The DEGGE
GROUP, LTD
Drug Safety Research
and Information
Appendices
Risk of Significant Infection in Rheumatoid Arthritis Patients
Switching Anti-Tumor Necrosis Factor- Drugs
1616 North Fort Myer Drive, Suite 1430
Office (703) 276-0067
Arlington, Virginia 22209-3100
Fax (703) 276-0069
Table of Appendices
APPENDIX A. Serious Infectious Diseases .................................................................... 2
APPENDIX B. Infectious Conditions ............................................................................... 6
APPENDIX C. J-Codes for Intravenous Antimicrobial Treatment.................................... 8
APPENDIX D. List of Intravenous Antibiotics.................................................................. 8
APPENDIX E. Procedural Codes for Joint Surgery in RA Patients ............................... 25
APPENDIX F. List of DMARDS .................................................................................... 40
APPENDIX G. J-Codes for DMARDS Used for Rheumatoid Arthritis Treatment .......... 40
APPENDIX H. List of Oral Corticosteroids .................................................................... 41
APPENDIX I. List of Antidiabetic Drugs ........................................................................ 42
APPENDIX J. List of Medications to Treat Asthma/COPD ............................................ 43
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APPENDIX A. Serious Infectious Diseases Defined by Hospitalization or Requiring
Intravenous Antibiotics
ICD-9-CM Code
Category / Code Description
001-009 Intestinal infectious diseases
001
Cholera
002
Typhoid and paratyphoid fevers
003
Other salmonella infections
004
Shigellosis
005
Other food poisoning (bacterial)
006
Amebiasis
007
Other protozoal intestinal disease
008
Intestinal infections other organisms
009
Ill-defined intestinal infections
010-018 Tuberculosis*
010
Primary tuberculous infection*
011
Pulmonary tuberculosis*
012
Other respiratory tuberculosis*
013
Tuberculosis of meninges and CNS*
014
TB intestine/peritoneum/mesenteric*
015
Tuberculosis of bones and joints*
016
TB of genitourinary system*
017
Tuberculosis of other organs*
018
Miliary tuberculosis*
020-027 Zoonotic bacterial diseases
020
Plague
021
Tularemia
022
Anthrax
023
Brucellosis
024
Glanders
025
Melioidosis
026
Rat-bite fever
027
Other zoonotic bacterial diseases
030-041 Other bacterial diseases
030
Leprosy*
031
Diseases due to other mycobacteria*
032
Diphtheria*
033
Whooping cough*
034
Strep sore throat and scarlet fever
035
Erysipelas
036
Meningococcal infection*
037
Tetanus*
038
Septicemia
039
Actinomycotic infections
040
Other bacterial diseases
041
Bacterial infection in other conditions
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ICD-9-CM Code
Category / Code Description
042 Human Immunodeficiency Virus
042
Human immunodeficiency virus disease (HIV)
045-049 Poliomyelitis/other non-arthropod viral diseases of CNS*
045
Acute poliomyelitis*
046
Slow virus infection of CNS*
047
Meningitis due to enterovirus*
048
Other enterovirus diseases of central nervous system*
049
Other viral diseases of CNS*
050-057 Viral diseases accompanied by exanthem
050
Smallpox
051
Cowpox and paravaccinia
052
Chickenpox
053
Herpes zoster
054
Herpes simplex
055
Measles
056
Rubella
057
Other viral exanthemata
060-066 Arthropod-borne viral diseases
060
Yellow fever
061
Denge
062
Mosquito-borne viral encephalitis
063
Tick-borne viral encephalitis
064
Viral encephalitis transmitted by unspecified arthropods
065
Arthropod-borne hemorrhagic fever
066
Other arthropod-borne viral diseases
070-079 Other diseases due to viruses & chlamydiae
070
Viral hepatitis*
071
Rabies
072
Mumps
073
Ornithosis
074
Diseases due to coxsackie virus
075
Infectious mononucleosis
076
Trachoma
077
Other conjunctiva disease virus/chlamidae
078
Other disease virus/chlamidiae
079
Viral/chlamydial infection
080-088 Rickettsioses & other arthropod-borne diseases
080
Louse-borne (epidemic) typhus
081
Other typhus
082
Tick-borne rickettsioses
083
Other rickettsioses
084
Malaria
085
Leishmaniasis
086
Trypanosomiasis
087
Relapsing fever
088
Other arthropod-borne diseases
090-099 Syphilis & other venereal diseases*
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ICD-9-CM Code
Category / Code Description
090
Congenital syphilis*
091
Early syphilis symptomatic*
092
Early syphilis latent*
093
Cardiovascular syphilis*
094
Neurosyphilis*
095
Other late syphilis with symptoms*
096
Late syphilis, latent*
097
Other and unspecified syphilis*
098
Gonococcal infections*
099
Other venereal diseases*
100-104 Other spirochetal diseases
100
Leptospirosis
101
Vincent's angina
102
Yaws
103
Pinta
104
Other spirochetal infection
110-118 Mycoses*
110
Dermatophytosis*
111
Other/unspecified dermatophytosis*
112
Candidiasis*
114
Coccidioidomycosis*
115
Histoplasmosis*
116
Blastomycotic infection*
117
Other mycoses*
118
Opportunistic mycoses*
120-129 Helminthiases
120
Schistosomiasis (bilharziasis)
121
Other trematode infections
122
Echinococcosis
123
Other cestode infection
124
Trichinosis
125
Filarial infection/dracontiasis
126
Ancylostomiasis and necatoriasis
127
Other intestinal helminthiases
128
Other/unspecified helminthiases
129
Intestinal parasitism, unspecified
130-136 Other infectious & parasitic diseases
130
Toxoplasmosis
131
Trichomoniasis
132
Pediculosis/phthirus infestation
133
Acariasis
134
Other infestation
135
Sarcoidosis
136
Other/unspecified infectious/parasitic disorder
137-139 Late effects of infectious & parasitic diseases
137
Late effects of tuberculosis
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ICD-9-CM Code
138
139
Category / Code Description
Late effects of acute poliomyelitis
Late effect infect/parasitic disease
* Selected conditions chosen to represent serious infections regardless of hospitalization or IV
antibiotic administration.
International Classification of Diseases, Ninth Revision, Clinical Modification. 9 th ed.
Washington, DC: US Department of Health and Human Services, Centers for Disease Control
and Prevention, Centers for Medicare and Medicaid Services; 2007.
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APPENDIX B. Infectious Conditions Requiring Hospitalization or Intravenous
Antibiotics
ICD-9 Code
254.1
255.8
323.x
324.x
357.0
380.1
382.0
382.9
383.x
384.0
384.1
421.x
422.x
424.9
447.2
457.2
460
461.x
462
463
464.x
465.x
466.x
472
473.x
474.0
475
476.x
480
481
482
483
484
485
486
487.1
487.8
490
491.2
510.x
511.1
513.x
519.1
519.2
522.5
522.7
523.3
528.3
528.5
529.0
540-542
Code Description
Abscess of thymus
Oth disorders of adrenal gland - cortisol-binding globulin abnormality (for abscess)
Encephalitis, myelitis, and encephalomyelitis
Intracranial and intraspinal abscess
Acute infective polyneuritis
Infective otitis externa
Acute suppurative otitis media
Unspecified otitis media
Mastoiditis and related conditions
Acute myringitis without mention of otitis media
Chronic myringitis without mention of otitis media
Acute and subacute endocarditis
Acute myocarditis
Endocarditis, valve unspecified
Rupture of artery (for artery ascess)
Lymphangitis
Acute nasopharyngitis [common cold]
Acute sinusitis
Acute pharyngitis
Acute tonsilitis
Acute laryngitis and tracheitis
Acute upper respiratory infections of multiple or unspecified sites
Acute bronchitis and bronchiolitis
Chronic pharyngitis and nasopharyngitis
Chronic sinusitis
Chronic tonsilitis
Peritonsillar abscess
Chronic laryngitis and laryngotracheitis
Viral pneumonia
Pneumococcal pneumonia
Other bacterial pneumonia
Pneumonia due to other specified organism
Pneumonia in infectious diseases classified elsewhere
Bronchopneumonia, organism unspecified
Pneumonia, organism unspecified
Influenza with other respiratory manifestations
Influenza with other manifestations
Bronchitis, not specified as acute or chronic
Obstructive chronic bronchitis
Empyema
Pleurisy with effusion, with mention of a bacterial cause other than tuberculosis
Abscess of lung and mediastinum
Other diseases of trachea and bronchus, NEC (for bronchial abscess)
Mediastinitis
Periapical abscess without sinus
Periapical abscess with sinus
Acute periodontitis
Cellulitis and abscess of oral soft tissues
Diseases of the lips (for labial abscess)
Glossitis
Appendicitis
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ICD-9 Code
550.0
551.x
566
567.x
569.5
572
572.0
572.1
574.0
574.1
574.3
574.4
575.0
575.1
576.1
590.x
595.x
597.0
597.8
599.0
603.1
604.x
607.1
607.2
614.x
615.0
615.9
616.x
680.x
681.x
682.x
684
685.0
686.x
711.0
711.9
728.0
729.4
730.x
785.4
788.7
790.7
790.8
996.6
998.5
999.3
Code Description
Inguinal hernia, with gangrene
Other hernia of abdominal cavity, with gangrene
Abscess of anal and rectal regions
Peritonitis
Abscess of intestine
Liver abscess and sequelae of chronic liver disease
Abscess of liver
Portal pyaemia
Calculus of gallbladder with acute cholecystitis
Calculus of gallbladder with other cholecystitis
Calculus of bile duct with acute cholecystitis
Calculus of bile duct with other cholecystitis
Acute cholecystitis
Other cholecystitis
Cholangitis
Infections of kidney
Cystitis
Urethral abscess
Other urethritis
Urinary tract infection, site not specified
Infected hydrocele
Orchitis and epididymitis
Balanoposthitis
Other inflammatory disorders of penis
Inflammatory disease of ovary, fallopian tube, pelvic cellular tissue and peritoneum
Acute inflammatory diseases of uterus, except cervix
Unspecified inflammatory diseases of uterus, except cervix
Inflammatory disease of cervix, vagina, and vulva
Carbuncle and furuncle
Cellulitis and abscess of finger and toe
Other cellulitis and abscess
Impetigo
Pilonidal cyst, without abcess
Other local infections of skin and subcutaneous tissue
Pyogenic arthritis
Infectious arthritis
Infective myositis
Fasciitis, unspecified
Osteomyelitis, periostitis, and other infections involving bone
Gangrene
Urethral discharge
Bacteremia, unspecified
Viremia, unspecified
Infection and inflammatory reaction due to internal prosthetic device, implant, graft
Postoperative infection
Complications of medical care, other infections
World Health Organization: Manual of the international statistical classification of diseases,
injuries and causes of death. Ninth revision, Volume 1. Geneva, WHO 1977.
