LCD Reference Article Billing and Coding Article

Billing and Coding: Immune Globulins

A57554

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Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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Note History

Contractor Information

Article Information

General Information

Source Article ID
N/A
Article ID
A57554
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Immune Globulins
Article Type
Billing and Coding
Original Effective Date
11/01/2019
Revision Effective Date
01/12/2024
Revision Ending Date
N/A
Retirement Date
N/A
AMA CPT / ADA CDT / AHA NUBC Copyright Statement

CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Current Dental Terminology © 2023 American Dental Association. All rights reserved.

Copyright © 2023, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB‐04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816.

Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

CMS Pub 100-02 Medicare Benefit Policy Manual, Chapter 15 – Covered Medical and Other Health Services, Section 50.6 – Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency Diseases in the Home.

CMS Pub 100-03 Medicare National Coverage Determination (NCD) Manual, Chapter 1, Part 4, Section 250.3 – Intravenous Immune Globulin for the Treatment of Autoimmune Mucocutaneous Blistering Diseases.

CMS Pub 100-04 Medicare Claims Processing Manual, Chapter 17 – Drugs and Biologicals, Section 80.6 – Intravenous Immune Globulin (Change Requests 2149, 3745, 4244, 5635, 5643, and 5981).

Article Guidance

Article Text

The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD.

Documentation Requirements
Medical records must include the indications to support using IVIG. For those indications stating routine use is not indicated, the medical record must document the interventions that were unsuccessful or the reason they were not tolerated.

Documentation must support objective response for continued coverage. Medical Records must be made available to the Contractor upon request.

Response To Comments

Number Comment Response
1
N/A

Coding Information

Bill Type Codes

Code Description
N/A

Revenue Codes

Code Description
N/A

CPT/HCPCS Codes

Group 1

(26 Codes)
Group 1 Paragraph

N/A

Group 1 Codes
Code Description
90371 HEPATITIS B IMMUNE GLOBULIN (HBIG), HUMAN, FOR INTRAMUSCULAR USE
90375 RABIES IMMUNE GLOBULIN (RIG), HUMAN, FOR INTRAMUSCULAR AND/OR SUBCUTANEOUS USE
90376 RABIES IMMUNE GLOBULIN, HEAT-TREATED (RIG-HT), HUMAN, FOR INTRAMUSCULAR AND/OR SUBCUTANEOUS USE
90393 VACCINIA IMMUNE GLOBULIN, HUMAN, FOR INTRAMUSCULAR USE
90396 VARICELLA-ZOSTER IMMUNE GLOBULIN, HUMAN, FOR INTRAMUSCULAR USE
96365 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR
96366 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
96372 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR
J0840 INJECTION, CROTALIDAE POLYVALENT IMMUNE FAB (OVINE), UP TO 1 GRAM
J0850 INJECTION, CYTOMEGALOVIRUS IMMUNE GLOBULIN INTRAVENOUS (HUMAN), PER VIAL
J1459 INJECTION, IMMUNE GLOBULIN (PRIVIGEN), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
J1460 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, 1 CC
J1554 INJECTION, IMMUNE GLOBULIN (ASCENIV), 500 MG
J1556 INJECTION, IMMUNE GLOBULIN (BIVIGAM), 500 MG
J1557 INJECTION, IMMUNE GLOBULIN, (GAMMAPLEX), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
J1560 INJECTION, GAMMA GLOBULIN, INTRAMUSCULAR, OVER 10 CC
J1561 INJECTION, IMMUNE GLOBULIN, (GAMUNEX-C/GAMMAKED), NON-LYOPHILIZED (E.G., LIQUID), 500 MG
J1566 INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, LYOPHILIZED (E.G., POWDER), NOT OTHERWISE SPECIFIED, 500 MG
J1568 INJECTION, IMMUNE GLOBULIN, (OCTAGAM), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
J1569 INJECTION, IMMUNE GLOBULIN, (GAMMAGARD LIQUID), NON-LYOPHILIZED, (E.G., LIQUID), 500 MG
J1571 INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAMUSCULAR, 0.5 ML
J1572 INJECTION, IMMUNE GLOBULIN, (FLEBOGAMMA/FLEBOGAMMA DIF), INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), 500 MG
J1573 INJECTION, HEPATITIS B IMMUNE GLOBULIN (HEPAGAM B), INTRAVENOUS, 0.5 ML
J1575 INJECTION, IMMUNE GLOBULIN/HYALURONIDASE, (HYQVIA), 100 MG IMMUNEGLOBULIN
J1599 INJECTION, IMMUNE GLOBULIN, INTRAVENOUS, NON-LYOPHILIZED (E.G., LIQUID), NOT OTHERWISE SPECIFIED, 500 MG
J1670 INJECTION, TETANUS IMMUNE GLOBULIN, HUMAN, UP TO 250 UNITS
N/A

CPT/HCPCS Modifiers

Group 1

Group 1 Paragraph

N/A

Group 1 Codes

N/A

N/A

ICD-10-CM Codes that Support Medical Necessity

Group 1

(20 Codes)
Group 1 Paragraph

Diagnosis codes must be coded to the highest level of specificity.
J1460, J1560

Group 1 Codes
Code Description
D80.0 Hereditary hypogammaglobulinemia
D80.1 Nonfamilial hypogammaglobulinemia
D80.2 Selective deficiency of immunoglobulin A [IgA]
D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses
D80.4 Selective deficiency of immunoglobulin M [IgM]
D80.5 Immunodeficiency with increased immunoglobulin M [IgM]
D81.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis
D81.1 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers
D81.2 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers
D81.6 Major histocompatibility complex class I deficiency
D81.7 Major histocompatibility complex class II deficiency
D81.82 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]
D81.89 Other combined immunodeficiencies
D81.9 Combined immunodeficiency, unspecified
D83.0 Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function
D83.1 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders
D83.2 Common variable immunodeficiency with autoantibodies to B- or T-cells
D83.8 Other common variable immunodeficiencies
D83.9 Common variable immunodeficiency, unspecified
Z20.5 Contact with and (suspected) exposure to viral hepatitis

Group 2

(2 Codes)
Group 2 Paragraph

J1460, J1560
Rubella: for a woman in early pregnancy, who is exposed to the virus and does not have immunity, requires two diagnosis codes Z33.1 AND Z20.4


Group 2 Codes
Code Description
Z20.4 Contact with and (suspected) exposure to rubella
Z33.1 Pregnant state, incidental

Group 3

(1 Code)
Group 3 Paragraph

90371

Group 3 Codes
Code Description
Z20.5 Contact with and (suspected) exposure to viral hepatitis

Group 4

(1 Code)
Group 4 Paragraph

90375, 90376

Group 4 Codes
Code Description
Z20.3 Contact with and (suspected) exposure to rabies

Group 5

(1 Code)
Group 5 Paragraph

90393

Group 5 Codes
Code Description
Z20.4 Contact with and (suspected) exposure to rubella

Group 6

(1 Code)
Group 6 Paragraph

90396

Group 6 Codes
Code Description
Z20.820 Contact with and (suspected) exposure to varicella

Group 7

(918 Codes)
Group 7 Paragraph

J1670
Use A -initial encounter, D - subsequent encounter or S – sequela, for those codes which require a 7th character.

