Medical Policy
Policy Num: 02.002.004
Policy Name: Electrocardiography (EKG, ECG)
Policy ID: [02.002.004] [Ar / L / M+ / P-] [0.00.00]
Last Review: September 11, 2024
Next Review: Policy Archived
Related Policies: None
Population Reference No. | Populations | Interventions | Comparators | Outcomes |
1 | Individuals: · At routine physical | Interventions of interest are: · EKG | Comparators of interest are: · Evaluation without study | Relevant outcomes include: · Overall survival · Test validity · Quality of life |
2 | Individuals:
· Undergoing evaluation for disorders of cardiac rhythm, anatomy, coronary blood flow, and/or myocardial function | Interventions of interest are: · EKG | Comparators of interest are: · Evaluation without study | Relevant outcomes include: · Overall survival · Test validity · Quality of life |
3 | Individuals: · With symptoms related to such disorders; as an adjunct in the assessment of certain drug toxicities and metabolic disorders. | Interventions of interest are: · EKG | Comparators of interest are: · Evaluation without study | Relevant outcomes include: · Overall survival · Test validity · Quality of life |
The electrocardiogram (ECG or EKG) is a noninvasive test that is used to reflect underlying heart conditions by measuring the electrical activity of the heart. By positioning leads (electrical sensing devices) on the body in standardized locations, information about many heart conditions can be learned by looking for characteristic patterns on the EKG.
EKG services are covered diagnostic tests when there are documented signs and symptoms or other clinical indications for providing the service. Coverage includes the review and interpretation of EKGs only by a physician. There is no coverage for EKG services when rendered as a screening test or as part of a routine examination unless performed as part of the one-time, "Welcome to Medicare" preventive physical examination under section 611 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
The objective of this evidence review is to determine the benefit of performing an electrocardiogram on different patient settings as to overall survival, quality of life, the validity of the test and the diagnosis of cardiovascular disease.
1. EKG services are covered diagnostic tests when there are documented signs and symptoms or other clinical indications for providing the service. EKG services should not routinely be performed as part of a preventive exam unless the member has signs and symptoms of coronary heart disease, family history or other clinical indications at the visit that would justify the test.
2. Billing separately from the interpretation of ECG made and ordered as part of a visit or consultation is considered for payment.
3. The insured is not responsible for payment, when the EKG is denied for not being medically reasonable.
4. Code 93041 (Rhythm plotting; no interpretation, no report) is considered for payment only to authorized suppliers.
5. The production of the plot, if done in the office of a doctor and another provider (also a participant) interprets it, will be paid to the first, the production (93005) and to the second the interpretation (93010).
6. If the code 93041 is produced in the hospital, it is not considered for payment, since the production of the code 93041 is a covered service in the hospital contract.
7. Electrocardiographic monitoring is considered for payment at:
a) Arrhythmias; or at the beginning of any treatment therapy for arrhythmias.
b) As a treatment to monitor:
1) pulse irregularities
2) chest pain
3) palpitations
4) tachyarrhythmias
5) bradyarrhythmias
6) syncope
Electrocardiograms associated with the Stress Test and the Holter
Billing codes 93000-93010 (electrocardiogram) are included in the payment of the Holter (93224) and in the stress test (Stress Test 93015). If you have performed an electrocardiogram within a period of six weeks prior to the Holter or Stress Test, payment of the electrocardiogram will be denied when invoiced with these services.
Electrocardiograms associated with echocardiograms
Triple-S does not consider “rhythm strips” (ECG code 93040, 93042) for payment, since they are considered an integral part of monitoring during the echocardiographic procedure. If EKG 12 “lead” is made and documented separately from 93307, it proceeds for payment.
1. Authorized suppliers, who invoice a global service, (i.e., Tracing and interpretation), must invoice using global codes 93000 or 93040.
2. Authorized suppliers, who perform only the interpretation and report, must invoice codes 93010 or 93042.
3. Authorized suppliers, who only carry out the production (layout) in outpatient facilities must invoice code 93041.
Documentation Requirements:
1. The medical record must document appropriate ICD-9 code in addition to medical necessity.
2. Triple-S may conduct a post-payment audit to evaluate and determine the documentation of the diagnostic criteria, medical necessity and recover if the criteria are not met.
Limitation:
1. Sifting and / or routine ECG are not considered for payment.
2. The technical component will not be covered in the doctor's office when invoiced alone.
3. The “Bundling” of codes is not considered for payment
a) ECG rhythm strips:
93040
93042
b) Echocardiogram:
93307
93308
93320
93321
93325
93350
BlueCard/National Account Issues
Benefits are determined by the group contract, member benefit booklet, and/or individual subscriber certificate in effect at the time services were rendered. Benefit products or negotiated coverages may have all or some of the services discussed in this medical policy excluded from their coverage.
Treatment/Application Guidelines
Electrocardiograms are indicated in the evaluation of disorders of cardiac rhythm, anatomy, coronary blood flow, myocardial function; of symptoms related to such disorders; as an adjunct in the assessment of certain drug toxicities and metabolic disorders.
However, there are no data that show that routine EKGs performed as a screen for coronary heart disease (CHD) during a preventive visit, or during an office visit when there are no cardiovascular symptoms, is of benefit. The United States Preventitive Services Task Force has studied this issue, and recommends against routine screening with resting EKG in adults at low risk for coronary heart disease (CHD) events. The USPSTF found at least fair evidence that a routine screening EKG for this population is ineffective or that harms outweigh benefits. The USPSTF states that the consequences of false-positive tests may potentially outweigh the benefits of screening. False positive tests are common among asymptomatic adults, especially women, and may lead to unnecessary diagnostic testing, over-treatment, and labeling.
The USPSTF found at least fair evidence that EKG can detect some asymptomatic adults at increased risk for CHD independent of conventional CHD risk factors. The USPTF concluded that there was insufficient evidence to recommend for or against routine screening with EKG in adults at increased risk for CHD events.
Major independent risk factors for CHD are (1) Cigarette smoking (2) Elevated blood pressure (3) Elevated serum total (and LDL) cholesterol (4) Low serum HDL cholesterol (5) Diabetes mellitu, and (6) Advancing age. According to the risk stratification data, the presence of advanced or advancing age alone, without at least one of the Major independent risk factors, does not take a patient out of the low risk category. Therefore, a Member, at any age, without symptoms or a diagnosis reflecting one of the 6 risk factors listed above, will be in a low risk category.
In addition, CMS has a non coverage policy for a routine screening EKG:
EKG services are covered diagnostic tests when there are documented signs and symptoms or other clinical indications for providing the service. Coverage includes the review and interpretation of EKGs only by a physician. There is no coverage for EKG services when rendered as a screening test.
N/A
Population Reference No. 1
EKG services should not routinely be performed as part of a preventive exam unless the member has signs ad symptoms of coronary heart disease, family history or other clinical indications at the visit that would justify the test
Population Reference No. 1 Policy Statement | [ ] MedicallyNecessary | [X] Investigational |
Population Reference No. 2
Electrocardiograms are indicated in the evaluation of disorders of cardiac rhythm, anatomy, coronary blood flow, myocardial function; of symptoms related to such disorder.
Population Reference No. 2 Policy Statement | [X] MedicallyNecessary | [ ] Investigational |
Population Reference No. 3
Electrocardiograms may be indicated in the assessment of certain drug toxicities and metabolic disorders.
Population Reference No. 3 Policy Statement | [X] MedicallyNecessary | [ ] Investigational |
Recent guidelines from the U.S. Preventive Services Task Force (USPSTF) (2011), the American Academy of Family Physicians (AAFP) (2011), the American College of Cardiology (ACC) Foundation (2010), and the American Heart Association (AHA) (2010) advise against electrography in asymptomatic, low-risk individuals.
There is little evidence that detection of coronary artery stenosis in asymptomatic patients at low-risk for coronary heart disease improves health outcomes.
False-positive tests are likely to lead to harm through unnecessary invasive procedures, overtreatment, and misdiagnosis.
Potential harms of this routine annual screening exceed the potential benefit.
The AHA compiled data, including information from the Framingham Heart Study, to determine appropriate use of cardiac screening tests by looking at prognostic considerations. Those risk factors include gender and age (males over the age of 45 years) with one or more risk factors. The greater the number of risk factors a patient has, the more likely it is that the patient will benefit from screening. If a patient’s risk is less than 10 percent (calculated using a risk assessment tool(hp2010.nhlbihin.net)), screening is not recommended.
CMS National Coverage Determinations (NCDs) NCD 20.15 Electrocardiographic Services CMS Local Coverage Determinations (LCDs)
1. ECG- simplified. Aswini Kumar M.D
2. Braunwald E. (Editor), Heart Disease: A Textbook of Cardiovascular Medicine, Fifth Edition, p. 108, Philadelphia, W.B. Saunders Co., 1997. 8.
3. "The clinical value of the ECG in noncardiac conditions." Chest 2004; 125(4): 1561-76.
4. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care - Part 8: Stabilization of the Patient With Acute Coronary Syndromes." Circulation 2005; 112: IV-89 - IV-110.
5. Burdon Sanderson J (1878). "Experimental results relating to the rhythmical and excitatory motions of the ventricle of the frog heart". Proc Roy Soc Lond 27:410–14.
6. Waller AD (1887). "A demonstration on man of electromotive changes accompanying the heart's beat". J Physiol (Lond) 8: 229–34.
7. Einthoven W. Un nouveau galvanometre. Arch Neerl Sc Ex Nat 1901; 6:625
8. Cooper J (1986). "Electrocardiography 100 years ago. Origins, pioneers, and contributors". N Engl J Med 315 (7): 461–4..
9. Mark, Jonathan B. (1998). Atlas of cardiovascular monitoring. New York: Churchill Livingstone.
10.Mark JB "Atlas of Cardiovascular Monitoring." p. 130. New York: Churchill Livingstone, 1998.
11.Cardiovascular Physiology Concepts Richard E. Klabunde, Ph.D. http://www.cvphysiology.com/Arrhythmias/A009.htm
12.Electrocardiogram; http://www.texasheartinstitute.org/HIC/Topics/Diag/diekg.cfm
13.http://www.ecglibrary.com/ecghome.html
14.Scanlon PJ, Faxon DP, Audet AM, et al. ACC/AHA guidelines for coronary angiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions. Circulation 1999; 99:2345.
15.De Bacquer D, De Backer G, Kornitzer M, et al. Prognostic value of ischemic electrocardiographic findings for cardiovascular mortality in men and women. J Am Coll Cardiol 1998; 32:680.
