LCD Reference Article Billing and Coding Article

Billing and Coding: Routine Foot Care

A57188

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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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General Information

Source Article ID
N/A
Article ID
A57188
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Routine Foot Care
Article Type
Billing and Coding
Original Effective Date
10/03/2018
Revision Effective Date
01/01/2024
Revision Ending Date
N/A
Retirement Date
N/A
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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.

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CMS National Coverage Policy

Social Security Act (Title XVIII) Standard References:

  • Title XVIII of the Social Security Act, Section 1833(e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.

Article Guidance

Article Text

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33941 Routine Foot Care. Please refer to the LCD for reasonable and necessary requirements.

Coding Guidance

Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.

In order for routine foot care to be a covered service, the patient must have one or more of the diagnoses listed under the “ICD-10 Codes that Support Medical Necessity” section. Otherwise, the service is noncovered and should be coded with a GY modifier (Item or service statutorily excluded or does not meet the definition of any Medicare benefit).

An evaluation and management visit will be paid on the same day as routine foot care only if the visit was medically necessary and was for a significant, separately identifiable service, and the modifier –25 is used.

For the treatment of mycotic nails, please refer to the LCD L33922 Nail Debridement for indications and limitations.

On all claims submitted by a podiatrist with ICD-10-CM diagnosis codes containing an asterisk on the tables below, the name of the M.D., D.O., or non-physician practitioner (PA or NP) who diagnosed the complicating condition must be submitted with the claim. The approximate date the beneficiary was last seen by the physician/ non-physician practitioner must also be indicated.

On all claims submitted by a podiatrist with ICD-10-CM diagnosis codes with non-asterisked conditions, the name of the M.D., D.O., or non-physician practitioner (PA or NP) or the podiatrist who diagnosed the complicating condition must be on the claim form.

For all providers submitting claims for routine foot care with ICD-10-CM diagnosis codes in the “Group 2 Codes” table below, the claims should use the appropriate modifiers (Q7, Q8, or Q9) to indicate the findings the provider has made on the patient’s condition.

  • Q7 = One Class A findings
  • Q8 = Two Class B findings
  • Q9 = One Class B and two Class C findings

Class A Findings

  • Nontraumatic amputation of foot or integral skeletal portion thereof

Class B Findings

  • Absent posterior tibial pulse, or
  • Absent dorsalis pedal pulse, or
  • Three of the following advanced tropic changes are required to meet one class B finding:
    • Hair growth (decrease or absence)
    • Pigmentary changes (discoloration)
    • Skin color (rubor and redness)
    • Nail changes (thickening)
    • Skin texture (thin, shiny)

Class C Findings

  • Claudication (pain in calf when walking)
  • Temperature changes in the feet (e.g., cold feet)
  • Edema
  • Parathesias (abnormal spontaneous sensations in the feet, e.g., tingling)
  • Burning

For patients with peripheral neuropathy involving the feet but without vascular impairment, claims would be submitted without the Q7, Q8, or Q9 modifiers. Use the ICD-10-CM diagnosis codes in the “Group 3 Codes” table below.

For patients requiring anticoagulation therapy, use the ICD-10-CM diagnosis codes in the “Group 4 Codes” table below.

Documentation Requirements

  1. All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
  2. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.
  3. The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.
  4. When a Q7, Q8, or Q9 modifier is used, the provider must document in the medical record the appropriate signs and symptoms as outlined in Class Findings A, B, and/or C along with the complicating condition(s).
  5. When the patient has a systemic condition that might justify coverage and the services are performed by a podiatrist, the medical record must contain the name of the treating and/or diagnosing doctor of medicine or osteopathy. 
  6. For diagnoses of peripheral neuropathy that do not require a Q modifier, and the presumption of coverage is based on loss of protective sensation, documentation must be available in the medical record of an absence of sensation at two or more sites out of five tested on either foot when tested with the 5.07 Semmes-Weinstein monofilament to support the diagnosis of peripheral neuropathy with loss of protective sensation. This test may be performed by the attending physician, non-physician practitioner, or the podiatrist.
  7. For patients requiring anticoagulation therapy, the provider must document in the medical record the significant risk and danger posed by the non-professional rendering routine foot care services.

Response To Comments

Number Comment Response
1
N/A

Coding Information

Bill Type Codes

Code Description
999x Not Applicable
N/A

Revenue Codes

Code Description
99999 Not Applicable
N/A

CPT/HCPCS Codes

Group 1

(7 Codes)
Group 1 Paragraph

Note: Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book.

Group 1 Codes
Code Description
11055 Paring/cutg b9 hyprker les 1
11056 Parng/cutg b9 hyprkr les 2-4
11057 Parng/cutg b9 hyprkr les >4
11719 Trim nail(s) any number
11720 Debride nail 1-5
11721 Debride nail 6 or more
G0127 Trim nail(s)
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

(761 Codes)
Group 1 Paragraph

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 11055, 11056, 11057, 11719, 11720, 11721, and G0127.