Group 7 Codes
Code Description
S01.00XA Unspecified open wound of scalp, initial encounter
S01.01XA Laceration without foreign body of scalp, initial encounter
S01.02XA Laceration with foreign body of scalp, initial encounter
S01.03XA Puncture wound without foreign body of scalp, initial encounter
S01.04XA Puncture wound with foreign body of scalp, initial encounter
S01.101A Unspecified open wound of right eyelid and periocular area, initial encounter
S01.102A Unspecified open wound of left eyelid and periocular area, initial encounter
S01.111A Laceration without foreign body of right eyelid and periocular area, initial encounter
S01.112A Laceration without foreign body of left eyelid and periocular area, initial encounter
S01.121A Laceration with foreign body of right eyelid and periocular area, initial encounter
S01.122A Laceration with foreign body of left eyelid and periocular area, initial encounter
S01.131A Puncture wound without foreign body of right eyelid and periocular area, initial encounter
S01.132A Puncture wound without foreign body of left eyelid and periocular area, initial encounter
S01.141A Puncture wound with foreign body of right eyelid and periocular area, initial encounter
S01.142A Puncture wound with foreign body of left eyelid and periocular area, initial encounter
S01.151A Open bite of right eyelid and periocular area, initial encounter
S01.152A Open bite of left eyelid and periocular area, initial encounter
S01.20XA Unspecified open wound of nose, initial encounter
S01.21XA Laceration without foreign body of nose, initial encounter
S01.22XA Laceration with foreign body of nose, initial encounter
S01.23XA Puncture wound without foreign body of nose, initial encounter
S01.24XA Puncture wound with foreign body of nose, initial encounter
S01.25XA Open bite of nose, initial encounter
S01.301A Unspecified open wound of right ear, initial encounter
S01.302A Unspecified open wound of left ear, initial encounter
S01.311A Laceration without foreign body of right ear, initial encounter
S01.312A Laceration without foreign body of left ear, initial encounter
S01.321A Laceration with foreign body of right ear, initial encounter
S01.322A Laceration with foreign body of left ear, initial encounter
S01.331A Puncture wound without foreign body of right ear, initial encounter
S01.332A Puncture wound without foreign body of left ear, initial encounter
S01.341A Puncture wound with foreign body of right ear, initial encounter
S01.342A Puncture wound with foreign body of left ear, initial encounter
S01.351A Open bite of right ear, initial encounter
S01.352A Open bite of left ear, initial encounter
S01.401A Unspecified open wound of right cheek and temporomandibular area, initial encounter
S01.402A Unspecified open wound of left cheek and temporomandibular area, initial encounter
S01.411A Laceration without foreign body of right cheek and temporomandibular area, initial encounter
S01.412A Laceration without foreign body of left cheek and temporomandibular area, initial encounter
S01.421A Laceration with foreign body of right cheek and temporomandibular area, initial encounter
S01.422A Laceration with foreign body of left cheek and temporomandibular area, initial encounter
S01.431A Puncture wound without foreign body of right cheek and temporomandibular area, initial encounter
S01.432A Puncture wound without foreign body of left cheek and temporomandibular area, initial encounter
S01.441A Puncture wound with foreign body of right cheek and temporomandibular area, initial encounter
S01.442A Puncture wound with foreign body of left cheek and temporomandibular area, initial encounter
S01.451A Open bite of right cheek and temporomandibular area, initial encounter
S01.452A Open bite of left cheek and temporomandibular area, initial encounter
S01.501A Unspecified open wound of lip, initial encounter
S01.502A Unspecified open wound of oral cavity, initial encounter
S01.511A Laceration without foreign body of lip, initial encounter
S01.512A Laceration without foreign body of oral cavity, initial encounter
S01.521A Laceration with foreign body of lip, initial encounter
S01.522A Laceration with foreign body of oral cavity, initial encounter
S01.531A Puncture wound without foreign body of lip, initial encounter
S01.532A Puncture wound without foreign body of oral cavity, initial encounter
S01.541A Puncture wound with foreign body of lip, initial encounter
S01.542A Puncture wound with foreign body of oral cavity, initial encounter
S01.551A Open bite of lip, initial encounter
S01.552A Open bite of oral cavity, initial encounter
S01.80XA Unspecified open wound of other part of head, initial encounter
S01.81XA Laceration without foreign body of other part of head, initial encounter
S01.82XA Laceration with foreign body of other part of head, initial encounter
S01.83XA Puncture wound without foreign body of other part of head, initial encounter
S01.84XA Puncture wound with foreign body of other part of head, initial encounter
S01.85XA Open bite of other part of head, initial encounter
S01.90XA Unspecified open wound of unspecified part of head, initial encounter
S01.91XA Laceration without foreign body of unspecified part of head, initial encounter
S01.92XA Laceration with foreign body of unspecified part of head, initial encounter
S01.93XA Puncture wound without foreign body of unspecified part of head, initial encounter
S01.94XA Puncture wound with foreign body of unspecified part of head, initial encounter
S01.95XA Open bite of unspecified part of head, initial encounter
S05.20XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, unspecified eye, initial encounter
S05.21XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, right eye, initial encounter
S05.22XA Ocular laceration and rupture with prolapse or loss of intraocular tissue, left eye, initial encounter
S05.30XA Ocular laceration without prolapse or loss of intraocular tissue, unspecified eye, initial encounter
S05.31XA Ocular laceration without prolapse or loss of intraocular tissue, right eye, initial encounter
S05.32XA Ocular laceration without prolapse or loss of intraocular tissue, left eye, initial encounter
S05.40XA Penetrating wound of orbit with or without foreign body, unspecified eye, initial encounter
S05.41XA Penetrating wound of orbit with or without foreign body, right eye, initial encounter
S05.42XA Penetrating wound of orbit with or without foreign body, left eye, initial encounter
S05.50XA Penetrating wound with foreign body of unspecified eyeball, initial encounter
S05.51XA Penetrating wound with foreign body of right eyeball, initial encounter
S05.52XA Penetrating wound with foreign body of left eyeball, initial encounter
S05.60XA Penetrating wound without foreign body of unspecified eyeball, initial encounter
S05.61XA Penetrating wound without foreign body of right eyeball, initial encounter
S05.62XA Penetrating wound without foreign body of left eyeball, initial encounter
S05.71XA Avulsion of right eye, initial encounter
S05.72XA Avulsion of left eye, initial encounter
S05.8X1A Other injuries of right eye and orbit, initial encounter
S05.8X2A Other injuries of left eye and orbit, initial encounter
S05.91XA Unspecified injury of right eye and orbit, initial encounter
S05.92XA Unspecified injury of left eye and orbit, initial encounter
S08.0XXA Avulsion of scalp, initial encounter
S08.111A Complete traumatic amputation of right ear, initial encounter
S08.112A Complete traumatic amputation of left ear, initial encounter
S08.119A Complete traumatic amputation of unspecified ear, initial encounter
S08.121A Partial traumatic amputation of right ear, initial encounter
S08.122A Partial traumatic amputation of left ear, initial encounter
S08.129A Partial traumatic amputation of unspecified ear, initial encounter
S08.811A Complete traumatic amputation of nose, initial encounter
S08.812A Partial traumatic amputation of nose, initial encounter
S08.89XA Traumatic amputation of other parts of head, initial encounter
S09.12XA Laceration of muscle and tendon of head, initial encounter
S09.20XA Traumatic rupture of unspecified ear drum, initial encounter
S09.21XA Traumatic rupture of right ear drum, initial encounter
S09.22XA Traumatic rupture of left ear drum, initial encounter
S09.301A Unspecified injury of right middle and inner ear, initial encounter
S09.302A Unspecified injury of left middle and inner ear, initial encounter
S09.309A Unspecified injury of unspecified middle and inner ear, initial encounter
S09.311A Primary blast injury of right ear, initial encounter
S09.312A Primary blast injury of left ear, initial encounter
S09.313A Primary blast injury of ear, bilateral, initial encounter
S09.391A Other specified injury of right middle and inner ear, initial encounter
S09.392A Other specified injury of left middle and inner ear, initial encounter
S09.399A Other specified injury of unspecified middle and inner ear, initial encounter
S09.8XXA Other specified injuries of head, initial encounter
S09.90XA Unspecified injury of head, initial encounter
S09.91XA Unspecified injury of ear, initial encounter
S09.93XA Unspecified injury of face, initial encounter
S11.011A Laceration without foreign body of larynx, initial encounter
S11.012A Laceration with foreign body of larynx, initial encounter
S11.013A Puncture wound without foreign body of larynx, initial encounter
S11.014A Puncture wound with foreign body of larynx, initial encounter
S11.015A Open bite of larynx, initial encounter
S11.019A Unspecified open wound of larynx, initial encounter
S11.021A Laceration without foreign body of trachea, initial encounter
S11.022A Laceration with foreign body of trachea, initial encounter
S11.023A Puncture wound without foreign body of trachea, initial encounter
S11.024A Puncture wound with foreign body of trachea, initial encounter
S11.025A Open bite of trachea, initial encounter
S11.029A Unspecified open wound of trachea, initial encounter
S11.031A Laceration without foreign body of vocal cord, initial encounter
S11.032A Laceration with foreign body of vocal cord, initial encounter
S11.033A Puncture wound without foreign body of vocal cord, initial encounter
S11.034A Puncture wound with foreign body of vocal cord, initial encounter
S11.035A Open bite of vocal cord, initial encounter
S11.039A Unspecified open wound of vocal cord, initial encounter
S11.10XA Unspecified open wound of thyroid gland, initial encounter
S11.11XA Laceration without foreign body of thyroid gland, initial encounter
S11.12XA Laceration with foreign body of thyroid gland, initial encounter
S11.13XA Puncture wound without foreign body of thyroid gland, initial encounter
S11.14XA Puncture wound with foreign body of thyroid gland, initial encounter
S11.15XA Open bite of thyroid gland, initial encounter
S11.20XA Unspecified open wound of pharynx and cervical esophagus, initial encounter
S11.21XA Laceration without foreign body of pharynx and cervical esophagus, initial encounter
S11.22XA Laceration with foreign body of pharynx and cervical esophagus, initial encounter
S11.23XA Puncture wound without foreign body of pharynx and cervical esophagus, initial encounter
S11.24XA Puncture wound with foreign body of pharynx and cervical esophagus, initial encounter
S11.25XA Open bite of pharynx and cervical esophagus, initial encounter
S11.80XA Unspecified open wound of other specified part of neck, initial encounter
S11.81XA Laceration without foreign body of other specified part of neck, initial encounter
S11.82XA Laceration with foreign body of other specified part of neck, initial encounter
S11.83XA Puncture wound without foreign body of other specified part of neck, initial encounter
S11.84XA Puncture wound with foreign body of other specified part of neck, initial encounter
S11.85XA Open bite of other specified part of neck, initial encounter
S11.89XA Other open wound of other specified part of neck, initial encounter
S11.93XA Puncture wound without foreign body of unspecified part of neck, initial encounter
S11.94XA Puncture wound with foreign body of unspecified part of neck, initial encounter
S11.95XA Open bite of unspecified part of neck, initial encounter
S16.2XXA Laceration of muscle, fascia and tendon at neck level, initial encounter
S21.001A Unspecified open wound of right breast, initial encounter
S21.002A Unspecified open wound of left breast, initial encounter
S21.011A Laceration without foreign body of right breast, initial encounter
S21.012A Laceration without foreign body of left breast, initial encounter
S21.021A Laceration with foreign body of right breast, initial encounter
S21.022A Laceration with foreign body of left breast, initial encounter
S21.031A Puncture wound without foreign body of right breast, initial encounter
S21.032A Puncture wound without foreign body of left breast, initial encounter
S21.041A Puncture wound with foreign body of right breast, initial encounter
S21.042A Puncture wound with foreign body of left breast, initial encounter
S21.051A Open bite of right breast, initial encounter
S21.052A Open bite of left breast, initial encounter
S21.101A Unspecified open wound of right front wall of thorax without penetration into thoracic cavity, initial encounter
S21.102A Unspecified open wound of left front wall of thorax without penetration into thoracic cavity, initial encounter
S21.109A Unspecified open wound of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
S21.111A Laceration without foreign body of right front wall of thorax without penetration into thoracic cavity, initial encounter
S21.112A Laceration without foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter
S21.119A Laceration without foreign body of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
S21.121A Laceration with foreign body of right front wall of thorax without penetration into thoracic cavity, initial encounter
S21.122A Laceration with foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter
S21.129A Laceration with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
S21.131A Puncture wound without foreign body of right front wall of thorax without penetration into thoracic cavity, initial encounter
S21.132A Puncture wound without foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter
S21.139A Puncture wound without foreign body of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
S21.141A Puncture wound with foreign body of right front wall of thorax without penetration into thoracic cavity, initial encounter
S21.142A Puncture wound with foreign body of left front wall of thorax without penetration into thoracic cavity, initial encounter
S21.149A Puncture wound with foreign body of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
S21.151A Open bite of right front wall of thorax without penetration into thoracic cavity, initial encounter
S21.152A Open bite of left front wall of thorax without penetration into thoracic cavity, initial encounter
S21.159A Open bite of unspecified front wall of thorax without penetration into thoracic cavity, initial encounter
S21.201A Unspecified open wound of right back wall of thorax without penetration into thoracic cavity, initial encounter
S21.202A Unspecified open wound of left back wall of thorax without penetration into thoracic cavity, initial encounter
S21.209A Unspecified open wound of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
S21.211A Laceration without foreign body of right back wall of thorax without penetration into thoracic cavity, initial encounter
S21.212A Laceration without foreign body of left back wall of thorax without penetration into thoracic cavity, initial encounter
S21.219A Laceration without foreign body of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
S21.221A Laceration with foreign body of right back wall of thorax without penetration into thoracic cavity, initial encounter
S21.222A Laceration with foreign body of left back wall of thorax without penetration into thoracic cavity, initial encounter
S21.229A Laceration with foreign body of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