Codes | Number | Description |
| |
CPT | 93000 | Electrocardiogram; routine with a minimum of 12 derivations, with interpretation and |
| |
| 93005 | ECG; Tracing only; without interpretation or report |
| |
| 93010 | ECG; interpretation and report only |
| |
| 93040 | Rhythm tracing; one to three derivations, without interpretation and report |
| |
93041 | Rhythm ECG, 1-3 leads; tracing only without interpretation and report | |||
| 93042 | Rhythm tracing; one to three derivations; interpretation and report only |
| |
ICD-10-CM (effective date 10/01/2015) | | Sepsis due to Methicillin susceptible Staphylococcus aureus |
| |
| A41.02 | Sepsis due to Methicillin resistant Staphylococcus aureus |
| |
| A41.1 | Sepsis due to other specified staphylococcus |
| |
| A41.2 | Sepsis due to unspecified staphylococcus |
| |
| A41.3 | Sepsis due to Hemophilus influenzae |
| |
| A41.4 | Sepsis due to anaerobes |
| |
| A41.50 | Gram-negative sepsis, unspecified |
| |
| A41.51 | Sepsis due to Escherichia coli [E. coli] |
| |
| A41.52 | Sepsis due to Pseudomonas |
| |
| A41.53 | Sepsis due to Serratia |
| |
| A41.59 | Other Gram-negative sepsis |
| |
| A41.81 | Sepsis due to Enterococcus |
| |
| A41.89 | Other specified sepsis |
| |
| A41.9 | Sepsis, unspecified organism |
| |
| A42.7 | Actinomycotic sepsis |
| |
| A52.00 | Cardiovascular syphilis, unspecified |
| |
| A52.01 | Syphilitic aneurysm of aorta |
| |
| A52.02 | Syphilitic aortitis |
| |
| A52.03 | Syphilitic endocarditis |
| |
| A52.04 | Syphilitic cerebral arteritis |
| |
| A52.06 | Other syphilitic heart involvement |
| |
| A52.09 | Other cardiovascular syphilis |
| |
| A54.86 | Gonococcal sepsis |
| |
| A52.03 | Syphilitic endocarditis |
| |
| A52.04 | Syphilitic cerebral arteritis |
| |
| B25.2 | Cytomegaloviral pancreatitis |
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| B37.7 | Candidal sepsis |
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| C37 | Malignant neoplasm of thymus |
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| C38.0 | Malignant neoplasm of heart |
| |
| C38.3 | Malignant neoplasm of mediastinum, part unspecified |
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| C45.2 | Mesothelioma of pericardium |
| |
| C49.3 | Malignant neoplasm of connective and soft tissue of thorax |
| |
| C76.1 | Malignant neoplasm of thorax |
| |
| C78.1 | Secondary malignant neoplasm of mediastinum |
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| D15.1 | Benign neoplasm of heart |
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| D15.2 | Benign neoplasm of mediastinum |
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| D15.7 | Benign neoplasm of other specified intrathoracic organs |
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| D50.0 | Iron deficiency anemia secondary to blood loss (chronic) |
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| D50.8 | Other iron deficiency anemias |
| |
| D50.9 | Iron deficiency anemia, unspecified |
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| D53.9 | Nutritional anemia, unspecified |
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| D58.8 | Other specified hereditary hemolytic anemias |
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| D58.9 | Hereditary hemolytic anemia, unspecified |
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| D59.2 | Drug-induced nonautoimmune hemolytic anemia |
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| D59.4 | Other nonautoimmune hemolytic anemias |
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| D59.8 | Other acquired hemolytic anemias |
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| D59.9 | Acquired hemolytic anemia, unspecified |
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| D64.9 | Anemia, unspecified |
| |
| E01.8 | Other iodine-deficiency related thyroid disorders and allied conditions |
| |
| E02 | Subclinical iodine-deficiency hypothyroidism |
| |
| E03.2 | Hypothyroidism due to medicaments and other exogenous substances |
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| E03.3 | Postinfectious hypothyroidism |
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| E03.8 | Other specified hypothyroidism |
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| E03.9 | Hypothyroidism, unspecified |
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| E10.10 | Type 1 diabetes mellitus with ketoacidosis without coma |
| |
| E10.11 | Type 1 diabetes mellitus with ketoacidosis with coma |
| |
| E10.43 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy |
| |
| E10.49 | Type 1 diabetes mellitus with other diabetic neurological complication |
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| E10.69 | Type 1 diabetes mellitus with other specified complication |
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| E10.8 | Type 1 diabetes mellitus with unspecified complications |
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| E11.00 | Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) |
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| E11.01 | Type 2 diabetes mellitus with hyperosmolarity with coma |
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| E11.21 | Type 2 diabetes mellitus with diabetic nephropathy |
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| E11.22 | Type 2 diabetes mellitus with diabetic chronic kidney disease |
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| E11.29 | Type 2 diabetes mellitus with other diabetic kidney complication |
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| E11.36 | Type 2 diabetes mellitus with diabetic cataract |
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| E11.39 | Type 2 diabetes mellitus with other diabetic ophthalmic complication |
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| E11.40 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified |
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| E11.41 | Type 2 diabetes mellitus with diabetic mononeuropathy |
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| E11.42 | Type 2 diabetes mellitus with diabetic polyneuropathy |
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| E11.43 | Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy |
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| E11.44 | Type 2 diabetes mellitus with diabetic amyotrophy |
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| E11.49 | Type 2 diabetes mellitus with other diabetic neurological complication |
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| E11.51 | Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene |
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| E11.59 | Type 2 diabetes mellitus with other circulatory complications |
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| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy |
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| E11.618 | Type 2 diabetes mellitus with other diabetic arthropathy |
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| E11.620 | Type 2 diabetes mellitus with diabetic dermatitis |
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| E11.621 | Type 2 diabetes mellitus with foot ulcer |
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| E11.622 | Type 2 diabetes mellitus with other skin ulcer |
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| E11.628 | Type 2 diabetes mellitus with other skin complications |
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| E11.630 | Type 2 diabetes mellitus with periodontal disease |
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| E11.638 | Type 2 diabetes mellitus with other oral complications |
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| E11.641 | Type 2 diabetes mellitus with hypoglycemia with coma |
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| E11.649 | Type 2 diabetes mellitus with hypoglycemia without coma |
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| E11.69 | Type 2 diabetes mellitus with other specified complication |
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| E11.8 | Type 2 diabetes mellitus with unspecified complications |
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| E13.10 | Other specified diabetes mellitus with ketoacidosis without coma |
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| E13.11 | Other specified diabetes mellitus with ketoacidosis with coma |
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| E13.40 | Other specified diabetes mellitus with diabetic neuropathy, unspecified |
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| E13.41 | Other specified diabetes mellitus with diabetic mononeuropathy |
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| E13.42 | Other specified diabetes mellitus with diabetic polyneuropathy |
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| E13.43 | Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy |
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| E13.44 | Other specified diabetes mellitus with diabetic amyotrophy |
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| E13.49 | Other specified diabetes mellitus with other diabetic neurological complication |
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| E13.610 | Other specified diabetes mellitus with diabetic neuropathic arthropathy |
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| E13.69 | Other specified diabetes mellitus with other specified complication |
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| E13.69 | Other specified diabetes mellitus with other specified complication |
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| E13.8 | Other specified diabetes mellitus with unspecified complications |
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| E66.01 | Morbid (severe) obesity due to excess calories |
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| E78.1 | Pure hyperglyceridemia |
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| E78.2 | Mixed hyperlipidemia |
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| E78.4 | Other hyperlipidemia |
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| E78.5 | Hyperlipidemia, unspecified |
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| E86.0 | Dehydration |
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| E86.1 | Hypovolemia |
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| E86.9 | Volume depletion, unspecified |
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ICD 10 CM EFF DATE 10/01/2022
| E87.20 | Acidosis, unspecified | ||
E87.21 | Acute metabolic acidosis | |||
E87.22 | Chronic metabolic acidosis | |||
E87.29 | Other acidosis | |||
| E87.3 | Alkalosis |
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| E87.4 | Mixed disorder of acid-base balance |
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| E87.5 | Hyperkalemia |
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| E87.6 | Hypokalemia |
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| E87.8 | Other disorders of electrolyte and fluid balance, not elsewhere classified |
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| E89.0 | Postprocedural hypothyroidism |
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| F45.0 | Somatization disorder |
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| F45.8 | Other somatoform disorders |
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| G45.0 | Vertebro-basilar artery syndrome |
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| G45.1 | Carotid artery syndrome (hemispheric) |
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| G45.2 | Multiple and bilateral precerebral artery syndromes |
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| G45.8 | Other transient cerebral ischemic attacks and related syndromes |
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| G45.9 | Transient cerebral ischemic attack, unspecified |
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| G46.0 | Middle cerebral artery syndrome |
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| G46.1 | Anterior cerebral artery syndrome |
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| G46.2 | Posterior cerebral artery syndrome |
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| G93.3 | Postviral fatigue syndrome |
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| I01.0 | Acute rheumatic pericarditis |
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| I01.1 | Acute rheumatic endocarditis |
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| I01.2 | Acute rheumatic myocarditis |
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| I01.8 | Other acute rheumatic heart disease |
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| I01.9 | Acute rheumatic heart disease, unspecified |
| |