Group 1 Codes
Code Description
A30.0 Indeterminate leprosy
A30.1 Tuberculoid leprosy
A30.2 Borderline tuberculoid leprosy
A30.3 Borderline leprosy
A30.4 Borderline lepromatous leprosy
A30.5 Lepromatous leprosy
A30.8 Other forms of leprosy
A30.9 Leprosy, unspecified
A52.10 Symptomatic neurosyphilis, unspecified
A52.11 Tabes dorsalis
A52.15 Late syphilitic neuropathy
A52.16 Charcot's arthropathy (tabetic)
A52.17 General paresis
A52.3 Neurosyphilis, unspecified
D51.0* Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D53.1* Other megaloblastic anemias, not elsewhere classified
D68.8 Other specified coagulation defects
D68.9 Coagulation defect, unspecified
D81.818* Other biotin-dependent carboxylase deficiency
D81.819* Biotin-dependent carboxylase deficiency, unspecified
E08.40* Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
E08.42* Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E09.40* Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
E09.42* Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
E10.40* Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.41* Type 1 diabetes mellitus with diabetic mononeuropathy
E10.42* Type 1 diabetes mellitus with diabetic polyneuropathy
E10.43* Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44* Type 1 diabetes mellitus with diabetic amyotrophy
E10.49* Type 1 diabetes mellitus with other diabetic neurological complication
E10.51* Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52* Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59* Type 1 diabetes mellitus with other circulatory complications
E10.610* Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E11.21* Type 2 diabetes mellitus with diabetic nephropathy
E11.22* Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29* Type 2 diabetes mellitus with other diabetic kidney complication
E11.311* Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319* Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.3211* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E11.3212* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E11.3213* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3219* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3291* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E11.3292* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E11.3293* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3299* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3311* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E11.3312* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E11.3313* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3319* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3391* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E11.3392* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E11.3393* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3399* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3411* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E11.3412* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E11.3413* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3419* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3491* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E11.3492* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E11.3493* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3499* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3511* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E11.3512* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E11.3513* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E11.3519* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E11.3521* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E11.3522* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E11.3523* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E11.3529* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E11.3531* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E11.3532* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E11.3533* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E11.3539* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E11.3541* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E11.3542* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E11.3543* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E11.3549* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E11.3551* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E11.3552* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E11.3553* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E11.3559* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E11.3591* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E11.3592* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E11.3593* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E11.3599* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E11.36* Type 2 diabetes mellitus with diabetic cataract
E11.37X1* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E11.37X2* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E11.37X3* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E11.37X9* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E11.39* Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40* Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41* Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42* Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43* Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44* Type 2 diabetes mellitus with diabetic amyotrophy
E11.49* Type 2 diabetes mellitus with other diabetic neurological complication
E11.610* Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.21* Other specified diabetes mellitus with diabetic nephropathy
E13.311* Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
E13.319* Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
E13.3211* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E13.3212* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E13.3213* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E13.3219* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E13.3291* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E13.3292* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E13.3293* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E13.3299* Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.3311* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E13.3312* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E13.3313* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E13.3319* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E13.3391* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E13.3392* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E13.3393* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E13.3399* Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.3411* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E13.3412* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E13.3413* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E13.3419* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E13.3491* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E13.3492* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E13.3493* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E13.3499* Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E13.3511* Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E13.3512* Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E13.3513* Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E13.3519* Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E13.3521* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E13.3522* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E13.3523* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E13.3529* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E13.3531* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E13.3532* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E13.3533* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E13.3539* Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E13.3541* Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E13.3542* Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E13.3543* Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E13.3549* Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E13.3551* Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E13.3552* Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E13.3553* Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E13.3559* Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E13.3591* Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E13.3592* Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E13.3593* Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E13.3599* Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E13.36* Other specified diabetes mellitus with diabetic cataract
E13.37X1* Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E13.37X2* Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E13.37X3* Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E13.37X9* Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E13.39* Other specified diabetes mellitus with other diabetic ophthalmic complication
E13.40* Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41* Other specified diabetes mellitus with diabetic mononeuropathy
E13.42* Other specified diabetes mellitus with diabetic polyneuropathy
E13.43* Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44* Other specified diabetes mellitus with diabetic amyotrophy
E13.49* Other specified diabetes mellitus with other diabetic neurological complication
E13.51* Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52* Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59* Other specified diabetes mellitus with other circulatory complications
E13.610* Other specified diabetes mellitus with diabetic neuropathic arthropathy
E46* Unspecified protein-calorie malnutrition
E51.11* Dry beriberi
E51.12* Wet beriberi
E52* Niacin deficiency [pellagra]
E53.1* Pyridoxine deficiency
E53.8* Deficiency of other specified B group vitamins
E64.0* Sequelae of protein-calorie malnutrition
E75.21 Fabry (-Anderson) disease
E75.22 Gaucher disease
E75.240 Niemann-Pick disease type A
E75.241 Niemann-Pick disease type B
E75.242 Niemann-Pick disease type C
E75.243 Niemann-Pick disease type D
E75.244 Niemann-Pick disease type A/B
E75.248 Other Niemann-Pick disease
E75.249 Niemann-Pick disease, unspecified
E75.3 Sphingolipidosis, unspecified
E77.0 Defects in post-translational modification of lysosomal enzymes
E77.1 Defects in glycoprotein degradation
E77.8 Other disorders of glycoprotein metabolism
E77.9 Disorder of glycoprotein metabolism, unspecified
E85.1 Neuropathic heredofamilial amyloidosis
E85.2 Heredofamilial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis
E85.4 Organ-limited amyloidosis
E85.81 Light chain (AL) amyloidosis
E85.82 Wild-type transthyretin-related (ATTR) amyloidosis
E85.89 Other amyloidosis
E85.9 Amyloidosis, unspecified
G11.11 Friedreich ataxia
G11.19 Other early-onset cerebellar ataxia
G13.0* Paraneoplastic neuromyopathy and neuropathy
G13.1* Other systemic atrophy primarily affecting central nervous system in neoplastic disease
G35* Multiple sclerosis
G60.0 Hereditary motor and sensory neuropathy
G60.1 Refsum's disease
G60.2 Neuropathy in association with hereditary ataxia
G60.3 Idiopathic progressive neuropathy
G60.8 Other hereditary and idiopathic neuropathies
G60.9 Hereditary and idiopathic neuropathy, unspecified
G61.0 Guillain-Barre syndrome
G61.1 Serum neuropathy
G62.0* Drug-induced polyneuropathy
G62.1* Alcoholic polyneuropathy
G62.2* Polyneuropathy due to other toxic agents
G62.82* Radiation-induced polyneuropathy
G63* Polyneuropathy in diseases classified elsewhere
G65.0 Sequelae of Guillain-Barre syndrome
G65.1 Sequelae of other inflammatory polyneuropathy
G65.2* Sequelae of toxic polyneuropathy
G70.1* Toxic myoneural disorders
G73.3* Myasthenic syndromes in other diseases classified elsewhere
I70.25 Atherosclerosis of native arteries of other extremities with ulceration
I74.4 Embolism and thrombosis of arteries of extremities, unspecified
I80.00* Phlebitis and thrombophlebitis of superficial vessels of unspecified lower extremity
I80.01* Phlebitis and thrombophlebitis of superficial vessels of right lower extremity
I80.02* Phlebitis and thrombophlebitis of superficial vessels of left lower extremity
I80.03* Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral
I80.10* Phlebitis and thrombophlebitis of unspecified femoral vein
I80.11* Phlebitis and thrombophlebitis of right femoral vein
I80.12* Phlebitis and thrombophlebitis of left femoral vein
I80.13* Phlebitis and thrombophlebitis of femoral vein, bilateral
I80.201* Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity
I80.202* Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity
I80.203* Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral
I80.209* Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity
I80.211* Phlebitis and thrombophlebitis of right iliac vein
I80.212* Phlebitis and thrombophlebitis of left iliac vein
I80.213* Phlebitis and thrombophlebitis of iliac vein, bilateral
I80.219* Phlebitis and thrombophlebitis of unspecified iliac vein
I80.221* Phlebitis and thrombophlebitis of right popliteal vein
I80.222* Phlebitis and thrombophlebitis of left popliteal vein
I80.223* Phlebitis and thrombophlebitis of popliteal vein, bilateral
I80.229* Phlebitis and thrombophlebitis of unspecified popliteal vein
I80.231* Phlebitis and thrombophlebitis of right tibial vein
I80.232* Phlebitis and thrombophlebitis of left tibial vein
I80.233* Phlebitis and thrombophlebitis of tibial vein, bilateral
I80.239* Phlebitis and thrombophlebitis of unspecified tibial vein
I80.241* Phlebitis and thrombophlebitis of right peroneal vein
I80.242* Phlebitis and thrombophlebitis of left peroneal vein
I80.243* Phlebitis and thrombophlebitis of peroneal vein, bilateral
I80.251* Phlebitis and thrombophlebitis of right calf muscular vein
I80.252* Phlebitis and thrombophlebitis of left calf muscular vein
I80.253* Phlebitis and thrombophlebitis of calf muscular vein, bilateral
I80.291* Phlebitis and thrombophlebitis of other deep vessels of right lower extremity
I80.292* Phlebitis and thrombophlebitis of other deep vessels of left lower extremity
I80.293* Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral
I80.299* Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity
K90.0* Celiac disease
K90.1* Tropical sprue
K90.2* Blind loop syndrome, not elsewhere classified
K90.3* Pancreatic steatorrhea
K91.2* Postsurgical malabsorption, not elsewhere classified
M05.50 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site
M05.511 Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512 Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
M05.519 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder
M05.521 Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
M05.522 Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
M05.529 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow
M05.531 Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
M05.532 Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
M05.539 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist
M05.541 Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
M05.542 Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
M05.549 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand
M05.551 Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
M05.552 Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
M05.559 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip
M05.561 Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
M05.562 Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
M05.569 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee
M05.571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
M05.572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
M05.579 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot
M05.59 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
M34.83 Systemic sclerosis with polyneuropathy
N18.1* Chronic kidney disease, stage 1
N18.2* Chronic kidney disease, stage 2 (mild)
N18.31* Chronic kidney disease, stage 3a
N18.32* Chronic kidney disease, stage 3b
N18.4* Chronic kidney disease, stage 4 (severe)
N18.5* Chronic kidney disease, stage 5
N18.6* End stage renal disease
N18.9* Chronic kidney disease, unspecified
N19* Unspecified kidney failure
S14.0XXA Concussion and edema of cervical spinal cord, initial encounter
S14.0XXD Concussion and edema of cervical spinal cord, subsequent encounter
S14.0XXS Concussion and edema of cervical spinal cord, sequela
S14.101A Unspecified injury at C1 level of cervical spinal cord, initial encounter
S14.101D Unspecified injury at C1 level of cervical spinal cord, subsequent encounter
S14.101S Unspecified injury at C1 level of cervical spinal cord, sequela
S14.102A Unspecified injury at C2 level of cervical spinal cord, initial encounter
S14.102D Unspecified injury at C2 level of cervical spinal cord, subsequent encounter
S14.102S Unspecified injury at C2 level of cervical spinal cord, sequela
S14.103A Unspecified injury at C3 level of cervical spinal cord, initial encounter
S14.103D Unspecified injury at C3 level of cervical spinal cord, subsequent encounter
S14.103S Unspecified injury at C3 level of cervical spinal cord, sequela
S14.104A Unspecified injury at C4 level of cervical spinal cord, initial encounter
S14.104D Unspecified injury at C4 level of cervical spinal cord, subsequent encounter
S14.104S Unspecified injury at C4 level of cervical spinal cord, sequela
S14.105A Unspecified injury at C5 level of cervical spinal cord, initial encounter
S14.105D Unspecified injury at C5 level of cervical spinal cord, subsequent encounter
S14.105S Unspecified injury at C5 level of cervical spinal cord, sequela
S14.106A Unspecified injury at C6 level of cervical spinal cord, initial encounter
S14.106D Unspecified injury at C6 level of cervical spinal cord, subsequent encounter
S14.106S Unspecified injury at C6 level of cervical spinal cord, sequela
S14.107A Unspecified injury at C7 level of cervical spinal cord, initial encounter
S14.107D Unspecified injury at C7 level of cervical spinal cord, subsequent encounter
S14.107S Unspecified injury at C7 level of cervical spinal cord, sequela
S14.108A Unspecified injury at C8 level of cervical spinal cord, initial encounter
S14.108D Unspecified injury at C8 level of cervical spinal cord, subsequent encounter
S14.108S Unspecified injury at C8 level of cervical spinal cord, sequela
S14.109A Unspecified injury at unspecified level of cervical spinal cord, initial encounter
S14.109D Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter
S14.109S Unspecified injury at unspecified level of cervical spinal cord, sequela
S14.111A Complete lesion at C1 level of cervical spinal cord, initial encounter
S14.111D Complete lesion at C1 level of cervical spinal cord, subsequent encounter
S14.111S Complete lesion at C1 level of cervical spinal cord, sequela
S14.112A Complete lesion at C2 level of cervical spinal cord, initial encounter
S14.112D Complete lesion at C2 level of cervical spinal cord, subsequent encounter
S14.112S Complete lesion at C2 level of cervical spinal cord, sequela
S14.113A Complete lesion at C3 level of cervical spinal cord, initial encounter
S14.113D Complete lesion at C3 level of cervical spinal cord, subsequent encounter
S14.113S Complete lesion at C3 level of cervical spinal cord, sequela
S14.114A Complete lesion at C4 level of cervical spinal cord, initial encounter
S14.114D Complete lesion at C4 level of cervical spinal cord, subsequent encounter
S14.114S Complete lesion at C4 level of cervical spinal cord, sequela
S14.115A Complete lesion at C5 level of cervical spinal cord, initial encounter
S14.115D Complete lesion at C5 level of cervical spinal cord, subsequent encounter
S14.115S Complete lesion at C5 level of cervical spinal cord, sequela
S14.116A Complete lesion at C6 level of cervical spinal cord, initial encounter
S14.116D Complete lesion at C6 level of cervical spinal cord, subsequent encounter
S14.116S Complete lesion at C6 level of cervical spinal cord, sequela
S14.117A Complete lesion at C7 level of cervical spinal cord, initial encounter
S14.117D Complete lesion at C7 level of cervical spinal cord, subsequent encounter
S14.117S Complete lesion at C7 level of cervical spinal cord, sequela
S14.118A Complete lesion at C8 level of cervical spinal cord, initial encounter
S14.118D Complete lesion at C8 level of cervical spinal cord, subsequent encounter
S14.118S Complete lesion at C8 level of cervical spinal cord, sequela
S14.119A Complete lesion at unspecified level of cervical spinal cord, initial encounter
S14.119D Complete lesion at unspecified level of cervical spinal cord, subsequent encounter
S14.119S Complete lesion at unspecified level of cervical spinal cord, sequela
S14.121A Central cord syndrome at C1 level of cervical spinal cord, initial encounter
S14.121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.121S Central cord syndrome at C1 level of cervical spinal cord, sequela
S14.122A Central cord syndrome at C2 level of cervical spinal cord, initial encounter
S14.122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.122S Central cord syndrome at C2 level of cervical spinal cord, sequela
S14.123A Central cord syndrome at C3 level of cervical spinal cord, initial encounter
S14.123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.123S Central cord syndrome at C3 level of cervical spinal cord, sequela
S14.124A Central cord syndrome at C4 level of cervical spinal cord, initial encounter
S14.124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.124S Central cord syndrome at C4 level of cervical spinal cord, sequela
S14.125A Central cord syndrome at C5 level of cervical spinal cord, initial encounter
S14.125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.125S Central cord syndrome at C5 level of cervical spinal cord, sequela
S14.126A Central cord syndrome at C6 level of cervical spinal cord, initial encounter
S14.126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.126S Central cord syndrome at C6 level of cervical spinal cord, sequela
S14.127A Central cord syndrome at C7 level of cervical spinal cord, initial encounter
S14.127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.127S Central cord syndrome at C7 level of cervical spinal cord, sequela
S14.128A Central cord syndrome at C8 level of cervical spinal cord, initial encounter
S14.128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.128S Central cord syndrome at C8 level of cervical spinal cord, sequela
S14.129A Central cord syndrome at unspecified level of cervical spinal cord, initial encounter
S14.129D Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
S14.129S Central cord syndrome at unspecified level of cervical spinal cord, sequela
S14.131A Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter
S14.131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.131S Anterior cord syndrome at C1 level of cervical spinal cord, sequela
S14.132A Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter
S14.132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.132S Anterior cord syndrome at C2 level of cervical spinal cord, sequela
S14.133A Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter
S14.133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.133S Anterior cord syndrome at C3 level of cervical spinal cord, sequela
S14.134A Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter
S14.134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.134S Anterior cord syndrome at C4 level of cervical spinal cord, sequela
S14.135A Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter
S14.135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.135S Anterior cord syndrome at C5 level of cervical spinal cord, sequela
S14.136A Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter
S14.136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.136S Anterior cord syndrome at C6 level of cervical spinal cord, sequela
S14.137A Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter
S14.137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.137S Anterior cord syndrome at C7 level of cervical spinal cord, sequela
S14.138A Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter
S14.138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.138S Anterior cord syndrome at C8 level of cervical spinal cord, sequela
S14.139A Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter
S14.139D Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
S14.139S Anterior cord syndrome at unspecified level of cervical spinal cord, sequela
S14.141A Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter
S14.141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.141S Brown-Sequard syndrome at C1 level of cervical spinal cord, sequela
S14.142A Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter
S14.142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.142S Brown-Sequard syndrome at C2 level of cervical spinal cord, sequela
S14.143A Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter
S14.143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.143S Brown-Sequard syndrome at C3 level of cervical spinal cord, sequela
S14.144A Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter
S14.144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.144S Brown-Sequard syndrome at C4 level of cervical spinal cord, sequela
S14.145A Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter
S14.145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.145S Brown-Sequard syndrome at C5 level of cervical spinal cord, sequela