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APPENDIX C. Medication Names Used to Define Intravenous Antibiotics*
Generic Name
Amikacin
Ampicillin
Ampicillin Sodium/Sulbactam Sodium
Azithromycin
Aztreonam
Capreomycin
Cefazolin
Cefepime
Cefotaxime
Cefotetan
Cefoxitin
Ceftazidime
Ceftizoxime
Ceftriaxone
Cefuroxime
Cilastatin
Cilastatin Sodium/Imipenem
Ciprofloxacin
Clavulanate Potassium
Clindamycin
Dalfopristin
Dalfopristin-Quinupristin
Daptomycin
Dextrose
Ertapenem Sodium
Erythromycin
Erythromycin Gluceptate
Generic Name
Erythromycin Lactobionate
Gentamicin
Imipenem
Imipenem-Cilastatin
Kanamycin
Levofloxacin
Linezolid
Meropenem
Metronidazole
Moxifloxacin
Nafcillin
Norfloxacin
Ofloxacin
Oxacillin
Piperacillin
Piperacillin-Tazobactam
Polymyxin B Sulfate/Trimethoprim Sulfate
Quinupristin
Streptomycin
Sulbactam
Sulfamethoxazole
Sulfamethoxazole/Trimethoprim
Tazobactam Sodium
Ticarcillin
Tobramycin
Trimethoprim
Vancomycin
*NDC codes are not displayed due to the excessively large number of codes
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APPENDIX D. Intravenous Antimicrobial Treatment J-Codes
J Code
Code description
J0120
J0200
J0278
J0285
J0286
J0287
J0288
J0290
J0295
J0456
J0500
J0530
J0540
J0550
J0560
J0570
J0580
J0690
J0692
J0694
J0695
J0696
J0697
J0698
J0710
J0713
J0715
J0720
J0740
J0743
J0744
J0744
J0770
J0878
J1335
J1362
J1364
J1570
J1580
J1590
J1840
J1850
J1890
J1956
J2010
J2020
J2185
Injection tetracycline up to 250 mg
Inj alatrofloxacin mesylate 100 mg
Injection, amikacin sulfate, 100 mg (2006)
Injection amphotericin B 50 mg
Injection amphotericin B 50 mg (2000)
Infection amphotericin B lipid complex 10 mg (2006)
Inj ampho B cholesteryl sulfate complex 10 mg (2006)
Injection ampicillin sodium 500 mg
Inj ampclln sodim/sulbactam-1.5 g
Injection azithromycin 500 mg (2006)
Injection dicyclomine hcl up 20 mg
Inj pen G benzathine & pcn G procaine up to 600k u (2006)
Inj pen G benzathine & pcn G procaine up to 1.2m u (2006)
Inj pen G benzathine & pcn G procaineup to 2.4m u (2006)
Inj pen G benzathine up to 600k u (2006)
Injection pen G benzathine up to 2.4m u (2006)
Inj penicillin G benzathine up to 2.4m u (2006)
Injection cefazolin sodium 500 mg
Inj cefepime hydrochloride 500 mg
Injection cefoxitin sodium 1 g
Cefonocid sodium injection (1998)
Injection ceftriaxone sodium-250 mg
Inj sterl cefuroxime sodium-750 mg
Cefotaxime sodium per g
Injection cephapirin sodium up 1 g
Injection ceftazidime per 500 mg
Injection ceftizoxime sodium-500 mg
Inj chloramphenicol sodium succinate up to 1 g (2006)
Injection cidofovir 375 mg
Inj cilastatin sodim imipenem-250mg
Inj ciprofloxacin for iv infusion 200 mg (2006)
Inj ciprofloxacin iv infus 200 mg
Injection colistimethate sodium up to 150 mg (2006)
Injection daptomycin 1 mg (2006)
Injection ertapenem sodium 500 mg (2006)
Erythromycin glucep / 250 mg (1998)
Injection erythromycin lactobionate 500 mg (2006)
Injection ganciclovir sodium 500 mg
Injection garamycin gent to 80 mg
Injection gatifloxacin 10 mg (2006)
Injection kanamycin sulfate up to 55 mg (2006)
Inj kanamycin sulfate up 75 mg
Injection cephalothin sodium to 1 g
Injection levofloxacin 250 mg
Injection lincomycin HCl to 300 mg
Injection linezolid 200mg
Injection meropenem 100 mg (2006)
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J Code
J2280
J2460
J2460
J2510
J2540
J2543
J2700
J2770
J3000
J3260
J3320
J3370
J3490
J3490
J3490
J3490
J3490
J3490
J3490
J3490
S0016
S0017
S0024
S0032
S0034
S0039
S0040
S0072
S0073
S0074
S0077
S0081
S5017
S9494
S9500
S9501
S9502
S9504
S9539
Code description
Injection moxifloxacin 100 mg (2006)
Inj oxytetracycline HCl up to 50 mg (2000)
Injection oxytetracycline HCl up to 50 mg (2006)
Inj penicillin G procaine aqueous up to 600 k u (2006)
Injection pcn G K+ to 600000 units
Inj pip/tz 1 gram/0.125 grams
Inj oxacillin sodium to 250 mg
Injection quinupristin/dalfopristin 500 mg (150/350) (2006)
Injection streptomycin up to 1 g (2006)
Inj tobramycin sulfate to 80 mg
Inj spectinomycin dihydrochloride up to 2 g (2006)
Injection vancomycin hcl 500 mg
UCD-amikacin sulfate 50 mg (2006)
UCD-aztreonam 500 mg (2006)
UCD-cefotetan (2006)
UCD-clavulanate potass ticarcillin disodium 0.1-3 g (2006)
UCD-clindamycin phosphate 150 mg (2006)
UCD-minocycline hcl 100 mg (2006)
UCD-nafcillin sodium 1 g (2006)
UCD-rifampin 600 mg (2006)
Injection amikacin sulfate 500 mg (2000)
Inj amikacin sulfate 500 mg (2000)
Injection ciprofloxacin, 200mg
Inj nafcillin sodium 2 g (2000)
Inj ofloxacin 400 mg (2000)
Inj sulfamethoxazole and trimethoprim 10 ml (2000)
Inj ticarcilln & clavulanate K+31 gm
Injection amikacin sulfate 100 mg
Injection aztreonam 500 mg
Injection cefotetan disodium 500 mg
Inj clindamycin phosphate 300 mg
Inj piperacillin sodium 500 mg (2000)
Antibiotic administration supplies (without pump), per day
Hit antibiotic/antifungal; diem
Hit antibiotic/antifungal; Q24 hrs
Hit antibiotic/antifungal; Q12 hrs
Hit ABx antiviral/antifungal; Q8 hrs
Hit ABx antiviral/antifungal; Q4 hrs
Administration of antibiotics, intravenously
UCD -Unclassified drug.
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APPENDIX E. List of ICD-9-CM Codes for Opportunistic Infections
Dx Code
0030
004
0040
0041
0042
0043
0048
0049
006
0060
0061
0062
0063
0064
0065
0066
0068
0069
0072
0074
0080
00843
00849
0085
0088
010
0100
01000
01001
01002
01003
01004
01005
01006
01010
01011
01012
01013
01014
01015
01016
01080
01081
01082
01083
01084
01085
01086
01090
Description
Salmonella Gastroenteritis
Shigellosis
Shigella Dysenteriae
Shigella Flexneri
Shigella Boydii
Shigella Sonnei
Other Shigella Infections
Shigellosis Unspec
Amebiasis
Acute Amebic Dysentery Wo Abscess
Chron Intestin Amebiasis Wo Abscess
Amebic Nondysenteric Colitis
Amebic Liver Abscess
Amebic Lung Abscess
Amebic Brain Abscess
Amebic Skin Ulceration
Amebic Infection Other Sites
Amebiasis Unspec
Coccidiosis
Cryptosporidiosis
Intestinal Infection Due To E Coli
Intestinal Infec Campylobacter
Intestinal Infec Other Bacteria
Uns Bacterial Enteritis
Other arthropod-borne diseases
Primary Tuberculous Infection
Primary Tuberculous Complex
Primary Tuberculosis Complex Uns Exam
Primary Tuberculosis Complex No Exam
Primary Tuberculosis Complex Exam Unkn
Primary Tuberculosis Complex Micro Dx
Primary Tuberculosis Complex Cult Dx
Primary Tuberculosis Complex Histo Dx
Primary Tuberculosis Complex Other Test
Tuberculosis Pleurisy Primary ProgTuberculosis Uns Exam
Tuberculosis Pleurisy Primary ProgTuberculosis No Exam
Tuberculosis Pleurisy Primary ProgTuberculosis Exam Unk
Tuberculosis Pleurisy Primary ProgTuberculosis Micro Dx
Tuberculosis Pleurisy Primary ProgTuberculosis Cult Dx
Tuberculosis Pleurisy Primary ProgTuberculosis Histo Dx
Tuberculosis Pleurisy Primary ProgTuberculosis Oth Test
Oth Primary Progressive Tuberculosis Uns Exam
Oth Primary Progressive Tuberculosis No Exam
Oth Primary Progressive Tuberculosis Exam Unk
Oth Primary Progressive Tuberculosis Micro Dx
Oth Primary Progressive Tuberculosis Cult Dx
Oth Primary Progressive Tuberculosis Histo Dx
Oth Primary Progressive Tuberculosis Oth Test
Uns Primary Tuberculosis Infection Uns Exam
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01091
