| ICD10 Code - Description | LCD Code | NCD Code |
|---|
|
| C91 - Lymphoid leukemia | | |
|
| C91.0 - Acute lymphoblastic leukemia [ALL] | | |
|
| C91.9 - Lymphoid leukemia, unspecified | | |
|
| C95 - Leukemia of unspecified cell type | | |
|
| C95.0 - Acute leukemia of unspecified cell type | | |
|
| D68.9 - Coagulation defect, unspecified | | |
|
| D72.810 - Lymphocytopenia | 59609, 56199 | |
|
| D72.820 - Lymphocytosis (symptomatic) | | |
|
| E78 - Disorders of lipoprotein metabolism and other lipidemias | | |
|
| E78.0 - Pure hypercholesterolemia | | |
|
| E78.00 - Pure hypercholesterolemia, unspecified | 58812, 58801 | |
|
| E78.01 - Familial hypercholesterolemia | 58812, 58801 | |
|
| E78.1 - Pure hyperglyceridemia | 58812, 58801 | |
|
| E78.2 - Mixed hyperlipidemia | 58812, 58801 | |
|
| E78.4 - Other hyperlipidemia | | |
|
| E78.5 - Hyperlipidemia, unspecified | | |
|
| F06 - Other mental disorders due to known physiological condition | | |
|
| F06.4 - Anxiety disorder due to known physiological condition | | |
|
| F10.1 - Alcohol abuse | | |
|
| F12 - Cannabis related disorders | | |
|
| F12.25 - Cannabis dependence with psychotic disorder | | |
|
| F16 - Hallucinogen related disorders | | |
|
| F16.20 - Hallucinogen dependence, uncomplicated | | |
|
| F20 - Schizophrenia | | |
|
| F20.0 - Paranoid schizophrenia | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.1 - Disorganized schizophrenia | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.2 - Catatonic schizophrenia | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.3 - Undifferentiated schizophrenia | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.5 - Residual schizophrenia | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.8 - Other schizophrenia | | |
|
| F20.81 - Schizophreniform disorder | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.89 - Other schizophrenia | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F20.9 - Schizophrenia, unspecified | | |
|
| F22 - Delusional disorders | | |
|
| F23 - Brief psychotic disorder | | |
|
| F25 - Schizoaffective disorders | | |
|
| F25.0 - Schizoaffective disorder, bipolar type | | |
|
| F25.1 - Schizoaffective disorder, depressive type | | |
|
| F28 - Other psychotic disorder not due to a substance or known physiological condition | | |
|
| F29 - Unspecified psychosis not due to a substance or known physiological condition | | |
|
| F30 - Manic episode | | |
|
| F30.10 - Manic episode without psychotic symptoms, unspecified | | |
|
| F31 - Bipolar disorder | | |
|
| F31.8 - Other bipolar disorders | | |
|
| F31.81 - Bipolar II disorder | | |
|
| F31.89 - Other bipolar disorder | | |
|
| F31.9 - Bipolar disorder, unspecified | | |
|
| F32 - Major depressive disorder, single episode | | |
|
| F32.0 - Major depressive disorder, single episode, mild | | |
|
| F32.1 - Major depressive disorder, single episode, moderate | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F32.2 - Major depressive disorder, single episode, severe without psychotic features | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F32.3 - Major depressive disorder, single episode, severe with psychotic features | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F32.4 - Major depressive disorder, single episode, in partial remission | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F32.5 - Major depressive disorder, single episode, in full remission | | |
|
| F32.8 - Other depressive episodes | | |
|
| F32.9 - Major depressive disorder, single episode, unspecified | 58812, 58801 | |
|
| F33 - Major depressive disorder, recurrent | | |
|
| F33.1 - Major depressive disorder, recurrent, moderate | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F33.2 - Major depressive disorder, recurrent severe without psychotic features | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F33.8 - Other recurrent depressive disorders | | |
|
| F34.1 - Dysthymic disorder | | |
|
| F39 - Unspecified mood [affective] disorder | | |
