Condition Code Type
HIV Diagnosis
ICD-9-CM
Malignant neoplasms
Diagnosis
ICD-9-CM
Procedure
ICD-9
Procedure
CPT/ HCPCS
Code(s)
042
V08
079.53
Description
Human immunodeficiency virus (HIV) disease
Asymptomatic HIV infections status
HIV-2 infection
140.x-172.x
174.x-195.x
Malignant neoplasms
Malignant neoplasms
196.x-199.x Secondary and unspecified malignancies
200.xx, 202.xx Lymphomas
201.xx
203.xx
204.xx-208.xx Leukemia
209.0x-209.3x, Malignant carcinoid tumors of small intestine, appendix,
209.7x
Hodgkin's Disease
Multiple myeloma
238.4-238.7x large intestine, rectum, other sites; malignant poorly differentiated neuroendocrine tumors; secondary neuroendocrine tumors
Polycythemia vera, histiocytic and mast cells, plasma cells, other lymphatic and hemotopoietic tissues
511.81
960.7
963.1
999.81
V58.1x
Malignant pleural effusion
Poisoning by antineoplastic antibiotics
Poisoning by antineoplastic/immunosuppressive agent
Extravasation of vesicant chemotherapy
V66.2
V67.2
E930.7
E933.1
00.10
00.15
99.25
99.28
0519F
3300F-3312F
3315F-3316F
Encounter for antineoplastic chemotherapy and immunotherapy
Convalescence and palliative care following chemotherapy
Cancer chemotherapy follow-up
Adverse effect – antineoplastic antibiotics
Adverse effect – antineoplastic/immunosuppressive
Implant chemotherapeutic agent
High-dose infusion, interleukin-2
Injection/infusion of cancer chemotherapeutic substance
Immunotherapy (BRM) as antineoplastic agent
Planned chemotherapy regimen
Cancer staging
3317F-3318F
3350F
4163F
Estrogen/progesterone receptor-positive and receptornegative breast cancer
Pathology report documenting malignancy
Mammogram assessment category of "known biopsy proven malignancy", documented (RAD)
Patient counseling at a minimum on all of the following treatment options for clinically localized prostate cancer:
4164F
4180F
51720 active surveillance, AND interstitial prostate brachytherapy,
AND external beam radiotherapy, AND radical prostatectomy, provided prior to initiation of treatment
(PRCA)
Adjuvant (ie, in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA)
Adjuvant chemotherapy referred, prescribed, or previously received for Stage III colon cancer (ONC)
Bladder instillation of anticarcinogenic agent (including retention time)

Condition Code Type Code(s)
61517
Description
Implantation of brain intracavitary chemotherapy agent
(List separately in addition to code for primary procedure)
90586
96400-96450
96542
Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use
Chemotherapy administration
Chemotherapy injection
C8953-C8955 Chemotherapy administration
C9235 Chemotherapy drugs
C9414-C9415 Chemotherapy drugs
C9417-C9433 Chemotherapy drugs
C9435-C9437 Chemotherapy drugs
G0355-G0356 Chemotherapy administration
G0359-G0362 Chemotherapy administration
G3001 Chemotherapy drug
J0128, J0594,
C1178, J0894,
J3315
Chemotherapy drugs
J8510-J8530,
J8560-J8565,
J8600-J8610,
J8700-J8999
Chemotherapy drugs
Q0083-Q0085 Chemotherapy administration
Q0163-Q0181 Antiemetics for use during chemotherapy
Q2017
S0108, S0116,
S0156, S0170,
S0172, S0175-
S0178, S0182,
S0187
Chemotherapy drugs
Chemotherapy drugs
S9329-S9331
S9559
581.xx
Home infusion, chemotherapy
Home injectable therapy, interferon
Nephrotic syndrome Nephrotic syndrome
Chronic renal failure, including end-stage renal disease
Diagnosis
ICD-9-CM
Diagnosis
ICD-9-CM
285.21
403.01, 403.11,
403.91
404.02-404.03,
404.12-404.13,
404.92-404.93
458.21
Anemia in chronic renal disease
Hypertensive chronic kidney disease malignant or benign or unspecified, with kidney disease stage V or ESRD
Hypertensive heart and kidney disease, malignant or benign or unspecified, with kidney disease stage V or ESRD
Hypotension of hemodialysis
582.xx-583.xx Chronic glomerulonephritis, Nephritis and nephropathy, not specified as acute or chronic
585.5-585.6
586
Chronic kidney disease, stage V or ESRD
Renal failure, unspecified
588.0
588.8x-588.9
Renal osteodystrophy
Other specified or unspecified disorders resulting from impaired renal function
593.71-593.73 Vesicoureteral reflux with reflux nephropathy, bilateral or
NOS