S21.231A Puncture wound without foreign body of right back wall of thorax without penetration into thoracic cavity, initial encounter
S21.232A Puncture wound without foreign body of left back wall of thorax without penetration into thoracic cavity, initial encounter
S21.239A Puncture wound without foreign body of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
S21.241A Puncture wound with foreign body of right back wall of thorax without penetration into thoracic cavity, initial encounter
S21.242A Puncture wound with foreign body of left back wall of thorax without penetration into thoracic cavity, initial encounter
S21.249A Puncture wound with foreign body of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
S21.251A Open bite of right back wall of thorax without penetration into thoracic cavity, initial encounter
S21.252A Open bite of left back wall of thorax without penetration into thoracic cavity, initial encounter
S21.259A Open bite of unspecified back wall of thorax without penetration into thoracic cavity, initial encounter
S28.1XXA Traumatic amputation (partial) of part of thorax, except breast, initial encounter
S28.211A Complete traumatic amputation of right breast, initial encounter
S28.212A Complete traumatic amputation of left breast, initial encounter
S28.221A Partial traumatic amputation of right breast, initial encounter
S28.222A Partial traumatic amputation of left breast, initial encounter
S29.021A Laceration of muscle and tendon of front wall of thorax, initial encounter
S29.022A Laceration of muscle and tendon of back wall of thorax, initial encounter
S31.000A Unspecified open wound of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.010A Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.020A Laceration with foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.030A Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.040A Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.050A Open bite of lower back and pelvis without penetration into retroperitoneum, initial encounter
S31.100A Unspecified open wound of abdominal wall, right upper quadrant without penetration into peritoneal cavity, initial encounter
S31.101A Unspecified open wound of abdominal wall, left upper quadrant without penetration into peritoneal cavity, initial encounter
S31.102A Unspecified open wound of abdominal wall, epigastric region without penetration into peritoneal cavity, initial encounter
S31.103A Unspecified open wound of abdominal wall, right lower quadrant without penetration into peritoneal cavity, initial encounter
S31.104A Unspecified open wound of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter
S31.105A Unspecified open wound of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.110A Laceration without foreign body of abdominal wall, right upper quadrant without penetration into peritoneal cavity, initial encounter
S31.111A Laceration without foreign body of abdominal wall, left upper quadrant without penetration into peritoneal cavity, initial encounter
S31.112A Laceration without foreign body of abdominal wall, epigastric region without penetration into peritoneal cavity, initial encounter
S31.113A Laceration without foreign body of abdominal wall, right lower quadrant without penetration into peritoneal cavity, initial encounter
S31.114A Laceration without foreign body of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter
S31.115A Laceration without foreign body of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.120A Laceration of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity, initial encounter
S31.121A Laceration of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity, initial encounter
S31.122A Laceration of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity, initial encounter
S31.123A Laceration of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity, initial encounter
S31.124A Laceration of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity, initial encounter
S31.125A Laceration of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.130A Puncture wound of abdominal wall without foreign body, right upper quadrant without penetration into peritoneal cavity, initial encounter
S31.131A Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity, initial encounter
S31.132A Puncture wound of abdominal wall without foreign body, epigastric region without penetration into peritoneal cavity, initial encounter
S31.133A Puncture wound of abdominal wall without foreign body, right lower quadrant without penetration into peritoneal cavity, initial encounter
S31.134A Puncture wound of abdominal wall without foreign body, left lower quadrant without penetration into peritoneal cavity, initial encounter
S31.135A Puncture wound of abdominal wall without foreign body, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.140A Puncture wound of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity, initial encounter
S31.141A Puncture wound of abdominal wall with foreign body, left upper quadrant without penetration into peritoneal cavity, initial encounter
S31.142A Puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity, initial encounter
S31.143A Puncture wound of abdominal wall with foreign body, right lower quadrant without penetration into peritoneal cavity, initial encounter
S31.144A Puncture wound of abdominal wall with foreign body, left lower quadrant without penetration into peritoneal cavity, initial encounter
S31.145A Puncture wound of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.150A Open bite of abdominal wall, right upper quadrant without penetration into peritoneal cavity, initial encounter
S31.151A Open bite of abdominal wall, left upper quadrant without penetration into peritoneal cavity, initial encounter
S31.152A Open bite of abdominal wall, epigastric region without penetration into peritoneal cavity, initial encounter
S31.153A Open bite of abdominal wall, right lower quadrant without penetration into peritoneal cavity, initial encounter
S31.154A Open bite of abdominal wall, left lower quadrant without penetration into peritoneal cavity, initial encounter
S31.155A Open bite of abdominal wall, periumbilic region without penetration into peritoneal cavity, initial encounter
S31.20XA Unspecified open wound of penis, initial encounter
S31.21XA Laceration without foreign body of penis, initial encounter
S31.22XA Laceration with foreign body of penis, initial encounter
S31.23XA Puncture wound without foreign body of penis, initial encounter
S31.24XA Puncture wound with foreign body of penis, initial encounter
S31.25XA Open bite of penis, initial encounter
S31.30XA Unspecified open wound of scrotum and testes, initial encounter
S31.31XA Laceration without foreign body of scrotum and testes, initial encounter
S31.32XA Laceration with foreign body of scrotum and testes, initial encounter
S31.33XA Puncture wound without foreign body of scrotum and testes, initial encounter
S31.34XA Puncture wound with foreign body of scrotum and testes, initial encounter
S31.35XA Open bite of scrotum and testes, initial encounter
S31.40XA Unspecified open wound of vagina and vulva, initial encounter
S31.41XA Laceration without foreign body of vagina and vulva, initial encounter
S31.42XA Laceration with foreign body of vagina and vulva, initial encounter
S31.43XA Puncture wound without foreign body of vagina and vulva, initial encounter
S31.44XA Puncture wound with foreign body of vagina and vulva, initial encounter
S31.45XA Open bite of vagina and vulva, initial encounter
S31.551A Open bite of unspecified external genital organs, male, initial encounter
S31.552A Open bite of unspecified external genital organs, female, initial encounter
S31.805A Open bite of unspecified buttock, initial encounter
S31.809A Unspecified open wound of unspecified buttock, initial encounter
S31.811A Laceration without foreign body of right buttock, initial encounter
S31.812A Laceration with foreign body of right buttock, initial encounter
S31.813A Puncture wound without foreign body of right buttock, initial encounter
S31.814A Puncture wound with foreign body of right buttock, initial encounter
S31.815A Open bite of right buttock, initial encounter
S31.819A Unspecified open wound of right buttock, initial encounter
S31.821A Laceration without foreign body of left buttock, initial encounter
S31.822A Laceration with foreign body of left buttock, initial encounter
S31.823A Puncture wound without foreign body of left buttock, initial encounter
S31.824A Puncture wound with foreign body of left buttock, initial encounter
S31.825A Open bite of left buttock, initial encounter
S31.829A Unspecified open wound of left buttock, initial encounter
S31.831A Laceration without foreign body of anus, initial encounter
S31.832A Laceration with foreign body of anus, initial encounter
S31.833A Puncture wound without foreign body of anus, initial encounter
S31.834A Puncture wound with foreign body of anus, initial encounter
S31.835A Open bite of anus, initial encounter
S31.839A Unspecified open wound of anus, initial encounter
S38.211A Complete traumatic amputation of female external genital organs, initial encounter
S38.212A Partial traumatic amputation of female external genital organs, initial encounter
S38.221A Complete traumatic amputation of penis, initial encounter
S38.222A Partial traumatic amputation of penis, initial encounter
S38.231A Complete traumatic amputation of scrotum and testis, initial encounter
S38.232A Partial traumatic amputation of scrotum and testis, initial encounter
S38.3XXA Transection (partial) of abdomen, initial encounter
S39.021A Laceration of muscle, fascia and tendon of abdomen, initial encounter
S39.022A Laceration of muscle, fascia and tendon of lower back, initial encounter
S39.023A Laceration of muscle, fascia and tendon of pelvis, initial encounter
S40.251A Superficial foreign body of right shoulder, initial encounter
S40.252A Superficial foreign body of left shoulder, initial encounter
S40.271A Other superficial bite of right shoulder, initial encounter
S40.272A Other superficial bite of left shoulder, initial encounter
S41.001A Unspecified open wound of right shoulder, initial encounter
S41.002A Unspecified open wound of left shoulder, initial encounter
S41.011A Laceration without foreign body of right shoulder, initial encounter
S41.012A Laceration without foreign body of left shoulder, initial encounter
S41.021A Laceration with foreign body of right shoulder, initial encounter
S41.022A Laceration with foreign body of left shoulder, initial encounter
S41.031A Puncture wound without foreign body of right shoulder, initial encounter
S41.032A Puncture wound without foreign body of left shoulder, initial encounter
S41.041A Puncture wound with foreign body of right shoulder, initial encounter
S41.042A Puncture wound with foreign body of left shoulder, initial encounter
S41.051A Open bite of right shoulder, initial encounter
S41.052A Open bite of left shoulder, initial encounter
S41.059A Open bite of unspecified shoulder, initial encounter
S41.101A Unspecified open wound of right upper arm, initial encounter
S41.102A Unspecified open wound of left upper arm, initial encounter
S41.111A Laceration without foreign body of right upper arm, initial encounter
S41.112A Laceration without foreign body of left upper arm, initial encounter
S41.121A Laceration with foreign body of right upper arm, initial encounter
S41.122A Laceration with foreign body of left upper arm, initial encounter
S41.131A Puncture wound without foreign body of right upper arm, initial encounter
S41.132A Puncture wound without foreign body of left upper arm, initial encounter
S41.141A Puncture wound with foreign body of right upper arm, initial encounter
S41.142A Puncture wound with foreign body of left upper arm, initial encounter
S41.151A Open bite of right upper arm, initial encounter
S41.152A Open bite of left upper arm, initial encounter
S46.021A Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
S46.022A Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
S46.121A Laceration of muscle, fascia and tendon of long head of biceps, right arm, initial encounter
S46.122A Laceration of muscle, fascia and tendon of long head of biceps, left arm, initial encounter
S46.221A Laceration of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
S46.222A Laceration of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter
S46.321A Laceration of muscle, fascia and tendon of triceps, right arm, initial encounter
S46.322A Laceration of muscle, fascia and tendon of triceps, left arm, initial encounter
S46.329A Laceration of muscle, fascia and tendon of triceps, unspecified arm, initial encounter
S46.821A Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter
S46.822A Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
S46.921A Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter
S46.922A Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter
S48.011A Complete traumatic amputation at right shoulder joint, initial encounter
S48.012A Complete traumatic amputation at left shoulder joint, initial encounter
S48.021A Partial traumatic amputation at right shoulder joint, initial encounter
S48.022A Partial traumatic amputation at left shoulder joint, initial encounter
S48.111A Complete traumatic amputation at level between right shoulder and elbow, initial encounter
S48.112A Complete traumatic amputation at level between left shoulder and elbow, initial encounter
S48.119A Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter
S48.121A Partial traumatic amputation at level between right shoulder and elbow, initial encounter
S48.122A Partial traumatic amputation at level between left shoulder and elbow, initial encounter
S48.129A Partial traumatic amputation at level between unspecified shoulder and elbow, initial encounter
S48.911A Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter
S48.912A Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter
S48.921A Partial traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter
S48.922A Partial traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter
S51.001A Unspecified open wound of right elbow, initial encounter
S51.002A Unspecified open wound of left elbow, initial encounter
S51.011A Laceration without foreign body of right elbow, initial encounter
S51.012A Laceration without foreign body of left elbow, initial encounter
S51.021A Laceration with foreign body of right elbow, initial encounter
S51.022A Laceration with foreign body of left elbow, initial encounter
S51.031A Puncture wound without foreign body of right elbow, initial encounter
S51.032A Puncture wound without foreign body of left elbow, initial encounter
S51.041A Puncture wound with foreign body of right elbow, initial encounter
S51.042A Puncture wound with foreign body of left elbow, initial encounter
S51.051A Open bite, right elbow, initial encounter
S51.052A Open bite, left elbow, initial encounter
S51.801A Unspecified open wound of right forearm, initial encounter
S51.802A Unspecified open wound of left forearm, initial encounter
S51.811A Laceration without foreign body of right forearm, initial encounter
S51.812A Laceration without foreign body of left forearm, initial encounter
S51.821A Laceration with foreign body of right forearm, initial encounter
S51.822A Laceration with foreign body of left forearm, initial encounter
S51.831A Puncture wound without foreign body of right forearm, initial encounter
S51.832A Puncture wound without foreign body of left forearm, initial encounter
S51.841A Puncture wound with foreign body of right forearm, initial encounter
S51.842A Puncture wound with foreign body of left forearm, initial encounter
S51.851A Open bite of right forearm, initial encounter
S51.852A Open bite of left forearm, initial encounter
S56.021A Laceration of flexor muscle, fascia and tendon of right thumb at forearm level, initial encounter
S56.022A Laceration of flexor muscle, fascia and tendon of left thumb at forearm level, initial encounter
