| ICD10 Code - Description | LCD Code | NCD Code |
|---|
|
| A83 - Mosquito-borne viral encephalitis | | |
|
| A84 - Tick-borne viral encephalitis | | |
|
| A85 - Other viral encephalitis, not elsewhere classified | | |
|
| A85.0 - Enteroviral encephalitis | 58710, 58720, 58726, 58747, 58761 | |
|
| A85.1 - Adenoviral encephalitis | 58710, 58720, 58726, 58747, 58761 | |
|
| A85.2 - Arthropod-borne viral encephalitis, unspecified | 58710, 58720, 58726, 58747, 58761 | |
|
| A85.8 - Other specified viral encephalitis | 58710, 58720, 58726, 58747, 58761 | |
|
| A86 - Unspecified viral encephalitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B00.3 - Herpesviral meningitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B00.4 - Herpesviral encephalitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B00.82 - Herpes simplex myelitis | | |
|
| B01 - Varicella [chickenpox] | | |
|
| B01.0 - Varicella meningitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B01.1 - Varicella encephalitis, myelitis and encephalomyelitis | | |
|
| B01.11 - Varicella encephalitis and encephalomyelitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B02.1 - Zoster meningitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B02.2 - Zoster with other nervous system involvement | | |
|
| B10 - Other human herpesviruses | | |
|
| B10.0 - Other human herpesvirus encephalitis | | |
|
| B10.01 - Human herpesvirus 6 encephalitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B10.09 - Other human herpesvirus encephalitis | | |
|
| B10.81 - Human herpesvirus 6 infection | | |
|
| B27.11 - Cytomegaloviral mononucleosis with polyneuropathy | | |
|
| B27.12 - Cytomegaloviral mononucleosis with meningitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B27.82 - Other infectious mononucleosis with meningitis | 58710, 58720, 58726, 58747, 58761 | |
|
| B27.92 - Infectious mononucleosis, unspecified with meningitis | | |
|
| C77 - Secondary and unspecified malignant neoplasm of lymph nodes | | |
|
| C83 - Non-follicular lymphoma | | |
|
| C83.7 - Burkitt lymphoma | | |
|
| C83.70 - Burkitt lymphoma, unspecified site | | |
|
| C83.71 - Burkitt lymphoma, lymph nodes of head, face, and neck | | |
|
| C83.72 - Burkitt lymphoma, intrathoracic lymph nodes | | |
|
| C83.73 - Burkitt lymphoma, intra-abdominal lymph nodes | | |
|
| C83.74 - Burkitt lymphoma, lymph nodes of axilla and upper limb | | |
|
| C83.75 - Burkitt lymphoma, lymph nodes of inguinal region and lower limb | | |
|
| C83.76 - Burkitt lymphoma, intrapelvic lymph nodes | | |
|
| C83.77 - Burkitt lymphoma, spleen | | |
|
| C83.78 - Burkitt lymphoma, lymph nodes of multiple sites | | |
|
| C83.79 - Burkitt lymphoma, extranodal and solid organ sites | | |
|
| C85.88 - Other specified types of non-Hodgkin lymphoma, lymph nodes of multiple sites | | |
|
| C85.90 - Non-Hodgkin lymphoma, unspecified, unspecified site | | |
|
| G89 - Pain, not elsewhere classified | | |
|
| G89.3 - Neoplasm related pain (acute) (chronic) | | |
|
| Z51 - Encounter for other aftercare and medical care | | |
|
| Z51.0 - Encounter for antineoplastic radiation therapy | | |
|
| Z51.1 - Encounter for antineoplastic chemotherapy and immunotherapy | | |
|
| Z51.11 - Encounter for antineoplastic chemotherapy | 58710, 58720, 58726, 58747, 58761 | |
|
| Z51.12 - Encounter for antineoplastic immunotherapy | | |
|
| Z79 - Long term (current) drug therapy | | |
|
| Z85.72 - Personal history of non-Hodgkin lymphomas | | |
|