Condition
Chronic renal failure, including end-stage renal disease
Organ transplanta tion
Organ transplanta tion
Code Type
Procedure
ICD-9
Procedure
CPT, HCPCS
Diagnosis
ICD-9-CM
Procedure
ICD-9
Code(s)
792.5
996.56
996.73
V45.1x
V56.xx
E879.1
Description
Cloudy hemodialysis (peritoneal) dialysis effluent
Mechanical complication due to peritoneal dialysis catheter
Other complications due to renal dialysis device, implant, graft
Renal dialysis status
Encounter for dialysis and dialysis catheter care
Kidney dialysis (cause of abnormal reaction or later complication)
Venous catheterization for renal dialysis
Arteriovenostomy for renal dialysis
Revision of arteriovenous shunt for renal dialysis
38.95
39.27
39.42
39.95
54.98
90918-90999,
G0308-G0327
93990
Hemodialysis
Peritoneal dialysis
Hemodialysis procedures, ESRD-related services, dialysis training, hemoperfusion
99512
0505F
0507F
4052F-4055F
A4690
Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)
Home visit for hemodialysis
Hemodialysis plan of care documented (ESRD, P-ESRD)
Peritoneal dialysis plan of care documented (ESRD)
Hemodialysis , peritoneal dialysis
Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
Dialysis equipment E1510, E1590-
E1594
E1630
E1632
Reciprocating peritoneal dialysis system
Wearable artificial kidney, each
E1635
G0257
Compact (portable) travel hemodialyzer system
Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility
G8075-G8085 ESRD patient needs
G8487-G8488,
G8495
CKD measures group/ESRD reporting
Home therapy, dialysis
Organs replaced by transplant
S9335, S9339
V42.0, V42.1,
V42.6, V42.7,
V42.81-V42.84
V996.8x
33.5x
33.6
37.51
41.0x
46.97
Complication of transplantation
Lung transplant
Combined heart-lung transplant
Heart transplant
Bone marrow or hematopoietic stem cell transplant
Transplant of intestine

Condition Code Type Code(s)
50.5x
52.80-52.83
52.85-52.86
Procedure
CPT/HCPCS
55.69
32851-32854
33935
33945
38240-38242
44135-44137
47135, 47136
48554, 48556
50360-50365,
50380
0141T-0143T,
G0341-G0343
S2053
S2054
S2065
S2102
S2142
S2150
S2152
Description
Liver transplant
Transplant of pancreas
Allotransplantation of cells of islets of Langerhans
(pancreas, not otherwise specified)
Kidney transplant
Lung transplant
Heart-lung transplant
Heart transplant
Bone marrow transplant
Intestinal transplant
Liver transplant
Pancreas transplant
Kidney transplant
Pancreatic islet cell transplantation
Transplantation of small intestine and liver allografts
Transplantation of multivisceral organs
Simultaneous pancreas kidney transplantation
Islet cell tissue transplant from pancreas; allogeneic
Cord blood-derived stem-cell transplantation, allogeneic
Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications including pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre- and posttransplant care in the global definition
Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor (s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre and posttransplant care in the global definition