S56.121A Laceration of flexor muscle, fascia and tendon of right index finger at forearm level, initial encounter
S56.122A Laceration of flexor muscle, fascia and tendon of left index finger at forearm level, initial encounter
S56.123A Laceration of flexor muscle, fascia and tendon of right middle finger at forearm level, initial encounter
S56.124A Laceration of flexor muscle, fascia and tendon of left middle finger at forearm level, initial encounter
S56.125A Laceration of flexor muscle, fascia and tendon of right ring finger at forearm level, initial encounter
S56.126A Laceration of flexor muscle, fascia and tendon of left ring finger at forearm level, initial encounter
S56.127A Laceration of flexor muscle, fascia and tendon of right little finger at forearm level, initial encounter
S56.128A Laceration of flexor muscle, fascia and tendon of left little finger at forearm level, initial encounter
S56.221A Laceration of other flexor muscle, fascia and tendon at forearm level, right arm, initial encounter
S56.222A Laceration of other flexor muscle, fascia and tendon at forearm level, left arm, initial encounter
S56.321A Laceration of extensor or abductor muscles, fascia and tendons of right thumb at forearm level, initial encounter
S56.322A Laceration of extensor or abductor muscles, fascia and tendons of left thumb at forearm level, initial encounter
S56.421A Laceration of extensor muscle, fascia and tendon of right index finger at forearm level, initial encounter
S56.422A Laceration of extensor muscle, fascia and tendon of left index finger at forearm level, initial encounter
S56.423A Laceration of extensor muscle, fascia and tendon of right middle finger at forearm level, initial encounter
S56.424A Laceration of extensor muscle, fascia and tendon of left middle finger at forearm level, initial encounter
S56.425A Laceration of extensor muscle, fascia and tendon of right ring finger at forearm level, initial encounter
S56.426A Laceration of extensor muscle, fascia and tendon of left ring finger at forearm level, initial encounter
S56.427A Laceration of extensor muscle, fascia and tendon of right little finger at forearm level, initial encounter
S56.428A Laceration of extensor muscle, fascia and tendon of left little finger at forearm level, initial encounter
S56.521A Laceration of other extensor muscle, fascia and tendon at forearm level, right arm, initial encounter
S56.522A Laceration of other extensor muscle, fascia and tendon at forearm level, left arm, initial encounter
S56.821A Laceration of other muscles, fascia and tendons at forearm level, right arm, initial encounter
S56.822A Laceration of other muscles, fascia and tendons at forearm level, left arm, initial encounter
S56.921A Laceration of unspecified muscles, fascia and tendons at forearm level, right arm, initial encounter
S56.922A Laceration of unspecified muscles, fascia and tendons at forearm level, left arm, initial encounter
S58.011A Complete traumatic amputation at elbow level, right arm, initial encounter
S58.012A Complete traumatic amputation at elbow level, left arm, initial encounter
S58.019A Complete traumatic amputation at elbow level, unspecified arm, initial encounter
S58.021A Partial traumatic amputation at elbow level, right arm, initial encounter
S58.022A Partial traumatic amputation at elbow level, left arm, initial encounter
S58.111A Complete traumatic amputation at level between elbow and wrist, right arm, initial encounter
S58.112A Complete traumatic amputation at level between elbow and wrist, left arm, initial encounter
S58.121A Partial traumatic amputation at level between elbow and wrist, right arm, initial encounter
S58.122A Partial traumatic amputation at level between elbow and wrist, left arm, initial encounter
S58.129A Partial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter
S58.911A Complete traumatic amputation of right forearm, level unspecified, initial encounter
S58.912A Complete traumatic amputation of left forearm, level unspecified, initial encounter
S58.921A Partial traumatic amputation of right forearm, level unspecified, initial encounter
S58.922A Partial traumatic amputation of left forearm, level unspecified, initial encounter
S61.001A Unspecified open wound of right thumb without damage to nail, initial encounter
S61.002A Unspecified open wound of left thumb without damage to nail, initial encounter
S61.011A Laceration without foreign body of right thumb without damage to nail, initial encounter
S61.012A Laceration without foreign body of left thumb without damage to nail, initial encounter
S61.021A Laceration with foreign body of right thumb without damage to nail, initial encounter
S61.022A Laceration with foreign body of left thumb without damage to nail, initial encounter
S61.031A Puncture wound without foreign body of right thumb without damage to nail, initial encounter
S61.032A Puncture wound without foreign body of left thumb without damage to nail, initial encounter
S61.041A Puncture wound with foreign body of right thumb without damage to nail, initial encounter
S61.042A Puncture wound with foreign body of left thumb without damage to nail, initial encounter
S61.051A Open bite of right thumb without damage to nail, initial encounter
S61.052A Open bite of left thumb without damage to nail, initial encounter
S61.101A Unspecified open wound of right thumb with damage to nail, initial encounter
S61.102A Unspecified open wound of left thumb with damage to nail, initial encounter
S61.111A Laceration without foreign body of right thumb with damage to nail, initial encounter
S61.112A Laceration without foreign body of left thumb with damage to nail, initial encounter
S61.121A Laceration with foreign body of right thumb with damage to nail, initial encounter
S61.122A Laceration with foreign body of left thumb with damage to nail, initial encounter
S61.131A Puncture wound without foreign body of right thumb with damage to nail, initial encounter
S61.132A Puncture wound without foreign body of left thumb with damage to nail, initial encounter
S61.141A Puncture wound with foreign body of right thumb with damage to nail, initial encounter
S61.142A Puncture wound with foreign body of left thumb with damage to nail, initial encounter
S61.151A Open bite of right thumb with damage to nail, initial encounter
S61.152A Open bite of left thumb with damage to nail, initial encounter
S61.200A Unspecified open wound of right index finger without damage to nail, initial encounter
S61.201A Unspecified open wound of left index finger without damage to nail, initial encounter
S61.202A Unspecified open wound of right middle finger without damage to nail, initial encounter
S61.203A Unspecified open wound of left middle finger without damage to nail, initial encounter
S61.204A Unspecified open wound of right ring finger without damage to nail, initial encounter
S61.205A Unspecified open wound of left ring finger without damage to nail, initial encounter
S61.206A Unspecified open wound of right little finger without damage to nail, initial encounter
S61.207A Unspecified open wound of left little finger without damage to nail, initial encounter
S61.208A Unspecified open wound of other finger without damage to nail, initial encounter
S61.210A Laceration without foreign body of right index finger without damage to nail, initial encounter
S61.211A Laceration without foreign body of left index finger without damage to nail, initial encounter
S61.212A Laceration without foreign body of right middle finger without damage to nail, initial encounter
S61.213A Laceration without foreign body of left middle finger without damage to nail, initial encounter
S61.214A Laceration without foreign body of right ring finger without damage to nail, initial encounter
S61.215A Laceration without foreign body of left ring finger without damage to nail, initial encounter
S61.216A Laceration without foreign body of right little finger without damage to nail, initial encounter
S61.217A Laceration without foreign body of left little finger without damage to nail, initial encounter
S61.218A Laceration without foreign body of other finger without damage to nail, initial encounter
S61.220A Laceration with foreign body of right index finger without damage to nail, initial encounter
S61.221A Laceration with foreign body of left index finger without damage to nail, initial encounter
S61.222A Laceration with foreign body of right middle finger without damage to nail, initial encounter
S61.223A Laceration with foreign body of left middle finger without damage to nail, initial encounter
S61.224A Laceration with foreign body of right ring finger without damage to nail, initial encounter
S61.225A Laceration with foreign body of left ring finger without damage to nail, initial encounter
S61.226A Laceration with foreign body of right little finger without damage to nail, initial encounter
S61.227A Laceration with foreign body of left little finger without damage to nail, initial encounter
S61.228A Laceration with foreign body of other finger without damage to nail, initial encounter
S61.230A Puncture wound without foreign body of right index finger without damage to nail, initial encounter
S61.231A Puncture wound without foreign body of left index finger without damage to nail, initial encounter
S61.232A Puncture wound without foreign body of right middle finger without damage to nail, initial encounter
S61.233A Puncture wound without foreign body of left middle finger without damage to nail, initial encounter
S61.234A Puncture wound without foreign body of right ring finger without damage to nail, initial encounter
S61.235A Puncture wound without foreign body of left ring finger without damage to nail, initial encounter
S61.236A Puncture wound without foreign body of right little finger without damage to nail, initial encounter
S61.237A Puncture wound without foreign body of left little finger without damage to nail, initial encounter
S61.238A Puncture wound without foreign body of other finger without damage to nail, initial encounter
S61.240A Puncture wound with foreign body of right index finger without damage to nail, initial encounter
S61.241A Puncture wound with foreign body of left index finger without damage to nail, initial encounter
S61.242A Puncture wound with foreign body of right middle finger without damage to nail, initial encounter
S61.243A Puncture wound with foreign body of left middle finger without damage to nail, initial encounter
S61.244A Puncture wound with foreign body of right ring finger without damage to nail, initial encounter
S61.245A Puncture wound with foreign body of left ring finger without damage to nail, initial encounter
S61.246A Puncture wound with foreign body of right little finger without damage to nail, initial encounter
S61.247A Puncture wound with foreign body of left little finger without damage to nail, initial encounter
S61.248A Puncture wound with foreign body of other finger without damage to nail, initial encounter
S61.250A Open bite of right index finger without damage to nail, initial encounter
S61.251A Open bite of left index finger without damage to nail, initial encounter
S61.252A Open bite of right middle finger without damage to nail, initial encounter
S61.253A Open bite of left middle finger without damage to nail, initial encounter
S61.254A Open bite of right ring finger without damage to nail, initial encounter
S61.255A Open bite of left ring finger without damage to nail, initial encounter
S61.256A Open bite of right little finger without damage to nail, initial encounter
S61.257A Open bite of left little finger without damage to nail, initial encounter
S61.258A Open bite of other finger without damage to nail, initial encounter
S61.300A Unspecified open wound of right index finger with damage to nail, initial encounter
S61.301A Unspecified open wound of left index finger with damage to nail, initial encounter
S61.302A Unspecified open wound of right middle finger with damage to nail, initial encounter
S61.303A Unspecified open wound of left middle finger with damage to nail, initial encounter
S61.304A Unspecified open wound of right ring finger with damage to nail, initial encounter
S61.305A Unspecified open wound of left ring finger with damage to nail, initial encounter
S61.306A Unspecified open wound of right little finger with damage to nail, initial encounter
S61.307A Unspecified open wound of left little finger with damage to nail, initial encounter
S61.308A Unspecified open wound of other finger with damage to nail, initial encounter
S61.310A Laceration without foreign body of right index finger with damage to nail, initial encounter
S61.311A Laceration without foreign body of left index finger with damage to nail, initial encounter
S61.312A Laceration without foreign body of right middle finger with damage to nail, initial encounter
S61.313A Laceration without foreign body of left middle finger with damage to nail, initial encounter
S61.314A Laceration without foreign body of right ring finger with damage to nail, initial encounter
S61.315A Laceration without foreign body of left ring finger with damage to nail, initial encounter
S61.316A Laceration without foreign body of right little finger with damage to nail, initial encounter
S61.317A Laceration without foreign body of left little finger with damage to nail, initial encounter
S61.318A Laceration without foreign body of other finger with damage to nail, initial encounter
S61.320A Laceration with foreign body of right index finger with damage to nail, initial encounter
S61.321A Laceration with foreign body of left index finger with damage to nail, initial encounter
S61.322A Laceration with foreign body of right middle finger with damage to nail, initial encounter
S61.323A Laceration with foreign body of left middle finger with damage to nail, initial encounter
S61.324A Laceration with foreign body of right ring finger with damage to nail, initial encounter
S61.325A Laceration with foreign body of left ring finger with damage to nail, initial encounter
S61.326A Laceration with foreign body of right little finger with damage to nail, initial encounter
S61.327A Laceration with foreign body of left little finger with damage to nail, initial encounter
S61.328A Laceration with foreign body of other finger with damage to nail, initial encounter
S61.330A Puncture wound without foreign body of right index finger with damage to nail, initial encounter
S61.331A Puncture wound without foreign body of left index finger with damage to nail, initial encounter
S61.332A Puncture wound without foreign body of right middle finger with damage to nail, initial encounter
S61.333A Puncture wound without foreign body of left middle finger with damage to nail, initial encounter
S61.334A Puncture wound without foreign body of right ring finger with damage to nail, initial encounter
S61.335A Puncture wound without foreign body of left ring finger with damage to nail, initial encounter
S61.336A Puncture wound without foreign body of right little finger with damage to nail, initial encounter
S61.337A Puncture wound without foreign body of left little finger with damage to nail, initial encounter
S61.338A Puncture wound without foreign body of other finger with damage to nail, initial encounter
S61.340A Puncture wound with foreign body of right index finger with damage to nail, initial encounter
S61.341A Puncture wound with foreign body of left index finger with damage to nail, initial encounter
S61.342A Puncture wound with foreign body of right middle finger with damage to nail, initial encounter
S61.343A Puncture wound with foreign body of left middle finger with damage to nail, initial encounter
S61.344A Puncture wound with foreign body of right ring finger with damage to nail, initial encounter
S61.345A Puncture wound with foreign body of left ring finger with damage to nail, initial encounter
S61.346A Puncture wound with foreign body of right little finger with damage to nail, initial encounter
S61.347A Puncture wound with foreign body of left little finger with damage to nail, initial encounter
