of neck
Other aneurysm of unspecified site
Thromboangiitis obliterans (Buerger's disease)
Peripheral angiopathy in diseases classified elsewhere
Embolism and thrombosis of abdominal aorta
Embolism and thrombosis of thoracic aorta
Embolism and thrombosis of arteries of upper extremity
Embolism and thrombosis of arteries of lower extremity
Embolism and thrombosis of iliac artery
Embolism and thrombosis of other specified artery
Embolism and thrombosis of unspecified artery
Atheroembolism of other site
Giant cell arteritis
Takayasu's disease
Stricture of artery
Unspecified arteritis
Aortic ectasia unspecified site
Thoracic aortic ectasia
Other specified disorders of arteries and arterioles
Unspecified disorders of arteries and arterioles
Embolism and thrombosis of vena cava
Venous embolism and thrombosis of unspecified deep vessels of lower
extremity
Venous embolism and thrombosis of deep vessels of proximal lower extremity
Venous embolism and thrombosis of deep vessels of distal lower extremity
Venous embolism and thrombosis of other specified veins
Embolism and thrombosis of unspecified site
44029
4409
44100
44101
44102
44103
4411
4412
4413
4414
4415
4416
4417
4419
4422
4423
44281
4429
4431
44381
4440
4441
44421
44422
44481
44489
4449
44589
4465
4467
4471
4476
44770
44771
4478
4479
4532
45340
45341
45342
4538
4539
27
Orthostatic hypotension
Chronic hypotension
Hypotension of hemodialysis
Other iatrogenic hypotension
Other specified hypotension
Unspecified hypotension
Other specified circulatory system disorders
Unspecified circulatory system disorder
Acute upper respiratory infections of unspecified site
Methicillin susceptible pneumonia due to Staphylococcus aureus
Obstructive chronic bronchitis, with (acute) exacerbation
Obstructive chronic bronchitis with acute bronchitis
Extrinsic asthma, unspecified
Intrinsic asthma, unspecified
Chronic obstructive asthma, unspecified
Chronic obstructive asthma with status asthmaticus
Chronic obstructive asthma, with (acute) exacerbation
Asthma, unspecified, unspecified status
Asthma, unspecified with status asthmaticus
Asthma, unspecified, with (acute) exacerbation
Bronchiectasis with acute exacerbation
Chronic airway obstruction, not elsewhere classified
Empyema without mention of fistula
Pleurisy without mention of effusion or current tuberculosis
Pleurisy with effusion, with mention of bacterial cause other than tuberculosis
Other specified forms of pleural effusion, except tuberculous
Malignant pleural effusion
Other specified forms of effusion, except tuberculous
Unspecified pleural effusion
Other spontaneous pneumothorax
Abscess of lung
Pulmonary congestion and hypostasis
Postinflammatory pulmonary fibrosis
Idiopathic fibrosing alveolitis
Other specified alveolar and parietoalveolar pneumonopathies
Pulmonary collapse
Unspecified acute edema of lung
Pulmonary insufficiency following trauma and surgery
Acute respiratory failure
Other pulmonary insufficiency, not elsewhere classified
Chronic respiratory failure
Acute and chronic respiratory failure
Other diseases of lung, not elsewhere classified
4580
4581
45821
45829
4588
4589
45989
4599
4659
48241
49121
49122
49300
49310
49320
49321
49322
49390
49391
49392
4941
496
5109
5110
5111
5118
51181
51189
5119
5128
5130
514
515
5163
5168
5180
5184
5185
51881
51882
51883
51884
51889
28
Acute bronchospasm
Unspecified disease of respiratory system
Acute vascular insufficiency of intestine
Unspecified vascular insufficiency of intestine
Diverticulosis of colon with hemorrhage
Hemoperitoneum (nontraumatic)
Hepatic coma
Acute pancreatitis
Acute renal failure with lesion of tubular necrosis
Unspecified acute renal failure
End stage renal disease
Suspected damage to fetus from drugs, affecting management of mother,
antepartum condition or complication
Other known or suspected fetal abnormality, not elsewhere classified, affecting
management of mother, antepartum condition or complication
Unspecified fetal abnormality affecting management of mother, antepartum
condition or complication
Systemic lupus erythematosus
Systemic sclerosis
Rheumatoid arthritis
Effusion of lower leg joint
Pain in thoracic spine
Swelling of limb
Tietze's disease
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
truncus
Complete transposition of great vessels
Transposition of great vessels, double outlet right ventricle
Corrected transposition of great vessels
Other transposition of great vessels
Tetralogy of Fallot
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
ventricle
Ventricular septal defect
Ostium secundum type atrial septal defect
Unspecified type congenital endocardial cushion defect
Ostium primum defect
Other congenital endocardial cushion defect
Other bulbus cordis anomalies and anomalies of cardiac septal closure
Unspecified congenital defect of septal closure
Unspecified congenital pulmonary valve anomaly
Congenital atresia of pulmonary valve
Congenital stenosis of pulmonary valve
Other congenital anomalies of pulmonary valve
51911
5199
5570
5579
56212
56881
5722
5770
5845
5849
5856
65553
65583
65593
7100
7101
7140
71906
7241
72981
7336
7450
74510
74511
74512
74519
7452
7453
7454
7455
74560
74561
74569
7458
7459
74600
74601
74602
74609
29
Congenital tricuspid atresia and stenosis
Ebstein's anomaly
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Congenital mitral stenosis
Congenital mitral insufficiency
Hypoplastic left heart syndrome
Congenital subaortic stenosis
Congenital obstructive anomalies of heart, not elsewhere classified
Congenital coronary artery anomaly
Congenital heart block
Congenital malposition of heart and cardiac apex
Other specified congenital anomaly of heart
Unspecified congenital anomaly of heart
Patent ductus arteriosus
Coarctation of aorta (preductal) (postductal)
Unspecified congenital anomaly of aorta
Congenital anomaly of aortic arch
Congenital atresia and stenosis of aorta
Other congenital anomaly of aorta
Congenital anomalies of pulmonary artery
Partial congenital anomalous pulmonary venous connection
Down's syndrome
Marfan's syndrome
Other specified multiple congenital anomalies, so described
Coma
Transient alteration of awareness
Other alteration of consciousness
Syncope and collapse
Dizziness and giddiness
Fever and other physiologic disturbances of temperature regulation
Fever, unspecified
Fever presenting with conditions classified elsewhere
Chronic fatigue syndrome
Memory loss
Altered mental status
Edema
Cyanosis
Unspecified tachycardia
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Gangrene
7461
7462
7463
7464
7465
7466
7467
74681
74684
74685
74686
74687
74689
7469
7470
74710
74720
74721
74722
74729
7473
74742
7580
75982
75989
78001
78002
78009
7802
7804
7806
78060
78061
78071
78093
78097
7823
7825
7850
7851
7852
7853
7854
30
Unspecified shock
Cardiogenic shock
Septic shock
Other shock without mention of trauma
Other symptoms involving cardiovascular system
Unspecified respiratory abnormality
Apnea
Cheyne-Stokes respiration
Shortness of breath
Tachypnea
Wheezing
Other dyspnea and respiratory abnormalities
Hemoptysis
Chest pain, unspecified
Precordial pain
Painful respiration
Chest pain, other
Abnormal chest sounds
Other symptoms involving respiratory system and chest
Bacteremia
Nonspecific abnormal findings on radiological and other examination of other
intrathoracic organs
Nonspecific abnormal findings on radiological and other examination of
abdominal area, including retroperitoneum
Nonspecific abnormal unspecified cardiovascular function study
Nonspecific abnormal electrocardiogram (ECG) (EKG)
Other nonspecific abnormal cardiovascular system function study
Nonspecific abnormal findings on chromosomal analysis
Nonspecific low blood pressure reading
Asphyxia
Hypoxemia
Respiratory arrest
Closed fracture of rib(s), unspecified
Closed fracture of one rib
Closed fracture of two ribs
Closed fracture of three ribs
Closed fracture of multiple ribs, unspecified
Closed fracture of sternum
Flail chest
Subarachnoid hemorrhage following injury, without mention of open
intracranial wound, unspecified state of consciousness
Subarachnoid hemorrhage following injury, without mention of open
intracranial wound, no loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
78550
78551
78552
78559
7859
78600
78603
78604
78605
78606
78607
78609
7863
78650
78651
78652
78659
7867
7869
7907
7932
7936
79430
79431
79439
7952
7963
79901
79902
7991
80700
80701
80702
80703
80709
8072
8074
85200
85201
85222
31
wound, with brief [less than one hour] loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, loss of consciousness of unspecified duration
Other and unspecified intracranial hemorrhage following injury, without
mention of open intracranial wound, unspecified state of consciousness
Traumatic pneumothorax without mention of open wound into thorax
Traumatic hemothorax without mention of open wound into thorax
Unspecified injury to heart without mention of open wound into thorax
Heart contusion without mention of open wound into thorax
Contusion of chest wall
Traumatic shock
Other injury of chest wall
Poisoning by antineoplastic antibiotics
Poisoning by antineoplastic and immunosuppressive drugs
Poisoning by anticoagulants
Poisoning by opium (alkaloids), unspecified
Poisoning by opiates and related narcotics, other
Poisoning by benzodiazepine-based tranquilizers
Poisoning by cardiotonic glycosides and drugs of similar action
Poisoning by unspecified drug or medicinal substance
Effects of radiation, unspecified
Angioneurotic edema not elsewhere classified
Other and unspecified adverse effect of drug, medicinal and biological
substance
Unspecified adverse effect of unspecified drug, medicinal and biological
substance
Unspecified adverse effect of other drug, medicinal and biological substance
Sepsis
Severe sepsis
Mechanical complication of unspecified cardiac device, implant, and graft
Mechanical complication due to cardiac pacemaker (electrode)
Mechanical complication due to heart valve prosthesis
Mechanical complication due to coronary bypass graft
Mechanical complication due to automatic implantable cardiac defibrillator
Mechanical complication of cardiac device, implant, and graft, other
Mechanical complication of other vascular device, implant, and graft
Infection and inflammatory reaction due to cardiac device, implant, and graft
Infection and inflammatory reaction due to other vascular device, implant, and
graft
Infection and inflammatory reaction due to peritoneal dialysis catheter
Other complications due to heart valve prosthesis
Other complications due to other cardiac device, implant, and graft
Other complications due to renal dialysis device, implant, and graft
Other complications due to other vascular device, implant, and graft
85226
85300
8600
8602
86100
86101
9221
9584
95911
9607
9631
9642
96500
96509
9694
9721
9779
990
9951
9952
99520
99529
99591
99592
99600
99601
99602
99603
99604
99609
9961
99661
99662
99668
99671
99672
99673
99674
32
Complications of transplanted kidney
Complications of transplanted heart
Complications of transplanted lung
Cardiac complications
Respiratory complications
Postoperative shock, not elsewhere classified
Accidental puncture or laceration during procedure
Antineoplastic and immunosuppressive drugs causing adverse effect in
therapeutic use
Personal history of malignant neoplasm of breast
Personal history of venous thrombosis and embolism
Personal history of transient ischemic attack [TIA], and cerebral infarction
without residual deficits
Personal history of other diseases of circulatory system
Personal history of surgery to heart and great vessels, presenting hazards to
health
Family history of other cardiovascular diseases
Kidney replaced by transplant
Heart replaced by transplant
Heart valve replaced by transplant
Lung replaced by transplant
Organ or tissue replaced by other means, Heart assist device
Heart valve replaced by other means
Blood vessel replaced by other means
Unspecified cardiac device in situ
Cardiac pacemaker in situ
Automatic implantable cardiac defibrillator in situ
Other specified cardiac device in situ
Postprocedural aortocoronary bypass status
Postprocedural percutaneous transluminal coronary angioplasty status
Other cardiorespiratory problems
Fitting and adjustment of cardiac pacemaker
Fitting and adjustment of automatic implantable cardiac defibrillator
Encounter for antineoplastic chemotherapy
Encounter for antineoplastic immunotherapy
Aftercare following organ transplant
Encounter for long-term (current) use of other medications
Encounter for therapeutic drug monitoring
Chemotherapy follow-up examination
Follow-up examination following completed treatment with high-risk
medications, not elsewhere classified
Observation for suspected cardiovascular disease
99681
99683
99684
9971
9973
9980
9982
E9331
V103
V1251
V1254
V1259
V151
V1749
V420
V421
V422
V426
V4321
V433
V434
V4500
V4501
V4502
V4509
V4581
V4582
V472
V5331
V5332
V5811
V5812
V5844
V5869
V5883
V672
V6751
V717
33
ICD-9 Codes for Excluding Electrocardiograms
Electrocardiograms were excluded from the analysis if the associated primary, secondary,
tertiary, or quaternary diagnosis involved: (i) proximal fractures; (ii) pulmonary and chest
conditions, including anything potentially resulting in chest pain (e.g., chest wall contusion); (iii)
esophageal conditions (e.g., esophagitis and esophageal spasm), except those that are painless,
mild, and chronic (e.g., esophageal stricture, Barrett’s esophagus, and reflux); (iv) cardiac
conditions, including shortness of breath, edema, congestive heart failure and anatomic
anomalies; (v) end stage renal disease and dialysis, along with all electrolyte abnormalities; (vi)
infections, including sepsis, but not urinary tract infections or pneumonia; (vii) anemia and
bleeding conditions, except microscopic hematuria; (viii) abdominal conditions (including
abdominal pain), but not benign tumor of the colon; (ix) psychiatric conditions; (x) acute central
nervous system conditions (e.g., cerebrovascular accident, delirium) and seizure or epilepsy
conditions, but not chronic conditions (e.g., dementia), head ache, or migraine; (xi) drug toxicity
and poisoning; (xii) transplants; (xiii) malignant hypertension; (xiv) cancers; (xv) conditions
involving arterial and pulmonary emboli, but not peripheral deep vein thrombosis; (xvi) falls;
(xvii) autoimmune conditions; or (xviii) pain in the anterior and posterior thorax and shoulder
areas (eg. back pain), but not specific shoulder conditions such as “capsular adhesion of shoulder”
and “osteoarthrosis of shoulder.”
Label
Salmonella septicemia
Human immunodeficiency virus [HIV]
Unspecified food poisoning
Sarcoidosis
Malignant neoplasm of uterus, part unspecified
Malignant neoplasm of prostate
Malignant neoplasm of thyroid gland
Nutritional marasmus
Other severe protein-calorie malnutrition
Depressive disorder, not elsewhere classified
Disseminated diseases due to other mycobacteria
Multiple sclerosis
Streptococcal septicemia
Pneumococcal septicemia
Septicemia due to anaerobes
Other specified septicemia
Unspecified septicemia
Rheumatic fever without mention of heart involvement
Gas gangrene
Old myocardial infarction
Subarachnoid hemorrhage
Intracerebral hemorrhage
Code
0031
042
0059
135
179
185
193
261
262
311
0312
340
0380
0382
0383
0388
0389
390
0400
412
430
431
34
Acute, but ill-defined, cerebrovascular disease
Portal vein thrombosis
Unspecified viral meningitis
Bronchitis, not specified as acute or chronic
Unspecified non-arthropod-borne viral disease of central nervous system
Coal workers' pneumoconiosis
Asbestosis
Pulmonary congestion and hypostasis
Postinflammatory pulmonary fibrosis
Appendicitis, unqualified
Herpetic meningoencephalitis
Acute and subacute necrosis of liver
Unspecified renal failure
Respiratory distress syndrome in newborn
Toxic effect of carbon monoxide
Effects of radiation, unspecified
Candidiasis of lung
Disseminated candidiasis
Aspergillosis
Malignant neoplasm of lower lip, vermilion border
Malignant neoplasm of base of tongue
Malignant neoplasm of anterior two-thirds of tongue, part unspecified
Malignant neoplasm of tongue, unspecified site
Malignant neoplasm of parotid gland
Malignant neoplasm of floor of mouth, part unspecified
Malignant neoplasm of mouth, unspecified site
Malignant neoplasm of tonsil
Malignant neoplasm of oropharynx, unspecified site
Malignant neoplasm of nasopharynx, unspecified site
Malignant neoplasm of thoracic esophagus
Malignant neoplasm of upper third of esophagus
Malignant neoplasm of middle third of esophagus
Malignant neoplasm of lower third of esophagus
Malignant neoplasm of other specified part of esophagus
Malignant neoplasm of esophagus, unspecified site
Malignant neoplasm of cardia
Malignant neoplasm of pylorus
Malignant neoplasm of pyloric antrum
Malignant neoplasm of fundus of stomach
Malignant neoplasm of body of stomach
Malignant neoplasm of lesser curvature of stomach, unspecified
Malignant neoplasm of other specified sites of stomach
Malignant neoplasm of stomach, unspecified site
436
452
0479
490
0499
500
501
514
515
541
0543
570
586
769
986
990
1124
1125
1173
1401
1410
1414
1419
1420
1449
1459
1460
1469
1479
1501
1503
1504
1505
1508
1509
1510
1511
1512
1513
1514
1515
1518
1519
35
Malignant neoplasm of duodenum
Malignant neoplasm of ileum
Malignant neoplasm of small intestine, unspecified site
Malignant neoplasm of hepatic flexure
Malignant neoplasm of transverse colon
Malignant neoplasm of descending colon
Malignant neoplasm of sigmoid colon
Malignant neoplasm of cecum
Malignant neoplasm of appendix
Malignant neoplasm of ascending colon
Malignant neoplasm of splenic flexure
Malignant neoplasm of other specified sites of large intestine
Malignant neoplasm of colon, unspecified site
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm of anal canal
Malignant neoplasm of anus, unspecified site
Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus
Malignant neoplasm of liver, primary
Malignant neoplasm of intrahepatic bile ducts
Malignant neoplasm of liver, not specified as primary or secondary
Malignant neoplasm of gallbladder
Malignant neoplasm of extrahepatic bile ducts
Malignant neoplasm of ampulla of Vater
Malignant neoplasm of biliary tract, part unspecified site
Malignant neoplasm of head of pancreas
Malignant neoplasm of body of pancreas
Malignant neoplasm of tail of pancreas
Malignant neoplasm of other specified sites of pancreas
Malignant neoplasm of pancreas, part unspecified
Malignant neoplasm of retroperitoneum
Malignant neoplasm of specified parts of peritoneum
Malignant neoplasm of peritoneum, unspecified
Malignant neoplasm of intestinal tract, part unspecified
Malignant neoplasm of nasal cavities
Malignant neoplasm of maxillary sinus
Malignant neoplasm of glottis
Malignant neoplasm of supraglottis
Malignant neoplasm of other specified sites of larynx
Malignant neoplasm of larynx, unspecified site
Malignant neoplasm of trachea
Malignant neoplasm of main bronchus
Malignant neoplasm of upper lobe, bronchus, or lung
1520
1522
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1548
1550
1551
1552
1560
1561
1562
1569
1570
1571
1572
1578
1579
1580
1588
1589
1590
1600
1602
1610
1611
1618
1619
1620
1622
1623
36
Malignant neoplasm of middle lobe, bronchus, or lung
Malignant neoplasm of lower lobe, bronchus, or lung
Malignant neoplasm of other parts of bronchus or lung
Malignant neoplasm of bronchus and lung, unspecified site
Malignant neoplasm of other specified sites of pleura
Malignant neoplasm of pleura, unspecified site
Malignant neoplasm of thymus
Malignant neoplasm of heart
Malignant neoplasm of mediastinum, part unspecified
Malignant neoplasm of bone and articular cartilage, site unspecified
Malignant neoplasm of connective and other soft tissue of head, face, and neck
Malignant neoplasm of connective and other soft tissue of upper limb, including
shoulder
Malignant neoplasm of connective and other soft tissue of lower limb, including
hip
Malignant neoplasm of connective and other soft tissue of thorax
Malignant neoplasm of connective and other soft tissue of abdomen
Malignant neoplasm of connective and other soft tissue, site unspecified
Malignant melanoma of skin of ear and external auditory canal
Malignant melanoma of skin of other and unspecified parts of face
Malignant melanoma of skin of scalp and neck
Malignant melanoma of skin of trunk, except scrotum
Malignant melanoma of skin of upper limb, including shoulder
Malignant melanoma of skin of lower limb, including hip
Malignant melanoma of other specified sites of skin
Melanoma of skin, site unspecified
Other malignant neoplasm of skin of lip
Other malignant neoplasm of skin of eyelid, including canthus
Other malignant neoplasm of skin of ear and external auditory canal
Other malignant neoplasm of skin of other and unspecified parts of face
Other malignant neoplasm of scalp and skin of neck
Other malignant neoplasm of skin of trunk, except scrotum
Other malignant neoplasm of skin of upper limb, including shoulder
Other malignant neoplasm of skin of lower limb, including hip
Other malignant neoplasm of other specified sites of skin
Other malignant neoplasm of skin, site unspecified
Malignant neoplasm of nipple and areola of female breast
Malignant neoplasm of central portion of female breast
Malignant neoplasm of upper-inner quadrant of female breast
Malignant neoplasm of lower-inner quadrant of female breast
Malignant neoplasm of upper-outer quadrant of female breast
Malignant neoplasm of lower-outer quadrant of female breast
Malignant neoplasm of other specified sites of female breast
1624
1625
1628
1629
1638
1639
1640
1641
1649
1709
1710
1712
1713
1714
1715
1719
1722
1723
1724
1725
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742
1743
1744
1745
1748
37
Malignant neoplasm of breast (female), unspecified site
Malignant neoplasm of other and unspecified sites of male breast
Malignant neoplasm of endocervix
Malignant neoplasm of cervix uteri, unspecified site
Malignant neoplasm of corpus uteri, except isthmus
Malignant neoplasm of ovary
Malignant neoplasm of fallopian tube
Malignant neoplasm of vagina
Malignant neoplasm of vulva, unspecified site
Malignant neoplasm of other and unspecified testis
Malignant neoplasm of penis, part unspecified
Malignant neoplasm of trigone of urinary bladder
Malignant neoplasm of dome of urinary bladder
Malignant neoplasm of lateral wall of urinary bladder
Malignant neoplasm of anterior wall of urinary bladder
Malignant neoplasm of posterior wall of urinary bladder
Malignant neoplasm of bladder neck
Malignant neoplasm of ureteric orifice
Malignant neoplasm of other specified sites of bladder
Malignant neoplasm of bladder, part unspecified
Malignant neoplasm of kidney, except pelvis
Malignant neoplasm of renal pelvis
Malignant neoplasm of ureter
Malignant neoplasm of urethra
Malignant neoplasm of urinary organ, site unspecified
Malignant neoplasm of choroid
Malignant neoplasm of cerebrum, except lobes and ventricles
Malignant neoplasm of frontal lobe of brain
Malignant neoplasm of temporal lobe of brain
Malignant neoplasm of parietal lobe of brain
Malignant neoplasm of occipital lobe of brain
Malignant neoplasm of other parts of brain
Malignant neoplasm of brain, unspecified site
Malignant neoplasm of cerebral meninges
Malignant neoplasm of adrenal gland
Malignant neoplasm of head, face, and neck
Malignant neoplasm of thorax
Malignant neoplasm of abdomen
Secondary and unspecified malignant neoplasm of lymph nodes of head, face,
and neck
Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
Secondary and unspecified malignant neoplasm of lymph nodes of axilla and
1749
1759
1800
1809
1820
1830
1832
1840
1844
1869
1874
1880
1881
1882
1883
1884
1885
1886
1888
1889
1890
1891
1892
1893
1899
1906
1910
1911
1912
1913
1914
1918
1919
1921
1940
1950
1951
1952
1960
1961
1962
1963
38
upper limb
Secondary and unspecified malignant neoplasm of lymph nodes of inguinal
region and lower limb
Secondary malignant neoplasm of lung
Secondary malignant neoplasm of mediastinum
Secondary malignant neoplasm of pleura
Secondary malignant neoplasm of small intestine including duodenum
Secondary malignant neoplasm of large intestine and rectum
Secondary malignant neoplasm of retroperitoneum and peritoneum
Secondary malignant neoplasm of liver
Secondary malignant neoplasm of other digestive organs and spleen
Secondary malignant neoplasm of kidney
Secondary malignant neoplasm of other urinary organs
Secondary malignant neoplasm of skin
Secondary malignant neoplasm of brain and spinal cord
Secondary malignant neoplasm of other parts of nervous system
Secondary malignant neoplasm of bone and bone marrow
Secondary malignant neoplasm of adrenal gland
Disseminated malignant neoplasm
Other malignant neoplasm of unspecified site
Benign neoplasm of bronchus and lung
Benign neoplasm of heart
Benign neoplasm of brain
Benign neoplasm of cerebral meninges
Benign neoplasm of spinal meninges
Carcinoma in situ of esophagus
Carcinoma in situ of stomach
Carcinoma in situ of colon
Carcinoma in situ of rectum
Carcinoma in situ of larynx
Carcinoma in situ of bronchus and lung
Carcinoma in situ of breast
Carcinoma in situ of cervix uteri
Carcinoma in situ of other and unspecified parts of uterus
Carcinoma in situ, other and unspecified female genital organs
Carcinoma in situ of prostate
Carcinoma in situ of bladder
Carcinoma in situ of other specified sites
Neoplasm of uncertain behavior of major salivary glands
Neoplasm of uncertain behavior of lip, oral cavity, and pharynx
Neoplasm of uncertain behavior of stomach, intestines, and rectum
Neoplasm of uncertain behavior of liver and biliary passages
Neoplasm of uncertain behavior of other and unspecified digestive organs
1965
1970
1971
1972
1974
1975
1976
1977
1978
1980
1981
1982
1983
1984
1985
1987
1990
1991
2123
2127
2250
2252
2254
2301
2302
2303
2304
2310
2312
2330
2331
2332
2333
2334
2337
2348
2350
2351
2352
2353
2355
39
Neoplasm of uncertain behavior of larynx
Neoplasm of uncertain behavior of trachea, bronchus, and lung
Neoplasm of uncertain behavior of ovary
Neoplasm of uncertain behavior of prostate
Neoplasm of uncertain behavior of bladder
Neoplasm of uncertain behavior of pituitary gland and craniopharyngeal duct
Neoplasm of uncertain behavior of other and unspecified endocrine glands
Neoplasm of uncertain behavior of brain and spinal cord
Neoplasm of uncertain behavior of bone and articular cartilage
Neoplasm of uncertain behavior of connective and other soft tissue
Neoplasm of uncertain behavior of skin
Neoplasm of uncertain behavior of breast
Neoplasm of uncertain behavior of polycythemia vera
Neoplasm of uncertain behavior of other specified sites
Neoplasm of uncertain behavior, site unspecified
Neoplasm of unspecified nature of digestive system
Neoplasm of unspecified nature of respiratory system
Neoplasms of unspecified nature of bone, soft tissue, and skin
Neoplasm of unspecified nature of breast
Neoplasm of unspecified nature of bladder
Neoplasm of unspecified nature of other genitourinary organs
Neoplasm of unspecified nature of brain
Neoplasm of unspecified nature of endocrine glands and other parts of nervous
system
Neoplasm of unspecified nature of other specified sites
Neoplasm of unspecified nature, site unspecified
Acute thyroiditis
Unspecified thyroiditis
Hypoglycemic coma
Other specified hypoglycemia
Hypoglycemia, unspecified
Diabetes insipidus
Carcinoid syndrome
Unspecified protein-calorie malnutrition
Other and unspecified manifestations of thiamine deficiency
Monoclonal paraproteinemia
Disorders of magnesium metabolism
Disorders of phosphorus metabolism
Hyperosmolality and/or hypernatremia
Hyposmolality and/or hyponatremia
Acidosis
Alkalosis
Mixed acid-base balance disorder
2356
2357
2362
2365
2367
2370
2374
2375
2380
2381
2382
2383
2384
2388
2389
2390
2391
2392
2393
2394
2395
2396
2397
2398
2399
2450
2459
2510
2511
2512
2535
2592
2639
2651
2731
2752
2753
2760
2761
2762
2763
2764
40
Fluid overload
Hyperpotassemia
Hypopotassemia
Electrolyte and fluid disorders not elsewhere classified
Amyloidosis
Unspecified disorder of metabolism
Iron deficiency anemia secondary to blood loss (chronic)
Iron deficiency anemia secondary to inadequate dietary iron intake
Other specified iron deficiency anemias
Unspecified iron deficiency anemia
Pernicious anemia
Other vitamin B12 deficiency anemia
Folate-deficiency anemia
Other specified megaloblastic anemias not elsewhere classified
Anemia associated with other specified nutritional deficiency
Unspecified deficiency anemia
Autoimmune hemolytic anemias
Acquired hemolytic anemia, unspecified
Pancytopenia
Other specified aplastic anemias
Unspecified aplastic anemia
Sideroblastic anemia
Acute posthemorrhagic anemia
Chemotherapy induced anemia
Other specified anemias
Unspecified anemia
Hemorrhagic disorder due to intrinsic circulating anticoagulants
Defibrination syndrome
Unspecified hemorrhagic conditions
Polycythemia, secondary
Senile dementia with delirium
Unspecified senile psychotic condition
Alcohol withdrawal delirium
Drug withdrawal
Unspecified drug-induced mental disorder
Delirium due to conditions classified elsewhere
Subacute delirium
Unspecified transient mental disorder in conditions classified elsewhere
Other persistent mental disorders due to conditions classified elsewhere
Unspecified persistent mental disorders due to conditions classified elsewhere
Bipolar I disorder, most recent episode (or current) unspecified
Delusional disorder
Unspecified paranoid state
2766
2767
2768
2769
2773
2779
2800
2801
2808
2809
2810
2811
2812
2813
2818
2819
2830
2839
2841
2848
2849
2850
2851
2853
2858
2859
2865
2866
2879
2890
2903
2909
2910
2920
2929
2930
2931
2939
2948
2949
2967
2971
2979
41
Reactive confusion
Other and unspecified reactive psychosis
Unspecified psychosis
Obsessive-compulsive disorders
Dysthymic disorder
Unspecified nonpsychotic mental disorder
Respiratory malfunction arising from mental factors
Cardiovascular malfunction arising from mental factors
Anorexia nervosa
Predominant disturbance of emotions
Unspecified acute reaction to stress
Adjustment disorder with depressed mood
Prolonged depressive reaction as adjustment reaction
Adjustment disorder with mixed disturbance of emotions and conduct
Unspecified adjustment reaction
Personality change due to conditions classified elsewhere
Postconcussion syndrome
Unspecified nonpsychotic mental disorder following organic brain damage
Meningitis due to unspecified bacterium
Unspecified meningitis
Unspecified causes of encephalitis, myelitis, and encephalomyelitis
Intracranial abscess
Communicating hydrocephalus
Obstructive hydrocephalus
Idiopathic normal pressure hydrocephalus [INPH]
Paralysis agitans
Secondary Parkinsonism
Neoplasm related pain (acute) (chronic)
Unspecified infantile cerebral palsy
Unspecified paralysis
Anoxic brain damage
Benign intracranial hypertension
Cerebral edema
Atypical face pain
Unspecified inflammatory and toxic neuropathy
Toxic myopathy
Unspecified visual disturbance
Unspecified visual loss
Unspecified staphylococcal septicemia
Methicillin susceptible Staphylococcus aureus septicemia
Methicillin resistant Staphylococcus aureus septicemia
Other staphylococcal septicemia
Septicemia due to unspecified gram-negative organism
2982
2988
2989
3003
3004
3009
3061
3062
3071
3080
3089
3090
3091
3094
3099
3101
3102
3109
3209
3229
3239
3240
3313
3314
3315
3320
3321
3383
3439
3449
3481
3482
3485
3502
3579
3594
3689
3699
03810
03811
03812
03819
03840
42
Septicemia due to hemophilus influenzae (H. influenzae)
Septicemia due to Escherichia coli (E. coli)
Septicemia due to pseudomonas
Septicemia due to serratia
Other septicemia due to gram-negative organism
Acute rheumatic pericarditis
Acute rheumatic endocarditis
Other acute rheumatic heart disease
Unspecified acute rheumatic heart disease
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other and unspecified mitral valve diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
Other and unspecified rheumatic aortic diseases
Mitral valve stenosis and aortic valve stenosis
Mitral valve stenosis and aortic valve insufficiency
Mitral valve insufficiency and aortic valve stenosis
Mitral valve insufficiency and aortic valve insufficiency
Multiple involvement of mitral and aortic valves
Unspecified mitral and aortic valve diseases
Diseases of tricuspid valve
Rheumatic diseases of pulmonary valve
Essential hypertension, malignant
Postmyocardial infarction syndrome
Intermediate coronary syndrome
Angina decubitus
Prinzmetal angina
Other and unspecified angina pectoris
Chronic total occlusion of coronary artery
Coronary atherosclerosis due to lipid rich plaque
Other specified forms of chronic ischemic heart disease
Unspecified chronic ischemic heart disease
Acute cor pulmonale
Primary pulmonary hypertension
Chronic pulmonary embolism
Other chronic pulmonary heart diseases
Unspecified chronic pulmonary heart disease
Arteriovenous fistula of pulmonary vessels
Aneurysm of pulmonary artery
Other specified disease of pulmonary circulation
03841
03842
03843
03844
03849
3910
3911
3918
3919
3940
3941
3942
3949
3950
3951
3952
3959
3960
3961
3962
3963
3968
3969
3970
3971
4010
4110
4111
4130
4131
4139
4142
4143
4148
4149
4150
4160
4162
4168
4169
4170
4171
4178
43
Unspecified disease of pulmonary circulation
Acute pericarditis in diseases classified elsewhere
Acute and subacute bacterial endocarditis
Acute and subacute infective endocarditis in diseases classified elsewhere
Unspecified acute endocarditis
Hemopericardium
Adhesive pericarditis
Constrictive pericarditis
Cardiac tamponade
Other specified diseases of pericardium
Unspecified disease of pericardium
Mitral valve disorders
Aortic valve disorders
Tricuspid valve disorders, specified as nonrheumatic
Pulmonary valve disorders
Endomyocardial fibrosis
Hypertrophic obstructive cardiomyopathy
Obscure cardiomyopathy of Africa
Endocardial fibroelastosis
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Nutritional and metabolic cardiomyopathy
Cardiomyopathy in other diseases classified elsewhere
Unspecified secondary cardiomyopathy
Atrioventricular block, complete
Left bundle branch hemiblock
Other left bundle branch block
Right bundle branch block
Other heart block
Anomalous atrioventricular excitation
Unspecified conduction disorder
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Unspecified paroxysmal tachycardia
Cardiac arrest
Unspecified cardiac dysrhythmia
Congestive heart failure, unspecified
Left heart failure
Unspecified heart failure
Unspecified myocarditis
Myocardial degeneration
Unspecified cardiovascular disease
Cardiomegaly
4179
4200
4210
4211
4219
4230
4231
4232
4233
4238
4239
4240
4241
4242
4243
4250
4251
4252
4253
4254
4255
4257
4258
4259
4260
4262
4263
4264
4266
4267
4269
4270
4271
4272
4275
4279
4280
4281
4289
4290
4291
4292
4293
44
Functional disturbances following cardiac surgery
Rupture of chordae tendineae
Rupture of papillary muscle
Unspecified heart disease
Nontraumatic extradural hemorrhage
Subdural hemorrhage
Unspecified intracranial hemorrhage
Basilar artery syndrome
Vertebral artery syndrome
Subclavian steal syndrome
Vertebrobasilar artery syndrome
Other specified transient cerebral ischemias
Unspecified transient cerebral ischemia
Cerebral atherosclerosis
Other generalized ischemic cerebrovascular disease
Hypertensive encephalopathy
Cerebral aneurysm, nonruptured
Transient global amnesia
Unspecified cerebrovascular disease
Atherosclerosis of aorta
Atherosclerosis of renal artery
Chronic total occlusion of artery of the extremities
Atherosclerosis of other specified arteries