S14.146A Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter
S14.146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.146S Brown-Sequard syndrome at C6 level of cervical spinal cord, sequela
S14.147A Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter
S14.147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.147S Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela
S14.148A Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter
S14.148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.148S Brown-Sequard syndrome at C8 level of cervical spinal cord, sequela
S14.149A Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter
S14.149D Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter
S14.149S Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequela
S14.151A Other incomplete lesion at C1 level of cervical spinal cord, initial encounter
S14.151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter
S14.151S Other incomplete lesion at C1 level of cervical spinal cord, sequela
S14.152A Other incomplete lesion at C2 level of cervical spinal cord, initial encounter
S14.152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter
S14.152S Other incomplete lesion at C2 level of cervical spinal cord, sequela
S14.153A Other incomplete lesion at C3 level of cervical spinal cord, initial encounter
S14.153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter
S14.153S Other incomplete lesion at C3 level of cervical spinal cord, sequela
S14.154A Other incomplete lesion at C4 level of cervical spinal cord, initial encounter
S14.154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter
S14.154S Other incomplete lesion at C4 level of cervical spinal cord, sequela
S14.155A Other incomplete lesion at C5 level of cervical spinal cord, initial encounter
S14.155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter
S14.155S Other incomplete lesion at C5 level of cervical spinal cord, sequela
S14.156A Other incomplete lesion at C6 level of cervical spinal cord, initial encounter
S14.156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter
S14.156S Other incomplete lesion at C6 level of cervical spinal cord, sequela
S14.157A Other incomplete lesion at C7 level of cervical spinal cord, initial encounter
S14.157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter
S14.157S Other incomplete lesion at C7 level of cervical spinal cord, sequela
S14.158A Other incomplete lesion at C8 level of cervical spinal cord, initial encounter
S14.158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter
S14.158S Other incomplete lesion at C8 level of cervical spinal cord, sequela
S14.159A Other incomplete lesion at unspecified level of cervical spinal cord, initial encounter
S14.159D Other incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter
S14.159S Other incomplete lesion at unspecified level of cervical spinal cord, sequela
S24.0XXA Concussion and edema of thoracic spinal cord, initial encounter
S24.0XXD Concussion and edema of thoracic spinal cord, subsequent encounter
S24.0XXS Concussion and edema of thoracic spinal cord, sequela
S24.101A Unspecified injury at T1 level of thoracic spinal cord, initial encounter
S24.101D Unspecified injury at T1 level of thoracic spinal cord, subsequent encounter
S24.101S Unspecified injury at T1 level of thoracic spinal cord, sequela
S24.102A Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter
S24.102D Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.102S Unspecified injury at T2-T6 level of thoracic spinal cord, sequela
S24.103A Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter
S24.103D Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.103S Unspecified injury at T7-T10 level of thoracic spinal cord, sequela
S24.104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter
S24.104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.104S Unspecified injury at T11-T12 level of thoracic spinal cord, sequela
S24.109A Unspecified injury at unspecified level of thoracic spinal cord, initial encounter
S24.109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter
S24.109S Unspecified injury at unspecified level of thoracic spinal cord, sequela
S24.111A Complete lesion at T1 level of thoracic spinal cord, initial encounter
S24.111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter
S24.111S Complete lesion at T1 level of thoracic spinal cord, sequela
S24.112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter
S24.112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.112S Complete lesion at T2-T6 level of thoracic spinal cord, sequela
S24.113A Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter
S24.113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.113S Complete lesion at T7-T10 level of thoracic spinal cord, sequela
S24.114A Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter
S24.114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.114S Complete lesion at T11-T12 level of thoracic spinal cord, sequela
S24.119A Complete lesion at unspecified level of thoracic spinal cord, initial encounter
S24.119D Complete lesion at unspecified level of thoracic spinal cord, subsequent encounter
S24.119S Complete lesion at unspecified level of thoracic spinal cord, sequela
S24.131A Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter
S24.131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter
S24.131S Anterior cord syndrome at T1 level of thoracic spinal cord, sequela
S24.132A Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter
S24.132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.132S Anterior cord syndrome at T2-T6 level of thoracic spinal cord, sequela
S24.133A Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter
S24.133D Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.133S Anterior cord syndrome at T7-T10 level of thoracic spinal cord, sequela
S24.134A Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter
S24.134D Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.134S Anterior cord syndrome at T11-T12 level of thoracic spinal cord, sequela
S24.139A Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter
S24.139D Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent encounter
S24.139S Anterior cord syndrome at unspecified level of thoracic spinal cord, sequela
S24.141A Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter
S24.141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter
S24.141S Brown-Sequard syndrome at T1 level of thoracic spinal cord, sequela
S24.142A Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter
S24.142D Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.142S Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequela
S24.143A Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter
S24.143D Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.143S Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, sequela
S24.144A Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter
S24.144D Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.144S Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, sequela
S24.149A Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter
S24.149D Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent encounter
S24.149S Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela
S24.151A Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter
S24.151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter
S24.151S Other incomplete lesion at T1 level of thoracic spinal cord, sequela
S24.152A Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter
S24.152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.152S Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequela
S24.153A Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter
S24.153D Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.153S Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequela
S24.154A Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter
S24.154D Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.154S Other incomplete lesion at T11-T12 level of thoracic spinal cord, sequela
S24.159A Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounter
S24.159D Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent encounter
S24.159S Other incomplete lesion at unspecified level of thoracic spinal cord, sequela
S34.01XA Concussion and edema of lumbar spinal cord, initial encounter
S34.01XD Concussion and edema of lumbar spinal cord, subsequent encounter
S34.01XS Concussion and edema of lumbar spinal cord, sequela
S34.02XA Concussion and edema of sacral spinal cord, initial encounter
S34.02XD Concussion and edema of sacral spinal cord, subsequent encounter
S34.02XS Concussion and edema of sacral spinal cord, sequela
S34.101A Unspecified injury to L1 level of lumbar spinal cord, initial encounter
S34.101D Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter
S34.101S Unspecified injury to L1 level of lumbar spinal cord, sequela
S34.102A Unspecified injury to L2 level of lumbar spinal cord, initial encounter
S34.102D Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter
S34.102S Unspecified injury to L2 level of lumbar spinal cord, sequela
S34.103A Unspecified injury to L3 level of lumbar spinal cord, initial encounter
S34.103D Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter
S34.103S Unspecified injury to L3 level of lumbar spinal cord, sequela
S34.104A Unspecified injury to L4 level of lumbar spinal cord, initial encounter
S34.104D Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter
S34.104S Unspecified injury to L4 level of lumbar spinal cord, sequela
S34.105A Unspecified injury to L5 level of lumbar spinal cord, initial encounter
S34.105D Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter
S34.105S Unspecified injury to L5 level of lumbar spinal cord, sequela
S34.109A Unspecified injury to unspecified level of lumbar spinal cord, initial encounter
S34.109D Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter
S34.109S Unspecified injury to unspecified level of lumbar spinal cord, sequela
S34.111A Complete lesion of L1 level of lumbar spinal cord, initial encounter
S34.111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounter
S34.111S Complete lesion of L1 level of lumbar spinal cord, sequela
S34.112A Complete lesion of L2 level of lumbar spinal cord, initial encounter
S34.112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounter
S34.112S Complete lesion of L2 level of lumbar spinal cord, sequela
S34.113A Complete lesion of L3 level of lumbar spinal cord, initial encounter
S34.113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounter
S34.113S Complete lesion of L3 level of lumbar spinal cord, sequela
S34.114A Complete lesion of L4 level of lumbar spinal cord, initial encounter
S34.114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounter
S34.114S Complete lesion of L4 level of lumbar spinal cord, sequela
S34.115A Complete lesion of L5 level of lumbar spinal cord, initial encounter
S34.115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.115S Complete lesion of L5 level of lumbar spinal cord, sequela
S34.119A Complete lesion of unspecified level of lumbar spinal cord, initial encounter
S34.119D Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter
S34.119S Complete lesion of unspecified level of lumbar spinal cord, sequela
S34.121A Incomplete lesion of L1 level of lumbar spinal cord, initial encounter
S34.121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter
S34.121S Incomplete lesion of L1 level of lumbar spinal cord, sequela
S34.122A Incomplete lesion of L2 level of lumbar spinal cord, initial encounter
S34.122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter
S34.122S Incomplete lesion of L2 level of lumbar spinal cord, sequela
S34.123A Incomplete lesion of L3 level of lumbar spinal cord, initial encounter
S34.123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter
S34.123S Incomplete lesion of L3 level of lumbar spinal cord, sequela
S34.124A Incomplete lesion of L4 level of lumbar spinal cord, initial encounter
S34.124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter
S34.124S Incomplete lesion of L4 level of lumbar spinal cord, sequela
S34.125A Incomplete lesion of L5 level of lumbar spinal cord, initial encounter
S34.125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.125S Incomplete lesion of L5 level of lumbar spinal cord, sequela
S34.129A Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter
S34.129D Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter
S34.129S Incomplete lesion of unspecified level of lumbar spinal cord, sequela
S34.131A Complete lesion of sacral spinal cord, initial encounter
S34.131D Complete lesion of sacral spinal cord, subsequent encounter
S34.131S Complete lesion of sacral spinal cord, sequela
S34.132A Incomplete lesion of sacral spinal cord, initial encounter
S34.132D Incomplete lesion of sacral spinal cord, subsequent encounter
S34.132S Incomplete lesion of sacral spinal cord, sequela
S34.139A Unspecified injury to sacral spinal cord, initial encounter
S34.139D Unspecified injury to sacral spinal cord, subsequent encounter
S34.139S Unspecified injury to sacral spinal cord, sequela
S34.21XA Injury of nerve root of lumbar spine, initial encounter
S34.21XD Injury of nerve root of lumbar spine, subsequent encounter
S34.21XS Injury of nerve root of lumbar spine, sequela
S34.22XA Injury of nerve root of sacral spine, initial encounter
S34.22XD Injury of nerve root of sacral spine, subsequent encounter
S34.22XS Injury of nerve root of sacral spine, sequela
S34.3XXA Injury of cauda equina, initial encounter
S34.3XXD Injury of cauda equina, subsequent encounter
S34.3XXS Injury of cauda equina, sequela
S34.4XXA Injury of lumbosacral plexus, initial encounter
S34.4XXD Injury of lumbosacral plexus, subsequent encounter
S34.4XXS Injury of lumbosacral plexus, sequela
S74.00XA Injury of sciatic nerve at hip and thigh level, unspecified leg, initial encounter
S74.00XD Injury of sciatic nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.00XS Injury of sciatic nerve at hip and thigh level, unspecified leg, sequela
S74.01XA Injury of sciatic nerve at hip and thigh level, right leg, initial encounter
S74.01XD Injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter
S74.01XS Injury of sciatic nerve at hip and thigh level, right leg, sequela
S74.02XA Injury of sciatic nerve at hip and thigh level, left leg, initial encounter
S74.02XD Injury of sciatic nerve at hip and thigh level, left leg, subsequent encounter
S74.02XS Injury of sciatic nerve at hip and thigh level, left leg, sequela
S74.10XA Injury of femoral nerve at hip and thigh level, unspecified leg, initial encounter
S74.10XD Injury of femoral nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.10XS Injury of femoral nerve at hip and thigh level, unspecified leg, sequela
S74.11XA Injury of femoral nerve at hip and thigh level, right leg, initial encounter
S74.11XD Injury of femoral nerve at hip and thigh level, right leg, subsequent encounter
S74.11XS Injury of femoral nerve at hip and thigh level, right leg, sequela
S74.12XA Injury of femoral nerve at hip and thigh level, left leg, initial encounter
S74.12XD Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter
S74.12XS Injury of femoral nerve at hip and thigh level, left leg, sequela
S74.20XA Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, initial encounter
S74.20XD Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.20XS Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, sequela
S74.21XA Injury of cutaneous sensory nerve at hip and high level, right leg, initial encounter
S74.21XD Injury of cutaneous sensory nerve at hip and high level, right leg, subsequent encounter
S74.21XS Injury of cutaneous sensory nerve at hip and high level, right leg, sequela
S74.22XA Injury of cutaneous sensory nerve at hip and thigh level, left leg, initial encounter
S74.22XD Injury of cutaneous sensory nerve at hip and thigh level, left leg, subsequent encounter
S74.22XS Injury of cutaneous sensory nerve at hip and thigh level, left leg, sequela
S74.8X1A Injury of other nerves at hip and thigh level, right leg, initial encounter
S74.8X1D Injury of other nerves at hip and thigh level, right leg, subsequent encounter
S74.8X1S Injury of other nerves at hip and thigh level, right leg, sequela
S74.8X2A Injury of other nerves at hip and thigh level, left leg, initial encounter
S74.8X2D Injury of other nerves at hip and thigh level, left leg, subsequent encounter
S74.8X2S Injury of other nerves at hip and thigh level, left leg, sequela
S74.8X9A Injury of other nerves at hip and thigh level, unspecified leg, initial encounter
S74.8X9D Injury of other nerves at hip and thigh level, unspecified leg, subsequent encounter
S74.8X9S Injury of other nerves at hip and thigh level, unspecified leg, sequela
S74.90XA Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter
S74.90XD Injury of unspecified nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.90XS Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela
S74.91XA Injury of unspecified nerve at hip and thigh level, right leg, initial encounter
S74.91XD Injury of unspecified nerve at hip and thigh level, right leg, subsequent encounter
S74.91XS Injury of unspecified nerve at hip and thigh level, right leg, sequela
S74.92XA Injury of unspecified nerve at hip and thigh level, left leg, initial encounter
S74.92XD Injury of unspecified nerve at hip and thigh level, left leg, subsequent encounter
S74.92XS Injury of unspecified nerve at hip and thigh level, left leg, sequela
S84.00XA Injury of tibial nerve at lower leg level, unspecified leg, initial encounter
S84.00XD Injury of tibial nerve at lower leg level, unspecified leg, subsequent encounter
S84.00XS Injury of tibial nerve at lower leg level, unspecified leg, sequela
S84.01XA Injury of tibial nerve at lower leg level, right leg, initial encounter
S84.01XD Injury of tibial nerve at lower leg level, right leg, subsequent encounter
S84.01XS Injury of tibial nerve at lower leg level, right leg, sequela
S84.02XA Injury of tibial nerve at lower leg level, left leg, initial encounter
S84.02XD Injury of tibial nerve at lower leg level, left leg, subsequent encounter
S84.02XS Injury of tibial nerve at lower leg level, left leg, sequela
S84.10XA Injury of peroneal nerve at lower leg level, unspecified leg, initial encounter
S84.10XD Injury of peroneal nerve at lower leg level, unspecified leg, subsequent encounter
S84.10XS Injury of peroneal nerve at lower leg level, unspecified leg, sequela
S84.11XA Injury of peroneal nerve at lower leg level, right leg, initial encounter
S84.11XD Injury of peroneal nerve at lower leg level, right leg, subsequent encounter
S84.11XS Injury of peroneal nerve at lower leg level, right leg, sequela
S84.12XA Injury of peroneal nerve at lower leg level, left leg, initial encounter
S84.12XD Injury of peroneal nerve at lower leg level, left leg, subsequent encounter
S84.12XS Injury of peroneal nerve at lower leg level, left leg, sequela
S84.20XA Injury of cutaneous sensory nerve at lower leg level, unspecified leg, initial encounter
S84.20XD Injury of cutaneous sensory nerve at lower leg level, unspecified leg, subsequent encounter
S84.20XS Injury of cutaneous sensory nerve at lower leg level, unspecified leg, sequela
S84.21XA Injury of cutaneous sensory nerve at lower leg level, right leg, initial encounter
S84.21XD Injury of cutaneous sensory nerve at lower leg level, right leg, subsequent encounter
S84.21XS Injury of cutaneous sensory nerve at lower leg level, right leg, sequela
S84.22XA Injury of cutaneous sensory nerve at lower leg level, left leg, initial encounter
S84.22XD Injury of cutaneous sensory nerve at lower leg level, left leg, subsequent encounter
S84.22XS Injury of cutaneous sensory nerve at lower leg level, left leg, sequela
S84.801A Injury of other nerves at lower leg level, right leg, initial encounter
S84.801D Injury of other nerves at lower leg level, right leg, subsequent encounter
S84.801S Injury of other nerves at lower leg level, right leg, sequela
S84.802A Injury of other nerves at lower leg level, left leg, initial encounter
S84.802D Injury of other nerves at lower leg level, left leg, subsequent encounter
S84.802S Injury of other nerves at lower leg level, left leg, sequela
S84.809A Injury of other nerves at lower leg level, unspecified leg, initial encounter
S84.809D Injury of other nerves at lower leg level, unspecified leg, subsequent encounter
S84.809S Injury of other nerves at lower leg level, unspecified leg, sequela
S84.90XA Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter
S84.90XD Injury of unspecified nerve at lower leg level, unspecified leg, subsequent encounter
S84.90XS Injury of unspecified nerve at lower leg level, unspecified leg, sequela
S84.91XA Injury of unspecified nerve at lower leg level, right leg, initial encounter
S84.91XD Injury of unspecified nerve at lower leg level, right leg, subsequent encounter
S84.91XS Injury of unspecified nerve at lower leg level, right leg, sequela
S84.92XA Injury of unspecified nerve at lower leg level, left leg, initial encounter
S84.92XD Injury of unspecified nerve at lower leg level, left leg, subsequent encounter
S84.92XS Injury of unspecified nerve at lower leg level, left leg, sequela
S94.00XA Injury of lateral plantar nerve, unspecified leg, initial encounter
S94.00XD Injury of lateral plantar nerve, unspecified leg, subsequent encounter
S94.00XS Injury of lateral plantar nerve, unspecified leg, sequela
S94.01XA Injury of lateral plantar nerve, right leg, initial encounter
S94.01XD Injury of lateral plantar nerve, right leg, subsequent encounter
S94.01XS Injury of lateral plantar nerve, right leg, sequela
S94.02XA Injury of lateral plantar nerve, left leg, initial encounter
S94.02XD Injury of lateral plantar nerve, left leg, subsequent encounter
S94.02XS Injury of lateral plantar nerve, left leg, sequela
S94.10XA Injury of medial plantar nerve, unspecified leg, initial encounter
S94.10XD Injury of medial plantar nerve, unspecified leg, subsequent encounter
S94.10XS Injury of medial plantar nerve, unspecified leg, sequela
S94.11XA Injury of medial plantar nerve, right leg, initial encounter
S94.11XD Injury of medial plantar nerve, right leg, subsequent encounter
S94.11XS Injury of medial plantar nerve, right leg, sequela
S94.12XA Injury of medial plantar nerve, left leg, initial encounter
S94.12XD Injury of medial plantar nerve, left leg, subsequent encounter
S94.12XS Injury of medial plantar nerve, left leg, sequela
S94.20XA Injury of deep peroneal nerve at ankle and foot level, unspecified leg, initial encounter
S94.20XD Injury of deep peroneal nerve at ankle and foot level, unspecified leg, subsequent encounter
S94.20XS Injury of deep peroneal nerve at ankle and foot level, unspecified leg, sequela
S94.21XA Injury of deep peroneal nerve at ankle and foot level, right leg, initial encounter
S94.21XD Injury of deep peroneal nerve at ankle and foot level, right leg, subsequent encounter
S94.21XS Injury of deep peroneal nerve at ankle and foot level, right leg, sequela
S94.22XA Injury of deep peroneal nerve at ankle and foot level, left leg, initial encounter
S94.22XD Injury of deep peroneal nerve at ankle and foot level, left leg, subsequent encounter
S94.22XS Injury of deep peroneal nerve at ankle and foot level, left leg, sequela
S94.30XA Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, initial encounter
S94.30XD Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, subsequent encounter
S94.30XS Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, sequela
S94.31XA Injury of cutaneous sensory nerve at ankle and foot level, right leg, initial encounter
S94.31XD Injury of cutaneous sensory nerve at ankle and foot level, right leg, subsequent encounter
S94.31XS Injury of cutaneous sensory nerve at ankle and foot level, right leg, sequela
S94.32XA Injury of cutaneous sensory nerve at ankle and foot level, left leg, initial encounter
S94.32XD Injury of cutaneous sensory nerve at ankle and foot level, left leg, subsequent encounter
S94.32XS Injury of cutaneous sensory nerve at ankle and foot level, left leg, sequela
S94.8X1A Injury of other nerves at ankle and foot level, right leg, initial encounter
S94.8X1D Injury of other nerves at ankle and foot level, right leg, subsequent encounter
S94.8X1S Injury of other nerves at ankle and foot level, right leg, sequela
S94.8X2A Injury of other nerves at ankle and foot level, left leg, initial encounter
S94.8X2D Injury of other nerves at ankle and foot level, left leg, subsequent encounter
S94.8X2S Injury of other nerves at ankle and foot level, left leg, sequela
S94.8X9A Injury of other nerves at ankle and foot level, unspecified leg, initial encounter
S94.8X9D Injury of other nerves at ankle and foot level, unspecified leg, subsequent encounter
S94.8X9S Injury of other nerves at ankle and foot level, unspecified leg, sequela
S94.90XA Injury of unspecified nerve at ankle and foot level, unspecified leg, initial encounter
S94.90XD Injury of unspecified nerve at ankle and foot level, unspecified leg, subsequent encounter
S94.90XS Injury of unspecified nerve at ankle and foot level, unspecified leg, sequela
S94.91XA Injury of unspecified nerve at ankle and foot level, right leg, initial encounter
S94.91XD Injury of unspecified nerve at ankle and foot level, right leg, subsequent encounter
S94.91XS Injury of unspecified nerve at ankle and foot level, right leg, sequela
S94.92XA Injury of unspecified nerve at ankle and foot level, left leg, initial encounter
S94.92XD Injury of unspecified nerve at ankle and foot level, left leg, subsequent encounter
S94.92XS Injury of unspecified nerve at ankle and foot level, left leg, sequela
Group 1 Medical Necessity ICD-10-CM Codes Asterisk Explanation