S61.348A Puncture wound with foreign body of other finger with damage to nail, initial encounter
S61.350A Open bite of right index finger with damage to nail, initial encounter
S61.351A Open bite of left index finger with damage to nail, initial encounter
S61.352A Open bite of right middle finger with damage to nail, initial encounter
S61.353A Open bite of left middle finger with damage to nail, initial encounter
S61.354A Open bite of right ring finger with damage to nail, initial encounter
S61.355A Open bite of left ring finger with damage to nail, initial encounter
S61.356A Open bite of right little finger with damage to nail, initial encounter
S61.357A Open bite of left little finger with damage to nail, initial encounter
S61.358A Open bite of other finger with damage to nail, initial encounter
S61.401A Unspecified open wound of right hand, initial encounter
S61.402A Unspecified open wound of left hand, initial encounter
S61.411A Laceration without foreign body of right hand, initial encounter
S61.412A Laceration without foreign body of left hand, initial encounter
S61.421A Laceration with foreign body of right hand, initial encounter
S61.422A Laceration with foreign body of left hand, initial encounter
S61.431A Puncture wound without foreign body of right hand, initial encounter
S61.432A Puncture wound without foreign body of left hand, initial encounter
S61.441A Puncture wound with foreign body of right hand, initial encounter
S61.442A Puncture wound with foreign body of left hand, initial encounter
S61.451A Open bite of right hand, initial encounter
S61.452A Open bite of left hand, initial encounter
S61.501A Unspecified open wound of right wrist, initial encounter
S61.502A Unspecified open wound of left wrist, initial encounter
S61.511A Laceration without foreign body of right wrist, initial encounter
S61.512A Laceration without foreign body of left wrist, initial encounter
S61.521A Laceration with foreign body of right wrist, initial encounter
S61.522A Laceration with foreign body of left wrist, initial encounter
S61.531A Puncture wound without foreign body of right wrist, initial encounter
S61.532A Puncture wound without foreign body of left wrist, initial encounter
S61.541A Puncture wound with foreign body of right wrist, initial encounter
S61.542A Puncture wound with foreign body of left wrist, initial encounter
S61.551A Open bite of right wrist, initial encounter
S61.552A Open bite of left wrist, initial encounter
S66.021A Laceration of long flexor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter
S66.022A Laceration of long flexor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter
S66.029A Laceration of long flexor muscle, fascia and tendon of unspecified thumb at wrist and hand level, initial encounter
S66.120A Laceration of flexor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter
S66.121A Laceration of flexor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter
S66.122A Laceration of flexor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter
S66.123A Laceration of flexor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter
S66.124A Laceration of flexor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter
S66.125A Laceration of flexor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter
S66.126A Laceration of flexor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter
S66.127A Laceration of flexor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter
S66.128A Laceration of flexor muscle, fascia and tendon of other finger at wrist and hand level, initial encounter
S66.129A Laceration of flexor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter
S66.221A Laceration of extensor muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter
S66.222A Laceration of extensor muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter
S66.229A Laceration of extensor muscle, fascia and tendon of unspecified thumb at wrist and hand level, initial encounter
S66.320A Laceration of extensor muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter
S66.321A Laceration of extensor muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter
S66.322A Laceration of extensor muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter
S66.323A Laceration of extensor muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter
S66.324A Laceration of extensor muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter
S66.325A Laceration of extensor muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter
S66.326A Laceration of extensor muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter
S66.327A Laceration of extensor muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter
S66.328A Laceration of extensor muscle, fascia and tendon of other finger at wrist and hand level, initial encounter
S66.329A Laceration of extensor muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter
S66.421A Laceration of intrinsic muscle, fascia and tendon of right thumb at wrist and hand level, initial encounter
S66.422A Laceration of intrinsic muscle, fascia and tendon of left thumb at wrist and hand level, initial encounter
S66.429A Laceration of intrinsic muscle, fascia and tendon of unspecified thumb at wrist and hand level, initial encounter
S66.520A Laceration of intrinsic muscle, fascia and tendon of right index finger at wrist and hand level, initial encounter
S66.521A Laceration of intrinsic muscle, fascia and tendon of left index finger at wrist and hand level, initial encounter
S66.522A Laceration of intrinsic muscle, fascia and tendon of right middle finger at wrist and hand level, initial encounter
S66.523A Laceration of intrinsic muscle, fascia and tendon of left middle finger at wrist and hand level, initial encounter
S66.524A Laceration of intrinsic muscle, fascia and tendon of right ring finger at wrist and hand level, initial encounter
S66.525A Laceration of intrinsic muscle, fascia and tendon of left ring finger at wrist and hand level, initial encounter
S66.526A Laceration of intrinsic muscle, fascia and tendon of right little finger at wrist and hand level, initial encounter
S66.527A Laceration of intrinsic muscle, fascia and tendon of left little finger at wrist and hand level, initial encounter
S66.528A Laceration of intrinsic muscle, fascia and tendon of other finger at wrist and hand level, initial encounter
S66.529A Laceration of intrinsic muscle, fascia and tendon of unspecified finger at wrist and hand level, initial encounter
S66.821A Laceration of other specified muscles, fascia and tendons at wrist and hand level, right hand, initial encounter
S66.822A Laceration of other specified muscles, fascia and tendons at wrist and hand level, left hand, initial encounter
S66.829A Laceration of other specified muscles, fascia and tendons at wrist and hand level, unspecified hand, initial encounter
S66.921A Laceration of unspecified muscle, fascia and tendon at wrist and hand level, right hand, initial encounter
S66.922A Laceration of unspecified muscle, fascia and tendon at wrist and hand level, left hand, initial encounter
S66.929A Laceration of unspecified muscle, fascia and tendon at wrist and hand level, unspecified hand, initial encounter
S68.011A Complete traumatic metacarpophalangeal amputation of right thumb, initial encounter
S68.012A Complete traumatic metacarpophalangeal amputation of left thumb, initial encounter
S68.019A Complete traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter
S68.021A Partial traumatic metacarpophalangeal amputation of right thumb, initial encounter
S68.022A Partial traumatic metacarpophalangeal amputation of left thumb, initial encounter
S68.029A Partial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter
S68.110A Complete traumatic metacarpophalangeal amputation of right index finger, initial encounter
S68.111A Complete traumatic metacarpophalangeal amputation of left index finger, initial encounter
S68.112A Complete traumatic metacarpophalangeal amputation of right middle finger, initial encounter
S68.113A Complete traumatic metacarpophalangeal amputation of left middle finger, initial encounter
S68.114A Complete traumatic metacarpophalangeal amputation of right ring finger, initial encounter
S68.115A Complete traumatic metacarpophalangeal amputation of left ring finger, initial encounter
S68.116A Complete traumatic metacarpophalangeal amputation of right little finger, initial encounter
S68.117A Complete traumatic metacarpophalangeal amputation of left little finger, initial encounter
S68.118A Complete traumatic metacarpophalangeal amputation of other finger, initial encounter
S68.119A Complete traumatic metacarpophalangeal amputation of unspecified finger, initial encounter
S68.120A Partial traumatic metacarpophalangeal amputation of right index finger, initial encounter
S68.121A Partial traumatic metacarpophalangeal amputation of left index finger, initial encounter
S68.122A Partial traumatic metacarpophalangeal amputation of right middle finger, initial encounter
S68.123A Partial traumatic metacarpophalangeal amputation of left middle finger, initial encounter
S68.124A Partial traumatic metacarpophalangeal amputation of right ring finger, initial encounter
S68.125A Partial traumatic metacarpophalangeal amputation of left ring finger, initial encounter
S68.126A Partial traumatic metacarpophalangeal amputation of right little finger, initial encounter
S68.127A Partial traumatic metacarpophalangeal amputation of left little finger, initial encounter
S68.128A Partial traumatic metacarpophalangeal amputation of other finger, initial encounter
S68.129A Partial traumatic metacarpophalangeal amputation of unspecified finger, initial encounter
S68.411A Complete traumatic amputation of right hand at wrist level, initial encounter
S68.412A Complete traumatic amputation of left hand at wrist level, initial encounter
S68.419A Complete traumatic amputation of unspecified hand at wrist level, initial encounter
S68.421A Partial traumatic amputation of right hand at wrist level, initial encounter
S68.422A Partial traumatic amputation of left hand at wrist level, initial encounter
S68.429A Partial traumatic amputation of unspecified hand at wrist level, initial encounter
S68.511A Complete traumatic transphalangeal amputation of right thumb, initial encounter
S68.512A Complete traumatic transphalangeal amputation of left thumb, initial encounter
S68.519A Complete traumatic transphalangeal amputation of unspecified thumb, initial encounter
S68.521A Partial traumatic transphalangeal amputation of right thumb, initial encounter
S68.522A Partial traumatic transphalangeal amputation of left thumb, initial encounter
S68.529A Partial traumatic transphalangeal amputation of unspecified thumb, initial encounter
S68.610A Complete traumatic transphalangeal amputation of right index finger, initial encounter
S68.611A Complete traumatic transphalangeal amputation of left index finger, initial encounter
S68.612A Complete traumatic transphalangeal amputation of right middle finger, initial encounter
S68.613A Complete traumatic transphalangeal amputation of left middle finger, initial encounter
S68.614A Complete traumatic transphalangeal amputation of right ring finger, initial encounter
S68.615A Complete traumatic transphalangeal amputation of left ring finger, initial encounter
S68.616A Complete traumatic transphalangeal amputation of right little finger, initial encounter
S68.617A Complete traumatic transphalangeal amputation of left little finger, initial encounter
S68.618A Complete traumatic transphalangeal amputation of other finger, initial encounter
S68.619A Complete traumatic transphalangeal amputation of unspecified finger, initial encounter
S68.620A Partial traumatic transphalangeal amputation of right index finger, initial encounter
S68.621A Partial traumatic transphalangeal amputation of left index finger, initial encounter
S68.622A Partial traumatic transphalangeal amputation of right middle finger, initial encounter
S68.623A Partial traumatic transphalangeal amputation of left middle finger, initial encounter
S68.624A Partial traumatic transphalangeal amputation of right ring finger, initial encounter
S68.625A Partial traumatic transphalangeal amputation of left ring finger, initial encounter
S68.626A Partial traumatic transphalangeal amputation of right little finger, initial encounter
S68.627A Partial traumatic transphalangeal amputation of left little finger, initial encounter
S68.628A Partial traumatic transphalangeal amputation of other finger, initial encounter
S68.629A Partial traumatic transphalangeal amputation of unspecified finger, initial encounter
S68.711A Complete traumatic transmetacarpal amputation of right hand, initial encounter
S68.712A Complete traumatic transmetacarpal amputation of left hand, initial encounter
S68.719A Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter
S68.721A Partial traumatic transmetacarpal amputation of right hand, initial encounter
S68.722A Partial traumatic transmetacarpal amputation of left hand, initial encounter
S68.729A Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter
S71.011A Laceration without foreign body, right hip, initial encounter
S71.012A Laceration without foreign body, left hip, initial encounter
S71.021A Laceration with foreign body, right hip, initial encounter
S71.022A Laceration with foreign body, left hip, initial encounter
S71.031A Puncture wound without foreign body, right hip, initial encounter
S71.032A Puncture wound without foreign body, left hip, initial encounter
S71.041A Puncture wound with foreign body, right hip, initial encounter
S71.042A Puncture wound with foreign body, left hip, initial encounter
S71.051A Open bite, right hip, initial encounter
S71.052A Open bite, left hip, initial encounter
S71.101A Unspecified open wound, right thigh, initial encounter
S71.102A Unspecified open wound, left thigh, initial encounter
S71.111A Laceration without foreign body, right thigh, initial encounter
S71.112A Laceration without foreign body, left thigh, initial encounter
S71.121A Laceration with foreign body, right thigh, initial encounter
S71.122A Laceration with foreign body, left thigh, initial encounter
S71.131A Puncture wound without foreign body, right thigh, initial encounter
S71.132A Puncture wound without foreign body, left thigh, initial encounter
S71.141A Puncture wound with foreign body, right thigh, initial encounter
S71.142A Puncture wound with foreign body, left thigh, initial encounter
S71.151A Open bite, right thigh, initial encounter
S71.152A Open bite, left thigh, initial encounter
S76.021A Laceration of muscle, fascia and tendon of right hip, initial encounter
S76.022A Laceration of muscle, fascia and tendon of left hip, initial encounter
S76.121A Laceration of right quadriceps muscle, fascia and tendon, initial encounter
S76.122A Laceration of left quadriceps muscle, fascia and tendon, initial encounter
S76.221A Laceration of adductor muscle, fascia and tendon of right thigh, initial encounter
S76.222A Laceration of adductor muscle, fascia and tendon of left thigh, initial encounter
S76.321A Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter
S76.322A Laceration of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter
S76.821A Laceration of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter
S76.822A Laceration of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter
S76.921A Laceration of unspecified muscles, fascia and tendons at thigh level, right thigh, initial encounter
S76.922A Laceration of unspecified muscles, fascia and tendons at thigh level, left thigh, initial encounter
S78.011A Complete traumatic amputation at right hip joint, initial encounter
S78.012A Complete traumatic amputation at left hip joint, initial encounter
S78.021A Partial traumatic amputation at right hip joint, initial encounter
S78.022A Partial traumatic amputation at left hip joint, initial encounter
S78.111A Complete traumatic amputation at level between right hip and knee, initial encounter