Generalized and unspecified atherosclerosis
Thoracic aneurysm, ruptured
Thoracic aneurysm without mention of rupture
Abdominal aneurysm, ruptured
Abdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site, ruptured
Thoracoabdominal aneurysm, ruptured
Thoracoabdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site without mention of rupture
Aneurysm of artery of upper extremity
Aneurysm of renal artery
Aneurysm of iliac artery
Aneurysm of artery of lower extremity
Other aneurysm of unspecified site
Thromboangiitis obliterans (Buerger's disease)
Embolism and thrombosis of abdominal aorta
Embolism and thrombosis of thoracic aorta
Embolism and thrombosis of unspecified artery
Polyarteritis nodosa
Wegener's granulomatosis
4294
4295
4296
4299
4320
4321
4329
4350
4351
4352
4353
4358
4359
4370
4371
4372
4373
4377
4379
4400
4401
4404
4408
4409
4411
4412
4413
4414
4415
4416
4417
4419
4420
4421
4422
4423
4429
4431
4440
4441
4449
4460
4464
45
Giant cell arteritis
Takayasu's disease
Stricture of artery
Rupture of artery
Celiac artery compression syndrome
Unspecified arteritis
Other specified disorders of arteries and arterioles
Unspecified disorders of arteries and arterioles
Embolism and thrombosis of vena cava
Emb/throm superficial lower ext
Venous embolism and thrombosis of other specified veins
Embolism and thrombosis of unspecified site
Esophageal varices with bleeding
Other noninfectious lymphedema
Orthostatic hypotension
Chronic hypotension
Other specified hypotension
Unspecified hypotension
Unspecified hemorrhage
Unspecified circulatory system disorder
Acute upper respiratory infections of other multiple sites
Acute upper respiratory infections of unspecified site
Acute bronchitis
Other and unspecified diseases of upper respiratory tract
Emphysematous bleb
Other emphysema
Bronchiectasis with acute exacerbation
Acute pulmonary edema due to fumes and vapors
Other acute and subacute respiratory conditions due to fumes and vapors
Acute pulmonary manifestations due to radiation
Empyema without mention of fistula
Pleurisy without mention of effusion or current tuberculosis
Pleurisy with effusion, with mention of bacterial cause other than tuberculosis
Other specified forms of pleural effusion, except tuberculous
Unspecified pleural effusion
Spontaneous tension pneumothorax
Iatrogenic pneumothorax
Other spontaneous pneumothorax
Abscess of lung
Idiopathic fibrosing alveolitis
Other specified alveolar and parietoalveolar pneumonopathies
Acute chest syndrome
Lung involvement in other diseases classified elsewhere
4465
4467
4471
4472
4474
4476
4478
4479
4532
4536
4538
4539
4560
4571
4580
4581
4588
4589
4590
4599
4658
4659
4660
4789
4920
4928
4941
5061
5063
5080
5109
5110
5111
5118
5119
5120
5121
5128
5130
5163
5168
5173
5178
46
Pulmonary collapse
Compensatory emphysema
Pulmonary eosinophilia
Unspecified acute edema of lung
Pulmonary insufficiency following trauma and surgery
Other diseases of trachea and bronchus, not elsewhere classified
Other diseases of respiratory system, not elsewhere classified
Unspecified disease of respiratory system
Inflammatory conditions of jaw
Achalasia and cardiospasm
Stricture and stenosis of esophagus
Perforation of esophagus
Gastroesophageal laceration-hemorrhage syndrome
Unspecified disorder of esophagus
Dyspepsia and other specified disorders of function of stomach
Acute appendicitis with generalized peritonitis
Acute appendicitis with peritoneal abscess
Acute appendicitis without mention of peritonitis
Hernia of other specified site, with obstruction
Acute vascular insufficiency of intestine
Volvulus
Unspecified intestinal obstruction
Unspecified peritonitis
Hemorrhage of rectum and anus
Abscess of liver
Hepatic coma
Portal hypertension
Acute cholecystitis
Perforation of gallbladder
Cholangitis
Acute pancreatitis
Chronic pancreatitis
Hematemesis
Blood in stool
Hemorrhage of gastrointestinal tract, unspecified
Other and unspecified postsurgical nonabsorption
Acute renal failure with lesion of tubular necrosis
Acute renal failure with lesion of renal cortical necrosis
Acute renal failure with other specified pathological lesion in kidney
End stage renal disease
Hemorrhage into bladder wall
Excessive or frequent menstruation
Other disorder of menstruation and other abnormal bleeding from female genital
5180
5182
5183
5184
5185
5191
5198
5199
5264
5300
5303
5304
5307
5309
5368
5400
5401
5409
5528
5570
5602
5609
5679
5693
5720
5722
5723
5750
5754
5761
5770
5771
5780
5781
5789
5793
5845
5846
5848
5856
5967
6262
6268
47
tract
Postmenopausal bleeding
West Nile fever with encephalitis
Lupus erythematosus
Circumscribed scleroderma
Chronic hepatitis C with hepatic coma
Systemic lupus erythematosus
Unspecified diffuse connective tissue disease
Pain in thoracic spine
Lumbago
Thoracic or lumbosacral neuritis or radiculitis, unspecified
Unspecified backache
Other symptoms referable to back
Other affections of shoulder region, not elsewhere classified
Tietze's disease
Nonallopathic lesion of thoracic region, not elsewhere classified
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
truncus
Tetralogy of Fallot
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
ventricle
Ventricular septal defect
Ostium secundum type atrial septal defect
Unspecified congenital defect of septal closure
Congenital tricuspid atresia and stenosis
Ebstein's anomaly
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Congenital mitral stenosis
Congenital mitral insufficiency
Hypoplastic left heart syndrome
Unspecified congenital anomaly of heart
Patent ductus arteriosus
Congenital anomalies of pulmonary artery
Congenital tracheoesophageal fistula, esophageal atresia and stenosis
Down's syndrome
Hallucinations
Syncope and collapse
Dizziness and giddiness
Transient paralysis of limb
Edema
Cyanosis
Anorexia
6271
06641
6954
7010
07044
7100
7109
7241
7242
7244
7245
7248
7262
7336
7392
7450
7452
7453
7454
7455
7459
7461
7462
7463
7464
7465
7466
7467
7469
7470
7473
7503
7580
7801
7802
7804
7814
7823
7825
7830
48
Polydipsia
Adult failure to thrive
Other speech disturbance
Unspecified tachycardia
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Gangrene
Other symptoms involving cardiovascular system
Stridor
Cough
Hemoptysis
Abnormal chest sounds
Other symptoms involving respiratory system and chest
Heartburn
Dysphagia
Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase
(LDH)
Other nonspecific abnormal serum enzyme levels
Other abnormal blood chemistry
Bacteremia
Nonspecific abnormal findings on radiological and other examination of lung
field
Nonspecific abnormal findings on radiological and other examination of other
intrathoracic organs
Nonspecific abnormal results of pulmonary system function study
Nonspecific abnormal toxicological findings
Nonspecific low blood pressure reading
Respiratory arrest
Cachexia
Closed fracture of dorsal (thoracic) vertebra without mention of spinal cord
injury
Closed fracture of lumbar spine with spinal cord injury
Closed fracture of sternum
Flail chest
Closed fracture of acetabulum
Closed fracture of pubis
Unspecified closed fracture of pelvis
Ill-defined closed fractures of upper limb
Closed fracture of unspecified part of neck of femur
Open fracture of unspecified part of neck of femur
Sprain and strain of other specified sites of shoulder and upper arm
Sprain and strain of unspecified site of shoulder and upper arm
Thoracic sprain and strain
7835
7837
7845
7850
7851
7852
7853
7854
7859
7861
7862
7863
7867
7869
7871
7872
7904
7905
7906
7907
7931
7932
7942
7960
7963
7991
7994
8052
8064
8072
8074
8080
8082
8088
8180
8208
8209
8408
8409
8471
49
Sprain and strain of unspecified site of back
Sprain and strain of ribs
Concussion with loss of consciousness of unspecified duration
Unspecified concussion
Traumatic pneumothorax without mention of open wound into thorax
Traumatic hemothorax without mention of open wound into thorax
Traumatic pneumohemothorax without mention of open wound into thorax
Injury to multiple and unspecified intrathoracic organs without mention of open
wound into cavity
Thoracic aorta injury
Late effect of adverse effect of drug, medical or biological substance
Contusion of breast
Contusion of chest wall
Contusion of abdominal wall
Contusion of unspecified part of trunk
Syphilitic endocarditis, aortic valve
Foreign body in trachea
Foreign body in main bronchus
Foreign body in other specified parts of trachea, bronchus, and lung
Unspecified site of spinal cord injury without spinal bone injury
Traumatic shock
Injury, other and unspecified, shoulder and upper arm
Injury, other and unspecified, other specified sites, including multiple
Poisoning by adrenal cortical steroids
Poisoning by insulins and antidiabetic agents
Poisoning by antiallergic and antiemetic drugs
Poisoning by antineoplastic and immunosuppressive drugs
Poisoning by anticoagulants
Poisoning by salicylates
Poisoning by aromatic analgesics, not elsewhere classified
Poisoning by other specified analgesics and antipyretics
Poisoning by unspecified analgesic and antipyretic
Poisoning by hydantoin derivatives
Poisoning by other and unspecified anticonvulsants
Poisoning by barbiturates
Poisoning by other sedatives and hypnotics
Poisoning by unspecified sedative or hypnotic
Poisoning by central nervous system muscle-tone depressants
Poisoning by surface (topical) and infiltration anesthetics
Poisoning by antidepressants
Poisoning by phenothiazine-based tranquilizers
Poisoning by butyrophenone-based tranquilizers
Poisoning by other antipsychotics, neuroleptics, and major tranquilizers
8479
8483
8505
8509
8600
8602
8604
8628
9010
9095
9220
9221
9222
9229
09322
9340
9341
9348
9529
9584
9592
9598
9620
9623
9630
9631
9642
9651
9654
9658
9659
9661
9663
9670
9678
9679
9680
9685
9690
9691
9692
9693
50
Poisoning by benzodiazepine-based tranquilizers
Poisoning by other tranquilizers
Poisoning by psychodysleptics (hallucinogens)
Poisoning by psychostimulants
Poisoning by other specified psychotropic agents
Poisoning by opiate antagonists
Poisoning by other specified central nervous system stimulants
Poisoning by parasympathomimetics (cholinergics)
Poisoning by parasympatholytics (anticholinergics and antimuscarinics) and
spasmolytics
Poisoning by sympathomimetics (adrenergics)
Poisoning by sympatholytics (antiadrenergics)
Poisoning by cardiac rhythm regulators
Poisoning by cardiotonic glycosides and drugs of similar action
Poisoning by antilipemic and antiarteriosclerotic drugs
Poisoning by coronary vasodilators
Poisoning by other antihypertensive agents
Poisoning by other and unspecified agents primarily affecting the cardiovascular
system
Poisoning by other diuretics
Poisoning by electrolytic, caloric, and water-balance agents
Poisoning by skeletal muscle relaxants
Poisoning by antitussives
Poisoning by other specified drugs and medicinal substances
Poisoning by unspecified drug or medicinal substance
Toxic effect of ethyl alcohol
Toxic effect of isopropyl alcohol
Toxic effect of unspecified alcohol
Toxic effect of other nonpetroleum-based solvents
Toxic effect of caustic, unspecified
Toxic effect of other specified metals
Toxic effect of other specified gases, fumes, or vapors
Toxic effect of unspecified gas, fume, or vapor
Toxic effect of other pesticides, not elsewhere classified
Toxic effect of venom
Toxic effect of unspecified substance, chiefly nonmedicinal as to source
Effects of hypothermia
Heat stroke and sunstroke
Heat syncope
Heat exhaustion, anhydrotic
Heat exhaustion, unspecified
Other specified heat effects
Unspecified effects of heat and light
9694
9695
9696
9697
9698
9701
9708
9710
9711
9712
9713
9720
9721
9722
9724
9726
9729
9744
9745
9752
9754
9778
9779
9800
9802
9809
9828
9839
9858
9878
9879
9894
9895
9899
9916
9920
9921
9923
9925
9928
9929
51
Other and unspecified effects of high altitude
Effects of lightning
Drowning and nonfatal submersion
Exhaustion due to excessive exertion
Electrocution and nonfatal effects of electric current
Other anaphylactic shock not elsewhere classified
Angioneurotic edema not elsewhere classified
Other and unspecified adverse effect of drug, medicinal and biological substance
Mechanical complication of other vascular device, implant, and graft
Cardiac complications
Respiratory complications
Postoperative shock, not elsewhere classified
Accidental puncture or laceration during procedure
Other infusion and transfusion reaction
Candidiasis of the esophagus
Secondary malignant neoplasm of breast
Secondary malignant neoplasm of genital organs
Secondary malignant neoplasm of other specified sites
Mantle cell lymphoma, unspecified site, extranodal and solid organ sites
Large cell lymphoma, unspecified site, extranodal and solid organ sites
Hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ
sites
Nodular lymphoma, unspecified site, extranodal and solid organ sites
Nodular lymphoma of lymph nodes of head, face, and neck
Nodular lymphoma of intra-abdominal lymph nodes
Nodular lymphoma of lymph nodes of multiple sites
Mycosis fungoides, unspecified site, extranodal and solid organ sites
Leukemic reticuloendotheliosis, unspecified site, extranodal and solid organ sites
Other malignant lymphomas, unspecified site, extranodal and solid organ sites
Other malignant lymphomas of lymph nodes of head, face, and neck
Other malignant lymphomas of intrathoracic lymph nodes
Other malignant lymphomas of intra-abdominal lymph nodes
Other malignant lymphomas of lymph nodes of axilla and upper limb
Other malignant lymphomas of lymph nodes of inguinal region and lower limb
Other malignant lymphomas of lymph nodes of multiple sites
Multiple myeloma, without mention of having achieved remission
Multiple myeloma in remission
Acute lymphoid leukemia, without mention of having achieved remission
Chronic lymphoid leukemia, without mention of having achieved remission
Chronic lymphoid leukemia in remission
Unspecified lymphoid leukemia, without mention of having achieved remission
Acute myeloid leukemia, without mention of having achieved remission
Acute myeloid leukemia in remission
9932
9940
9941
9945
9948
9950
9951
9952
9961
9971
9973
9980
9982
9998
11284
19881
19882
19889
20040
20070
20190
20200
20201
20203
20208
20210
20240
20280
20281
20282
20283
20284
20285
20288
20300
20301
20400
20410
20411
20490
20500
20501
52
Chronic myeloid leukemia, without mention of having achieved remission
Acute leukemia of unspecified cell type, without mention of having achieved
remission
Chronic leukemia of unspecified cell type, without mention of having achieved
remission
Unspecified leukemia, without mention of having achieved remission
Malignant carcinoid tumor of the bronchus and lung
Carcinoma in situ, vulva
Neoplasm of uncertain behavior of kidney and ureter
Low grade myelodysplastic syndrome lesions
High grade myelodysplastic syndrome lesions
Myelodysplastic syndrome, unspecified
Myelofibrosis with myeloid metaplasia
Neoplasms of unspecified nature, other specified sites
Thyrotoxicosis of other specified origin without mention of thyrotoxic crisis or
storm
Thyrotoxicosis without mention of goiter or other cause, without mention of
thyrotoxic crisis or storm
Thyrotoxicosis without mention of goiter or other cause, with mention of
thyrotoxic crisis
Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled
Diabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled
Diabetes with ketoacidosis, type II or unspecified type, uncontrolled
Diabetes with ketoacidosis, type I [juvenile type], uncontrolled
Diabetes with hyperosmolarity, type II or unspecified type, not stated as
uncontrolled
Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled
Diabetes with other coma, type II or unspecified type, not stated as uncontrolled
Diabetes with other coma, type II or unspecified type, uncontrolled
Diabetes with other coma, type I [juvenile type], uncontrolled
Glucocorticoid deficiency
Unspecified disorder of calcium metabolism
Hypocalcemia
Hypercalcemia
Other disorders of calcium metabolism
Volume depletion, unspecified
Dehydration
Hypovolemia
Fluid Overload NEC (Other Fluid Overload)
Cystic fibrosis without mention of meconium ileus
Cystic fibrosis with pulmonary manifestations
Amyloidosis, unspecified
Other amyloidosis
Other thalassemia
20510
20800
20810
20890
20921
23332
23691
23872
23873
23875
23876
23989
24280
24290
24291
25010
25011
25012
25013
25020
25022
25030
25032
25033
25541
27540
27541
27542
27549
27650
27651
27652
27669
27700
27702
27730
27739
28249
53
Sickle-cell disease, unspecified
Hb-SS disease with crisis
Sickle-cell/Hb-C disease with crisis
Other sickle-cell disease with crisis
Other non-autoimmune hemolytic anemias
Other pancytopenia
Red cell aplasia (acquired) (adult) (with thymoma)
Other specified aplastic anemias
Anemia in chronic kidney disease
Anemia in neoplastic disease
Anemia of other chronic disease
Neutropenia, unspecified
Myelofibrosis
Vascular dementia, with delirium
Alcohol withdrawal
Drug-induced psychotic disorder with hallucinations
Drug-induced delirium
Drug-induced mood disorder
Other specified drug-induced mental disorder
Mood disorder in conditions classified elsewhere
Anxiety disorder in conditions classified elsewhere
Simple schizophrenia, unspecified condition
Catatonic schizophrenia, unspecified condition
Paranoid schizophrenia, unspecified condition
Paranoid schizophrenia, chronic condition
Paranoid schizophrenia, chronic condition with acute exacerbation
Schizophreniform disorder, unspecified
Schizophrenic disorders, residual type, unspecified
Schizoaffective disorder, unspecified
Schizoaffective disorder, chronic
Schizoaffective disorder, chronic with acute exacerbation
Other specified types of schizophrenia, unspecified condition
Other specified types of schizophrenia, chronic condition with acute exacerbation
Unspecified schizophrenia, unspecified condition
Unspecified schizophrenia, chronic condition
Unspecified schizophrenia, chronic condition with acute exacerbation
Bipolar I disorder, single manic episode, unspecified
Major depressive disorder, single episode, unspecified
Major depressive disorder, single episode, mild
Major depressive disorder, single episode, moderate
Major depressive disorder, single episode, severe, without mention of psychotic
behavior
Major depressive disorder, single episode, severe, specified as with psychotic
28260
28262
28264
28269
28319
28419
28481
28489
28521
28522
28529
28800
28983
29041
29181
29212
29281
29284
29289
29383
29384
29500
29520
29530
29532
29534
29540
29560
29570
29572
29574
29580
29584
29590
29592
29594
29600
29620
29621
29622
29623
29624
54
behavior
Major depressive disorder, recurrent episode, unspecified
Major depressive disorder, recurrent episode, mild
Major depressive disorder, recurrent episode, moderate
Major depressive disorder, recurrent episode, severe, without mention of
psychotic behavior
Major depressive disorder, recurrent episode, severe, specified as with psychotic
behavior
Bipolar I disorder, most recent episode (or current) manic, unspecified
Bipolar I disorder, most recent episode (or current) manic, severe, without
mention of psychotic behavior
Bipolar I disorder, most recent episode (or current) manic, severe, specified as
with psychotic behavior
Bipolar I disorder, most recent episode (or current) depressed, unspecified
Bipolar I disorder, most recent episode (or current) depressed, moderate
Bipolar I disorder, most recent episode (or current) depressed, severe, without
mention of psychotic behavior
Bipolar I disorder, most recent episode (or current) depressed, severe, specified
as with psychotic behavior
Bipolar I disorder, most recent episode (or current) mixed, unspecified
Bipolar I disorder, most recent episode (or current) mixed, moderate
Bipolar I disorder, most recent episode (or current) mixed, severe, without
mention of psychotic behavior
Bipolar I disorder, most recent episode (or current) mixed, severe, specified as
with psychotic behavior
Bipolar disorder, unspecified
Atypical depressive disorder
Unspecified episodic mood disorder
Other specified episodic mood disorder
Autistic disorder, current or active state
Anxiety state, unspecified
Generalized anxiety disorder
Other anxiety states
Conversion disorder
Borderline personality disorder
Acute alcoholic intoxication, unspecified drunkenness
Acute alcoholic intoxication, continuous drunkenness
Acute alcoholic intoxication, episodic drunkenness
Other and unspecified alcohol dependence, unspecified drunkenness
Other and unspecified alcohol dependence, continuous drunkenness
Opioid type dependence, unspecified abuse
Opioid type dependence, continuous abuse
Cocaine dependence, unspecified abuse
Cocaine dependence, continuous abuse
Combinations of opioid type drug with any other drug dependence, continuous
29630
29631
29632
29633
29634
29640
29643
29644
29650
29652
29653
29654
29660
29662
29663
29664
29680
29682
29690
29699
29900
30000
30002
30009
30011
30183
30300
30301
30302
30390
30391
30400
30401
30420
30421
30471
55
abuse
Combinations of drug dependence excluding opioid type drug, unspecified abuse
Unspecified drug dependence, unspecified abuse
Nondependent alcohol abuse, unspecified drunkenness
Nondependent alcohol abuse, continuous drunkenness
Nondependent alcohol abuse, episodic drunkenness
Nondependent cannabis abuse, unspecified
Nondependent sedative, hypnotic or anxiolytic abuse, unspecified
Nondependent opioid abuse, unspecified
Nondependent cocaine abuse, unspecified
Nondependent amphetamine or related acting sympathomimetic abuse,
unspecified
Other, mixed, or unspecified nondependent drug abuse, unspecified
Eating disorder, unspecified
Adjustment disorder with anxiety
Adjustment disorder with mixed anxiety and depressed mood
Posttraumatic stress disorder
Impulse control disorder, unspecified
Intermittent explosive disorder
Attention deficit disorder of childhood without mention of hyperactivity
Attention deficit disorder of childhood with hyperactivity
Idiopathic sleep related nonobstructive alveolar hypoventilation
Confusional arousals
Subacute dyskinesia due to drugs
Neuroleptic malignant syndrome
Carotid sinus syndrome
Acute pain due to trauma
Acute post-thoracotomy pain
Other acute pain
Other specified paralytic syndrome
Other forms of epilepsy and recurrent seizures, without mention of intractable
epilepsy
Migraine with aura, without mention of intractable migraine without mention of
status migrainosus
Migraine with aura, with intractable migraine, so stated, without mention of
status migrainosus
Migraine without aura, without mention of intractable migraine without mention
of status migrainosus
Migraine without aura, with intractable migraine, so stated, without mention of
status migrainosus
Variants of migraine, not elsewhere classified, without mention of intractable
migraine without mention of status migrainosus
Variants of migraine, not elsewhere classified, with intractable migraine, so
stated, without mention of status migrainosus
Chronic migraine without aura, with intractable migraine, so stated, without
30480
30490
30500
30501
30502
30520
30540
30550
30560
30570
30590
30750
30924
30928
30981
31230
31234
31400
31401
32724
32741
33385
33392
33701
33811
33812
33819
34489
34580
34600
34601
34610
34611
34620
34621
34671
56
mention of status migrainosus
Other forms of migraine, without mention of intractable migraine without
mention of status migrainosus
Migraine, unspecified with intractable migraine, so stated, without mention of
status migrainosus
Narcolepsy, without cataplexy
Encephalopathy, unspecified
Metabolic encephalopathy
Other encephalopathy
Toxic encephalopathy
Myasthenia gravis without (acute) exacerbation
Myasthenia gravis with (acute) exacerbation
Myotonic muscular dystrophy
Unspecified retinal vascular occlusion
Central artery occlusion of retina
Arterial branch occlusion of retina
Partial arterial occlusion of retina
Transient arterial occlusion of retina
Central vein occlusion of retina
Sudden visual loss
Transient visual loss
Psychophysical visual disturbances
Impairment level not further specified
Unspecified rheumatic heart disease
Rheumatic heart failure (congestive)
Other and unspecified rheumatic heart diseases
Malignant hypertensive heart disease without heart failure
Malignant hypertensive heart disease with heart failure
Benign hypertensive heart disease without heart failure
Benign hypertensive heart disease with heart failure
Unspecified hypertensive heart disease without heart failure
Hypertensive heart disease, unspecified, with heart failure
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure and
34680
34691
34700
34830
34831
34839
34982
35800
35801
35921
36230
36231
36232
36233
36234
36235
36811
36812
36816
36960
39890
39891
39899
40200
40201
40210
40211
40290
40291
40400
40401
40402
40403
40410
40411
40412
57
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, with heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, with heart failure
and with chronic kidney disease stage V
Secondary renovascular hypertension, malignant
Other secondary hypertension, malignant
Acute myocardial infarction of anterolateral wall, episode of care unspecified
Acute myocardial infarction of anterolateral wall, initial episode of care
Acute myocardial infarction of anterolateral wall, subsequent episode of care
Acute myocardial infarction of other anterior wall, episode of care unspecified
Acute myocardial infarction of other anterior wall, initial episode of care
Acute myocardial infarction of other anterior wall, subsequent episode of care
Acute myocardial infarction of inferolateral wall, episode of care unspecified
Acute myocardial infarction of inferolateral wall, initial episode of care
Acute myocardial infarction of inferolateral wall, subsequent episode of care
Acute myocardial infarction of inferoposterior wall, episode of care unspecified
Acute myocardial infarction of inferoposterior wall, initial episode of care
Acute myocardial infarction of inferoposterior wall, subsequent episode of care
Acute myocardial infarction of other inferior wall, episode of care unspecified
Acute myocardial infarction of other inferior wall, initial episode of care
Acute myocardial infarction of other inferior wall, subsequent episode of care
Acute myocardial infarction of other lateral wall, episode of care unspecified
Acute myocardial infarction of other lateral wall, initial episode of care
Acute myocardial infarction of other lateral wall, subsequent episode of care
Acute myocardial infarction, true posterior wall infarction, episode of care
unspecified
Acute myocardial infarction, true posterior wall infarction, initial episode of care
Acute myocardial infarction, true posterior wall infarction, subsequent episode of
care
Acute myocardial infarction, subendocardial infarction, episode of care
unspecified
Acute myocardial infarction, subendocardial infarction, initial episode of care
Acute myocardial infarction, subendocardial infarction, subsequent episode of
care
Acute myocardial infarction of other specified sites, episode of care unspecified
Acute myocardial infarction of other specified sites, initial episode of care
Acute myocardial infarction of other specified sites, subsequent episode of care
Acute myocardial infarction, unspecified site, episode of care unspecified
40413
40490
40491
40492
40493
40501
40509
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
41040
41041
41042
41050
41051
41052
41060
41061
41062
41070
41071
41072
41080
41081
41082
41090
58
Acute myocardial infarction, unspecified site, initial episode of care
Acute myocardial infarction, unspecified site, subsequent episode of care
Acute coronary occlusion without myocardial infarction
Other acute and subacute form of ischemic heart disease
Coronary atherosclerosis of unspecified type of vessel, native or graft
Coronary atherosclerosis of native coronary artery
Coronary atherosclerosis of autologous vein bypass graft
Coronary atherosclerosis of nonautologous biological bypass graft
Coronary atherosclerosis of artery bypass graft
Coronary atherosclerosis of unspecified type of bypass graft
Coronary atherosclerosis, of native coronary artery of transplanted heart
Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
Aneurysm of heart
Aneurysm of coronary vessels
Dissection of coronary artery
Other aneurysm of heart
Iatrogenic pulmonary embolism and infarction
Septic pulmonary embolism
Other pulmonary embolism and infarction
Unspecified acute pericarditis
Acute idiopathic pericarditis
Other acute pericarditis
Unspecified acute myocarditis
Idiopathic myocarditis
Endocarditis, valve unspecified, unspecified cause
Endocarditis in diseases classified elsewhere
Other endocarditis, valve unspecified
Hypertrophic obstructive cardiomyopathy
Other hypertrophic cardiomyopathy
Unspecified atrioventricular block
First degree atrioventricular block
Mobitz (type) II atrioventricular block
Other second degree atrioventricular block
Unspecified bundle branch block
Right bundle branch block and left posterior fascicular block
Right bundle branch block and left anterior fascicular block
Other bilateral bundle branch block
Trifascicular block
Lown-Ganong-Levine syndrome
Long QT syndrome
Other specified conduction disorder
Atrial fibrillation
Atrial flutter
41091
41092
41181
41189
41400
41401
41402
41403
41404
41405
41406
41407
41410
41411
41412
41419
41511
41512
41519
42090
42091
42099
42290
42291
42490
42491
42499
42511
42518
42610
42611
42612
42613
42650
42651
42652
42653
42654
42681
42682
42689
42731
42732
59
Ventricular fibrillation
Ventricular flutter
Unspecified premature beats
Supraventricular premature beats
Other premature beats
Sinoatrial node dysfunction
Other specified cardiac dysrhythmias
Unspecified systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Acute on chronic systolic heart failure
Unspecified diastolic heart failure
Acute diastolic heart failure
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Acute combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Acute on chronic combined systolic and diastolic heart failure
Acquired cardiac septal defect
Other certain sequelae of myocardial infarction, not elsewhere classified
Other disorders of papillary muscle
Hyperkinetic heart disease
Takotsubo syndrome
Other ill-defined heart disease
Occlusion and stenosis of basilar artery without mention of cerebral infarction
Occlusion and stenosis of basilar artery with cerebral infarction
Occlusion and stenosis of carotid artery without mention of cerebral infarction
Occlusion and stenosis of carotid artery with cerebral infarction
Occlusion and stenosis of vertebral artery without mention of cerebral infarction
Occlusion and stenosis of vertebral artery with cerebral infarction
Occlusion and stenosis of multiple and bilateral precerebral arteries without
mention of c
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral
infarc
Occlusion and stenosis of other specified precerebral artery without mention of
cerebral i
Occlusion and stenosis of other specified precerebral artery with cerebral
infarction
Occlusion and stenosis of unspecified precerebral artery without mention of
cerebral infar
Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
Cerebral thrombosis without mention of cerebral infarction
Cerebral thrombosis with cerebral infarction
42741
42742
42760
42761
42769
42781
42789
42820
42821
42822
42823
42830
42831
42832
42833
42840
42841
42842
42843
42971
42979
42981
42982
42983
42989
43300
43301
43310
43311
43320
43321
43330
43331
43380
43381
43390
43391
43400
43401
60
Cerebral embolism without mention of cerebral infarction
Cerebral embolism with cerebral infarction
Unspecified cerebral artery occlusion without mention of cerebral infarction
Unspecified cerebral artery occlusion with cerebral infarction
Hemiplegia affecting unspecified side due to cerebrovascular disease
Atherosclerosis of native arteries of the extremities, unspecified
Atherosclerosis of native arteries of the extremities with intermittent claudication
Atherosclerosis of native arteries of the extremities with rest pain
Atherosclerosis of native arteries of the extremities with ulceration
Atherosclerosis of native arteries of the extremities with gangrene
Other atherosclerosis of native arteries of the extremities
Atherosclerosis of unspecified bypass graft of extremities
Atherosclerosis of autologous vein bypass graft of extremities
Dissecting aortic aneurysm (any part), unspecified site
Dissecting aortic aneurysm (any part), thoracic
Dissecting aortic aneurysm (any part), abdominal
Dissecting aortic aneurysm (any part), thoracoabdominal
Aneurysm of artery of neck
Aneurysm of splenic artery
Aneurysm of other visceral artery
Aneurysm of other specified artery
Dissection of carotid artery
Dissection of other artery
Peripheral angiopathy in diseases classified elsewhere
Embolism and thrombosis of arteries of upper extremity
Embolism and thrombosis of arteries of lower extremity
Embolism and thrombosis of iliac artery
Embolism and thrombosis of other specified artery
Atheroembolism of lower extremity
Venous embolism and thrombosis of unspecified deep vessels of lower extremity
Venous embolism and thrombosis of deep vessels of proximal lower extremity
Venous embolism and thrombosis of deep vessels of distal lower extremity
Chronic venous embolism and thrombosis of unspecified deep vessels of lower
extremity
Chronic venous embolism and thrombosis of deep vessels of proximal lower
extremity
Chronic venous embolism and thrombosis of deep vessels of distal lower
extremity
Acute venous embolism and thrombosis of superficial veins of upper extremity
Acute venous embolism and thrombosis of deep veins of upper extremity
Acute venous embolism and thrombosis of upper extremity, unspecified
Acute venous embolism and thrombosis of subclavian veins
Acute venous embolism and thrombosis of internal jugular veins
Hypotension of hemodialysis
43410
43411
43490
43491
43820
44020
44021
44022
44023
44024
44029
44030
44031
44100
44101
44102
44103
44281
44283
44284
44289
44321
44329
44381
44421
44422
44481
44489
44502
45340
45341
45342
45350
45351
45352
45381
45382
45383
45385
45386
45821
61
Other iatrogenic hypotension
Acute tracheitis without mention of obstruction
Acute bronchiolitis due to respiratory syncytial virus (RSV)
Acute bronchiolitis due to other infectious organisms
Obstructive chronic bronchitis, with (acute) exacerbation
Obstructive chronic bronchitis with acute bronchitis
Extrinsic asthma, unspecified
Extrinsic asthma with status asthmaticus
Extrinsic asthma, with (acute) exacerbation
Intrinsic asthma, unspecified
Intrinsic asthma with status asthmaticus
Intrinsic asthma, with (acute) exacerbation
Chronic obstructive asthma with status asthmaticus
Chronic obstructive asthma, with (acute) exacerbation
Cough variant asthma
Asthma, unspecified, unspecified status
Asthma, unspecified with status asthmaticus
Asthma, unspecified, with (acute) exacerbation
Malignant pleural effusion
Other specified forms of effusion, except tuberculous
Other pneumothorax
Acute respiratory failure following trauma and surgery
Acute respiratory failure
Other pulmonary insufficiency, not elsewhere classified
Chronic respiratory failure
Acute and chronic respiratory failure
Other diseases of lung, not elsewhere classified
Unspecified tracheostomy complication
Mechanical complication of tracheostomy
Other tracheostomy complications
Acute bronchospasm
Other diseases of trachea and bronchus
Mucositis (ulcerative) due to antineoplastic therapy
Unspecified esophagitis
Reflux esophagitis
Acute esophagitis
Other esophagitis
Ulcer of esophagus with bleeding