Note: *Routine procedures are covered only if the patient is under the active care of a doctor of medicine or osteopathy who documents the condition. The name of the M.D. or D.O. who diagnosed the complicating condition must be submitted with the claim. The approximate date the beneficiary was last seen by the physician must also be indicated.

Group 2

(46 Codes)
Group 2 Paragraph

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 11055, 11056, 11057, 11719, 11720, 11721, and G0127 only with modifier Q7, Q8, or Q9.

Group 2 Codes
Code Description
E11.51* Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52* Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59* Type 2 diabetes mellitus with other circulatory complications
I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg
I70.202 Unspecified atherosclerosis of native arteries of extremities, left leg
I70.203 Unspecified atherosclerosis of native arteries of extremities, bilateral legs
I70.208 Unspecified atherosclerosis of native arteries of extremities, other extremity
I70.209 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity
I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
I70.219 Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity
I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg
I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg
I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity
I70.229 Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity
I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235 Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
I70.239 Atherosclerosis of native arteries of right leg with ulceration of unspecified site
I70.241 Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245 Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
I70.249 Atherosclerosis of native arteries of left leg with ulceration of unspecified site
I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg
I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg
I70.263 Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity
I70.269 Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity
I73.00 Raynaud's syndrome without gangrene
I73.01 Raynaud's syndrome with gangrene
I73.1 Thromboangiitis obliterans [Buerger's disease]
I74.3 Embolism and thrombosis of arteries of the lower extremities
M30.0 Polyarteritis nodosa
M30.2 Juvenile polyarteritis
M30.8 Other conditions related to polyarteritis nodosa
M31.4 Aortic arch syndrome [Takayasu]
M31.7 Microscopic polyangiitis
Group 2 Medical Necessity ICD-10-CM Codes Asterisk Explanation

Note: *Routine procedures are covered only if the patient is under the active care of a doctor of medicine or osteopathy who documents the condition. The name of the M.D. or D.O. who diagnosed the complicating condition must be submitted with the claim. The approximate date the beneficiary was last seen by the physician must also be indicated.

Group 3

(693 Codes)
Group 3 Paragraph

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 11055, 11056, 11057, 11719, 11720, 11721, and G0127 for peripheral neuropathy.