01092
01093
01094
01095
01096
0110
01100
01101
01102
01103
01104
01105
01106
01110
01111
01112
01113
01114
01115
01116
01120
01121
01122
01123
01124
01125
01126
01130
01131
01132
01133
01134
01135
01136
01140
01141
01142
01143
01144
01145
01146
01150
01151
01152
01153
01154
01155
01156
01160
01161
01162
01163
01164
Uns Primary Tuberculosis Infection No Exam
Uns Primary Tuberculosis Infection Exam Unkn
Uns Primary Tuberculosis Infection Micro Dx
Uns Primary Tuberculosis Infection Cult Dx
Uns Primary Tuberculosis Infection Histo Dx
Uns Primary Tuberculosis Infection Oth Test
Tuberculosis Of Lung Infiltrative
Tuberculosis Of Lung Infiltrative Uns Exam
Tuberculosis Of Lung Infiltrative No Exam
Tuberculosis Of Lung Infiltrative Exam Unkn
Tuberculosis Of Lung Infiltrative Micro Dx
Tuberculosis Of Lung Infiltrative Cult Dx
Tuberculosis Of Lung Infiltrative Histo Dx
Tuberculosis Of Lung Infiltrative Oth Test
Tuberculosis Of Lung Nodular Uns Exam
Tuberculosis Of Lung Nodular No Exam
Tuberculosis Of Lung Nodular Exam Unkn
Tuberculosis Of Lung Nodular Micro Dx
Tuberculosis Of Lung Nodular Cult Dx
Tuberculosis Of Lung Nodular Histo Dx
Tuberculosis Of Lung Nodular Other Test
Tuberculosis Of Lung W Cavitation Uns Exam
Tuberculosis Of Lung W Cavitation No Exam
Tuberculosis Of Lung W Cavitation Exam Unkn
Tuberculosis Of Lung W Cavitation Micro Dx
Tuberculosis Of Lung W Cavitation Cult Dx
Tuberculosis Of Lung W Cavitation Histo Dx
Tuberculosis Of Lung W Cavitation Oth Test
Tuberculosis Of Bronchus Uns Exam
Tuberculosis Of Bronchus No Exam
Tuberculosis Of Bronchus Exam Unkn
Tuberculosis Of Bronchus Micro Dx
Tuberculosis Of Bronchus Cult Dx
Tuberculosis Of Bronchus Histo Dx
Tuberculosis Of Bronchus Other Test
Tuberculosis Fibrosis Lung Uns Exam
Tuberculosis Fibrosis Lung No Exam
Tuberculosis Fibrosis Lung Exam Unkn
Tuberculosis Fibrosis Lung Micro Dx
Tuberculosis Fibrosis Lung Cult Dx
Tuberculosis Fibrosis Lung Histo Dx
Tuberculosis Fibrosis Lung Other Test
Tuberculosis Bronchiectasis Uns Exam
Tuberculosis Bronchiectasis No Exam
Tuberculosis Bronchiectasis Exam Unkn
Tuberculosis Bronchiectasis Micro Dx
Tuberculosis Bronchiectasis Cult Dx
Tuberculosis Bronchiectasis Histo Dx
Tuberculosis Bronchiectasis Other Test
Tuberculosis Pneumonia Uns Exam
Tuberculosis Pneumonia No Exam
Tuberculosis Pneumonia Exam Unkn
Tuberculosis Pneumonia Micro Dx
Tuberculosis Pneumonia Cult Dx
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01165
01166
01170
01171
01172
01173
01174
01175
01176
01180
01181
01182
01183
01184
01185
01186
01190
01191
01192
01193
01194
01195
01196
0120
01200
01201
01202
01203
01204
01205
01206
01210
01211
01212
01213
01214
01215
01216
01220
01221
01222
01223
01224
01225
01226
01230
01231
01232
01233
01234
01235
01236
01280
01281
Tuberculosis Pneumonia Histo Dx
Tuberculosis Pneumonia Other Test
Tuberculosis Pneumothorax Uns Exam
Tuberculosis Pneumothorax No Exam
Tuberculosis Pneumothorax Exam Unkn
Tuberculosis Pneumothorax Micro Dx
Tuberculosis Pneumothorax Cult Dx
Tuberculosis Pneumothorax Histo Dx
Tuberculosis Pneumothorax Other Test
Other Pulmonary Tuberculosis Uns Exam
Other Pulmonary Tuberculosis No Exam
Other Pulmonary Tuberculosis Exam Unkn
Other Pulmonary Tuberculosis Micro Dx
Other Pulmonary Tuberculosis Cult Dx
Other Pulmonary Tuberculosis Histo Dx
Other Pulmonary Tuberculosis Other Test
Uns Pulmonary Tuberculosis Uns Exam
Uns Pulmonary Tuberculosis No Exam
Uns Pulmonary Tuberculosis Exam Unkn
Uns Pulmonary Tuberculosis Micro Dx
Uns Pulmonary Tuberculosis Cult Dx
Uns Pulmonary Tuberculosis Histo Dx
Uns Pulmonary Tuberculosis Other Test
Tuberculous Pleurisy
Tuberculosis Pleurisy Uns Exam
Tuberculosis Pleurisy No Exam
Tuberculosis Pleurisy Exam Unkn
Tuberculosis Pleurisy Micro Dx
Tuberculosis Pleurisy Cult Dx
Tuberculosis Pleurisy Histo Dx
Tuberculosis Pleurisy Other Test
Tuberculosis Of Intrathoracic Nodes Uns Exam
Tuberculosis Of Intrathoracic Nodes No Exam
Tuberculosis Of Intrathoracic Nodes Exam Unkn
Tuberculosis Of Intrathoracic Nodes Micro Dx
Tuberculosis Of Intrathoracic Nodes Cult Dx
Tuberculosis Of Intrathoracic Nodes Histo Dx
Tuberculosis Of Intrathoracic Nodes Oth Test
Isolated Trach/Bronch Tuberculosis Uns Exam
Isolated Trach/Bronch Tuberculosis No Exam
Isolated Trach/Bronch Tuberculosis Exam Unkn
Isolated Trach/Bronch Tuberculosis Micro Dx
Isolated Trach/Bronch Tuberculosis Cult Dx
Isolated Trach/Bronch Tuberculosis Histo Dx
Isolated Trach/Bronch Tuberculosis Oth Test
Tuberculosis Laryngitis Uns Exam
Tuberculosis Laryngitis No Exam
Tuberculosis Laryngitis Exam Unkn
Tuberculosis Laryngitis Micro Dx
Tuberculosis Laryngitis Cult Dx
Tuberculosis Laryngitis Histo Dx
Tuberculosis Laryngitis Other Test
Other Respiratory Tuberculosis Uns Exam
Other Respiratory Tuberculosis No Exam
The Degge Group, Ltd.
aTNF Switching Study
13
03/08/2016
01282
01283
01284
01285
01286
0130
01300
01301
01302
01303
01304
01305
01306
01310
01311
01312
01313
01314
01315
01316
01320
01321
01322
01323
01324
01325
01326
01330
01331
01332
01333
01334
01335
01336
01340
01341
01342
01343
01344
01345
01346
01350
01351
01352
01353
01354
01355
01356
01360
01361
01362
01363
01364
01365
Other Respiratory Tuberculosis Exam Unkn
Other Respiratory Tuberculosis Micro Dx
Other Respiratory Tuberculosis Cult Dx
Other Respiratory Tuberculosis Histo Dx
Other Respiratory Tuberculosis Other Test
Tuberculous Meningitis
Tuberculosis Meningitis Uns Exam
Tuberculosis Meningitis No Exam
Tuberculosis Meningitis Exam Unkn
Tuberculosis Meningitis Micro Dx
Tuberculosis Meningitis Cult Dx
Tuberculosis Meningitis Histo Dx
Tuberculosis Meningitis Other Test
Tuberculoma Of Meninges Uns Exam
Tuberculoma Of Meninges No Exam
Tuberculoma Of Meninges Exam Unkn
Tuberculoma Of Meninges Micro Dx
Tuberculoma Of Meninges Cult Dx
Tuberculoma Of Meninges Histo Dx
Tuberculoma Of Meninges Oth Test
Tuberculoma Of Brain Uns Exam
Tuberculoma Of Brain No Exam
Tuberculoma Of Brain Exam Unkn
Tuberculoma Of Brain Micro Dx
Tuberculoma Of Brain Cult Dx
Tuberculoma Of Brain Histo Dx
Tuberculoma Of Brain Oth Test
Tuberculosis Abscess Of Brain Uns Exam
Tuberculosis Abscess Of Brain No Exam
Tuberculosis Abscess Of Brain Exam Unkn
Tuberculosis Abscess Of Brain Micro Dx
Tuberculosis Abscess Of Brain Cult Dx
Tuberculosis Abscess Of Brain Histo Dx
Tuberculosis Abscess Of Brain Other Test
Tuberculoma Of Spinal Cord Uns Exam
Tuberculoma Of Spinal Cord No Exam
Tuberculoma Of Spinal Cord Exam Unk
Tuberculoma Of Spinal Cord Micro Dx
Tuberculoma Of Spinal Cord Cult Dx
Tuberculoma Of Spinal Cord Histo Dx
Tuberculoma Of Spinal Cord Oth Test
Tuberculosis Abscess Of Spinal Cord Uns Exam
Tuberculosis Abscess Of Spinal Cord No Exam
Tuberculosis Abscess Of Spinal Cord Exam Unkn
Tuberculosis Abscess Of Spinal Cord Micro Dx
Tuberculosis Abscess Of Spinal Cord Cult Dx
Tuberculosis Abscess Of Spinal Cord Histo Dx
Tuberculosis Abscess Of Spinal Cord Oth Test
Tuberculosis Encephalitis/Myelitis Uns Exam
Tuberculosis Encephalitis/Myelitis No Exam
Tuberculosis Encephalitis/Myelitis Exam Unkn
Tuberculosis Encephalitis/Myelitis Micro Dx
Tuberculosis Encephalitis/Myelitis Cult Dx
Tuberculosis Encephalitis/Myelitis Histo Dx
The Degge Group, Ltd.