Esophageal hemorrhage
Acute gastric ulcer with hemorrhage, without mention of obstruction
Acute gastric ulcer with perforation, without mention of obstruction
Chronic or unspecified gastric ulcer with hemorrhage, without mention of
obstruction
45829
46410
46611
46619
49121
49122
49300
49301
49302
49310
49311
49312
49321
49322
49382
49390
49391
49392
51181
51189
51289
51851
51881
51882
51883
51884
51889
51900
51902
51909
51911
51919
52801
53010
53011
53012
53019
53021
53082
53100
53110
53140
62
Chronic or unspecified gastric ulcer with hemorrhage and obstruction
Chronic or unspecified gastric ulcer with perforation, without mention of
obstruction
Chronic or unspecified gastric ulcer with hemorrhage and perforation, without
mention of obstruction
Gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage,
perforation
Acute duodenal ulcer with hemorrhage, without mention of obstruction
Acute duodenal ulcer with hemorrhage and perforation, without mention of
obstruction
Duodenal ulcer, chronic or unspecified, with hemorrhage, without mention of
obstruction
Chronic or unspecified duodenal ulcer with hemorrhage and obstruction
Chronic or unspecified duodenal ulcer with perforation, without mention of
obstruction
Chronic or unspecified duodenal ulcer with hemorrhage and perforation, without
mention of obstruction
Acute peptic ulcer, unspecified site, with hemorrhage, without mention of
obstruction
Chronic or unspecified peptic ulcer, unspecified site, with hemorrhage, without
mention of obstruction
Chronic or unspecified gastrojejunal ulcer with hemorrhage, without mention of
obstruction
Acute gastritis with hemorrhage
Atrophic gastritis with hemorrhage
Alcoholic gastritis without mention of hemorrhage
Alcoholic gastritis with hemorrhage
Other specified gastritis with hemorrhage
Unspecified gastritis and gastroduodenitis with hemorrhage
Duodenitis with hemorrhage
Angiodysplasia of stomach and duodenum with hemorrhage
Dieulafoy lesion (hemorrhagic) of stomach and duodenum
Inguinal hernia with gangrene, unilateral or unspecified, (not specified as
recurrent)
Femoral hernia with gangrene, unilateral or unspecified (not specified as
recurrent)
Gallstone ileus
Fecal impaction
Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection)
Other specified intestinal obstruction
Diverticulosis of small intestine with hemorrhage
Diverticulosis of colon with hemorrhage
Diverticulitis of colon with hemorrhage
Spontaneous bacterial peritonitis
Perforation of intestine
53141
53150
53160
53190
53200
53220
53240
53241
53250
53260
53300
53340
53440
53501
53511
53530
53531
53541
53551
53561
53783
53784
55000
55100
56031
56032
56081
56089
56202
56212
56213
56723
56983
63
Angiodysplasia of intestine with hemorrhage
Dieulafoy lesion (hemorrhagic) of intestine
Calculus of gallbladder with acute cholecystitis, without mention of obstruction
Calculus of gallbladder with acute cholecystitis and obstruction
Calculus of gallbladder with other cholecystitis, without mention of obstruction
Calculus of gallbladder with other cholecystitis and obstruction
Calculus of bile duct with acute cholecystitis without mention of obstruction
Calculus of bile duct with acute cholecystitis and obstruction
Calculus of gallbladder and bile duct with acute cholecystitis, with obstruction
Calculus of gallbladder and bile duct with other cholecystitis, with obstruction
Calculus of gallbladder and bile duct with acute and chronic cholecystitis,
without mention of obstruction
Calculus of gallbladder and bile duct with acute and chronic cholecystitis, with
obstruction
Cholecystitis, unspecified
Chronic cholecystitis
Acute and chronic cholecystitis
Gross hematuria
Peyronie's disease
Mastodynia
Pyogenic arthritis, lower leg
Rheumatoid lung
Pain in joint, shoulder region
Necrotizing fasciitis
Rhabdomyolysis
Panniculitis of other sites
Swelling of limb
Acute osteomyelitis, site unspecified
Acute osteomyelitis, lower leg
Acute osteomyelitis, ankle and foot
Acute osteomyelitis, other specified site
Chronic osteomyelitis, pelvic region and thigh
Chronic osteomyelitis, lower leg
Chronic osteomyelitis, ankle and foot
Chronic osteomyelitis, other specified sites
Unspecified osteomyelitis, site unspecified
Unspecified osteomyelitis, hand
Unspecified osteomyelitis, pelvic region and thigh
Unspecified osteomyelitis, other specified sites
Pathologic fracture of humerus
Pathologic fracture of neck of femur
Pathologic fracture of other specified part of femur
Pathologic fracture of other specified site
56985
56986
57400
57401
57410
57411
57430
57431
57461
57471
57480
57481
57510
57511
57512
59971
60785
61171
71106
71481
71941
72886
72888
72939
72981
73000
73006
73007
73008
73015
73016
73017
73018
73020
73024
73025
73028
73311
73314
73315
73319
64
Aseptic necrosis of bone, site unspecified
Aseptic necrosis of head of humerus
Aseptic necrosis of head and neck of femur
Aseptic necrosis of other bone site
Stress fracture of femoral neck
Complete transposition of great vessels
Transposition of great vessels, double outlet right ventricle
Corrected transposition of great vessels
Unspecified type congenital endocardial cushion defect
Ostium primum defect
Other congenital endocardial cushion defect
Unspecified congenital pulmonary valve anomaly
Congenital atresia of pulmonary valve
Congenital stenosis of pulmonary valve
Other congenital anomalies of pulmonary valve
Congenital subaortic stenosis
Congenital coronary artery anomaly
Congenital heart block
Congenital malposition of heart and cardiac apex
Other specified congenital anomaly of heart
Coarctation of aorta (preductal) (postductal)
Unspecified congenital anomaly of aorta
Congenital atresia and stenosis of aorta
Other congenital anomaly of aorta
Congenital anomaly of the peripheral vascular system, unspecified site
Congenital anomaly of cerebrovascular system
Marfan's syndrome
Other specified multiple congenital anomalies, so described
Coma
Transient alteration of awareness
Other alteration of consciousness
Hypothermia not associated with low environmental temperature
Memory loss
Generalized pain
Altered mental status
Failure to thrive
Jaw pain
Unspecified shock
Cardiogenic shock
Septic shock
Other shock without mention of trauma
Unspecified respiratory abnormality
Orthopnea
73340
73341
73342
73349
73396
74510
74511
74512
74560
74561
74569
74600
74601
74602
74609
74681
74685
74686
74687
74689
74710
74720
74722
74729
74760
74781
75982
75989
78001
78002
78009
78065
78093
78096
78097
78341
78492
78550
78551
78552
78559
78600
78602
65
Apnea
Cheyne-Stokes respiration
Shortness of breath
Tachypnea
Wheezing
Other dyspnea and respiratory abnormalities
Hemoptysis unspecified
Other hemoptysis
Precordial pain
Painful respiration
Chest pain, other
Abdominal pain, unspecified site
Abdominal pain, right upper quadrant
Abdominal pain, left upper quadrant
Abdominal pain, right lower quadrant
Abdominal pain, left lower quadrant
Abdominal pain, periumbilic
Abdominal pain, epigastric
Abdominal pain, generalized
Abdominal pain, other specified site
Malignant ascites
Abdominal tenderness, unspecified site
Abdominal tenderness, right upper quadrant
Abdominal tenderness, right lower quadrant
Abdominal tenderness, left lower quadrant
Abdominal tenderness, epigastric
Abdominal tenderness, generalized
Abdominal tenderness, other specified site
Other abnormal glucose
Abnormal arterial blood gases
Other nonspecific findings on examination of blood
Abnormal findings lung field other
Nonspecific abnormal electroencephalogram (EEG)
Nonspecific abnormal unspecified cardiovascular function study
Nonspecific abnormal electrocardiogram (ECG) (EKG)
Other nonspecific abnormal cardiovascular system function study
Hypoxemia
Closed fracture of base of skull without mention of intracranial injury,
unspecified state
Closed fracture of base of skull without mention of intracranial injury, no loss of
consciousness
Closed fracture of base of skull without mention of intracranial injury, loss of
consciousness
Closed fracture of base of skull with subarachnoid, subdural, and extradural
78603
78604
78605
78606
78607
78609
78630
78639
78651
78652
78659
78900
78901
78902
78903
78904
78905
78906
78907
78909
78951
78960
78961
78963
78964
78966
78967
78969
79029
79091
79099
79319
79402
79430
79431
79439
79902
80100
80101
80106
80120
66
hemorrhage, unspecified state of consciousness
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, with no loss of consciousness
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, with brief [less than one hour] loss of consciousness)
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, with loss of consciousness of unspecified duration
Closed fracture of third cervical vertebra without mention of spinal cord injury
Closed fracture of fourth cervical vertebra without mention of spinal cord injury
Closed fracture of fifth cervical vertebra without mention of spinal cord injury
Closed fracture of seventh cervical vertebra without mention of spinal cord injury
Closed fracture of multiple cervical vertebrae without mention of spinal cord
injury
Closed fracture of C1-C4 level with unspecified spinal cord injury
Closed fracture of C5-C7 level with unspecified spinal cord injury
Closed fracture of T7-T12 level with unspecified spinal cord injury
Closed fracture of rib(s), unspecified
Closed fracture of one rib
Closed fracture of two ribs
Closed fracture of three ribs
Closed fracture of four ribs
Closed fracture of five ribs
Closed fracture of six ribs
Closed fracture of seven ribs
Closed fracture of eight or more ribs
Closed fracture of multiple ribs, unspecified
Closed fracture of ilium
Closed fracture of ischium
Multiple closed pelvic fractures with disruption of pelvic circle
Unspecified part of closed fracture of clavicle
Closed fracture of shaft of clavicle
Closed fracture of acromial end of clavicle
Closed fracture of unspecified part of scapula
Closed fracture of glenoid cavity and neck of scapula
Closed fracture of unspecified part of upper end of humerus
Closed fracture of surgical neck of humerus
Closed fracture of anatomical neck of humerus
Closed fracture of greater tuberosity of humerus
Other closed fractures of upper end of humerus
Closed fracture of unspecified part of humerus
Closed fracture of shaft of humerus
Closed fracture of unspecified part of lower end of humerus
Closed fracture of supracondylar humerus
Closed fracture of unspecified condyle(s) of humerus
80121
80122
80126
80503
80504
80505
80507
80508
80600
80605
80625
80700
80701
80702
80703
80704
80705
80706
80707
80708
80709
80841
80842
80843
81000
81002
81003
81100
81103
81200
81201
81202
81203
81209
81220
81221
81240
81241
81244
67
Other closed fracture of lower end of humerus
Closed fracture of unspecified intracapsular section of neck of femur
Closed fracture of epiphysis (separation) (upper) of neck of femur
Closed fracture of midcervical section of femur
Closed fracture of base of neck of femur
Other closed transcervical fracture of femur
Closed fracture of unspecified trochanteric section of femur
Closed fracture of intertrochanteric section of femur
Closed fracture of subtrochanteric section of femur
Open fracture of intertrochanteric section of femur
Closed fracture of unspecified part of femur
Closed fracture of shaft of femur
Closed fracture of unspecified part of lower end of femur
Closed fracture of femoral condyle
Closed supracondylar fracture of femur
Other closed fracture of lower end of femur
Open fracture of unspecified part of lower end of femur
Open supracondylar fracture of femur
Closed anterior dislocation of humerus
Concussion, with loss of consciousness of 30 minutes or less
Cerebellar or brain stem contusion without mention of open intracranial wound,
no loss of consciousness
Other and unspecified cerebral laceration and contusion, without mention of open
intracranial wound, unspecified state of consciousness
Other and unspecified cerebral laceration and contusion, without mention of open
intracranial wound, with no loss of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, brief loss of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, brief loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, without mention of open intracranial wound, with prolonged [more than
24 hours] loss of consciousness without return to pre-existing conscious level
Subdural hemorrhage following injury, without mention of open intracranial
wound, loss of consciousness
81249
82000
82001
82002
82003
82009
82020
82021
82022
82031
82100
82101
82120
82121
82123
82129
82130
82133
83101
85011
85141
85180
85181
85200
85201
85202
85206
85220
85221
85222
85225
85226
68
Subdural hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Extradural hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Extradural hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, unspecified state of consciousness
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, with no loss of consciousness
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, with brief [less than one hour] loss of consciousness
Other and unspecified intracranial hemorrhage following injury without mention
of open intracranial wound, with prolonged [more than 24 hours] loss of
consciousness without return to pre-existing conscious level
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, unspecified state of consciousness
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, with no loss of consciousness
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, with brief [less than one hour] loss of consciousness
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, with loss of consciousness of unspecified duration
Unspecified injury to heart without mention of open wound into thorax
Heart contusion without mention of open wound into thorax
Lung contusion without mention of open wound into thorax
Injury to other specified intrathoracic organs without mention of open wound into
cavity
Massive parenchymal disruption of spleen without mention of open wound into
cavity
Contusion of shoulder region
C1-C4 level with central cord syndrome
Other injury of chest wall
Poisoning by opium (alkaloids), unspecified
Poisoning by heroin
Poisoning by methadone
Poisoning by opiates and related narcotics, other
Poisoning by propionic acid derivatives
Poisoning antidepressants unspec
Poisoning SSRI
Poisoning tricyclic antidepress
Poisoning antidepressants other
Poisoning by amphetamines
Poisoning by cocaine
Toxic effect of tobacco
Toxic effect of other substances
85229
85240
85241
85300
85301
85302
85305
85400
85401
85402
85406
86100
86101
86121
86229
86504
92300
95203
95911
96500
96501
96502
96509
96561
96900
96903
96905
96909
96972
97081
98984
98989
69
Unspecified adverse effect of unspecified drug, medicinal and biological
substance
Unspecified adverse effect of insulin
Unspecified adverse effect of other drug, medicinal and biological substance
Sepsis
Severe sepsis
Mechanical complication of unspecified cardiac device, implant, and graft
Mechanical complication due to cardiac pacemaker (electrode)
Mechanical complication due to heart valve prosthesis
Mechanical complication due to coronary bypass graft
Mechanical complication due to automatic implantable cardiac defibrillator
Mechanical complication of cardiac device, implant, and graft, other
Mechanical complication due to other tissue graft, not elsewhere classified
Mechanical complication due to other implant and internal device, not elsewhere
classified
Infection and inflammatory reaction due to unspecified device, implant, and graft
Infection and inflammatory reaction due to cardiac device, implant, and graft
Infection and inflammatory reaction due to other vascular device, implant, and
graft
Infection and inflammatory reaction due to peritoneal dialysis catheter
Other complications due to heart valve prosthesis
Other complications due to other cardiac device, implant, and graft
Other complications due to renal dialysis device, implant, and graft
Other complications due to other vascular device, implant, and graft
Complications of transplanted kidney
Complications of transplanted liver
Complications of transplanted heart
Complications of transplanted lung
Central nervous system complication
Iatrogenic cerebrovascular infarction or hemorrhage
Other respiratory complications
Infection (chronic) of amputation stump
Other late amputation stump complication
Vascular complications of other vessels
Hemorrhage complicating a procedure
Cataract fragments in eye following surgery
Complications of medical care, NEC, infection due to central venous catheter
Bloodstream infection central line
Fall from other slipping, tripping, or stumbling
Unspecified fall
Antineoplastic and immunosuppressive drugs causing adverse effect in
therapeutic use
Cardiac rhythm regulators causing adverse effect in therapeutic use
Asymptomatic human immunodeficiency virus (HIV) infection status
99520
99523
99529
99591
99592
99600
99601
99602
99603
99604
99609
99652
99659
99660
99661
99662
99668
99671
99672
99673
99674
99681
99682
99683
99684
99701
99702
99739
99762
99769
99779
99811
99882
99931
99932
E8859
E8889
E9331
E9420
V08
70
Personal history of malignant neoplasm of large intestine
Personal history of malignant neoplasm of rectum, rectosigmoid junction, and
anus
Personal history of malignant neoplasm of bronchus and lung
Personal history of malignant neoplasm of breast
Personal history of malignant neoplasm of ovary
Personal history of malignant neoplasm of prostate
Personal history of malignant neoplasm of bladder
Personal history of sudden cardiac arrest
Personal history of transient ischemic attack [TIA], and cerebral infarction
without resid
Personal history of other diseases of circulatory system
Personal history of surgery to heart and great vessels, presenting hazards to
health
Personal history of fall
Other mental problems
Kidney replaced by transplant
Heart replaced by transplant
Heart valve replaced by transplant
Lung replaced by transplant
Liver replaced by transplant
Bone marrow replaced by transplant
Organ or tissue replaced by other means, Heart assist device
Heart valve replaced by other means
Blood vessel replaced by other means
Unspecified cardiac device in situ
Cardiac pacemaker in situ
Automatic implantable cardiac defibrillator in situ
Other specified cardiac device in situ
Renal dialysis status
Renal dialysis status
Postprocedural aortocoronary bypass status
Postprocedural percutaneous transluminal coronary angioplasty status
Other cardiorespiratory problems
Fitting and adjustment of cardiac pacemaker
Fitting and adjustment of automatic implantable cardiac defibrillator
Fitting and adjustment of other cardiac device
Attention to tracheostomy
Encounter for extracorporeal dialysis
Fitting and adjustment of extracorporeal dialysis catheter
Fitting and adjustment of peritoneal dialysis catheter
Radiotherapy
Encounter for antineoplastic chemotherapy
Encounter for antineoplastic immunotherapy
V1005
V1006
V1011
V103
V1043
V1046
V1051
V1253
V1254
V1259
V151
V1588
V402
V420
V421
V422
V426
V427
V4281
V4321
V433
V434
V4500
V4501
V4502
V4509
V451
V4511
V4581
V4582
V472
V5331
V5332
V5339
V550
V560
V561
V562
V580
V5811
V5812
71
Aftercare following surgery for neoplasm
Aftercare following organ transplant
Encounter for long-term (current) use of other medications
Fitting and adjustment of vascular catheter
Encounter for therapeutic drug monitoring
Kidney donor
Suicidal ideation
Chemotherapy follow-up examination
Follow-up examination following completed treatment with high-risk
medications, not elsewhere classifed
Issue of repeat prescriptions
Other and unspecified general psychiatric examination
Examination of participant in clinical trial
Observation of other suspected mental condition
Observation for suspected malignant neoplasm
Observation for suspected cardiovascular disease
V5842
V5844
V5869
V5881
V5883
V594
V6284
V672
V6751
V681
V702
V707
V7109
V711
V717
72
Don’t screen women older than 65 years of age for cervical cancer who have had adequate
prior screening and are not otherwise at high risk for cervical cancer
Choosing Wisely Guidelines
American Academy of
Family Physicians
Don’t screen women older than 65 years of age for cervical cancer
who have had adequate prior screening and are not otherwise at high
risk for cervical cancer. There is adequate evidence that screening
women older than 65 years of age for cervical cancer who have had
adequate prior screening and are not otherwise at high risk provides
little to no benefit.
Methods
We calculated the percent of female Medicare beneficiaries over age 65 at low risk for cervical
cancer who received at least one cervical cancer screening test for each calendar year 2006-11.
We then created a weighted average of imaging prevalence for the interval 2006-11. We required
enrollment in fee-for-service Medicare Parts A and B for at least 11 months in each calendar
year. Beneficiaries were deemed to be at high risk for cervical cancer if they had two physician
or one acute hospital claim for relevant diagnoses at any point during the study period, with the
exception of claims indicating an abnormal pap test or HPV, where we only required one claim.
References
NQF-Endorsed National Voluntary Consensus Standards for Physician-Focused Ambulatory
Care. National Committee for Quality Assurance. 2008.
CCS and ICD-9 Codes for Excluding Patients at High Risk for Cervical Cancer
Label
Gynecological cancers
HIV / AIDS
Diethylstilbestrol exposure
Abnormal Pap Test / HPV
Code
CCS 25-28
CCS 5
ICD-9 760.76
ICD-9 795.0x, 795.1x, V72.32
CPT Codes for Identifying Cervical Cancer Tests
Label
Cytopathology cervical/vaginal req interp physician
Cytopathology cerv/vag auto thin layer prep mnl screen
Cytopathology c/v flu auto thin mnl scr&rescr phys
Cytopathology smrs c/v scr automated system phys supv
Cytopathology smrs c/v scr auto sys mnl rescr phys
Cytopathology slides c/v mnl scr under phys
Cytopathology slides c/v mnl scr&cptr rescr phys
Cytopathology slides c/v mnl scr&rescr phys
Cytopathology slides c/v mnl scr&cptr-rescr cell s&i
Cytopathology slides c/v definitive hormonal eval
Code
88141
88142
88143
88147
88148
88150
88152
88153
88154
88155
73
Cytopathology slides c/v mnl scr&rescr phys supv
Cytopathology slides c/v mnl scr&cptr rescr phys supv
Cytopathology fine ndl aspirate immt cytohist std dx 1st
Cytopathology eval fine needle aspirate interp & report
Cytopathology c/v auto thin lyr prepj scr sys phys
Cytopathology c/v auto thin lyr prepj scr mnl rescr phys
88164
88165
88166
88167
88174
88175
74
Don’t routinely repeat dual-energy x-ray absorptiometry (DXA) scans more often than
once every two years
Choosing Wisely Guidelines
American College of
Rheumatology
Don’t routinely repeat DXA scans more often than once every two
years. Initial screening for osteoporosis should be performed
according to National Osteoporosis Foundation recommendations.
The optimal interval for repeating Dual-energy X-ray
Absorptiometry (DXA) scans is uncertain, but because changes in
bone density over short intervals are often smaller than the
measurement error of most DXA scanners, frequent testing (e.g., <2
years) is unnecessary in most patients. Even in high-risk patients
receiving drug therapy for osteoporosis, DXA changes do not always
correlate with probability of fracture. Therefore, DXAs should only
be repeated if the result will influence clinical management or if
rapid changes in bone density are expected. Recent evidence also
suggests that healthy women age 67 and older with normal bone
mass may not need additional DXA testing for up to ten years
provided osteoporosis risk factors do not significantly change.
Methods
We calculated the proportion of DXA tests performed on female Medicare beneficiaries over age
66 that were within 23 months of a previous DXA test (i.e., delivered at short interval) in each
calendar year 2008-11. We then created a weighted average of testing prevalence for the interval
2008-11. We required beneficiaries to be enrolled in fee-for-service Medicare Parts A and B in
the 23 months prior to each DXA test identified. We excluded beneficiaries who were (i)
diagnosed with any cancer, except non-melanoma skin cancer (using the Clinical Classifications
Software codes 11-22 and 24-44) and (ii) diagnosed with fragility fracture in the 23 months prior
to the DXA. Fragility fractures were defined as follows: (i) at least one CPT code for hip fracture
repair; (ii) at least one diagnosis code for distal radius or proximal humerus fracture, plus at least
one upper extremity radiography claim within seven days (plus or minus) of the diagnosis claim
date; or (iii) at least one ICD-9 diagnosis code for vertebral fracture.
CPT Codes for Identifying DXA Tests
Label
Dual energy x-ray absorptiometry body composition study, one or more sites
Bone density study
Bone density appendicular
Bone density study
Bone density appendicular
Code
0028T
76075
76076
77080
77081
ICD-9 and CPT Codes for Identifying Fragility Fractures.
Label
Hip fracture
Code
CPT 27230-27248
75
Wrist fracture
Humerus fracture
Vertebral fracture
Shoulder/clavicle imaging
Humerus/elbow imaging
Forearm/wrist imaging
Hand imaging
CT
MRI
ICD-9 813.4-813.54, 814.00, 814.10 and
CPT 25600, 25605, 25609, 25611
ICD-9 812.0-812.19 and CPT 2360023630, 23665-23680
ICD-9 805.2. 805.4, 805.8, 733.13
CPT 73000, 73010, 73020, 73030, 73040,
73050
CPT 73060, 73070, 73080, 73085
CPT 73090, 73092, 73100, 73110, 73115
CPT 73120, 73130, 73140
CPT 73200, 73201, 73202, 73206
CPT 73218, 73219, 73220, 73221, 73222,
73223, 73225
76
Don't perform preoperative cardiac tests for cataract surgeries
Choosing Wisely Guidelines
American Academy of
Ophthalmology
American College of
Cardiology
Society of General
Internal Medicine
Don’t perform preoperative medical tests for eye surgery unless
there are specific medical indications. For many, preoperative tests
are not necessary because eye surgeries are not lengthy and don’t
pose serious risks. An EKG should be ordered if patients have heart
disease. A blood glucose test should be ordered if patients have
diabetes. A potassium test should be ordered if patients are on
diuretics. In general, patients scheduled for surgery do not need
medical tests unless the history or physical examination indicate the
need for a test, e.g., the existence of conditions noted above.
Institutional policies should consider these issues.
Don’t perform stress cardiac imaging or advanced non-invasive
imaging as a pre-operative assessment in patients scheduled to
undergo low-risk non-cardiac surgery. Non-invasive testing is not
useful for patients undergoing low-risk non-cardiac surgery (e.g.,
cataract removal). These types of tests do not change the patient’s
clinical management or outcomes and will result in increased costs.
Don’t perform routine pre-operative testing before low-risk surgical
procedures. Pre-operative assessment is expected before all surgical
procedures. This assessment includes an appropriately directed and
sufficiently comprehensive history and physical examination, and, in
some cases, properly includes laboratory and other testing to help
direct management and assess surgical risk. However, pre-operative
testing for low-risk surgical procedures (such as cataract extraction)
results in unnecessary delays and adds to significant avoidable costs
and should be eliminated.
Methods
We calculated the percent of Medicare beneficiaries over age 65 who received a non-indicated
electrocardiogram, cardiovascular stress test (including stress imaging), echocardiogram, chest xray, or advanced cardiac imaging (CT, MRI, PET) in the 30 days before cataract surgery in each
calendar year 2006-11. We then created a weighted average of testing prevalence for the interval
2006-11. We identified cataract surgery using the BETOS code P4B. We required enrollment in
fee-for-service Medicare Parts A and B for at least 11 months during the calendar year. We did
not count testing events if diagnosis codes in any of the first four fields on a claim involved
cardiac disease, cardiac-related symptoms, or any conditions that might justify the test (e.g.,
respiratory conditions, cancer), and we excluded beneficiaries who were admitted in the 30 days
before the surgery.
References
Physician Quality Reporting System (PQRS) Measure Specifications Manual for Claims and
Registry Reporting of Individual Measures. Centers for Medicare and Medicaid Services. 2014.
77
CPT Codes for Identifying Cardiac Tests (Advanced Imaging, Cardiac Stress Tests,
Echocardiograms, and Electrocardiograms)
See codes applied to cardiac testing measure (pp. 7).
CPT Codes for Identifying Chest X-Rays
Label
Chest x-ray 1 view frontal
Chest x-ray stereo frontal
Chest x-ray 2vw frontal&latl
Chest x-ray frnt lat lordotc
Chest x-ray frnt lat oblique
Chest x-ray 4/> views
Chest x-ray special views
Code
71010
71015
71020
71021
71022
71030
71035
ICD-9 Codes for Excluding Advanced Imaging (CT, MRI, PET)
Advanced imaging tests were excluded from the analysis if the associated primary, secondary,
tertiary, or quaternary diagnosis involved: (i) cardiac conditions; (ii) respiratory conditions,
except acute respiratory infections (e.g. pneumonia); (iii) acute central nervous system
conditions, except headaches; (iv) all thoracic and non-thoracic arterial conditions, but not
peripheral venous conditions such as deep venous thrombosis; (v) malignant hypertension; (vi)
end stage renal disease and acute renal disease; (vii) abdominal pain; (viii) cancer; (ix) drug
toxicity or poisoning; or (x) exertional stress and fatigue.
Label
Pulmonary diseases other mycobact
Streptococcal septicemia
Meth susc staph aureus septicemia
Escherichia coli septicemia
Mssa infection
Mrsa infection
Human immunodeficiency virus dis
Unspecified viral infection
Lyme disease
Sarcoidosis
Malignant neoplasm of upper lobe, bronchus, or lung
Malignant neoplasm of bronchus and lung, unspecified site
Oth malig neo ear skin external
Malig neo skin oth uns parts face
Oth malignant neo scalp/skin neck
Oth malig neo skin l limb inc hip
Oth malignant neo skin site uns
Malignant neoplasm of breast (female), unspecified site
Malignant neoplasm of prostate
Code
0310
0380
03811
03842
04111
04112
042
07999
08881
135
1623
1629
1732
1733
1734
1737
1739
1749
185
78
Malignant neo thyroid gland
Benign neoplasm bronchus/lung
Benign neoplasm cerebral meninges
Ca in situ breast
Ca in situ prostate
Uncert behavior neo intestine
Uncert behavior neo lung
Uncert behavior neo prostate
Uncert behavior neo bladder
Uncert behavior neo kidney
Uncert behavior neo skin
Uncert behavior neo breast
Polycythemia vera
Essential thrombocythemia
Lo gr myelodysplastic synd lesions
Respiratory unsp behavior neo
Bone/skin unsp behavior neo
Bladder unsp behavior neo
Ot gu unsp behavior neo
Brain unsp behavior neo
Endonerv unsp behavior neo
Unsp behavior neo
Acute thyroiditis
Diabetes hypersmolarity type ii
Glucocorticoid deficiency
Uns protein calorie malnutrition
Disturb sulphur amino acid metabol
Monoclonal paraproteinemia
Disorders of iron metabolism
Disorders magnesium metabolism
Disorders phosphorus metabolism
Uns disorder calcium metabolism
Hypocalcemia
Hypercalcemia
Oth disorders calcium metabolism
Hyperosmolality/or hypernatremia
Hyposmolality/or hyponatremia
Acidosis
Volume depletion unspecified
Dehydration
Fluid overload
Hyperpotassemia
Hypopotassemia
193
2123
2252
2330
2334
2352
2357
2365
2367
23691
2382
2383
2384
23871
23872
2391
2392
2394
2395
2396
2397
2399
2450
25020
25541
2639
2704
2731
2750
2752
2753
27540
27541
27542
27549
2760
2761
2762
27650
27651
2766
2767
2768
79
Electrolyte/fluid disorders oth
Autoimmune disease other
Iron deficiency anemia blood loss
Iron def anemia inadeq iron intake
Other iron deficiency anemias
Uns iron deficiency anemia
Pernicious anemia
Oth vitamin b12 deficiency anemia
Folate deficiency anemia
Other megaloblastic anemias oth
Anemia w ot nutritional deficiency
Uns deficiency anemia
Uns acquired hemolytic anemia
Pancytopenia
Other aplastic anemias
Sideroblastic anemia
Anemia chronic kidney disease
Anemia of other chronic disease
Other specified anemias
Anemia unspecified
Defibrination syndrome
Oth nonthrombocytopenic purpuras
Primary thrombocytopenia unspec
Immune thrombocytopenic purpura
Uns thrombocytopenia
Neutropenia unspecified
Functional disord neutrophils
Leukocytopenia unspecified
Leukocytosis unspecified
Other disease white blood cells
Polycythemia secondary
Ot dis blood/blood forming organs
Uns dis blood/blood forming organs
Delirium in other conditions
Uns schizophrenia
Depressive type psychosis
Maj depress dis recurr epi uns
Maj depress dis recur epi sev
Bipolar i disorder unspecified
Bipolar disorder unspecified
Unspecified psychosis
Anxiety state unspecified
Panic disorder wo agoraphobia
2769
2794
2800
2801
2808
2809
2810
2811
2812
2813
2818
2819
2839
2841
2848
2850
28521
28529
2858
2859
2866
2872
28730
28731
2875
28800
2881
28850
28860
2888
2890
28989
2899
2930
29590
29620
29630
29633
2967
29680
2989
30000
30001
80
Generalized anxiety disorder
Dysthymic disorder
Psychosex dysfunc inhibited excite
Oth/uns alcohol dependence uns
Opioid type dependence uns
Opioid type dependence continuous
Unspec drug dependence uns
Alcohol abuse unspec
Oth mixed/uns drug abuse uns
Adjustment disorder mixed
Personality chg due to oth cond
Depressive disorder other
Obstructive hydrocephalus
Other acute postoperative pain
Multiple sclerosis
Encephalopathy unspecified
Metabolic encephalopathy
Other visual disturbances
Uns peripheral vertigo
Benign paroxysmal position vertigo
Unspecified septicemia
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other and unspecified mitral valve diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
Other and unspecified rheumatic aortic diseases
Mitral valve stenosis and aortic valve stenosis
Mitral valve stenosis and aortic valve insufficiency
Mitral valve insufficiency and aortic valve stenosis
Mitral valve insufficiency and aortic valve insufficiency
Multiple involvement of mitral and aortic valves
Unspecified mitral and aortic valve diseases
Diseases of tricuspid valve
Rheumatic heart failure (congestive)
Essential hypertension, malignant
Malignant hypertensive heart disease without heart failure
Malignant hypertensive heart disease with heart failure
Benign hypertensive heart disease without heart failure
Benign hypertensive heart disease with heart failure
Unspecified hypertensive heart disease without heart failure
30002
3004
30272
30390
30400
30401
30490
30500
30590
30928
3101
311
3314
33818
340
34830
34831
3688
38610
38611
389
3940
3941
3942
3949
3950
3951
3952
3959
3960
3961
3962
3963
3968
3969
3970
39891
4010
40200
40201
40210
40211
40290
81
Hypertensive heart disease, unspecified, with heart failure
Mal kid hyper w ckd stage i-iv
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, with heart failure and with
chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, with heart failure and
with chronic kidney disease stage V
Acute myocardial infarction of anterolateral wall, episode of care unspecified
Acute myocardial infarction of anterolateral wall, initial episode of care
Acute myocardial infarction of anterolateral wall, subsequent episode of care
Acute myocardial infarction of other anterior wall, episode of care unspecified
Acute myocardial infarction of other anterior wall, initial episode of care
Acute myocardial infarction of other anterior wall, subsequent episode of care
Acute myocardial infarction of inferolateral wall, episode of care unspecified
Acute myocardial infarction of inferolateral wall, initial episode of care