S78.112A Complete traumatic amputation at level between left hip and knee, initial encounter
S78.121A Partial traumatic amputation at level between right hip and knee, initial encounter
S78.122A Partial traumatic amputation at level between left hip and knee, initial encounter
S78.911A Complete traumatic amputation of right hip and thigh, level unspecified, initial encounter
S78.912A Complete traumatic amputation of left hip and thigh, level unspecified, initial encounter
S78.921A Partial traumatic amputation of right hip and thigh, level unspecified, initial encounter
S78.922A Partial traumatic amputation of left hip and thigh, level unspecified, initial encounter
S81.001A Unspecified open wound, right knee, initial encounter
S81.002A Unspecified open wound, left knee, initial encounter
S81.011A Laceration without foreign body, right knee, initial encounter
S81.012A Laceration without foreign body, left knee, initial encounter
S81.021A Laceration with foreign body, right knee, initial encounter
S81.022A Laceration with foreign body, left knee, initial encounter
S81.031A Puncture wound without foreign body, right knee, initial encounter
S81.032A Puncture wound without foreign body, left knee, initial encounter
S81.041A Puncture wound with foreign body, right knee, initial encounter
S81.042A Puncture wound with foreign body, left knee, initial encounter
S81.051A Open bite, right knee, initial encounter
S81.052A Open bite, left knee, initial encounter
S81.801A Unspecified open wound, right lower leg, initial encounter
S81.802A Unspecified open wound, left lower leg, initial encounter
S81.811A Laceration without foreign body, right lower leg, initial encounter
S81.812A Laceration without foreign body, left lower leg, initial encounter
S81.821A Laceration with foreign body, right lower leg, initial encounter
S81.822A Laceration with foreign body, left lower leg, initial encounter
S81.831A Puncture wound without foreign body, right lower leg, initial encounter
S81.832A Puncture wound without foreign body, left lower leg, initial encounter
S81.841A Puncture wound with foreign body, right lower leg, initial encounter
S81.842A Puncture wound with foreign body, left lower leg, initial encounter
S81.851A Open bite, right lower leg, initial encounter
S81.852A Open bite, left lower leg, initial encounter
S86.021A Laceration of right Achilles tendon, initial encounter
S86.022A Laceration of left Achilles tendon, initial encounter
S86.029A Laceration of unspecified Achilles tendon, initial encounter
S86.121A Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter
S86.122A Laceration of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter
S86.221A Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter
S86.222A Laceration of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter
S86.321A Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter
S86.322A Laceration of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter
S86.821A Laceration of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter
S86.822A Laceration of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter
S86.921A Laceration of unspecified muscle(s) and tendon(s) at lower leg level, right leg, initial encounter
S86.922A Laceration of unspecified muscle(s) and tendon(s) at lower leg level, left leg, initial encounter
S88.011A Complete traumatic amputation at knee level, right lower leg, initial encounter
S88.012A Complete traumatic amputation at knee level, left lower leg, initial encounter
S88.021A Partial traumatic amputation at knee level, right lower leg, initial encounter
S88.022A Partial traumatic amputation at knee level, left lower leg, initial encounter
S88.111A Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter
S88.112A Complete traumatic amputation at level between knee and ankle, left lower leg, initial encounter
S88.121A Partial traumatic amputation at level between knee and ankle, right lower leg, initial encounter
S88.122A Partial traumatic amputation at level between knee and ankle, left lower leg, initial encounter
S88.911A Complete traumatic amputation of right lower leg, level unspecified, initial encounter
S88.912A Complete traumatic amputation of left lower leg, level unspecified, initial encounter
S88.921A Partial traumatic amputation of right lower leg, level unspecified, initial encounter
S88.922A Partial traumatic amputation of left lower leg, level unspecified, initial encounter
S91.011A Laceration without foreign body, right ankle, initial encounter
S91.012A Laceration without foreign body, left ankle, initial encounter
S91.021A Laceration with foreign body, right ankle, initial encounter
S91.022A Laceration with foreign body, left ankle, initial encounter
S91.031A Puncture wound without foreign body, right ankle, initial encounter
S91.032A Puncture wound without foreign body, left ankle, initial encounter
S91.041A Puncture wound with foreign body, right ankle, initial encounter
S91.042A Puncture wound with foreign body, left ankle, initial encounter
S91.051A Open bite, right ankle, initial encounter
S91.052A Open bite, left ankle, initial encounter
S91.101A Unspecified open wound of right great toe without damage to nail, initial encounter
S91.102A Unspecified open wound of left great toe without damage to nail, initial encounter
S91.104A Unspecified open wound of right lesser toe(s) without damage to nail, initial encounter
S91.105A Unspecified open wound of left lesser toe(s) without damage to nail, initial encounter
S91.111A Laceration without foreign body of right great toe without damage to nail, initial encounter
S91.112A Laceration without foreign body of left great toe without damage to nail, initial encounter
S91.114A Laceration without foreign body of right lesser toe(s) without damage to nail, initial encounter
S91.115A Laceration without foreign body of left lesser toe(s) without damage to nail, initial encounter
S91.121A Laceration with foreign body of right great toe without damage to nail, initial encounter
S91.122A Laceration with foreign body of left great toe without damage to nail, initial encounter
S91.124A Laceration with foreign body of right lesser toe(s) without damage to nail, initial encounter
S91.125A Laceration with foreign body of left lesser toe(s) without damage to nail, initial encounter
S91.131A Puncture wound without foreign body of right great toe without damage to nail, initial encounter
S91.132A Puncture wound without foreign body of left great toe without damage to nail, initial encounter
S91.134A Puncture wound without foreign body of right lesser toe(s) without damage to nail, initial encounter
S91.135A Puncture wound without foreign body of left lesser toe(s) without damage to nail, initial encounter
S91.141A Puncture wound with foreign body of right great toe without damage to nail, initial encounter
S91.142A Puncture wound with foreign body of left great toe without damage to nail, initial encounter
S91.144A Puncture wound with foreign body of right lesser toe(s) without damage to nail, initial encounter
S91.145A Puncture wound with foreign body of left lesser toe(s) without damage to nail, initial encounter
S91.151A Open bite of right great toe without damage to nail, initial encounter
S91.152A Open bite of left great toe without damage to nail, initial encounter
S91.153A Open bite of unspecified great toe without damage to nail, initial encounter
S91.154A Open bite of right lesser toe(s) without damage to nail, initial encounter
S91.155A Open bite of left lesser toe(s) without damage to nail, initial encounter
S91.156A Open bite of unspecified lesser toe(s) without damage to nail, initial encounter
S91.159A Open bite of unspecified toe(s) without damage to nail, initial encounter
S91.201A Unspecified open wound of right great toe with damage to nail, initial encounter
S91.202A Unspecified open wound of left great toe with damage to nail, initial encounter
S91.203A Unspecified open wound of unspecified great toe with damage to nail, initial encounter
S91.204A Unspecified open wound of right lesser toe(s) with damage to nail, initial encounter
S91.205A Unspecified open wound of left lesser toe(s) with damage to nail, initial encounter
S91.206A Unspecified open wound of unspecified lesser toe(s) with damage to nail, initial encounter
S91.209A Unspecified open wound of unspecified toe(s) with damage to nail, initial encounter
S91.211A Laceration without foreign body of right great toe with damage to nail, initial encounter
S91.212A Laceration without foreign body of left great toe with damage to nail, initial encounter
S91.213A Laceration without foreign body of unspecified great toe with damage to nail, initial encounter
S91.214A Laceration without foreign body of right lesser toe(s) with damage to nail, initial encounter
S91.215A Laceration without foreign body of left lesser toe(s) with damage to nail, initial encounter
S91.216A Laceration without foreign body of unspecified lesser toe(s) with damage to nail, initial encounter
S91.219A Laceration without foreign body of unspecified toe(s) with damage to nail, initial encounter
S91.221A Laceration with foreign body of right great toe with damage to nail, initial encounter
S91.222A Laceration with foreign body of left great toe with damage to nail, initial encounter
S91.223A Laceration with foreign body of unspecified great toe with damage to nail, initial encounter
S91.224A Laceration with foreign body of right lesser toe(s) with damage to nail, initial encounter
S91.225A Laceration with foreign body of left lesser toe(s) with damage to nail, initial encounter
S91.226A Laceration with foreign body of unspecified lesser toe(s) with damage to nail, initial encounter
S91.229A Laceration with foreign body of unspecified toe(s) with damage to nail, initial encounter
S91.231A Puncture wound without foreign body of right great toe with damage to nail, initial encounter
S91.232A Puncture wound without foreign body of left great toe with damage to nail, initial encounter
S91.233A Puncture wound without foreign body of unspecified great toe with damage to nail, initial encounter
S91.234A Puncture wound without foreign body of right lesser toe(s) with damage to nail, initial encounter
S91.235A Puncture wound without foreign body of left lesser toe(s) with damage to nail, initial encounter
S91.236A Puncture wound without foreign body of unspecified lesser toe(s) with damage to nail, initial encounter
S91.239A Puncture wound without foreign body of unspecified toe(s) with damage to nail, initial encounter
S91.241A Puncture wound with foreign body of right great toe with damage to nail, initial encounter
S91.242A Puncture wound with foreign body of left great toe with damage to nail, initial encounter
S91.243A Puncture wound with foreign body of unspecified great toe with damage to nail, initial encounter
S91.244A Puncture wound with foreign body of right lesser toe(s) with damage to nail, initial encounter
S91.245A Puncture wound with foreign body of left lesser toe(s) with damage to nail, initial encounter
S91.246A Puncture wound with foreign body of unspecified lesser toe(s) with damage to nail, initial encounter
S91.249A Puncture wound with foreign body of unspecified toe(s) with damage to nail, initial encounter
S91.251A Open bite of right great toe with damage to nail, initial encounter
S91.252A Open bite of left great toe with damage to nail, initial encounter
S91.254A Open bite of right lesser toe(s) with damage to nail, initial encounter
S91.255A Open bite of left lesser toe(s) with damage to nail, initial encounter
S91.301A Unspecified open wound, right foot, initial encounter
S91.302A Unspecified open wound, left foot, initial encounter
S91.311A Laceration without foreign body, right foot, initial encounter
S91.312A Laceration without foreign body, left foot, initial encounter
S91.321A Laceration with foreign body, right foot, initial encounter
S91.322A Laceration with foreign body, left foot, initial encounter
S91.331A Puncture wound without foreign body, right foot, initial encounter
S91.332A Puncture wound without foreign body, left foot, initial encounter
S91.341A Puncture wound with foreign body, right foot, initial encounter
S91.342A Puncture wound with foreign body, left foot, initial encounter
S91.351A Open bite, right foot, initial encounter
S91.352A Open bite, left foot, initial encounter
S96.021A Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, right foot, initial encounter
S96.022A Laceration of muscle and tendon of long flexor muscle of toe at ankle and foot level, left foot, initial encounter
S96.121A Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, right foot, initial encounter
S96.122A Laceration of muscle and tendon of long extensor muscle of toe at ankle and foot level, left foot, initial encounter
S96.221A Laceration of intrinsic muscle and tendon at ankle and foot level, right foot, initial encounter
S96.222A Laceration of intrinsic muscle and tendon at ankle and foot level, left foot, initial encounter
S96.821A Laceration of other specified muscles and tendons at ankle and foot level, right foot, initial encounter
S96.822A Laceration of other specified muscles and tendons at ankle and foot level, left foot, initial encounter
S96.921A Laceration of unspecified muscle and tendon at ankle and foot level, right foot, initial encounter
S96.922A Laceration of unspecified muscle and tendon at ankle and foot level, left foot, initial encounter
S98.011A Complete traumatic amputation of right foot at ankle level, initial encounter
S98.012A Complete traumatic amputation of left foot at ankle level, initial encounter
S98.021A Partial traumatic amputation of right foot at ankle level, initial encounter
S98.022A Partial traumatic amputation of left foot at ankle level, initial encounter
S98.111A Complete traumatic amputation of right great toe, initial encounter
S98.112A Complete traumatic amputation of left great toe, initial encounter
S98.121A Partial traumatic amputation of right great toe, initial encounter
S98.122A Partial traumatic amputation of left great toe, initial encounter
S98.131A Complete traumatic amputation of one right lesser toe, initial encounter
S98.132A Complete traumatic amputation of one left lesser toe, initial encounter
S98.141A Partial traumatic amputation of one right lesser toe, initial encounter
S98.142A Partial traumatic amputation of one left lesser toe, initial encounter
S98.211A Complete traumatic amputation of two or more right lesser toes, initial encounter
S98.212A Complete traumatic amputation of two or more left lesser toes, initial encounter
S98.219A Complete traumatic amputation of two or more unspecified lesser toes, initial encounter
S98.221A Partial traumatic amputation of two or more right lesser toes, initial encounter
S98.222A Partial traumatic amputation of two or more left lesser toes, initial encounter
S98.229A Partial traumatic amputation of two or more unspecified lesser toes, initial encounter
S98.311A Complete traumatic amputation of right midfoot, initial encounter
S98.312A Complete traumatic amputation of left midfoot, initial encounter
S98.319A Complete traumatic amputation of unspecified midfoot, initial encounter
S98.321A Partial traumatic amputation of right midfoot, initial encounter
S98.322A Partial traumatic amputation of left midfoot, initial encounter
S98.329A Partial traumatic amputation of unspecified midfoot, initial encounter
S98.911A Complete traumatic amputation of right foot, level unspecified, initial encounter
S98.912A Complete traumatic amputation of left foot, level unspecified, initial encounter
S98.919A Complete traumatic amputation of unspecified foot, level unspecified, initial encounter
S98.921A Partial traumatic amputation of right foot, level unspecified, initial encounter
S98.922A Partial traumatic amputation of left foot, level unspecified, initial encounter
S98.929A Partial traumatic amputation of unspecified foot, level unspecified, initial encounter
T07.XXXA Unspecified multiple injuries, initial encounter