Group 3 Codes
Code Description
A30.0 Indeterminate leprosy
A30.1 Tuberculoid leprosy
A30.2 Borderline tuberculoid leprosy
A30.3 Borderline leprosy
A30.4 Borderline lepromatous leprosy
A30.5 Lepromatous leprosy
A30.8 Other forms of leprosy
A30.9 Leprosy, unspecified
A52.10 Symptomatic neurosyphilis, unspecified
A52.11 Tabes dorsalis
A52.15 Late syphilitic neuropathy
A52.16 Charcot's arthropathy (tabetic)
A52.17 General paresis
A52.3 Neurosyphilis, unspecified
D51.0* Vitamin B12 deficiency anemia due to intrinsic factor deficiency
D53.1* Other megaloblastic anemias, not elsewhere classified
D81.818* Other biotin-dependent carboxylase deficiency
D81.819* Biotin-dependent carboxylase deficiency, unspecified
E08.40* Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified
E08.42* Diabetes mellitus due to underlying condition with diabetic polyneuropathy
E09.40* Drug or chemical induced diabetes mellitus with neurological complications with diabetic neuropathy, unspecified
E09.42* Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy
E10.40* Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.41* Type 1 diabetes mellitus with diabetic mononeuropathy
E10.42* Type 1 diabetes mellitus with diabetic polyneuropathy
E10.43* Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
E10.44* Type 1 diabetes mellitus with diabetic amyotrophy
E10.49* Type 1 diabetes mellitus with other diabetic neurological complication
E10.610* Type 1 diabetes mellitus with diabetic neuropathic arthropathy
E11.21* Type 2 diabetes mellitus with diabetic nephropathy
E11.22* Type 2 diabetes mellitus with diabetic chronic kidney disease
E11.29* Type 2 diabetes mellitus with other diabetic kidney complication
E11.311* Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319* Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.3211* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
E11.3212* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
E11.3213* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3219* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3291* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
E11.3292* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
E11.3293* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3299* Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3311* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
E11.3312* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
E11.3313* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3319* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3391* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
E11.3392* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
E11.3393* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3399* Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3411* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
E11.3412* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
E11.3413* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
E11.3419* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
E11.3491* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
E11.3492* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
E11.3493* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
E11.3499* Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
E11.3511* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
E11.3512* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
E11.3513* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
E11.3519* Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
E11.3521* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
E11.3522* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
E11.3523* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
E11.3529* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
E11.3531* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
E11.3532* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
E11.3533* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
E11.3539* Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
E11.3541* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
E11.3542* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
E11.3543* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
E11.3549* Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
E11.3551* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
E11.3552* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
E11.3553* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
E11.3559* Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
E11.3591* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
E11.3592* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
E11.3593* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
E11.3599* Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
E11.36* Type 2 diabetes mellitus with diabetic cataract
E11.37X1* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
E11.37X2* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
E11.37X3* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
E11.37X9* Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
E11.39* Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.40* Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41* Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42* Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43* Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44* Type 2 diabetes mellitus with diabetic amyotrophy
E11.49* Type 2 diabetes mellitus with other diabetic neurological complication
E11.610* Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.40* Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41* Other specified diabetes mellitus with diabetic mononeuropathy
E13.42* Other specified diabetes mellitus with diabetic polyneuropathy
E13.43* Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44* Other specified diabetes mellitus with diabetic amyotrophy
E13.49* Other specified diabetes mellitus with other diabetic neurological complication
E13.610* Other specified diabetes mellitus with diabetic neuropathic arthropathy
E46* Unspecified protein-calorie malnutrition
E51.11* Dry beriberi
E51.12* Wet beriberi
E52* Niacin deficiency [pellagra]
E53.1* Pyridoxine deficiency
E53.8* Deficiency of other specified B group vitamins
E64.0* Sequelae of protein-calorie malnutrition
E75.21 Fabry (-Anderson) disease
E75.22 Gaucher disease
E75.240 Niemann-Pick disease type A
E75.241 Niemann-Pick disease type B
E75.242 Niemann-Pick disease type C
E75.243 Niemann-Pick disease type D
E75.244 Niemann-Pick disease type A/B
E75.248 Other Niemann-Pick disease
E75.249 Niemann-Pick disease, unspecified
E75.3 Sphingolipidosis, unspecified
E77.0 Defects in post-translational modification of lysosomal enzymes
E77.1 Defects in glycoprotein degradation
E77.8 Other disorders of glycoprotein metabolism
E77.9 Disorder of glycoprotein metabolism, unspecified
E85.1 Neuropathic heredofamilial amyloidosis
E85.2 Heredofamilial amyloidosis, unspecified
E85.3 Secondary systemic amyloidosis
E85.4 Organ-limited amyloidosis
E85.81 Light chain (AL) amyloidosis
E85.82 Wild-type transthyretin-related (ATTR) amyloidosis
E85.89 Other amyloidosis
E85.9 Amyloidosis, unspecified
G11.11 Friedreich ataxia
G11.19 Other early-onset cerebellar ataxia
G13.0* Paraneoplastic neuromyopathy and neuropathy
G13.1* Other systemic atrophy primarily affecting central nervous system in neoplastic disease
G35* Multiple sclerosis
G60.0 Hereditary motor and sensory neuropathy
G60.1 Refsum's disease
G60.2 Neuropathy in association with hereditary ataxia
G60.3 Idiopathic progressive neuropathy
G60.8 Other hereditary and idiopathic neuropathies
G60.9 Hereditary and idiopathic neuropathy, unspecified
G61.0 Guillain-Barre syndrome
G61.1 Serum neuropathy
G62.0* Drug-induced polyneuropathy
G62.1* Alcoholic polyneuropathy
G62.2* Polyneuropathy due to other toxic agents
G62.82* Radiation-induced polyneuropathy
G63* Polyneuropathy in diseases classified elsewhere
G65.0 Sequelae of Guillain-Barre syndrome
G65.1 Sequelae of other inflammatory polyneuropathy
G65.2* Sequelae of toxic polyneuropathy
G70.1* Toxic myoneural disorders
G73.3* Myasthenic syndromes in other diseases classified elsewhere
I80.00* Phlebitis and thrombophlebitis of superficial vessels of unspecified lower extremity
I80.01* Phlebitis and thrombophlebitis of superficial vessels of right lower extremity
I80.02* Phlebitis and thrombophlebitis of superficial vessels of left lower extremity
I80.03* Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral
I80.10* Phlebitis and thrombophlebitis of unspecified femoral vein
I80.11* Phlebitis and thrombophlebitis of right femoral vein
I80.12* Phlebitis and thrombophlebitis of left femoral vein
I80.13* Phlebitis and thrombophlebitis of femoral vein, bilateral
I80.201* Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity
I80.202* Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity
I80.203* Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral
I80.209* Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity
I80.211* Phlebitis and thrombophlebitis of right iliac vein
I80.212* Phlebitis and thrombophlebitis of left iliac vein
I80.213* Phlebitis and thrombophlebitis of iliac vein, bilateral
I80.219* Phlebitis and thrombophlebitis of unspecified iliac vein
I80.221* Phlebitis and thrombophlebitis of right popliteal vein
I80.222* Phlebitis and thrombophlebitis of left popliteal vein
I80.223* Phlebitis and thrombophlebitis of popliteal vein, bilateral
I80.229* Phlebitis and thrombophlebitis of unspecified popliteal vein
I80.231* Phlebitis and thrombophlebitis of right tibial vein
I80.232* Phlebitis and thrombophlebitis of left tibial vein
I80.233* Phlebitis and thrombophlebitis of tibial vein, bilateral
I80.239* Phlebitis and thrombophlebitis of unspecified tibial vein
I80.241* Phlebitis and thrombophlebitis of right peroneal vein
I80.242* Phlebitis and thrombophlebitis of left peroneal vein
I80.243* Phlebitis and thrombophlebitis of peroneal vein, bilateral
I80.251* Phlebitis and thrombophlebitis of right calf muscular vein
I80.252* Phlebitis and thrombophlebitis of left calf muscular vein
I80.253* Phlebitis and thrombophlebitis of calf muscular vein, bilateral
I80.291* Phlebitis and thrombophlebitis of other deep vessels of right lower extremity
I80.292* Phlebitis and thrombophlebitis of other deep vessels of left lower extremity
I80.293* Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral
I80.299* Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity
K90.0* Celiac disease
K90.1* Tropical sprue
K90.2* Blind loop syndrome, not elsewhere classified
K90.3* Pancreatic steatorrhea
M05.50 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site
M05.511 Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512 Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
M05.519 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder
M05.521 Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
M05.522 Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
M05.529 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow
M05.531 Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
M05.532 Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
M05.539 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist
M05.541 Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
M05.542 Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
M05.549 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand
M05.551 Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
M05.552 Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
M05.559 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip
M05.561 Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
M05.562 Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
M05.569 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee
M05.571 Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
M05.572 Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
M05.579 Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot
M05.59 Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
M34.83 Systemic sclerosis with polyneuropathy
N18.1* Chronic kidney disease, stage 1
N18.2* Chronic kidney disease, stage 2 (mild)
N18.31* Chronic kidney disease, stage 3a
N18.32* Chronic kidney disease, stage 3b
N18.4* Chronic kidney disease, stage 4 (severe)
N18.5* Chronic kidney disease, stage 5
N18.6* End stage renal disease
N18.9* Chronic kidney disease, unspecified
N19* Unspecified kidney failure
S14.0XXA Concussion and edema of cervical spinal cord, initial encounter
S14.0XXD Concussion and edema of cervical spinal cord, subsequent encounter
S14.0XXS Concussion and edema of cervical spinal cord, sequela
S14.101A Unspecified injury at C1 level of cervical spinal cord, initial encounter
S14.101D Unspecified injury at C1 level of cervical spinal cord, subsequent encounter
S14.101S Unspecified injury at C1 level of cervical spinal cord, sequela
S14.102A Unspecified injury at C2 level of cervical spinal cord, initial encounter
S14.102D Unspecified injury at C2 level of cervical spinal cord, subsequent encounter
S14.102S Unspecified injury at C2 level of cervical spinal cord, sequela
S14.103A Unspecified injury at C3 level of cervical spinal cord, initial encounter
S14.103D Unspecified injury at C3 level of cervical spinal cord, subsequent encounter
S14.103S Unspecified injury at C3 level of cervical spinal cord, sequela
S14.104A Unspecified injury at C4 level of cervical spinal cord, initial encounter
S14.104D Unspecified injury at C4 level of cervical spinal cord, subsequent encounter
S14.104S Unspecified injury at C4 level of cervical spinal cord, sequela
S14.105A Unspecified injury at C5 level of cervical spinal cord, initial encounter
S14.105D Unspecified injury at C5 level of cervical spinal cord, subsequent encounter
S14.105S Unspecified injury at C5 level of cervical spinal cord, sequela
S14.106A Unspecified injury at C6 level of cervical spinal cord, initial encounter
S14.106D Unspecified injury at C6 level of cervical spinal cord, subsequent encounter
S14.106S Unspecified injury at C6 level of cervical spinal cord, sequela
S14.107A Unspecified injury at C7 level of cervical spinal cord, initial encounter
S14.107D Unspecified injury at C7 level of cervical spinal cord, subsequent encounter
S14.107S Unspecified injury at C7 level of cervical spinal cord, sequela
S14.108A Unspecified injury at C8 level of cervical spinal cord, initial encounter
S14.108D Unspecified injury at C8 level of cervical spinal cord, subsequent encounter
S14.108S Unspecified injury at C8 level of cervical spinal cord, sequela
S14.109A Unspecified injury at unspecified level of cervical spinal cord, initial encounter
S14.109D Unspecified injury at unspecified level of cervical spinal cord, subsequent encounter
S14.109S Unspecified injury at unspecified level of cervical spinal cord, sequela
S14.111A Complete lesion at C1 level of cervical spinal cord, initial encounter
S14.111D Complete lesion at C1 level of cervical spinal cord, subsequent encounter
S14.111S Complete lesion at C1 level of cervical spinal cord, sequela
S14.112A Complete lesion at C2 level of cervical spinal cord, initial encounter
S14.112D Complete lesion at C2 level of cervical spinal cord, subsequent encounter
S14.112S Complete lesion at C2 level of cervical spinal cord, sequela
S14.113A Complete lesion at C3 level of cervical spinal cord, initial encounter
S14.113D Complete lesion at C3 level of cervical spinal cord, subsequent encounter
S14.113S Complete lesion at C3 level of cervical spinal cord, sequela
S14.114A Complete lesion at C4 level of cervical spinal cord, initial encounter
S14.114D Complete lesion at C4 level of cervical spinal cord, subsequent encounter
S14.114S Complete lesion at C4 level of cervical spinal cord, sequela
S14.115A Complete lesion at C5 level of cervical spinal cord, initial encounter
S14.115D Complete lesion at C5 level of cervical spinal cord, subsequent encounter
S14.115S Complete lesion at C5 level of cervical spinal cord, sequela
S14.116A Complete lesion at C6 level of cervical spinal cord, initial encounter
S14.116D Complete lesion at C6 level of cervical spinal cord, subsequent encounter
S14.116S Complete lesion at C6 level of cervical spinal cord, sequela
S14.117A Complete lesion at C7 level of cervical spinal cord, initial encounter
S14.117D Complete lesion at C7 level of cervical spinal cord, subsequent encounter
S14.117S Complete lesion at C7 level of cervical spinal cord, sequela