Acute myocardial infarction of inferolateral wall, subsequent episode of care
Acute myocardial infarction of inferoposterior wall, episode of care unspecified
Acute myocardial infarction of inferoposterior wall, initial episode of care
Acute myocardial infarction of inferoposterior wall, subsequent episode of care
Acute myocardial infarction of other inferior wall, episode of care unspecified
Acute myocardial infarction of other inferior wall, initial episode of care
Acute myocardial infarction of other inferior wall, subsequent episode of care
Acute myocardial infarction of other lateral wall, episode of care unspecified
Acute myocardial infarction of other lateral wall, initial episode of care
Acute myocardial infarction of other lateral wall, subsequent episode of care
Acute myocardial infarction, subendocardial infarction, episode of care
unspecified
Acute myocardial infarction, subendocardial infarction, initial episode of care
Acute myocardial infarction, subendocardial infarction, subsequent episode of care
Acute myocardial infarction of other specified sites, episode of care unspecified
Acute myocardial infarction of other specified sites, initial episode of care
Acute myocardial infarction of other specified sites, subsequent episode of care
40291
40300
40400
40401
40410
40412
40413
40490
40491
40492
40493
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
41040
41041
41042
41050
41051
41052
41070
41071
41072
41080
41081
41082
82
Acute myocardial infarction, unspecified site, episode of care unspecified
Acute myocardial infarction, unspecified site, initial episode of care
Acute myocardial infarction, unspecified site, subsequent episode of care
Postmyocardial infarction syndrome
Intermediate coronary syndrome
Acute coronary occlusion without myocardial infarction
Other acute and subacute form of ischemic heart disease
Old myocardial infarction
Angina decubitus
Prinzmetal angina
Other and unspecified angina pectoris
Coronary atherosclerosis of unspecified type of vessel, native or graft
Coronary atherosclerosis of native coronary artery
Coronary atherosclerosis of autologous vein bypass graft
Coronary atherosclerosis of nonautologous biological bypass graft
Coronary atherosclerosis of artery bypass graft
Coronary atherosclerosis of unspecified type of bypass graft
Coronary atherosclerosis, of native coronary artery of transplanted heart
Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
Aneurysm of heart
Aneurysm of coronary vessels
Other aneurysm of heart
Chronic total occlusion of coronary artery
Coronary atherosclerosis due to lipid rich plaque
Other specified forms of chronic ischemic heart disease
Unspecified chronic ischemic heart disease
Iatrogenic pulmonary embolism and infarction
Other pulmonary embolism and infarction
Primary pulmonary hypertension
Other chronic pulmonary heart diseases
Unspecified chronic pulmonary heart disease
Unspecified acute pericarditis
Acute idiopathic pericarditis
Acute and subacute bacterial endocarditis
Other specified diseases of pericardium
Unspecified disease of pericardium
Mitral valve disorders
Aortic valve disorders
Tricuspid valve disorders, specified as nonrheumatic
Pulmonary valve disorders
Endocarditis, valve unspecified, unspecified cause
Endomyocardial fibrosis
Hypertrophic obstructive cardiomyopathy
41090
41091
41092
4110
4111
41181
41189
412
4130
4131
4139
41400
41401
41402
41403
41404
41405
41406
41407
41410
41411
41419
4142
4143
4148
4149
41511
41519
4160
4168
4169
42090
42091
4210
4238
4239
4240
4241
4242
4243
42490
4250
4251
83
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Cardiomyopathy in other diseases classified elsewhere
Unspecified secondary cardiomyopathy
Atrioventricular block, complete
Unspecified atrioventricular block
First degree atrioventricular block
Mobitz (type) II atrioventricular block
Other second degree atrioventricular block
Left bundle branch hemiblock
Other left bundle branch block
Right bundle branch block
Unspecified bundle branch block
Right bundle branch block and left posterior fascicular block
Right bundle branch block and left anterior fascicular block
Other bilateral bundle branch block
Other heart block
Anomalous atrioventricular excitation
Long QT syndrome
Other specified conduction disorder
Unspecified conduction disorder
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Unspecified paroxysmal tachycardia
Atrial fibrillation
Atrial flutter
Ventricular fibrillation
Ventricular flutter
Cardiac arrest
Unspecified premature beats
Supraventricular premature beats
Other premature beats
Sinoatrial node dysfunction
Other specified cardiac dysrhythmias
Unspecified cardiac dysrhythmia
Congestive heart failure, unspecified
Left heart failure
Unspecified systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Acute on chronic systolic heart failure
Unspecified diastolic heart failure
Acute diastolic heart failure
4254
4255
4258
4259
4260
42610
42611
42612
42613
4262
4263
4264
42650
42651
42652
42653
4266
4267
42682
42689
4269
4270
4271
4272
42731
42732
42741
42742
4275
42760
42761
42769
42781
42789
4279
4280
4281
42820
42821
42822
42823
42830
42831
84
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Acute combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Acute on chronic combined systolic and diastolic heart failure
Unspecified heart failure
Unspecified myocarditis
Myocardial degeneration
Unspecified cardiovascular disease
Cardiomegaly
Functional disturbances following cardiac surgery
Acquired cardiac septal defect
Other disorders of papillary muscle
Hyperkinetic heart disease
Other ill-defined heart disease
Unspecified heart disease
Subarachnoid hemorrhage
Intracerebral hemorrhage
Subdural hemorrhage
Occlusion and stenosis of carotid artery without mention of cerebral infarction
Occlusion and stenosis of carotid artery with cerebral infarction
Occlusion vertebral artery wo infar
Occlusion and stenosis of multiple and bilateral precerebral arteries without
mention of c
Cerebral embolism with cerebral infarction
Unspecified cerebral artery occlusion without mention of cerebral infarction
Unspecified cerebral artery occlusion with cerebral infarction
Vertebral artery syndrome
Other specified transient cerebral ischemias
Unspecified transient cerebral ischemia
Acute, but ill-defined, cerebrovascular disease
Cerebral atherosclerosis
Cerebral aneurysm nonruptured
Uns cerebrovascular disease
Vertigo
Uns late effects cv disease
Atherosclerosis of aorta
Atherosclerosis of renal artery
Atherosclerosis of native arteries of the extremities, unspecified
Atherosclerosis of native arteries of the extremities with intermittent claudication
Atherosclerosis of native arteries of the extremities with rest pain
Atherosclerosis of native arteries of the extremities with ulceration
42832
42833
42840
42841
42842
42843
4289
4290
4291
4292
4293
4294
42971
42981
42982
42989
4299
430
431
4321
43310
43311
43320
43330
43411
43490
43491
4351
4358
4359
436
4370
4373
4379
43885
4389
4400
4401
44020
44021
44022
44023
85
Atherosclerosis of native arteries of the extremities with gangrene
Atherosclerosis of other specified arteries
Generalized and unspecified atherosclerosis
Dissecting aortic aneurysm (any part), unspecified site
Dissecting aortic aneurysm (any part), thoracic
Dissecting aortic aneurysm (any part), abdominal
Thoracic aneurysm without mention of rupture
Abdominal aneurysm without mention of rupture
Thoracoabdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site without mention of rupture
Raynaud's syndrome
Other peripheral vascular disease
Embolism and thrombosis of arteries of lower extremity
Wegener's granulomatosis
Giant cell arteritis
Stricture of artery
Other specified disorders of arteries and arterioles
Unspecified disorders of arteries and arterioles
Embolism/thrombosis inf vena cava
Embolism/thrombosis uns site
Orthostatic hypotension
Other iatrogenic hypotension
Unspecified hypotension
Hemorrhage unspecified
Acute upper resp infect oth sites
Acute bronchitis
Pneumonia adenovirus
Pneumonia respiratory syncy virus
Uns viral pneumonia
Pneumococcal pneumonia
Pneumonia other bacteria
Uns bacterial pneumonia
Bronchopneumonia organism unspec
Pneumonia organism unspecified
Influenza with pneumonia
Influenza w oth respiratory manif
Obstructive chronic bronchitis, without exacerbation
Obstructive chronic bronchitis, with (acute) exacerbation
Obst chr bronchitis w ac bronchitis
Other emphysema
Extrinsic asthma unspecified
Ex asthma w exacerbation
Chronic obstructive asthma, unspecified
44024
4408
4409
44100
44101
44102
4412
4414
4417
4419
4430
44389
44422
4464
4465
4471
4478
4479
4532
4539
4580
45829
4589
4590
4658
4660
4800
4801
4809
481
48289
4829
485
486
4870
4871
49120
49121
49122
4928
49300
49302
49320
86
Chronic obst asthma w status asthm
Chronic obstructive asthma, with (acute) exacerbation
Asthma, unspecified, unspecified status
Uns asthma w status asthmaticus
Asthma, unspecified, with (acute) exacerbation
Bronchiectasis w acute exacerb
Chronic airway obstruction, not elsewhere classified
Pneumonitis inhalation food
Pleurisy without mention of effusion or current tuberculosis
Other effusion not tuberculous
Unspecified pleural effusion
Pulmonary congestion and hypostasis
Postinflammatory pulmonary fibrosis
Other alveolar pneumonopathy
Uns alveolar pneumonopathy
Pulmonary collapse
Unspecified acute edema of lung
Pulmonary insuffic trauma surgery
Acute respiratory failure
Other pulmonary insufficiency, not elsewhere classified
Acute and chronic respiratory failure
Other diseases of lung, not elsewhere classified
Acute bronchospasm
Oth diseases trachea/bronchus
Disorders diaphragm
Oth diseases respiratory system
Uns disease respiratory system
Unspecified disease of the jaws
Uns esophagitis
Reflux esophagitis
Oth esophagitis
Acute gastritis wohemorrhage
Uns ulcerative colitis
Acute cholecystitis
Acute pancreatitis
Hematemesis
Celiac disease
Unspecified acute renal failure
End stage renal disease
Diffuse cystic mastopathy
Mastodynia
Lump or mass in breast
Oth signs/symptoms in breast
49321
49322
49390
49391
49392
4941
496
5070
5110
5118
5119
514
515
5168
5169
5180
5184
5185
51881
51882
51884
51889
51911
51919
5194
5198
5199
5269
53010
53011
53019
53500
5569
5750
5770
5780
5790
5849
5856
6101
61171
61172
61179
87
Postmenopausal bleeding
Lupus erythematosus
Psoriatic arthropathy
Oth psoriasis
Systemic sclerosis
Sicca syndrome
Uns diffuse connect tissue disease
Pyogenic arthritis shoulder
Rheumatoid arthritis
Rheumatoid arthritis visceral/syst
Uns inflammatory polyarthropathy
Uns polyarthrit/arthropth site uns
Effusion of joint shoulder
Difficulty in walking
Degenerat thoracic iv disc
Oth syndromes affecting cervical
Pain in thoracic spine
Lumbago
Uns thoracic/lumb neuritis/radicul
Unspecified backache
Oth symptoms referable to back
Polymyalgia rheumatica
Oth affections shoulder region
Muscle weakness (generalized)
Rhabdomyolysis
Rheumatism uns/fibrositis
Unspecified myalgia and myositis
Swelling of limb
Acute osteomyelitis oth sites
Uns osteomyelitis site uns
Uns osteomyelitis oth sites
Pathological fracture vertebrae
Tietze's disease
Kyphosis
Scoliosis oth conditions
Acquired deformity chest/rib
Oth acquired deformity back/spine
Tetralogy of Fallot
Ventricular septal defect
Ostium secundum type atrial septal defect
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Congenital mitral insufficiency
6271
6954
6960
6961
7101
7102
7109
71101
7140
7142
7149
71650
71901
7197
72251
7238
7241
7242
7244
7245
7248
725
7262
72887
72888
7290
7291
72981
73008
73020
73028
73313
7336
73710
73743
7383
7385
7452
7454
7455
7463
7464
7466
88
Congenital coronary artery anomaly
Other specified congenital anomaly of heart
Unspecified congenital anomaly of heart
Congenital atresia and stenosis of aorta
Oth anomalies aorta
Uns anomaly lung
Anomalies diaphragm
Transient alteration of awareness
Other alteration of consciousness
Syncope and collapse
Dizziness and giddiness
Fever
Fever unspecified
Chronic fatigue syndrome
Other malaise and fatigue
Memory loss
Altered mental status
Localized superficial swelling
Edema
Spontaneous ecchymoses
Loss of weight
Headache
Swelling/mass/lump in head/neck
Epistaxis
Jaw pain
Unspecified tachycardia
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Unspecified shock
Cardiogenic shock
Other shock without mention of trauma
Enlargement of lymph nodes
Other symptoms involving cardiovascular system
Unspecified respiratory abnormality
Hyperventilation
Orthopnea
Apnea
Shortness of breath
Tachypnea
Wheezing
Other dyspnea and respiratory abnormalities
Cough
74685
74689
7469
74722
74729
74860
7566
78002
78009
7802
7804
7806
78060
78071
78079
78093
78097
7822
7823
7827
78321
7840
7842
7847
78492
7850
7851
7852
7853
78550
78551
78559
7856
7859
78600
78601
78602
78603
78605
78606
78607
78609
7862
89
Hemoptysis unspecified
Chest pain, unspecified
Precordial pain
Painful respiration
Chest pain, other
Swelling/mass/lump in chest
Other symptoms involving respiratory system and chest
Dysphagia
Abdominal pain, unspecified site
Abdominal pain, right upper quadrant
Abdom pain l upper quad
Abdominal pain periumbilic
Abdominal pain, epigastric
Abdominal pain, generalized
Abdominal pain, other specified site
Abdom/pelvic swelling unsp site
Other ascites
Oth abnormality red blood cells
Elevated sedimentation rate
Other abnormal glucose
Other nonspecific abnormal serum enzyme levels
Oth abnormal blood chemistry
Bacteremia
Abnormal arterial blood gases
Elevated c-reactive protein
Nonspecific abnormal findings on radiological and other examination of lung field
Abnormal findings lung field other
Unsp abnormal mammogram
Mammographic microcalcification
Ot abnormal radiolog exam breast
Nonspecific abnormal results of pulmonary system function study
Nonspecific abnormal unspecified cardiovascular function study
Nonspecific abnormal electrocardiogram (ECG) (EKG)
Other nonspecific abnormal cardiovascular system function study
Nonspecific reaction tb test
Other abnormal tumor markers
Hypoxemia
Symptoms involv emotional state
Fracture cervical vert unsp cl
Fracture c2 vertebra closed
Fracture c3 vertebra closed
Fracture c4 vertebra closed
Fracture c5 vertebra closed
78630
78650
78651
78652
78659
7866
7869
7872
78900
78901
78902
78905
78906
78907
78909
78930
78959
79009
7901
79029
7905
7906
7907
79091
79095
7931
79319
79380
79381
79389
7942
79430
79431
79439
7955
79589
79902
7992
80500
80502
80503
80504
80505
90
Fracture c6 vertebra closed
Fracture c7 vertebra closed
Fracture mult cervical vert cl
Fracture dorsal vertebra close
Fracture lumbar vertebra close
Vertebral fracture unsp closed
C1-c4 fracture clos/cord inj unsp
C5-c7 fracture clos/cord inj unsp
Closed fracture two ribs
Closed fracture multiple ribs uns
Closed fracture uns part clavicle
Fracture gr tuberos humerus closed
Disloc shoulder unsp closed
Traum subarachnoid hemorrage
Traumatic subdural hemorrage
Traumatic brain hemorrage ot
Intracranial injury ot
Traumatic pneumothorax wo open wd
Lung contusion wo open wound
Contusion face/scalp/nck
Contusion of shoulder region
Contusion of uns site
C1-c4 inj w central cord syndrome
Uns head injury
Injury face/neck
Other injury of abdomen
Other injury other sites of trunk
Oth/uns injury shoulder/upper arm
Injury other sites inc mult sites
Injury uns site
Poisoning anticoagulants
Other/unspec adverse effect drug
Other adverse effect drug
Sepsis
Mechanical complication due to cardiac pacemaker (electrode)
Mechanical complication due to coronary bypass graft
Malfunction vasc device/graf
Other complications due to other cardiac device, implant, and graft
Complications of transplanted heart
Complication lung transplant
Cardiac complications
Hematoma complication proced
Accidental op laceration
80506
80507
80508
8052
8054
8058
80600
80605
80702
80709
81000
81203
83100
85200
85220
85300
85400
8600
86121
920
92300
9249
95203
95901
95909
95912
95919
9592
9598
9599
9642
9952
99529
99591
99601
99603
9961
99672
99683
99684
9971
99812
9982
91
Other postop infection
Traffic acc nos-pers nos
Acc cut/hem in surgery
Abn react-surg proc nec
Fall from slipping nec
Fall nec
Fall nos
Accident nos
Adv eff antineoplastic
Adv eff antilipemics
Contact/exposure to tb
History malignancy bladder
History other malignancy skin
History tuberculosis
Unspecified circulatory disease
Personal history of other diseases of circulatory system
History pneumonia
Personal history of surgery to heart and great vessels, presenting hazards to health
History exposure to asbestos
History of fall
Kidney replaced by transplant
Heart replaced by transplant
Heart valve replaced by transplant
Lung replaced by transplant
Heart valve replaced by other means
Cardiac pacemaker in situ
Automatic implantable cardiac defibrillator in situ
Postprocedural aortocoronary bypass status
Postprocedural percutaneous transluminal coronary angioplasty status
Other cardiorespiratory problems
Awaiting organ transplant status
Fitting and adjustment of cardiac pacemaker
Removal int fixation device
Encounter for antineoplastic chemotherapy
Aftercare following organ transplant
Encounter for long-term (current) use of other medications
Encounter for therapeutic drug monitoring
Follow-up examination following completed treatment with high-risk medications,
not elsewhere classified
Observ suspected tb
Observ following oth accident
Observation for suspected cardiovascular disease
Screening for pulmonary tb
99859
E8199
E8700
E8788
E8859
E8888
E8889
E9289
E9331
E9422
V011
V1051
V1083
V1201
V1250
V1259
V1261
V151
V1584
V1588
V420
V421
V422
V426
V433
V4501
V4502
V4581
V4582
V472
V4983
V5331
V5401
V5811
V5844
V5869
V5883
V6751
V712
V714
V717
V741
92
Screening mammogram ot
Special screening mal neo ot
Screening for defic anemia ot
V7612
V7649
V781
ICD-9 Codes for Excluding Cardiovascular Stress Tests
See advanced imaging criteria.
ICD-9 Codes for Excluding Echocardiograms
Echocardiograms were excluded from the analysis if the associated primary, secondary, tertiary,
or quaternary diagnosis involved: (i) proximal fractures; (ii) pulmonary and chest conditions,
including anything potentially resulting in chest pain (e.g., chest wall contusion); (iii) esophageal
conditions (e.g., esophagitis and esophageal spasm), except those that are painless, mild, and
chronic (e.g., esophageal stricture, Barrett’s esophagus, and reflux); (iv) cardiac conditions,
including shortness of breath, edema, congestive heart failure and anatomic anomalies; (v) end
stage renal disease and dialysis, along with all electrolyte abnormalities; (vi) infections,
including sepsis, but not urinary tract infections or pneumonia; (vii) anemia and bleeding
conditions, except microscopic hematuria; (viii) abdominal conditions (including abdominal
pain), but not benign tumor of the colon; (ix) psychiatric conditions; (x) acute central nervous
system conditions (e.g., cerebrovascular accident, delirium) and seizure or epilepsy conditions,
but not chronic conditions (e.g., dementia), head ache, or migraine; (xi) drug toxicity and
poisoning; (xii) transplants; (xiii) malignant hypertension; (xiv) cancers; (xv) conditions
involving arterial and pulmonary emboli, but not peripheral deep vein thrombosis; (xvi) falls;
(xvii) autoimmune conditions; or (xviii) pain in the anterior and posterior thorax and shoulder
areas (eg. back pain), but not specific shoulder conditions such as “capsular adhesion of shoulder”
and “osteoarthrosis of shoulder.”
Label
Pulmonary diseases other mycobact
Streptococcal septicemia
Unspecified staphylococcal septicemia
Methicillin susceptible Staphylococcus aureus septicemia
Methicillin resistant Staphylococcus aureus septicemia
Other staphylococcal septicemia
Pneumococcal septicemia
Septicemia due to anaerobes
Septicemia due to unspecified gram-negative organism
Septicemia due to Escherichia coli (E. Coli)
Septicemia due to pseudomonas
Other septicemia due to gram-negative organism
Other specified septicemia
Unspecified septicemia
Methicillin susceptible Staphylococcus aureus
Methicillin resistant Staphylococcus aureus
Code
0310
0380
03810
03811
03812
03819
0382
0383
03840
03842
03843
03849
0388
0389
04111
04112
93
Human immunodeficiency virus [HIV]
Unspecified viral infection
Lyme disease
Candidal endocarditis
Other and unspecified mycoses
Sarcoidosis
Unspecified infectious and parasitic diseases
Malignant neoplasm of esophagus, unspecified site
Malignant neoplasm of cardia
Malignant neoplasm of stomach, unspecified site
Malignant neoplasm of hepatic flexure
Malignant neoplasm of transverse colon
Malignant neoplasm of descending colon
Malignant neoplasm of sigmoid colon
Malignant neoplasm of cecum
Malignant neoplasm of ascending colon
Malignant neoplasm of colon, unspecified site
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm of liver, primary
Malignant neoplasm of head of pancreas
Malignant neoplasm of pancreas, part unspecified
Malignant neoplasm of main bronchus
Malignant neoplasm of upper lobe, bronchus, or lung
Malignant neoplasm of middle lobe, bronchus, or lung
Malignant neoplasm of lower lobe, bronchus, or lung
Malignant neoplasm of other parts of bronchus or lung
Malignant neoplasm of bronchus and lung, unspecified site
Malignant neoplasm of heart
Oth malig neo ear skin external
Malig neo skin oth uns parts face
Oth malignant neo scalp/skin neck
Oth malig neo skin l limb inc hip
Oth malignant neo skin site uns
Malignant neoplasm of central portion of female breast
Malignant neoplasm of upper-outer quadrant of female breast
Malignant neoplasm of other specified sites of female breast
Malignant neoplasm of breast (female), unspecified site
Malignant neoplasm of corpus uteri, except isthmus
Malignant neoplasm of ovary
Malignant neoplasm of prostate
Malignant neoplasm of other specified sites of bladder
Malignant neoplasm of bladder, part unspecified
042
07999
08881
11281
1179
135
1369
1509
1510
1519
1530
1531
1532
1533
1534
1536
1539
1540
1541
1550
1570
1579
1622
1623
1624
1625
1628
1629
1641
1732
1733
1734
1737
1739
1741
1744
1748
1749
1820
1830
185
1888
1889
94
Malignant neoplasm of kidney, except pelvis
Malignant neo thyroid gland
Secondary malignant neoplasm of lung
Secondary malignant neoplasm of pleura
Secondary malignant neoplasm of retroperitoneum and peritoneum
Secondary malignant neoplasm of liver
Secondary malignant neoplasm of brain and spinal cord
Secondary malignant neoplasm of bone and bone marrow
Secondary malignant neoplasm of other specified sites
Other malignant neoplasm of unspecified site
Hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ
sites
Nodular lymphoma, unspecified site, extranodal and solid organ sites
Other malignant lymphomas, unspecified site, extranodal and solid organ sites
Other malignant lymphomas of lymph nodes of head, face, and neck
Other malignant lymphomas of intra-abdominal lymph nodes
Other malignant lymphomas of lymph nodes of multiple sites
Multiple myeloma, without mention of having achieved remission
Acute lymphoid leukemia, without mention of having achieved remission
Chronic lymphoid leukemia, without mention of having achieved remission
Acute myeloid leukemia, without mention of having achieved remission
Chronic myeloid leukemia, without mention of having achieved remission
Unspecified leukemia, without mention of having achieved remission
Benign neoplasm bronchus/lung
Benign neoplasm of heart
Benign neoplasm cerebral meninges
Carcinoma in situ of bronchus and lung
Carcinoma in situ of breast
Ca in situ prostate
Uncert behavior neo intestine
Uncert behavior neo lung
Uncert behavior neo prostate
Uncert behavior neo bladder
Uncert behavior neo kidney
Uncert behavior neo skin
Uncert behavior neo breast
Polycythemia vera
Essential thrombocythemia
Lo gr myelodysplastic synd lesions
Myelodysplastic syndrome, unspecified
Neoplasm of uncertain behavior of other specified sites
Neoplasm of uncertain behavior, site unspecified
Neoplasm of unspecified nature of digestive system
1890
193
1970
1972
1976
1977
1983
1985
19889
1991
20190
20200
20280
20281
20283
20288
20300
20400
20410
20500
20510
20890
2123
2127
2252
2312
2330
2334
2352
2357
2365
2367
23691
2382
2383
2384
23871
23872
23875
2388
2389
2390
95
Neoplasm of unspecified nature of respiratory system
Bone/skin unsp behavior neo
Neoplasm of unspecified nature of breast
Bladder unsp behavior neo
Ot gu unsp behavior neo
Neoplasm of unspecified nature of brain
Endonerv unsp behavior neo
Neoplasm of unspecified nature of other specified sites
Neoplasms of unspecified nature, other specified sites
Neoplasm of unspecified nature, site unspecified
Acute thyroiditis
Diabetes hypersmolarity type ii
Glucocorticoid deficiency
Carcinoid syndrome
Uns protein calorie malnutrition
Disturb sulphur amino acid metabol
Monoclonal paraproteinemia
Disorders of iron metabolism
Disorders magnesium metabolism
Disorders phosphorus metabolism
Uns disorder calcium metabolism
Hypocalcemia
Hypercalcemia
Oth disorders calcium metabolism
Hyperosmolality/or hypernatremia
Hyposmolality/or hyponatremia
Acidosis
Volume depletion, unspecified
Dehydration
Fluid overload
Fluid overload nec (other fluid overload)
Hyperpotassemia
Hypopotassemia
Electrolyte/fluid disorders oth
Amyloidosis
Amyloidosis, unspecified
Other amyloidosis
Autoimmune disease, not elsewhere classified
Iron deficiency anemia blood loss
Iron def anemia inadeq iron intake
Other iron deficiency anemias
Uns iron deficiency anemia
Pernicious anemia
2391
2392
2393
2394
2395
2396
2397
2398
23989
2399
2450
25020
25541
2592
2639
2704
2731
2750
2752
2753
27540
27541
27542
27549
2760
2761
2762
27650
27651
2766
27669
2767
2768
2769
2773
27730
27739
2794
2800
2801
2808
2809
2810
96
Oth vitamin b12 deficiency anemia
Folate deficiency anemia
Other megaloblastic anemias oth
Anemia w ot nutritional deficiency
Uns deficiency anemia
Sickle-cell disease, unspecified
Hb-SS disease with crisis
Uns acquired hemolytic anemia
Pancytopenia
Other aplastic anemias
Sideroblastic anemia
Anemia chronic kidney disease
Anemia of other chronic disease
Other specified anemias
Anemia unspecified
Defibrination syndrome
Oth nonthrombocytopenic purpuras
Primary thrombocytopenia unspec
Immune thrombocytopenic purpura
Uns thrombocytopenia
Neutropenia unspecified
Functional disord neutrophils
Leukocytopenia unspecified
Leukocytosis unspecified
Other disease white blood cells
Polycythemia secondary
Ot dis blood/blood forming organs
Uns dis blood/blood forming organs
Drug-induced delirium
Delirium due to conditions classified elsewhere
Uns schizophrenia
Depressive type psychosis
Maj depress dis recurr epi uns
Maj depress dis recur epi sev
Bipolar i disorder unspecified
Bipolar disorder unspecified
Unspecified psychosis
Anxiety state unspecified
Panic disorder wo agoraphobia
Generalized anxiety disorder
Dysthymic disorder
Psychosex dysfunc inhibited excite
Oth/uns alcohol dependence uns
2811
2812
2813
2818
2819
28260
28262
2839
2841
2848
2850
28521
28529
2858
2859
2866
2872
28730
28731
2875
28800
2881
28850
28860
2888
2890
28989
2899
29281
2930
29590
29620
29630
29633
2967
29680
2989
30000
30001
30002
3004
30272
30390
97
Opioid type dependence uns
Opioid type dependence continuous
Unspec drug dependence uns
Alcohol abuse unspec
Oth mixed/uns drug abuse uns
Adjustment disorder mixed
Personality chg due to oth cond
Depressive disorder other
Obstructive hydrocephalus
Carotid sinus syndrome
Other acute postoperative pain
Multiple sclerosis
Encephalopathy, unspecified
Metabolic encephalopathy
Other encephalopathy
Toxic encephalopathy
Myasthenia gravis with (acute) exacerbation
Hereditary progressive muscular dystrophy
Unspecified retinal vascular occlusion
Central artery occlusion of retina
Arterial branch occlusion of retina
Partial arterial occlusion of retina
Transient arterial occlusion of retina
Sudden visual loss
Other visual disturbances
Uns peripheral vertigo
Benign paroxysmal position vertigo
Rheumatic fever without mention of heart involvement
Acute rheumatic pericarditis
Acute rheumatic endocarditis
Other acute rheumatic heart disease
Unspecified acute rheumatic heart disease
Chronic rheumatic pericarditis
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other and unspecified mitral valve diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
Other and unspecified rheumatic aortic diseases
Mitral valve stenosis and aortic valve stenosis
Mitral valve stenosis and aortic valve insufficiency
30400
30401
30490
30500
30590
30928
3101
311
3314
33701
33818
340
34830
34831
34839
34982
35801
3591
36230
36231
36232
36233
36234
36811
3688
38610
38611
390
3910
3911
3918
3919
393
3940
3941
3942
3949
3950
3951
3952
3959
3960
3961
98
Mitral valve insufficiency and aortic valve stenosis
Mitral valve insufficiency and aortic valve insufficiency
Multiple involvement of mitral and aortic valves
Unspecified mitral and aortic valve diseases
Diseases of tricuspid valve
Rheumatic diseases of pulmonary valve
Rheumatic diseases of endocardium, valve unspecified
Rheumatic myocarditis
Unspecified rheumatic heart disease
Rheumatic heart failure (congestive)
Other and unspecified rheumatic heart diseases
Malignant hypertensive heart disease without heart failure
Malignant hypertensive heart disease with heart failure
Benign hypertensive heart disease without heart failure
Benign hypertensive heart disease with heart failure
Hypertensive heart dis unspec
Hypertensive heart disease, unspecified, with heart failure
Mal kid hyper w ckd stage i-iv
Hypertensive chronic kidney disease, benign, with chronic kidney disease stage IIV
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, with heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, with heart failure and
with chronic kidney disease stage V
Secondary renovascular hypertension, malignant
Secondary renovascular hypertension, benign
3962
3963
3968
3969
3970
3971
3979
3980
39890
39891
39899
40200
40201
40210
40211
40290
40291
40300
40310
40400
40401
40402
40403
40410
40411
40412
40413
40490
40491
40492
40493
40501
40511
99
Acute myocardial infarction of anterolateral wall, episode of care unspecified
Acute myocardial infarction of anterolateral wall, initial episode of care
Acute myocardial infarction of anterolateral wall, subsequent episode of care
Acute myocardial infarction of other anterior wall, episode of care unspecified
Acute myocardial infarction of other anterior wall, initial episode of care
Acute myocardial infarction of other anterior wall, subsequent episode of care
Acute myocardial infarction of inferolateral wall, episode of care unspecified
Acute myocardial infarction of inferolateral wall, initial episode of care
Acute myocardial infarction of inferolateral wall, subsequent episode of care
Acute myocardial infarction of inferoposterior wall, episode of care unspecified
Acute myocardial infarction of inferoposterior wall, initial episode of care
Acute myocardial infarction of inferoposterior wall, subsequent episode of care
Acute myocardial infarction of other inferior wall, episode of care unspecified
Acute myocardial infarction of other inferior wall, initial episode of care
Acute myocardial infarction of other inferior wall, subsequent episode of care
Acute myocardial infarction of other lateral wall, episode of care unspecified
Acute myocardial infarction of other lateral wall, initial episode of care
Acute myocardial infarction of other lateral wall, subsequent episode of care
Acute myocardial infarction, true posterior wall infarction, episode of care
unspecified
Acute myocardial infarction, true posterior wall infarction, initial episode of care
Acute myocardial infarction, true posterior wall infarction, subsequent episode of
care
Acute myocardial infarction, subendocardial infarction, episode of care
unspecified
Acute myocardial infarction, subendocardial infarction, initial episode of care
Acute myocardial infarction, subendocardial infarction, subsequent episode of
care
Acute myocardial infarction of other specified sites, episode of care unspecified
Acute myocardial infarction of other specified sites, initial episode of care
Acute myocardial infarction of other specified sites, subsequent episode of care
Acute myocardial infarction, unspecified site, episode of care unspecified
Acute myocardial infarction, unspecified site, initial episode of care
Acute myocardial infarction, unspecified site, subsequent episode of care
Postmyocardial infarction syndrome
Intermediate coronary syndrome
Acute coronary occlusion without myocardial infarction
Other acute and subacute form of ischemic heart disease
Old myocardial infarction
Angina decubitus
Prinzmetal angina
Other and unspecified angina pectoris
Coronary atherosclerosis of unspecified type of vessel, native or graft
Coronary atherosclerosis of native coronary artery
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
41040
41041
41042
41050
41051
41052
41060
41061
41062
41070
41071
41072
41080
41081
41082
41090
41091
41092
4110
4111
41181
41189
412
4130
4131
4139
41400
41401
100
Coronary atherosclerosis of autologous vein bypass graft
Coronary atherosclerosis of nonautologous biological bypass graft
Coronary atherosclerosis of artery bypass graft
Coronary atherosclerosis of unspecified type of bypass graft
Coronary atherosclerosis, of native coronary artery of transplanted heart
Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
Aneurysm of heart
Aneurysm of coronary vessels
Dissection of coronary artery
Other aneurysm of heart
Chronic total occlusion of coronary artery
Coronary atherosclerosis due to lipid rich plaque
Other specified forms of chronic ischemic heart disease
Unspecified chronic ischemic heart disease
Acute cor pulmonale
Iatrogenic pulmonary embolism and infarction
Septic pulmonary embolism
Other pulmonary embolism and infarction
Primary pulmonary hypertension
Kyphoscoliotic heart disease
Chronic pulmonary embolism
Other chronic pulmonary heart diseases
Unspecified chronic pulmonary heart disease
Arteriovenous fistula of pulmonary vessels
Aneurysm of pulmonary artery
Other specified disease of pulmonary circulation
Unspecified disease of pulmonary circulation
Acute pericarditis in diseases classified elsewhere
Unspecified acute pericarditis
Acute idiopathic pericarditis
Other acute pericarditis
Acute and subacute bacterial endocarditis
Acute and subacute infective endocarditis in diseases classified elsewhere
Unspecified acute endocarditis
Acute myocarditis in diseases classified elsewhere
Unspecified acute myocarditis
Idiopathic myocarditis
Septic myocarditis
Toxic myocarditis
Hemopericardium
Adhesive pericarditis
Constrictive pericarditis
Cardiac tamponade
41402
41403
41404
41405
41406
41407
41410
41411
41412
41419
4142
4143
4148
4149
4150
41511
41512
41519
4160
4161
4162
4168
4169
4170
4171
4178
4179
4200
42090
42091
42099
4210
4211
4219
4220
42290
42291
42292
42293
4230
4231
4232
4233
101
Other specified diseases of pericardium
Unspecified disease of pericardium
Mitral valve disorders
Aortic valve disorders
Tricuspid valve disorders, specified as nonrheumatic
Pulmonary valve disorders
Endocarditis, valve unspecified, unspecified cause
Endocarditis in diseases classified elsewhere
Other endocarditis, valve unspecified
Endomyocardial fibrosis
Hypertrophic obstructive cardiomyopathy
Hypertrophic obstructive cardiomyopathy
Other hypertrophic cardiomyopathy
Obscure cardiomyopathy of Africa
Endocardial fibroelastosis
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Nutritional and metabolic cardiomyopathy
Cardiomyopathy in other diseases classified elsewhere
Unspecified secondary cardiomyopathy
Atrioventricular block, complete
Unspecified atrioventricular block