aTNF Switching Study
14
03/08/2016
01366
01380
01381
01382
01383
01384
01385
01386
01390
01391
01392
01393
01394
01395
01396
0140
01400
01401
01402
01403
01404
01405
01406
01480
01481
01482
01483
01484
01485
01486
0150
01500
01501
01502
01503
01504
01505
01506
01510
01511
01512
01513
01514
01515
01516
01520
01521
01522
01523
01524
01525
01526
01550
01551
Tuberculosis Encephalitis/Myelitis Oth Test
Other Tuberculosis Cent Nerv Sys Uns Exam
Other Tuberculosis Cent Nerv Sys No Exam
Other Tuberculosis Cent Nerv Sys Exam Unkn
Other Tuberculosis Cent Nerv Sys Micro Dx
Other Tuberculosis Cent Nerv Sys Cult Dx
Other Tuberculosis Cent Nerv Sys Histo Dx
Other Tuberculosis Cent Nerv Sys Oth Test
Uns Tuberculosis Cent Nerv Sys Uns Exam
Uns Tuberculosis Cent Nerv Sys No Exam
Uns Tuberculosis Cent Nerv Sys Exam Unkn
Uns Tuberculosis Cent Nerv Sys Micro Dx
Uns Tuberculosis Cent Nerv Sys Cult Dx
Uns Tuberculosis Cent Nerv Sys Histo Dx
Uns Tuberculosis Cent Nerv Sys Other Test
Tuberculous Peritonitis
Tuberculosis Peritonitis Uns Exam
Tuberculosis Peritonitis No Exam
Tuberculosis Peritonitis Exam Unkn
Tuberculosis Peritonitis Micro Dx
Tuberculosis Peritonitis Cult Dx
Tuberculosis Peritonitis Histo Dx
Tuberculosis Peritonitis Other Test
Oth Tuberculosis Perit/Mesen Gland Uns Exam
Oth Tuberculosis Perit/Mesen Glands No Exam
Oth Tuberculosis Perit/Mesen Gland Exam Unkn
Oth Tuberculosis Perit/Mesen Gland Micro Dx
Oth Tuberculosis Perit/Mesen Gland Cult Dx
Oth Tuberculosis Perit/Mesen Gland Histo Dx
Oth Tuberculosis Perit/Mesen Gland Oth Test
Tuberculosis Of Vertebral Column
Tuberculosis Of Vertebral Column Uns Exam
Tuberculosis Of Vertebral Column No Exam
Tuberculosis Of Vertebral Column Exam Unkn
Tuberculosis Of Vertebral Column Micro Dx
Tuberculosis Of Vertebral Column Cult Dx
Tuberculosis Of Vertebral Column Histo Dx
Tuberculosis Of Vertebral Column Oth Test
Tuberculosis Of Hip Uns Exam
Tuberculosis Of Hip No Exam
Tuberculosis Of Hip Exam Unkn
Tuberculosis Of Hip Micro Dx
Tuberculosis Of Hip Cult Dx
Tuberculosis Of Hip Histo Dx
Tuberculosis Of Hip Other Test
Tuberculosis Of Knee Uns Exam
Tuberculosis Of Knee No Exam
Tuberculosis Of Knee Exam Unkn
Tuberculosis Of Knee Micro Dx
Tuberculosis Of Knee Cult Dx
Tuberculosis Of Knee Histo Dx
Tuberculosis Of Knee Other Test
Tuberculosis Of Limb Bones Uns Exam
Tuberculosis Of Limb Bones No Exam
The Degge Group, Ltd.
aTNF Switching Study
15
03/08/2016
01552
01553
01554
01555
01556
01560
01561
01562
01563
01564
01565
01566
01570
01571
01572
01573
01574
01575
01576
01580
01581
01582
01583
01584
01585
01586
01590
01591
01592
01593
01594
01595
01596
0160
01600
01601
01602
01603
01604
01605
01606
01610
01611
01612
01613
01614
01615
01616
01620
01621
01622
01623
01624
01625
Tuberculosis Of Limb Bones Exam Unkn
Tuberculosis Of Limb Bones Micro Dx
Tuberculosis Of Limb Bones Cult Dx
Tuberculosis Of Limb Bones Histo Dx
Tuberculosis Of Limb Bones Other Test
Tuberculosis Of Mastoid Uns Exam
Tuberculosis Of Mastoid No Exam
Tuberculosis Of Mastoid Exam Unkn
Tuberculosis Of Mastoid Micro Dx
Tuberculosis Of Mastoid Cult Dx
Tuberculosis Of Mastoid Histo Dx
Tuberculosis Of Mastoid Other Test
Tuberculosis Of Other Bone Uns Exam
Tuberculosis Of Other Bone No Exam
Tuberculosis Of Other Bone Exam Unkn
Tuberculosis Of Other Bone Micro Dx
Tuberculosis Of Other Bone Cult Dx
Tuberculosis Of Other Bone Histo Dx
Tuberculosis Of Other Bone Oth Test
Tuberculosis Of Other Joint Uns Exam
Tuberculosis Of Other Joint No Exam
Tuberculosis Of Other Joint Exam Unkn
Tuberculosis Of Other Joint Micro Dx
Tuberculosis Of Other Joint Cult Dx
Tuberculosis Of Other Joint Histo Dx
Tuberculosis Of Other Joint Oth Test
Tuberculosis Of Uns Bones/Joints Uns Exam
Tuberculosis Of Uns Bones/Joints No Exam
Tuberculosis Of Uns Bones/Joints Exam Unkn
Tuberculosis Of Uns Bones/Joints Micro Dx
Tuberculosis Of Uns Bones/Joints Cult Dx
Tuberculosis Of Uns Bones/Joints Histo Dx
Tuberculosis Of Uns Bones/Joints Other Test
Tuberculosis Of Kidney
Tuberculosis Of Kidney Uns Exam
Tuberculosis Of Kidney No Exam
Tuberculosis Of Kidney Exam Unkn
Tuberculosis Of Kidney Micro Dx
Tuberculosis Of Kidney Cult Dx
Tuberculosis Of Kidney Histo Dx
Tuberculosis Of Kidney Other Test
Tuberculosis Of Bladder Uns Exam
Tuberculosis Of Bladder No Exam
Tuberculosis Of Bladder Exam Unkn
Tuberculosis Of Bladder Micro Dx
Tuberculosis Of Bladder Cult Dx
Tuberculosis Of Bladder Histo Dx
Tuberculosis Of Bladder Other Test
Tuberculosis Of Ureter Uns Exam
Tuberculosis Of Ureter No Exam
Tuberculosis Of Ureter Exam Unkn
Tuberculosis Of Ureter Micro Dx
Tuberculosis Of Ureter Cult Dx
Tuberculosis Of Ureter Histo Dx
The Degge Group, Ltd.
aTNF Switching Study
16
03/08/2016
01626
01630
01631
01632
01633
01634
01635
01636
01640
01641
01642
01643
01644
01645
01646
01650
01651
01652
01653
01654
01655
01656
01660
01661
01662
01663
01664
01665
01666
01670
01671
01672
01673
01674
01675
01676
01690
01691
01692
01693
01694
01695
01696
0170
01700
01701
01702
01703
01704
01705
01706
01710
01711
01712
Tuberculosis Of Ureter Other Test
Tuberculosis Of Oth Urinary Organs Uns Exam
Tuberculosis Of Oth Urinary Organs No Exam
Tuberculosis Of Oth Urinary Organs Exam Unkn
Tuberculosis Of Oth Urinary Organs Micro Dx
Tuberculosis Of Oth Urinary Organs Cult Dx
Tuberculosis Of Oth Urinary Organs Histo Dx
Tuberculosis Of Oth Urinary Organs Oth Test
Tuberculosis Of Epididymis Uns Exam
Tuberculosis Of Epididymis No Exam
Tuberculosis Of Epididymis Exam Unkn
Tuberculosis Of Epididymis Micro Dx
Tuberculosis Of Epididymis Cult Dx
Tuberculosis Of Epididymis Histo Dx
Tuberculosis Of Epididymis Other Test
Tuberculosis Of Oth Male Gen Organs Uns Exam
Tuberculosis Of Oth Male Gen Organs No Exam
Tuberculosis Of Oth Male Gen Organs Exam Unkn
Tuberculosis Of Oth Male Gen Organs Micro Dx
Tuberculosis Of Oth Male Gen Organs Cult Dx
Tuberculosis Of Oth Male Gen Organs Histo Dx
Tuberculosis Of Oth Male Gen Organs Oth Test
Tuberculosis Oophoritis/Salpingitis Uns Exam
Tuberculosis Oophoritis/Salpingitis No Exam
Tuberculosis Oophoritis/Salpingitis Exam Unkn
Tuberculosis Oophoritis/Salpingitis Micro Dx
Tuberculosis Oophoritis/Salpingitis Cult Dx
Tuberculosis Oophoritis/Salpingitis Histo Dx
Tuberculosis Oophoritis/Salpingitis Oth Test
Tuberculosis Of Oth Fem Gen Organs Uns Exam
Tuberculosis Of Oth Fem Gen Organs No Exam
Tuberculosis Of Oth Fem Gen Organs Exam Unkn
Tuberculosis Of Oth Fem Gen Organs Micro Dx
Tuberculosis Of Oth Fem Gen Organs Cult Dx
Tuberculosis Of Oth Fem Gen Organs Histo Dx
Tuberculosis Of Oth Fem Gen Organs Oth Test
Uns Genitourinary Tuberculosis Of Uns Exam
Uns Genitourinary Tuberculosis Of No Exam
Uns Genitourinary Tuberculosis Of Exam Unkn
Uns Genitourinary Tuberculosis Of Micro Dx
Uns Genitourinary Tuberculosis Of Cult Dx
Uns Genitourinary Tuberculosis Of Histo Dx
Uns Genitourinary Tuberculosis Of Oth Test
Tuberculosis Skin And Subcutaneous Tissue
Tuberculosis Of Skin/Subq Cellular Uns Exam
Tuberculosis Of Skin Subq Cellular No Exam
Tuberculosis Of Skin Subq Cellular Exam Unkn
Tuberculosis Of Skin Subq Cellular Micro Dx
Tuberculosis Of Skin Subq Cellular Cult Dx
Tuberculosis Of Skin Subq Cellular Histo Dx
Tuberculosis Of Skin Subq Cellular Oth Test
Tuberculosis Erythema Nod W Hypsens Uns Exam
Tuberculosis Erythema Nod W Hypsens No Exam
Tuberculosis Erythema Nod W Hypsens Exam Unkn
The Degge Group, Ltd.