S14.118A Complete lesion at C8 level of cervical spinal cord, initial encounter
S14.118D Complete lesion at C8 level of cervical spinal cord, subsequent encounter
S14.118S Complete lesion at C8 level of cervical spinal cord, sequela
S14.119A Complete lesion at unspecified level of cervical spinal cord, initial encounter
S14.119D Complete lesion at unspecified level of cervical spinal cord, subsequent encounter
S14.119S Complete lesion at unspecified level of cervical spinal cord, sequela
S14.121A Central cord syndrome at C1 level of cervical spinal cord, initial encounter
S14.121D Central cord syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.121S Central cord syndrome at C1 level of cervical spinal cord, sequela
S14.122A Central cord syndrome at C2 level of cervical spinal cord, initial encounter
S14.122D Central cord syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.122S Central cord syndrome at C2 level of cervical spinal cord, sequela
S14.123A Central cord syndrome at C3 level of cervical spinal cord, initial encounter
S14.123D Central cord syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.123S Central cord syndrome at C3 level of cervical spinal cord, sequela
S14.124A Central cord syndrome at C4 level of cervical spinal cord, initial encounter
S14.124D Central cord syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.124S Central cord syndrome at C4 level of cervical spinal cord, sequela
S14.125A Central cord syndrome at C5 level of cervical spinal cord, initial encounter
S14.125D Central cord syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.125S Central cord syndrome at C5 level of cervical spinal cord, sequela
S14.126A Central cord syndrome at C6 level of cervical spinal cord, initial encounter
S14.126D Central cord syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.126S Central cord syndrome at C6 level of cervical spinal cord, sequela
S14.127A Central cord syndrome at C7 level of cervical spinal cord, initial encounter
S14.127D Central cord syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.127S Central cord syndrome at C7 level of cervical spinal cord, sequela
S14.128A Central cord syndrome at C8 level of cervical spinal cord, initial encounter
S14.128D Central cord syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.128S Central cord syndrome at C8 level of cervical spinal cord, sequela
S14.129A Central cord syndrome at unspecified level of cervical spinal cord, initial encounter
S14.129D Central cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
S14.129S Central cord syndrome at unspecified level of cervical spinal cord, sequela
S14.131A Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter
S14.131D Anterior cord syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.131S Anterior cord syndrome at C1 level of cervical spinal cord, sequela
S14.132A Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter
S14.132D Anterior cord syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.132S Anterior cord syndrome at C2 level of cervical spinal cord, sequela
S14.133A Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter
S14.133D Anterior cord syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.133S Anterior cord syndrome at C3 level of cervical spinal cord, sequela
S14.134A Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter
S14.134D Anterior cord syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.134S Anterior cord syndrome at C4 level of cervical spinal cord, sequela
S14.135A Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter
S14.135D Anterior cord syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.135S Anterior cord syndrome at C5 level of cervical spinal cord, sequela
S14.136A Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter
S14.136D Anterior cord syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.136S Anterior cord syndrome at C6 level of cervical spinal cord, sequela
S14.137A Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter
S14.137D Anterior cord syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.137S Anterior cord syndrome at C7 level of cervical spinal cord, sequela
S14.138A Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter
S14.138D Anterior cord syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.138S Anterior cord syndrome at C8 level of cervical spinal cord, sequela
S14.139A Anterior cord syndrome at unspecified level of cervical spinal cord, initial encounter
S14.139D Anterior cord syndrome at unspecified level of cervical spinal cord, subsequent encounter
S14.139S Anterior cord syndrome at unspecified level of cervical spinal cord, sequela
S14.141A Brown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter
S14.141D Brown-Sequard syndrome at C1 level of cervical spinal cord, subsequent encounter
S14.141S Brown-Sequard syndrome at C1 level of cervical spinal cord, sequela
S14.142A Brown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter
S14.142D Brown-Sequard syndrome at C2 level of cervical spinal cord, subsequent encounter
S14.142S Brown-Sequard syndrome at C2 level of cervical spinal cord, sequela
S14.143A Brown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter
S14.143D Brown-Sequard syndrome at C3 level of cervical spinal cord, subsequent encounter
S14.143S Brown-Sequard syndrome at C3 level of cervical spinal cord, sequela
S14.144A Brown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter
S14.144D Brown-Sequard syndrome at C4 level of cervical spinal cord, subsequent encounter
S14.144S Brown-Sequard syndrome at C4 level of cervical spinal cord, sequela
S14.145A Brown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter
S14.145D Brown-Sequard syndrome at C5 level of cervical spinal cord, subsequent encounter
S14.145S Brown-Sequard syndrome at C5 level of cervical spinal cord, sequela
S14.146A Brown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter
S14.146D Brown-Sequard syndrome at C6 level of cervical spinal cord, subsequent encounter
S14.146S Brown-Sequard syndrome at C6 level of cervical spinal cord, sequela
S14.147A Brown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter
S14.147D Brown-Sequard syndrome at C7 level of cervical spinal cord, subsequent encounter
S14.147S Brown-Sequard syndrome at C7 level of cervical spinal cord, sequela
S14.148A Brown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter
S14.148D Brown-Sequard syndrome at C8 level of cervical spinal cord, subsequent encounter
S14.148S Brown-Sequard syndrome at C8 level of cervical spinal cord, sequela
S14.149A Brown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter
S14.149D Brown-Sequard syndrome at unspecified level of cervical spinal cord, subsequent encounter
S14.149S Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequela
S14.151A Other incomplete lesion at C1 level of cervical spinal cord, initial encounter
S14.151D Other incomplete lesion at C1 level of cervical spinal cord, subsequent encounter
S14.151S Other incomplete lesion at C1 level of cervical spinal cord, sequela
S14.152A Other incomplete lesion at C2 level of cervical spinal cord, initial encounter
S14.152D Other incomplete lesion at C2 level of cervical spinal cord, subsequent encounter
S14.152S Other incomplete lesion at C2 level of cervical spinal cord, sequela
S14.153A Other incomplete lesion at C3 level of cervical spinal cord, initial encounter
S14.153D Other incomplete lesion at C3 level of cervical spinal cord, subsequent encounter
S14.153S Other incomplete lesion at C3 level of cervical spinal cord, sequela
S14.154A Other incomplete lesion at C4 level of cervical spinal cord, initial encounter
S14.154D Other incomplete lesion at C4 level of cervical spinal cord, subsequent encounter
S14.154S Other incomplete lesion at C4 level of cervical spinal cord, sequela
S14.155A Other incomplete lesion at C5 level of cervical spinal cord, initial encounter
S14.155D Other incomplete lesion at C5 level of cervical spinal cord, subsequent encounter
S14.155S Other incomplete lesion at C5 level of cervical spinal cord, sequela
S14.156A Other incomplete lesion at C6 level of cervical spinal cord, initial encounter
S14.156D Other incomplete lesion at C6 level of cervical spinal cord, subsequent encounter
S14.156S Other incomplete lesion at C6 level of cervical spinal cord, sequela
S14.157A Other incomplete lesion at C7 level of cervical spinal cord, initial encounter
S14.157D Other incomplete lesion at C7 level of cervical spinal cord, subsequent encounter
S14.157S Other incomplete lesion at C7 level of cervical spinal cord, sequela
S14.158A Other incomplete lesion at C8 level of cervical spinal cord, initial encounter
S14.158D Other incomplete lesion at C8 level of cervical spinal cord, subsequent encounter
S14.158S Other incomplete lesion at C8 level of cervical spinal cord, sequela
S14.159A Other incomplete lesion at unspecified level of cervical spinal cord, initial encounter
S14.159D Other incomplete lesion at unspecified level of cervical spinal cord, subsequent encounter
S14.159S Other incomplete lesion at unspecified level of cervical spinal cord, sequela
S24.0XXA Concussion and edema of thoracic spinal cord, initial encounter
S24.0XXD Concussion and edema of thoracic spinal cord, subsequent encounter
S24.0XXS Concussion and edema of thoracic spinal cord, sequela
S24.101A Unspecified injury at T1 level of thoracic spinal cord, initial encounter
S24.101D Unspecified injury at T1 level of thoracic spinal cord, subsequent encounter
S24.101S Unspecified injury at T1 level of thoracic spinal cord, sequela
S24.102A Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter
S24.102D Unspecified injury at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.102S Unspecified injury at T2-T6 level of thoracic spinal cord, sequela
S24.103A Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter
S24.103D Unspecified injury at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.103S Unspecified injury at T7-T10 level of thoracic spinal cord, sequela
S24.104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter
S24.104D Unspecified injury at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.104S Unspecified injury at T11-T12 level of thoracic spinal cord, sequela
S24.109A Unspecified injury at unspecified level of thoracic spinal cord, initial encounter
S24.109D Unspecified injury at unspecified level of thoracic spinal cord, subsequent encounter
S24.109S Unspecified injury at unspecified level of thoracic spinal cord, sequela
S24.111A Complete lesion at T1 level of thoracic spinal cord, initial encounter
S24.111D Complete lesion at T1 level of thoracic spinal cord, subsequent encounter
S24.111S Complete lesion at T1 level of thoracic spinal cord, sequela
S24.112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter
S24.112D Complete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.112S Complete lesion at T2-T6 level of thoracic spinal cord, sequela
S24.113A Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter
S24.113D Complete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.113S Complete lesion at T7-T10 level of thoracic spinal cord, sequela
S24.114A Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter
S24.114D Complete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.114S Complete lesion at T11-T12 level of thoracic spinal cord, sequela
S24.119A Complete lesion at unspecified level of thoracic spinal cord, initial encounter
S24.119D Complete lesion at unspecified level of thoracic spinal cord, subsequent encounter
S24.119S Complete lesion at unspecified level of thoracic spinal cord, sequela
S24.131A Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter
S24.131D Anterior cord syndrome at T1 level of thoracic spinal cord, subsequent encounter
S24.131S Anterior cord syndrome at T1 level of thoracic spinal cord, sequela
S24.132A Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter
S24.132D Anterior cord syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.132S Anterior cord syndrome at T2-T6 level of thoracic spinal cord, sequela
S24.133A Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter
S24.133D Anterior cord syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.133S Anterior cord syndrome at T7-T10 level of thoracic spinal cord, sequela
S24.134A Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter
S24.134D Anterior cord syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.134S Anterior cord syndrome at T11-T12 level of thoracic spinal cord, sequela
S24.139A Anterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter
S24.139D Anterior cord syndrome at unspecified level of thoracic spinal cord, subsequent encounter
S24.139S Anterior cord syndrome at unspecified level of thoracic spinal cord, sequela
S24.141A Brown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter
S24.141D Brown-Sequard syndrome at T1 level of thoracic spinal cord, subsequent encounter
S24.141S Brown-Sequard syndrome at T1 level of thoracic spinal cord, sequela
S24.142A Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter
S24.142D Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.142S Brown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequela
S24.143A Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter
S24.143D Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.143S Brown-Sequard syndrome at T7-T10 level of thoracic spinal cord, sequela
S24.144A Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter
S24.144D Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.144S Brown-Sequard syndrome at T11-T12 level of thoracic spinal cord, sequela
S24.149A Brown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter
S24.149D Brown-Sequard syndrome at unspecified level of thoracic spinal cord, subsequent encounter
S24.149S Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela
S24.151A Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter
S24.151D Other incomplete lesion at T1 level of thoracic spinal cord, subsequent encounter
S24.151S Other incomplete lesion at T1 level of thoracic spinal cord, sequela
S24.152A Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter
S24.152D Other incomplete lesion at T2-T6 level of thoracic spinal cord, subsequent encounter
S24.152S Other incomplete lesion at T2-T6 level of thoracic spinal cord, sequela
S24.153A Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter
S24.153D Other incomplete lesion at T7-T10 level of thoracic spinal cord, subsequent encounter
S24.153S Other incomplete lesion at T7-T10 level of thoracic spinal cord, sequela
S24.154A Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter
S24.154D Other incomplete lesion at T11-T12 level of thoracic spinal cord, subsequent encounter
S24.154S Other incomplete lesion at T11-T12 level of thoracic spinal cord, sequela
S24.159A Other incomplete lesion at unspecified level of thoracic spinal cord, initial encounter
S24.159D Other incomplete lesion at unspecified level of thoracic spinal cord, subsequent encounter
S24.159S Other incomplete lesion at unspecified level of thoracic spinal cord, sequela
S34.01XA Concussion and edema of lumbar spinal cord, initial encounter
S34.01XD Concussion and edema of lumbar spinal cord, subsequent encounter
S34.01XS Concussion and edema of lumbar spinal cord, sequela
S34.02XA Concussion and edema of sacral spinal cord, initial encounter
S34.02XD Concussion and edema of sacral spinal cord, subsequent encounter
S34.02XS Concussion and edema of sacral spinal cord, sequela
S34.101A Unspecified injury to L1 level of lumbar spinal cord, initial encounter
S34.101D Unspecified injury to L1 level of lumbar spinal cord, subsequent encounter
S34.101S Unspecified injury to L1 level of lumbar spinal cord, sequela
S34.102A Unspecified injury to L2 level of lumbar spinal cord, initial encounter
S34.102D Unspecified injury to L2 level of lumbar spinal cord, subsequent encounter
S34.102S Unspecified injury to L2 level of lumbar spinal cord, sequela
S34.103A Unspecified injury to L3 level of lumbar spinal cord, initial encounter
S34.103D Unspecified injury to L3 level of lumbar spinal cord, subsequent encounter
S34.103S Unspecified injury to L3 level of lumbar spinal cord, sequela
S34.104A Unspecified injury to L4 level of lumbar spinal cord, initial encounter
S34.104D Unspecified injury to L4 level of lumbar spinal cord, subsequent encounter
S34.104S Unspecified injury to L4 level of lumbar spinal cord, sequela
S34.105A Unspecified injury to L5 level of lumbar spinal cord, initial encounter