First degree atrioventricular block
Mobitz (type) II atrioventricular block
Other second degree atrioventricular block
Left bundle branch hemiblock
Other left bundle branch block
Right bundle branch block
Unspecified bundle branch block
Right bundle branch block and left posterior fascicular block
Right bundle branch block and left anterior fascicular block
Other bilateral bundle branch block
Trifascicular block
Other heart block
Anomalous atrioventricular excitation
Long QT syndrome
Other specified conduction disorder
Unspecified conduction disorder
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Unspecified paroxysmal tachycardia
Atrial fibrillation
Atrial flutter
4238
4239
4240
4241
4242
4243
42490
42491
42499
4250
4251
42511
42518
4252
4253
4254
4255
4257
4258
4259
4260
42610
42611
42612
42613
4262
4263
4264
42650
42651
42652
42653
42654
4266
4267
42682
42689
4269
4270
4271
4272
42731
42732
102
Ventricular fibrillation
Ventricular flutter
Cardiac arrest
Unspecified premature beats
Supraventricular premature beats
Other premature beats
Sinoatrial node dysfunction
Other specified cardiac dysrhythmias
Unspecified cardiac dysrhythmia
Congestive heart failure, unspecified
Left heart failure
Unspecified systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Acute on chronic systolic heart failure
Unspecified diastolic heart failure
Acute diastolic heart failure
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Acute combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Acute on chronic combined systolic and diastolic heart failure
Unspecified heart failure
Unspecified myocarditis
Myocardial degeneration
Unspecified cardiovascular disease
Cardiomegaly
Functional disturbances following cardiac surgery
Rupture of chordae tendineae
Rupture of papillary muscle
Acquired cardiac septal defect
Other certain sequelae of myocardial infarction, not elsewhere classified
Other disorders of papillary muscle
Hyperkinetic heart disease
Takotsubo syndrome
Other ill-defined heart disease
Unspecified heart disease
Subarachnoid hemorrhage
Intracerebral hemorrhage
Subdural hemorrhage
Unspecified intracranial hemorrhage
Occlusion and stenosis of basilar artery without mention of cerebral infarction
42741
42742
4275
42760
42761
42769
42781
42789
4279
4280
4281
42820
42821
42822
42823
42830
42831
42832
42833
42840
42841
42842
42843
4289
4290
4291
4292
4293
4294
4295
4296
42971
42979
42981
42982
42983
42989
4299
430
431
4321
4329
43300
103
Occlusion and stenosis of basilar artery with cerebral infarction
Occlusion and stenosis of carotid artery without mention of cerebral infarction
Occlusion and stenosis of carotid artery with cerebral infarction
Occlusion vertebral artery wo infar
Occlusion and stenosis of multiple and bilateral precerebral arteries without
mention of cerebral infarction
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral
infarction
Occlusion and stenosis of unspecified precerebral artery without mention of
cerebral infarction
Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
Cerebral thrombosis without mention of cerebral infarction
Cerebral thrombosis with cerebral infarction
Cerebral embolism without mention of cerebral infarction
Cerebral embolism with cerebral infarction
Unspecified cerebral artery occlusion without mention of cerebral infarction
Unspecified cerebral artery occlusion with cerebral infarction
Basilar artery syndrome
Vertebral artery syndrome
Subclavian steal syndrome
Vertebrobasilar artery syndrome
Other specified transient cerebral ischemias
Unspecified transient cerebral ischemia
Acute, but ill-defined, cerebrovascular disease
Other generalized ischemic cerebrovascular disease
Hypertensive encephalopathy
Cerebral aneurysm nonruptured
Transient global amnesia
Unspecified cerebrovascular disease
Hemiplegia affecting unspecified side due to cerebrovascular disease
Vertigo
Uns late effects cv disease
Atherosclerosis of aorta
Atherosclerosis of native arteries of the extremities, unspecified
Atherosclerosis of native arteries of the extremities with intermittent claudication
Atherosclerosis of native arteries of the extremities with rest pain
Atherosclerosis of native arteries of the extremities with ulceration
Atherosclerosis of native arteries of the extremities with gangrene
Other atherosclerosis of native arteries of the extremities
Generalized and unspecified atherosclerosis
Dissecting aortic aneurysm (any part), unspecified site
Dissecting aortic aneurysm (any part), thoracic
Dissecting aortic aneurysm (any part), abdominal
Dissecting aortic aneurysm (any part), thoracoabdominal
43301
43310
43311
43320
43330
43331
43390
43391
43400
43401
43410
43411
43490
43491
4350
4351
4352
4353
4358
4359
436
4371
4372
4373
4377
4379
43820
43885
4389
4400
44020
44021
44022
44023
44024
44029
4409
44100
44101
44102
44103
104
Thoracic aneurysm, ruptured
Thoracic aneurysm without mention of rupture
Abdominal aneurysm, ruptured
Abdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site, ruptured
Thoracoabdominal aneurysm, ruptured
Thoracoabdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site without mention of rupture
Aneurysm of iliac artery
Aneurysm of artery of lower extremity
Aneurysm of artery of neck
Other aneurysm of unspecified site
Raynaud's syndrome
Thromboangiitis obliterans (Buerger's disease)
Peripheral angiopathy in diseases classified elsewhere
Embolism and thrombosis of abdominal aorta
Embolism and thrombosis of thoracic aorta
Embolism and thrombosis of arteries of upper extremity
Embolism and thrombosis of arteries of lower extremity
Embolism and thrombosis of iliac artery
Embolism and thrombosis of other specified artery
Embolism and thrombosis of unspecified artery
Atheroembolism of other site
Wegener's granulomatosis
Giant cell arteritis
Takayasu's disease
Stricture of artery
Unspecified arteritis
Aortic ectasia unspecified site
Thoracic aortic ectasia
Other specified disorders of arteries and arterioles
Unspecified disorders of arteries and arterioles
Embolism and thrombosis of vena cava
Venous embolism and thrombosis of unspecified deep vessels of lower extremity
Venous embolism and thrombosis of deep vessels of proximal lower extremity
Venous embolism and thrombosis of deep vessels of distal lower extremity
Venous embolism and thrombosis of other specified veins
Embolism and thrombosis of unspecified site
Orthostatic hypotension
Chronic hypotension
Hypotension of hemodialysis
Other iatrogenic hypotension
Other specified hypotension
4411
4412
4413
4414
4415
4416
4417
4419
4422
4423
44281
4429
4430
4431
44381
4440
4441
44421
44422
44481
44489
4449
44589
4464
4465
4467
4471
4476
44770
44771
4478
4479
4532
45340
45341
45342
4538
4539
4580
4581
45821
45829
4588
105
Unspecified hypotension
Hemorrhage unspecified
Other specified circulatory system disorders
Unspecified circulatory system disorder
Acute upper resp infect oth sites
Acute upper respiratory infections of unspecified site
Acute bronchitis
Pneumonia adenovirus
Pneumonia respiratory syncy virus
Uns viral pneumonia
Pneumococcal pneumonia
Methicillin susceptible pneumonia due to Staphylococcus aureus
Pneumonia other bacteria
Uns bacterial pneumonia
Bronchopneumonia organism unspec
Pneumonia organism unspecified
Influenza with pneumonia
Influenza w oth respiratory manif
Obstructive chronic bronchitis, with (acute) exacerbation
Obstructive chronic bronchitis with acute bronchitis
Extrinsic asthma, unspecified
Ex asthma w exacerbation
Intrinsic asthma, unspecified
Chronic obstructive asthma, unspecified
Chronic obstructive asthma with status asthmaticus
Chronic obstructive asthma, with (acute) exacerbation
Asthma, unspecified, unspecified status
Asthma, unspecified with status asthmaticus
Asthma, unspecified, with (acute) exacerbation
Bronchiectasis with acute exacerbation
Chronic airway obstruction, not elsewhere classified
Pneumonitis inhalation food
Empyema without mention of fistula
Pleurisy without mention of effusion or current tuberculosis
Pleurisy with effusion, with mention of bacterial cause other than tuberculosis
Other specified forms of pleural effusion, except tuberculous
Malignant pleural effusion
Other specified forms of effusion, except tuberculous
Unspecified pleural effusion
Other spontaneous pneumothorax
Abscess of lung
Pulmonary congestion and hypostasis
Postinflammatory pulmonary fibrosis
4589
4590
45989
4599
4658
4659
4660
4800
4801
4809
481
48241
48289
4829
485
486
4870
4871
49121
49122
49300
49302
49310
49320
49321
49322
49390
49391
49392
4941
496
5070
5109
5110
5111
5118
51181
51189
5119
5128
5130
514
515
106
Idiopathic fibrosing alveolitis
Other specified alveolar and parietoalveolar pneumonopathies
Uns alveolar pneumonopathy
Pulmonary collapse
Unspecified acute edema of lung
Pulmonary insufficiency following trauma and surgery
Acute respiratory failure
Other pulmonary insufficiency, not elsewhere classified
Chronic respiratory failure
Acute and chronic respiratory failure
Other diseases of lung, not elsewhere classified
Acute bronchospasm
Oth diseases trachea/bronchus
Disorders diaphragm
Oth diseases respiratory system
Unspecified disease of respiratory system
Uns esophagitis
Reflux esophagitis
Oth esophagitis
Acute gastritis wohemorrhage
Uns ulcerative colitis
Acute vascular insufficiency of intestine
Unspecified vascular insufficiency of intestine
Diverticulosis of colon with hemorrhage
Hemoperitoneum (nontraumatic)
Hepatic coma
Acute pancreatitis
Hematemesis
Celiac disease
Acute renal failure with lesion of tubular necrosis
Unspecified acute renal failure
End stage renal disease
Diffuse cystic mastopathy
Mastodynia
Lump or mass in breast
Oth signs/symptoms in breast
Postmenopausal bleeding
Suspected damage to fetus from drugs, affecting management of mother,
antepartum condition or complication
Other known or suspected fetal abnormality, not elsewhere classified, affecting
management of mother, antepartum condition or complication
Unspecified fetal abnormality affecting management of mother, antepartum
condition or complication
Lupus erythematosus
5163
5168
5169
5180
5184
5185
51881
51882
51883
51884
51889
51911
51919
5194
5198
5199
53010
53011
53019
53500
5569
5570
5579
56212
56881
5722
5770
5780
5790
5845
5849
5856
6101
61171
61172
61179
6271
65553
65583
65593
6954
107
Psoriatic arthropathy
Oth psoriasis
Systemic lupus erythematosus
Systemic sclerosis
Sicca syndrome
Uns diffuse connect tissue disease
Pyogenic arthritis shoulder
Rheumatoid arthritis
Rheumatoid arthritis visceral/syst
Uns inflammatory polyarthropathy
Uns polyarthrit/arthropth site uns
Effusion of joint shoulder
Effusion of lower leg joint
Degenerat thoracic iv disc
Oth syndromes affecting cervical
Pain in thoracic spine
Uns thoracic/lumb neuritis/radicul
Backache unspecified
Oth symptoms referable to back
Polymyalgia rheumatica
Oth affections shoulder region
Muscle weakness
Rhabdomyolysis
Rheumatism uns/fibrositis
Uns myalgia/myositis
Swelling of limb
Acute osteomyelitis oth sites
Uns osteomyelitis site uns
Uns osteomyelitis oth sites
Pathological fracture vertebrae
Tietze's disease
Kyphosis
Scoliosis oth conditions
Acquired deformity chest/rib
Oth acquired deformity back/spine
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
truncus
Complete transposition of great vessels
Transposition of great vessels, double outlet right ventricle
Corrected transposition of great vessels
Other transposition of great vessels
Tetralogy of Fallot
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
ventricle
6960
6961
7100
7101
7102
7109
71101
7140
7142
7149
71650
71901
71906
72251
7238
7241
7244
7245
7248
725
7262
72887
72888
7290
7291
72981
73008
73020
73028
73313
7336
73710
73743
7383
7385
7450
74510
74511
74512
74519
7452
7453
108
Ventricular septal defect
Ostium secundum type atrial septal defect
Unspecified type congenital endocardial cushion defect
Ostium primum defect
Other congenital endocardial cushion defect
Other bulbus cordis anomalies and anomalies of cardiac septal closure
Unspecified congenital defect of septal closure
Unspecified congenital pulmonary valve anomaly
Congenital atresia of pulmonary valve
Congenital stenosis of pulmonary valve
Other congenital anomalies of pulmonary valve
Congenital tricuspid atresia and stenosis
Ebstein's anomaly
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Congenital mitral stenosis
Congenital mitral insufficiency
Hypoplastic left heart syndrome
Congenital subaortic stenosis
Congenital obstructive anomalies of heart, not elsewhere classified
Congenital coronary artery anomaly
Congenital heart block
Congenital malposition of heart and cardiac apex
Other specified congenital anomaly of heart
Unspecified congenital anomaly of heart
Patent ductus arteriosus
Coarctation of aorta (preductal) (postductal)
Unspecified congenital anomaly of aorta
Congenital anomaly of aortic arch
Congenital atresia and stenosis of aorta
Other congenital anomaly of aorta
Congenital anomalies of pulmonary artery
Partial congenital anomalous pulmonary venous connection
Uns anomaly lung
Anomalies diaphragm
Down's syndrome
Marfan's syndrome
Other specified multiple congenital anomalies, so described
Coma
Transient alteration of awareness
Other alteration of consciousness
Syncope and collapse
Dizziness and giddiness
7454
7455
74560
74561
74569
7458
7459
74600
74601
74602
74609
7461
7462
7463
7464
7465
7466
7467
74681
74684
74685
74686
74687
74689
7469
7470
74710
74720
74721
74722
74729
7473
74742
74860
7566
7580
75982
75989
78001
78002
78009
7802
7804
109
Fever and other physiologic disturbances of temperature regulation
Fever, unspecified
Fever presenting with conditions classified elsewhere
Chronic fatigue syndrome
Other malaise and fatigue
Memory loss
Altered mental status
Localized superficial swelling
Edema
Cyanosis
Spontaneous ecchymoses
Loss of weight
Headache
Swelling/mass/lump in head/neck
Epistaxis
Unspecified tachycardia
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Gangrene
Unspecified shock
Cardiogenic shock
Septic shock
Other shock without mention of trauma
Enlargement of lymph nodes
Other symptoms involving cardiovascular system
Unspecified respiratory abnormality
Hyperventilation
Orthopnea
Apnea
Cheyne-Stokes respiration
Shortness of breath
Tachypnea
Wheezing
Other dyspnea and respiratory abnormalities
Cough
Hemoptysis
Hemoptysis unspecified
Chest pain, unspecified
Precordial pain
Painful respiration
Chest pain, other
Swelling/mass/lump in chest
7806
78060
78061
78071
78079
78093
78097
7822
7823
7825
7827
78321
7840
7842
7847
7850
7851
7852
7853
7854
78550
78551
78552
78559
7856
7859
78600
78601
78602
78603
78604
78605
78606
78607
78609
7862
7863
78630
78650
78651
78652
78659
7866
110
Abnormal chest sounds
Other symptoms involving respiratory system and chest
Dysphagia
Abdominal pain uns site
Abdom pain l upper quad
Abdominal pain periumbilic
Abdominal pain generalized
Abdom/pelvic swelling unsp site
Other ascites
Oth abnormality red blood cells
Elevated sedimentation rate
Other abnormal glucose
Oth abnormal blood chemistry
Bacteremia
Abnormal arterial blood gases
Elevated c-reactive protein
Abnormal findings lung field
Abnormal findings lung field other
Nonspecific abnormal findings on radiological and other examination of other
intrathoracic organs
Nonspecific abnormal findings on radiological and other examination of
abdominal area, including retroperitoneum
Unsp abnormal mammogram
Mammographic microcalcification
Ot abnormal radiolog exam breast
Abnormal pulmonary func study
Nonspecific abnormal unspecified cardiovascular function study
Nonspecific abnormal electrocardiogram (ECG) (EKG)
Other nonspecific abnormal cardiovascular system function study
Nonspecific abnormal findings on chromosomal analysis
Nonspecific reaction tb test
Other abnormal tumor markers
Nonspecific low blood pressure reading
Asphyxia
Hypoxemia
Respiratory arrest
Symptoms involv emotional state
Fracture cervical vert unsp cl
Fracture c2 vertebra closed
Fracture c3 vertebra closed
Fracture c4 vertebra closed
Fracture c5 vertebra closed
Fracture c6 vertebra closed
Fracture c7 vertebra closed
7867
7869
7872
78900
78902
78905
78907
78930
78959
79009
7901
79029
7906
7907
79091
79095
7931
79319
7932
7936
79380
79381
79389
7942
79430
79431
79439
7952
7955
79589
7963
79901
79902
7991
7992
80500
80502
80503
80504
80505
80506
80507
111
Fracture mult cervical vert cl
Fracture dorsal vertebra close
Fracture lumbar vertebra close
Vertebral fracture unsp closed
C1-c4 fracture clos/cord inj unsp
C5-c7 fracture clos/cord inj unsp
Closed fracture of rib(s), unspecified
Closed fracture of one rib
Closed fracture of two ribs
Closed fracture of three ribs
Closed fracture of multiple ribs, unspecified
Closed fracture of sternum
Flail chest
Closed fracture uns part clavicle
Fracture gr tuberos humerus closed
Disloc shoulder unsp closed
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Traumatic subdural hemorrage
Subdural hemorrhage following injury, without mention of open intracranial
wound, with brief [less than one hour] loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, loss of consciousness of unspecified duration
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, unspecified state of consciousness
Intracranial injury ot
Traumatic pneumothorax without mention of open wound into thorax
Traumatic hemothorax without mention of open wound into thorax
Unspecified injury to heart without mention of open wound into thorax
Heart contusion without mention of open wound into thorax
Lung contusion wo open wound
Contusion face/scalp/nck
Contusion of chest wall
Contusion of shoulder region
Contusion of uns site
C1-c4 inj w central cord syndrome
Traumatic shock
Uns head injury
Injury face/neck
Other injury of chest wall
Other injury of abdomen
Other injury other sites of trunk
80508
8052
8054
8058
80600
80605
80700
80701
80702
80703
80709
8072
8074
81000
81203
83100
85200
85201
85220
85222
85226
85300
85400
8600
8602
86100
86101
86121
920
9221
92300
9249
95203
9584
95901
95909
95911
95912
95919
112
Oth/uns injury shoulder/upper arm
Injury other sites inc mult sites
Injury uns site
Poisoning by antineoplastic antibiotics
Poisoning by antineoplastic and immunosuppressive drugs
Poisoning by anticoagulants
Poisoning by opium (alkaloids), unspecified
Poisoning by opiates and related narcotics, other
Poisoning by benzodiazepine-based tranquilizers
Poisoning by cardiotonic glycosides and drugs of similar action
Poisoning by unspecified drug or medicinal substance
Effects of radiation, unspecified
Angioneurotic edema not elsewhere classified
Other and unspecified adverse effect of drug, medicinal and biological substance
Unspecified adverse effect of unspecified drug, medicinal and biological
substance
Unspecified adverse effect of other drug, medicinal and biological substance
Sepsis
Severe sepsis
Mechanical complication of unspecified cardiac device, implant, and graft
Mechanical complication due to cardiac pacemaker (electrode)
Mechanical complication due to heart valve prosthesis
Mechanical complication due to coronary bypass graft
Mechanical complication due to automatic implantable cardiac defibrillator
Mechanical complication of cardiac device, implant, and graft, other
Mechanical complication of other vascular device, implant, and graft
Infection and inflammatory reaction due to cardiac device, implant, and graft
Infection and inflammatory reaction due to other vascular device, implant, and
graft
Infection and inflammatory reaction due to peritoneal dialysis catheter
Other complications due to heart valve prosthesis
Other complications due to other cardiac device, implant, and graft
Other complications due to renal dialysis device, implant, and graft
Other complications due to other vascular device, implant, and graft
Complications of transplanted kidney
Complications of transplanted heart
Complications of transplanted lung
Cardiac complications
Respiratory complications
Postoperative shock, not elsewhere classified
Hematoma complication proced
Accidental puncture or laceration during procedure
Other postop infection
Traffic acc nos-pers nos
9592
9598
9599
9607
9631
9642
96500
96509
9694
9721
9779
990
9951
9952
99520
99529
99591
99592
99600
99601
99602
99603
99604
99609
9961
99661
99662
99668
99671
99672
99673
99674
99681
99683
99684
9971
9973
9980
99812
9982
99859
E8199
113
Acc cut/hem in surgery
Abn react-surg proc nec
Fall from slipping nec
Fall nec
Fall nos
Accident nos
Antineoplastic and immunosuppressive drugs causing adverse effect in
therapeutic use
Adv eff antilipemics
Contact/exposure to tb
Personal history of malignant neoplasm of breast
History malignancy bladder
History other malignancy skin
History tuberculosis
Personal history of venous thrombosis and embolism
Personal history of transient ischemic attack [TIA], and cerebral infarction
without residual deficits
Personal history of other diseases of circulatory system
History pneumonia
Personal history of surgery to heart and great vessels, presenting hazards to health
History exposure to asbestos
History of fall
Family history of other cardiovascular diseases
Kidney replaced by transplant
Heart replaced by transplant
Heart valve replaced by transplant
Lung replaced by transplant
Organ or tissue replaced by other means, Heart assist device
Heart valve replaced by other means
Blood vessel replaced by other means
Unspecified cardiac device in situ
Cardiac pacemaker in situ
Automatic implantable cardiac defibrillator in situ
Other specified cardiac device in situ
Postprocedural aortocoronary bypass status
Postprocedural percutaneous transluminal coronary angioplasty status
Other cardiorespiratory problems
Fitting and adjustment of cardiac pacemaker
Fitting and adjustment of automatic implantable cardiac defibrillator
Removal int fixation device
Encounter for antineoplastic chemotherapy
Encounter for antineoplastic immunotherapy
Aftercare following organ transplant
Encounter for long-term (current) use of other medications
E8700
E8788
E8859
E8888
E8889
E9289
E9331
E9422
V011
V103
V1051
V1083
V1201
V1251
V1254
V1259
V1261
V151
V1584
V1588
V1749
V420
V421
V422
V426
V4321
V433
V434
V4500
V4501
V4502
V4509
V4581
V4582
V472
V5331
V5332
V5401
V5811
V5812
V5844
V5869
114
Encounter for therapeutic drug monitoring
Chemotherapy follow-up examination
Follow-up examination following completed treatment with high-risk
medications, not elsewhere classified
Observ suspected tb
Observ following oth accident
Observation for suspected cardiovascular disease
Screening for pulmonary tb
Screening mammogram ot
Special screening mal neo ot
Screening for defic anemia ot
V5883
V672
V6751
V712
V714
V717
V741
V7612
V7649
V781
ICD-9 Codes for Excluding Electrocardiograms
Electrocardiograms were excluded from the analysis if the associated primary, secondary,
tertiary, or quaternary diagnosis involved: (i) proximal fractures; (ii) pulmonary and chest
conditions, including anything potentially resulting in chest pain (e.g., chest wall contusion); (iii)
esophageal conditions (e.g., esophagitis and esophageal spasm), except those that are painless,
mild, and chronic (e.g., esophageal stricture, Barrett’s esophagus, and reflux); (iv) cardiac
conditions, including shortness of breath, edema, congestive heart failure and anatomic
anomalies; (v) end stage renal disease and dialysis, along with all electrolyte abnormalities; (vi)
infections, including sepsis, but not urinary tract infections or pneumonia; (vii) anemia and
bleeding conditions, except microscopic hematuria; (viii) abdominal conditions (including
abdominal pain), but not benign tumor of the colon; (ix) psychiatric conditions; (x) acute central
nervous system conditions (e.g., cerebrovascular accident, delirium) and seizure or epilepsy
conditions, but not chronic conditions (e.g., dementia), head ache, or migraine; (xi) drug toxicity
and poisoning; (xii) transplants; (xiii) malignant hypertension; (xiv) cancers; (xv) conditions
involving arterial and pulmonary emboli, but not peripheral deep vein thrombosis; (xvi) falls;
(xvii) autoimmune conditions; or (xviii) pain in the anterior and posterior thorax and shoulder
areas (eg. back pain), but not specific shoulder conditions such as “capsular adhesion of shoulder”
and “osteoarthrosis of shoulder.”
Label
Salmonella septicemia
Unspecified food poisoning
Pulmonary diseases other mycobact
Disseminated diseases due to other mycobacteria
Streptococcal septicemia
Unspecified staphylococcal septicemia
Methicillin susceptible Staphylococcus aureus septicemia
Methicillin resistant Staphylococcus aureus septicemia
Other staphylococcal septicemia
Pneumococcal septicemia
Septicemia due to anaerobes
Septicemia due to unspecified gram-negative organism
Code
0031
0059
0310
0312
0380
03810
03811
03812
03819
0382
0383
03840
115
Septicemia due to hemophilus influenzae (H. Influenzae)
Septicemia due to Escherichia coli (E. Coli)
Septicemia due to pseudomonas
Septicemia due to serratia
Other septicemia due to gram-negative organism
Other specified septicemia
Unspecified septicemia
Gas gangrene
Mssa infection
Mrsa infection
Human immunodeficiency virus [HIV]
Unspecified viral meningitis
Unspecified non-arthropod-borne viral disease of central nervous system
Herpetic meningoencephalitis
West Nile fever with encephalitis
Chronic hepatitis C with hepatic coma
Unspecified viral infection
Lyme disease
Syphilitic endocarditis, aortic valve
Candidiasis of lung
Disseminated candidiasis
Candidiasis of the esophagus
Aspergillosis
Sarcoidosis
Malignant neoplasm of lower lip, vermilion border
Malignant neoplasm of base of tongue
Malignant neoplasm of anterior two-thirds of tongue, part unspecified
Malignant neoplasm of tongue, unspecified site
Malignant neoplasm of parotid gland
Malignant neoplasm of floor of mouth, part unspecified
Malignant neoplasm of mouth, unspecified site
Malignant neoplasm of tonsil
Malignant neoplasm of oropharynx, unspecified site
Malignant neoplasm of nasopharynx, unspecified site
Malignant neoplasm of thoracic esophagus
Malignant neoplasm of upper third of esophagus
Malignant neoplasm of middle third of esophagus
Malignant neoplasm of lower third of esophagus
Malignant neoplasm of other specified part of esophagus
Malignant neoplasm of esophagus, unspecified site
Malignant neoplasm of cardia
Malignant neoplasm of pylorus
Malignant neoplasm of pyloric antrum
03841
03842
03843
03844
03849
0388
0389
0400
04111
04112
042
0479
0499
0543
06641
07044
07999
08881
09322
1124
1125
11284
1173
135
1401
1410
1414
1419
1420
1449
1459
1460
1469
1479
1501
1503
1504
1505
1508
1509
1510
1511
1512
116
Malignant neoplasm of fundus of stomach
Malignant neoplasm of body of stomach
Malignant neoplasm of lesser curvature of stomach, unspecified
Malignant neoplasm of other specified sites of stomach
Malignant neoplasm of stomach, unspecified site
Malignant neoplasm of duodenum
Malignant neoplasm of ileum
Malignant neoplasm of small intestine, unspecified site
Malignant neoplasm of hepatic flexure
Malignant neoplasm of transverse colon
Malignant neoplasm of descending colon
Malignant neoplasm of sigmoid colon
Malignant neoplasm of cecum
Malignant neoplasm of appendix
Malignant neoplasm of ascending colon
Malignant neoplasm of splenic flexure
Malignant neoplasm of other specified sites of large intestine
Malignant neoplasm of colon, unspecified site
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm of anal canal
Malignant neoplasm of anus, unspecified site
Malignant neoplasm of other sites of rectum, rectosigmoid junction, and anus
Malignant neoplasm of liver, primary
Malignant neoplasm of intrahepatic bile ducts
Malignant neoplasm of liver, not specified as primary or secondary
Malignant neoplasm of gallbladder
Malignant neoplasm of extrahepatic bile ducts
Malignant neoplasm of ampulla of Vater
Malignant neoplasm of biliary tract, part unspecified site
Malignant neoplasm of head of pancreas
Malignant neoplasm of body of pancreas
Malignant neoplasm of tail of pancreas
Malignant neoplasm of other specified sites of pancreas
Malignant neoplasm of pancreas, part unspecified
Malignant neoplasm of retroperitoneum
Malignant neoplasm of specified parts of peritoneum
Malignant neoplasm of peritoneum, unspecified
Malignant neoplasm of intestinal tract, part unspecified
Malignant neoplasm of nasal cavities
Malignant neoplasm of maxillary sinus
Malignant neoplasm of glottis
Malignant neoplasm of supraglottis
1513
1514
1515
1518
1519
1520
1522
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1543
1548
1550
1551
1552
1560
1561
1562
1569
1570
1571
1572
1578
1579
1580
1588
1589
1590
1600
1602
1610
1611
117
Malignant neoplasm of other specified sites of larynx
Malignant neoplasm of larynx, unspecified site
Malignant neoplasm of trachea
Malignant neoplasm of main bronchus
Malignant neoplasm of upper lobe, bronchus, or lung
Malignant neoplasm of middle lobe, bronchus, or lung
Malignant neoplasm of lower lobe, bronchus, or lung
Malignant neoplasm of other parts of bronchus or lung
Malignant neoplasm of bronchus and lung, unspecified site
Malignant neoplasm of other specified sites of pleura
Malignant neoplasm of pleura, unspecified site
Malignant neoplasm of thymus
Malignant neoplasm of heart
Malignant neoplasm of mediastinum, part unspecified
Malignant neoplasm of bone and articular cartilage, site unspecified
Malignant neoplasm of connective and other soft tissue of head, face, and neck
Malignant neoplasm of connective and other soft tissue of upper limb, including
shoulder
Malignant neoplasm of connective and other soft tissue of lower limb, including
hip
Malignant neoplasm of connective and other soft tissue of thorax
Malignant neoplasm of connective and other soft tissue of abdomen
Malignant neoplasm of connective and other soft tissue, site unspecified
Malignant melanoma of skin of ear and external auditory canal
Malignant melanoma of skin of other and unspecified parts of face
Malignant melanoma of skin of scalp and neck
Malignant melanoma of skin of trunk, except scrotum
Malignant melanoma of skin of upper limb, including shoulder
Malignant melanoma of skin of lower limb, including hip
Malignant melanoma of other specified sites of skin
Melanoma of skin, site unspecified
Other malignant neoplasm of skin of lip
Other malignant neoplasm of skin of eyelid, including canthus
Other malignant neoplasm of skin of ear and external auditory canal
Other malignant neoplasm of skin of other and unspecified parts of face
Other malignant neoplasm of scalp and skin of neck
Other malignant neoplasm of skin of trunk, except scrotum
Other malignant neoplasm of skin of upper limb, including shoulder
Other malignant neoplasm of skin of lower limb, including hip
Other malignant neoplasm of other specified sites of skin
Other malignant neoplasm of skin, site unspecified
Malignant neoplasm of nipple and areola of female breast
Malignant neoplasm of central portion of female breast
Malignant neoplasm of upper-inner quadrant of female breast
1618
1619
1620
1622
1623
1624
1625
1628
1629
1638
1639
1640
1641
1649
1709
1710
1712
1713
1714
1715
1719
1722
1723
1724
1725
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742
118
Malignant neoplasm of lower-inner quadrant of female breast
Malignant neoplasm of upper-outer quadrant of female breast
Malignant neoplasm of lower-outer quadrant of female breast
Malignant neoplasm of other specified sites of female breast
Malignant neoplasm of breast (female), unspecified site
Malignant neoplasm of other and unspecified sites of male breast
Malignant neoplasm of uterus, part unspecified
Malignant neoplasm of endocervix
Malignant neoplasm of cervix uteri, unspecified site
Malignant neoplasm of corpus uteri, except isthmus
Malignant neoplasm of ovary
Malignant neoplasm of fallopian tube
Malignant neoplasm of vagina
Malignant neoplasm of vulva, unspecified site
Malignant neoplasm of prostate
Malignant neoplasm of other and unspecified testis
Malignant neoplasm of penis, part unspecified
Malignant neoplasm of trigone of urinary bladder
Malignant neoplasm of dome of urinary bladder
Malignant neoplasm of lateral wall of urinary bladder
Malignant neoplasm of anterior wall of urinary bladder
Malignant neoplasm of posterior wall of urinary bladder
Malignant neoplasm of bladder neck
Malignant neoplasm of ureteric orifice
Malignant neoplasm of other specified sites of bladder
Malignant neoplasm of bladder, part unspecified
Malignant neoplasm of kidney, except pelvis
Malignant neoplasm of renal pelvis
Malignant neoplasm of ureter
Malignant neoplasm of urethra
Malignant neoplasm of urinary organ, site unspecified
Malignant neoplasm of choroid
Malignant neoplasm of cerebrum, except lobes and ventricles
Malignant neoplasm of frontal lobe of brain
Malignant neoplasm of temporal lobe of brain
Malignant neoplasm of parietal lobe of brain
Malignant neoplasm of occipital lobe of brain
Malignant neoplasm of other parts of brain
Malignant neoplasm of brain, unspecified site
Malignant neoplasm of cerebral meninges
Malignant neoplasm of thyroid gland
Malignant neoplasm of adrenal gland
Malignant neoplasm of head, face, and neck
1743
1744
1745
1748
1749
1759
179
1800
1809
1820
1830
1832
1840
1844
185
1869
1874
1880
1881
1882
1883
1884
1885
1886
1888
1889
1890
1891
1892
1893
1899
1906
1910
1911
1912
1913
1914
1918
1919
1921
193
1940
1950
119
Malignant neoplasm of thorax
Malignant neoplasm of abdomen
Secondary and unspecified malignant neoplasm of lymph nodes of head, face, and
neck
Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
Secondary and unspecified malignant neoplasm of lymph nodes of axilla and
upper limb
Secondary and unspecified malignant neoplasm of lymph nodes of inguinal region
and lower limb
Secondary malignant neoplasm of lung
Secondary malignant neoplasm of mediastinum
Secondary malignant neoplasm of pleura
Secondary malignant neoplasm of small intestine including duodenum
Secondary malignant neoplasm of large intestine and rectum
Secondary malignant neoplasm of retroperitoneum and peritoneum
Secondary malignant neoplasm of liver
Secondary malignant neoplasm of other digestive organs and spleen
Secondary malignant neoplasm of kidney
Secondary malignant neoplasm of other urinary organs
Secondary malignant neoplasm of skin
Secondary malignant neoplasm of brain and spinal cord
Secondary malignant neoplasm of other parts of nervous system
Secondary malignant neoplasm of bone and bone marrow
Secondary malignant neoplasm of adrenal gland
Secondary malignant neoplasm of breast
Secondary malignant neoplasm of genital organs
Secondary malignant neoplasm of other specified sites
Disseminated malignant neoplasm
Other malignant neoplasm of unspecified site
Mantle cell lymphoma, unspecified site, extranodal and solid organ sites
Large cell lymphoma, unspecified site, extranodal and solid organ sites
Hodgkin's disease, unspecified type, unspecified site, extranodal and solid organ
sites
Nodular lymphoma, unspecified site, extranodal and solid organ sites
Nodular lymphoma of lymph nodes of head, face, and neck
Nodular lymphoma of intra-abdominal lymph nodes
Nodular lymphoma of lymph nodes of multiple sites
Mycosis fungoides, unspecified site, extranodal and solid organ sites
Leukemic reticuloendotheliosis, unspecified site, extranodal and solid organ sites
Other malignant lymphomas, unspecified site, extranodal and solid organ sites
Other malignant lymphomas of lymph nodes of head, face, and neck
Other malignant lymphomas of intrathoracic lymph nodes
Other malignant lymphomas of intra-abdominal lymph nodes
1951
1952
1960
1961
1962
1963
1965
1970
1971
1972
1974
1975
1976
1977
1978
1980
1981
1982
1983