aTNF Switching Study
17
03/08/2016
01713
01714
01715
01716
01720
01721
01722
01723
01724
01725
01726
01730
01731
01732
01733
01734
01735
01736
01740
01741
01742
01743
01744
01745
01746
01750
01751
01752
01753
01754
01755
01756
01760
01761
01762
01763
01764
01765
01766
01770
01771
01772
01773
01774
01775
01776
01780
01781
01782
01783
01784
01785
01786
01790
Tuberculosis Erythema Nod W Hypsens Micro Dx
Tuberculosis Erythema Nod W Hypsens Cult Dx
Tuberculosis Erythema Nod W Hypsens Histo Dx
Tuberculosis Erythema Nod W Hypsens Oth Test
Tuberculosis Peripheral Lymph Nodes Uns Exam
Tuberculosis Peripheral Lymph Nodes No Exam
Tuberculosis Peripheral Lymph Nodes Exam Unkn
Tuberculosis Peripheral Lymph Nodes Micro Dx
Tuberculosis Peripheral Lymph Nodes Cult Dx
Tuberculosis Peripheral Lymph Nodes Histo Dx
Tuberculosis Peripheral Lymph Nodes Oth Test
Tuberculosis Of Eye Unspec
Tuberculosis Of Eye No Exam
Tuberculosis Of Eye Exam Unkn
Tuberculosis Of Eye Micro Dx
Tuberculosis Of Eye Cult Dx
Tuberculosis Of Eye Histo Dx
Tuberculosis Of Eye Ot Test
Tuberculosis Of Ear Unspec
Tuberculosis Of Ear No Exam
Tuberculosis Of Ear Exam Unkn
Tuberculosis Of Ear Micro Dx
Tuberculosis Of Ear Cult Dx
Tuberculosis Of Ear Histo Dx
Tuberculosis Of Ear Ot Test
Tuberculosis Of Thyroid Gland Uns Exam
Tuberculosis Of Thyroid Gland No Exam
Tuberculosis Of Thyroid Gland Exam Unkn
Tuberculosis Of Thyroid Gland Micro Dx
Tuberculosis Of Thyroid Gland Cult Dx
Tuberculosis Of Thyroid Gland Histo Dx
Tuberculosis Of Thyroid Gland Other Test
Tuberculosis Of Adrenal Glands Uns Exam
Tuberculosis Of Adrenal Glands No Exam
Tuberculosis Of Adrenal Glands Exam Unkn
Tuberculosis Of Adrenal Glands Micro Dx
Tuberculosis Of Adrenal Glands Cult Dx
Tuberculosis Of Adrenal Glands Histo Dx
Tuberculosis Of Adrenal Glands Other Test
Tuberculosis Of Spleen Uns Exam
Tuberculosis Of Spleen No Exam
Tuberculosis Of Spleen Exam Unkn
Tuberculosis Of Spleen Micro Dx
Tuberculosis Of Spleen Cult Dx
Tuberculosis Of Spleen Histo Dx
Tuberculosis Of Spleen Other Test
Tuberculosis Of Esophagus Uns Exam
Tuberculosis Of Esophagus No Exam
Tuberculosis Of Esophagus Exam Unkn
Tuberculosis Of Esophagus Micro Dx
Tuberculosis Of Esophagus Cult Dx
Tuberculosis Of Esophagus Histo Dx
Tuberculosis Of Esophagus Other Test
Tuberculosis Of Other Organs Uns Exam
The Degge Group, Ltd.
aTNF Switching Study
18
03/08/2016
01791
01792
01793
01794
01795
01796
0180
01800
01801
01802
01803
01804
01805
01806
01880
01881
01882
01883
01884
01885
01886
01890
01891
01892
01893
01894
01895
01896
0310
0312
039
0390
0391
0392
0393
0394
0398
0399
0461
0463
053
0530
0531
05310
05311
05312
05313
05314
05319
0532
05320
05321
05322
05329
Tuberculosis Of Other Organs No Exam
Tuberculosis Of Other Organs Exam Unkn
Tuberculosis Of Other Organs Micro Dx
Tuberculosis Of Other Organs Cult Dx
Tuberculosis Of Other Organs Histo Dx
Tuberculosis Of Other Organs Oth Test
Acute Miliary Tuberculosis
Acute Miliary Tuberculosis Uns Exam
Acute Miliary Tuberculosis No Exam
Acute Miliary Tuberculosis Exam Unkn
Acute Miliary Tuberculosis Micro Dx
Acute Miliary Tuberculosis Cult Dx
Acute Miliary Tuberculosis Histo Dx
Acute Miliary Tuberculosis Other Test
Other Miliary Tuberculosis Uns Exam
Other Miliary Tuberculosis No Exam
Other Miliary Tuberculosis Exam Unkn
Other Miliary Tuberculosis Micro Dx
Other Miliary Tuberculosis Cult Dx
Other Miliary Tuberculosis Histo Dx
Other Miliary Tuberculosis Oth Test
Uns Miliary Tuberculosis Uns Exam
Uns Miliary Tuberculosis No Exam
Uns Miliary Tuberculosis Exam Unkn
Uns Miliary Tuberculosis Micro Dx
Uns Miliary Tuberculosis Cult Dx
Uns Miliary Tuberculosis Histo Dx
Uns Miliary Tuberculosis Other Test
Pulmonary Diseases Other Mycobact
Disseminated Mycobacterium
Actinomycotic Infections
Cutaneous Actinomycotic Infection
Pulmonary Actinomycotic Infection
Abdominal Actinomycotic Infection
Cervicofacial Actinomycotic Infect
Madura Foot Actinomycotic Infect
Actinomycotic Infection Other Sites
Actinomycotic Infection Uns Site
Jakob Creutzfeldt Disease
Prog Multifocal Leukoencephalopathy
Herpes Zoster
Herpes Zoster W Meningitis
Herpes Zoster W Nerv System Compli
Herpes Zoster W Uns Nervous Compl
Geniculate Herpes Zoster
Postherpetic Trigeminal Neuralgia
Postherpetic Polyneuropathy
Herpes Zoster Myelitis
Herpes Zoster W Oth Nervous Compli
Herpes Zoster W Ophthalmic Complic
Herpes Zoster Dermatitis Eyelid
Herpes Zoster Keratoconjunctivitis
Herpes Zoster Iridocyclitis
Herpes Zoster W Oth Ophthalmic Comp
The Degge Group, Ltd.
aTNF Switching Study
19
03/08/2016
0537
05371
05379
0538
0539
054
0540
0541
05410
05411
05412
05413
05419
0542
0543
0544
05440
05441
05442
05443
05444
05449
0545
0546
0547
05471
05472
05473
05474
05479
0548
0549
059
0588
0590
0591
0592
0598
0599
07041
07044
07051
07054
07070
07071
0780
0781
07810
07811
07819
0785
0794
090
0900
Herpes Zoster W Other Complications
Otitis External Herpes Zoster
Herpes Zoster W Other Complications
Herpes Zoster W Uns Complication
Herpes Zoster Wo Complication
Herpes Simplex
Eczema Herpeticum
Genital Herpes
Genital Herpes Unspec
Herpetic Vulvovaginitis
Herpetic Ulceration Vulva
Herpetic Infection Penis
Other Genital Herpes
Herpetic Gingivostomatitis
Herpetic Meningoencephalitis
Herpes Simplex W Ophthalmic Complic
Herpes Simp W Uns Ophthalmic Compl
Herpes Simplex Dermatitis Eyelid
Herpes Simplex Dendritic Keratitis
Herpes Simplex Disciform Keratitis
Herpes Simplex Iridocyclitis
Herpes Simp W Oth Ophthalmic Compli
Herpetic Septicemia
Herpetic Whitlow
Herpes Simplex W Other Complication
Visceral Herpes Simplex
Herpes Simplex Meningitis
Herpes Simplex Otitis Externa
Herpes Simplex Myelitis
Herpes Simplex W Other Compli
Herpes Simplex W Uns Compli
Herpes Simplex Wo Compli
Other poxvirus infections
Other human herpesvirus infection
Other orthopoxvirus infections
Other parapoxvirus infections
Yatapoxvirus infections
Other poxvirus infections
Poxvirus infections, unspecified
Acute Hepatitis C W Hepatic Coma
Chr Hepatitis C W Coma
Acute Hepatitis C Wo Hep Coma
Chr Hepatitis C Wo Coma
Uns Viral Hepatitis C Wo Coma
Uns Viral Hepatitis C W Coma
Molluscum Contagiosum
Viral Warts
Viral Warts Unspecified
Condyloma Acuminatum
Other Specified Viral Warts
Cytomegaloviral Disease
Human Papilloma Virus Infection
Congenital Syphilis
Early Congenital Syphilis Sympt
The Degge Group, Ltd.
aTNF Switching Study
20
03/08/2016
0901
0902
0903
0904
09040
09041
09042
09049
0905
0906
0907
0909
091
0910
0911
0912
0913
0914
0915
09151
09152
0916
09161
09162
09169
0917
0918
09181
09182
09189
0919
092
0920
0929
093
0930
0931
0932
09320
09321
09322
09323
09324
0938
09381
09382
09389
0939
094
0940
0941
0942
0943
0948
Early Congenital Syphilis Latent
Uns Early Congenital Syphilis
Syphilitic Interstitial Keratitis
Juvenile Neurosyphilis
Uns Juvenile Neurosyphilis
Congenital Syphilitic Encephalitis
Congenital Syphilitic Meningitis
Oth Juvenile Neurosyphilis
Oth Late Congenital Syphilis Sympt
Late Congenital Syphilis Latent
Uns Late Congenital Syphilis
Congenital Syphilis Unspec
Early Syphilis Symptomatic
Genital Syphilis
Primary Anal Syphilis
Other Primary Syphilis
Secondary Syphilis Skin/Mucous Memb
Adenopathy Secondary Syphilis
Uveitis Due To Secondary Syphilis
Syphilitic Chorioretinitis
Syphilitic Iridocyclitis
Secondary Syphilis Of Viscera/Bone
Secondary Syphilitic Periostitis
Secondary Syphilitic Hepatitis
Secondary Syphilis Oth Viscera
Secondary Syphilis Relapse
Other Forms Of Secondary Syphilis
Acute Syphilitic Meningitis
Syphilitic Alopecia
Oth Forms Secondary Syphilis
Uns Secondary Syphilis
Early Syphilis Latent
Early Syphilis Latent W Relapse
Uns Early Syphilis Latent
Cardiovascular Syphilis
Aneurysm Aorta Syphilitic
Syphilitic Aortitis
Syphilitic Endocarditis
Uns Syphilitic Endocarditis Valve
Syphilitic Mitral Valve
Syphilitic Aortic Valve
Syphilitic Tricuspid Valve
Syphilitic Pulmonary Valve
Other Cardiovascular Syphilis
Syphilitic Pericarditis
Syphilitic Myocarditis
Other Cardiovascular Syphilis
Uns Cardiovascular Syphilis
Neurosyphilis
Tabes Dorsalis
General Paresis
Syphilitic Meningitis
Asymptomatic Neurosyphilis
Other Specified Neurosyphilis
The Degge Group, Ltd.