| I02.0 | Rheumatic chorea with heart involvement |
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| I05.0 | Rheumatic mitral stenosis |
| |
| I05.1 | Rheumatic mitral insufficiency |
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| I05.2 | Rheumatic mitral stenosis with insufficiency |
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| I05.8 | Other rheumatic mitral valve diseases |
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| I05.9 | Rheumatic mitral valve disease, unspecified |
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| I06.0 | Rheumatic aortic stenosis |
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| I06.1 | Rheumatic aortic insufficiency |
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| I06.2 | Rheumatic aortic stenosis with insufficiency |
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| I06.8 | Other rheumatic aortic valve diseases |
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| I06.9 | Rheumatic aortic valve disease, unspecified |
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| I07.0 | Rheumatic tricuspid stenosis |
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| I07.1 | Rheumatic tricuspid insufficiency |
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| I07.2 | Rheumatic tricuspid stenosis and insufficiency |
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| I07.8 | Other rheumatic tricuspid valve diseases |
| |
| I07.9 | Rheumatic tricuspid valve disease, unspecified |
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| I08.0 | Rheumatic disorders of both mitral and aortic valves |
| |
| I08.1 | Rheumatic disorders of both mitral and tricuspid valves |
| |
| I08.2 | Rheumatic disorders of both aortic and tricuspid valves |
| |
| I08.3 | Combined rheumatic disorders of mitral, aortic and tricuspid valves |
| |
| I08.8 | Other rheumatic multiple valve diseases |
| |
| I08.9 | Rheumatic multiple valve disease, unspecified |
| |
| I09.0 | Rheumatic myocarditis |
| |
| I09.1 | Rheumatic diseases of endocardium, valve unspecified |
| |
| I09.2 | Chronic rheumatic pericarditis |
| |
| I09.81 | Rheumatic heart failure |
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| I09.89 | Other specified rheumatic heart diseases |
| |
| I09.9 | Rheumatic heart disease, unspecified |
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| I10 | Essential (primary) hypertension |
| |
| I11.0 | Hypertensive heart disease with heart failure |
| |
| I11.9 | Hypertensive heart disease without heart failure |
| |
| I12.0 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease |
| |
| I12.9 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| |
| I13.0 | Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| |
| I13.10 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease |
| |
| I13.11 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease |
| |
| I13.2 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease |
| |
| I15.0 | Renovascular hypertension |
| |
| I15.1 | Hypertension secondary to other renal disorders |
| |
| I15.2 | Hypertension secondary to endocrine disorders |
| |
| I15.8 | Other secondary hypertension |
| |
| I15.9 | Secondary hypertension, unspecified |
| |
I16.0 | Hypertensive urgency | |||
| I20.0 | Unstable angina |
| |
| I20.1 | Angina pectoris with documented spasm |
| |
| I20.8 | Other forms of angina pectoris, (Delete Effective Date 09/30/2023) |
| |
I20.81 | Angina pectoris with coronary microvascular dysfunction, (Effective Date 10/01/2023) | |||
I20.89 | Other forms of angina pectoris, (Effective Date 10/01/2023) | |||
| I20.9 | Angina pectoris, unspecified |
| |
| I21.01 | ST elevation (STEMI) myocardial infarction involving left main coronary artery |
| |
| I21.02 | ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery |
| |
| I21.09 | ST elevation (STEMI) myocardial infarction involving another coronary artery of anterior wall |
| |
| I21.11 | ST elevation (STEMI) myocardial infarction involving right coronary artery |
| |
| I21.19 | ST elevation (STEMI) myocardial infarction involving another coronary artery of inferior wall |
| |
| I21.21 | ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery |
| |
| I21.29 | ST elevation (STEMI) myocardial infarction involving other sites |
| |
| I21.3 | ST elevation (STEMI) myocardial infarction of unspecified site |
| |
| I21.4 | Non-ST elevation (NSTEMI) myocardial infarction |
| |
| I22.1 | Subsequent ST elevation (STEMI) myocardial infarction of inferior wall |
| |
| I22.2 | Subsequent non-ST elevation (NSTEMI) myocardial infarction |
| |
| I22.8 | Subsequent ST elevation (STEMI) myocardial infarction of other sites |
| |
| I22.9 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site |
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| I23.0 | Hemopericardium as current complication following acute myocardial infarction |
| |
| I23.1 | Atrial septal defect as current complication following acute myocardial infarction |
| |
| I23.2 | Ventricular septal defect as current complication following acute myocardial nfarction |
| |
| I23.3 | Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction |
| |
| I23.4 | Rupture of chordae tendineae as current complication following acute myocardial infarction |
| |
| I23.5 | Rupture of papillary muscle as current complication following acute myocardial infarction |
| |
| I23.6 | Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction |
| |
| I23.7 | Postinfarction angina |
| |
| I23.8 | Other current complications following acute myocardial infarction |
| |
| I24.0 | Acute coronary thrombosis not resulting in myocardial infarction |
| |
| I24.1 | Dresslers syndrome |
| |
| I24.8 | Other forms of acute ischemic heart disease, (Delete Effective Date 09/30/2023) |
| |
I24.81 | Acute coronary microvascular dysfunction (Effective Date 10/01/2023) | |||
I24.89 | Other forms of acute ischemic heart disease, (Effective Date 10/01/2023) | |||
| I24.9 | Acute ischemic heart disease, unspecified |
| |
| I25.10 | Atherosclerotic heart disease of native coronary artery without angina pectoris |
| |
| I25.110 | Atherosclerotic heart disease of native coronary artery with unstable angina pectoris |
| |
| I25.111 | Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm |
| |
| I25.118 | Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris |
| |
| I25.119 | Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris |
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| I25.2 | Old myocardial infarction |
| |
| I25.3 | Aneurysm of heart |
| |
| I25.41 | Coronary artery aneurysm |
| |
| I25.42 | Coronary artery dissection |
| |
| I25.5 | Ischemic cardiomyopathy |
| |
| I25.6 | Silent myocardial ischemia |
| |
| I25.700 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris |
| |
| I25.701 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm |
| |
| I25.708 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris |
| |
| I25.709 | Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris |
| |
| I25.710 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris |
| |
| I25.711 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm |
| |
| I25.718 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris |
| |
| I25.719 | Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris |
| |
| I25.720 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris |
| |
| I25.721 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm |
| |
| I25.728 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris |
| |
| I25.729 | Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris |
| |
| I25.730 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris |
| |
| I25.731 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm |
| |
| I25.738 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris |
| |
| I25.739 | Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris |
| |
| I25.750 | Atherosclerosis of native coronary artery of transplanted heart with unstable angina |
| |
| I25.751 | Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm |
| |
| I25.758 | Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris |
| |
| I25.759 | Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris |
| |
| I25.760 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina |
| |
| I25.761 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm |
| |
| I25.768 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris |
| |
| I25.769 | Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris |
| |
| I25.790 | Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris |
| |
| I25.791 | Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm |
| |
| I25.798 | Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris |
| |
| I25.799 | Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris |
| |
| I25.810 | Atherosclerosis of coronary artery bypass graft(s) without angina pectoris |
| |
| I25.811 | Atherosclerosis of native coronary artery of transplanted heart without angina pectoris |
| |
| I25.812 | Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris |
| |
| I25.82 | Chronic total occlusion of coronary artery |
| |
| I25.83 | Coronary atherosclerosis due to lipid rich plaque |
| |
| I25.84 | Coronary atherosclerosis due to calcified coronary lesion |
| |
| I25.89 | Other forms of chronic ischemic heart disease |
| |
| I25.9 | Chronic ischemic heart disease, unspecified |
| |
| I26.01 | Septic pulmonary embolism with acute cor pulmonale |
| |
| I26.02 | Saddle embolus of pulmonary artery with acute cor pulmonale |
| |
| I26.09 | Other pulmonary embolism with acute cor pulmonale |
| |
| I26.90 | Septic pulmonary embolism without acute cor pulmonale |
| |
| I26.92 | Saddle embolus of pulmonary artery without acute cor pulmonale |
| |
| I26.99 | Other pulmonary embolism without acute cor pulmonale |
| |
| I27.0 | Primary pulmonary hypertension |
| |
| I27.1 | Kyphoscoliotic heart disease |
| |
| I27.81 | Cor pulmonale (chronic) |
| |
| I27.82 | Chronic pulmonary embolism |
| |
| I27.89 | Other specified pulmonary heart diseases |
| |
| I27.9 | Pulmonary heart disease, unspecified |
| |
| I28.0 | Arteriovenous fistula of pulmonary vessels |
| |
| I28.1 | Aneurysm of pulmonary artery |
| |
| I28.8 | Other diseases of pulmonary vessels |
| |
| I28.9 | Disease of pulmonary vessels, unspecified |
| |
| I30.0 | Acute nonspecific idiopathic pericarditis |
| |
| I30.1 | Infective pericarditis |
| |
| I30.8 | Other forms of acute pericarditis |
| |
| I30.9 | Acute pericarditis, unspecified |
| |
| I31.0 | Chronic adhesive pericarditis |
| |
| I31.1 | Chronic constrictive pericarditis |
| |
| I31.2 | Hemopericardium, not elsewhere classified |
| |
| I31.4 | Cardiac tamponade |
| |
| I32 | Pericarditis in diseases classified elsewhere |
| |
| I33.0 | Acute and subacute infective endocarditis |
| |
| I33.9 | Acute and subacute endocarditis, unspecified |
| |
| I34.0 | Nonrheumatic mitral (valve) insufficiency |
| |
| I34.1 | Nonrheumatic mitral (valve) prolapse |
| |
| I34.2 | Nonrheumatic mitral (valve) stenosis |
| |
| I34.8 | Other nonrheumatic mitral valve disorders |
| |
| I34.9 | Nonrheumatic mitral valve disorder, unspecified |
| |
| I35.0 | Nonrheumatic aortic (valve) stenosis |
| |
| I35.1 | Nonrheumatic aortic (valve) insufficiency |
| |
| I35.2 | Nonrheumatic aortic (valve) stenosis with insufficiency |
| |
| I35.8 | Other nonrheumatic aortic valve disorders |
| |
| I35.9 | Nonrheumatic aortic valve disorder, unspecified |
| |
| I36.0 | Nonrheumatic tricuspid (valve) stenosis |
| |
| I36.1 | Nonrheumatic tricuspid (valve) insufficiency |
| |
| I36.2 | Nonrheumatic tricuspid (valve) stenosis with insufficiency |
| |
| I36.8 | Other nonrheumatic tricuspid valve disorders |
| |
| I36.9 | Nonrheumatic tricuspid valve disorder, unspecified |
| |
| I37.0 | Nonrheumatic pulmonary valve stenosis |
| |
| I37.1 | Nonrheumatic pulmonary valve insufficiency |
| |
| I37.2 | Nonrheumatic pulmonary valve stenosis with insufficiency |
| |
| I37.8 | Other nonrheumatic pulmonary valve disorders |
| |
| I37.9 | Nonrheumatic pulmonary valve disorder, unspecified |
| |
| I38 | Endocarditis, valve unspecified |
| |
| I39 | Endocarditis and heart valve disorders in diseases classified elsewhere |
| |
| I40.0 | Infective myocarditis |
| |
| I40.1 | Isolated myocarditis |
| |
| I40.8 | Other acute myocarditis |
| |
| I40.9 | Acute myocarditis, unspecified |
| |
| I41 | Myocarditis in diseases classified elsewhere |
| |
| I42.0 | Dilated cardiomyopathy |
| |
| I42.1 | Obstructive hypertrophic cardiomyopathy |
| |
| I42.2 | Other hypertrophic cardiomyopathy |
| |
| I42.3 | Endomyocardial (eosinophilic) disease |
| |
| I42.4 | Endocardial fibroelastosis |
| |
| I42.5 | Other restrictive cardiomyopathy |
| |
| I42.6 | Alcoholic cardiomyopathy |
| |
| I42.7 | Cardiomyopathy due to drug and external agent |