S34.105D Unspecified injury to L5 level of lumbar spinal cord, subsequent encounter
S34.105S Unspecified injury to L5 level of lumbar spinal cord, sequela
S34.109A Unspecified injury to unspecified level of lumbar spinal cord, initial encounter
S34.109D Unspecified injury to unspecified level of lumbar spinal cord, subsequent encounter
S34.109S Unspecified injury to unspecified level of lumbar spinal cord, sequela
S34.111A Complete lesion of L1 level of lumbar spinal cord, initial encounter
S34.111D Complete lesion of L1 level of lumbar spinal cord, subsequent encounter
S34.111S Complete lesion of L1 level of lumbar spinal cord, sequela
S34.112A Complete lesion of L2 level of lumbar spinal cord, initial encounter
S34.112D Complete lesion of L2 level of lumbar spinal cord, subsequent encounter
S34.112S Complete lesion of L2 level of lumbar spinal cord, sequela
S34.113A Complete lesion of L3 level of lumbar spinal cord, initial encounter
S34.113D Complete lesion of L3 level of lumbar spinal cord, subsequent encounter
S34.113S Complete lesion of L3 level of lumbar spinal cord, sequela
S34.114A Complete lesion of L4 level of lumbar spinal cord, initial encounter
S34.114D Complete lesion of L4 level of lumbar spinal cord, subsequent encounter
S34.114S Complete lesion of L4 level of lumbar spinal cord, sequela
S34.115A Complete lesion of L5 level of lumbar spinal cord, initial encounter
S34.115D Complete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.115S Complete lesion of L5 level of lumbar spinal cord, sequela
S34.119A Complete lesion of unspecified level of lumbar spinal cord, initial encounter
S34.119D Complete lesion of unspecified level of lumbar spinal cord, subsequent encounter
S34.119S Complete lesion of unspecified level of lumbar spinal cord, sequela
S34.121A Incomplete lesion of L1 level of lumbar spinal cord, initial encounter
S34.121D Incomplete lesion of L1 level of lumbar spinal cord, subsequent encounter
S34.121S Incomplete lesion of L1 level of lumbar spinal cord, sequela
S34.122A Incomplete lesion of L2 level of lumbar spinal cord, initial encounter
S34.122D Incomplete lesion of L2 level of lumbar spinal cord, subsequent encounter
S34.122S Incomplete lesion of L2 level of lumbar spinal cord, sequela
S34.123A Incomplete lesion of L3 level of lumbar spinal cord, initial encounter
S34.123D Incomplete lesion of L3 level of lumbar spinal cord, subsequent encounter
S34.123S Incomplete lesion of L3 level of lumbar spinal cord, sequela
S34.124A Incomplete lesion of L4 level of lumbar spinal cord, initial encounter
S34.124D Incomplete lesion of L4 level of lumbar spinal cord, subsequent encounter
S34.124S Incomplete lesion of L4 level of lumbar spinal cord, sequela
S34.125A Incomplete lesion of L5 level of lumbar spinal cord, initial encounter
S34.125D Incomplete lesion of L5 level of lumbar spinal cord, subsequent encounter
S34.125S Incomplete lesion of L5 level of lumbar spinal cord, sequela
S34.129A Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter
S34.129D Incomplete lesion of unspecified level of lumbar spinal cord, subsequent encounter
S34.129S Incomplete lesion of unspecified level of lumbar spinal cord, sequela
S34.131A Complete lesion of sacral spinal cord, initial encounter
S34.131D Complete lesion of sacral spinal cord, subsequent encounter
S34.131S Complete lesion of sacral spinal cord, sequela
S34.132A Incomplete lesion of sacral spinal cord, initial encounter
S34.132D Incomplete lesion of sacral spinal cord, subsequent encounter
S34.132S Incomplete lesion of sacral spinal cord, sequela
S34.139A Unspecified injury to sacral spinal cord, initial encounter
S34.139D Unspecified injury to sacral spinal cord, subsequent encounter
S34.139S Unspecified injury to sacral spinal cord, sequela
S34.21XA Injury of nerve root of lumbar spine, initial encounter
S34.21XD Injury of nerve root of lumbar spine, subsequent encounter
S34.21XS Injury of nerve root of lumbar spine, sequela
S34.22XA Injury of nerve root of sacral spine, initial encounter
S34.22XD Injury of nerve root of sacral spine, subsequent encounter
S34.22XS Injury of nerve root of sacral spine, sequela
S34.3XXA Injury of cauda equina, initial encounter
S34.3XXD Injury of cauda equina, subsequent encounter
S34.3XXS Injury of cauda equina, sequela
S34.4XXA Injury of lumbosacral plexus, initial encounter
S34.4XXD Injury of lumbosacral plexus, subsequent encounter
S34.4XXS Injury of lumbosacral plexus, sequela
S74.00XA Injury of sciatic nerve at hip and thigh level, unspecified leg, initial encounter
S74.00XD Injury of sciatic nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.00XS Injury of sciatic nerve at hip and thigh level, unspecified leg, sequela
S74.01XA Injury of sciatic nerve at hip and thigh level, right leg, initial encounter
S74.01XD Injury of sciatic nerve at hip and thigh level, right leg, subsequent encounter
S74.01XS Injury of sciatic nerve at hip and thigh level, right leg, sequela
S74.02XA Injury of sciatic nerve at hip and thigh level, left leg, initial encounter
S74.02XD Injury of sciatic nerve at hip and thigh level, left leg, subsequent encounter
S74.02XS Injury of sciatic nerve at hip and thigh level, left leg, sequela
S74.10XA Injury of femoral nerve at hip and thigh level, unspecified leg, initial encounter
S74.10XD Injury of femoral nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.10XS Injury of femoral nerve at hip and thigh level, unspecified leg, sequela
S74.11XA Injury of femoral nerve at hip and thigh level, right leg, initial encounter
S74.11XD Injury of femoral nerve at hip and thigh level, right leg, subsequent encounter
S74.11XS Injury of femoral nerve at hip and thigh level, right leg, sequela
S74.12XA Injury of femoral nerve at hip and thigh level, left leg, initial encounter
S74.12XD Injury of femoral nerve at hip and thigh level, left leg, subsequent encounter
S74.12XS Injury of femoral nerve at hip and thigh level, left leg, sequela
S74.20XA Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, initial encounter
S74.20XD Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.20XS Injury of cutaneous sensory nerve at hip and thigh level, unspecified leg, sequela
S74.21XA Injury of cutaneous sensory nerve at hip and high level, right leg, initial encounter
S74.21XD Injury of cutaneous sensory nerve at hip and high level, right leg, subsequent encounter
S74.21XS Injury of cutaneous sensory nerve at hip and high level, right leg, sequela
S74.22XA Injury of cutaneous sensory nerve at hip and thigh level, left leg, initial encounter
S74.22XD Injury of cutaneous sensory nerve at hip and thigh level, left leg, subsequent encounter
S74.22XS Injury of cutaneous sensory nerve at hip and thigh level, left leg, sequela
S74.8X1A Injury of other nerves at hip and thigh level, right leg, initial encounter
S74.8X1D Injury of other nerves at hip and thigh level, right leg, subsequent encounter
S74.8X1S Injury of other nerves at hip and thigh level, right leg, sequela
S74.8X2A Injury of other nerves at hip and thigh level, left leg, initial encounter
S74.8X2D Injury of other nerves at hip and thigh level, left leg, subsequent encounter
S74.8X2S Injury of other nerves at hip and thigh level, left leg, sequela
S74.8X9A Injury of other nerves at hip and thigh level, unspecified leg, initial encounter
S74.8X9D Injury of other nerves at hip and thigh level, unspecified leg, subsequent encounter
S74.8X9S Injury of other nerves at hip and thigh level, unspecified leg, sequela
S74.90XA Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter
S74.90XD Injury of unspecified nerve at hip and thigh level, unspecified leg, subsequent encounter
S74.90XS Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela
S74.91XA Injury of unspecified nerve at hip and thigh level, right leg, initial encounter
S74.91XD Injury of unspecified nerve at hip and thigh level, right leg, subsequent encounter
S74.91XS Injury of unspecified nerve at hip and thigh level, right leg, sequela
S74.92XA Injury of unspecified nerve at hip and thigh level, left leg, initial encounter
S74.92XD Injury of unspecified nerve at hip and thigh level, left leg, subsequent encounter
S74.92XS Injury of unspecified nerve at hip and thigh level, left leg, sequela
S84.00XA Injury of tibial nerve at lower leg level, unspecified leg, initial encounter
S84.00XD Injury of tibial nerve at lower leg level, unspecified leg, subsequent encounter
S84.00XS Injury of tibial nerve at lower leg level, unspecified leg, sequela
S84.01XA Injury of tibial nerve at lower leg level, right leg, initial encounter
S84.01XD Injury of tibial nerve at lower leg level, right leg, subsequent encounter
S84.01XS Injury of tibial nerve at lower leg level, right leg, sequela
S84.02XA Injury of tibial nerve at lower leg level, left leg, initial encounter
S84.02XD Injury of tibial nerve at lower leg level, left leg, subsequent encounter
S84.02XS Injury of tibial nerve at lower leg level, left leg, sequela
S84.10XA Injury of peroneal nerve at lower leg level, unspecified leg, initial encounter
S84.10XD Injury of peroneal nerve at lower leg level, unspecified leg, subsequent encounter
S84.10XS Injury of peroneal nerve at lower leg level, unspecified leg, sequela
S84.11XA Injury of peroneal nerve at lower leg level, right leg, initial encounter
S84.11XD Injury of peroneal nerve at lower leg level, right leg, subsequent encounter
S84.11XS Injury of peroneal nerve at lower leg level, right leg, sequela
S84.12XA Injury of peroneal nerve at lower leg level, left leg, initial encounter
S84.12XD Injury of peroneal nerve at lower leg level, left leg, subsequent encounter
S84.12XS Injury of peroneal nerve at lower leg level, left leg, sequela
S84.20XA Injury of cutaneous sensory nerve at lower leg level, unspecified leg, initial encounter
S84.20XD Injury of cutaneous sensory nerve at lower leg level, unspecified leg, subsequent encounter
S84.20XS Injury of cutaneous sensory nerve at lower leg level, unspecified leg, sequela
S84.21XA Injury of cutaneous sensory nerve at lower leg level, right leg, initial encounter
S84.21XD Injury of cutaneous sensory nerve at lower leg level, right leg, subsequent encounter
S84.21XS Injury of cutaneous sensory nerve at lower leg level, right leg, sequela
S84.22XA Injury of cutaneous sensory nerve at lower leg level, left leg, initial encounter
S84.22XD Injury of cutaneous sensory nerve at lower leg level, left leg, subsequent encounter
S84.22XS Injury of cutaneous sensory nerve at lower leg level, left leg, sequela
S84.801A Injury of other nerves at lower leg level, right leg, initial encounter
S84.801D Injury of other nerves at lower leg level, right leg, subsequent encounter
S84.801S Injury of other nerves at lower leg level, right leg, sequela
S84.802A Injury of other nerves at lower leg level, left leg, initial encounter
S84.802D Injury of other nerves at lower leg level, left leg, subsequent encounter
S84.802S Injury of other nerves at lower leg level, left leg, sequela
S84.809A Injury of other nerves at lower leg level, unspecified leg, initial encounter
S84.809D Injury of other nerves at lower leg level, unspecified leg, subsequent encounter
S84.809S Injury of other nerves at lower leg level, unspecified leg, sequela
S84.90XA Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter
S84.90XD Injury of unspecified nerve at lower leg level, unspecified leg, subsequent encounter
S84.90XS Injury of unspecified nerve at lower leg level, unspecified leg, sequela
S84.91XA Injury of unspecified nerve at lower leg level, right leg, initial encounter
S84.91XD Injury of unspecified nerve at lower leg level, right leg, subsequent encounter
S84.91XS Injury of unspecified nerve at lower leg level, right leg, sequela
S84.92XA Injury of unspecified nerve at lower leg level, left leg, initial encounter
S84.92XD Injury of unspecified nerve at lower leg level, left leg, subsequent encounter
S84.92XS Injury of unspecified nerve at lower leg level, left leg, sequela
S94.00XA Injury of lateral plantar nerve, unspecified leg, initial encounter
S94.00XD Injury of lateral plantar nerve, unspecified leg, subsequent encounter
S94.00XS Injury of lateral plantar nerve, unspecified leg, sequela
S94.01XA Injury of lateral plantar nerve, right leg, initial encounter
S94.01XD Injury of lateral plantar nerve, right leg, subsequent encounter
S94.01XS Injury of lateral plantar nerve, right leg, sequela
S94.02XA Injury of lateral plantar nerve, left leg, initial encounter
S94.02XD Injury of lateral plantar nerve, left leg, subsequent encounter
S94.02XS Injury of lateral plantar nerve, left leg, sequela
S94.10XA Injury of medial plantar nerve, unspecified leg, initial encounter
S94.10XD Injury of medial plantar nerve, unspecified leg, subsequent encounter
S94.10XS Injury of medial plantar nerve, unspecified leg, sequela
S94.11XA Injury of medial plantar nerve, right leg, initial encounter
S94.11XD Injury of medial plantar nerve, right leg, subsequent encounter
S94.11XS Injury of medial plantar nerve, right leg, sequela
S94.12XA Injury of medial plantar nerve, left leg, initial encounter
S94.12XD Injury of medial plantar nerve, left leg, subsequent encounter
S94.12XS Injury of medial plantar nerve, left leg, sequela
S94.20XA Injury of deep peroneal nerve at ankle and foot level, unspecified leg, initial encounter
S94.20XD Injury of deep peroneal nerve at ankle and foot level, unspecified leg, subsequent encounter
S94.20XS Injury of deep peroneal nerve at ankle and foot level, unspecified leg, sequela
S94.21XA Injury of deep peroneal nerve at ankle and foot level, right leg, initial encounter
S94.21XD Injury of deep peroneal nerve at ankle and foot level, right leg, subsequent encounter
S94.21XS Injury of deep peroneal nerve at ankle and foot level, right leg, sequela
S94.22XA Injury of deep peroneal nerve at ankle and foot level, left leg, initial encounter
S94.22XD Injury of deep peroneal nerve at ankle and foot level, left leg, subsequent encounter
S94.22XS Injury of deep peroneal nerve at ankle and foot level, left leg, sequela
S94.30XA Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, initial encounter
S94.30XD Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, subsequent encounter
S94.30XS Injury of cutaneous sensory nerve at ankle and foot level, unspecified leg, sequela
S94.31XA Injury of cutaneous sensory nerve at ankle and foot level, right leg, initial encounter
S94.31XD Injury of cutaneous sensory nerve at ankle and foot level, right leg, subsequent encounter
S94.31XS Injury of cutaneous sensory nerve at ankle and foot level, right leg, sequela
S94.32XA Injury of cutaneous sensory nerve at ankle and foot level, left leg, initial encounter
S94.32XD Injury of cutaneous sensory nerve at ankle and foot level, left leg, subsequent encounter
S94.32XS Injury of cutaneous sensory nerve at ankle and foot level, left leg, sequela
S94.8X1A Injury of other nerves at ankle and foot level, right leg, initial encounter
S94.8X1D Injury of other nerves at ankle and foot level, right leg, subsequent encounter
S94.8X1S Injury of other nerves at ankle and foot level, right leg, sequela
S94.8X2A Injury of other nerves at ankle and foot level, left leg, initial encounter
S94.8X2D Injury of other nerves at ankle and foot level, left leg, subsequent encounter
S94.8X2S Injury of other nerves at ankle and foot level, left leg, sequela
S94.8X9A Injury of other nerves at ankle and foot level, unspecified leg, initial encounter
S94.8X9D Injury of other nerves at ankle and foot level, unspecified leg, subsequent encounter
S94.8X9S Injury of other nerves at ankle and foot level, unspecified leg, sequela
S94.90XA Injury of unspecified nerve at ankle and foot level, unspecified leg, initial encounter
S94.90XD Injury of unspecified nerve at ankle and foot level, unspecified leg, subsequent encounter
S94.90XS Injury of unspecified nerve at ankle and foot level, unspecified leg, sequela
S94.91XA Injury of unspecified nerve at ankle and foot level, right leg, initial encounter
S94.91XD Injury of unspecified nerve at ankle and foot level, right leg, subsequent encounter
S94.91XS Injury of unspecified nerve at ankle and foot level, right leg, sequela
S94.92XA Injury of unspecified nerve at ankle and foot level, left leg, initial encounter
S94.92XD Injury of unspecified nerve at ankle and foot level, left leg, subsequent encounter
S94.92XS Injury of unspecified nerve at ankle and foot level, left leg, sequela
Group 3 Medical Necessity ICD-10-CM Codes Asterisk Explanation