aTNF Switching Study
21
03/08/2016
09481
09482
09483
09484
09485
09486
09487
09489
0949
095
0950
0951
0952
0953
0954
0955
0956
0957
0958
0959
096
097
0970
0971
0979
1101
112
1120
1121
1122
1123
1124
1125
1128
11281
11282
11283
11284
11285
11289
1129
114
1140
1141
1142
1143
1144
1145
1149
115
1150
11500
11501
11502
Syphilitic Encephalitis
Syphilitic Parkinsonism
Syphilitic Dissem Retinochoroiditis
Syphilitic Optic Atrophy
Syphilitic Retrobulbar Neuritis
Syphilitic Acoustic Neuritis
Syphilitic Rupt Cerebral Aneurysm
Other Specified Neurosyphilis
Neurosyphilis Unspecified
Other Late Syphilis With Symptoms
Syphilitic Episcleritis
Syphilis Lung
Syphilitic Peritonitis
Syphilis Liver
Syphilis Kidney
Syphilis Bone
Syphilis Muscle
Syphilis Synovium/Tendon/Bursa
Other Forms Late Sympt Syphilis
Uns Late Symptomatic Syphilis
Late Syphilis Latent
Other And Unspecified Syphilis
Late Syphilis Unspecified
Latent Syphilis Unspecified
Syphilis Unspecified
Dermatophytosis Nail
Candidiasis
Candidiasis Mouth
Candidiasis Vulva/Vagina
Candidiasis Ot Urogenital Sites
Candidiasis Skin/Nails
Candidiasis Lung
Disseminated Candidiasis
Candidiasis Other Sites
Candidal Endocarditis
Candidal Otitis Externa
Candidal Meningitis
Candidal Esophagitis
Candidal Enteritis
Candidiasis Other Sites
Candidiasis Uns Site
Coccidioidomycosis
Primary Coccidioidomycosis
Prim Extrapulm Coccidioidomycosis
Coccidioidal Meningitis
Ot Prog Coccidioidomycosis
Chr Pulm Coccidioidomycosis
Uns Pulm Coccidioidomycosis
Coccidioidomycosis Unspec
Histoplasmosis
Infection Histoplasma Capsulatum
Histoplasma Capsulat Infec Wo Manif
Histoplasma Capsulat Meningitis
Histoplasma Capsulat Retinitis
The Degge Group, Ltd.
aTNF Switching Study
22
03/08/2016
11503
11504
11505
11509
1151
11510
11511
11512
11513
11514
11515
11519
1159
11590
11591
11592
11593
11594
11595
11599
116
1160
1161
1162
1173
1174
1175
118
1288
130
1300
1301
1302
1303
1304
1305
1307
1308
1309
1362
1363
1368
176
1760
1761
1762
1763
1764
1765
1768
1769
3210
37005
481
Histoplasma Capsulat Pericarditis
Histoplasma Capsulat Endocarditis
Histoplasma Capsulat Pneonia
Histoplasma Capsulat W Oth Manif
Infection By Histoplasma Duboisii
Histoplasma Dub Infection Wo Manif
Histoplasma Dub Meningitis
Histoplasma Dub Retinitis
Histoplasma Dub Pericarditis
Histoplasma Dub Endocarditis
Histoplasma Dub Pneumonia
Histoplasma Dub Infect W Oth Manif
Histoplasmosis Unspecified
Uns Histoplasmosis Wo Manifestation
Uns Histoplasmosis Meningitis
Uns Histoplasmosis Retinitis
Uns Histoplasmosis Pericarditis
Uns Histoplasmosis Endocarditis
Uns Histoplasmosis Pneumonia
Uns Histoplasmosis W Oth Manif
Blastomycotic Infection
Blastomycosis
Paracoccidioidomycosis
Lobomycosis
Aspergillosis
Mycotic Mycetomas
Cryptococcosis
Opportunistic Mycoses
Other specified helminthiasis
Toxoplasmosis
Meningoencephalitis Toxoplasmosis
Conjunctivitis Toxoplasmosis
Chorioretinitis Toxoplasmosis
Myocarditis Toxoplasmosis
Pneumonitis Toxoplasmosis
Hepatitis Toxoplasmosis
Toxoplasmosis Other Sites
Multisystemic Dissem Toxoplasmosis
Toxoplasmosis Unspecified
Free Living Amebae Infections
Pneumocystosis
Other Infectious/Parasitic Diseases
Kaposi's Sarcoma
Kaposi's Sarcoma Skin
Kaposi's Sarcoma Soft Tissue
Kaposi's Sarcoma Palate
Kaposi's Sarcoma Gastrointestinal
Kaposi's Sarcoma Lung
Kaposi's Sarcoma Lymph Nodes
Kaposi's Sarcoma Other Sites
Kaposi's Sarcoma Site Unspec
Cryptococcal Meningitis
Mycotic Corneal Ulcer
Pneumococcal Pneumonia
The Degge Group, Ltd.
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482
4820
4821
4822
4823
48230
48231
48232
48239
4824
48240
48241
48249
4828
48281
48282
48283
48284
48289
4829
4830
4846
4847
5186
5286
Other Bacterial Pneumonia
Pneumonia Klebsiella Pneumoniae
Pneumonia Pseudomonas
Pneumonia Hemophilus Influenzae
Pneumonia Due To Streptococcus
Pneumonia Uns Streptococcus
Pneumonia Streptococcus Group A
Pneumonia Streptococcus Group B
Pneumonia Oth Streptococcus
Pneumonia Due To Staphylococcus
Pneumonia Uns Staphylococcus
Pneumonia Staphlococcus Aureus
Oth Staphylococcus Pneumonia
Pneumonia Due To Other Bacteria
Pneumonia Anaerobes
Pneumonia Escherichia Coli
Pneumonia Oth Gram Negative Bact
Legionnaires' Disease
Pneumonia Other Bacteria
Uns Bacterial Pneumonia
Pneumonia Mycoplasma Pneumoniae
Pneumonia Aspergillosis
Pneumonia Oth Systemic Mycoses
Allergic Bronchopulmonary Aspergill
Leukoplakia Oral Mucosa
The Degge Group, Ltd.
aTNF Switching Study
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03/08/2016
APPENDIX F. Procedural Codes Used to Define Joint Surgery
CPT- 4
Category description
Procedures for hand/wrist
25040
Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body
25085
Capsulotomy, wrist (eg, contracture)
25100
Arthrotomy, wrist joint; with biopsy
25101
Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
25105
Arthrotomy, wrist joint; with synovectomy
25118
Synovectomy, extensor tendon sheath, wrist, single compartment;
25119
Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open
25320
reduction) for carpal instability
25332
Arthroplasty, wrist, with or without interposition, with or without external or internal fixation
25394
Osteoplasty, carpal bone, shortening
25443
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)
25445
Arthroplasty with prosthetic replacement; trapezium
25446
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)
25447
Arthroplasty, interposition, intercarpal or carpometacarpal joints
25449
Revision of arthroplasty, including removal of implant, wrist joint
25670
Open treatment of radiocarpal or intercarpal dislocation, one or more bones
25800
Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)
25805
Arthrodesis, wrist; with sliding graft
25810
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)
25820
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)
25825
Arthrodesis, wrist; with autograft (includes obtaining graft)
26070
Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint
26075
Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each
26080
Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each
26100
Arthrotomy with biopsy; carpometacarpal joint, each
26105
Arthrotomy with biopsy; metacarpophalangeal joint, each
26110
Arthrotomy with biopsy; interphalangeal joint, each
26130
Synovectomy, carpometacarpal joint
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CPT- 4
Category description
26135
26140
26145
26160
26170
26180
26340
26471
26474
26476
26477
26478
26479
26480
26483
26525
26530
26531
26540
26541
26542
26545
26548
26565
26567
26568
26841
26842
26843
26844
26850
26852
26860
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit
Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint
Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon
Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger
Excision of tendon, palm, flexor or extensor, single, each tendon
Excision of tendon, finger, flexor or extensor, each tendon
Manipulation, finger joint, under anesthesia, each joint
Tenodesis; of proximal interphalangeal joint, each joint
Tenodesis; of distal joint, each joint
Lengthening of tendon, extensor, hand or finger, each tendon
Shortening of tendon, extensor, hand or finger, each tendon
Lengthening of tendon, flexor, hand or finger, each tendon
Shortening of tendon, flexor, hand or finger, each tendon
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon
Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon
Capsulectomy or capsulotomy; interphalangeal joint, each joint
Arthroplasty, metacarpophalangeal joint; each joint
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint
Repair of collateral ligament, metacarpophalangeal or interphalangeal joint
Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)
Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)
Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint
Repair and reconstruction, finger, volar plate, interphalangeal joint
Osteotomy; metacarpal, each
Osteotomy; phalanx of finger, each
Osteoplasty, lengthening, metacarpal or phalanx
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, carpometacarpal joint, digit, other than thumb, each;
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)
Arthrodesis, metacarpophalangeal joint, with or without internal fixation;
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, interphalangeal joint, with or without internal fixation;
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CPT- 4
Category description
Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (list separately in addition to code for primary
procedure)
26862
Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)
Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (list separately in addition
26863
to code for primary procedure)
28070
Synovectomy; intertarsal or tarsometatarsal joint, each
28072
Synovectomy; metatarsophalangeal joint, each
28272
Capsulotomy; interphalangeal joint, each joint (separate procedure)
28310
Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)
28312
Osteotomy, shortening, angular or rotational correction; other phalanges, any toe
29840
Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)
29844
Arthroscopy, wrist, surgical; synovectomy, partial
29845
Arthroscopy, wrist, surgical; synovectomy, complete
29846
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement
29848
Endoscopy, wrist, surgical, with release of transverse carpal ligament
29900
Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy
29901
Arthroscopy, metacarpophalangeal joint, surgical; with debridement
29902
Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, stenar lesion)
Procedures for elbow/shoulder/arm area
23040
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body
23044
Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body
23101
Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage
23105
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy
23106
Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy
23405
Tenotomy, shoulder area; single tendon
23406
Tenotomy, shoulder area; multiple tendons through same incision
23420
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
23465
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block
23466
Capsulorrhaphy, glenohumeral joint, any type multi-directional instability
23470
Arthroplasty, glenohumeral joint; hemiarthroplasty
23472
Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
23480
Osteotomy, clavicle, with or without internal fixation;
23485
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)
23700
Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
26861
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CPT- 4
Category description
23800
23802
24000
24100
24101
24155
24160
24301
24305
24310
24320
24330
24331
24341
24343
24344
24345
24346
24360
24361
24362
24363
24365
24366
24800
24802
25107
25290
Arthrodesis, glenohumeral joint;
Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body
Arthrotomy, elbow; with synovial biopsy only
Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
Resection of elbow joint (arthrectomy)
Implant removal; elbow joint
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)
Tendon lengthening, upper arm or elbow, each tendon
Tenotomy, open, elbow to shoulder, each tendon
Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (seddon-brookes type procedure)
Flexor-plasty, elbow (eg, steindler type advancement);
Flexor-plasty, elbow (eg, steindler type advancement); with extensor advancement
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
Repair lateral collateral ligament, elbow, with local tissue
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)
Repair medial collateral ligament, elbow, with local tissue
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)
Arthroplasty, elbow; with membrane (eg, fascial)
Arthroplasty, elbow; with distal humeral prosthetic replacement
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction
Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)
Arthroplasty, radial head;
Arthroplasty, radial head; with implant
Arthrodesis, elbow joint; local
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)
Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex
Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon
Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or
weave, or tenodesis) with or without open reduction of distal radioulnar joint
Osteotomy, radius; distal third
Osteoplasty, radius or ulna; shortening
Osteoplasty, radius or ulna; lengthening with autograft
25337
25350
25390
25391
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CPT- 4
Category description
25392
Osteoplasty, radius and ulna; shortening (excluding 64876)
25393
Osteoplasty, radius and ulna; lengthening with autograft
25441
Arthroplasty with prosthetic replacement; distal radius
25442
Arthroplasty with prosthetic replacement; distal ulna
25443
Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)
25444
Arthroplasty with prosthetic replacement; lunate
25830
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, sauve-kapandji procedure)
26060
Tenotomy, percutaneous, single, each digit
26450
Tenotomy, flexor, palm, open, each tendon
26455
Tenotomy, flexor, finger, open, each tendon
26460
Tenotomy, extensor, hand or finger, open, each tendon
27003
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy
27054
Arthrotomy with synovectomy, hip joint
29805
Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)
29806
Arthroscopy, shoulder, surgical; capsulorrhaphy
29807
Arthroscopy, shoulder, surgical; repair of slap lesion
29819
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body
29820
Arthroscopy, shoulder, surgical; synovectomy, partial
29821
Arthroscopy, shoulder, surgical; synovectomy, complete
29822
Arthroscopy, shoulder, surgical; debridement, limited
29823
Arthroscopy, shoulder, surgical; debridement, extensive
29824
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (mumford procedure)
29825
Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation
29826
Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release
29827
Arthroscopy, shoulder, surgical; with rotator cuff repair
29830
Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)
29834
Arthroscopy, elbow, surgical; with removal of loose body or foreign body
29835
Arthroscopy, elbow, surgical; synovectomy, partial
29836
Arthroscopy, elbow, surgical; synovectomy, complete
29837
Arthroscopy, elbow, surgical; debridement, limited
29838
Arthroscopy, elbow, surgical; debridement, extensive
Procedures for hip area
24301
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)
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CPT- 4
Category description
24400
24420
27000
27001
27005
27006
27033
Osteotomy, humerus, with or without internal fixation
Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)
Tenotomy, adductor of hip, percutaneous (separate procedure)
Tenotomy, adductor of hip, open
Tenotomy, hip flexor(s), open (separate procedure)
Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)
Arthrotomy, hip, including exploration or removal of loose or foreign body
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus,
tensor fascia latae, rectus femoris, sartorius, iliopsoas)
Arthrotomy, with biopsy; sacroiliac joint
Arthrotomy, with biopsy; hip joint
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)
Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
Revision of total hip arthroplasty; both components, with or without autograft or allograft
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
Revision of total hip arthroplasty; femoral component only, with or without allograft
Osteotomy and transfer of greater trochanter of femur (separate procedure)
Osteotomy, iliac, acetabular or innominate bone;
Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip
Osteotomy, femoral neck (separate procedure)
Manipulation, hip joint, requiring general anesthesia
Arthrodesis, hip joint (including obtaining graft);
Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy
Osteotomy, femur, shaft or supracondylar; without fixation
Osteotomy, femur, shaft or supracondylar; with fixation
Osteoplasty, femur; shortening (excluding 64876)
Osteoplasty, femur; lengthening
Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)
Arthroscopy, hip, surgical; with removal of loose body or foreign body
27036
27050
27052
27125
27130
27132
27134
27137
27138
27140
27146
27147
27151
27156
27161
27275
27284
27286
27448
27450
27465
27466
27468
29860
29861
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CPT- 4
Category description
29862
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum
29863
Arthroscopy, hip, surgical; with synovectomy
Procedures for knee area
27330
Arthrotomy, knee; with synovial biopsy only
27331
Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies
27332
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial or lateral
27333
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial and lateral
27334
Arthrotomy, with synovectomy, knee; anterior or posterior
27335
Arthrotomy, with synovectomy, knee; anterior and posterior including popliteal area
27390
Tenotomy, open, hamstring, knee to hip; single tendon
27391
Tenotomy, open, hamstring, knee to hip; multiple tendons, one leg
27392
Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral
27403
Arthrotomy with meniscus repair, knee
27427
Ligamentous reconstruction (augmentation), knee; extra-articular
27428
Ligamentous reconstruction (augmentation), knee; intra-articular (open)
27429
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
27435
Capsulotomy, posterior capsular release, knee
27437
Arthroplasty, patella; without prosthesis
27438
Arthroplasty, patella; with prosthesis
27440
Arthroplasty, knee, tibial plateau;
27441
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy
27442
Arthroplasty, femoral condyles or tibial plateau(s), knee;
27443
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy
27445
Arthroplasty, knee, hinge prosthesis (eg, walldius type)
27446
Arthroplasty, knee, condyle and plateau; medial or lateral compartment
27447
Arthroplasty, knee, condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty)
27486
Revision of total knee arthroplasty, with or without allograft; one component
27487
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
27570
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)
27580
Arthrodesis, knee, any technique
27712
Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure)
27715
Osteoplasty, tibia and fibula, lengthening or shortening
27871
Arthrodesis, tibiofibular joint, proximal or distal
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CPT- 4
Category description
29866
29867
29868
29870
29873
29874
29875
29876
29877
29879
29880
29881
29882
29883
29884
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft)
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, knee, surgical; with lateral release
Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)
Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral)
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture
Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscectomy (medial or lateral, including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral)
Arthroscopy, knee, surgical; with meniscus repair (medial and lateral)
Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of
29885
lesion)
29886
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion
29887
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation
Procedures for ankle/foot joints
26535
Arthroplasty, interphalangeal joint; each joint
26536
Arthroplasty, interphalangeal joint; with prosthetic implant, each joint
27605
Tenotomy, percutaneous, achilles tendon (separate procedure); local anesthesia
27606
Tenotomy, percutaneous, achilles tendon (separate procedure); general anesthesia
27610
Arthrotomy, ankle, including exploration, drainage, or removal of foreign body
27612
Arthrotomy, posterior capsular release, ankle, with or without achilles tendon lengthening
27620
Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body
27625
Arthrotomy, with synovectomy, ankle;
27626
Arthrotomy, with synovectomy, ankle; including tenosynovectomy
27700
Arthroplasty, ankle;
27702
Arthroplasty, ankle; with implant (total ankle)
27703
Arthroplasty, ankle; revision, total ankle
27870
Arthrodesis, ankle, open
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CPT- 4
Category description
28010
28011
28020
28022
28024
28050
28052
28054
28070
28086
28088
28090
28092
28230
28232
28234
28260
28261
28262
28264
28270
28302
28304
28305
28306
28307
28308
28309
28313
28705
28715
28725
28730
Tenotomy, percutaneous, toe; single tendon
Tenotomy, percutaneous, toe; multiple tendons
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal jt
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint
Arthrotomy with biopsy; intertarsal or tarsometatarsal joint
Arthrotomy with biopsy; metatarsophalangeal joint
Arthrotomy with biopsy; interphalangeal joint
Synovectomy; intertarsal or tarsometatarsal joint, each
Synovectomy, tendon sheath, foot; flexor
Synovectomy, tendon sheath, foot; extensor
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each
Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)
Tenotomy, open, extensor, foot or toe, each tendon
Capsulotomy, midfoot; medial release only (separate procedure)
Capsulotomy, midfoot; with tendon lengthening
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)
Capsulotomy, midtarsal (eg, heyman type procedure)
Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)
Osteotomy; talus
Osteotomy, tarsal bones, other than calcaneus or talus;
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, fowler type)
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, swanson type cavus foot procedure)
Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)
Arthrodesis; pantalar
Arthrodesis; triple
Arthrodesis; subtalar
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;
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CPT- 4
Category description
28735
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)
28737
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, miller type procedure)
28740
Arthrodesis, midtarsal or tarsometatarsal, single joint
28755
Arthrodesis, great toe; interphalangeal joint
28760
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, jones type procedure)
29891
Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect
29894
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body
29895
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial
29897
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited
29898
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
29899
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis
Procedures for lumbar/spine/jaw/other
21010
21240
21242
21243
22210
22212
22214
22216
22220
22222
22224
22226
22532
22533
22534
22548
22554
22556
22558
Arthrotomy, temporomandibular joint
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)
Arthroplasty, temporomandibular joint, with allograft
Arthroplasty, temporomandibular joint, with prosthetic joint replacement
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; thoracic
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; lumbar
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; each additional vertebral segment (list separately in addition to primary
procedure)
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (list separately in addition to
code for primary procedure)
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each
additional vertebral segment (list separately in addition to code for primary procedure)
Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid process
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below c2
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
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CPT- 4
22585
22590
22595
22600
22610
22612
22614
22630
22632
22800
22802
22804
22857
22862
22865
23450
23455
26500
27280
27282
29800
29804
0090T
0092T
0093T
0095T
0096T
0098T
0163T
Category description
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace
(list separately in addition to code for primary procedure)
Arthrodesis, posterior technique, craniocervical (occiput-c2)
Arthrodesis, posterior technique, atlas-axis (c1-c2)
Arthrodesis, posterior or posterolateral technique, single level; cervical below c2 segment