Group 8

(8 Codes)
Group 8 Paragraph

J0850

Group 8 Codes
Code Description
Z76.82 Awaiting organ transplant status
Z94.0 Kidney transplant status
Z94.1 Heart transplant status
Z94.2 Lung transplant status
Z94.4 Liver transplant status
Z94.81 Bone marrow transplant status
Z94.83 Pancreas transplant status
Z94.84 Stem cells transplant status

Group 9

(1 Code)
Group 9 Paragraph

J1571

Group 9 Codes
Code Description
Z20.5 Contact with and (suspected) exposure to viral hepatitis

Group 10

(8 Codes)
Group 10 Paragraph

J1573

Group 10 Codes
Code Description
B16.1 Acute hepatitis B with delta-agent without hepatic coma
B16.2 Acute hepatitis B without delta-agent with hepatic coma
B16.9 Acute hepatitis B without delta-agent and without hepatic coma
B17.0 Acute delta-(super) infection of hepatitis B carrier
B18.0 Chronic viral hepatitis B with delta-agent
B18.1 Chronic viral hepatitis B without delta-agent
B19.10 Unspecified viral hepatitis B without hepatic coma
B19.11 Unspecified viral hepatitis B with hepatic coma

Group 11

(8 Codes)
Group 11 Paragraph

J0840

Group 11 Codes
Code Description
T63.011A Toxic effect of rattlesnake venom, accidental (unintentional), initial encounter
T63.012A Toxic effect of rattlesnake venom, intentional self-harm, initial encounter
T63.013A Toxic effect of rattlesnake venom, assault, initial encounter
T63.014A Toxic effect of rattlesnake venom, undetermined, initial encounter
T63.061A Toxic effect of venom of other North and South American snake, accidental (unintentional), initial encounter
T63.062A Toxic effect of venom of other North and South American snake, intentional self-harm, initial encounter
T63.063A Toxic effect of venom of other North and South American snake, assault, initial encounter
T63.064A Toxic effect of venom of other North and South American snake, undetermined, initial encounter