Note: *Routine procedures are covered only if the patient is under the active care of a doctor of medicine or osteopathy who documents the condition. The name of the M.D. or D.O. who diagnosed the complicating condition must be submitted with the claim. The approximate date the beneficiary was last seen by the physician must also be indicated.

Group 4

(3 Codes)
Group 4 Paragraph

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted.

The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes: 11055, 11056, 11057, 11719, 11720, 11721, and G0127 for anticoagulation therapy.

Group 4 Codes
Code Description
D68.8 Other specified coagulation defects
D68.9 Coagulation defect, unspecified
Z79.01 Long term (current) use of anticoagulants
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ICD-10-CM Codes that DO NOT Support Medical Necessity

Group 1

(1 Code)
Group 1 Paragraph

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

Group 1 Codes
Code Description
XX000 Not Applicable
N/A

ICD-10-PCS Codes

Group 1

Group 1 Paragraph

N/A

Group 1 Codes

N/A

N/A

Additional ICD-10 Information

N/A

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
999x Not Applicable
N/A

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
99999 Not Applicable
N/A

Other Coding Information

Group 1

Group 1 Paragraph

N/A

Group 1 Codes

N/A

N/A

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

Revision History Information

Revision History Date Revision History Number Revision History Explanation
01/01/2024 R5

Article revised and published on 01/25/2024 effective for dates of service on and after 01/01/2024 to reflect the Annual HCPCS/CPT Code Updates. The following codes have a short descriptor change: 11055, 11056, and 11057. 

10/27/2022 R4

Article revised and published on 12/08/2022 effective for dates of service on and after 10/27/2022 in response to an inquiry. The following ICD-10-CM Code has been added to the Article: Z79.01 to ‘Group 4 Codes’.

10/01/2021 R3

Article revised and published on 10/14/2021 effective for dates of service on and after 10/01/2021 to reflect the Annual ICD-10-CM Code Updates. The following ICD-10-CM code has been added to the Article: E75.244 to Code Groups 1 and 3.

Minor formatting changes were made to the article.

06/10/2021 R2

Article revised and published on 06/10/2021 in response to an inquiry to revise the 6th paragraph in the ‘Coding Guidance’ section. This paragraph was revised to add ‘or the podiatrist’ after (PA or NP). Minor formatting changes were made in the coding section.

10/01/2020 R1

Revision Number: 1
Publication: September 2020 Connection
LCR B2020-013

Explanation of Revision: Based on review for Annual ICD-10-CM Code Updates, the following ICD-10-CM codes have been added to the billing and coding article: G11.11, G11.19, N18.31, and N18.32 for Group 1 and Group 3. The following ICD-10-CM codes have been deleted and therefore have been removed from the billing and coding article: G11.1 and N18.3 from Group 1 and Group 3. Additional formatting changes have been made throughout the document. The effective date of this revision is for dates of service on or after October 1, 2020.

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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
L33941 - Routine Foot Care
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
01/19/2024 01/01/2024 - N/A Currently in Effect You are here
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Keywords

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