| |
| I42.8 | Other cardiomyopathies |
| |
| I42.9 | Cardiomyopathy, unspecified |
| |
| I43 | Cardiomyopathy in diseases classified elsewhere |
| |
| I44.0 | Atrioventricular block, first degree |
| |
| I44.1 | Atrioventricular block, second degree |
| |
| I44.2 | Atrioventricular block, complete |
| |
| I44.30 | Unspecified atrioventricular block |
| |
| I44.39 | Other atrioventricular block |
| |
| I44.4 | Left anterior fascicular block |
| |
| I44.5 | Left posterior fascicular block |
| |
| I44.60 | Unspecified fascicular block |
| |
| I44.69 | Other fascicular block |
| |
| I44.7 | Left bundle-branch block, unspecified |
| |
| I45.0 | Right fascicular block |
| |
| I45.10 | Unspecified right bundle-branch block |
| |
| I45.19 | Other right bundle-branch block |
| |
| I45.2 | Bifascicular block |
| |
| I45.3 | Trifascicular block |
| |
| I45.4 | Nonspecific intraventricular block |
| |
| I45.5 | Other specified heart block |
| |
| I45.6 | Pre-excitation syndrome |
| |
| I45.81 | Long QT syndrome |
| |
| I45.89 | Other specified conduction disorders |
| |
| I45.9 | Conduction disorder, unspecified |
| |
| I46.2 | Cardiac arrest due to underlying cardiac condition |
| |
| I46.8 | Cardiac arrest due to other underlying condition |
| |
| I46.9 | Cardiac arrest, cause unspecified |
| |
| I47.0 | Re-entry ventricular arrhythmia |
| |
| I47.1 | Supraventricular tachycardia, (Delete Effective Date 09/30/2023) |
| |
I47.10 | Supraventricular tachycardia, unspecified, (Effective Date 10/01/2023) | |||
I47.11 | Inappropriate sinus tachycardia, so stated,(Effective Date 10/01/2023) | |||
I47.19 | Other supraventricular tachycardia, (Effective Date 10/01/2023) | |||
| I47.2 | Ventricular tachycardia |
| |
| I47.9 | Paroxysmal tachycardia, unspecified |
| |
| I48.0 | Paroxysmal atrial fibrillation |
| |
| I48.3 | Typical atrial flutter |
| |
| I48.4 | Atypical atrial flutter |
| |
| I48.91 | Unspecified atrial fibrillation |
| |
| I48.92 | Unspecified atrial flutter |
| |
| I49.01 | Ventricular fibrillation |
| |
| I49.02 | Ventricular flutter |
| |
| I49.1 | Atrial premature depolarization |
| |
| I49.2 | Junctional premature depolarization |
| |
| I49.3 | Ventricular premature depolarization |
| |
| I49.40 | Unspecified premature depolarization |
| |
| I49.49 | Other premature depolarization |
| |
| I49.5 | Sick sinus syndrome |
| |
| I49.8 | Other specified cardiac arrhythmias |
| |
| I49.9 | Cardiac arrhythmia, unspecified |
| |
| I50.1 | Left ventricular failure |
| |
| I50.20 | Unspecified systolic (congestive) heart failure |
| |
| I50.21 | Acute systolic (congestive) heart failure |
| |
| I50.22 | Chronic systolic (congestive) heart failure |
| |
| I50.23 | Acute on chronic systolic (congestive) heart failure |
| |
| I50.30 | Unspecified diastolic (congestive) heart failure |
| |
| I50.31 | Acute diastolic (congestive) heart failure |
| |
| I50.32 | Chronic diastolic (congestive) heart failure |
| |
| I50.33 | Acute on chronic diastolic (congestive) heart failure |
| |
| I50.40 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure |
| |
| I50.41 | Acute combined systolic (congestive) and diastolic (congestive) heart failure |
| |
| I50.42 | Chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| |
| I50.43 | Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure |
| |
| I50.9 | Heart failure, unspecified |
| |
| I51.2 | Rupture of papillary muscle, not elsewhere classified |
| |
| I51.4 | Myocarditis, unspecified |
| |
| I51.5 | Myocardial degeneration |
| |
| I51.7 | Cardiomegaly |
| |
| I51.81 | Takotsubo syndrome |
| |
| I51.89 | Other ill-defined heart diseases |
| |
| I51.9 | Heart disease, unspecified |
| |
| I52 | Other heart disorders in diseases classified elsewhere |
| |
| I61.0 | Nontraumatic intracerebral hemorrhage in hemisphere, subcortical |
| |
| I61.1 | Nontraumatic intracerebral hemorrhage in hemisphere, cortical |
| |
| I61.2 | Nontraumatic intracerebral hemorrhage in hemisphere, unspecified |
| |
| I61.3 | Nontraumatic intracerebral hemorrhage in brain stem |
| |
| I61.4 | Nontraumatic intracerebral hemorrhage in cerebellum |
| |
| I61.5 | Nontraumatic intracerebral hemorrhage, intraventricular |
| |
| I61.6 | Nontraumatic intracerebral hemorrhage, multiple localized |
| |
| I61.8 | Other nontraumatic intracerebral hemorrhage |
| |
| I61.9 | Nontraumatic intracerebral hemorrhage, unspecified |
| |
| I63.02 | Cerebral infarction due to thrombosis of basilar artery |
| |
| I63.12 | Cerebral infarction due to embolism of basilar artery |
| |
| I63.30 | Cerebral infarction due to thrombosis of unspecified cerebral artery |
| |
| I63.311 | Cerebral infarction due to thrombosis of right middle cerebral artery |
| |
| I63.312 | Cerebral infarction due to thrombosis of left middle cerebral artery |
| |
| I63.313 | Cerebral infarction due to thrombosis of bilateral middle cerebral arteries |
| |
| I63.321 | Cerebral infarction due to thrombosis of right anterior cerebral artery |
| |
| I63.322 | Cerebral infarction due to thrombosis of left anterior cerebral artery |
| |
| I63.323 | Cerebral infarction due to thrombosis of bilateral anterior arteries |
| |
| I63.331 | Cerebral infarction due to thrombosis of right posterior cerebral artery |
| |
| I63.332 | Cerebral infarction due to thrombosis of left posterior cerebral artery |
| |
| I63.333 | Cerebral infarction to thrombosis of bilateral posterior arteries |
| |
| I63.341 | Cerebral infarction due to thrombosis of right cerebellar artery |
| |
| I63.342 | Cerebral infarction due to thrombosis of left cerebellar artery |
| |
| I63.343 | Cerebral infarction to thrombosis of bilateral cerebellar arteries |
| |
| I63.39 | Cerebral infarction due to thrombosis of other cerebral artery |
| |
| I63.40 | Cerebral infarction due to embolism of unspecified cerebral artery |
| |
| I63.411 | Cerebral infarction due to embolism of right middle cerebral artery |
| |
| I63.412 | Cerebral infarction due to embolism of left middle cerebral artery |
| |
| I63.413 | Cerebral infarction due to embolism of bilateral middle cerebral arteries |
| |
| I63.421 | Cerebral infarction due to embolism of right anterior cerebral artery |
| |
| I63.422 | Cerebral infarction due to embolism of left anterior cerebral artery |
| |
| I63.423 | Cerebral infarction due to embolism of bilateral anterior cerebral arteries |
| |
| I63.431 | Cerebral infarction due to embolism of right posterior cerebral artery |
| |
| I63.432 | Cerebral infarction due to embolism of left posterior cerebral artery |
| |
| I63.433 | Cerebral infarction due to embolism of bilateral posterior cerebral arteries |
| |
| I63.441 | Cerebral infarction due to embolism of right cerebellar artery |
| |
| I63.442 | Cerebral infarction due to embolism of left cerebellar artery |
| |
| I63.443 | Cerebral infarction due to embolism of bilateral cerebellar arteries |
| |
| I63.49 | Cerebral infarction due to embolism of other cerebral artery |
| |
| I63.50 | Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery |
| |
| I63.511 | Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery |
| |
| I63.512 | Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery |
| |
| I63.513 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle arteries |
| |
| I63.521 | Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery |
| |
| I63.522 | Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery |
| |
| I63.523 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior arteries |
| |
| I63.531 | Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery |
| |
| I63.532 | Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery |
| |
| I63.533 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior arteries |
| |
| I63.541 | Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery |
| |
| I63.542 | Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery |
| |
| I63.543 | Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries |
| |
| I63.59 | Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery |
| |
| I63.8 | Other cerebral infarction |
| |
| I63.9 | Cerebral infarction, unspecified |
| |
| I66.09 | Occlusion and stenosis of unspecified middle cerebral artery |
| |
| I66.19 | Occlusion and stenosis of unspecified anterior cerebral artery |
| |
| I66.29 | Occlusion and stenosis of unspecified posterior cerebral artery |
| |
| I66.9 | Occlusion and stenosis of unspecified cerebral artery |
| |
| I67.81 | Acute cerebrovascular insufficiency |
| |
| I67.82 | Cerebral ischemia |
| |
| I67.841 | Reversible cerebrovascular vasoconstriction syndrome |
| |
| I67.848 | Other cerebrovascular vasospasm and vasoconstriction |
| |
| I67.89 | Other cerebrovascular disease |
| |
| I67.9 | Cerebrovascular disease, unspecified |
| |
| I68.8 | Other cerebrovascular disorders in diseases classified elsewhere |
| |
| I71.00 | Dissection of unspecified site of aorta |
| |
| I71.01 | Dissection of thoracic aorta |
| |
| I71.02 | Dissection of abdominal aorta |
| |
| I71.03 | Dissection of thoracoabdominal aorta |
| |
| I71.1 | Thoracic aortic aneurysm, ruptured |
| |
| I71.2 | Thoracic aortic aneurysm, without rupture |
| |
| I71.3 | Abdominal aortic aneurysm, ruptured |
| |
| I71.4 | Abdominal aortic aneurysm, without rupture |
| |
| I71.5 | Thoracoabdominal aortic aneurysm, ruptured |
| |
| I71.6 | Thoracoabdominal aortic aneurysm, without rupture |
| |
| I71.8 | Aortic aneurysm of unspecified site, ruptured |
| |
| I71.9 | Aortic aneurysm of unspecified site, without rupture |
| |
| I73.89 | Other specified peripheral vascular diseases |
| |
| I73.9 | Peripheral vascular disease, unspecified |
| |
| I79.0 | Aneurysm of aorta in diseases classified elsewhere |
| |
| I82.210 | Acute embolism and thrombosis of superior vena cava |
| |
| I82.220 | Acute embolism and thrombosis of inferior vena cava |
| |
| I82.290 | Acute embolism and thrombosis of other thoracic veins |
| |
| I82.401 | Acute embolism and thrombosis of unspecified deep veins of right lower extremity |
| |
| I82.402 | Acute embolism and thrombosis of unspecified deep veins of left lower extremity |
| |
| I82.403 | Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral |
| |
| I82.411 | Acute embolism and thrombosis of right femoral vein |
| |
| I82.412 | Acute embolism and thrombosis of left femoral vein |
| |
| I82.413 | Acute embolism and thrombosis of femoral vein, bilateral |
| |
| I82.421 | Acute embolism and thrombosis of right iliac vein |
| |
| I82.422 | Acute embolism and thrombosis of left iliac vein |
| |
| I82.423 | Acute embolism and thrombosis of iliac vein, bilateral |
| |
| I82.431 | Acute embolism and thrombosis of right popliteal vein |
| |
| I82.432 | Acute embolism and thrombosis of left popliteal vein |
| |
| I82.433 | Acute embolism and thrombosis of popliteal vein, bilateral |
| |
| I82.441 | Acute embolism and thrombosis of right tibial vein |
| |
| I82.442 | Acute embolism and thrombosis of left tibial vein |
| |
| I82.443 | Acute embolism and thrombosis of tibial vein, bilateral |
| |
| I82.491 | Acute embolism and thrombosis of other specified deep vein of right lower extremity |
| |
| I82.492 | Acute embolism and thrombosis of other specified deep vein of left lower extremity |
| |
| I82.493 | Acute embolism and thrombosis of other specified deep vein of lower extremity, bilateral |
| |
| I82.4Y1 | Acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity |
| |
| I82.4Y2 | Acute embolism and thrombosis of unspecified deep veins of left proximal lower extremity |
| |
| I82.4Y3 | Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral |
| |
| I82.4Z1 | Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity |
| |
| I82.4Z2 | Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity |
| |
| I82.4Z3 | Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral |
| |
| I82.601 | Acute embolism and thrombosis of unspecified veins of right upper extremity |
| |
| I82.602 | Acute embolism and thrombosis of unspecified veins of left upper extremity |
| |
| I82.603 | Acute embolism and thrombosis of unspecified veins of upper extremity, bilateral |
| |
| I82.611 | Acute embolism and thrombosis of superficial veins of right upper extremity |
| |
| I82.612 | Acute embolism and thrombosis of superficial veins of left upper extremity |
| |
| I82.613 | Acute embolism and thrombosis of superficial veins of upper extremity, bilateral |
| |
| I82.621 | Acute embolism and thrombosis of deep veins of right upper extremity |
| |
| I82.622 | Acute embolism and thrombosis of deep veins of left upper extremity |
| |
| I82.623 | Acute embolism and thrombosis of deep veins of upper extremity, bilateral |
| |
| I82.890 | Acute embolism and thrombosis of other specified veins |
| |
| I82.90 | Acute embolism and thrombosis of unspecified vein |
| |
| I82.A11 | Acute embolism and thrombosis of right axillary vein |