1984
1985
1987
19881
19882
19889
1990
1991
20040
20070
20190
20200
20201
20203
20208
20210
20240
20280
20281
20282
20283
120
Other malignant lymphomas of lymph nodes of axilla and upper limb
Other malignant lymphomas of lymph nodes of inguinal region and lower limb
Other malignant lymphomas of lymph nodes of multiple sites
Multiple myeloma, without mention of having achieved remission
Multiple myeloma in remission
Acute lymphoid leukemia, without mention of having achieved remission
Chronic lymphoid leukemia, without mention of having achieved remission
Chronic lymphoid leukemia in remission
Unspecified lymphoid leukemia, without mention of having achieved remission
Acute myeloid leukemia, without mention of having achieved remission
Acute myeloid leukemia in remission
Chronic myeloid leukemia, without mention of having achieved remission
Acute leukemia of unspecified cell type, without mention of having achieved
remission
Chronic leukemia of unspecified cell type, without mention of having achieved
remission
Unspecified leukemia, without mention of having achieved remission
Malignant carcinoid tumor of the bronchus and lung
Benign neoplasm of bronchus and lung
Benign neoplasm of heart
Benign neoplasm of brain
Benign neoplasm of cerebral meninges
Benign neoplasm of spinal meninges
Carcinoma in situ of esophagus
Carcinoma in situ of stomach
Carcinoma in situ of colon
Carcinoma in situ of rectum
Carcinoma in situ of larynx
Carcinoma in situ of bronchus and lung
Carcinoma in situ of breast
Carcinoma in situ of cervix uteri
Carcinoma in situ of other and unspecified parts of uterus
Carcinoma in situ, other and unspecified female genital organs
Carcinoma in situ, vulva
Carcinoma in situ of prostate
Carcinoma in situ of bladder
Carcinoma in situ of other specified sites
Neoplasm of uncertain behavior of major salivary glands
Neoplasm of uncertain behavior of lip, oral cavity, and pharynx
Neoplasm of uncertain behavior of stomach, intestines, and rectum
Neoplasm of uncertain behavior of liver and biliary passages
Neoplasm of uncertain behavior of other and unspecified digestive organs
Neoplasm of uncertain behavior of larynx
Neoplasm of uncertain behavior of trachea, bronchus, and lung
20284
20285
20288
20300
20301
20400
20410
20411
20490
20500
20501
20510
20800
20810
20890
20921
2123
2127
2250
2252
2254
2301
2302
2303
2304
2310
2312
2330
2331
2332
2333
23332
2334
2337
2348
2350
2351
2352
2353
2355
2356
2357
121
Neoplasm of uncertain behavior of ovary
Neoplasm of uncertain behavior of prostate
Neoplasm of uncertain behavior of bladder
Neoplasm of uncertain behavior of kidney and ureter
Neoplasm of uncertain behavior of pituitary gland and craniopharyngeal duct
Neoplasm of uncertain behavior of other and unspecified endocrine glands
Neoplasm of uncertain behavior of brain and spinal cord
Neoplasm of uncertain behavior of bone and articular cartilage
Neoplasm of uncertain behavior of connective and other soft tissue
Neoplasm of uncertain behavior of skin
Neoplasm of uncertain behavior of breast
Neoplasm of uncertain behavior of polycythemia vera
Essential thrombocythemia
Low grade myelodysplastic syndrome lesions
High grade myelodysplastic syndrome lesions
Myelodysplastic syndrome, unspecified
Myelofibrosis with myeloid metaplasia
Neoplasm of uncertain behavior of other specified sites
Neoplasm of uncertain behavior, site unspecified
Neoplasm of unspecified nature of digestive system
Neoplasm of unspecified nature of respiratory system
Neoplasms of unspecified nature of bone, soft tissue, and skin
Neoplasm of unspecified nature of breast
Neoplasm of unspecified nature of bladder
Neoplasm of unspecified nature of other genitourinary organs
Neoplasm of unspecified nature of brain
Neoplasm of unspecified nature of endocrine glands and other parts of nervous
system
Neoplasm of unspecified nature of other specified sites
Neoplasms of unspecified nature, other specified sites
Neoplasm of unspecified nature, site unspecified
Thyrotoxicosis of other specified origin without mention of thyrotoxic crisis or
storm
Thyrotoxicosis without mention of goiter or other cause, without mention of
thyrotoxic crisis or storm
Thyrotoxicosis without mention of goiter or other cause, with mention of
thyrotoxic crisis
Acute thyroiditis
Unspecified thyroiditis
Diabetes with ketoacidosis, type II or unspecified type, not stated as uncontrolled
Diabetes with ketoacidosis, type I [juvenile type], not stated as uncontrolled
Diabetes with ketoacidosis, type II or unspecified type, uncontrolled
Diabetes with ketoacidosis, type I [juvenile type], uncontrolled
Diabetes with hyperosmolarity, type II or unspecified type, not stated as
2362
2365
2367
23691
2370
2374
2375
2380
2381
2382
2383
2384
23871
23872
23873
23875
23876
2388
2389
2390
2391
2392
2393
2394
2395
2396
2397
2398
23989
2399
24280
24290
24291
2450
2459
25010
25011
25012
25013
25020
122
uncontrolled
Diabetes with hyperosmolarity, type II or unspecified type, uncontrolled
Diabetes with other coma, type II or unspecified type, not stated as uncontrolled
Diabetes with other coma, type II or unspecified type, uncontrolled
Diabetes with other coma, type I [juvenile type], uncontrolled
Hypoglycemic coma
Other specified hypoglycemia
Hypoglycemia, unspecified
Diabetes insipidus
Glucocorticoid deficiency
Carcinoid syndrome
Nutritional marasmus
Other severe protein-calorie malnutrition
Unspecified protein-calorie malnutrition
Other and unspecified manifestations of thiamine deficiency
Disturb sulphur amino acid metabol
Monoclonal paraproteinemia
Disorders of iron metabolism
Disorders of magnesium metabolism
Disorders of phosphorus metabolism
Unspecified disorder of calcium metabolism
Hypocalcemia
Hypercalcemia
Other disorders of calcium metabolism
Hyperosmolality and/or hypernatremia
Hyposmolality and/or hyponatremia
Acidosis
Alkalosis
Mixed acid-base balance disorder
Volume depletion, unspecified
Dehydration
Hypovolemia
Fluid overload
Fluid overload nec (other fluid overload)
Hyperpotassemia
Hypopotassemia
Electrolyte and fluid disorders not elsewhere classified
Cystic fibrosis without mention of meconium ileus
Cystic fibrosis with pulmonary manifestations
Amyloidosis
Amyloidosis, unspecified
Other amyloidosis
Unspecified disorder of metabolism
25022
25030
25032
25033
2510
2511
2512
2535
25541
2592
261
262
2639
2651
2704
2731
2750
2752
2753
27540
27541
27542
27549
2760
2761
2762
2763
2764
27650
27651
27652
2766
27669
2767
2768
2769
27700
27702
2773
27730
27739
2779
123
Autoimmune disease other
Iron deficiency anemia secondary to blood loss (chronic)
Iron deficiency anemia secondary to inadequate dietary iron intake
Other specified iron deficiency anemias
Unspecified iron deficiency anemia
Pernicious anemia
Other vitamin B12 deficiency anemia
Folate-deficiency anemia
Other specified megaloblastic anemias not elsewhere classified
Anemia associated with other specified nutritional deficiency
Unspecified deficiency anemia
Other thalassemia
Sickle-cell disease, unspecified
Hb-SS disease with crisis
Sickle-cell/Hb-C disease with crisis
Other sickle-cell disease with crisis
Autoimmune hemolytic anemias
Other non-autoimmune hemolytic anemias
Acquired hemolytic anemia, unspecified
Pancytopenia
Other pancytopenia
Other specified aplastic anemias
Red cell aplasia (acquired) (adult) (with thymoma)
Other specified aplastic anemias
Unspecified aplastic anemia
Sideroblastic anemia
Acute posthemorrhagic anemia
Anemia in chronic kidney disease
Anemia in neoplastic disease
Anemia of other chronic disease
Chemotherapy induced anemia
Other specified anemias
Unspecified anemia
Hemorrhagic disorder due to intrinsic circulating anticoagulants
Defibrination syndrome
Oth nonthrombocytopenic purpuras
Primary thrombocytopenia unspec
Immune thrombocytopenic purpura
Uns thrombocytopenia
Unspecified hemorrhagic conditions
Neutropenia, unspecified
Functional disord neutrophils
Leukocytopenia unspecified
2794
2800
2801
2808
2809
2810
2811
2812
2813
2818
2819
28249
28260
28262
28264
28269
2830
28319
2839
2841
28419
2848
28481
28489
2849
2850
2851
28521
28522
28529
2853
2858
2859
2865
2866
2872
28730
28731
2875
2879
28800
2881
28850
124
Leukocytosis unspecified
Other disease white blood cells
Polycythemia, secondary
Myelofibrosis
Ot dis blood/blood forming organs
Uns dis blood/blood forming organs
Senile dementia with delirium
Vascular dementia, with delirium
Unspecified senile psychotic condition
Alcohol withdrawal delirium
Alcohol withdrawal
Drug withdrawal
Drug-induced psychotic disorder with hallucinations
Drug-induced delirium
Drug-induced mood disorder
Other specified drug-induced mental disorder
Unspecified drug-induced mental disorder
Delirium due to conditions classified elsewhere
Subacute delirium
Mood disorder in conditions classified elsewhere
Anxiety disorder in conditions classified elsewhere
Unspecified transient mental disorder in conditions classified elsewhere
Other persistent mental disorders due to conditions classified elsewhere
Unspecified persistent mental disorders due to conditions classified elsewhere
Simple schizophrenia, unspecified condition
Catatonic schizophrenia, unspecified condition
Paranoid schizophrenia, unspecified condition
Paranoid schizophrenia, chronic condition
Paranoid schizophrenia, chronic condition with acute exacerbation
Schizophreniform disorder, unspecified
Schizophrenic disorders, residual type, unspecified
Schizoaffective disorder, unspecified
Schizoaffective disorder, chronic
Schizoaffective disorder, chronic with acute exacerbation
Other specified types of schizophrenia, unspecified condition
Other specified types of schizophrenia, chronic condition with acute exacerbation
Unspecified schizophrenia, unspecified condition
Unspecified schizophrenia, chronic condition
Unspecified schizophrenia, chronic condition with acute exacerbation
Bipolar I disorder, single manic episode, unspecified
Major depressive disorder, single episode, unspecified
Major depressive disorder, single episode, mild
Major depressive disorder, single episode, moderate
28860
2888
2890
28983
28989
2899
2903
29041
2909
2910
29181
2920
29212
29281
29284
29289
2929
2930
2931
29383
29384
2939
2948
2949
29500
29520
29530
29532
29534
29540
29560
29570
29572
29574
29580
29584
29590
29592
29594
29600
29620
29621
29622
125
Major depressive disorder, single episode, severe, without mention of psychotic
behavior
Major depressive disorder, single episode, severe, specified as with psychotic
behavior
Major depressive disorder, recurrent episode, unspecified
Major depressive disorder, recurrent episode, mild
Major depressive disorder, recurrent episode, moderate
Major depressive disorder, recurrent episode, severe, without mention of psychotic
behavior
Major depressive disorder, recurrent episode, severe, specified as with psychotic
behavior
Bipolar I disorder, most recent episode (or current) manic, unspecified
Bipolar I disorder, most recent episode (or current) manic, severe, without mention
of psychotic behavior
Bipolar I disorder, most recent episode (or current) manic, severe, specified as
with psychotic behavior
Bipolar I disorder, most recent episode (or current) depressed, unspecified
Bipolar I disorder, most recent episode (or current) depressed, moderate
Bipolar I disorder, most recent episode (or current) depressed, severe, without
mention of psychotic behavior
Bipolar I disorder, most recent episode (or current) depressed, severe, specified as
with psychotic behavior
Bipolar I disorder, most recent episode (or current) mixed, unspecified
Bipolar I disorder, most recent episode (or current) mixed, moderate
Bipolar I disorder, most recent episode (or current) mixed, severe, without mention
of psychotic behavior
Bipolar I disorder, most recent episode (or current) mixed, severe, specified as
with psychotic behavior
Bipolar I disorder, most recent episode (or current) unspecified
Bipolar disorder, unspecified
Atypical depressive disorder
Unspecified episodic mood disorder
Other specified episodic mood disorder
Delusional disorder
Unspecified paranoid state
Reactive confusion
Other and unspecified reactive psychosis
Unspecified psychosis
Autistic disorder, current or active state
Anxiety state, unspecified
Panic disorder wo agoraphobia
Generalized anxiety disorder
Other anxiety states
Conversion disorder
Obsessive-compulsive disorders
29623
29624
29630
29631
29632
29633
29634
29640
29643
29644
29650
29652
29653
29654
29660
29662
29663
29664
2967
29680
29682
29690
29699
2971
2979
2982
2988
2989
29900
30000
30001
30002
30009
30011
3003
126
Dysthymic disorder
Unspecified nonpsychotic mental disorder
Borderline personality disorder
Psychosex dysfunc inhibited excite
Acute alcoholic intoxication, unspecified drunkenness
Acute alcoholic intoxication, continuous drunkenness
Acute alcoholic intoxication, episodic drunkenness
Other and unspecified alcohol dependence, unspecified drunkenness
Other and unspecified alcohol dependence, continuous drunkenness
Opioid type dependence, unspecified abuse
Opioid type dependence, continuous abuse
Cocaine dependence, unspecified abuse
Cocaine dependence, continuous abuse
Combinations of opioid type drug with any other drug dependence, continuous
abuse
Combinations of drug dependence excluding opioid type drug, unspecified abuse
Unspecified drug dependence, unspecified abuse
Nondependent alcohol abuse, unspecified drunkenness
Nondependent alcohol abuse, continuous drunkenness
Nondependent alcohol abuse, episodic drunkenness
Nondependent cannabis abuse, unspecified
Nondependent sedative, hypnotic or anxiolytic abuse, unspecified
Nondependent opioid abuse, unspecified
Nondependent cocaine abuse, unspecified
Nondependent amphetamine or related acting sympathomimetic abuse, unspecified
Other, mixed, or unspecified nondependent drug abuse, unspecified
Respiratory malfunction arising from mental factors
Cardiovascular malfunction arising from mental factors
Anorexia nervosa
Eating disorder, unspecified
Predominant disturbance of emotions
Unspecified acute reaction to stress
Adjustment disorder with depressed mood
Prolonged depressive reaction as adjustment reaction
Adjustment disorder with anxiety
Adjustment disorder with mixed anxiety and depressed mood
Adjustment disorder with mixed disturbance of emotions and conduct
Posttraumatic stress disorder
Unspecified adjustment reaction
Personality change due to conditions classified elsewhere
Postconcussion syndrome
Unspecified nonpsychotic mental disorder following organic brain damage
Depressive disorder, not elsewhere classified
3004
3009
30183
30272
30300
30301
30302
30390
30391
30400
30401
30420
30421
30471
30480
30490
30500
30501
30502
30520
30540
30550
30560
30570
30590
3061
3062
3071
30750
3080
3089
3090
3091
30924
30928
3094
30981
3099
3101
3102
3109
311
127
Impulse control disorder, unspecified
Intermittent explosive disorder
Attention deficit disorder of childhood without mention of hyperactivity
Attention deficit disorder of childhood with hyperactivity
Meningitis due to unspecified bacterium
Unspecified meningitis
Unspecified causes of encephalitis, myelitis, and encephalomyelitis
Intracranial abscess
Idiopathic sleep related nonobstructive alveolar hypoventilation
Confusional arousals
Communicating hydrocephalus
Obstructive hydrocephalus
Idiopathic normal pressure hydrocephalus [INPH]
Paralysis agitans
Secondary parkinsonism
Subacute dyskinesia due to drugs
Neuroleptic malignant syndrome
Carotid sinus syndrome
Acute pain due to trauma
Acute post-thoracotomy pain
Other acute postoperative pain
Other acute pain
Neoplasm related pain (acute) (chronic)
Multiple sclerosis
Unspecified infantile cerebral palsy
Other specified paralytic syndrome
Unspecified paralysis
Other forms of epilepsy and recurrent seizures, without mention of intractable
epilepsy
Migraine with aura, without mention of intractable migraine without mention of
status migrainosus
Migraine with aura, with intractable migraine, so stated, without mention of status
migrainosus
Migraine without aura, without mention of intractable migraine without mention
of status migrainosus
Migraine without aura, with intractable migraine, so stated, without mention of
status migrainosus
Variants of migraine, not elsewhere classified, without mention of intractable
migraine without mention of status migrainosus
Variants of migraine, not elsewhere classified, with intractable migraine, so stated,
without mention of status migrainosus
Chronic migraine without aura, with intractable migraine, so stated, without
mention of status migrainosus
Other forms of migraine, without mention of intractable migraine without mention
of status migrainosus
31230
31234
31400
31401
3209
3229
3239
3240
32724
32741
3313
3314
3315
3320
3321
33385
33392
33701
33811
33812
33818
33819
3383
340
3439
34489
3449
34580
34600
34601
34610
34611
34620
34621
34671
34680
128
Migraine, unspecified with intractable migraine, so stated, without mention of
status migrainosus
Narcolepsy, without cataplexy
Anoxic brain damage
Benign intracranial hypertension
Encephalopathy, unspecified
Metabolic encephalopathy
Other encephalopathy
Cerebral edema
Toxic encephalopathy
Atypical face pain
Unspecified inflammatory and toxic neuropathy
Myasthenia gravis without (acute) exacerbation
Myasthenia gravis with (acute) exacerbation
Myotonic muscular dystrophy
Toxic myopathy
Unspecified retinal vascular occlusion
Central artery occlusion of retina
Arterial branch occlusion of retina
Partial arterial occlusion of retina
Transient arterial occlusion of retina
Central vein occlusion of retina
Sudden visual loss
Transient visual loss
Psychophysical visual disturbances
Other visual disturbances
Unspecified visual disturbance
Impairment level not further specified
Unspecified visual loss
Uns peripheral vertigo
Benign paroxysmal position vertigo
Rheumatic fever without mention of heart involvement
Acute rheumatic pericarditis
Acute rheumatic endocarditis
Other acute rheumatic heart disease
Unspecified acute rheumatic heart disease
Mitral stenosis
Rheumatic mitral insufficiency
Mitral stenosis with insufficiency
Other and unspecified mitral valve diseases
Rheumatic aortic stenosis
Rheumatic aortic insufficiency
Rheumatic aortic stenosis with insufficiency
34691
34700
3481
3482
34830
34831
34839
3485
34982
3502
3579
35800
35801
35921
3594
36230
36231
36232
36233
36234
36235
36811
36812
36816
3688
3689
36960
3699
38610
38611
390
3910
3911
3918
3919
3940
3941
3942
3949
3950
3951
3952
129
Other and unspecified rheumatic aortic diseases
Mitral valve stenosis and aortic valve stenosis
Mitral valve stenosis and aortic valve insufficiency
Mitral valve insufficiency and aortic valve stenosis
Mitral valve insufficiency and aortic valve insufficiency
Multiple involvement of mitral and aortic valves
Unspecified mitral and aortic valve diseases
Diseases of tricuspid valve
Rheumatic diseases of pulmonary valve
Unspecified rheumatic heart disease
Rheumatic heart failure (congestive)
Other and unspecified rheumatic heart diseases
Essential hypertension, malignant
Malignant hypertensive heart disease without heart failure
Malignant hypertensive heart disease with heart failure
Benign hypertensive heart disease without heart failure
Benign hypertensive heart disease with heart failure
Unspecified hypertensive heart disease without heart failure
Hypertensive heart disease, unspecified, with heart failure
Mal kid hyper w ckd stage i-iv
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, malignant, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, malignant, with heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, with heart failure and with
chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, benign, without heart failure and
with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, benign, with heart failure and with
chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, with heart failure and
with chronic kidney disease stage I-IV
Hypertensive heart and chronic kidney disease, unspecified, without heart failure
and with chronic kidney disease stage V
Hypertensive heart and chronic kidney disease, unspecified, with heart failure and
with chronic kidney disease stage V
Secondary renovascular hypertension, malignant
3959
3960
3961
3962
3963
3968
3969
3970
3971
39890
39891
39899
4010
40200
40201
40210
40211
40290
40291
40300
40400
40401
40402
40403
40410
40411
40412
40413
40490
40491
40492
40493
40501
130
Other secondary hypertension, malignant
Acute myocardial infarction of anterolateral wall, episode of care unspecified
Acute myocardial infarction of anterolateral wall, initial episode of care
Acute myocardial infarction of anterolateral wall, subsequent episode of care
Acute myocardial infarction of other anterior wall, episode of care unspecified
Acute myocardial infarction of other anterior wall, initial episode of care
Acute myocardial infarction of other anterior wall, subsequent episode of care
Acute myocardial infarction of inferolateral wall, episode of care unspecified
Acute myocardial infarction of inferolateral wall, initial episode of care
Acute myocardial infarction of inferolateral wall, subsequent episode of care
Acute myocardial infarction of inferoposterior wall, episode of care unspecified
Acute myocardial infarction of inferoposterior wall, initial episode of care
Acute myocardial infarction of inferoposterior wall, subsequent episode of care
Acute myocardial infarction of other inferior wall, episode of care unspecified
Acute myocardial infarction of other inferior wall, initial episode of care
Acute myocardial infarction of other inferior wall, subsequent episode of care
Acute myocardial infarction of other lateral wall, episode of care unspecified
Acute myocardial infarction of other lateral wall, initial episode of care
Acute myocardial infarction of other lateral wall, subsequent episode of care
Acute myocardial infarction, true posterior wall infarction, episode of care
unspecified
Acute myocardial infarction, true posterior wall infarction, initial episode of care
Acute myocardial infarction, true posterior wall infarction, subsequent episode of
care
Acute myocardial infarction, subendocardial infarction, episode of care
unspecified
Acute myocardial infarction, subendocardial infarction, initial episode of care
Acute myocardial infarction, subendocardial infarction, subsequent episode of care
Acute myocardial infarction of other specified sites, episode of care unspecified
Acute myocardial infarction of other specified sites, initial episode of care
Acute myocardial infarction of other specified sites, subsequent episode of care
Acute myocardial infarction, unspecified site, episode of care unspecified
Acute myocardial infarction, unspecified site, initial episode of care
Acute myocardial infarction, unspecified site, subsequent episode of care
Postmyocardial infarction syndrome
Intermediate coronary syndrome
Acute coronary occlusion without myocardial infarction
Other acute and subacute form of ischemic heart disease
Old myocardial infarction
Angina decubitus
Prinzmetal angina
Other and unspecified angina pectoris
Coronary atherosclerosis of unspecified type of vessel, native or graft
Coronary atherosclerosis of native coronary artery
40509
41000
41001
41002
41010
41011
41012
41020
41021
41022
41030
41031
41032
41040
41041
41042
41050
41051
41052
41060
41061
41062
41070
41071
41072
41080
41081
41082
41090
41091
41092
4110
4111
41181
41189
412
4130
4131
4139
41400
41401
131
Coronary atherosclerosis of autologous vein bypass graft
Coronary atherosclerosis of nonautologous biological bypass graft
Coronary atherosclerosis of artery bypass graft
Coronary atherosclerosis of unspecified type of bypass graft
Coronary atherosclerosis, of native coronary artery of transplanted heart
Coronary atherosclerosis, of bypass graft (artery) (vein) of transplanted heart
Aneurysm of heart
Aneurysm of coronary vessels
Dissection of coronary artery
Other aneurysm of heart
Chronic total occlusion of coronary artery
Coronary atherosclerosis due to lipid rich plaque
Other specified forms of chronic ischemic heart disease
Unspecified chronic ischemic heart disease
Acute cor pulmonale
Iatrogenic pulmonary embolism and infarction
Septic pulmonary embolism
Other pulmonary embolism and infarction
Primary pulmonary hypertension
Chronic pulmonary embolism
Other chronic pulmonary heart diseases
Unspecified chronic pulmonary heart disease
Arteriovenous fistula of pulmonary vessels
Aneurysm of pulmonary artery
Other specified disease of pulmonary circulation
Unspecified disease of pulmonary circulation
Acute pericarditis in diseases classified elsewhere
Unspecified acute pericarditis
Acute idiopathic pericarditis
Other acute pericarditis
Acute and subacute bacterial endocarditis
Acute and subacute infective endocarditis in diseases classified elsewhere
Unspecified acute endocarditis
Unspecified acute myocarditis
Idiopathic myocarditis
Hemopericardium
Adhesive pericarditis
Constrictive pericarditis
Cardiac tamponade
Other specified diseases of pericardium
Unspecified disease of pericardium
Mitral valve disorders
Aortic valve disorders
41402
41403
41404
41405
41406
41407
41410
41411
41412
41419
4142
4143
4148
4149
4150
41511
41512
41519
4160
4162
4168
4169
4170
4171
4178
4179
4200
42090
42091
42099
4210
4211
4219
42290
42291
4230
4231
4232
4233
4238
4239
4240
4241
132
Tricuspid valve disorders, specified as nonrheumatic
Pulmonary valve disorders
Endocarditis, valve unspecified, unspecified cause
Endocarditis in diseases classified elsewhere
Other endocarditis, valve unspecified
Endomyocardial fibrosis
Hypertrophic obstructive cardiomyopathy
Hypertrophic obstructive cardiomyopathy
Other hypertrophic cardiomyopathy
Obscure cardiomyopathy of Africa
Endocardial fibroelastosis
Other primary cardiomyopathies
Alcoholic cardiomyopathy
Nutritional and metabolic cardiomyopathy
Cardiomyopathy in other diseases classified elsewhere
Unspecified secondary cardiomyopathy
Atrioventricular block, complete
Unspecified atrioventricular block
First degree atrioventricular block
Mobitz (type) II atrioventricular block
Other second degree atrioventricular block
Left bundle branch hemiblock
Other left bundle branch block
Right bundle branch block
Unspecified bundle branch block
Right bundle branch block and left posterior fascicular block
Right bundle branch block and left anterior fascicular block
Other bilateral bundle branch block
Trifascicular block
Other heart block
Anomalous atrioventricular excitation
Lown-Ganong-Levine syndrome
Long QT syndrome
Other specified conduction disorder
Unspecified conduction disorder
Paroxysmal supraventricular tachycardia
Paroxysmal ventricular tachycardia
Unspecified paroxysmal tachycardia
Atrial fibrillation
Atrial flutter
Ventricular fibrillation
Ventricular flutter
Cardiac arrest
4242
4243
42490
42491
42499
4250
4251
42511
42518
4252
4253
4254
4255
4257
4258
4259
4260
42610
42611
42612
42613
4262
4263
4264
42650
42651
42652
42653
42654
4266
4267
42681
42682
42689
4269
4270
4271
4272
42731
42732
42741
42742
4275
133
Unspecified premature beats
Supraventricular premature beats
Other premature beats
Sinoatrial node dysfunction
Other specified cardiac dysrhythmias
Unspecified cardiac dysrhythmia
Congestive heart failure, unspecified
Left heart failure
Unspecified systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Acute on chronic systolic heart failure
Unspecified diastolic heart failure
Acute diastolic heart failure
Chronic diastolic heart failure
Acute on chronic diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Acute combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Acute on chronic combined systolic and diastolic heart failure
Unspecified heart failure
Unspecified myocarditis
Myocardial degeneration
Unspecified cardiovascular disease
Cardiomegaly
Functional disturbances following cardiac surgery
Rupture of chordae tendineae
Rupture of papillary muscle
Acquired cardiac septal defect
Other certain sequelae of myocardial infarction, not elsewhere classified
Other disorders of papillary muscle
Hyperkinetic heart disease
Takotsubo syndrome
Other ill-defined heart disease
Unspecified heart disease
Subarachnoid hemorrhage
Intracerebral hemorrhage
Nontraumatic extradural hemorrhage
Subdural hemorrhage
Unspecified intracranial hemorrhage
Occlusion and stenosis of basilar artery without mention of cerebral infarction
Occlusion and stenosis of basilar artery with cerebral infarction
Occlusion and stenosis of carotid artery without mention of cerebral infarction
42760
42761
42769
42781
42789
4279
4280
4281
42820
42821
42822
42823
42830
42831
42832
42833
42840
42841
42842
42843
4289
4290
4291
4292
4293
4294
4295
4296
42971
42979
42981
42982
42983
42989
4299
430
431
4320
4321
4329
43300
43301
43310
134
Occlusion and stenosis of carotid artery with cerebral infarction
Occlusion and stenosis of vertebral artery without mention of cerebral infarction
Occlusion and stenosis of vertebral artery with cerebral infarction
Occlusion and stenosis of multiple and bilateral precerebral arteries without
mention of c
Occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral
infarc
Occlusion and stenosis of other specified precerebral artery without mention of
cerebral i
Occlusion and stenosis of other specified precerebral artery with cerebral
infarction
Occlusion and stenosis of unspecified precerebral artery without mention of
cerebral infar
Occlusion and stenosis of unspecified precerebral artery with cerebral infarction
Cerebral thrombosis without mention of cerebral infarction
Cerebral thrombosis with cerebral infarction
Cerebral embolism without mention of cerebral infarction
Cerebral embolism with cerebral infarction
Unspecified cerebral artery occlusion without mention of cerebral infarction
Unspecified cerebral artery occlusion with cerebral infarction
Basilar artery syndrome
Vertebral artery syndrome
Subclavian steal syndrome
Vertebrobasilar artery syndrome
Other specified transient cerebral ischemias
Unspecified transient cerebral ischemia
Acute, but ill-defined, cerebrovascular disease
Cerebral atherosclerosis
Other generalized ischemic cerebrovascular disease
Hypertensive encephalopathy
Cerebral aneurysm, nonruptured
Transient global amnesia
Unspecified cerebrovascular disease
Hemiplegia affecting unspecified side due to cerebrovascular disease
Vertigo
Uns late effects cv disease
Atherosclerosis of aorta
Atherosclerosis of renal artery
Atherosclerosis of native arteries of the extremities, unspecified
Atherosclerosis of native arteries of the extremities with intermittent claudication
Atherosclerosis of native arteries of the extremities with rest pain
Atherosclerosis of native arteries of the extremities with ulceration
Atherosclerosis of native arteries of the extremities with gangrene
Other atherosclerosis of native arteries of the extremities
43311
43320
43321
43330
43331
43380
43381
43390
43391
43400
43401
43410
43411
43490
43491
4350
4351
4352
4353
4358
4359
436
4370
4371
4372
4373
4377
4379
43820
43885
4389
4400
4401
44020
44021
44022
44023
44024
44029
135
Atherosclerosis of unspecified bypass graft of extremities
Atherosclerosis of autologous vein bypass graft of extremities
Chronic total occlusion of artery of the extremities
Atherosclerosis of other specified arteries
Generalized and unspecified atherosclerosis
Dissecting aortic aneurysm (any part), unspecified site
Dissecting aortic aneurysm (any part), thoracic
Dissecting aortic aneurysm (any part), abdominal
Dissecting aortic aneurysm (any part), thoracoabdominal
Thoracic aneurysm, ruptured
Thoracic aneurysm without mention of rupture
Abdominal aneurysm, ruptured
Abdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site, ruptured
Thoracoabdominal aneurysm, ruptured
Thoracoabdominal aneurysm without mention of rupture
Aortic aneurysm of unspecified site without mention of rupture
Aneurysm of artery of upper extremity
Aneurysm of renal artery
Aneurysm of iliac artery
Aneurysm of artery of lower extremity
Aneurysm of artery of neck
Aneurysm of splenic artery
Aneurysm of other visceral artery
Aneurysm of other specified artery
Other aneurysm of unspecified site
Raynaud's syndrome
Thromboangiitis obliterans (Buerger's disease)
Dissection of carotid artery
Dissection of other artery
Peripheral angiopathy in diseases classified elsewhere
Embolism and thrombosis of abdominal aorta
Embolism and thrombosis of thoracic aorta
Embolism and thrombosis of arteries of upper extremity
Embolism and thrombosis of arteries of lower extremity
Embolism and thrombosis of iliac artery
Embolism and thrombosis of other specified artery
Embolism and thrombosis of unspecified artery
Atheroembolism of lower extremity
Polyarteritis nodosa
Wegener's granulomatosis
Giant cell arteritis
Takayasu's disease
44030
44031
4404
4408
4409
44100
44101
44102
44103
4411
4412
4413
4414
4415
4416
4417
4419
4420
4421
4422
4423
44281
44283
44284
44289
4429
4430
4431
44321
44329
44381
4440
4441
44421
44422
44481
44489
4449
44502
4460
4464
4465
4467
136
Stricture of artery
Rupture of artery
Celiac artery compression syndrome
Unspecified arteritis
Other specified disorders of arteries and arterioles
Unspecified disorders of arteries and arterioles
Portal vein thrombosis
Embolism and thrombosis of vena cava
Venous embolism and thrombosis of unspecified deep vessels of lower extremity
Venous embolism and thrombosis of deep vessels of proximal lower extremity
Venous embolism and thrombosis of deep vessels of distal lower extremity
Chronic venous embolism and thrombosis of unspecified deep vessels of lower
extremity
Chronic venous embolism and thrombosis of deep vessels of proximal lower
extremity
Chronic venous embolism and thrombosis of deep vessels of distal lower
extremity
Emb/throm superficial lower ext
Venous embolism and thrombosis of other specified veins
Acute venous embolism and thrombosis of superficial veins of upper extremity
Acute venous embolism and thrombosis of deep veins of upper extremity
Acute venous embolism and thrombosis of upper extremity, unspecified
Acute venous embolism and thrombosis of subclavian veins
Acute venous embolism and thrombosis of internal jugular veins
Embolism and thrombosis of unspecified site
Esophageal varices with bleeding
Other noninfectious lymphedema
Orthostatic hypotension
Chronic hypotension
Hypotension of hemodialysis
Other iatrogenic hypotension
Other specified hypotension
Unspecified hypotension
Unspecified hemorrhage
Unspecified circulatory system disorder
Acute tracheitis without mention of obstruction
Acute upper respiratory infections of other multiple sites
Acute upper respiratory infections of unspecified site
Acute bronchitis
Acute bronchiolitis due to respiratory syncytial virus (RSV)
Acute bronchiolitis due to other infectious organisms
Other and unspecified diseases of upper respiratory tract
Pneumonia adenovirus
Pneumonia respiratory syncy virus
4471
4472
4474
4476
4478
4479
452
4532
45340
45341
45342
45350
45351
45352
4536
4538
45381
45382
45383
45385
45386
4539
4560
4571
4580
4581
45821
45829
4588
4589
4590
4599
46410
4658
4659
4660
46611
46619
4789
4800
4801
137
Uns viral pneumonia
Pneumococcal pneumonia
Pneumonia other bacteria
Uns bacterial pneumonia
Bronchopneumonia organism unspec
Pneumonia organism unspecified
Influenza with pneumonia
Influenza w oth respiratory manif
Bronchitis, not specified as acute or chronic
Obstructive chronic bronchitis, with (acute) exacerbation
Obstructive chronic bronchitis with acute bronchitis
Emphysematous bleb
Other emphysema
Extrinsic asthma, unspecified
Extrinsic asthma with status asthmaticus