|
| F40 - Phobic anxiety disorders | | |
|
| F40.0 - Agoraphobia | | |
|
| F40.240 - Claustrophobia | | |
|
| F40.8 - Other phobic anxiety disorders | | |
|
| F41 - Other anxiety disorders | | |
|
| F41.1 - Generalized anxiety disorder | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F41.3 - Other mixed anxiety disorders | 58324, 58395, 57384, 58318, 57385 | |
|
| F41.9 - Anxiety disorder, unspecified | | |
|
| F42 - Obsessive-compulsive disorder | | |
|
| F43 - Reaction to severe stress, and adjustment disorders | | |
|
| F43.0 - Acute stress reaction | | |
|
| F44 - Dissociative and conversion disorders | | |
|
| F44.5 - Conversion disorder with seizures or convulsions | | |
|
| F45.4 - Pain disorders related to psychological factors | | |
|
| F45.41 - Pain disorder exclusively related to psychological factors | | |
|
| F60 - Specific personality disorders | | |
|
| F60.0 - Paranoid personality disorder | | |
|
| F60.1 - Schizoid personality disorder | | |
|
| F60.5 - Obsessive-compulsive personality disorder | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F60.7 - Dependent personality disorder | | |
|
| F60.8 - Other specific personality disorders | | |
|
| F63 - Impulse disorders | | |
|
| F90 - Attention-deficit hyperactivity disorders | | |
|
| F90.1 - Attention-deficit hyperactivity disorder, predominantly hyperactive type | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F90.2 - Attention-deficit hyperactivity disorder, combined type | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F90.8 - Attention-deficit hyperactivity disorder, other type | 58812, 58801, 58324, 58395, 57384, 58318, 57385 | |
|
| F90.9 - Attention-deficit hyperactivity disorder, unspecified type | | |
|
| F98 - Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence | | |
|
| F99 - Mental disorder, not otherwise specified | | |
|
| G08 - Intracranial and intraspinal phlebitis and thrombophlebitis | | |
|
| G40 - Epilepsy and recurrent seizures | | |
|
| G40.0 - Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset | | |
|
| G40.1 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures | | |
|
| G40.8 - Other epilepsy and recurrent seizures | | |
|
| G40.80 - Other epilepsy | | |
|
| G40.89 - Other seizures | | |
|
| G40.9 - Epilepsy, unspecified | | |
|
| G45 - Transient cerebral ischemic attacks and related syndromes | | |
|
| G45.3 - Amaurosis fugax | | |
|
| G45.9 - Transient cerebral ischemic attack, unspecified | | |
|
| G46 - Vascular syndromes of brain in cerebrovascular diseases | | |
|
| G46.4 - Cerebellar stroke syndrome | | |
|
| G56.0 - Carpal tunnel syndrome | | |
|
| G73.7 - Myopathy in diseases classified elsewhere | | |
|
| G89 - Pain, not elsewhere classified | | |
|
| G89.0 - Central pain syndrome | | |
|
| G89.1 - Acute pain, not elsewhere classified | | |
|
| G89.11 - Acute pain due to trauma | 58812, 58801 | |
|
| G89.12 - Acute post-thoracotomy pain | | |
|
| G89.18 - Other acute postprocedural pain | 58812, 58801 | |
|
| G89.2 - Chronic pain, not elsewhere classified | | |
|
| G89.21 - Chronic pain due to trauma | | |
|
| G89.22 - Chronic post-thoracotomy pain | | |
|
| G89.28 - Other chronic postprocedural pain | | |
|
| G89.29 - Other chronic pain | 58812, 58801 | |
|
| G89.3 - Neoplasm related pain (acute) (chronic) | | |
|
| G89.4 - Chronic pain syndrome | | |
|
| I10 - Essential (primary) hypertension | 58812, 58801 | |
|
| I11 - Hypertensive heart disease | | |
|
| I11.0 - Hypertensive heart disease with heart failure | | |
|
| I11.9 - Hypertensive heart disease without heart failure | | |
|
| I15 - Secondary hypertension | | |
|
| I15.2 - Hypertension secondary to endocrine disorders | | |
|
| I15.8 - Other secondary hypertension | | |
|
| I15.9 - Secondary hypertension, unspecified | | |
|
| I16 - Hypertensive crisis | | |
|
| I20 - Angina pectoris | | |
|
| I20.0 - Unstable angina | 59609, 56199, 58812, 58801 | |
|
| I20.1 - Angina pectoris with documented spasm | 59609, 56199 | |