| |
| I82.A12 | Acute embolism and thrombosis of left axillary vein |
| |
| I82.A13 | Acute embolism and thrombosis of axillary vein, bilateral |
| |
| I82.B11 | Acute embolism and thrombosis of right subclavian vein |
| |
| I82.B12 | Acute embolism and thrombosis of left subclavian vein |
| |
| I82.B13 | Acute embolism and thrombosis of subclavian vein, bilateral |
| |
| I82.C11 | Acute embolism and thrombosis of right internal jugular vein |
| |
| I82.C12 | Acute embolism and thrombosis of left internal jugular vein |
| |
| I82.C13 | Acute embolism and thrombosis of internal jugular vein, bilateral |
| |
| I95.0 | Idiopathic hypotension |
| |
| I95.1 | Orthostatic hypotension |
| |
| I95.2 | Hypotension due to drugs |
| |
| I95.3 | Hypotension of hemodialysis |
| |
| I95.81 | Postprocedural hypotension |
| |
| I95.89 | Other hypotension |
| |
| I95.9 | Hypotension, unspecified |
| |
| I97.0 | Postcardiotomy syndrome |
| |
| I97.110 | Postprocedural cardiac insufficiency following cardiac surgery |
| |
| I97.111 | Postprocedural cardiac insufficiency following other surgery |
| |
| I97.120 | Postprocedural cardiac arrest following cardiac surgery |
| |
| I97.121 | Postprocedural cardiac arrest following other surgery |
| |
| I97.130 | Postprocedural heart failure following cardiac surgery |
| |
| I97.131 | Postprocedural heart failure following other surgery |
| |
| I97.190 | Other postprocedural cardiac functional disturbances following cardiac surgery |
| |
| I97.191 | Other postprocedural cardiac functional disturbances following other surgery |
| |
| I97.3 | Postprocedural hypertension |
| |
| I97.710 | Intraoperative cardiac arrest during cardiac surgery |
| |
| I97.711 | Intraoperative cardiac arrest during other surgery |
| |
| I97.790 | Other intraoperative cardiac functional disturbances during cardiac surgery |
| |
| I97.791 | Other intraoperative cardiac functional disturbances during other surgery |
| |
| I97.88 | Other intraoperative complications of the circulatory system, not elsewhere classified |
| |
| I97.89 | Other postprocedural complications and disorders of the circulatory system, not elsewhere classified |
| |
| J44.0 | Chronic obstructive pulmonary disease with acute lower respiratory infection |
| |
| J44.1 | Chronic obstructive pulmonary disease with (acute) exacerbation |
| |
| J44.9 | Chronic obstructive pulmonary disease, unspecified |
| |
| J45.20 | Mild intermittent asthma, uncomplicated |
| |
| J45.21 | Mild intermittent asthma with (acute) exacerbation |
| |
| J45.22 | Mild intermittent asthma with status asthmaticus |
| |
| J45.30 | Mild persistent asthma, uncomplicated |
| |
| J45.31 | Mild persistent asthma with (acute) exacerbation |
| |
| J45.32 | Mild persistent asthma with status asthmaticus |
| |
| J45.40 | Moderate persistent asthma, uncomplicated |
| |
| J45.41 | Moderate persistent asthma with (acute) exacerbation |
| |
| J45.42 | Moderate persistent asthma with status asthmaticus |
| |
| J45.50 | Severe persistent asthma, uncomplicated |
| |
| J45.51 | Severe persistent asthma with (acute) exacerbation |
| |
| J45.52 | Severe persistent asthma with status asthmaticus |
| |
| J45.901 | Unspecified asthma with (acute) exacerbation |
| |
| J45.902 | Unspecified asthma with status asthmaticus |
| |
| J45.909 | Unspecified asthma, uncomplicated |
| |
| J45.991 | Cough variant asthma |
| |
| J45.998 | Other asthma |
| |
| J69.0 | Pneumonitis due to inhalation of food and vomit |
| |
| J69.8 | Pneumonitis due to inhalation of other solids and liquids |
| |
| J84.01 | Alveolar proteinosis |
| |
| J84.113 | Idiopathic non-specific interstitial pneumonitis |
| |
| J84.114 | Acute interstitial pneumonitis |
| |
| J84.115 | Respiratory bronchiolitis interstitial lung disease |
| |
| J84.81 | Lymphangioleiomyomatosis |
| |
| J90 | Pleural effusion, not elsewhere classified |
| |
| J91.0 | Malignant pleural effusion |
| |
| J91.8 | Pleural effusion in other conditions classified elsewhere |
| |
| J92.0 | Pleural plaque with presence of asbestos |
| |
| J92.9 | Pleural plaque without asbestos |
| |
| J94.0 | Chylous effusion |
| |
| J94.1 | Fibrothorax |
| |
| J94.2 | Hemothorax |
| |
| J94.8 | Other specified pleural conditions |
| |
| J94.9 | Pleural condition, unspecified |
| |
| J95.1 | Acute pulmonary insufficiency following thoracic surgery |
| |
| J95.2 | Acute pulmonary insufficiency following nonthoracic surgery |
| |
| J96.00 | Acute respiratory failure, unspecified whether with hypoxia or hypercapnia |
| |
| J96.01 | Acute respiratory failure with hypoxia |
| |
| J96.02 | Acute respiratory failure with hypercapnia |
| |
| J96.90 | Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia |
| |
| J96.91 | Respiratory failure, unspecified with hypoxia |
| |
| J96.92 | Respiratory failure, unspecified with hypercapnia |
| |
| J98.5 | Diseases of mediastinum, not elsewhere classified |
| |
| K50.012 | Crohns disease of small intestine with intestinal obstruction |
| |
| K50.112 | Crohns disease of large intestine with intestinal obstruction |
| |
| K50.812 | Crohns disease of both small and large intestine with intestinal obstruction |
| |
| K50.912 | Crohns disease, unspecified, with intestinal obstruction |
| |
| K51.012 | Ulcerative (chronic) pancolitis with intestinal obstruction |
| |
| K51.212 | Ulcerative (chronic) proctitis with intestinal obstruction |
| |
| K51.312 | Ulcerative (chronic) rectosigmoiditis with intestinal obstruction |
| |
| K51.812 | Other ulcerative colitis with intestinal obstruction |
| |
| K51.912 | Ulcerative colitis, unspecified with intestinal obstruction |
| |
| K70.40 | Alcoholic hepatic failure without coma |
| |
| K70.41 | Alcoholic hepatic failure with coma |
| |
| K70.9 | Alcoholic liver disease, unspecified |
| |
| K71.10 | Toxic liver disease with hepatic necrosis, without coma |
| |
| K71.11 | Toxic liver disease with hepatic necrosis, with coma |
| |
| K72.00 | Acute and subacute hepatic failure without coma |
| |
| K72.01 | Acute and subacute hepatic failure with coma |
| |
| K72.10 | Chronic hepatic failure without coma |
| |
| K72.11 | Chronic hepatic failure with coma |
| |
| K72.90 | Hepatic failure, unspecified without coma |
| |
| K72.91 | Hepatic failure, unspecified with coma |
| |
| K75.89 | Other specified inflammatory liver diseases |
| |
| K75.9 | Inflammatory liver disease, unspecified |
| |
| K76.89 | Other specified diseases of liver |
| |
| K76.9 | Liver disease, unspecified |
| |
| K77 | Liver disorders in diseases classified elsewhere |
| |
| K85.0 | Idiopathic acute pancreatitis |
| |
| K85.1 | Biliary acute pancreatitis |
| |
| K85.2 | Alcohol induced acute pancreatitis |
| |
| K85.3 | Drug induced acute pancreatitis |
| |
| K85.8 | Other acute pancreatitis |
| |
| K85.9 | Acute pancreatitis, unspecified |
| |
| K86.8 | Other specified diseases of pancreas |
| |
| K86.9 | Disease of pancreas, unspecified |
| |
| M05.40 | Rheumatoid myopathy with rheumatoid arthritis of unspecified site |
| |
| M05.411 | Rheumatoid myopathy with rheumatoid arthritis of right shoulder |
| |
| M05.412 | Rheumatoid myopathy with rheumatoid arthritis of left shoulder |
| |
| M05.421 | Rheumatoid myopathy with rheumatoid arthritis of right elbow |
| |
| M05.422 | Rheumatoid myopathy with rheumatoid arthritis of left elbow |
| |
| M05.431 | Rheumatoid myopathy with rheumatoid arthritis of right wrist |
| |
| M05.432 | Rheumatoid myopathy with rheumatoid arthritis of left wrist |
| |
| M05.441 | Rheumatoid myopathy with rheumatoid arthritis of right hand |
| |
| M05.442 | Rheumatoid myopathy with rheumatoid arthritis of left hand |
| |
| M05.451 | Rheumatoid myopathy with rheumatoid arthritis of right hip |
| |
| M05.452 | Rheumatoid myopathy with rheumatoid arthritis of left hip |
| |
| M05.461 | Rheumatoid myopathy with rheumatoid arthritis of right knee |
| |
| M05.462 | Rheumatoid myopathy with rheumatoid arthritis of left knee |
| |
| M05.471 | Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot |
| |
| M05.472 | Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot |
| |
| M05.49 | Rheumatoid myopathy with rheumatoid arthritis of multiple sites |
| |
| M05.50 | Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site |
| |
| M05.511 | Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder |
| |
| M05.512 | Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder |
| |
| M05.521 | Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow |
| |
| M05.522 | Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow |
| |
| M05.531 | Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist |
| |
| M05.532 | Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist |
| |
| M05.541 | Rheumatoid polyneuropathy with rheumatoid arthritis of right hand |
| |
| M05.542 | Rheumatoid polyneuropathy with rheumatoid arthritis of left hand |
| |
| M05.551 | Rheumatoid polyneuropathy with rheumatoid arthritis of right hip |
| |
| M05.552 | Rheumatoid polyneuropathy with rheumatoid arthritis of left hip |
| |
| M05.561 | Rheumatoid polyneuropathy with rheumatoid arthritis of right knee |
| |
| M05.562 | Rheumatoid polyneuropathy with rheumatoid arthritis of left knee |
| |
| M05.571 | Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot |
| |
| M05.572 | Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot |
| |
| M05.59 | Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites |
| |
| M05.70 | Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement |
| |
| M05.711 | Rheumatoid arthritis with rheumatoid factor of right shoulder without organ or systems involvement |
| |
| M05.712 | Rheumatoid arthritis with rheumatoid factor of left shoulder without organ or systems involvement |
| |
| M05.721 | Rheumatoid arthritis with rheumatoid factor of right elbow without organ or systems involvement |
| |
| M05.722 | Rheumatoid arthritis with rheumatoid factor of left elbow without organ or systems involvement |
| |
| M05.731 | Rheumatoid arthritis with rheumatoid factor of right wrist without organ or systems involvement |
| |
| M05.732 | Rheumatoid arthritis with rheumatoid factor of left wrist without organ or systems involvement |
| |
| M05.741 | Rheumatoid arthritis with rheumatoid factor of right hand without organ or systems involvement |
| |
| M05.742 | Rheumatoid arthritis with rheumatoid factor of left hand without organ or systems involvement |
| |
| M05.751 | Rheumatoid arthritis with rheumatoid factor of right hip without organ or systems involvement |
| |
| M05.752 | Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement |
| |
| M05.761 | Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement |
| |
| M05.762 | Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement |
| |
| M05.771 | Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement |
| |
| M05.772 | Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement |
| |
| M05.79 | Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement |
| |
| M05.80 | Other rheumatoid arthritis with rheumatoid factor of unspecified site |
| |
| M05.811 | Other rheumatoid arthritis with rheumatoid factor of right shoulder |
| |
| M05.812 | Other rheumatoid arthritis with rheumatoid factor of left shoulder |
| |
| M05.821 | Other rheumatoid arthritis with rheumatoid factor of right elbow |
| |
| M05.822 | Other rheumatoid arthritis with rheumatoid factor of left elbow |
| |
| M05.831 | Other rheumatoid arthritis with rheumatoid factor of right wrist |
| |
| M05.832 | Other rheumatoid arthritis with rheumatoid factor of left wrist |
| |
| M05.841 | Other rheumatoid arthritis with rheumatoid factor of right hand |
| |
| M05.842 | Other rheumatoid arthritis with rheumatoid factor of left hand |
| |
| M05.851 | Other rheumatoid arthritis with rheumatoid factor of right hip |
| |
| M05.852 | Other rheumatoid arthritis with rheumatoid factor of left hip |
| |
| M05.861 | Other rheumatoid arthritis with rheumatoid factor of right knee |
| |
| M05.862 | Other rheumatoid arthritis with rheumatoid factor of left knee |
| |
| M05.871 | Other rheumatoid arthritis with rheumatoid factor of right ankle and foot |
| |
| M05.872 | Other rheumatoid arthritis with rheumatoid factor of left ankle and foot |
| |
| M05.89 | Other rheumatoid arthritis with rheumatoid factor of multiple sites |
| |
| M05.9 | Rheumatoid arthritis with rheumatoid factor, unspecified |
| |
| M06.00 | Rheumatoid arthritis without rheumatoid factor, unspecified site |
| |
| M06.011 | Rheumatoid arthritis without rheumatoid factor, right shoulder |
| |
| M06.012 | Rheumatoid arthritis without rheumatoid factor, left shoulder |
| |
| M06.021 | Rheumatoid arthritis without rheumatoid factor, right elbow |
| |
| M06.022 | Rheumatoid arthritis without rheumatoid factor, left elbow |
| |
| M06.031 | Rheumatoid arthritis without rheumatoid factor, right wrist |