Arthrodesis, posterior or posterolateral technique, single level; thoracic (with or without lateral transverse technique)
Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral transverse technique)
Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (list separately in addition to code for primary
procedure)
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single
interspace; lumbar
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single
interspace; each additional interspace (list separately in addition to code for primary procedure)
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single
interspace
Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace
Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace
Capsulorrhaphy, anterior; putti-platt procedure or magnuson type operation
Capsulorrhaphy, anterior; with labral repair (eg, bankart procedure)
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)
Arthrodesis, sacroiliac joint (including obtaining graft)
Arthrodesis, symphysis pubis (including obtaining graft)
Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)
Arthroscopy, temporomandibular joint, surgical
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression) cervical; single
interspace
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression) cervical; each
additional interspace (list separately in addition to code for primary procedure)
Removal of total disc arthroplasty, anterior approach cervical; single interspace
Removal of total disc arthroplasty, anterior approach cervical; each additional interspace (list separately in addition to code for primary procedure)
Revision of total disc arthroplasty, anterior approach cervical; single interspace
Revision of total disc arthroplasty, anterior approach cervical; each additional interspace (list separately in addition to code for primary procedure)
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, each
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CPT- 4
Category description
additional interspace
0164T
0165T
Removal of total disc arthroplasty, anterior approach, lumbar, each additional interspace
Revision of total disc arthroplasty, anterior approach, lumbar, each additional interspace
ICD-9
Category description
Incision and excision of joint structures
Arthrotomy for removal of prosthesis (Includes removal of posterior spinal motion preservation (dynamic stabilization, facet replacement, interspinous
80.0*
process) device(s))
80.1*
Other arthrotomy
80.2*
Arthroscopy
80.3*
Biopsy of joint structure
80.4*
Division of joint capsule, ligament, or cartilage
80.5*
Excision, destruction and other repair of intervertebral disc
80.6*
Excision of semilunar cartilage of knee
80.7*
Synovectomy
80.8*
Other local excision or destruction of lesion of joint
80.9*
Other excision of joint
Repair and plastic operations on joint structures
81.1
Arthrodesis and arthroereisis of foot and ankle (Includes: arthrodesis of foot and ankle with: bone graft, external fixation device)
81.11
Ankle fusion, Tibiotalar fusion
81.12
Triple arthrodesis,Talus to calcaneus and calcaneus to cuboid and navicular
81.13
Subtalar fusion
81.14
Midtarsal fusion
81.15
Tarsometatarsal fusion
81.16
Metatarsophalangeal fusion
81.17
Other fusion of foot
81.18
Subtalar joint arthroereisis
81.2
Arthrodesis of other joint (Includes: arthrodesis with: bone graft external fixation device excision of bone ends and compression)
81.20
Arthrodesis of unspecified joint
81.21
Arthrodesis of hip
81.22
Arthrodesis of knee
81.23
Arthrodesis of shoulder
81.24
Arthrodesis of elbow
81.25
Carporadial fusion
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ICD-9
Category description
81.26
81.27
81.28
81.29
81.3
81.30
Metacarpocarpal fusion
Metacarpophalangeal fusion
Interphalangeal fusion
Arthrodesis of other specified joints
Refusion of spine (Includes: arthrodesis of spine with: bone graft internal fixation correction of pseudarthrosis of spine)
Refusion of spine, not otherwise specified
Refusion of atlas-axis spine, Craniocervical fusion by anterior, transoral, or posterior technique, C1-C2 fusion by anterior, transoral, or posterior
technique, Occiput C2 fusion by anterior, transoral, or posterior technique
Refusion of other cervical spine, anterior technique (Arthrodesis of C2 level or below)
Refusion of other cervical spine, posterior technique (Arthrodesis of C2 level or below)
Refusion of dorsal and dorsolumbar spine, anterior technique (Arthrodesis of thoracic or thoracolumbar region)
Refusion of dorsal and dorsolumbar spine, posterior technique (Arthrodesis of thoracic or thoracolumbar region)
Refusion of lumbar and lumbosacral spine, anterior technique (Anterior lumbar interbody fusion (ALIF); Arthrodesis of lumbar or lumbosacral region)
Refusion of lumbar and lumbosacral spine, lateral transverse process technique
Refusion of lumbar and lumbosacral spine, posterior technique, Arthrodesis of lumbar or lumbosacral region
81.31
81.32
81.33
81.34
81.35
81.36
81.37
81.38
81.39
81.4
81.40
81.42
81.43
81.44
81.45
81.46
81.47
81.49
81.5
81.51
81.52
81.53
81.54
81.55
Refusion of spine, not elsewhere classified
Other repair of joint of lower extremity (Includes: arthroplasty of lower extremity with: external traction or fixation, graft of bone (chips) or
cartilage internal fixation device)
Repair of hip, not elsewhere classified
Five-in-one repair of knee, Medial meniscectomy, medial collateral ligament repair, vastus medialis advancement, semitendinosus advancement, and pes
anserinus transfer
Triad knee repair, Medial meniscectomy with repair of the anterior cruciate ligament and the medial collateral ligament (O'Donoghue procedure)
Patellar stabilization (Roux-Goldthwait operation for recurrent dislocation of patella)
Other repair of the cruciate ligaments
Other repair of the collateral ligaments
Other repair of knee
Other repair of ankle
Joint replacement of lower extremity (Includes: arthroplasty of lower extremity with: external traction or fixation graft of bone (chips) or
cartilage internal fixation device or prosthesis)
Total hip replacement, Replacement of both femoral head and acetabulum by prosthesis, Total reconstruction of hip
Partial hip replacement, Bipolar endoprosthesis
Revision of hip replacement, not otherwise specified, Revision of hip replacement, not specified as to components(s) replaced, (acetabular, femoral, both)
Total knee replacement (Bicompartmental, Tricompartmental, Unicompartmental (hemijoint))
Revision of knee replacement,not otherwise specified
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ICD-9
Category description
81.56
81.57
81.59
81.6
81.62
81.63
81.64
81.65
Total ankle replacement
Replacement of joint of foot and toe
Revision of joint replacement of lower extremity, not elsewhere classified
Other procedures on spine
Fusion or refusion of 2-3 vertebrae
Fusion or refusion of 4- 8 vertebrae
Fusion or refusion of 9 or more vertebrae
Percutaneous vertebroplasty, Injection of bone void filler (cement) (polymethylmethacrylate) (PMMA) into the diseased or fractured, vertebral body
Percutaneous vertebral augmentation, Insertion of inflatable balloon, bone tamp, or other device displacing (removing) (compacting) bone to create a
space (cavity) (void) prior to the injection of bone void filler (cement) (polymethylmethacrylate) (PMMA) or other substance, Arcuplasty, Kyphoplasty,
SKyphoplasty, Spineoplasty
Arthroplasty and repair of hand, fingers and wrist (Includes: arthroplasty of hand and finger with: external traction or fixation, graft of bone
(chips) or cartilage, internal fixation device or prosthesis)
Arthroplasty of metacarpophalangeal and interphalangeal joint with implant
Arthroplasty of metacarpophalangeal and interphalangeal joint without implant
Total wrist replacement
Arthroplasty of carpocarpal or carpometacarpal joint with implant
Arthroplasty of carpocarpal or carpometacarpal joint without implant
Other repair of hand, fingers and wrist
Arthroplasty and repair of shoulder and elbow (Includes: arthroplasty of upper limb NEC with: external traction or fixation graft of bone (chips)
or cartilage internal fixation device or prosthesis
Total shoulder replacement
Partial shoulder replacement
Repair of recurrent dislocation of shoulder
Other repair of shoulder, Revision of arthroplasty of shoulder
Total elbow replacement
Other repair of elbow
Other operations on joint structures
Arthrocentesis, Joint aspiration
Injection of therapeutic substance into joint or ligament
Suture of capsule or ligament of upper extremity
Suture of capsule or ligament of ankle and foot
Suture of capsule or ligament of ankle and foot
Suture of capsule or ligament of other lower extremity
81.66
81.7
81.71
81.72
81.73
81.74
81.75
81.79
81.8
81.80
81.81
81.82
81.83
81.84
81.85
81.9
81.91
81.92
81.93
81.94
81.94
81.95
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ICD-9
Category description
81.96
81.97
81.98
81.99
Other repair of joint
Revision of joint replacement of upper extremity (Partial, Removal of cement spacer, Total)
Other diagnostic procedures on joint structures
Other
* The following fourth-digit subclassification is for use with ICD-9-CM procedure code range 80.0-80.9:
0 unspecified site
1 shoulder
2 elbow
3 wrist
4 hand and finger
5 hip
6 knee
7 ankle
8 foot and toe
9 other specified sites
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APPENDIX G. Medications Used to Define DMARD Treatment*
Generic
Brand Names
Auranofin
Ridaura
Aurothioglucose
Solganal
Azathioprine
Azathioprine Usp Tablets
Azathioprine Sodium
Imuran
Cyclosporine
Sangcya Solution Oral; Gengraf Capsules
Gold Chloride
Gold Chloride Trihydrate
Gold Sodium Thiomalate
Myochrysine
Hydroxychloroquine
Hydroxychloroquine Sulfate; Plaquenil
Leflunomide
Arava Tablets
Methotrexate†
Rheumatrex Dose Pack†; Folex†
Minocycline
Minocycline Hydrochloride; Minocin
Penicillamine
Cuprimine Capsules
Sulfasalazine
Sulfasalazine
*NDC codes are not displayed due to the excessive number
†
Methotrexate products were treated as a separate covariate
APPENDIX H. J-Codes Used to Define DMARD Treatment
J Code Code description
J2910
Aurothioglucose
J7501
Azathioprine parenteral 100 mg
J7500
Azathioprine oral 50 mg
J7516
Cyclosporine parenteral 250 mg
J7502
Cyclosporine oral 100 mg
J7515
Cyclosporine oral 25 mg
J1600
Inj gold sodium thiomalate to 50 mg
J8610
Methotrexate oral 2.5 mg†
J9250
Methotrexate sodium 5 mg†
J9260
Methotrexate sodium 50 mg†
†
Methotrexate products were treated as a separate covariate
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APPENDIX I. Medications Used to Define Oral Corticosteroids*
Generic
Dexamethasone
Methylprednisolone
Prednisolone
Prednisone
*NDC codes are not displayed due to the excessive number
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APPENDIX J. Antidiabetic Drugs Used to Define History of Diabetes*
Generic
Acarbose
Acetohexamide
Chlorpropamide
Exenatide
Glimepiride
Glipizide
Glucagon
Glyburide
Insulin
Insulin Aspart
Insulin Beef/Pork
Insulin Bovine
Insulin Detemir
Insulin Glargine Recombinant
Insulin Glulisine Recombinant
Insulin Human
Insulin I-131
Insulin Inhalation, Rapid Acting
Insulin Lispro Recombinant
Metformin
Metformin-Rosiglitazone
Miglitol
Nateglinide
Pioglitazone
Pramlintide Acetate
Repaglinide
Rosiglitazone Maleate
Sitagliptin Phosphate
Tolazamide
Tolbutamide
Troglitazone
*NDC codes are not displayed due to the excessive number
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APPENDIX K. Medications Used to Define Asthma/COPD Treatment*
Generic
Albuterol
Albuterol Sulfate/Ipratropium Bromide
Aminophylline
Arformoterol Tartrate
Beclomethasone
Beclomethasone Dipropionate
Budesonide
Cromolyn
Dextrose
Dyphylline
Flunisolide
Fluticasone Propionate/Salmeterol Xinafoate
Formoterol
Formoterol Fumarate
Ipratropium Bromide
Isoproterenol Hydrochloride
Levalbuterol
Levalbuterol Tartrate
Metaproterenol
Mometasone
Mometasone Furoate
Montelukast
Omalizumab
Pirbuterol
Salmeterol
Salmeterol Xinafoate
Terbutaline
Theophylline
Theophylline Calcium Salicylate
Theophylline Sodium Glycinate
Triamcinolone
Triamcinolone Acetonide
Zafirlukast
Zileuton
*NDC codes are not displayed due to the excessive number
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