Extrinsic asthma, with (acute) exacerbation
Intrinsic asthma, unspecified
Intrinsic asthma with status asthmaticus
Intrinsic asthma, with (acute) exacerbation
Chronic obstructive asthma with status asthmaticus
Chronic obstructive asthma, with (acute) exacerbation
Cough variant asthma
Asthma, unspecified, unspecified status
Asthma, unspecified with status asthmaticus
Asthma, unspecified, with (acute) exacerbation
Bronchiectasis with acute exacerbation
Coal workers' pneumoconiosis
Asbestosis
Acute pulmonary edema due to fumes and vapors
Other acute and subacute respiratory conditions due to fumes and vapors
Pneumonitis inhalation food
Acute pulmonary manifestations due to radiation
Empyema without mention of fistula
Pleurisy without mention of effusion or current tuberculosis
Pleurisy with effusion, with mention of bacterial cause other than tuberculosis
Other specified forms of pleural effusion, except tuberculous
Malignant pleural effusion
Other specified forms of effusion, except tuberculous
Unspecified pleural effusion
Spontaneous tension pneumothorax
Iatrogenic pneumothorax
Other spontaneous pneumothorax
Other pneumothorax
4809
481
48289
4829
485
486
4870
4871
490
49121
49122
4920
4928
49300
49301
49302
49310
49311
49312
49321
49322
49382
49390
49391
49392
4941
500
501
5061
5063
5070
5080
5109
5110
5111
5118
51181
51189
5119
5120
5121
5128
51289
138
Abscess of lung
Pulmonary congestion and hypostasis
Postinflammatory pulmonary fibrosis
Idiopathic fibrosing alveolitis
Other specified alveolar and parietoalveolar pneumonopathies
Uns alveolar pneumonopathy
Acute chest syndrome
Lung involvement in other diseases classified elsewhere
Pulmonary collapse
Compensatory emphysema
Pulmonary eosinophilia
Unspecified acute edema of lung
Pulmonary insufficiency following trauma and surgery
Acute respiratory failure following trauma and surgery
Acute respiratory failure
Other pulmonary insufficiency, not elsewhere classified
Chronic respiratory failure
Acute and chronic respiratory failure
Other diseases of lung, not elsewhere classified
Unspecified tracheostomy complication
Mechanical complication of tracheostomy
Other tracheostomy complications
Other diseases of trachea and bronchus, not elsewhere classified
Acute bronchospasm
Other diseases of trachea and bronchus
Disorders diaphragm
Other diseases of respiratory system, not elsewhere classified
Unspecified disease of respiratory system
Inflammatory conditions of jaw
Mucositis (ulcerative) due to antineoplastic therapy
Achalasia and cardiospasm
Unspecified esophagitis
Reflux esophagitis
Acute esophagitis
Other esophagitis
Ulcer of esophagus with bleeding
Stricture and stenosis of esophagus
Perforation of esophagus
Gastroesophageal laceration-hemorrhage syndrome
Esophageal hemorrhage
Unspecified disorder of esophagus
Acute gastric ulcer with hemorrhage, without mention of obstruction
Acute gastric ulcer with perforation, without mention of obstruction
5130
514
515
5163
5168
5169
5173
5178
5180
5182
5183
5184
5185
51851
51881
51882
51883
51884
51889
51900
51902
51909
5191
51911
51919
5194
5198
5199
5264
52801
5300
53010
53011
53012
53019
53021
5303
5304
5307
53082
5309
53100
53110
139
Chronic or unspecified gastric ulcer with hemorrhage, without mention of
obstruction
Chronic or unspecified gastric ulcer with hemorrhage and obstruction
Chronic or unspecified gastric ulcer with perforation, without mention of
obstruction
Chronic or unspecified gastric ulcer with hemorrhage and perforation, without
mention of obstruction
Gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage,
perforation
Acute duodenal ulcer with hemorrhage, without mention of obstruction
Acute duodenal ulcer with hemorrhage and perforation, without mention of
obstruction
Duodenal ulcer, chronic or unspecified, with hemorrhage, without mention of
obstruction
Chronic or unspecified duodenal ulcer with hemorrhage and obstruction
Chronic or unspecified duodenal ulcer with perforation, without mention of
obstruction
Chronic or unspecified duodenal ulcer with hemorrhage and perforation, without
mention of obstruction
Acute peptic ulcer, unspecified site, with hemorrhage, without mention of
obstruction
Chronic or unspecified peptic ulcer, unspecified site, with hemorrhage, without
mention of obstruction
Chronic or unspecified gastrojejunal ulcer with hemorrhage, without mention of
obstruction
Acute gastritis wohemorrhage
Acute gastritis with hemorrhage
Atrophic gastritis with hemorrhage
Alcoholic gastritis without mention of hemorrhage
Alcoholic gastritis with hemorrhage
Other specified gastritis with hemorrhage
Unspecified gastritis and gastroduodenitis with hemorrhage
Duodenitis with hemorrhage
Dyspepsia and other specified disorders of function of stomach
Angiodysplasia of stomach and duodenum with hemorrhage
Dieulafoy lesion (hemorrhagic) of stomach and duodenum
Acute appendicitis with generalized peritonitis
Acute appendicitis with peritoneal abscess
Acute appendicitis without mention of peritonitis
Appendicitis, unqualified
Inguinal hernia with gangrene, unilateral or unspecified, (not specified as
recurrent)
Femoral hernia with gangrene, unilateral or unspecified (not specified as recurrent)
Hernia of other specified site, with obstruction
Uns ulcerative colitis
53140
53141
53150
53160
53190
53200
53220
53240
53241
53250
53260
53300
53340
53440
53500
53501
53511
53530
53531
53541
53551
53561
5368
53783
53784
5400
5401
5409
541
55000
55100
5528
5569
140
Acute vascular insufficiency of intestine
Volvulus
Gallstone ileus
Fecal impaction
Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection)
Other specified intestinal obstruction
Unspecified intestinal obstruction
Diverticulosis of small intestine with hemorrhage
Diverticulosis of colon with hemorrhage
Diverticulitis of colon with hemorrhage
Spontaneous bacterial peritonitis
Unspecified peritonitis
Hemorrhage of rectum and anus
Perforation of intestine
Angiodysplasia of intestine with hemorrhage
Dieulafoy lesion (hemorrhagic) of intestine
Acute and subacute necrosis of liver
Abscess of liver
Hepatic coma
Portal hypertension
Calculus of gallbladder with acute cholecystitis, without mention of obstruction
Calculus of gallbladder with acute cholecystitis and obstruction
Calculus of gallbladder with other cholecystitis, without mention of obstruction
Calculus of gallbladder with other cholecystitis and obstruction
Calculus of bile duct with acute cholecystitis without mention of obstruction
Calculus of bile duct with acute cholecystitis and obstruction
Calculus of gallbladder and bile duct with acute cholecystitis, with obstruction
Calculus of gallbladder and bile duct with other cholecystitis, with obstruction
Calculus of gallbladder and bile duct with acute and chronic cholecystitis, without
mention of obstruction
Calculus of gallbladder and bile duct with acute and chronic cholecystitis, with
obstruction
Acute cholecystitis
Cholecystitis, unspecified
Chronic cholecystitis
Acute and chronic cholecystitis
Perforation of gallbladder
Cholangitis
Acute pancreatitis
Chronic pancreatitis
Hematemesis
Blood in stool
Hemorrhage of gastrointestinal tract, unspecified
Celiac disease
5570
5602
56031
56032
56081
56089
5609
56202
56212
56213
56723
5679
5693
56983
56985
56986
570
5720
5722
5723
57400
57401
57410
57411
57430
57431
57461
57471
57480
57481
5750
57510
57511
57512
5754
5761
5770
5771
5780
5781
5789
5790
141
Other and unspecified postsurgical nonabsorption
Acute renal failure with lesion of tubular necrosis
Acute renal failure with lesion of renal cortical necrosis
Acute renal failure with other specified pathological lesion in kidney
End stage renal disease
Unspecified renal failure
Hemorrhage into bladder wall
Gross hematuria
Peyronie's disease
Diffuse cystic mastopathy
Mastodynia
Lump or mass in breast
Oth signs/symptoms in breast
Excessive or frequent menstruation
Other disorder of menstruation and other abnormal bleeding from female genital
tract
Postmenopausal bleeding
Lupus erythematosus
Psoriatic arthropathy
Oth psoriasis
Circumscribed scleroderma
Systemic lupus erythematosus
Systemic sclerosis
Sicca syndrome
Unspecified diffuse connective tissue disease
Pyogenic arthritis shoulder
Pyogenic arthritis, lower leg
Rheumatoid arthritis
Rheumatoid arthritis visceral/syst
Rheumatoid lung
Uns inflammatory polyarthropathy
Uns polyarthrit/arthropth site uns
Effusion of joint shoulder
Pain in joint, shoulder region
Degenerat thoracic iv disc
Oth syndromes affecting cervical
Pain in thoracic spine
Lumbago
Thoracic or lumbosacral neuritis or radiculitis, unspecified
Unspecified backache
Other symptoms referable to back
Polymyalgia rheumatica
Other affections of shoulder region, not elsewhere classified
5793
5845
5846
5848
5856
586
5967
59971
60785
6101
61171
61172
61179
6262
6268
6271
6954
6960
6961
7010
7100
7101
7102
7109
71101
71106
7140
7142
71481
7149
71650
71901
71941
72251
7238
7241
7242
7244
7245
7248
725
7262
142
Necrotizing fasciitis
Muscle weakness
Rhabdomyolysis
Rheumatism uns/fibrositis
Uns myalgia/myositis
Panniculitis of other sites
Swelling of limb
Acute osteomyelitis, site unspecified
Acute osteomyelitis, lower leg
Acute osteomyelitis, ankle and foot
Acute osteomyelitis, other specified site
Chronic osteomyelitis, pelvic region and thigh
Chronic osteomyelitis, lower leg
Chronic osteomyelitis, ankle and foot
Chronic osteomyelitis, other specified sites
Unspecified osteomyelitis, site unspecified
Unspecified osteomyelitis, hand
Unspecified osteomyelitis, pelvic region and thigh
Unspecified osteomyelitis, other specified sites
Pathologic fracture of humerus
Pathological fracture vertebrae
Pathologic fracture of neck of femur
Pathologic fracture of other specified part of femur
Pathologic fracture of other specified site
Aseptic necrosis of bone, site unspecified
Aseptic necrosis of head of humerus
Aseptic necrosis of head and neck of femur
Aseptic necrosis of other bone site
Tietze's disease
Stress fracture of femoral neck
Kyphosis
Scoliosis oth conditions
Acquired deformity chest/rib
Oth acquired deformity back/spine
Nonallopathic lesion of thoracic region, not elsewhere classified
Bulbus cordis anomalies and anomalies of cardiac septal closure, common truncus
Complete transposition of great vessels
Transposition of great vessels, double outlet right ventricle
Corrected transposition of great vessels
Tetralogy of Fallot
Bulbus cordis anomalies and anomalies of cardiac septal closure, common
ventricle
Ventricular septal defect
72886
72887
72888
7290
7291
72939
72981
73000
73006
73007
73008
73015
73016
73017
73018
73020
73024
73025
73028
73311
73313
73314
73315
73319
73340
73341
73342
73349
7336
73396
73710
73743
7383
7385
7392
7450
74510
74511
74512
7452
7453
7454
143
Ostium secundum type atrial septal defect
Unspecified type congenital endocardial cushion defect
Ostium primum defect
Other congenital endocardial cushion defect
Unspecified congenital defect of septal closure
Unspecified congenital pulmonary valve anomaly
Congenital atresia of pulmonary valve
Congenital stenosis of pulmonary valve
Other congenital anomalies of pulmonary valve
Congenital tricuspid atresia and stenosis
Ebstein's anomaly
Congenital stenosis of aortic valve
Congenital insufficiency of aortic valve
Congenital mitral stenosis
Congenital mitral insufficiency
Hypoplastic left heart syndrome
Congenital subaortic stenosis
Congenital coronary artery anomaly
Congenital heart block
Congenital malposition of heart and cardiac apex
Other specified congenital anomaly of heart
Unspecified congenital anomaly of heart
Patent ductus arteriosus
Coarctation of aorta (preductal) (postductal)
Unspecified congenital anomaly of aorta
Congenital atresia and stenosis of aorta
Other congenital anomaly of aorta
Congenital anomalies of pulmonary artery
Congenital anomaly of the peripheral vascular system, unspecified site
Congenital anomaly of cerebrovascular system
Uns anomaly lung
Congenital tracheoesophageal fistula, esophageal atresia and stenosis
Anomalies diaphragm
Down's syndrome
Marfan's syndrome
Other specified multiple congenital anomalies, so described
Respiratory distress syndrome in newborn
Coma
Transient alteration of awareness
Other alteration of consciousness
Hallucinations
Syncope and collapse
Dizziness and giddiness
7455
74560
74561
74569
7459
74600
74601
74602
74609
7461
7462
7463
7464
7465
7466
7467
74681
74685
74686
74687
74689
7469
7470
74710
74720
74722
74729
7473
74760
74781
74860
7503
7566
7580
75982
75989
769
78001
78002
78009
7801
7802
7804
144
Fever
Fever unspecified
Hypothermia not associated with low environmental temperature
Chronic fatigue syndrome
Other malaise and fatigue
Memory loss
Generalized pain
Altered mental status
Transient paralysis of limb
Localized superficial swelling
Edema
Cyanosis
Spontaneous ecchymoses
Anorexia
Loss of weight
Failure to thrive
Polydipsia
Adult failure to thrive
Headache
Swelling/mass/lump in head/neck
Other speech disturbance
Epistaxis
Jaw pain
Unspecified tachycardia
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Gangrene
Unspecified shock
Cardiogenic shock
Septic shock
Other shock without mention of trauma
Enlargement of lymph nodes
Other symptoms involving cardiovascular system
Unspecified respiratory abnormality
Hyperventilation
Orthopnea
Apnea
Cheyne-Stokes respiration
Shortness of breath
Tachypnea
Wheezing
Other dyspnea and respiratory abnormalities
7806
78060
78065
78071
78079
78093
78096
78097
7814
7822
7823
7825
7827
7830
78321
78341
7835
7837
7840
7842
7845
7847
78492
7850
7851
7852
7853
7854
78550
78551
78552
78559
7856
7859
78600
78601
78602
78603
78604
78605
78606
78607
78609
145
Stridor
Cough
Hemoptysis
Hemoptysis unspecified
Other hemoptysis
Precordial pain
Painful respiration
Chest pain, other
Swelling/mass/lump in chest
Abnormal chest sounds
Other symptoms involving respiratory system and chest
Heartburn
Dysphagia
Abdominal pain, unspecified site
Abdominal pain, right upper quadrant
Abdominal pain, left upper quadrant
Abdominal pain, right lower quadrant
Abdominal pain, left lower quadrant
Abdominal pain, periumbilic
Abdominal pain, epigastric
Abdominal pain, generalized
Abdominal pain, other specified site
Abdom/pelvic swelling unsp site
Malignant ascites
Other ascites
Abdominal tenderness, unspecified site
Abdominal tenderness, right upper quadrant
Abdominal tenderness, right lower quadrant
Abdominal tenderness, left lower quadrant
Abdominal tenderness, epigastric
Abdominal tenderness, generalized
Abdominal tenderness, other specified site
Oth abnormality red blood cells
Elevated sedimentation rate
Other abnormal glucose
Nonspecific elevation of levels of transaminase or lactic acid dehydrogenase
(LDH)
Other nonspecific abnormal serum enzyme levels
Other abnormal blood chemistry
Bacteremia
Abnormal arterial blood gases
Elevated c-reactive protein
Other nonspecific findings on examination of blood
7861
7862
7863
78630
78639
78651
78652
78659
7866
7867
7869
7871
7872
78900
78901
78902
78903
78904
78905
78906
78907
78909
78930
78951
78959
78960
78961
78963
78964
78966
78967
78969
79009
7901
79029
7904
7905
7906
7907
79091
79095
79099
146
Nonspecific abnormal findings on radiological and other examination of lung field
Abnormal findings lung field other
Nonspecific abnormal findings on radiological and other examination of other
intrathoracic organs
Unsp abnormal mammogram
Mammographic microcalcification
Ot abnormal radiolog exam breast
Nonspecific abnormal electroencephalogram (EEG)
Nonspecific abnormal results of pulmonary system function study
Nonspecific abnormal unspecified cardiovascular function study
Nonspecific abnormal electrocardiogram (ECG) (EKG)
Other nonspecific abnormal cardiovascular system function study
Nonspecific reaction tb test
Other abnormal tumor markers
Nonspecific abnormal toxicological findings
Nonspecific low blood pressure reading
Hypoxemia
Respiratory arrest
Symptoms involv emotional state
Cachexia
Closed fracture of base of skull without mention of intracranial injury, unspecified
state
Closed fracture of base of skull without mention of intracranial injury, no loss of
consciousness
Closed fracture of base of skull without mention of intracranial injury, loss of
consciousness
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, unspecified state of consciousness
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, with no loss of consciousness
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, with brief [less than one hour] loss of consciousness)
Closed fracture of base of skull with subarachnoid, subdural, and extradural
hemorrhage, with loss of consciousness of unspecified duration
Fracture cervical vert unsp cl
Fracture c2 vertebra closed
Closed fracture of third cervical vertebra without mention of spinal cord injury
Closed fracture of fourth cervical vertebra without mention of spinal cord injury
Closed fracture of fifth cervical vertebra without mention of spinal cord injury
Fracture c6 vertebra closed
Closed fracture of seventh cervical vertebra without mention of spinal cord injury
Closed fracture of multiple cervical vertebrae without mention of spinal cord
injury
Closed fracture of dorsal (thoracic) vertebra without mention of spinal cord injury
Fracture lumbar vertebra close
7931
79319
7932
79380
79381
79389
79402
7942
79430
79431
79439
7955
79589
7960
7963
79902
7991
7992
7994
80100
80101
80106
80120
80121
80122
80126
80500
80502
80503
80504
80505
80506
80507
80508
8052
8054
147
Vertebral fracture unsp closed
Closed fracture of C1-C4 level with unspecified spinal cord injury
Closed fracture of C5-C7 level with unspecified spinal cord injury
Closed fracture of T7-T12 level with unspecified spinal cord injury
Closed fracture of lumbar spine with spinal cord injury
Closed fracture of rib(s), unspecified
Closed fracture of one rib
Closed fracture of two ribs
Closed fracture of three ribs
Closed fracture of four ribs
Closed fracture of five ribs
Closed fracture of six ribs
Closed fracture of seven ribs
Closed fracture of eight or more ribs
Closed fracture of multiple ribs, unspecified
Closed fracture of sternum
Flail chest
Closed fracture of acetabulum
Closed fracture of pubis
Closed fracture of ilium
Closed fracture of ischium
Multiple closed pelvic fractures with disruption of pelvic circle
Unspecified closed fracture of pelvis
Unspecified part of closed fracture of clavicle
Closed fracture of shaft of clavicle
Closed fracture of acromial end of clavicle
Closed fracture of unspecified part of scapula
Closed fracture of glenoid cavity and neck of scapula
Closed fracture of unspecified part of upper end of humerus
Closed fracture of surgical neck of humerus
Closed fracture of anatomical neck of humerus
Closed fracture of greater tuberosity of humerus
Other closed fractures of upper end of humerus
Closed fracture of unspecified part of humerus
Closed fracture of shaft of humerus
Closed fracture of unspecified part of lower end of humerus
Closed fracture of supracondylar humerus
Closed fracture of unspecified condyle(s) of humerus
Other closed fracture of lower end of humerus
Ill-defined closed fractures of upper limb
Closed fracture of unspecified intracapsular section of neck of femur
Closed fracture of epiphysis (separation) (upper) of neck of femur
Closed fracture of midcervical section of femur
8058
80600
80605
80625
8064
80700
80701
80702
80703
80704
80705
80706
80707
80708
80709
8072
8074
8080
8082
80841
80842
80843
8088
81000
81002
81003
81100
81103
81200
81201
81202
81203
81209
81220
81221
81240
81241
81244
81249
8180
82000
82001
82002
148
Closed fracture of base of neck of femur
Other closed transcervical fracture of femur
Closed fracture of unspecified trochanteric section of femur
Closed fracture of intertrochanteric section of femur
Closed fracture of subtrochanteric section of femur
Open fracture of intertrochanteric section of femur
Closed fracture of unspecified part of neck of femur
Open fracture of unspecified part of neck of femur
Closed fracture of unspecified part of femur
Closed fracture of shaft of femur
Closed fracture of unspecified part of lower end of femur
Closed fracture of femoral condyle
Closed supracondylar fracture of femur
Other closed fracture of lower end of femur
Open fracture of unspecified part of lower end of femur
Open supracondylar fracture of femur
Disloc shoulder unsp closed
Closed anterior dislocation of humerus
Sprain and strain of other specified sites of shoulder and upper arm
Sprain and strain of unspecified site of shoulder and upper arm
Thoracic sprain and strain
Sprain and strain of unspecified site of back
Sprain and strain of ribs
Concussion, with loss of consciousness of 30 minutes or less
Concussion with loss of consciousness of unspecified duration
Unspecified concussion
Cerebellar or brain stem contusion without mention of open intracranial wound, no
loss of consciousness
Other and unspecified cerebral laceration and contusion, without mention of open
intracranial wound, unspecified state of consciousness
Other and unspecified cerebral laceration and contusion, without mention of open
intracranial wound, with no loss of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, brief loss of consciousness
Subarachnoid hemorrhage following injury, without mention of open intracranial
wound, loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
82003
82009
82020
82021
82022
82031
8208
8209
82100
82101
82120
82121
82123
82129
82130
82133
83100
83101
8408
8409
8471
8479
8483
85011
8505
8509
85141
85180
85181
85200
85201
85202
85206
85220
85221
85222
149
wound, brief loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, without mention of open intracranial wound, with prolonged [more than
24 hours] loss of consciousness without return to pre-existing conscious level
Subdural hemorrhage following injury, without mention of open intracranial
wound, loss of consciousness
Subdural hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Extradural hemorrhage following injury, without mention of open intracranial
wound, unspecified state of consciousness
Extradural hemorrhage following injury, without mention of open intracranial
wound, no loss of consciousness
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, unspecified state of consciousness
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, with no loss of consciousness
Other and unspecified intracranial hemorrhage following injury, without mention
of open intracranial wound, with brief [less than one hour] loss of consciousness
Other and unspecified intracranial hemorrhage following injury without mention
of open intracranial wound, with prolonged [more than 24 hours] loss of
consciousness without return to pre-existing conscious level
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, unspecified state of consciousness
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, with no loss of consciousness
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, with brief [less than one hour] loss of consciousness
Intracranial injury of other and unspecified nature, without mention of open
intracranial wound, with loss of consciousness of unspecified duration
Traumatic pneumothorax without mention of open wound into thorax
Traumatic hemothorax without mention of open wound into thorax
Traumatic pneumohemothorax without mention of open wound into thorax
Unspecified injury to heart without mention of open wound into thorax
Heart contusion without mention of open wound into thorax
Lung contusion without mention of open wound into thorax
Injury to other specified intrathoracic organs without mention of open wound into
cavity
Injury to multiple and unspecified intrathoracic organs without mention of open
wound into cavity
Massive parenchymal disruption of spleen without mention of open wound into
cavity
Thoracic aorta injury
Late effect of adverse effect of drug, medical or biological substance
Contusion face/scalp/nck
Contusion of breast
Contusion of chest wall
85225
85226
85229
85240
85241
85300
85301
85302
85305
85400
85401
85402
85406
8600
8602
8604
86100
86101
86121
86229
8628
86504
9010
9095
920
9220
9221
150
Contusion of abdominal wall
Contusion of unspecified part of trunk
Contusion of shoulder region
Contusion of uns site
Foreign body in trachea
Foreign body in main bronchus
Foreign body in other specified parts of trachea, bronchus, and lung
C1-C4 level with central cord syndrome
Unspecified site of spinal cord injury without spinal bone injury
Traumatic shock
Uns head injury
Injury face/neck
Other injury of chest wall
Other injury of abdomen
Other injury other sites of trunk
Injury, other and unspecified, shoulder and upper arm
Injury, other and unspecified, other specified sites, including multiple
Injury uns site
Poisoning by adrenal cortical steroids
Poisoning by insulins and antidiabetic agents
Poisoning by antiallergic and antiemetic drugs
Poisoning by antineoplastic and immunosuppressive drugs
Poisoning by anticoagulants
Poisoning by opium (alkaloids), unspecified
Poisoning by heroin
Poisoning by methadone
Poisoning by opiates and related narcotics, other
Poisoning by salicylates
Poisoning by aromatic analgesics, not elsewhere classified
Poisoning by propionic acid derivatives
Poisoning by other specified analgesics and antipyretics
Poisoning by unspecified analgesic and antipyretic
Poisoning by hydantoin derivatives
Poisoning by other and unspecified anticonvulsants
Poisoning by barbiturates
Poisoning by other sedatives and hypnotics
Poisoning by unspecified sedative or hypnotic
Poisoning by central nervous system muscle-tone depressants
Poisoning by surface (topical) and infiltration anesthetics
Poisoning by antidepressants
Poisoning antidepressants unspec
Poisoning SSRI
Poisoning tricyclic antidepress
9222
9229
92300
9249
9340
9341
9348
95203
9529
9584
95901
95909
95911
95912
95919
9592
9598
9599
9620
9623
9630
9631
9642
96500
96501
96502
96509
9651
9654
96561
9658
9659
9661
9663
9670
9678
9679
9680
9685
9690
96900
96903
96905
151
Poisoning antidepressants other
Poisoning by phenothiazine-based tranquilizers
Poisoning by butyrophenone-based tranquilizers
Poisoning by other antipsychotics, neuroleptics, and major tranquilizers
Poisoning by benzodiazepine-based tranquilizers
Poisoning by other tranquilizers
Poisoning by psychodysleptics (hallucinogens)
Poisoning by psychostimulants
Poisoning by amphetamines
Poisoning by other specified psychotropic agents
Poisoning by opiate antagonists
Poisoning by other specified central nervous system stimulants
Poisoning by cocaine
Poisoning by parasympathomimetics (cholinergics)
Poisoning by parasympatholytics (anticholinergics and antimuscarinics) and
spasmolytics
Poisoning by sympathomimetics (adrenergics)
Poisoning by sympatholytics (antiadrenergics)
Poisoning by cardiac rhythm regulators
Poisoning by cardiotonic glycosides and drugs of similar action
Poisoning by antilipemic and antiarteriosclerotic drugs
Poisoning by coronary vasodilators
Poisoning by other antihypertensive agents
Poisoning by other and unspecified agents primarily affecting the cardiovascular
system
Poisoning by other diuretics
Poisoning by electrolytic, caloric, and water-balance agents
Poisoning by skeletal muscle relaxants
Poisoning by antitussives
Poisoning by other specified drugs and medicinal substances
Poisoning by unspecified drug or medicinal substance
Toxic effect of ethyl alcohol
Toxic effect of isopropyl alcohol
Toxic effect of unspecified alcohol
Toxic effect of other nonpetroleum-based solvents
Toxic effect of caustic, unspecified
Toxic effect of other specified metals
Toxic effect of carbon monoxide
Toxic effect of other specified gases, fumes, or vapors
Toxic effect of unspecified gas, fume, or vapor
Toxic effect of other pesticides, not elsewhere classified
Toxic effect of venom
Toxic effect of tobacco
Toxic effect of other substances
96909
9691
9692
9693
9694
9695
9696
9697
96972
9698
9701
9708
97081
9710
9711
9712
9713
9720
9721
9722
9724
9726
9729
9744
9745
9752
9754
9778
9779
9800
9802
9809
9828
9839
9858
986
9878
9879
9894
9895
98984
98989
152
Toxic effect of unspecified substance, chiefly nonmedicinal as to source
Effects of radiation, unspecified
Effects of hypothermia
Heat stroke and sunstroke
Heat syncope
Heat exhaustion, anhydrotic
Heat exhaustion, unspecified
Other specified heat effects
Unspecified effects of heat and light
Other and unspecified effects of high altitude
Effects of lightning
Drowning and nonfatal submersion
Exhaustion due to excessive exertion
Electrocution and nonfatal effects of electric current
Other anaphylactic shock not elsewhere classified
Angioneurotic edema not elsewhere classified
Other and unspecified adverse effect of drug, medicinal and biological substance
Unspecified adverse effect of unspecified drug, medicinal and biological substance
Unspecified adverse effect of insulin
Unspecified adverse effect of other drug, medicinal and biological substance
Sepsis
Severe sepsis
Mechanical complication of unspecified cardiac device, implant, and graft
Mechanical complication due to cardiac pacemaker (electrode)
Mechanical complication due to heart valve prosthesis
Mechanical complication due to coronary bypass graft
Mechanical complication due to automatic implantable cardiac defibrillator
Mechanical complication of cardiac device, implant, and graft, other
Mechanical complication of other vascular device, implant, and graft
Mechanical complication due to other tissue graft, not elsewhere classified
Mechanical complication due to other implant and internal device, not elsewhere
classified
Infection and inflammatory reaction due to unspecified device, implant, and graft
Infection and inflammatory reaction due to cardiac device, implant, and graft
Infection and inflammatory reaction due to other vascular device, implant, and
graft
Infection and inflammatory reaction due to peritoneal dialysis catheter
Other complications due to heart valve prosthesis
Other complications due to other cardiac device, implant, and graft
Other complications due to renal dialysis device, implant, and graft
Other complications due to other vascular device, implant, and graft
Complications of transplanted kidney
Complications of transplanted liver
Complications of transplanted heart
9899
990
9916
9920
9921
9923
9925
9928
9929
9932
9940
9941
9945
9948
9950
9951
9952
99520
99523
99529
99591
99592
99600
99601
99602
99603
99604
99609
9961
99652
99659
99660
99661
99662
99668
99671
99672
99673
99674
99681
99682
99683
153
Complications of transplanted lung
Central nervous system complication
Iatrogenic cerebrovascular infarction or hemorrhage
Cardiac complications
Respiratory complications
Other respiratory complications
Infection (chronic) of amputation stump
Other late amputation stump complication
Vascular complications of other vessels
Postoperative shock, not elsewhere classified
Hemorrhage complicating a procedure
Hematoma complication proced
Accidental puncture or laceration during procedure
Other postop infection
Cataract fragments in eye following surgery
Complications of medical care, NEC, infection due to central venous catheter
Bloodstream infection central line
Other infusion and transfusion reaction
Traffic acc nos-pers nos
Acc cut/hem in surgery
Abn react-surg proc nec
Fall from other slipping, tripping, or stumbling
Fall nec
Unspecified fall
Accident nos
Antineoplastic and immunosuppressive drugs causing adverse effect in therapeutic
use
Cardiac rhythm regulators causing adverse effect in therapeutic use
Adv eff antilipemics
Contact/exposure to tb
Asymptomatic human immunodeficiency virus (HIV) infection status
Personal history of malignant neoplasm of large intestine
Personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus
Personal history of malignant neoplasm of bronchus and lung
Personal history of malignant neoplasm of breast
Personal history of malignant neoplasm of ovary
Personal history of malignant neoplasm of prostate
Personal history of malignant neoplasm of bladder
History other malignancy skin
History tuberculosis
Personal history of sudden cardiac arrest
Personal history of transient ischemic attack [TIA], and cerebral infarction without
resid
Personal history of other diseases of circulatory system
99684
99701
99702
9971
9973
99739
99762
99769
99779
9980
99811
99812
9982
99859
99882
99931
99932
9998
E8199
E8700
E8788
E8859
E8888
E8889
E9289
E9331
E9420
E9422
V011
V08
V1005
V1006
V1011
V103
V1043
V1046
V1051
V1083
V1201
V1253
V1254
V1259
154
History pneumonia
Personal history of surgery to heart and great vessels, presenting hazards to health
History exposure to asbestos
Personal history of fall
Other mental problems
Kidney replaced by transplant
Heart replaced by transplant
Heart valve replaced by transplant
Lung replaced by transplant
Liver replaced by transplant
Bone marrow replaced by transplant
Organ or tissue replaced by other means, Heart assist device
Heart valve replaced by other means
Blood vessel replaced by other means
Unspecified cardiac device in situ
Cardiac pacemaker in situ
Automatic implantable cardiac defibrillator in situ
Other specified cardiac device in situ
Renal dialysis status
Renal dialysis status
Postprocedural aortocoronary bypass status
Postprocedural percutaneous transluminal coronary angioplasty status
Other cardiorespiratory problems
Fitting and adjustment of cardiac pacemaker
Fitting and adjustment of automatic implantable cardiac defibrillator
Fitting and adjustment of other cardiac device
Removal int fixation device
Attention to tracheostomy
Encounter for extracorporeal dialysis
Fitting and adjustment of extracorporeal dialysis catheter
Fitting and adjustment of peritoneal dialysis catheter
Radiotherapy
Encounter for antineoplastic chemotherapy
Encounter for antineoplastic immunotherapy
Aftercare following surgery for neoplasm
Aftercare following organ transplant
Encounter for long-term (current) use of other medications
Fitting and adjustment of vascular catheter
Encounter for therapeutic drug monitoring
Kidney donor
Suicidal ideation
Chemotherapy follow-up examination
Follow-up examination following completed treatment with high-risk medications,
V1261
V151
V1584
V1588
V402
V420
V421
V422
V426
V427
V4281
V4321
V433
V434
V4500
V4501
V4502
V4509
V451
V4511
V4581
V4582
V472
V5331
V5332
V5339
V5401
V550
V560
V561
V562
V580
V5811
V5812
V5842
V5844
V5869
V5881
V5883
V594
V6284
V672
V6751
155
not elsewhere classifed
Issue of repeat prescriptions
Other and unspecified general psychiatric examination
Examination of participant in clinical trial
Observation of other suspected mental condition
Observation for suspected malignant neoplasm
Observ suspected tb
Observ following oth accident
Observation for suspected cardiovascular disease
Screening for pulmonary tb
Screening mammogram ot
Special screening mal neo ot
Screening for defic anemia ot
V681
V702
V707
V7109
V711
V712
V714
V717
V741
V7612
V7649
V781
ICD-9 Codes for Excluding Chest X-Rays
Chest x-rays were excluded from the analysis if the associated primary, secondary, tertiary, or
quaternary diagnosis involved: (i) fever; (ii) fatigue or malaise; (iii) vertebral or spine symptoms;
(iv) pneumonia; (v) cancer; (vi) chest pain; (vii) acute respiratory symptoms; (viii) trauma or
hemorrhage; (ix) cardiac disease; (x) toxicity; (xi) drug monitoring; (xii) end stage or acute renal
failure and dialysis, but not chronic early stage renal insufficiency; (xiii) abdominal pain and
conditions associated with abdominal pain; (xiv) asbestosis; (xv) esophageal symptoms and
disease; (xvi) acute central nervous system disease; (xvi) shoulder or limb pain; (xvii) weight
loss or cachexia.