| |
| M06.032 | Rheumatoid arthritis without rheumatoid factor, left wrist |
| |
| M06.041 | Rheumatoid arthritis without rheumatoid factor, right hand |
| |
| M06.042 | Rheumatoid arthritis without rheumatoid factor, left hand |
| |
| M06.051 | Rheumatoid arthritis without rheumatoid factor, right hip |
| |
| M06.052 | Rheumatoid arthritis without rheumatoid factor, left hip |
| |
| M06.061 | Rheumatoid arthritis without rheumatoid factor, right knee |
| |
| M06.062 | Rheumatoid arthritis without rheumatoid factor, left knee |
| |
| M06.071 | Rheumatoid arthritis without rheumatoid factor, right ankle and foot |
| |
| M06.072 | Rheumatoid arthritis without rheumatoid factor, left ankle and foot |
| |
| M06.08 | Rheumatoid arthritis without rheumatoid factor, vertebrae |
| |
| M06.09 | Rheumatoid arthritis without rheumatoid factor, multiple sites |
| |
| M06.20 | Rheumatoid bursitis, unspecified site |
| |
| M06.211 | Rheumatoid bursitis, right shoulder |
| |
| M06.212 | Rheumatoid bursitis, left shoulder |
| |
| M06.221 | Rheumatoid bursitis, right elbow |
| |
| M06.222 | Rheumatoid bursitis, left elbow |
| |
| M06.231 | Rheumatoid bursitis, right wrist |
| |
| M06.232 | Rheumatoid bursitis, left wrist |
| |
| M06.241 | Rheumatoid bursitis, right hand |
| |
| M06.242 | Rheumatoid bursitis, left hand |
| |
| M06.251 | Rheumatoid bursitis, right hip |
| |
| M06.252 | Rheumatoid bursitis, left hip |
| |
| M06.261 | Rheumatoid bursitis, right knee |
| |
| M06.262 | Rheumatoid bursitis, left knee |
| |
| M06.271 | Rheumatoid bursitis, right ankle and foot |
| |
| M06.272 | Rheumatoid bursitis, left ankle and foot |
| |
| M06.28 | Rheumatoid bursitis, vertebrae |
| |
| M06.29 | Rheumatoid bursitis, multiple sites |
| |
| M06.30 | Rheumatoid nodule, unspecified site |
| |
| M06.311 | Rheumatoid nodule, right shoulder |
| |
| M06.312 | Rheumatoid nodule, left shoulder |
| |
| M06.321 | Rheumatoid nodule, right elbow |
| |
| M06.322 | Rheumatoid nodule, left elbow |
| |
| M06.331 | Rheumatoid nodule, right wrist |
| |
| M06.332 | Rheumatoid nodule, left wrist |
| |
| M06.341 | Rheumatoid nodule, right hand |
| |
| M06.342 | Rheumatoid nodule, left hand |
| |
| M06.351 | Rheumatoid nodule, right hip |
| |
| M06.352 | Rheumatoid nodule, left hip |
| |
| M06.361 | Rheumatoid nodule, right knee |
| |
| M06.362 | Rheumatoid nodule, left knee |
| |
| M06.371 | Rheumatoid nodule, right ankle and foot |
| |
| M06.372 | Rheumatoid nodule, left ankle and foot |
| |
| M06.38 | Rheumatoid nodule, vertebrae |
| |
| M06.39 | Rheumatoid nodule, multiple sites |
| |
| M06.80 | Other specified rheumatoid arthritis, unspecified site |
| |
| M06.811 | Other specified rheumatoid arthritis, right shoulder |
| |
| M06.812 | Other specified rheumatoid arthritis, left shoulder |
| |
| M06.821 | Other specified rheumatoid arthritis, right elbow |
| |
| M06.822 | Other specified rheumatoid arthritis, left elbow |
| |
| M06.831 | Other specified rheumatoid arthritis, right wrist |
| |
| M06.832 | Other specified rheumatoid arthritis, left wrist |
| |
| M06.841 | Other specified rheumatoid arthritis, right hand |
| |
| M06.842 | Other specified rheumatoid arthritis, left hand |
| |
| M06.851 | Other specified rheumatoid arthritis, right hip |
| |
| M06.852 | Other specified rheumatoid arthritis, left hip |
| |
| M06.861 | Other specified rheumatoid arthritis, right knee |
| |
| M06.862 | Other specified rheumatoid arthritis, left knee |
| |
| M06.871 | Other specified rheumatoid arthritis, right ankle and foot |
| |
| M06.872 | Other specified rheumatoid arthritis, left ankle and foot |
| |
| M06.88 | Other specified rheumatoid arthritis, vertebrae |
| |
| M06.89 | Other specified rheumatoid arthritis, multiple sites |
| |
| M06.9 | Rheumatoid arthritis, unspecified |
| |
| M32.11 | Endocarditis in systemic lupus erythematosus |
| |
| M32.12 | Pericarditis in systemic lupus erythematosus |
| |
| M62.82 | Rhabdomyolysis |
| |
| N17.9 | Acute kidney failure, unspecified |
| |
| N18.1 | Chronic kidney disease, stage 1 |
| |
| N18.2 | Chronic kidney disease, stage 2 (mild) |
| |
ICD-10-CM | E78.00 | Pure hypercholesterolemia, unspecified | ||
ICD-10-CM | I16.1 | Hypertensive emergency | ||
ICD-10-CM | I27.20 | Pulmonary hypertension, unspecified | ||
I31.3 | Pericardial effusion (noninflammatory) | |||
I77.810 | Thoracic aortic ectasia | |||
P29.30 | Pulmonary hypertension of newborn | |||
Q25.40 | Congenital malformation of aorta unspecified | |||
Q25.44 | Congenital dilation of aorta | |||
Q25.47 | Right aortic arch | |||
Q26.1 | Persistent left superior vena cava | |||
R23.0 | Cyanosis | |||
ICD-10-CM | Q23.81 | Bicuspid aortic valve | ||
Q23.82 | Congenital mitral valve cleft leaflet | |||
Q23.88 | Other congenital malformations of aortic and mitral valves | |||
ICD-10-CM Delete (Termination date 9/30/2024) |
|
| ||
ICD-10-CM Delete (Termination date 2/24/2022) |
|
| ||
ICD-10-CM Delete (Termination date 9/30/2020) |
|
|
| |
ICD-10-CM | N18.30 | Chronic kidney disease, stage 3 unspecified | ||
N18.31 | Chronic kidney disease, stage 3a | |||
N18.32 | Chronic kidney disease, stage 3b | |||
| N18.4 | Chronic kidney disease, stage 4 (severe) |
| |
| N18.5 | Chronic kidney disease, stage 5 |
| |
| N18.6 | End stage renal disease |
| |
| N18.9 | Chronic kidney disease, unspecified |
| |
| N26.2 | Page kidney |
| |
| Q20.0 | Common arterial trunk |
| |
| Q20.1 | Double outlet right ventricle |
| |
| Q20.2 | Double outlet left ventricle |
| |
| Q20.3 | Discordant ventriculoarterial connection |
| |
| Q20.4 | Double inlet ventricle |
| |
| Q20.5 | Discordant atrioventricular connection |
| |
| Q20.6 | Isomerism of atrial appendages |
| |
| Q20.8 | Other congenital malformations of cardiac chambers and connections |
| |
| Q20.9 | Congenital malformation of cardiac chambers and connections, unspecified |
| |
| Q21.0 | Ventricular septal defect |
| |
| Q21.1 | Atrial septal defect |
| |
| Q21.2 | Atrioventricular septal defect |
| |
| Q21.3 | Tetralogy of Fallot |
| |
| Q21.4 | Aortopulmonary septal defect |
| |
| Q21.8 | Other congenital malformations of cardiac septa |
| |
| Q21.9 | Congenital malformation of cardiac septum, unspecified |
| |
| Q22.0 | Pulmonary valve atresia |
| |
| Q22.1 | Congenital pulmonary valve stenosis |
| |
| Q22.2 | Congenital pulmonary valve insufficiency |
| |
| Q22.3 | Other congenital malformations of pulmonary valve |
| |
| Q22.4 | Congenital tricuspid stenosis |
| |
| Q22.5 | Ebsteins anomaly |
| |
| Q22.6 | Hypoplastic right heart syndrome |
| |
| Q22.8 | Other congenital malformations of tricuspid valve |
| |
| Q22.9 | Congenital malformation of tricuspid valve, unspecified |
| |
| Q23.0 | Congenital stenosis of aortic valve |
| |
| Q23.1 | Congenital insufficiency of aortic valve |
| |
| Q23.2 | Congenital mitral stenosis |
| |
| Q23.3 | Congenital mitral insufficiency |
| |
| Q23.4 | Hypoplastic left heart syndrome |
| |
| Q23.9 | Congenital malformation of aortic and mitral valves, unspecified |
| |
| Q24.0 | Dextrocardia |
| |
| Q24.1 | Levocardia |
| |
| Q24.2 | Cor triatriatum |
| |
| Q24.3 | Pulmonary infundibular stenosis |
| |
| Q24.4 | Congenital subaortic stenosis |
| |
| Q24.5 | Malformation of coronary vessels |
| |
| Q24.6 | Congenital heart block |
| |
| Q24.8 | Other specified congenital malformations of heart |
| |
| Q24.9 | Congenital malformation of heart, unspecified |
| |
| Q25.0 | Patent ductus arteriosus |
| |
| Q25.1 | Coarctation of aorta |
| |
| Q25.2 | Atresia of aorta |
| |
| Q25.3 | Supravalvular aortic stenosis |
| |
| Q25.4 | Other congenital malformations of aorta |
| |
| Q25.5 | Atresia of pulmonary artery |
| |
| Q25.6 | Stenosis of pulmonary artery |
| |
| Q25.71 | Coarctation of pulmonary artery |
| |
| Q25.72 | Congenital pulmonary arteriovenous malformation |
| |
| Q25.79 | Other congenital malformations of pulmonary artery |
| |
| Q25.9 | Congenital malformation of great arteries, unspecified |
| |
| Q26.2 | Total anomalous pulmonary venous connection |
| |
| Q26.3 | Partial anomalous pulmonary venous connection |
| |
| Q26.4 | Anomalous pulmonary venous connection, unspecified |
| |
| Q26.8 | Other congenital malformations of great veins |
| |
| Q26.9 | Congenital malformation of great vein, unspecified |
| |
| Q27.0 | Congenital absence and hypoplasia of umbilical artery |
| |
| Q27.30 | Arteriovenous malformation, site unspecified |
| |
| Q27.39 | Arteriovenous malformation, other site |
| |
| R00.0 | Tachycardia, unspecified |
| |
| R00.1 | Bradycardia, unspecified |
| |
| R00.2 | Palpitations |
| |
| R01.0 | Benign and innocent cardiac murmurs |
| |
| R01.1 | Cardiac murmur, unspecified |
| |
| R03.0 | Elevated blood-pressure reading, without diagnosis of hypertension |
| |
| R06.00 | Dyspnea, unspecified |
| |
| R06.01 | Orthopnea |
| |
| R06.02 | Shortness of breath |
| |
| R06.09 | Other forms of dyspnea |
| |
| R06.2 | Wheezing |
| |
| R06.3 | Periodic breathing |
| |
| R06.4 | Hyperventilation |
| |
| R06.81 | Apnea, not elsewhere classified |
| |
| R06.82 | Tachypnea, not elsewhere classified |
| |
| R06.83 | Snoring |
| |
| R06.89 | Other abnormalities of breathing |
| |
| R06.9 | Unspecified abnormalities of breathing |
| |
| R07.1 | Chest pain on breathing |
| |
| R07.2 | Precordial pain |
| |
| R07.81 | Pleurodynia |
| |
| R07.82 | Intercostal pain |
| |
| R07.89 | Other chest pain |
| |
| R07.9 | Chest pain, unspecified |
| |
| R09.01 | Asphyxia |
| |
| R09.02 | Hypoxemia |
| |
| R09.89 | Other specified symptoms and signs involving the circulatory and respiratory systems |
| |
| R10.0 | Acute abdomen |
| |
| R10.10 | Upper abdominal pain, unspecified |
| |
| R10.11 | Right upper quadrant pain |
| |
| R10.12 | Left upper quadrant pain |
| |
| R10.13 | Epigastric pain |
| |
| R10.2 | Pelvic and perineal pain |
| |
| R10.30 | Lower abdominal pain, unspecified |
| |
| R10.31 | Right lower quadrant pain |
| |
| R10.32 | Left lower quadrant pain |
| |
| R10.33 | Periumbilical pain |
| |
| R10.84 | Generalized abdominal pain |
| |
| R10.9 | Unspecified abdominal pain |
| |
| R12 | Heartburn |
| |
| R40.4 | Transient alteration of awareness |
| |
| R42 | Dizziness and giddiness |
| |
| R46.1 | Bizarre personal appearance |
| |
| R46.3 | Overactivity |
| |
| R52 | Pain, unspecified |
| |
| R53.0 | Neoplastic (malignant) related fatigue |
| |
| R53.1 | Weakness |
| |
| R53.81 | Other malaise |
| |
| R53.82 | Chronic fatigue, unspecified |
| |
| R53.83 | Other fatigue |
| |
| R55 | Syncope and collapse |
| |
| R56.00 | Simple febrile convulsions |
| |
| R56.01 | Complex febrile convulsions |
| |
| R56.9 | Unspecified convulsions |
| |
| R57.0 | Cardiogenic shock |
| |
| R57.8 | Other shock |
| |
| R60.0 | Localized edema |
| |
| R60.1 | Generalized edema |
| |
| R60.9 | Edema, unspecified |
| |
| R68.19 | Other nonspecific symptoms peculiar to infancy |
| |
| R68.89 | Other general symptoms and signs |
| |
| R78.81 | Bacteremia |
| |
| R94.30 | Abnormal result of cardiovascular function study, unspecified |
| |
| R94.31 | Abnormal electrocardiogram [ECG] [EKG] |
| |
| S20.90XA | Unspecified superficial injury of unspecified parts of thorax, initial encounter |
| |
| S20.90XD | Unspecified superficial injury of unspecified parts of thorax, subsequent encounter |
| |
| S20.90XS | Unspecified superficial injury of unspecified parts of thorax, sequela |
| |
| S29.001A | Unspecified injury of muscle and tendon of front wall of thorax, initial encounter |
| |
| S29.001D | Unspecified injury of muscle and tendon of front wall of thorax, subsequent encounter |
| |
| S29.001S | Unspecified injury of muscle and tendon of front wall of thorax, sequela |
| |
| S29.002A | Unspecified injury of muscle and tendon of back wall of thorax, initial encounter |
| |
| S29.002D | Unspecified injury of muscle and tendon of back wall of thorax, subsequent encounter |
| |
| S29.002S | Unspecified injury of muscle and tendon of back wall of thorax, sequela |
| |
| S29.009A | Unspecified injury of muscle and tendon of unspecified wall of thorax, initial encounter |
| |
| S29.009D | Unspecified injury of muscle and tendon of unspecified wall of thorax, subsequent encounter |
| |
| S29.009S | Unspecified injury of muscle and tendon of unspecified wall of thorax, sequela |
| |
| S29.091A | Other injury of muscle and tendon of front wall of thorax, initial encounter |
| |
| S29.091D | Other injury of muscle and tendon of front wall of thorax, subsequent encounter |
| |
| S29.091S | Other injury of muscle and tendon of front wall of thorax, sequela |
| |
| S29.092A | Other injury of muscle and tendon of back wall of thorax, initial encounter |
| |
| S29.092D | Other injury of muscle and tendon of back wall of thorax, subsequent encounter |
| |