Group 12

(170 Codes)
Group 12 Paragraph

J1459, J1554, J1556, J1557, J1561, J1566, J1568, J1569, J1572, J1599

Group 12 Codes
Code Description
B20 Human immunodeficiency virus [HIV] disease
C88.2 Heavy chain disease
C88.3 Immunoproliferative small intestinal disease
C88.8 Other malignant immunoproliferative diseases
C88.9 Malignant immunoproliferative disease, unspecified
C90.00 Multiple myeloma not having achieved remission
C90.01 Multiple myeloma in remission
C90.02 Multiple myeloma in relapse
C90.10 Plasma cell leukemia not having achieved remission
C90.11 Plasma cell leukemia in remission
C90.12 Plasma cell leukemia in relapse
C90.20 Extramedullary plasmacytoma not having achieved remission
C90.22 Extramedullary plasmacytoma in relapse
C90.30 Solitary plasmacytoma not having achieved remission
C90.32 Solitary plasmacytoma in relapse
C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission
C91.12 Chronic lymphocytic leukemia of B-cell type in relapse
C91.Z0 Other lymphoid leukemia not having achieved remission
C91.Z2 Other lymphoid leukemia, in relapse
D47.3 Essential (hemorrhagic) thrombocythemia
D59.0 Drug-induced autoimmune hemolytic anemia
D59.10 Autoimmune hemolytic anemia, unspecified
D59.11 Warm autoimmune hemolytic anemia
D59.12 Cold autoimmune hemolytic anemia
D59.13 Mixed type autoimmune hemolytic anemia
D59.19 Other autoimmune hemolytic anemia
D60.0 Chronic acquired pure red cell aplasia
D60.1 Transient acquired pure red cell aplasia
D60.8 Other acquired pure red cell aplasias
D60.9 Acquired pure red cell aplasia, unspecified
D61.1 Drug-induced aplastic anemia
D61.2 Aplastic anemia due to other external agents
D61.3 Idiopathic aplastic anemia
D61.89 Other specified aplastic anemias and other bone marrow failure syndromes
D69.3 Immune thrombocytopenic purpura
D69.41 Evans syndrome
D69.42 Congenital and hereditary thrombocytopenia purpura
D69.49 Other primary thrombocytopenia
D69.51 Posttransfusion purpura
D69.59 Other secondary thrombocytopenia
D70.8 Other neutropenia
D80.0 Hereditary hypogammaglobulinemia
D80.1 Nonfamilial hypogammaglobulinemia
D80.2 Selective deficiency of immunoglobulin A [IgA]
D80.3 Selective deficiency of immunoglobulin G [IgG] subclasses
D80.4 Selective deficiency of immunoglobulin M [IgM]
D80.5 Immunodeficiency with increased immunoglobulin M [IgM]
D80.6 Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia
D80.7 Transient hypogammaglobulinemia of infancy
D81.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis
D81.1 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers
D81.2 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers
D81.5 Purine nucleoside phosphorylase [PNP] deficiency
D81.6 Major histocompatibility complex class I deficiency
D81.7 Major histocompatibility complex class II deficiency
D81.82 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]
D81.89 Other combined immunodeficiencies
D81.9 Combined immunodeficiency, unspecified
D82.0 Wiskott-Aldrich syndrome
D82.1 Di George's syndrome
D82.4 Hyperimmunoglobulin E [IgE] syndrome
D83.0 Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function
D83.1 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders
D83.2 Common variable immunodeficiency with autoantibodies to B- or T-cells
D83.8 Other common variable immunodeficiencies
D83.9 Common variable immunodeficiency, unspecified
G11.3 Cerebellar ataxia with defective DNA repair
G25.82 Stiff-man syndrome
G40.301 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.311 Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.319 Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.411 Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.419 Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
G61.0 Guillain-Barre syndrome
G61.81 Chronic inflammatory demyelinating polyneuritis
G61.82 Multifocal motor neuropathy
G61.89 Other inflammatory polyneuropathies
G70.00 Myasthenia gravis without (acute) exacerbation
G70.01 Myasthenia gravis with (acute) exacerbation
G70.80 Lambert-Eaton syndrome, unspecified
G72.49 Other inflammatory and immune myopathies, not elsewhere classified
L10.0 Pemphigus vulgaris
L10.1 Pemphigus vegetans
L10.2 Pemphigus foliaceous
L10.3 Brazilian pemphigus [fogo selvagem]
L10.4 Pemphigus erythematosus
L10.5 Drug-induced pemphigus
L10.81 Paraneoplastic pemphigus
L10.89 Other pemphigus
L10.9 Pemphigus, unspecified
L12.0 Bullous pemphigoid
L12.1 Cicatricial pemphigoid
L12.30 Acquired epidermolysis bullosa, unspecified
L12.31 Epidermolysis bullosa due to drug
L12.35 Other acquired epidermolysis bullosa
L12.8 Other pemphigoid
L12.9 Pemphigoid, unspecified
L13.8 Other specified bullous disorders
L14 Bullous disorders in diseases classified elsewhere
L51.1 Stevens-Johnson syndrome
L51.2 Toxic epidermal necrolysis [Lyell]
L51.3 Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome
L88 Pyoderma gangrenosum
L90.1 Anetoderma of Schweninger-Buzzi
L90.2 Anetoderma of Jadassohn-Pellizzari
L90.6 Striae atrophicae
L98.5 Mucinosis of the skin
M30.0 Polyarteritis nodosa
M30.1 Polyarteritis with lung involvement [Churg-Strauss]
M30.2 Juvenile polyarteritis
M30.3 Mucocutaneous lymph node syndrome [Kawasaki]
M31.30 Wegener's granulomatosis without renal involvement
M31.31 Wegener's granulomatosis with renal involvement
M31.7 Microscopic polyangiitis
M32.0 Drug-induced systemic lupus erythematosus
M32.10 Systemic lupus erythematosus, organ or system involvement unspecified
M32.11 Endocarditis in systemic lupus erythematosus
M32.12 Pericarditis in systemic lupus erythematosus
M32.13 Lung involvement in systemic lupus erythematosus
M32.14 Glomerular disease in systemic lupus erythematosus
M32.15 Tubulo-interstitial nephropathy in systemic lupus erythematosus
M32.19 Other organ or system involvement in systemic lupus erythematosus
M32.8 Other forms of systemic lupus erythematosus
M32.9 Systemic lupus erythematosus, unspecified
M33.00 Juvenile dermatomyositis, organ involvement unspecified
M33.01 Juvenile dermatomyositis with respiratory involvement
M33.02 Juvenile dermatomyositis with myopathy
M33.03 Juvenile dermatomyositis without myopathy
M33.09 Juvenile dermatomyositis with other organ involvement
M33.10 Other dermatomyositis, organ involvement unspecified
M33.11 Other dermatomyositis with respiratory involvement
M33.12 Other dermatomyositis with myopathy
M33.13 Other dermatomyositis without myopathy
M33.19 Other dermatomyositis with other organ involvement
M33.20 Polymyositis, organ involvement unspecified
M33.21 Polymyositis with respiratory involvement
M33.22 Polymyositis with myopathy
M33.29 Polymyositis with other organ involvement
M33.90 Dermatopolymyositis, unspecified, organ involvement unspecified
M33.91 Dermatopolymyositis, unspecified with respiratory involvement
M33.92 Dermatopolymyositis, unspecified with myopathy
M33.93 Dermatopolymyositis, unspecified without myopathy
M33.99 Dermatopolymyositis, unspecified with other organ involvement
M35.5 Multifocal fibrosclerosis
M35.81 Multisystem inflammatory syndrome
M35.89 Other specified systemic involvement of connective tissue
M36.0 Dermato(poly)myositis in neoplastic disease
O09.891 Supervision of other high risk pregnancies, first trimester
O09.892 Supervision of other high risk pregnancies, second trimester
O09.893 Supervision of other high risk pregnancies, third trimester
O09.899 Supervision of other high risk pregnancies, unspecified trimester
P61.0 Transient neonatal thrombocytopenia
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.19 Other complication of kidney transplant
Z48.21 Encounter for aftercare following heart transplant
Z48.22 Encounter for aftercare following kidney transplant
Z48.23 Encounter for aftercare following liver transplant
Z48.24 Encounter for aftercare following lung transplant
Z48.280 Encounter for aftercare following heart-lung transplant
Z48.290 Encounter for aftercare following bone marrow transplant
Z76.82 Awaiting organ transplant status
Z94.0 Kidney transplant status
Z94.1 Heart transplant status
Z94.2 Lung transplant status
Z94.3 Heart and lungs transplant status
Z94.4 Liver transplant status
Z94.81 Bone marrow transplant status
Z94.83 Pancreas transplant status
Z94.84 Stem cells transplant status

Group 13

(15 Codes)
Group 13 Paragraph

J1575
WPS GHA Part B will cover the cost as “incident to” for a maximum of 2 episodes to provide teaching in the office setting, effective 12/15/2016.

Group 13 Codes
Code Description
D80.0 Hereditary hypogammaglobulinemia
D81.0 Severe combined immunodeficiency [SCID] with reticular dysgenesis
D81.1 Severe combined immunodeficiency [SCID] with low T- and B-cell numbers
D81.2 Severe combined immunodeficiency [SCID] with low or normal B-cell numbers
D81.6 Major histocompatibility complex class I deficiency
D81.7 Major histocompatibility complex class II deficiency
D81.82 Activated Phosphoinositide 3-kinase Delta Syndrome [APDS]
D81.89 Other combined immunodeficiencies
D82.0 Wiskott-Aldrich syndrome
D83.0 Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function
D83.1 Common variable immunodeficiency with predominant immunoregulatory T-cell disorders
D83.2 Common variable immunodeficiency with autoantibodies to B- or T-cells
D83.8 Other common variable immunodeficiencies
D83.9 Common variable immunodeficiency, unspecified
G61.81 Chronic inflammatory demyelinating polyneuritis
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ICD-10-CM Codes that DO NOT Support Medical Necessity

Group 1

Group 1 Paragraph

Any not listed as covered

Group 1 Codes

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ICD-10-PCS Codes

Group 1

Group 1 Paragraph

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Group 1 Codes

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Additional ICD-10 Information

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

Code Description
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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

Code Description
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Other Coding Information

Group 1

Group 1 Paragraph

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Group 1 Codes

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
01/12/2024 R9

Posted 02/29/2024: Biannual review completed. Under ICD-10 Codes that Support Medical Necessity Group 13 Codes added G61.81 based on a provider request. This is effective 01/12/2024.

12/01/2022 R8

Posted 12/01/2022: Review completed 11/02/2022 with no change in coverage. Updated formatting under CMS National Coverage Policy.

10/01/2022 R7

Posted 09/29/2022: ICD-10-CM Code Updates: Under ICD-10 Codes that Support Medical Necessity, added D81.82 to the Group 1, Group 12, and Group 13 Codes. These updates are effective 10/01/2022.

11/25/2021 R6

11/25/2021-Added J1554 to CPT/HCPCS Codes Group 1 Paragraph: Group 1 Codes & to ICD-10 Codes that Support Medical Necessity Group 12 Paragraph Group 12 Codes.

05/27/2021 R5

05/27/2021- removed deleted code M35.8 and added M35.81 & M35.89 due to 01Q21 ICD-10 CM Code Update- effective 01/01/2021.

01/28/2021 R4

01/28/2021 ICD-10 Codes that Support Medical Necessity – Group 12: Added T86.11, T86.12, T86.19, and Z48.22 based on Provider’s request.

10/01/2020 R3

10/29/2020 Under ICD-10 Codes that Support Medical Necessity, Group 11 Codes, added T63.061A, T63.062A, T63.063A, T63.064A based on a provider request.

10/01/2020 R2

10/01/2020 Revision due to ICD-10 code update. In ICD-10 Codes that Support Medical Necessity Group 12 Codes: deleted D59.1 and added D59.10, D59.11, D59.12, D59.13, D59.19.

07/30/2020 R1

07/30/2020 Added ICD-10 code G72.49 to Group 12 code table based on a provider request. Removed residual header in the Article Text section.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L34771 - Immune Globulins
Related National Coverage Documents
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SAD Process URL 1
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SAD Process URL 2
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Statutory Requirements URLs
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Rules and Regulations URLs
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CMS Manual Explanations URLs
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Other URLs
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Public Versions
Updated On Effective Dates Status
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