|
| I20.8 - Other forms of angina pectoris | | |
|
| I20.9 - Angina pectoris, unspecified | 59609, 56199 | |
|
| I24 - Other acute ischemic heart diseases | | |
|
| I24.8 - Other forms of acute ischemic heart disease | | |
|
| I32 - Pericarditis in diseases classified elsewhere | | |
|
| I39 - Endocarditis and heart valve disorders in diseases classified elsewhere | | |
|
| I41 - Myocarditis in diseases classified elsewhere | | |
|
| I48 - Atrial fibrillation and flutter | | |
|
| I48.0 - Paroxysmal atrial fibrillation | 58812, 58801 | |
|
| I61 - Nontraumatic intracerebral hemorrhage | | |
|
| I61.9 - Nontraumatic intracerebral hemorrhage, unspecified | | |
|
| I62 - Other and unspecified nontraumatic intracranial hemorrhage | | |
|
| I62.0 - Nontraumatic subdural hemorrhage | | |
|
| I63 - Cerebral infarction | | |
|
| I63.0 - Cerebral infarction due to thrombosis of precerebral arteries | | |
|
| I63.00 - Cerebral infarction due to thrombosis of unspecified precerebral artery | | |
|
| I63.8 - Other cerebral infarction | | |
|
| I63.9 - Cerebral infarction, unspecified | | |
|
| I67 - Other cerebrovascular diseases | | |
|
| I67.1 - Cerebral aneurysm, nonruptured | | |
|
| I67.82 - Cerebral ischemia | | |
|
| I70 - Atherosclerosis | | |
|
| I87 - Other disorders of veins | | |
|
| I87.39 - Chronic venous hypertension (idiopathic) with other complications | | |
|
| J99 - Respiratory disorders in diseases classified elsewhere | | |
|
| M05 - Rheumatoid arthritis with rheumatoid factor | | |
|
| M06 - Other rheumatoid arthritis | | |
|
| M06.9 - Rheumatoid arthritis, unspecified | | |
|
| M13 - Other arthritis | | |
|
| M13.0 - Polyarthritis, unspecified | | |
|
| M13.8 - Other specified arthritis | | |
|
| M15 - Polyosteoarthritis | | |
|
| M15.0 - Primary generalized (osteo)arthritis | | |
|
| M15.9 - Polyosteoarthritis, unspecified | | |
|
| M16 - Osteoarthritis of hip | | |
|
| M17 - Osteoarthritis of knee | | |
|
| M18 - Osteoarthritis of first carpometacarpal joint | | |
|
| M19 - Other and unspecified osteoarthritis | | |
|
| M19.0 - Primary osteoarthritis of other joints | | |
|
| M19.90 - Unspecified osteoarthritis, unspecified site | | |
|
| M19.93 - Secondary osteoarthritis, unspecified site | | |
|
| M25 - Other joint disorder, not elsewhere classified | | |
|
| M25.5 - Pain in joint | | |
|
| M33 - Dermatopolymyositis | | |
|
| M33.2 - Polymyositis | | |
|
| M34 - Systemic sclerosis [scleroderma] | | |
|
| M34.1 - CR(E)ST syndrome | | |
|
| M40 - Kyphosis and lordosis | | |
|
| M43 - Other deforming dorsopathies | | |
|
| M43.0 - Spondylolysis | | |
|
| M43.00 - Spondylolysis, site unspecified | | |
|
| M43.02 - Spondylolysis, cervical region | | |
|
| M43.04 - Spondylolysis, thoracic region | | |
|
| M43.06 - Spondylolysis, lumbar region | | |
|
| M43.10 - Spondylolisthesis, site unspecified | | |
|
| M43.16 - Spondylolisthesis, lumbar region | | |
|
| M45 - Ankylosing spondylitis | | |
|
| M47 - Spondylosis | | |
|
| M47.819 - Spondylosis without myelopathy or radiculopathy, site unspecified | | |
|
| M47.899 - Other spondylosis, site unspecified | | |
|
| M47.9 - Spondylosis, unspecified | | |
|
| M48 - Other spondylopathies | | |
|
| M48.00 - Spinal stenosis, site unspecified | | |
|
| M48.04 - Spinal stenosis, thoracic region | | |
|
| M48.06 - Spinal stenosis, lumbar region | | |
|
| M48.3 - Traumatic spondylopathy | | |
|
| M48.30 - Traumatic spondylopathy, site unspecified | | |
|
| M48.4 - Fatigue fracture of vertebra | | |
|
| M48.8 - Other specified spondylopathies | | |
|
| M48.9 - Spondylopathy, unspecified | | |
|
| M51.24 - Other intervertebral disc displacement, thoracic region | | |
|
| M51.26 - Other intervertebral disc displacement, lumbar region | | |
|
| M51.87 - Other intervertebral disc disorders, lumbosacral region | | |
|
| M53.2X7 - Spinal instabilities, lumbosacral region | | |
|
| M53.2X9 - Spinal instabilities, site unspecified | | |
|
| M53.8 - Other specified dorsopathies | | |