| S29.092S | Other injury of muscle and tendon of back wall of thorax, sequela |
| |
| S29.099A | Other injury of muscle and tendon of unspecified wall of thorax, initial encounter |
| |
| S29.099D | Other injury of muscle and tendon of unspecified wall of thorax, subsequent encounter |
| |
| S29.099S | Other injury of muscle and tendon of unspecified wall of thorax, sequela |
| |
| S29.8XXA | Other specified injuries of thorax, initial encounter |
| |
| S29.8XXD | Other specified injuries of thorax, subsequent encounter |
| |
| S29.8XXS | Other specified injuries of thorax, sequela |
| |
| S29.9XXA | Unspecified injury of thorax, initial encounter |
| |
| S29.9XXD | Unspecified injury of thorax, subsequent encounter |
| |
| S29.9XXS | Unspecified injury of thorax, sequela |
| |
| T42.4X1A | Poisoning by benzodiazepines, accidental (unintentional), initial encounter |
| |
| T42.4X1D | Poisoning by benzodiazepines, accidental (unintentional), subsequent encounter |
| |
| T42.4X1S | Poisoning by benzodiazepines, accidental (unintentional), sequela |
| |
| T42.4X2A | Poisoning by benzodiazepines, intentional self-harm, initial encounter |
| |
| T42.4X2D | Poisoning by benzodiazepines, intentional self-harm, subsequent encounter |
| |
| T42.4X2S | Poisoning by benzodiazepines, intentional self-harm, sequela |
| |
| T42.4X3A | Poisoning by benzodiazepines, assault, initial encounter |
| |
| T42.4X3D | Poisoning by benzodiazepines, assault, subsequent encounter |
| |
| T42.4X3S | Poisoning by benzodiazepines, assault, sequela |
| |
| T42.4X4A | Poisoning by benzodiazepines, undetermined, initial encounter |
| |
| T42.4X4D | Poisoning by benzodiazepines, undetermined, subsequent encounter |
| |
| T42.4X4S | Poisoning by benzodiazepines, undetermined, sequela |
| |
| T50.901A | Poisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter |
| |
| T50.901D | Poisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), subsequent encounter |
| |
| T50.901S | Poisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), sequela |
| |
| T50.902A | Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, initial encounter |
| |
| T50.902D | Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, subsequent encounter |
| |
| T50.902S | Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm, sequela |
| |
| T50.903A | Poisoning by unspecified drugs, medicaments and biological substances, assault, initial encounter |
| |
| T50.903D | Poisoning by unspecified drugs, medicaments and biological substances, assault, subsequent encounter |
| |
| T50.903S | Poisoning by unspecified drugs, medicaments and biological substances, assault, sequela |
| |
| T50.904A | Poisoning by unspecified drugs, medicaments and biological substances, undetermined, initial encounter |
| |
| T50.904D | Poisoning by unspecified drugs, medicaments and biological substances, undetermined, subsequent encounter |
| |
| T50.904S | Poisoning by unspecified drugs, medicaments and biological substances, undetermined, sequela |
| |
| T80.0XXA | Air embolism following infusion, transfusion and therapeutic injection, initial encounter |
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| T80.0XXD | Air embolism following infusion, transfusion and therapeutic injection, subsequent encounter |
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| T80.0XXS | Air embolism following infusion, transfusion and therapeutic injection, sequela |
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| T81.718A | Complication of other artery following a procedure, not elsewhere classified, initial encounter |
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| T81.718D | Complication of other artery following a procedure, not elsewhere classified, subsequent encounter |
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| T81.718S | Complication of other artery following a procedure, not elsewhere classified, sequela |
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| T82.01XA | Breakdown (mechanical) of heart valve prosthesis, initial encounter |
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| T82.01XD | Breakdown (mechanical) of heart valve prosthesis, subsequent encounter |
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| T82.01XS | Breakdown (mechanical) of heart valve prosthesis, sequela |
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| T82.02XA | Displacement of heart valve prosthesis, initial encounter |
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| T82.02XD | Displacement of heart valve prosthesis, subsequent encounter |
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| T82.02XS | Displacement of heart valve prosthesis, sequela |
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| T82.09XA | Other mechanical complication of heart valve prosthesis, initial encounter |
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| T82.09XD | Other mechanical complication of heart valve prosthesis, subsequent encounter |
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| T82.09XS | Other mechanical complication of heart valve prosthesis, sequela |
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| T82.110A | Breakdown (mechanical) of cardiac electrode, initial encounter |
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| T82.110D | Breakdown (mechanical) of cardiac electrode, subsequent encounter |
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| T82.110S | Breakdown (mechanical) of cardiac electrode, sequela |
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| T82.111A | Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter |
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| T82.111D | Breakdown (mechanical) of cardiac pulse generator (battery), subsequent encounter |
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| T82.111S | Breakdown (mechanical) of cardiac pulse generator (battery), sequela |
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| T82.118A | Breakdown (mechanical) of other cardiac electronic device, initial encounter |
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| T82.118D | Breakdown (mechanical) of other cardiac electronic device, subsequent encounter |
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| T82.118S | Breakdown (mechanical) of other cardiac electronic device, sequela |
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| T82.119A | Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter |
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| T82.119D | Breakdown (mechanical) of unspecified cardiac electronic device, subsequent encounter |
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| T82.119S | Breakdown (mechanical) of unspecified cardiac electronic device, sequela |
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| T82.120A | Displacement of cardiac electrode, initial encounter |
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| T82.120D | Displacement of cardiac electrode, subsequent encounter |
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| T82.120S | Displacement of cardiac electrode, sequela |
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| T82.121A | Displacement of cardiac pulse generator (battery), initial encounter |
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| T82.121D | Displacement of cardiac pulse generator (battery), subsequent encounter |
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| T82.121S | Displacement of cardiac pulse generator (battery), sequela |
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| T82.128A | Displacement of other cardiac electronic device, initial encounter |
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| T82.128D | Displacement of other cardiac electronic device, subsequent encounter |
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| T82.128S | Displacement of other cardiac electronic device, sequela |
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| T82.129A | Displacement of unspecified cardiac electronic device, initial encounter |
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| T82.129D | Displacement of unspecified cardiac electronic device, subsequent encounter |
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| T82.129S | Displacement of unspecified cardiac electronic device, sequela |
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| T82.190A | Other mechanical complication of cardiac electrode, initial encounter |
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| T82.190D | Other mechanical complication of cardiac electrode, subsequent encounter |
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| T82.190S | Other mechanical complication of cardiac electrode, sequela |
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| T82.191A | Other mechanical complication of cardiac pulse generator (battery), initial encounter |
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| T82.191D | Other mechanical complication of cardiac pulse generator (battery), subsequent encounter |
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| T82.191S | Other mechanical complication of cardiac pulse generator (battery), sequela |
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| T82.198A | Other mechanical complication of other cardiac electronic device, initial encounter |
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| T82.198D | Other mechanical complication of other cardiac electronic device, subsequent encounter |
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| T82.198S | Other mechanical complication of other cardiac electronic device, sequela |
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| T82.199A | Other mechanical complication of unspecified cardiac device, initial encounter |
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| T82.199D | Other mechanical complication of unspecified cardiac device, subsequent encounter |
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| T82.199S | Other mechanical complication of unspecified cardiac device, sequela |
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| T82.211A | Breakdown (mechanical) of coronary artery bypass graft, initial encounter |
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| T82.211D | Breakdown (mechanical) of coronary artery bypass graft, subsequent encounter |
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| T82.211S | Breakdown (mechanical) of coronary artery bypass graft, sequela |
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| T82.212A | Displacement of coronary artery bypass graft, initial encounter |
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| T82.212D | Displacement of coronary artery bypass graft, subsequent encounter |
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| T82.212S | Displacement of coronary artery bypass graft, sequela |
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| T82.213A | Leakage of coronary artery bypass graft, initial encounter |
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| T82.213D | Leakage of coronary artery bypass graft, subsequent encounter |
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| T82.213S | Leakage of coronary artery bypass graft, sequela |
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| T82.218A | Other mechanical complication of coronary artery bypass graft, initial encounter |
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| T82.218D | Other mechanical complication of coronary artery bypass graft, subsequent encounter |
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| T82.218S | Other mechanical complication of coronary artery bypass graft, sequela |
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| T82.221A | Breakdown (mechanical) of biological heart valve graft, initial encounter |
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| T82.221D | Breakdown (mechanical) of biological heart valve graft, subsequent encounter |
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| T82.221S | Breakdown (mechanical) of biological heart valve graft, sequela |
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| T82.222A | Displacement of biological heart valve graft, initial encounter |
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| T82.222D | Displacement of biological heart valve graft, subsequent encounter |
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| T82.222S | Displacement of biological heart valve graft, sequela |
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| T82.223A | Leakage of biological heart valve graft, initial encounter |
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| T82.223D | Leakage of biological heart valve graft, subsequent encounter |
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| T82.223S | Leakage of biological heart valve graft, sequela |