Label
Pulmonary diseases other mycobact
Streptococcal septicemia
Meth susc staph aureus septicemia
Escherichia coli septicemia
Uns septicemia
Mssa infection
Mrsa infection
Human immunodeficiency virus dis
Unspecified viral infection
Lyme disease
Sarcoidosis
Uns malignant neoplasm colon
Malignant neoplasm rectum
Malig neo pancreas part uns
Malig neo upper lobe bronchus/lung
Malig neo oth parts bronchus/lung
Uns malignant neo bronchus/lung
Melanoma skin site unspecified
Code
0310
0380
03811
03842
0389
04111
04112
042
07999
08881
135
1539
1541
1579
1623
1628
1629
1729
156
Oth malig neo ear skin external
Malig neo skin oth uns parts face
Oth malignant neo scalp/skin neck
Oth malig neo skin l limb inc hip
Oth malignant neo skin site uns
Malignant neoplasm fem breast uoq
Malig neo other sites fem breast
Uns malignant neoplasm breast
Malignant neoplasm ovary
Malignant neo prostate
Uns malignant neoplasm bladder
Malig neo kidney ex renal pelvis
Malignant neo thyroid gland
Sec malignant neoplasm lung
Sec malig neo bone/bone marrow
Oth malig neo wo specification site
Oth lymphomas uns extranod
Multiple myeloma wo remission
Chronic lymphoid leukemia wo remis
Benign neoplasm bronchus/lung
Benign neoplasm cerebral meninges
Ca in situ breast
Ca in situ prostate
Uncert behavior neo intestine
Uncert behavior neo lung
Uncert behavior neo prostate
Uncert behavior neo bladder
Uncert behavior neo kidney
Uncert behavior neo skin
Uncert behavior neo breast
Polycythemia vera
Essential thrombocythemia
Lo gr myelodysplastic synd lesions
Myelodysplastic syndrome unspec
Respiratory unsp behavior neo
Bone/skin unsp behavior neo
Bladder unsp behavior neo
Ot gu unsp behavior neo
Brain unsp behavior neo
Endonerv unsp behavior neo
Unsp behavior neo
Acute thyroiditis
Diabetes ketoacidosis type ii
1732
1733
1734
1737
1739
1744
1748
1749
1830
185
1889
1890
193
1970
1985
1991
20280
20300
20410
2123
2252
2330
2334
2352
2357
2365
2367
23691
2382
2383
2384
23871
23872
23875
2391
2392
2394
2395
2396
2397
2399
2450
25010
157
Diabetes hypersmolarity type ii
Glucocorticoid deficiency
Uns protein calorie malnutrition
Disturb sulphur amino acid metabol
Monoclonal paraproteinemia
Disorders of iron metabolism
Disorders magnesium metabolism
Disorders phosphorus metabolism
Uns disorder calcium metabolism
Hypocalcemia
Hypercalcemia
Oth disorders calcium metabolism
Hyperosmolality/or hypernatremia
Hyposmolality/or hyponatremia
Acidosis
Volume depletion unspecified
Dehydration
Fluid overload
Hyperpotassemia
Hypopotassemia
Electrolyte/fluid disorders oth
Autoimmune disease other
Iron deficiency anemia blood loss
Iron def anemia inadeq iron intake
Other iron deficiency anemias
Uns iron deficiency anemia
Pernicious anemia
Oth vitamin b12 deficiency anemia
Folate deficiency anemia
Other megaloblastic anemias oth
Anemia w ot nutritional deficiency
Uns deficiency anemia
Uns acquired hemolytic anemia
Pancytopenia
Other aplastic anemias
Sideroblastic anemia
Acute posthemorrhagic anemia
Anemia chronic kidney disease
Anemia of other chronic disease
Other specified anemias
Anemia unspecified
Intrin circ anticoag hemorr dis
Defibrination syndrome
25020
25541
2639
2704
2731
2750
2752
2753
27540
27541
27542
27549
2760
2761
2762
27650
27651
2766
2767
2768
2769
2794
2800
2801
2808
2809
2810
2811
2812
2813
2818
2819
2839
2841
2848
2850
2851
28521
28529
2858
2859
2865
2866
158
Oth nonthrombocytopenic purpuras
Primary thrombocytopenia unspec
Immune thrombocytopenic purpura
Uns thrombocytopenia
Uns hemorrhagic conditions
Neutropenia unspecified
Functional disord neutrophils
Leukocytopenia unspecified
Leukocytosis unspecified
Other disease white blood cells
Polycythemia secondary
Ot dis blood/blood forming organs
Uns dis blood/blood forming organs
Delirium in other conditions
Uns schizophrenia
Depressive type psychosis
Maj depress dis recurr epi uns
Maj depress dis recur epi sev
Bipolar i disorder unspecified
Bipolar disorder unspecified
Unspecified psychosis
Anxiety state unspecified
Panic disorder wo agoraphobia
Generalized anxiety disorder
Dysthymic disorder
Psychosex dysfunc inhibited excite
Oth/uns alcohol dependence uns
Opioid type dependence uns
Opioid type dependence continuous
Unspec drug dependence uns
Alcohol abuse unspec
Oth mixed/uns drug abuse uns
Adjustment disorder mixed
Personality chg due to oth cond
Depressive disorder other
Obstructive hydrocephalus
Other acute postoperative pain
Multiple sclerosis
Encephalopathy unspecified
Metabolic encephalopathy
Other visual disturbances
Uns peripheral vertigo
Benign paroxysmal position vertigo
2872
28730
28731
2875
2879
28800
2881
28850
28860
2888
2890
28989
2899
2930
29590
29620
29630
29633
2967
29680
2989
30000
30001
30002
3004
30272
30390
30400
30401
30490
30500
30590
30928
3101
311
3314
33818
340
34830
34831
3688
38610
38611
159
Rheumatic mitral insufficiency
Mitral stenosis w insufficiency
Oth/uns mitral valve diseases
Rheumatic aortic stenosis
Mitral valve sten aortic valve sten
Mitral valve insuff aortic v sten
Mitral valve insuff aortic v insuf
Uns mitral/aortic valve diseases
Diseases tricuspid valve
Malignant essential hypertension
Malig hyperten heart dis unspec
Benign hyperten heart dis unspec
Benign hyp heart dis w ht failure
Hypertensive heart dis unspec
Hyperten heart dis w ht failure
Mal kid hyper w ckd stage i-iv
Uns kid hyper w ckd stage v-esrd
Ami oth anterior uns eoc
Ami subendocardial initial eoc
Ami uns site uns eoc
Intermediate coronary syndrome
Coronary occlusion wo infarction
Oth forms ischemic heart disease
Old myocardial infarction
Angina decubitus
Prinzmetal angina
Oth/uns angina pectoris
Coronary athrscler uns vessel
Atheroscler native coronary art
Atherosclerosis auto vein graft
Coronary atheroscl artery bpg
Coronary atheroscler uns graft
Aneurysm of heart (wall)
Other forms chronic ischemic ht dis
Uns chronic ischemic heart disease
Iatrogenic pulmonary embolism
Oth pulmonary embolism/infarction
Primary pulmonary hypertension
Oth chronic pulmonary heart disease
Uns chronic pulmonary heart disease
Acute/subacute bacterial endocard
Uns disease pericardium
Mitral valve disorders
3941
3942
3949
3950
3960
3962
3963
3969
3970
4010
40200
40210
40211
40290
40291
40300
40391
41010
41071
41090
4111
41181
41189
412
4130
4131
4139
41400
41401
41402
41404
41405
41410
4148
4149
41511
41519
4160
4168
4169
4210
4239
4240
160
Aortic valve disorders
Tricuspid valve disorders nonrheum
Pulmonary valve disorders
Endocarditis uns valve/uns cause
Hypertrophic cardiomyopathy
Oth primary cardiomyopathies
Uns secondary cardiomyopathy
Atrioventricular block complete
Uns atrioventricular block
First degree atrioventricular block
Mobitz ii atrioventricular block
Oth second degree av block
Left bundle branch hemiblock
Oth left bundle branch block
Right bundle branch block
Uns bundle branch block
Right bbb/left anterior fasc block
Other bilateral bundle branch block
Other conduction disorders
Paroxysmal supravent tachycardia
Paroxysmal ventricular tachycardia
Uns paroxysmal tachycardia
Atrial fibrillation
Atrial flutter
Cardiac arrest
Uns premature beats
Supraventricular premature beats
Oth premature beats
Sinoatrial node dysfunction
Other cardiac dysrhythmias
Uns cardiac dysrhythmia
Congestive heart failure unspec
Left heart failure
Unspec systolic heart failure
Acute systolic heart failure
Chronic systolic heart failure
Unspec diastolic heart failure
Chronic diastolic heart failure
Ac/chron diastolic heart failure
Uns heart failure
Myocardial degeneration
Cardiovascular disease unspecified
Cardiomegaly
4241
4242
4243
42490
4251
4254
4259
4260
42610
42611
42612
42613
4262
4263
4264
42650
42652
42653
42689
4270
4271
4272
42731
42732
4275
42760
42761
42769
42781
42789
4279
4280
4281
42820
42821
42822
42830
42832
42833
4289
4291
4292
4293
161
Other ill-defined heart diseases
Heart disease unspecified
Subarachnoid hemorrhage
Intracerebral hemorrhage
Subdural hemorrhage
Occlusion carotid artery wo infarct
Occlusion carotid artery w infarct
Occlusion vertebral artery wo infar
Occlus mult bilat precer art wo inf
Uns cer art occlusion wo cer infarc
Uns cer artery occlusion w cer inf
Vertebral artery syndrome
Other transient cerebral ischemias
Uns transient cerebral ischemia
Acute ill defined cv disease
Cerebral atherosclerosis
Oth generalized ischemic cv disease
Cerebral aneurysm nonruptured
Uns cerebrovascular disease
Vertigo
Uns late effects cv disease
Atherosclerosis aorta
Atherosclerosis renal artery
Uns atherosclerosis extremities
Atheroscler ext w intermittent cl
Atherosclerosis ext w rest pain
Generalized/uns atherosclerosis
Thoracic aortic aneurysm worupture
Abdominal aortic aneurysm worupture
Aortic aneurysm uns site
Raynaud's syndrome
Embolism arteries lower extremity
Wegener's granulomatosis
Giant cell arteritis
Stricture artery
Other disorders arteries/arterioles
Uns disorders arteries/arterioles
Embolism/thrombosis inf vena cava
Ac emb/throm uns deep ves lower ext
Embolism/thrombosis uns site
Orthostatic hypotension
Hypotension unspecified
Hemorrhage unspecified
42989
4299
430
431
4321
43310
43311
43320
43330
43490
43491
4351
4358
4359
436
4370
4371
4373
4379
43885
4389
4400
4401
44020
44021
44022
4409
4412
4414
4419
4430
44422
4464
4465
4471
4478
4479
4532
45340
4539
4580
4589
4590
162
Other disorders circulatory system
Acute pharyngitis
Acute upper resp infect oth sites
Acute upper resp infections uns
Acute bronchitis
Pneumonia adenovirus
Pneumonia respiratory syncy virus
Uns viral pneumonia
Pneumococcal pneumonia
Pneumonia other bacteria
Uns bacterial pneumonia
Bronchopneumonia organism unspec
Pneumonia organism unspecified
Influenza with pneumonia
Influenza w oth respiratory manif
Bronchitis unspecified
Simple chronic bronchitis
Obstruct chron bronchitis wo exac
Obstruct chron bronchitis w exac
Obst chr bronchitis w ac bronchitis
Emphysematous bleb
Other emphysema
Extrinsic asthma unspecified
Ex asthma w exacerbation
Intrinsic asthma unspecified
Chron obstructive asthma unspecif
Chronic obst asthma w status asthm
Chronic obstruct asthma w exacer
Asthma unspecified
Uns asthma w status asthmaticus
Asthma unspec w exacerbation
Bronchiectasis wo acute exacerb
Bronchiectasis w acute exacerb
Chronic airway obstruction other
Asbestosis
Pneumonitis inhalation food
Pleurisy woeffusion/current tb
Other effusion not tuberculous
Unspecif pleural effusion
Iatrogenic pneumothorax
Other pneumothorax and air leak
Pulmonary congestion/hypostasis
Postinflammatory pulmonary fibrosis
45989
462
4658
4659
4660
4800
4801
4809
481
48289
4829
485
486
4870
4871
490
4910
49120
49121
49122
4920
4928
49300
49302
49310
49320
49321
49322
49390
49391
49392
4940
4941
496
501
5070
5110
5118
5119
5121
5128
514
515
163
Idiopathic interstitial pneumonia
Other alveolar pneumonopathy
Uns alveolar pneumonopathy
Pulmonary collapse
Pulmonary eosinophilia
Uns acute edema lung
Pulmonary insuffic trauma surgery
Respiratory failure
Oth pulmonary insufficiency other
Oth diseases lung other
Acute bronchospasm
Oth diseases trachea/bronchus
Disorders diaphragm
Oth diseases respiratory system
Uns disease respiratory system
Uns esophagitis
Reflux esophagitis
Oth esophagitis
Esophageal reflux
Acute gastritis wohemorrhage
Diaphragmatic hernia
Uns ulcerative colitis
Hemorrhage rectum/anus
Acute pancreatitis
Hematemesis
Uns hemorr gastrointestinal tract
Celiac disease
Uns acute kidney failure
End stage renal disease
Diffuse cystic mastopathy
Mastodynia
Lump or mass in breast
Oth signs/symptoms in breast
Postmenopausal bleeding
Lupus erythematosus
Psoriatic arthropathy
Oth psoriasis
Systemic lupus erythematosus
Systemic sclerosis
Sicca syndrome
Uns diffuse connect tissue disease
Pyogenic arthritis shoulder
Rheumatoid arthritis
5163
5168
5169
5180
5183
5184
5185
51881
51882
51889
51911
51919
5194
5198
5199
53010
53011
53019
53081
53500
5533
5569
5693
5770
5780
5789
5790
5849
5856
6101
61171
61172
61179
6271
6954
6960
6961
7100
7101
7102
7109
71101
7140
164
Rheumatoid arthritis visceral/syst
Uns inflammatory polyarthropathy
Uns polyarthrit/arthropth site uns
Effusion of joint shoulder
Pain in joint site uns
Pain in joint shoulder
Degenerat thoracic iv disc
Oth syndromes affecting cervical
Pain in thoracic spine
Uns thoracic/lumb neuritis/radicul
Backache unspecified
Oth symptoms referable to back
Polymyalgia rheumatica
Oth affections shoulder region
Muscle weakness
Rhabdomyolysis
Rheumatism uns/fibrositis
Uns myalgia/myositis
Pain in limb
Swelling limb
Acute osteomyelitis oth sites
Uns osteomyelitis site uns
Uns osteomyelitis oth sites
Pathological fracture vertebrae
Kyphosis
Scoliosis oth conditions
Acquired deformity chest/rib
Oth acquired deformity back/spine
Ostium secundum at/septal defect
Congenital mitral insufficiency
Coronary artery anomaly
Other anomalies heart
Uns anomaly heart
Atresia/stenosis aorta
Oth anomalies aorta
Uns anomaly lung
Anomalies diaphragm
Transient alteration awareness
Oth alteration consciousness
Syncope and collapse
Dizziness and giddiness
Fever
Fever unspecified
7142
7149
71650
71901
71940
71941
72251
7238
7241
7244
7245
7248
725
7262
72887
72888
7290
7291
7295
72981
73008
73020
73028
73313
73710
73743
7383
7385
7455
7466
74685
74689
7469
74722
74729
74860
7566
78002
78009
7802
7804
7806
78060
165
Chronic fatigue syndrome
Other malaise and fatigue
Memory loss
Altered mental status
Localized superficial swelling
Edema
Spontaneous ecchymoses
Loss of weight
Headache
Swelling/mass/lump in head/neck
Epistaxis
Tachycardia unspecified
Palpitations
Undiagnosed cardiac murmurs
Other abnormal heart sounds
Other shock without trauma
Enlargement of lymph nodes
Other cardiovascular symptoms
Respiratory abnormality unspec
Hyperventilation
Orthopnea
Apnea
Shortness breath
Tachypnea
Wheezing
Respiratory abnormality ot
Cough
Hemoptysis
Hemoptysis unspecified
Unspec chest pain
Precordial pain
Painful respiration
Other chest pain
Swelling/mass/lump in chest
Abnormal chest sounds
Other respiratory symptoms
Dysphagia
Dysphagia unspecified
Abdominal pain uns site
Abdom pain r upper quad
Abdom pain l upper quad
Abdom pain r lower quad
Abdominal pain periumbilic
78071
78079
78093
78097
7822
7823
7827
78321
7840
7842
7847
7850
7851
7852
7853
78559
7856
7859
78600
78601
78602
78603
78605
78606
78607
78609
7862
7863
78630
78650
78651
78652
78659
7866
7867
7869
7872
78720
78900
78901
78902
78903
78905
166
Abdominal pain epigastric
Abdominal pain generalized
Abdominal pain other site
Abdom/pelvic swelling unsp site
Other ascites
Oth abnormality red blood cells
Elevated sedimentation rate
Other abnormal glucose
Oth abnormal blood chemistry
Bacteremia
Abnormal arterial blood gases
Elevated c-reactive protein
Abnormal findings lung field
Abnormal findings lung field other
Abnormal fd intrathor org ot
Unsp abnormal mammogram
Mammographic microcalcification
Ot abnormal radiolog exam breast
Abnormal pulmonary func study
Abnormal cardiovasc study unspec
Abnorm electrocardiogram
Abnormal cardiovasc study ot
Nonspecific reaction tb test
Other abnormal tumor markers
Hypoxemia
Symptoms involv emotional state
Fracture cervical vert unsp cl
Fracture c2 vertebra closed
Fracture c3 vertebra closed
Fracture c4 vertebra closed
Fracture c5 vertebra closed
Fracture c6 vertebra closed
Fracture c7 vertebra closed
Fracture mult cervical vert cl
Fracture dorsal vertebra close
Fracture lumbar vertebra close
Vertebral fracture unsp closed
C1-c4 fracture clos/cord inj unsp
C5-c7 fracture clos/cord inj unsp
Closed fracture rib(s) uns
Closed fracture one rib
Closed fracture two ribs
Closed fracture multiple ribs uns
78906
78907
78909
78930
78959
79009
7901
79029
7906
7907
79091
79095
7931
79319
7932
79380
79381
79389
7942
79430
79431
79439
7955
79589
79902
7992
80500
80502
80503
80504
80505
80506
80507
80508
8052
8054
8058
80600
80605
80700
80701
80702
80709
167
Closed fracture uns part clavicle
Fracture gr tuberos humerus closed
Disloc shoulder unsp closed
Traum subarachnoid hemorrage
Traumatic subdural hemorrage
Traumatic brain hemorrage ot
Intracranial injury ot
Traumatic pneumothorax wo open wd
Lung contusion wo open wound
Contusion face/scalp/nck
Contusion of chest wall
Contusion of shoulder region
Contusion of uns site
C1-c4 inj w central cord syndrome
Uns head injury
Injury face/neck
Other injury of chest wall
Other injury of abdomen
Other injury other sites of trunk
Oth/uns injury shoulder/upper arm
Injury other sites inc mult sites
Injury uns site
Poisoning anticoagulants
Other/unspec adverse effect drug
Unspec adverse effect drug
Other adverse effect drug
Sepsis
Malfunction cardiac pacemake
Malfunction vasc device/graf
Complication renal dialy dev
Complication heart transplant
Complication lung transplant
Surg complication heart
Hematoma complication proced
Accidental op laceration
Other postop infection
Traffic acc nos-pers nos
Acc cut/hem in surgery
Abn react-surg proc nec
Fall from slipping nec
Fall nec
Fall nos
Accident nos
81000
81203
83100
85200
85220
85300
85400
8600
86121
920
9221
92300
9249
95203
95901
95909
95911
95912
95919
9592
9598
9599
9642
9952
99520
99529
99591
99601
9961
99673
99683
99684
9971
99812
9982
99859
E8199
E8700
E8788
E8859
E8888
E8889
E9289
168
Adv eff antineoplastic
Adv eff antilipemics
Contact/exposure to tb
History malignancy large intestine
History malignancy bronchus/lung
History malignancy breast
History malignancy prostate
History malignancy bladder
History other malignancy skin
History tuberculosis
History unsp circulatory disease
History venous thrombosis/embolism
History tia/stroke wo residual def
History pneumonia
History surgery heart/great vessels
History exposure to asbestos
History exposure hazard body fluid
History of fall
Kidney replaced by transplant
Heart replaced by transplant
Lung replaced by transplant
Liver replaced by transplant
Heart valve replaced by oth means
Cardiac pacemaker in situ
Implantable cardiac defib in situ
Renal dialysis status
Renal dialysis status
Aortocoronary bypass status
Perc trans cor angioplasty status
Other cardiorespiratory problems
Fitting/adjust pacemaker
Fitting/adjust impl defibrillator
Removal int fixation device
Encounter for extracorp dialysis
Antineoplastic chemotherapy
Aftercare follow organ transplant
Encounter long term use oth drugs
Fitting/adjust vascular catheter
Fitting/adjust nonvascular cath
Enctr therap drug monitoring
Follow-up after tx high risk drug
Observ suspected malignant neoplasm
Observ suspected tb
E9331
E9422
V011
V1005
V1011
V103
V1046
V1051
V1083
V1201
V1250
V1251
V1254
V1261
V151
V1584
V1585
V1588
V420
V421
V426
V427
V433
V4501
V4502
V451
V4511
V4581
V4582
V472
V5331
V5332
V5401
V560
V5811
V5844
V5869
V5881
V5882
V5883
V6751
V711
V712
169
Observ following oth accident
Observ suspected cardiovascular dis
Screening for pulmonary tb
Screening mammogram ot
Special screening mal neo ot
Screening for defic anemia ot
V714
V717
V741
V7612
V7649
V781
170
Don't perform preoperative cardiac tests for low-risk, non-cardiac surgeries
Choosing Wisely Guidelines
American College of
Cardiology
American College of
Physicians
American College of
Radiology
American College of
Surgeons
American Society of
Anesthesiologists
Don’t perform stress cardiac imaging or advanced non-invasive
imaging as a pre-operative assessment in patients scheduled to
undergo low-risk non-cardiac surgery. Non-invasive testing is not
useful for patients undergoing low-risk non-cardiac surgery (e.g.,
cataract removal). These types of tests do not change the patient’s
clinical management or outcomes and will result in increased costs.
Don’t obtain preoperative chest radiography in the absence of a
clinical suspicion for intrathoracic pathology. In the absence of
cardiopulmonary symptoms, preoperative chest radiography rarely
provides any meaningful changes in management or improved
patient outcomes.
Avoid admission or preoperative chest x-rays for ambulatory
patients with unremarkable history and physical exam. Performing
routine admission or preoperative chest x-rays is not recommended
for ambulatory patients without specific reasons suggested by the
history and/or physical examination findings. Only 2 percent of such
images lead to a change in management. Obtaining a chest
radiograph is reasonable if acute cardiopulmonary disease is
suspected or there is a history of chronic stable cardiopulmonary
disease in a patient older than age 70 who has not had chest
radiography within six months
Avoid admission or preoperative chest X rays for ambulatory
patients with unremarkable history and physical exam. Performing
routine admission or preoperative chest X rays is not recommended
for ambulatory patients without specific reasons suggested by the
history and/or physical examination findings. Only 2 percent of such
images lead to a change in management. Obtaining a chest
radiograph is reasonable if acute cardiopulmonary disease is
suspected or there is a history of chronic stable cardiopulmonary
diseases in patients older than age 70 who have not had chest
radiography within six months.
Don’t obtain baseline diagnostic cardiac testing (transthoracic/esophageal echocardiography – TTE/TEE) or cardiac stress
testing in asymptomatic stable patients with known cardiac disease
(e.g., CAD, valvular disease) undergoing low or moderate risk noncardiac surgery. Advances in cardiovascular medical management,
particularly the introduction of perioperative beta-blockade and
improvements in surgical and anesthetic techniques, have
significantly decreased operative morbidity and mortality rates in
noncardiac surgery. Surgical outcomes continue to improve causing
the mortality rate of major surgeries to be low and the need for
revascularization minimal. Consequently, the role of preoperative
cardiac stress testing has been reduced to the identification of
extremely high-risk patients, for instance, those with significant left
171
American Society of
Echocardiography
American Society of
Nuclear Cardiology
Society of
Cardiovascular
Computed Tomography
Society of General
Internal Medicine
Society of Thoracic
Surgeons
main disease for which preoperative revascularization would be
beneficial regardless of the impending procedure. In other words,
testing may be appropriate if the results would change management
prior to surgery, could change the decision of the patient to undergo
surgery, or change the type of procedure that the surgeon will
perform.
Avoid echocardiograms for preoperative/perioperative assessment of
patients with no history or symptoms of heart disease. Perioperative
echocardiography is used to clarify signs or symptoms of
cardiovascular disease, or to investigate abnormal heart tests.
Resting left ventricular (LV) function is not a consistent predictor of
perioperative ischemic events; even reduced LV systolic function
has poor predictive value for perioperative cardiac events.
Don’t perform cardiac imaging as a preoperative assessment in
patients scheduled to undergo low- or intermediate-risk non-cardiac
surgery. Non-invasive testing is not useful for patients undergoing
low-risk non-cardiac surgery or with no cardiac symptoms or
clinical risk factors undergoing intermediate-risk non-cardiac
surgery. These types of testing do not change the patient’s clinical
management or outcomes and will result in increased costs.
Therefore, it is not appropriate to perform cardiac imaging
procedures for non-cardiac surgery risk assessment in patients with
no cardiac symptoms, clinical risk factors or who have moderate to
good functional capacity.
Don’t order coronary artery calcium scoring for preoperative
evaluation for any surgery, irrespective of patient risk. No evidence
exists to support the diagnostic or prognostic potential of coronary
artery calcium scoring in individuals in the preoperative setting. This
practice may add costs and confound professional guideline-based
evaluations
Don’t perform routine pre-operative testing before low-risk surgical
procedures. Pre-operative assessment is expected before all surgical
procedures. This assessment includes an appropriately directed and
sufficiently comprehensive history and physical examination, and, in
some cases, properly includes laboratory and other testing to help
direct management and assess surgical risk. However, pre-operative
testing for low-risk surgical procedures (such as cataract extraction)
results in unnecessary delays and adds to significant avoidable costs
and should be eliminated.
Patients who have no cardiac history and good functional status do
not require preoperative stress testing prior to non-cardiac thoracic
surgery. Functional status has been shown to be reliable for
prediction of perioperative and long-term cardiac events. In highly
functional asymptomatic patients, management is rarely changed by
preoperative stress testing. It is therefore appropriate to proceed with
the planned surgery without it. Unnecessary stress testing can be
harmful because it increases the cost of care and delays treatment
without altering surgical or perioperative management in a
172
Society for Vascular
Medicine
meaningful way. Furthermore, low-risk patients who undergo
preoperative stress testing are more likely to obtain additional
invasive testing with risks of complications. Cardiac complications
are significant contributors to morbidity and mortality after noncardiac thoracic surgery, and it is important to identify patients
preoperatively who are at risk for these complications. The most
valuable tools in this endeavor include a thorough history, physical
exam and resting EKG. Cardiac stress testing can be an important
adjunct in this evaluation, but it should only be used when clinically
indicated.
Avoid cardiovascular testing for patients undergoing low-risk
surgery. Pre-operative stress testing does not alter therapy or
decision-making in patients facing low-risk surgery.
Methods
We calculated the percent of Medicare beneficiaries over age 65 who received a non-indicated
electrocardiogram, cardiovascular stress test (including stress imaging), echocardiogram, chest xray, or advanced cardiac imaging (CT, MRI, PET) in the 30 days before low-risk, non-cardiac in
each calendar year 2006-11. We then created a weighted average of testing prevalence for the
interval 2006-11. We identified low-risk, non-cardiac surgeries using the following BETOS
codes: P1A (Major Procedure – Breast), P1D (Major Procedure – TURP), P1F (Major Procedure
- Explor/Decompr/ExcisDisc), P4A (Eye Procedures - Corneal Transplant), P5C (Ambulatory
Procedures - Inguinal Hernia Repair), P5D (Ambulatory Procedures – Lithotripsy), P8A
(Endoscopy – Arthroscopy), P8G (Endoscopy - Lararoscopic Cholecystectomy). We required
enrollment in fee-for-service Medicare Parts A and B for at least 11 months during the calendar
year. We did not count testing events if diagnosis codes in any of the first four fields on a claim
involved cardiac disease, cardiac-related symptoms, or any conditions that might justify the test
(e.g., respiratory conditions, cancer), and we excluded beneficiaries who were admitted in the 30
days before the surgery.
References
Physician Quality Reporting System (PQRS) Measure Specifications Manual for Claims and
Registry Reporting of Individual Measures. Centers for Medicare and Medicaid Services. 2014.
CPT Codes for Identifying Cardiac Tests (Advanced Imaging, Cardiac Stress Tests,
Echocardiograms, and Electrocardiograms)
See codes applied to cardiac testing measure (pp. 7).
CPT Codes for Identifying Chest X-Rays
See codes applied to preoperative cardiac testing (cataract surgery) (pp. 77).
ICD-9 Codes for Excluding Cardiac Tests (Advanced Imaging, Cardiac Stress Tests, Chest XRays, Echocardiograms, and Electrocardiograms)
173
See codes applied to preoperative cardiac testing (cataract surgery) (pp. 77).
174
Don’t perform population based screening for 25-OH-Vitamin D deficiency
Choosing Wisely Guidelines
American Society for
Clinical Pathology
Endocrine Society and
American Association
of Clinical
Endocrinologists
Don’t perform population based screening for 25-OH-Vitamin D
deficiency. Vitamin D deficiency is common in many populations,
particularly in patients at higher latitudes, during winter months and
in those with limited sun exposure. Over the counter Vitamin D
supplements and increased summer sun exposure are sufficient for
most otherwise healthy patients. Laboratory testing is appropriate in
higher risk patients when results will be used to institute more
aggressive therapy (e.g., osteoporosis, chronic kidney disease,
malabsorption, some infections, obese individuals).
Don’t routinely measure 1,25-dihydroxyvitamin D unless the patient
has hypercalcemia or decreased kidney function. Many practitioners
become confused when ordering a vitamin D test. Because 1,25dihydroxyvitamin D is the active form of vitamin D, many
practitioners think that measuring 1,25-dihydroxyvitamin D is an
accurate means to estimate vitamin D stores and test for vitamin D
deficiency, which is incorrect. Current Endocrine Society guidelines
recommend screening for vitamin D deficiency in individuals at risk
for deficiency. Serum levels of 1,25-dihyroxyvitamin D have little or
no relationship to vitamin D stores but rather are regulated primarily
by parathyroid hormone levels, which in turn are regulated by
calcium and/or vitamin D. In vitamin D deficiency, 1,25dihydroxyvitamin D levels go up, not down. Unregulated production
of 1,25-dihydroxyvitamin D (i.e., sarcoidosis, granulomatous
diseases) is an uncommon cause of hypercalcemia; this should be
suspected if blood calcium levels are high and parathyroid hormone
levels are low and confirmed by measurement of 1,25dihydroxyvitamin D. The enzyme that activates vitamin D is
produced in the kidney, so blood levels of 1,25-dihydroxyvitamin D
are sometimes of interest in patients on dialysis or with end-stage
kidney disease. There are few other circumstances, if any, where
1,25-dihydroxyvitamin D testing would be helpful. Serum 25hydroxyvitamin D levels may be overused, but when trying to assess
vitamin D stores or diagnose vitamin D deficiency (or toxicity), 25hydroxyvitamin D is the correct test.
Methods
We calculated the proportion of Medicare beneficiaries over age 65 that received at least one
vitamin D screening test for each calendar year 2006-11. We then created a weighted average of
testing prevalence for the interval 2006-11. We required enrollment in fee-for-service Medicare
Parts A and B for at least 11 months in each calendar year. We excluded beneficiaries for whom
a vitamin D screening test might be indicated, requiring at least two physician claims or one
acute hospital claim for the relevant diagnoses. Exclusionary diagnoses included chronic kidney
disease, osteoporosis, fragility fractures, and obesity. Fragility fractures were defined as follows:
175
(i) at least one CPT code for hip fracture repair; (ii) at least one diagnosis code for distal radius
or proximal humerus fracture, plus at least one upper extremity radiography claim within seven
days (plus or minus) of the diagnosis claim date; or (iii) at least one ICD-9 diagnosis code for
vertebral fracture.
CPT Codes for Identifying Vitamin D Screening Tests
Labels
Assay of Vitamin D; 25 hydroxy, includes fraction(s), if performed
Assay of Calciferol (Vitamin D)
Assay of Vitamin D
Codes
82306
82307
82562
ICD-9 Codes for Excluding High-Risk Beneficiaries
Labels
Chronic kidney disease
Hypertensive chronic kidney disease
Hypertensive heart and chronic kidney disease
Secondary diabetes mellitus with renal manifestations
Diabetic nephropathy NOS
Diabetic nephrosis
Diabetes with renal manifestations
Renal dialysis status
Aftercare involving intermittent extracorporeal dialysis
Aftercare involving intermittent other dialysis
Osteoporosis
Obesity
Codes
585.x
403.x
404.x
249.4
583.81
581.81
250.4
V451, V4511,
V4512
V560
V568
7330, 73300,
73301, 73302,
73303, 73309,
V8281
278, 278.0x,
V77.8
ICD-9 and CPT Codes for Identifying Fragility Fractures.
Label
Hip fracture
Wrist fracture
Humerus fracture
Vertebral fracture
Shoulder/clavicle imaging
Humerus/elbow imaging
Forearm/wrist imaging
Hand imaging
Code
CPT 27230-27248
ICD-9 813.4-813.54, 814.00, 814.10 and
CPT 25600, 25605, 25609, 25611
ICD-9 812.0-812.19 and CPT 2360023630, 23665-23680
ICD-9 805.2. 805.4, 805.8, 733.13
CPT 73000, 73010, 73020, 73030, 73040,
73050
CPT 73060, 73070, 73080, 73085
CPT 73090, 73092, 73100, 73110, 73115
CPT 73120, 73130, 73140
176
CT
MRI
CPT 73200, 73201, 73202, 73206
CPT 73218, 73219, 73220, 73221, 73222,
73223, 73225
177
Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of
dementia
Choosing Wisely Guidelines
American Medical
Directors Association
American Geriatrics
Society
American Psychiatric
Association
Don’t prescribe antipsychotic medications for behavioral and
psychological symptoms of dementia (BPSD) in individuals with
dementia without an assessment for an underlying cause of the
behavior. Careful differentiation of cause of the symptoms (physical
or neurological versus psychiatric, psychological) may help better
define appropriate treatment options. The therapeutic goal of the use
of antipsychotic medications is to treat patients who present an
imminent threat of harm to self or others, or are in extreme distress –
not to treat nonspecific agitation or other forms of lesser distress.
Treatment of BPSD in association with the likelihood of imminent
harm to self or others includes assessing for and identifying and
treating underlying causes (including pain; constipation; and
environmental factors such as noise, being too cold or warm, etc.),
ensuring safety, reducing distress and supporting the patient’s
functioning. If treatment of other potential causes of the BPSD is
unsuccessful, antipsychotic medications can be considered, taking
into account their significant risks compared to potential benefits.
When an antipsychotic is used for BPSD, it is advisable to obtain
informed consent.
Don’t use antipsychotics as first choice to treat behavioral and
psychological symptoms of dementia. People with dementia often
exhibit aggression, resistance to care and other challenging or
disruptive behaviors. In such instances, antipsychotic medicines are
often prescribed, but they provide limited benefit and can cause
serious harm, including stroke and premature death. Use of these
drugs should be limited to cases where non-pharmacologic measures
have failed and patients pose an imminent threat to themselves or
others. Identifying and addressing causes of behavior change can
make drug treatment unnecessary.
Don’t use antipsychotics as first choice to treat behavioral and
psychological symptoms of dementia. Behavioral and psychological
symptoms of dementia are defined as the non-cognitive symptoms
and behaviors, including agitation or aggression, anxiety, irritability,
depression, apathy and psychosis. Evidence shows that risks (e.g.,
cerebrovascular effects, mortality, parkinsonism or extrapyramidal
signs, sedation, confusion and other cognitive disturbances, and
increased body weight) tend to outweigh the potential benefits of
antipsychotic medications in this population. Clinicians should limit
the use of antipsychotic medications to cases where nonpharmacologic measures have failed and the patients’ symptoms
may create a threat to themselves or others. This item is also
included in the American Geriatric Society’s list of
recommendations for “Choosing Wisely.”
178
Methods
We calculated the percent of Medicare beneficiaries over age 65 with diagnosed dementia and
without a severe mental illness who filled at least one antipsychotic in the interval 2006-11. We
required enrollment in fee-for-service Medicare Parts A, B, and D, and weighted our analysis by
beneficiary enrollment in Part D. Beneficiaries were classified as having a severe mental illness
if they had at least one claim-level diagnosis for a severe mental illness during the study period.
Beneficiaries were classified as having dementia if they had at least two physician or two acute
hospital claims for dementia. Antipsychotic prescription fills were only counted if they occurred
after the second (confirmed) dementia diagnosis.
References
Gruber-Baldini AL, Stuart B, Zuckerman IH, Simoni-Wastila L, Miller R. Treatment of
dementia in community-dwelling and institutionalized medicare beneficiaries. Journal of the
American Geriatrics Society. 2007;55(10):1508-16. doi:10.1111/j.1532-5415.2007.01387.x
Rattinger GB, Burcu M, Dutcher SK, Chhabra PT, Rosenberg PB, Simoni-Wastila L, et al.
Pharmacotherapeutic management of dementia across settings of care. Journal of the American
Geriatrics Society. 2013;61(5):723-33. doi:10.1111/jgs.12210
ICD-9 Codes for Identifying Dementia
Label
Dementias
Senile dementia, uncomplicated
Presenile dementia
Presenile dementia, uncomplicated
Presenile dementia with delirium
Presenile dementia with delusional features
Presenile dementia with depressive features
Senile dementia with delusion or depressive features
Senile dementia with delusional features
Senile dementia with depressive features
Senile dementia with delirium
Vascular dementia
Vascular dementia, uncomplicated
Vascular dementia with delirium
Vascular dementia with delusions
Vascular dementia with depressed mood
Alcohol induced persisting dementia
Dementia in conditions classified elsewhere
Dementia in conditions classified elsewhere without behavioral disturbance
Dementia in conditions classified elsewhere with behavioral disturbance
Alzheimer’s disease
Frontotemporal dementia
Pick's disease of the brain
Code
290.0
290.0
290.1
290.10
290.11
290.12
290.13
290.2
290.20
290.21
290.3
290.4
290.40
290.41
290.42
290.43
291.2
294.1
294.10
294.11
331.0
331.1
331.11
179
Frontal dementia
Senile degeneration of the brain
Cerebral degeneration in dx classified elsewhere
Dementia with Lewy bodies / Parkinsonism
331.19
331.2
331.7
331.82
ICD-9 Codes for Identifying Severe Mental Illness
Label
Schizophrenic disorders
Bipolar disorders
Delusion disorders
Other non-organic psychoses
Code
295.0-295.9
296.0, 296.1, 296.4296.8
297.1-297.3, 297.8
298.3, 298.4
Drug Codes for Identifying Antipsychotic Prescriptions
Label
Perphenazine
Fluphenazine
Haloperidol
Loxapine
Mesoridazine
Methotrimeprazine
Molindone
Pimozide
Thioridazine
Thiothixene
Trifluoperazine
Clozapine
Risperidone
Olanzapine
Quetiapine
Ziprasidone
Aripiprazole
Paliperidone
Iloperidone
Asenapine
Lurasidone
Code
d00855
d00237
d00027
d00897
d00889
d00814
d00896
d00898
d00389
d00391
d00890
d00199
d03180
d04050
d04220
d04747
d04825
d06297
d07441
d07473
d07705
180
Don’t recommend percutaneous feeding tubes in patients with advanced dementia
Choosing Wisely Guidelines
American Academy of
Hospice and Palliative
Medicine
American Geriatrics
Society
American Medical
Directors Association
Don’t recommend percutaneous feeding tubes in patients with
advanced dementia; instead, offer oral assisted feeding. In advanced
dementia, studies have found feeding tubes do not result in improved
survival, prevention of aspiration pneumonia, or improved healing of
pressure ulcers. Feeding tube use in such patients has actually been
associated with pressure ulcer development, use of physical and
pharmacological restraints, and patient distress about the tube itself.
Assistance with oral feeding is an evidence-based approach to
provide nutrition for patients with advanced dementia and feeding
problems; in the final phase of this disease, assisted feeding may
focus on comfort and human interaction more than nutritional goals.
Don’t recommend percutaneous feeding tubes in patients with
advanced dementia; instead offer oral assisted feeding. In advanced
dementia, studies have found feeding tubes do not result in improved
survival, prevention of aspiration pneumonia, or improved healing of
pressure ulcers. Feeding tube use in such patients has actually been
associated with pressure ulcer development, use of physical and
pharmacological restraints, and patient distress about the tube itself.
Assistance with oral feeding is an evidence-based approach to
provide nutrition for patients with advanced dementia and feeding
problems; in the final phase of this disease, assisted feeding may
focus on comfort and human interaction more than nutritional goals.
Don’t insert percutaneous feeding tubes in individuals with
advanced dementia. Instead, offer oral assisted feedings. Strong
evidence exists that artificial nutrition does not prolong life or
improve quality of life in patients with advanced dementia.
Substantial functional decline and recurrent or progressive medical
illnesses may indicate that a patient who is not eating is unlikely to
obtain any significant or long-term benefit from artificial nutrition.
Feeding tubes are often placed after hospitalization, frequently with
concerns for aspirations, and for those who are not eating. Contrary
to what many people think, tube feeding does not ensure the
patient’s comfort or reduce suffering; it may cause fluid overload,
diarrhea, abdominal pain, local complications, less human
interaction and may increase the risk of aspiration. Assistance with
oral feeding is an evidence-based approach to provide nutrition for
patients with advanced dementia and feeding problems.
Methods
We calculated the percent of Medicare beneficiaries over age 65 institutionalized with advanced
dementia who received a feeding tube during 2006-11. Results were weighted by enrollment in
fee-for-service Medicare Parts A and B and/or time alive. We only counted feeding tube
placements that occurred in beneficiaries who had at least two physician and/or two acute
181
hospital dementia diagnoses and were also institutionalized for at least 90 days. (We began
counting feeding tube placement after the date of institutionalization if it occurred before the
second dementia diagnosis.)
References
Teno JM, Mitchell SL, Gozalo PL, Dosa D, Hsu A, Intrator O, et al. Hospital characteristics
associated with feeding tube placement in nursing home residents with advanced cognitive
impairment. JAMA : the journal of the American Medical Association. 2010;303(6):544-50.
doi:10.1001/jama.2010.79
ICD-9 Codes for Identifying Patients with Advanced Dementia
Label
Dementias
Senile dementia, uncomplicated
Presenile dementia
Presenile dementia, uncomplicated
Presenile dementia with delirium
Presenile dementia with delusional features
Presenile dementia with depressive features
Senile dementia with delusion or depressive features
Senile dementia with delusional features
Senile dementia with depressive features
Senile dementia with delirium
Vascular dementia
Vascular dementia, uncomplicated
Vascular dementia with delirium
Vascular dementia with delusions
Vascular dementia with depressed mood
Alcohol induced persisting dementia
Dementia in conditions classified elsewhere
Dementia in conditions classified elsewhere without behavioral disturbance
Dementia in conditions classified elsewhere with behavioral disturbance
Alzheimer’s disease
Frontotemporal dementia
Pick's disease of the brain
Frontal dementia
Senile degeneration of the brain
Cerebral degeneration in dx classified elsewhere
Dementia with Lewy bodies / Parkinsonism
Code
290
290.0
290.1
290.10
290.11
290.12
290.13
290.2
290.20
290.21
290.3
290.4
290.40
290.41
290.42
290.43
291.2
294.1
294.10
294.11
331.0
331.1
331.11
331.19
331.2
331.7
331.82
ICD-9 Codes for Identifying Feeding Tubes
Label
Percutaneous endoscopic gastrostomy tube
Permanent or temporary gastrostomy tube
Code
4311
4319
182
Endoscopic conversion of gastrostomy to J tube
4432
CPT Codes for Identifying Feeding Tubes
Label
Direct placement of PEG endoscopically
Laparoscopic surgical gastrostomy
Gastrostomy tube placement
Open gastrostomy without Stamm procedure
Open gastrostomy with Janeway procedure
Insertion of PEG tube
Conversion of percutaneous G to J Tube
Radiologist assistance in PEG
Insertion of gastrostomy tube, percutaneous
Insertion of duodenostomy or jejunostomy tube, percutaneous
Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous
Replace G/C tube perc
Replace Duod./Jej. tube perc
Replace G-J tube perc
Change gastrostomy tube
Reposition gastrostomy tube
Code
43246
43653
43750
43830
43832
44372
44373
74350
49440
49411
49446
49450
49451
49452
43760
43761
183
Don’t use opioid or butalbital treatment for migraine, except as a last resort
Choosing Wisely Guideline
American Academy of
Neurology
Don’t use opioid or butalbital treatment for migraine except as a last
resort. Opioid and butalbital treatment for migraine should be
avoided because more effective, migraine-specific treatments are
available. Frequent use of opioid and butalbital treatment can worsen
headaches. Opioids should be reserved for those with medical
conditions precluding the use of migraine-specific treatments or for
those who fail these treatments.
Methods
We calculated the percent of Medicare beneficiaries over age 65 with a migraine who had a filled
prescription for an opioid or butalbital within 21 days of the migraine diagnosis in each calendar
year 2006-11. We then created a weighted average for the interval 2006-11. Beneficiaries with
migraines were identified using ICD-9 code 346.X. We excluded beneficiaries who were not
enrolled in fee-for-service Medicare Parts A and B within 60 days of the migraine diagnosis, or
Part D within one month of the index diagnosis. We also excluded beneficiaries with relevant
diagnoses in the 60 days before the migraine diagnosis that could indicate appropriate use of an
opioid or butalbital (e.g., surgery, back pain etc.), were admitted to a hospital, or had more than
$200 of hospice spending.
Drug Codes for Identifying Opioids and Butalbital
Label
Opioids
Butalbital
Code
d03075, d00255,
d00378, d00167,
d00840, d00838,
d00012, d00837,
d00233, d03187,
d00825, d00017,
d00050, d00308,
d05295, d00839,
d00824, d00329,
d00833, d00334,
d00360, d04034,
d07453
d03061
Codes for Excluding Beneficiaries
Label
External causes of injury
Back pain
Code
Any “E” code
ICD-9 721.3, 722.10,
722.32, 722.52,
722.90, 722.93,
184
Abdominal pain
Fractures
Surgery
All cancers, except non-melanoma skin cancers
724.02, 724.2, 724.3,
724.5, 724.6, 724.7,
724.71, 724.79,
738.5, 739.3, 739.4,
846.0, 846.1, 846.2,
846.3, 846.8, 846.9,
847.2
CCS 251
CCS 207, 226, 228231
BETOS P codes
CCS 11-22, 24-44
185