|
| M53.86 - Other specified dorsopathies, lumbar region | | |
|
| M53.9 - Dorsopathy, unspecified | | |
|
| M54 - Dorsalgia | | |
|
| M54.0 - Panniculitis affecting regions of neck and back | | |
|
| M54.06 - Panniculitis affecting regions of neck and back, lumbar region | | |
|
| M54.1 - Radiculopathy | | |
|
| M54.10 - Radiculopathy, site unspecified | | |
|
| M54.17 - Radiculopathy, lumbosacral region | | |
|
| M54.2 - Cervicalgia | | |
|
| M54.3 - Sciatica | | |
|
| M54.30 - Sciatica, unspecified side | | |
|
| M54.5 - Low back pain | | |
|
| M54.6 - Pain in thoracic spine | | |
|
| M54.8 - Other dorsalgia | | |
|
| M65 - Synovitis and tenosynovitis | | |
|
| M67 - Other disorders of synovium and tendon | | |
|
| M70 - Soft tissue disorders related to use, overuse and pressure | | |
|
| M76.0 - Gluteal tendinitis | | |
|
| M79 - Other and unspecified soft tissue disorders, not elsewhere classified | | |
|
| M79.0 - Rheumatism, unspecified | | |
|
| M79.1 - Myalgia | | |
|
| M79.603 - Pain in arm, unspecified | | |
|
| M79.65 - Pain in thigh | | |
|
| M79.7 - Fibromyalgia | | |
|
| M94.2 - Chondromalacia | | |
|
| N14.3 - Nephropathy induced by heavy metals | | |
|
| O16 - Unspecified maternal hypertension | | |
|
| R03 - Abnormal blood-pressure reading, without diagnosis | | |
|
| R10 - Abdominal and pelvic pain | | |
|
| R10.10 - Upper abdominal pain, unspecified | | |
|
| R42 - Dizziness and giddiness | | |
|
| R52 - Pain, unspecified | 58812, 58801 | |
|
| R56 - Convulsions, not elsewhere classified | | |
|
| R56.1 - Post traumatic seizures | | |
|
| R78.7 - Finding of abnormal level of heavy metals in blood | | |
|
| R79.1 - Abnormal coagulation profile | | |
|
| T43.8X5 - Adverse effect of other psychotropic drugs | | |
|
| T86 - Complications of transplanted organs and tissue | | |
|
| T86.4 - Complications of liver transplant | | |
|
| T86.40 - Unspecified complication of liver transplant | | |
|
| T86.41 - Liver transplant rejection | | |
|
| T86.42 - Liver transplant failure | | |
|
| T86.43 - Liver transplant infection | | |
|
| T86.49 - Other complications of liver transplant | | |
|
| Z13.220 - Encounter for screening for lipoid disorders | | |
|
| Z13.30 - Encounter for screening examination for mental health and behavioral disorders, unspecified | | |
|
| Z48.23 - Encounter for aftercare following liver transplant | | |
|
| 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 | | |
|
| Z51.12 - Encounter for antineoplastic immunotherapy | | |
|
| Z51.81 - Encounter for therapeutic drug level monitoring | | |
|
| Z79 - Long term (current) drug therapy | | |
|
| Z79.0 - Long term (current) use of anticoagulants and antithrombotics/antiplatelets | | |
|
| Z79.01 - Long term (current) use of anticoagulants | 58812, 58801 | |
|
| Z79.02 - Long term (current) use of antithrombotics/antiplatelets | 58812, 58801 | |
|
| Z79.1 - Long term (current) use of non-steroidal anti-inflammatories (NSAID) | | |
|
| Z79.3 - Long term (current) use of hormonal contraceptives | | |
|
| Z79.52 - Long term (current) use of systemic steroids | | |
|
| Z79.89 - Other long term (current) drug therapy | | |
|
| Z79.891 - Long term (current) use of opiate analgesic | | |
|
| Z79.899 - Other long term (current) drug therapy | | |
|
| Z80.6 - Family history of leukemia | | |
|
| Z82.0 - Family history of epilepsy and other diseases of the nervous system | | |
|
| Z82.3 - Family history of stroke | | |
|
| Z83.42 - Family history of familial hypercholesterolemia | | |
|
| Z85.6 - Personal history of leukemia | 58812, 58801 | |
|
| Z86.59 - Personal history of other mental and behavioral disorders | | |
|
| Z86.69 - Personal history of other diseases of the nervous system and sense organs | | |
|
| Z86.73 - Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits | 58812, 58801 | |
|
| Z91.19 - Patient's noncompliance with other medical treatment and regimen | | |
|
| Z94.4 - Liver transplant status | 58812, 58801 | |
|