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| T82.228A | Other mechanical complication of biological heart valve graft, initial encounter |
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| T82.228D | Other mechanical complication of biological heart valve graft, subsequent encounter |
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| T82.228S | Other mechanical complication of biological heart valve graft, sequela |
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| T82.512A | Breakdown (mechanical) of artificial heart, initial encounter |
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| T82.512D | Breakdown (mechanical) of artificial heart, subsequent encounter |
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| T82.512S | Breakdown (mechanical) of artificial heart, sequela |
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| T82.519A | Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter |
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| T82.519D | Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, subsequent encounter |
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| T82.519S | Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, sequela |
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| T82.522A | Displacement of artificial heart, initial encounter |
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| T82.522D | Displacement of artificial heart, subsequent encounter |
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| T82.522S | Displacement of artificial heart, sequela |
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| T82.528A | Displacement of other cardiac and vascular devices and implants, initial encounter |
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| T82.528D | Displacement of other cardiac and vascular devices and implants, subsequent encounter |
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| T82.528S | Displacement of other cardiac and vascular devices and implants, sequela |
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| T82.532A | Leakage of artificial heart, initial encounter |
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| T82.532D | Leakage of artificial heart, subsequent encounter |
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| T82.532S | Leakage of artificial heart, sequela |
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| T82.534A | Leakage of infusion catheter, initial encounter |
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| T82.534D | Leakage of infusion catheter, subsequent encounter |
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| T82.534S | Leakage of infusion catheter, sequela |
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| T82.538A | Leakage of other cardiac and vascular devices and implants, initial encounter |
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| T82.538D | Leakage of other cardiac and vascular devices and implants, subsequent encounter |
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| T82.538S | Leakage of other cardiac and vascular devices and implants, sequela |
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| T82.539A | Leakage of unspecified cardiac and vascular devices and implants, initial encounter |
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| T82.539D | Leakage of unspecified cardiac and vascular devices and implants, subsequent encounter |
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| T82.539S | Leakage of unspecified cardiac and vascular devices and implants, sequela |
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| T82.817A | Embolism of cardiac prosthetic devices, implants and grafts, initial encounter |
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| T82.817D | Embolism due to cardiac prosthetic devices, implants and grafts, subsequent encounter |
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| T82.817S | Embolism due to cardiac prosthetic devices, implants and grafts, sequela |
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| T82.818A | Embolism of vascular prosthetic devices, implants and grafts, initial encounter |
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| T82.818D | Embolism due to vascular prosthetic devices, implants and grafts, subsequent encounter |
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| T82.818S | Embolism due to vascular prosthetic devices, implants and grafts, sequela |
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| Z00.00 | Encounter for general adult medical examination without abnormal findings |
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| Z00.01 | Encounter for general adult medical examination with abnormal findings |
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| Z00.8 | Encounter for other general examination |
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| Z01.810 | Encounter for preprocedural cardiovascular examination |
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| Z01.811 | Encounter for preprocedural respiratory examination |
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| Z01.812 | Encounter for preprocedural laboratory examination |
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| Z01.818 | Encounter for other preprocedural examination |
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| Z02.9 | Encounter for administrative examinations, unspecified |
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| Z03.89 | Encounter for observation for other suspected diseases and conditions ruled out |
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| Z04.9 | Encounter for examination and observation for unspecified reason |
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| Z12.12 | Encounter for screening for malignant neoplasm of rectum |
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| Z12.13 | Encounter for screening for malignant neoplasm of small intestine |
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| Z12.31 | Encounter for screening mammogram for malignant neoplasm of breast |
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| Z12.5 | Encounter for screening for malignant neoplasm of prostate |
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| Z12.6 | Encounter for screening for malignant neoplasm of bladder |
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| Z12.71 | Encounter for screening for malignant neoplasm of testis |
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| Z12.72 | Encounter for screening for malignant neoplasm of vagina |
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| Z13.6 | Encounter for screening for cardiovascular disorders |
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| Z13.9 | Encounter for screening, unspecified |
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| Z30.013 | Encounter for initial prescription of injectable contraceptive |
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| Z30.019 | Encounter for initial prescription of contraceptives, unspecified |
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| Z40.8 | Encounter for other prophylactic surgery |
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| Z40.9 | Encounter for prophylactic surgery, unspecified |
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| Z41.9 | Encounter for procedure for purposes other than remedying health state, unspecified |
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| Z45.010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] |
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| Z45.018 | Encounter for adjustment and management of other part of cardiac pacemaker |
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| Z45.31 | Encounter for adjustment and management of implanted visual substitution device |
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| Z45.320 | Encounter for adjustment and management of bone conduction device |
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| Z45.321 | Encounter for adjustment and management of cochlear device |
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| Z45.328 | Encounter for adjustment and management of other implanted hearing device |
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| Z45.49 | Encounter for adjustment and management of other implanted nervous system device |
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| Z45.89 | Encounter for adjustment and management of other implanted devices |
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| Z45.9 | Encounter for adjustment and management of unspecified implanted device |
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| Z46.2 | Encounter for fitting and adjustment of other devices related to nervous system and special senses |
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| Z95.0 | Presence of cardiac pacemaker |
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| Z95.1 | Presence of aortocoronary bypass graft |
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ICD-10 CM (effective date 10/01/2019) | I48.11 | Longstanding persistent atrial fibrillation | ||
I48.19 | Other persistent atrial fibrillation | |||
I48.20 | Chronic atrial fibrillation, unspecified | |||
I48.21 | Permanent atrial fibrillation | |||
ICD-10-CM (Deleted 09/30/19) |
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ICD-10 CM (effective date 10/01/2017) | I27.21 | Secondary pulmonary arterial hypertension |
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| I27.22 | Pulmonary hypertension due to left heart disease |
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| I27.23 | Pulmonary hypertension due to lung diseases and hypoxia |
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| I27.24 | Chronic thromboembolic pulmonary hypertension |
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| I27.83 | Eisenmenger's syndrome |
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| K56.600 | Partial intestinal obstruction, unspecified as to cause |
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| K56.601 | Complete intestinal obstruction, unspecified as to cause |
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| K56.609 | Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction |
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ICD-10 CM (Effective date 10/01/2018) | E78.41 | Elevated Lipoprotein(a) |
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| E7849 | Other hyperlipidemia |
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| I6381 | Other cerebral infarction due to occlusion or stenosis of small artery |
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| I6389 | Other cerebral infarction |
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ICD-10-CM (Termination 09/30/18) |
| Other hyperlipidemia |
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| Other cerebral infarction |
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ICD-10-CM (Termination 10/01/15) |
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ICD-10-CM (Termination 10/01/15) |
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ICD-10-CM Delete Eff Date 9/30/2022 |
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N/A
Date | Action | Description |
09/11/2024 | Diagnosis codes update | Deleted ICD-10 CM (Q23.8) effective date 9/30/2024. Added ICD-10 CM (Q23.81, Q23.82, Q23.88) Effective date 10/01/2024. |
08/22/2023 | Diagnosis codes update | Deleted ICD-10 CM I20.8, I24.8, I47.1 effective date 9/30/2023 Added ICD-10 CM (I20.81, I20.89, I24.81, I24.89, I47.10, I47.11, I47.19) Effective Date 10/01/2023. |
07/19/2022 | Diagnosis codes update | Deleted ICD-10 CM E87.2 Effective 9/30/2022 Added ICD-10 CM (E87.20, E87.21, E87.22, E87.29) |
02/24/2022 | Diagnosis codes update | Added ICD-10 E78.00 Effective12/01/2021 Deleted ICD-10 E78.0 Effective 2/24/2022 |
09/16/2021 | Diagnosis codes update | Added ICD-10 CM Effective 8/01/2020 (I27.20, I31.3, I77.810, P29.30, Q25.40, Q25.47, Q26.1, R23.0) Added ICD-10 CM Effective 5/01/2021 (I16.1) |
09/30/2020 | Policy Updated | Added ICD-10 CM (N1830-N18.32), Delete ICD -10 CM (N18.3) |
11/14/2019 | Policy replaced | Policy updated, ICD 10 added. I48.11, I48.19, I48.20, I48.21, I16.0. Reviewed by the Providers Advisory Committee. |
09/24/2018 | Policy reviewed | |
10/01/2017 | Policy replaced | (ICD-10 added) |
05/10/2016 | | |
10/01/2013 | | (ICD-10 added) |
09/30/2013 | | (ICD-10 added) |
07/17/2013 | | (ICD-10 added) |
02/21/2013 | | |
10/01/2011 | | (ICD-10 added) |
09/12/2011 | | (dx - related to pediatric cardiology included) |
02/14/2011 | | (include dx authorized by Dr. Hernández) |
12/28/2010 | | (include dx, authorized by Dr. Joglar) |
02/12/2009 | | (ICES) |
04/13/2007 | | Unchange policy |
04/08/2005 | | |
06/26/1998 | | New policy |